دانلود مقاله ISI انگلیسی شماره 74663
عنوان فارسی مقاله

ایجاد تمایز بین مالیخولیا و اختلال هراس

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
74663 2005 21 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Differentiating hypochondriasis from panic disorder
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Journal of Anxiety Disorders, Volume 19, Issue 1, 2005, Pages 29–49

کلمات کلیدی
مالیخولیا ؛ اختلال هراس؛ نگرانی بهداشت؛ همبودی؛ جسمانی؛ رفتار بیماری
پیش نمایش مقاله
پیش نمایش مقاله ایجاد تمایز بین مالیخولیا و اختلال هراس

چکیده انگلیسی

Hypochondriasis and panic disorder are both characterized by prevalent health anxieties and illness beliefs. Therefore, the question as to whether they represent distinct nosological entities has been raised. This study examines how clinical characteristics can be used to differentiate both disorders, taking the possibility of mixed symptomatologies (comorbidity) into account. We compared 46 patients with hypochondriasis, 45 with panic disorder, and 21 with comorbid hypochondriasis plus panic disorder. While panic patients had more comorbidity with agoraphobia, hypochondriasis was more closely associated with somatization. Patients with panic disorder were less pathological than hypochondriacal patients on all subscales of the Whiteley Index (WI) and the Illness Attitude Scales (IAS) except for illness behavior. These differences were independent of somatization. Patients with hypochondriasis plus panic had higher levels of anxiety, more somatization, more general psychopathology and a trend towards increased health care utilization. Clinicians were able to distinguish between patient groups based upon the tendency of hypochondriacal patients to demand unnecessary medical treatments. These results confirm that hypochondriasis and panic disorder are distinguishable clinical conditions, characterized by generally more psychopathology and distress in hypochondriasis.

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