Hagenaars Muriel A, van Minnen Agnes, Hoogduin Kees A L
Department of Clinical, Health, and Neuropsychology, Leiden University, Leiden, The Netherlands.
J Nerv Ment Dis. 2009 Aug;197(8):627-30. doi: 10.1097/NMD.0b013e3181b08bdf.
Intense, disorganized recollections are one of the core symptoms of posttraumatic stress disorder (PTSD), and considered to be the result of inadequate processing of trauma information. A first panic attack resembles trauma in being an unexpected frightening and subjectively life-threatening event, and like PTSD, panic disorder with agoraphobia also involves fear conditioning after the first event. Therefore, a panic attack may be processed similarly to a trauma, and as a result, memories of a panic attack may share characteristics like reliving and disorganization with PTSD trauma memories. To test this hypothesis, scripts of PTSD trauma memories (n = 21) were compared with scripts of panic disorder with agoraphobia panic memories (n = 25) using a narrative rating scale. No differences were found between reliving intensity and disorganization levels in the scripts of both patient groups. The results suggest a panic attack may affect information processing similarly to a traumatic event.
强烈、杂乱的回忆是创伤后应激障碍（PTSD）的核心症状之一，被认为是创伤信息处理不足的结果。首次惊恐发作类似于创伤，是一种意外的可怕且主观上危及生命的事件，与PTSD一样，伴有广场恐惧症的惊恐障碍在首次事件后也涉及恐惧条件作用。因此，惊恐发作的处理方式可能与创伤类似，结果，惊恐发作的记忆可能与PTSD创伤记忆共享如重现和杂乱等特征。为了验证这一假设，使用叙事评定量表将PTSD创伤记忆的文字记录（n = 21）与伴有广场恐惧症的惊恐障碍惊恐记忆的文字记录（n = 25）进行了比较。两组患者文字记录中的重现强度和杂乱程度均未发现差异。结果表明，惊恐发作可能与创伤性事件对信息处理的影响类似。
