Schmidt Norman B, Meade Eggleston A, Trakowski John H, Smith Julia D
Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.
Behav Res Ther. 2005 Oct;43(10):1311-9. doi: 10.1016/j.brat.2004.09.007. Epub 2004 Dec 15.
Patients with panic disorder (PD) show maladaptive coping but the role of coping in the pathogenesis of panic is unclear. This study examined general coping and panic-specific coping as predictors of fear responding to CO2 inhalation. Subjective and physiological responses including panic attacks were assessed in 45 patients with PD and 45 matched nonclinical controls. Measures of coping were the primary predictors used in the analyses. Consistent with other reports, patients with PD reported increased emotion-focused coping and there was an association between emotion-focused coping and subjective reactivity. However, only panic-specific coping predicted panic attacks in response to the CO2 challenge.
惊恐障碍（PD）患者表现出适应不良的应对方式，但应对在惊恐发病机制中的作用尚不清楚。本研究考察了一般应对方式和惊恐特异性应对方式作为吸入二氧化碳后恐惧反应预测因素的情况。对45例PD患者和45例匹配的非临床对照者评估了包括惊恐发作在内的主观和生理反应。应对方式的测量指标是分析中使用的主要预测因素。与其他报告一致，PD患者报告称其情绪聚焦应对方式增加，且情绪聚焦应对方式与主观反应性之间存在关联。然而，只有惊恐特异性应对方式能预测对二氧化碳激发试验的惊恐发作。
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