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冲动性与惊恐障碍-广场恐惧症的关系:情感气质的作用。

The relationship between impulsivity and panic disorder-agoraphobia: The role of affective temperament.

机构信息

Department of Psychiatry, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, Halaskargazi Street, 34371 Şişli, İstanbul, Turkey.

出版信息

Psychiatry Res. 2018 Jun;264:169-174. doi: 10.1016/j.psychres.2018.03.021. Epub 2018 Mar 22.

DOI:10.1016/j.psychres.2018.03.021
PMID:29649673
Abstract

There are opinions regarding that impulsivity may play a role in the pathogenesis of neuropsychiatric disorders. The aim of this study was to investigate the relationship between impulsivity and panic disorder (PD) in the patient group, to compare impulsivity and affective temperamental traits between patients and healthy controls and to investigate whether there is a relationship between impulsivity and affective temperamental traits. Participants comprised 70 patients with PD and 58 healthy volunteers. The Panic Agoraphobia Scale (PAS), the Barratt Impulsiveness Scale (BIS-11) and the Temperament Evaluation of Memphis, Pisa, Paris, San Diego Autoquestionnaire (TEMPS-A) were applied. Patients have significantly higher scores in affective temperament (except hyperthymic) and attentional impulsiveness subscales than the healthy controls. Positive and negative correlations were found between some PAS and BIS-11 scores as well as correlations between especially cyclothymic, hyperthymic, irritable and anxious subscale scores of the TEMPS-A and the BIS-11 scores in the patient group. The results of this study indicate a relationship between impulsivity and PD. The correlations found between affective temperament dimensions and impulsivity suggest how affective temperamental traits may influence different impulsivity dimensions.

摘要

有人认为冲动性在神经精神障碍的发病机制中起作用。本研究旨在调查冲动性与惊恐障碍(PD)患者群体之间的关系,比较患者和健康对照组之间的冲动性和情感气质特征,并探讨冲动性与情感气质特征之间是否存在关系。参与者包括 70 名 PD 患者和 58 名健康志愿者。应用惊恐障碍-agoraphobia 量表(PAS)、巴雷特冲动量表(BIS-11)和孟菲斯、比萨、巴黎、圣地亚哥自动问卷的情感气质评估(TEMPS-A)。与健康对照组相比,患者在情感气质(除了欣快)和注意冲动子量表上的得分明显更高。在患者组中,PAS 和 BIS-11 评分之间存在正相关和负相关,以及 TEMPS-A 的环性、欣快、易怒和焦虑子量表评分与 BIS-11 评分之间存在相关性。本研究的结果表明冲动性与 PD 之间存在关系。情感气质维度与冲动性之间的相关性表明情感气质特征如何影响不同的冲动性维度。

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