Starcevic V, Kellner R, Uhlenhuth E H, Pathak D
Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque 87131.
J Affect Disord. 1992 Feb;24(2):73-85. doi: 10.1016/0165-0327(92)90021-w.
The purpose of this study was to examine correlates of hypochondriacal fears and beliefs in patients with panic disorder (PD) (n = 54). They were evaluated using the structured diagnostic interviews for axis I and axis II disorders (SCID-UP-R and SCID-II). They were administered the Illness Attitudes Scales (IAS) as a measure of hypochondriacal fears and beliefs, the Hopkins Symptom Checklist 90 (HSCL), and the Fear Questionnaire (FQ). One half of the patients rated themselves as having substantial hypochondriacal fears and beliefs. The sample was divided into groups of patients seeking predominantly treatment or relief from symptoms (treatment-oriented), and those who were searching for a cause of their illness (explanation-seeking): the latter had significantly more hypochondriacal concerns. Avoidant, histrionic, and borderline personalities were more common in the hypochondriacal group. The results of several analyses suggest that patients with PD who are also agoraphobic, fear physical disease more and have more false beliefs of having a disease than PD patients without agoraphobia.
本研究的目的是调查惊恐障碍（PD）患者（n = 54）疑病恐惧和信念的相关因素。使用针对轴I和轴II障碍的结构化诊断访谈（SCID-UP-R和SCID-II）对他们进行评估。给他们施测疾病态度量表（IAS）以测量疑病恐惧和信念、霍普金斯症状清单90（HSCL）以及恐惧问卷（FQ）。一半的患者将自己评定为有严重的疑病恐惧和信念。样本被分为主要寻求症状治疗或缓解的患者组（以治疗为导向）和那些寻找疾病病因的患者组（寻求解释）：后者有明显更多的疑病担忧。回避型、表演型和边缘型人格在疑病组中更为常见。几项分析的结果表明，与无广场恐怖症的惊恐障碍患者相比，伴有广场恐怖症的惊恐障碍患者更害怕身体疾病，且对患病有更多错误信念。
