Ley R
University at Albany, State University of New York 12222.
Behav Res Ther. 1994 Jan;32(1):109-11. doi: 10.1016/0005-7967(94)90089-2.
Carr, Lehrer and Hochron (Behaviour Research and Therapy, 30, 251-261, 1992) attempted to test Ley's (Behaviour Research and Therapy, 30, 549-554, 1989) dyspneic-fear theory and concluded that while their results confirmed predictions for a sample of asthmatics, their results did not confirm predictions for a sample of panic-disorder patients. The present paper points to a basic flaw in the Carr et al. study which renders their conclusions regarding panic disorder indeterminate. The flaw in the Carr et al. study lies in their selection of panic-disorder patients. Whereas dyspneic-fear theory provides an explanation for panic fear experienced in hyperventilatory panic attacks, Carr et al. overlooked this fact and selected Ss based on the DSM-IIIR classification, a set of criteria which does not distinguish between hyperventilatory panic attacks and other types of panic attacks (see Ley, Behaviour Research and Therapy, 30, 347-357, 1992).
卡尔、莱勒和霍克伦（《行为研究与治疗》，第30卷，第251 - 261页，1992年）试图检验莱伊（《行为研究与治疗》，第30卷，第549 - 554页，1989年）的呼吸困难恐惧理论，并得出结论：虽然他们的研究结果证实了对哮喘患者样本的预测，但并未证实对惊恐障碍患者样本的预测。本文指出了卡尔等人研究中的一个基本缺陷，这使得他们关于惊恐障碍的结论具有不确定性。卡尔等人研究中的缺陷在于他们对惊恐障碍患者的选择。呼吸困难恐惧理论为过度通气惊恐发作中体验到的惊恐恐惧提供了解释，但卡尔等人忽略了这一事实，而是根据《精神疾病诊断与统计手册第三版修订本》（DSM-IIIR）的分类来选择研究对象，这一标准并未区分过度通气惊恐发作和其他类型的惊恐发作（见莱伊，《行为研究与治疗》，第30卷，第347 - 357页，1992年）。
