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恐慌中的婚姻:惊恐障碍与亲密关系

Marriage in a panic: Panic disorder and intimate relationships.

作者信息

Kasalova Petra, Prasko Jan, Holubova Michaela, Vanek Jakub, Ociskova Marie, Minarikova Kamila, Chupacova Michaela, Kantor Krystof, Kolek Antonín, Sollár Tomáš, Nesnidal Vlastimil, Zatkova Marta, Slepecky Milos, Barnard Lianne

机构信息

Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, 77520 Olomouc, Czech Republic.

Department of Psychiatry, Regional Hospital Liberec, Liberec, Czech Republic.

出版信息

Neuro Endocrinol Lett. 2020 Oct;41(4):179-194.

PMID:33307653
Abstract

BACKGROUND

Panic disorder and agoraphobia not only affect the patients themselves but also may have a detrimental effect on their intimate relationships. A problem arising in the intimate sphere could be a trigger, a modulator, a maintenance factor, or the result of the panic disorder and agoraphobia. The consequences of panic disorder include increased demands on the non-affected partner to adapt, which may prove to be too challenging for some to manage. Panic disorder and agoraphobia can also change earlier relationship patterns which may result in partnership dysfunction. This review explores the effect of panic disorder and agoraphobia upon partnership problems and satisfaction.

METHOD

Relevant studies were identified via PubMed and Web of Science, published between January 1970 and April 2020. The search terms included "panic disorder", "agoraphobia", "marital problems", "marital conflicts" and "marital adjustment". Further references were found in reviews, books, and book chapters of the relevant papers. A total of 1154 articles were nominated by primary assortment using the keywords in different combinations. After selecting according to the inclusion and exclusion criteria, evaluating the complete texts and searching for secondary documents, 173 papers were finally chosen.

RESULTS

Problems in a relationship can act as a trigger for the development of the panic disorder and agoraphobia and could also function as modulating and maintenance factors. Panic disorder and agoraphobia often have a negative influence on the relationship and the non-affected partner. Partnership problems can be both a precursor and a consequence of panic disorder and agoraphobia.

摘要

背景

惊恐障碍和广场恐惧症不仅影响患者自身,还可能对他们的亲密关系产生不利影响。亲密关系中出现的问题可能是惊恐障碍和广场恐惧症的触发因素、调节因素、维持因素或结果。惊恐障碍的后果包括对未受影响的伴侣提出更高的适应要求,这对一些人来说可能具有太大的挑战性。惊恐障碍和广场恐惧症还可能改变早期的关系模式,从而导致伴侣关系功能失调。本综述探讨惊恐障碍和广场恐惧症对伴侣关系问题及满意度的影响。

方法

通过PubMed和Web of Science检索1970年1月至2020年4月发表的相关研究。检索词包括“惊恐障碍”“广场恐惧症”“婚姻问题”“婚姻冲突”和“婚姻调适”。在相关论文的综述、书籍及章节中查找进一步的参考文献。使用关键词的不同组合,通过初步分类共提名1154篇文章。根据纳入和排除标准进行筛选、评估全文并查找二次文献后,最终选择了173篇论文。

结果

关系中的问题可能是惊恐障碍和广场恐惧症发展的触发因素,也可能起到调节和维持作用。惊恐障碍和广场恐惧症通常会对关系及未受影响的伴侣产生负面影响。伴侣关系问题可能既是惊恐障碍和广场恐惧症的先兆,也是其后果。

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