Klerman G L, Weissman M M, Ouellette R, Johnson J, Greenwald S
Department of Psychiatry, Cornell University Medical College, Payne Whitney Psychiatric Clinic, New York, NY 10021.
JAMA. 1991 Feb 13;265(6):742-6.
This article focuses on social morbidity and health care utilization in persons with panic attacks not meeting full diagnostic criteria for panic disorder. The findings are based on data from a random sample of over 18,000 adults drawn from five US communities. Panic attacks not meeting full criteria for panic disorder have a relatively high lifetime prevalence (3.6% of the adult population). Persons with panic attacks had impairment in perceived physical and emotional health, and in occupational and financial functioning, increased use of health care facilities, emergency departments, and psychoactive drugs. Persons with panic attacks were intermediate in severity between those with panic disorder and those with other psychiatric disorders. The findings could not be explained by comorbidity with other psychiatric disorders. We conclude that panic attacks have clinical significance and are associated with substantial morbidity.
本文聚焦于未达到惊恐障碍完整诊断标准的惊恐发作患者的社会病态及医疗保健利用情况。研究结果基于从美国五个社区抽取的超过18000名成年人的随机样本数据。未达到惊恐障碍完整标准的惊恐发作终生患病率相对较高（占成年人口的3.6%）。惊恐发作患者在感知到的身心健康、职业和财务功能方面存在损害，使用医疗保健设施、急诊科和精神活性药物的频率增加。惊恐发作患者的严重程度介于惊恐障碍患者和其他精神障碍患者之间。这些发现无法用与其他精神障碍的共病来解释。我们得出结论，惊恐发作具有临床意义，并与相当程度的病态相关。
