Bowen R C, Kohout J
Can Psychiatr Assoc J. 1979 Jun;24(4):317-22. doi: 10.1177/070674377902400407.
Detailed clinical records were kept on a series of 55 agoraphobic patients who presented to a general hospital psychiatric practice over a 3 year period. A review of the records revealed that 91% of these patients were diagnosed as suffering from a unipolar or bipolar primary affective disorder. The anxiety and phobic symptoms tended to mask the presence of the affective disorder. This observation is consistent with most of the published data on the agoraphobic syndrome. It could also explain the inconsistent effects of treatment of agoraphobia compared with simple phobias. The possible biological and psychological connections between primary affective disorders and the agoraphobic syndrome are discussed.
对一系列55名广场恐惧症患者进行了详细的临床记录，这些患者在3年期间到一家综合医院的精神科就诊。对记录的审查显示，这些患者中有91%被诊断患有单相或双相原发性情感障碍。焦虑和恐惧症状往往掩盖了情感障碍的存在。这一观察结果与大多数已发表的关于广场恐惧症综合征的数据一致。这也可以解释与单纯恐惧症相比，广场恐惧症治疗效果不一致的原因。本文讨论了原发性情感障碍与广场恐惧症综合征之间可能的生物学和心理学联系。
