Nepean Anxiety Disorders Clinic, Sydney West Area Health Service, Penrith, Australia.
Behav Cogn Psychother. 2010 May;38(3):275-89. doi: 10.1017/S135246581000007X. Epub 2010 Mar 26.
There is little consensus as to whether agoraphobic avoidance in panic disorder is characterized by a prominence of particular symptoms and interpretations of those symptoms.
We sought to clarify the relationship between symptoms and agoraphobic avoidance and to establish whether catastrophic interpretations of symptoms mediate any such relationships.
The Symptom Checklist 90-Revised, Agoraphobic Cognitions Questionnaire and Mobility Inventory were administered to 117 patients with panic disorder who were attending an outpatient anxiety disorders clinic.
Medium to large associations were found between most symptoms and agoraphobic avoidance and between particular symptoms and the corresponding symptom interpretation items. Some interpretations of symptoms were found to mediate relationships between symptoms and agoraphobic avoidance.
These findings suggest that the catastrophic misinterpretation model of panic disorder can to some extent be invoked to explain the extent of agoraphobic avoidance, but that there may also be other pathways leading from symptoms to agoraphobia.
惊恐障碍中广场恐惧症回避是否以特定症状的突出表现和对这些症状的解释为特征，这一点尚未达成共识。
我们试图阐明症状与广场恐惧症回避之间的关系，并确定症状的灾难性解释是否会影响任何此类关系。
对 117 名在门诊焦虑症诊所就诊的惊恐障碍患者进行了症状清单 90 修订版、广场恐惧症认知问卷和活动能力量表的评估。
大多数症状与广场恐惧症回避之间以及特定症状与相应的症状解释项目之间存在中等至较大的关联。某些症状的解释被发现可以调节症状与广场恐惧症回避之间的关系。
这些发现表明，惊恐障碍的灾难性误解模型在一定程度上可以用来解释广场恐惧症回避的程度，但从症状到广场恐惧症的途径可能还有其他。
