Silove D
School of Psychiatry, University of New South Wales, Prince of Wales Hospital, Randwick.
Aust N Z J Psychiatry. 1987 Dec;21(4):591-600. doi: 10.3109/00048678709158928.
The hypothesis that panic disorder is a separate biological disease has attracted a great deal of controversy in recent years. One of the cornerstones of this theory is that panic attacks arise spontaneously, suggesting that the illness is generated by an autonomous physiological process. A number of cases are reported that illustrate Beck's theory that cognitive factors are central to the genesis of acute anxiety. Evidence for a developmental/cognitive theory of anxiety is discussed, and it is concluded that a purely biological model for panic disorder is inadequate.
恐慌症是一种独立的生物疾病这一假说近年来引发了诸多争议。该理论的基石之一是恐慌发作是自发产生的，这表明这种疾病是由自主的生理过程引发的。有一些案例报告阐述了贝克的理论，即认知因素是急性焦虑症发病的核心。本文讨论了焦虑症发展/认知理论的证据，并得出结论：恐慌症的纯生物学模型是不充分的。
