Goldstein S
Department of Psychiatry, St. Luke's Roosevelt Hospital Center, New York, NY 10025.
J Clin Psychiatry. 1987 Nov;48(11):452-3.
Panic disorder, agoraphobia, and social phobia are subtypes of the anxiety disorders as defined by DSM-III. Panic disorder and agoraphobia are thought to be closely related, whereas social phobia is considered to be distinct on the basis of demographic characteristics, course, symptoms, biological responsiveness, and treatment specificity. Three cases are presented in which these classificatory distinctions are blurred and the course of the illness seems to involve temporally overlapping manifestations of panic attacks, social phobia, and agoraphobia. Diagnostic and treatment issues and implications for research are discussed.
惊恐障碍、广场恐惧症和社交恐惧症是《精神疾病诊断与统计手册》第三版（DSM - III）所定义的焦虑症亚型。惊恐障碍和广场恐惧症被认为密切相关，而社交恐惧症基于人口统计学特征、病程、症状、生物学反应性及治疗特异性被认为是不同的。本文呈现了三个病例，其中这些分类区别模糊不清，疾病进程似乎涉及惊恐发作、社交恐惧症和广场恐惧症在时间上重叠的表现。文中讨论了诊断和治疗问题以及对研究的启示。
