Fava M, Anderson K, Rosenbaum J F
Clinical Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114.
Am J Psychiatry. 1990 Jul;147(7):867-70. doi: 10.1176/ajp.147.7.867.
The authors report a series of illustrative cases in which patients presented with sudden "spells" of anger with physical features that resembled panic attacks but lacked the affects of fear and anxiety. These spells or "attacks" of anger were experienced as uncharacteristic and were inappropriate to the situations in which they occurred. Since treatment of these attacks with antidepressants produced in each case marked improvements in behavior, the authors also formulate some hypotheses as to the nature of these episodes.
作者报告了一系列具有代表性的病例，这些患者表现出突然发作的愤怒情绪，伴有类似惊恐发作的身体特征，但缺乏恐惧和焦虑的情感体验。这些愤怒发作或“攻击”被认为是非典型的，且与发作时的情境不相称。由于在每个病例中，使用抗抑郁药治疗这些发作后行为都有显著改善，作者还就这些发作的本质提出了一些假设。
