惊恐障碍老年和年轻患者的广场恐怖认知。
Agoraphobic cognitions in old and young patients with panic disorder.
机构信息
Institute for Integrated Mental Health "Pro Persona," Center of Anxiety Disorders "Overwaal", Radboud University Nijmegen, The Netherlands.
出版信息
Am J Geriatr Psychiatry. 2010 Dec;18(12):1155-8. doi: 10.1097/JGP.0b013e3181dba6ba.
OBJECTIVES
To compare the agoraphobic cognitions of younger and older patients suffering from panic disorder with agoraphobia by means of existing questionnaires.
METHOD
Agoraphobic cognitions were assessed using the Agoraphobic Cognitions Questionnaire (ACQ) in 205 patients confirmed with confirmed panic disorder with agoraphobia (Diagnostic and Statistical Manual, Fourth Edition, Text Revision) and analyzed at the item level applying a Bonferroni correction.
RESULTS
The 48 patients who were older than 60 years had a significantly lower mean (SD) ACQ total score than their younger counterparts (1.6 [0.5] versus 2.1 [0.6]; t = 5.7, df = 203, p < 0.001), with their scores on the items fear of going crazy, acting foolishly, losing control, passing out, and brain tumors (p < 0.004) being significantly lower.
CONCLUSION
The differential effect at the ACQ item level suggests that some cognitions seem less relevant for agoraphobic panic disorder in later life. Future research should explore whether and which agerelated cognitions are missed in the current questionnaires.
目的
通过现有的问卷比较年轻和老年惊恐障碍伴广场恐怖症患者的广场恐怖认知。
方法
使用广场恐怖认知问卷（ACQ）对 205 例确诊的惊恐障碍伴广场恐怖症患者（《精神障碍诊断与统计手册》第四版修订版）进行评估，并在项目水平上应用 Bonferroni 校正进行分析。
结果
48 名年龄大于 60 岁的患者的 ACQ 总分明显低于年轻患者（1.6 [0.5]比 2.1 [0.6]；t = 5.7，df = 203，p < 0.001），他们在发疯恐惧、愚蠢行为、失去控制、昏倒和脑瘤等项目上的得分明显较低（p < 0.004）。
结论
ACQ 项目水平的差异效应表明，一些认知在晚年的广场恐怖性惊恐障碍中可能不那么相关。未来的研究应探讨当前问卷中是否遗漏了哪些与年龄相关的认知，以及遗漏了哪些。
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