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无惊恐障碍病史的广场恐惧症可能是惊恐障碍综合征的一部分。

Agoraphobia without a history of panic disorder may be part of the panic disorder syndrome.

作者信息

Andrews Gavin, Slade Tim

机构信息

School of Psychiatry, University of New South Wales at St Vincent's Hospital.

出版信息

J Nerv Ment Dis. 2002 Sep;190(9):624-30. doi: 10.1097/00005053-200209000-00008.

Abstract

Agoraphobia without a history of panic attacks is a disorder lacking strong support. Data from the Australian National Survey were explored in respect to panic disorder with or without agoraphobia (PDA, PD), and agoraphobia without a history of panic disorder (AG). Panic disorder, agoraphobia, and panic disorder with agoraphobia occurred in 3.5% of the adult population. People with this group of disorders were more likely to be female and more likely to seek help than people with other anxiety disorders. Significant anxiety symptoms and unease about safety when out and about occur in all three disorders. People with the double disorder PDA report more comorbid disorders, are more disabled, and have higher neuroticism scores than people with PD or AG. People with AG are older and consult less than people with PD or PDA. Agoraphobia has been devalued as a cause of human suffering. This idea is wrong. Agoraphobia is as common, comorbid, and disabling as PD, but less disabling than the double disorder of PDA.

摘要

无惊恐发作史的广场恐惧症是一种缺乏有力支持的疾病。我们对来自澳大利亚全国性调查的数据进行了探究,这些数据涉及伴有或不伴有广场恐惧症的惊恐障碍(PDA、PD)以及无惊恐障碍病史的广场恐惧症(AG)。惊恐障碍、广场恐惧症以及伴有广场恐惧症的惊恐障碍在成年人口中的发生率为3.5%。与患有其他焦虑症的人相比,患有这组疾病的人更可能为女性,且更有可能寻求帮助。在这三种疾病中,均会出现明显的焦虑症状以及外出时对安全的不安感。患有双重障碍PDA的人比患有PD或AG的人报告更多的共病,残疾程度更高,且神经质得分更高。患有AG的人比患有PD或PDA的人年龄更大,就诊次数更少。广场恐惧症作为人类痛苦的一个原因一直被贬低。这种观点是错误的。广场恐惧症与惊恐障碍一样常见、存在共病且会导致残疾,但比PDA这种双重障碍的致残性更低。

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