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[焦虑神经症——回避行为——抑郁。惊恐障碍与广泛性焦虑障碍的比较]

[Anxiety neurosis--avoidant behavior--depression. A comparison between panic disorder and generalized anxiety disorder].

作者信息

Biebl W, Deisenhammer E A, Lehofer M, Muigg W, Posch C, Zeilerbauer J

机构信息

Universitätsklinik f. Psychiatrie, Innsbruck, Osterreich.

出版信息

Psychother Psychosom Med Psychol. 1993 Jan;43(1):10-4.

PMID:8441796
Abstract

30 patients with "Anxiety disorder" were investigated with regard to their psychosocial experiences, their family history, the course of their illness, and their interpersonal relationships using a semi-structured interview. Patients with panic disorder significantly more frequently reported real fright of a parent than did patients with generalized anxiety disorder. Both groups showed a high degree of secondary depression and avoidance behavior in the course of their illness. Chronic anxiety was more frequent in patients with generalized anxiety disorder. The difference in the perception and judgement of anxiety clearly demonstrates the significance of attribution. Since the patient with panic disorder externalizes his anxiety, he has periods of complete remission, whereas the patient with generalized anxiety disorder internalizes his anxiety, thus experiencing it as an ego-syntonic feature, with which he cannot cope.

摘要

采用半结构化访谈对30名“焦虑症”患者的社会心理经历、家族史、病程及人际关系进行了调查。惊恐障碍患者比广泛性焦虑障碍患者更频繁地报告曾受到父母的真正惊吓。两组患者在病程中均表现出高度的继发性抑郁和回避行为。广泛性焦虑障碍患者中慢性焦虑更为常见。对焦虑的认知和判断差异清楚地表明了归因的重要性。由于惊恐障碍患者将其焦虑外化,所以会有完全缓解期,而广泛性焦虑障碍患者将其焦虑内化,因此将其体验为一种自我和谐的特征,对此他无法应对。

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