Kushner M G, Beitman B D
Medical College of Pennsylvania at EPPI, Philadelphia 19129.
Behav Res Ther. 1990;28(6):469-79. doi: 10.1016/0005-7967(90)90133-4.
'Non-fearful panic disorder' (NFPD) is a condition that meets DSM III-R criteria for panic disorder but lacks a report of subjective fear or anxiety. Presenting the first comprehensive overview of this issue, the authors describe studies investigating a wide range of apparently overlapping phenomena including NFPD, 'somatically expressed panic', 'non-cognitive panic', 'alexithymic panic', 'non-clinical panic', and 'masked anxiety'. The review shows that such conditions account for from 20 to 40% of the panic disorder found in various medical populations, and that this group resembles conventional panic disorder in cross-sectional comparisons. We emphasize that a 'triple-response' model of anxiety is consistent with our conclusion that NFPD should be conceptualized as a panic disorder subtype. Finally, we discuss unresolved issues regarding the construct and predictive diagnostic validity of NFPD.
“无畏惊恐障碍”（NFPD）是一种符合《精神疾病诊断与统计手册》第三版修订版（DSM III-R）惊恐障碍标准，但缺乏主观恐惧或焦虑报告的病症。作者首次全面概述了这一问题，描述了对一系列明显重叠现象的研究，包括NFPD、“躯体表现的惊恐”、“非认知性惊恐”、“述情障碍性惊恐”、“非临床惊恐”和“隐匿性焦虑”。综述表明，此类病症在不同医学人群中发现的惊恐障碍中占20%至40%，并且在横断面比较中，这一群体与传统惊恐障碍相似。我们强调，焦虑的“三联反应”模型与我们的结论一致，即NFPD应被概念化为惊恐障碍的一个亚型。最后，我们讨论了关于NFPD的结构和预测诊断有效性的未解决问题。
