对记忆的恐惧：创伤后应激障碍中的惊恐本质。
Fear of memories: the nature of panic in posttraumatic stress disorder.
机构信息
School of Psychology, University of New South Wales, Sydney, Australia.
出版信息
Eur J Psychotraumatol. 2012;3. doi: 10.3402/ejpt.v3i0.19084. Epub 2012 Nov 1.
BACKGROUND
Although there is increasing evidence that panic attacks are common in posttraumatic stress disorder (PTSD), little is known if posttraumatic panic is comparable to panic attacks observed in panic disorder (PD).
OBJECTIVE
This study examined the cognitive responses to panic attacks in participants with PD and PTSD.
METHOD
Participants with PD (n=22) and PTSD (n=18) were assessed on the Anxiety Disorder Interview Schedule for DSM-IV and subsequently administered the Agoraphobic Cognitions Questionnaire and a measure of fears related to trauma memories.
RESULTS
Although participants did not differ in terms of catastrophic appraisals about somatic sensations, PTSD participants were more likely to experience fears about trauma memories and being harmed by trauma again during their panic attacks than PD participants.
CONCLUSIONS
These findings suggest that although PTSD participants fear somatic outcomes during panic attacks, their panic attacks are distinguished by a marked fear of trauma memories.
背景
尽管越来越多的证据表明创伤后应激障碍（PTSD）中常发生惊恐发作，但对于创伤后惊恐是否与惊恐障碍（PD）中观察到的惊恐发作相当知之甚少。
目的
本研究旨在研究 PD 和 PTSD 患者对惊恐发作的认知反应。
方法
对 PD（n=22）和 PTSD（n=18）患者进行 DSM-IV 焦虑障碍访谈表评估，随后进行广场恐怖症认知问卷和与创伤记忆相关的恐惧测量。
结果
尽管两组患者在对躯体感觉的灾难性评估方面没有差异，但 PTSD 患者在惊恐发作期间更有可能对创伤记忆和再次受到创伤伤害感到恐惧，而 PD 患者则不然。
结论
这些发现表明，尽管 PTSD 患者在惊恐发作时担心躯体后果，但他们的惊恐发作的特点是明显对创伤记忆感到恐惧。
Zotero 插件