Stein M B, Shea C A, Uhde T W
Unit on Anxiety and Affective Disorders, NIMH, Bethesda, MD 20892.
Am J Psychiatry. 1989 Feb;146(2):235-8. doi: 10.1176/ajp.146.2.235.
Of 35 patients with DSM-III-R diagnoses of panic disorder, 16 also received diagnoses of social phobia, and 15 of these 16 reported past episodes of major depression. Only nine of the 19 panic patients without social phobia had histories of depression. The panic patients with histories of depression had significantly higher self-ratings of social anxiety and avoidance, but not agoraphobic fear and avoidance, than those without histories of depression. Panic disorder and social phobia may coexist in many cases, and the presence of social phobia may be associated with a higher morbid risk for major depression in this population.
在35名被诊断患有DSM-III-R惊恐障碍的患者中，16人还被诊断患有社交恐惧症，这16人中的15人报告有过重度抑郁发作史。在19名没有社交恐惧症的惊恐障碍患者中，只有9人有抑郁病史。有抑郁病史的惊恐障碍患者在社交焦虑和回避方面的自评得分显著高于没有抑郁病史的患者，但在广场恐怖症的恐惧和回避方面则不然。惊恐障碍和社交恐惧症在很多情况下可能同时存在，并且社交恐惧症的存在可能与该人群中重度抑郁的较高发病风险相关。
