دانلود مقاله ISI انگلیسی شماره 75367
عنوان فارسی مقاله

طبقه بندی انواع فرعی حملات هراس در بیماران و افراد سالم در پاسخ به چالش های بیولوژیکی: مفاهیم برای ارزیابی و درمان

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
75367 2002 14 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Classification of panic attack subtypes in patients and normal controls in response to biological challenge: implications for assessment and treatment
منبع

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

Journal : Journal of Anxiety Disorders, Volume 16, Issue 6, 2002, Pages 625–638

کلمات کلیدی
حملات هراس؛ چالش بیولوژیکی؛ دی اکسید کربن؛ ارزیابی
پیش نمایش مقاله
پیش نمایش مقاله طبقه بندی انواع فرعی حملات هراس در بیماران و افراد سالم در پاسخ به چالش های بیولوژیکی: مفاهیم برای ارزیابی و درمان

چکیده انگلیسی

Panic attacks are symptomatically heterogeneous but efforts to describe such heterogeneity are relatively new. With regard to symptom presentation, at least three types of panic attack have been proposed based on the coupling or decoupling of verbal-cognitive and physiological symptoms: prototypic, cognitive, and nonfearful panic. The central aim of the present study was to address whether patients with panic disorder (PD) and nonclinical controls (NC) could be classified and discriminated (within and between groups) in terms of subtypes of panic attacks based on convergence and divergence of physiological and subjective arousal. Two samples of patients with PD (n=94) and NC (n=70) were exposed to single-breath vital capacity (VC) inhalations of 35% CO2/65% O2. Subjective anxiety and cardiovascular (heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DSP)) reactivity to the challenge were measured. For reactive participants, response patterns suggested the production of differentiated and stable panic attack subtypes described as: (1) prototypical (high subjective, high physiological), (2) cognitive (high subjective, low physiological), and (3) nonfearful (low subjective, high physiological). Subtype frequency differed between groups (prototypical: 33% PD, 8% NC; cognitive: 37% PD, 4% NC; nonfearful: 11% PD, 42% NC). A panic attack typology based on convergence and divergence of different response systems appears to reliably discriminate patients with panic disorder and may have relevance for predicting clinical characteristics, treatment modality, and prognosis.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.