一项关于伴有和不伴有抑郁的惊恐障碍患者的研究。
A study of panic patients with and without depression.
机构信息
K. SRINIVASAN, D.P.M., M.D., Professor, Department of Psychiatry, St. John's Medical College Hospital, Sarjapur Road, Bangalore-560034
出版信息
Indian J Psychiatry. 2002 Jul;44(3):246-52.
Abstract
In a sample of 94 panic patients, 43 patients (45.7%) had comorbid depression. In majority of patients, the comorbid depression was severe enough to be diagnosed as major depression. Panic patients with depression were more severely functionally impaired and had more generalized anxiety symptoms as compared to pure panic patients. There were no significant differences between panic patients with primary and secondary depression on any of the clinical variables. Findings from the present study are in agreement with earlier studies in that panic disorder comorbid with depression is a much more severe illness than pure panic disorder.
摘要
在 94 名惊恐症患者的样本中，有 43 名患者（45.7%）存在共病性抑郁。在大多数患者中，共病性抑郁严重到足以被诊断为重度抑郁症。与单纯惊恐症患者相比，患有抑郁症的惊恐症患者的功能障碍更为严重，且具有更多的广泛性焦虑症状。在任何临床变量上，原发性和继发性抑郁的惊恐症患者之间均无显著差异。本研究的结果与早期研究一致，即伴有抑郁的惊恐障碍比单纯惊恐障碍严重得多。
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本文引用的文献
1
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Acta Psychiatr Scand Suppl. 2000(406):14-23.
2
Predictors of outcome in a primary care depression trial.一项初级保健抑郁症试验中结局的预测因素。
J Gen Intern Med. 2000 Dec;15(12):859-67. doi: 10.1046/j.1525-1497.2000.91142.x.
3
Suicidal behavior in patients with current or past panic disorder: five years of prospective data from the Harvard/Brown Anxiety Research Program.当前或既往患有惊恐障碍患者的自杀行为：来自哈佛/布朗焦虑研究项目的五年前瞻性数据。
Am J Psychiatry. 2000 Nov;157(11):1876-8. doi: 10.1176/appi.ajp.157.11.1876.
4
Lifetime panic-depression comorbidity in the National Comorbidity Survey. Association with symptoms, impairment, course and help-seeking.
Br J Psychiatry. 2000 Mar;176:229-35. doi: 10.1192/bjp.176.3.229.
5
Multicenter collaborative panic disorder severity scale.多中心协作惊恐障碍严重程度量表。
Am J Psychiatry. 1997 Nov;154(11):1571-5. doi: 10.1176/ajp.154.11.1571.
6
Comorbidity of depression and panic disorder.
J Clin Psychiatry. 1996;57 Suppl 10:34-41; discussion 42-3.
7
Comorbidity and boundaries of affective disorders with anxiety disorders and substance misuse: results of an international task force.情感障碍与焦虑症及物质滥用的共病情况和界限：一个国际特别工作组的结果
Br J Psychiatry Suppl. 1996 Jun(30):58-67.
8
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9
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10
Affective disorder and alcoholism in families of agoraphobics.
Arch Gen Psychiatry. 1981 Aug;38(8):869-71. doi: 10.1001/archpsyc.1981.01780330027002.
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