Porcerelli John H, Huprich Steven K, Markova Tsveti
Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI 48307, USA.
J Nerv Ment Dis. 2010 Feb;198(2):144-9. doi: 10.1097/NMD.0b013e3181cc41ca.
Psychodynamic theories of panic disorder (PD) suggest an association between PD and impairments in mental representations. This study tested this hypothesis by comparing mental representations of 25 African-American women recruited from an urban primary care clinic with PD with a group of 25 women without PD and matched on race, age, marital status, education, and income. Mental representations were assessed through spontaneous descriptions of mothers and reliably coded with the Qualitative and Structural Dimensions of Object Representations scale (Blatt et al., Unpublished manual, 1992). Results essentially supported the hypotheses for impaired mental representations (lower benevolence, higher ambivalence, and lower conceptual level) for women with PD as compared with women without PD. No differences in mental representations were found between women with PD with major depression and women with only PD. The findings provide preliminary support for a psychodynamic theory of PD in a sample of African-American women.
惊恐障碍（PD）的心理动力学理论表明，PD与心理表征受损之间存在关联。本研究通过比较从城市初级保健诊所招募的25名患有PD的非裔美国女性与25名无PD且在种族、年龄、婚姻状况、教育程度和收入方面匹配的女性的心理表征，对这一假设进行了检验。心理表征通过对母亲的自发描述进行评估，并使用对象表征量表的定性和结构维度（布拉特等人，未发表手册，1992年）进行可靠编码。结果基本支持了与无PD女性相比，患有PD的女性存在心理表征受损（较低的仁慈、较高的矛盾情绪和较低的概念水平）的假设。患有PD伴重度抑郁的女性与仅患有PD的女性在心理表征上未发现差异。这些发现为非裔美国女性样本中PD的心理动力学理论提供了初步支持。
