Kamieniecki G W, Wade T, Tsourtos G
University of Adelaide, Australia.
J Anxiety Disord. 1997 Mar-Apr;11(2):141-56. doi: 10.1016/s0887-6185(97)00003-0.
The present study further examines the cognitive model of panic disorder by investigating two questions. The first is whether panic patients misinterpret bodily sensations which are symptoms of either nonanxious states or harmless events. The second is whether panic patients are able to provide benign subsequent explanations for bodily sensations which have initially been interpreted in an anxiety-related manner. Two groups of subjects were used, 15 panic disorder patients with agoraphobia and 15 controls, matched on verbal fluency, age and gender. Compared to controls, patients failed to identify overt explanations for bodily sensations which are due to nonanxious states or harmless events. Patients also misinterpreted bodily sensations in ambiguous scenarios by providing more anxiety-related initial interpretations than controls. Furthermore, compared to controls, patients provided significantly more anxiety-related initial interpretations which they were unable to subsequently reinterpret in a benign manner. These results provide support for the cognitive theory of panic disorder as authored by Clark and his colleagues.
本研究通过调查两个问题进一步检验惊恐障碍的认知模型。第一个问题是，惊恐症患者是否会错误解读作为非焦虑状态或无害事件症状的身体感觉。第二个问题是，惊恐症患者是否能够对最初以与焦虑相关的方式进行解读的身体感觉提供良性的后续解释。研究使用了两组受试者，15名伴有广场恐惧症的惊恐障碍患者和15名对照组，两组在语言流畅性、年龄和性别上相匹配。与对照组相比，患者未能识别出因非焦虑状态或无害事件而产生的身体感觉的明显解释。在模棱两可的情境中，患者也会通过提供比对照组更多与焦虑相关的初始解读来错误解读身体感觉。此外，与对照组相比，患者提供了显著更多与焦虑相关的初始解读，而他们随后无法以良性方式重新解读这些解读。这些结果为克拉克及其同事提出的惊恐障碍认知理论提供了支持。
