广泛性焦虑障碍和惊恐发作的临床现象学比较

The Clinical Phenomenology Comparison about Generalized Anxiety Disorder and Panic Attack.

目的 探讨广泛性焦虑和惊恐发作的临床现象学特征。方法 符合 CCMD-3诊断标准的广泛性焦虑和惊恐发作患者各 3 0例进行临床现象学比较。结果 GAD组病程长于 PA组 ;脑力劳动者中 PA组显著高于 GAD组 ,PA组精神病家族史阳性率显著高于 GAD组 ;PA组急性发病、急诊史、自杀、伴发忧郁症、躯体症状、植物神经症状、神经功能及工作能力受损显著高于 GAD组 ,而 GAD组肯定诱因显著高于 PA组。

Objective To explore the character in the clinical phenomenology about generalized anxiety disorder and panic attack.Method We compared the clinic phenomenology of 30 GAD cases meeting with the diagnosis in CCMD-3 with that of 30 PA cases with meeting with the diagnostic criterion in CCMD-3.Results We found that GAD group had longer disease period while PA group had more intellectuals and that PA group had more mental cases in their families and that PA group had more severe acute onsets,emergency treatments,suicidal cases,companied depression cases,somatic symptoms,autonomic symptoms,damage of social function and labor ability than GAD group while GAD group only had more inducements.Conclusion There is the definite difference in clinical phenomenology of GAD and PA.