Reich J, Noyes R, Yates W
Harvard University, Massachusetts Mental Health Center.
J Nerv Ment Dis. 1988 Aug;176(8):510-3. doi: 10.1097/00005053-198808000-00011.
Social phobic (N = 14), generalized anxiety disorder (N = 18), and panic disorder patients (N = 48) were compared on four categories of anxiety symptoms: autonomic hyperactivity, muscular tension, vigilance, and apprehensive expectation. Six specific symptoms (palpitations, chest pains, tinnitus, blurred vision, headaches, fear of dying, and dry mouth) distinguished social phobia from panic disorder, while four (headaches, fear of dying, sweating, and dyspnea) distinguished social phobia from generalized anxiety disorder. Most symptom differences were in the autonomic hyperactivity category of symptoms. These findings further confirm the validity of social phobia as a distinct disorder and may help provide specific target symptoms for the treatment of related but different anxiety disorders.
对社交恐惧症患者(N = 14)、广泛性焦虑症患者(N = 18)和惊恐障碍患者(N = 48)在四类焦虑症状上进行了比较:自主神经功能亢进、肌肉紧张、警觉性和担忧预期。六种特定症状(心悸、胸痛、耳鸣、视力模糊、头痛、怕死和口干)区分了社交恐惧症和惊恐障碍,而四种症状(头痛、怕死、出汗和呼吸困难)区分了社交恐惧症和广泛性焦虑症。大多数症状差异存在于自主神经功能亢进类症状中。这些发现进一步证实了社交恐惧症作为一种独特障碍的有效性,并可能有助于为治疗相关但不同的焦虑症提供特定的目标症状。