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[伴有惊恐障碍的广场恐惧症心理病理特征中的性别差异]

[Gender differences in psychopathologic features of agoraphobia with panic disorder].

作者信息

Latas Milan, Mitrović Mihajlo, Starcević Vladan

机构信息

Klinicki centar Srbije, Institut za psihijatriju, Beograd, Srbija i Crna Gora.

出版信息

Vojnosanit Pregl. 2006 Jun;63(6):569-74. doi: 10.2298/vsp0606569l.

Abstract

BACKGROUND/AIM: To examine gender differences in the major psychopathologic features in agoraphobia with panic disorder.

METHOD

The study was conducted as a clinical study. The sample consisted of 119 patients, 32 men (26.9%) and 87 women (73.1%) with the basic diagnosis of agoraphobia with panic disorder. All the patients were evaluated with the clinical instruments suitable for the assessment of various clinical features associated with agoraphobia with panic disorder--questionnaires (the Hopkins Symptom Checklist 90, the Panic Appraisal Inventory, the Fear Questionnaire, the Beck Anxiety Inventory, and the Beck Depression Inventory), and the clinical rating scale (the Panic and Agoraphobia Scale). After the data collection, the sample was divided into two groups by the gender. Then the groups were compared.

RESULTS

There were no differences between the genders in the global psychopathologic features (the age at the onset of a disorder, duration of a disorder, severity and frequency of panic attacks, intensity of general psychiatric symptoms, intensity of general anxiety and depression). The women, howerer, reported a subjective perception of a more severe agoraphobic avoidance and males were significantly more likely than the females to anticipate the serious somatic consequences of panic attacks and worry about somatic health.

CONCLUSION

There were a few gender specific psychopathologic features in patients with agoraphobia with panic disorder, so further studies would be necessary to come to a more precise conclusion.

摘要

背景/目的:研究伴有惊恐障碍的广场恐惧症主要精神病理特征中的性别差异。

方法

本研究为临床研究。样本包括119例患者,其中32例男性(26.9%),87例女性(73.1%),基本诊断为伴有惊恐障碍的广场恐惧症。所有患者均使用适用于评估与伴有惊恐障碍的广场恐惧症相关的各种临床特征的临床工具进行评估——问卷调查(霍普金斯症状清单90、惊恐评估量表、恐惧问卷、贝克焦虑量表和贝克抑郁量表)以及临床评定量表(惊恐和广场恐怖量表)。数据收集后,样本按性别分为两组,然后对两组进行比较。

结果

在整体精神病理特征方面(疾病发病年龄、病程、惊恐发作的严重程度和频率、一般精神症状强度、一般焦虑和抑郁强度),性别之间没有差异。然而,女性报告主观上感觉广场恐怖回避更严重,而男性比女性更有可能预期惊恐发作的严重躯体后果并担心躯体健康。

结论

伴有惊恐障碍的广场恐惧症患者存在一些性别特异性的精神病理特征,因此需要进一步研究以得出更精确的结论。

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