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早期分离焦虑是惊恐障碍伴广场恐惧症的特定先兆吗?一项社区研究。

Is early separation anxiety a specific precursor of panic disorder-agoraphobia? A community study.

作者信息

Silove D, Harris M, Morgan A, Boyce P, Manicavasagar V, Hadzi-Pavlovic D, Wilhelm K

机构信息

Academic Mental Health Unit, School of Psychiatry, University of New South Wales, Liverpool Hospital, Australia.

出版信息

Psychol Med. 1995 Mar;25(2):405-11. doi: 10.1017/s0033291700036291.

DOI:10.1017/s0033291700036291
PMID:7675927
Abstract

The present study aimed to examine memories of early separation anxiety symptoms in a community sample of women at heightened risk to neurotic disorder. The chief finding was that subjects with a lifetime history of panic disorder-agoraphobia (PD-Ag) returned statistically higher scores on a retrospective measure of early separation anxiety compared to subjects with either generalized anxiety or other phobic disorders, a result which was not accounted for by differences in neuroticism or General Health Questionnaire scores. Although limited by its retrospective design and the problem of co-morbidity in subclassifying the anxiety disorders, the present study does provide added support for the hypothesis--endorsed by DSM-III-R--that there is a developmental link between early separation anxiety and panic disorder.

摘要

本研究旨在考察在患神经症风险较高的社区女性样本中早期分离焦虑症状的记忆情况。主要发现是,与患有广泛性焦虑症或其他恐惧症的受试者相比,有惊恐障碍-广场恐惧症(PD-Ag)终生病史的受试者在早期分离焦虑的回顾性测量中得分在统计学上更高,这一结果无法用神经质或一般健康问卷得分的差异来解释。尽管本研究受其回顾性设计以及焦虑症亚分类中共病问题的限制,但确实为DSM-III-R认可的假说提供了更多支持,即早期分离焦虑与惊恐障碍之间存在发育联系。

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