Lesser I M, Rubin R T
J Clin Psychiatry. 1986 Jun;47 Suppl:4-10.
Approaches to the classification and treatment of anxiety have been lacking because of the unclear borders between pathologic and normal anxiety and the heterogeneity of patients called "anxious." The differentiation of panic from other anxiety states is a recent development in psychiatric nosology. The diagnosis of panic disorder and agoraphobia and their demarcation from other psychiatric and medical disorders are reviewed. Proposals to revise DSM-III criteria to provide concordance with current etiologic theories are discussed, and an overall treatment strategy that takes into account the multiple manifestations of the illness is outlined.
由于病理性焦虑和正常焦虑之间的界限不明，以及被称为“焦虑症患者”的患者存在异质性，焦虑症的分类和治疗方法一直缺失。惊恐发作与其他焦虑状态的区分是精神病学分类学中的一个新进展。本文回顾了惊恐障碍和广场恐惧症的诊断以及它们与其他精神和医学疾病的区分。讨论了修订《精神疾病诊断与统计手册》第三版标准以使其与当前病因理论相一致的建议，并概述了一种考虑到该疾病多种表现的总体治疗策略。
