Bringager Christine B, Gauer Katrine, Arnesen Harald, Friis Svein, Dammen Toril
Department of Research and Education, Psychiatric Division, Ullevaal University Hospital, 0407 Oslo, Norway.
Psychosomatics. 2008 Sep-Oct;49(5):426-37. doi: 10.1176/appi.psy.49.5.426.
Nonfearful panic disorder (NFPD) is a type of panic disorder (PD) that was first described in 1987 among cardiology patients who had panic attacks without the experience of fear. NFPD may be considered a subtype of PD with significant impact on the long-term outcome of chest pain patients.
The authors sought to explore the long-term outcome of NFPD and PD.
Authors studied 199 patients previously referred to cardiology outpatient investigation because of chest pain. Assessments comprising cardiological and psychiatric (SCID-I) examinations were conducted after 9 years.
At follow-up, no patients suffered from NFPD, but 18% had panic disorder with fear (PD). There were no significant differences between the baseline NFPD (N=11) and PD (N=44) patients regarding psychiatric comorbidity, chest pain, healthcare utilization, and health-related quality of life at follow-up.
NFPD can have a significant impact on the long-term outcome of chest pain patients even though they may not seek psychiatric treatment.
无恐惧惊恐障碍（NFPD）是惊恐障碍（PD）的一种类型，于1987年首次在心脏病患者中被描述，这些患者有惊恐发作但无恐惧体验。NFPD可被视为惊恐障碍的一个亚型，对胸痛患者的长期预后有重大影响。
作者试图探讨NFPD和PD的长期预后。
作者研究了199名因胸痛此前被转诊至心脏科门诊进行检查的患者。9年后进行了包括心脏科和精神科（SCID-I）检查的评估。
随访时，没有患者患有NFPD，但18%的患者患有恐惧性惊恐障碍（PD）。在随访时，基线NFPD（N = 11）和PD（N = 44）患者在精神共病情况、胸痛、医疗保健利用以及与健康相关的生活质量方面没有显著差异。
NFPD即使可能不寻求精神科治疗，也会对胸痛患者的长期预后产生重大影响。
