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关节过度活动综合征与惊恐障碍的关联:一项病例对照研究。

Association between joint hypermobility syndrome and panic disorder: a case-control study.

机构信息

Dept. of Psychiatry, Miguel Servet University Hospital, University of Zaragoza, Zaragoza, Spain.

出版信息

Psychosomatics. 2010 Jan-Feb;51(1):55-61. doi: 10.1176/appi.psy.51.1.55.

DOI:10.1176/appi.psy.51.1.55
PMID:20118441
Abstract

BACKGROUND

A significant association between joint hypermobility syndrome (JHS) and panic disorder was observed in a sample of rheumatology outpatients.

OBJECTIVE

The aim of this study was to assess whether JHS is more frequent in panic-disorder than in control subjects.

METHOD

The authors conducted a case-control study comparing 55 untreated patients with panic disorder and three matched-control groups: psychiatric patients, fibromyalgia patients, and healthy persons.

RESULTS

JHS was more frequent among panic-disorder than among psychiatric patients, the healthy group, or the fibromyalgia group. In the panic-disorder group, there was a significant correlation between severity of JHS and anxiety.

CONCLUSION

The strong association between JHS and panic disorder points to a genetic association. There is also a possibility that JHS and mitral valve prolapse, another condition frequently associated with panic disorder, share a common pathophysiological mechanism.

摘要

背景

在一组风湿科门诊患者中,观察到关节过度活动综合征(JHS)与惊恐障碍之间存在显著关联。

目的

本研究旨在评估 JHS 在惊恐障碍患者中是否比在对照组中更为常见。

方法

作者进行了一项病例对照研究,比较了 55 名未经治疗的惊恐障碍患者和三个匹配对照组:精神科患者、纤维肌痛患者和健康人群。

结果

JHS 在惊恐障碍患者中比在精神科患者、健康组或纤维肌痛组中更为常见。在惊恐障碍组中,JHS 的严重程度与焦虑之间存在显著相关性。

结论

JHS 与惊恐障碍之间的强烈关联表明存在遗传关联。此外,JHS 和二尖瓣脱垂之间也可能存在共同的病理生理机制,二尖瓣脱垂是另一种常与惊恐障碍相关的疾病。

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