Franklin J A
Br J Clin Psychol. 1987 May;26(2):127-33. doi: 10.1111/j.2044-8260.1987.tb00738.x.
Recent factor analytic studies have emphasized the importance of both somatic and situational fears in agoraphobia. Franklin (1980) proposed a developmental model of agoraphobic fears in which somatic changes (interoceptive fears), and feared consequences such as panic (outcome fears), produce situational fears through misattribution. Five hypotheses derived from this model were tested on 60 agoraphobics who rated their original and current fears. In all subjects interoceptive and outcome fears relating to panic attacks developed before situational fear and avoidance. Initially outcome fears were significantly greater than interoceptive fears, which were in turn significantly greater than situational fears. Over time situational fears increased significantly, eventually equalling outcome fears, and exceeding interoceptive fears. Panic attack frequency and severity also reduced significantly. All hypotheses were confirmed and the implications for research and treatment are outlined.
近期的因素分析研究强调了躯体恐惧和情境恐惧在广场恐惧症中的重要性。富兰克林（1980年）提出了一个广场恐惧症恐惧的发展模型，其中躯体变化（内感受性恐惧）以及诸如惊恐等恐惧后果（结果恐惧）通过错误归因产生情境恐惧。从该模型推导出的五个假设在60名广场恐惧症患者身上进行了测试，这些患者对他们最初和当前的恐惧进行了评分。在所有受试者中，与惊恐发作相关的内感受性恐惧和结果恐惧在情境恐惧和回避之前就已出现。最初，结果恐惧显著大于内感受性恐惧，而内感受性恐惧又显著大于情境恐惧。随着时间的推移，情境恐惧显著增加，最终与结果恐惧相等，并超过了内感受性恐惧。惊恐发作的频率和严重程度也显著降低。所有假设均得到证实，并概述了对研究和治疗的启示。
