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Titolo:
DSM-IV AND THE DISAPPEARANCE OF AGORAPHOBIA WITHOUT A HISTORY OF PANIC DISORDER - NEW DATA ON A CONTROVERSIAL DIAGNOSIS
Autore:
GOISMAN RM; WARSHAW MG; STEKETEE GS; FIERMAN EJ; ROGERS MP; GOLDENBERG I; WEINSHENKER NJ; VASILE RG; KELLER MB;
Indirizzi:
MASSACHUSETTS MENTAL HLTH CTR,74 FENWOOD RD BOSTON MA 02115 HARVARD UNIV,SCH MED,DEPT PSYCHIAT BOSTON MA 02115 BROWN UNIV,SCH MED,DEPT PSYCHIAT & HUMAN BEHAV PROVIDENCE RI 02912 MCLEAN HOSP BELMONT MA 02178 BOSTON UNIV,SCH SOCIAL WORK BOSTON MA 02215 HARVARD UNIV,BRIGHAM & WOMENS HOSP,DIV PSYCHIAT BOSTON MA 02115 HARVARD UNIV,NEW ENGLAND DEACONESS HOSP,DEPT PSYCHIAT BOSTON MA 02215 HARVARD UNIV,BETH ISRAEL HOSP,DEPT PSYCHIAT BOSTON MA 02215
Titolo Testata:
The American journal of psychiatry
fascicolo: 10, volume: 152, anno: 1995,
pagine: 1438 - 1443
SICI:
0002-953X(1995)152:10<1438:DATDOA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANXIETY DISORDERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
28
Recensione:
Indirizzi per estratti:
Citazione:
R.M. Goisman et al., "DSM-IV AND THE DISAPPEARANCE OF AGORAPHOBIA WITHOUT A HISTORY OF PANIC DISORDER - NEW DATA ON A CONTROVERSIAL DIAGNOSIS", The American journal of psychiatry, 152(10), 1995, pp. 1438-1443

Abstract

Objective: This analysis describes subjects who met vigorous criteriafor DSM-III-R agoraphobia without a history of panic disorder and makes inferences from these data regarding relationships among agoraphobia without a history of panic disorder, panic disorder, and panic disorder with agoraphobia. Method: Twenty-six subjects (seven men and 19 women) with agoraphobia without a history of panic disorder were identified from among 711 subjects recruited for a multicenter, longitudinal anxiety disorder study. Narrative transcripts prepared by raters from study evaluations were coded for limited symptom attacks, situational panic, catastrophic cognitions, and possible precipitants and stressors, course, and somatic and psychosocial treatments received. Results: Sixty-five percent of the subjects reported experiences consistent with situational panic attacks, and 57% had definite or probable limited symptom attacks; these attacks usually preceded or appeared at the same time as avoidance behavior. Eighty-one percent had catastrophic cognitions associated with agoraphobia. Twenty-six percent reported a likely precipitating factor for symptom onset, and 30% reported a definiteor probable major life stressor within 6 months before symptom onset. Cognitive-behavioral treatments were relatively infrequently used. Course was relatively unchanged across the follow-tip period. Conclusions: These data support a view of agoraphobia without a history of panicdisorder on a continuum with uncomplicated panic disorder and with panic disorder and agoraphobia, rather than as a separate diagnosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/08/20 alle ore 08:22:07