انواع القلق-2
Panic Disorder: Recurrent panic
attacks, accompanied by at least one month of persistent concern about having
another attack, or a change in behavior due to the attacks
1. Panic disorder with agoraphobia
a. Lifetime risk is approximately 1%
b. Onset is in young adulthood
c. Course of panic attacks is variable;
agoraphobia tends to worsen if panic attacks are persistent
d. Etiology - Strong biological component
(15-20% concordance with 1st-degree relatives).
A behavioral component has been suggested.
e. Comorbidity includes major depressive
disorder, suicide, alcohol abuse.
f. Treatment:
SSRIs, tricyclic antidepressants, MAOIs, and benzodiazepines are
effective for panic. Behavioral
therapies and MAOIs are most effective for agoraphobia. Buspirone is not effective.
2. Panic disorder without agoraphobia
a. Lifetime risk is 4%
b. Onset is in young adulthood
c.
Course of panic attacks is
variable
|
Diagnostic
with |
Diagnostic
without |
|
A. Both (1) and (2): (1) recurrent unexpected panic attacks
(2) at least one of the attacks has been
(a) persistent concern about having
(b) worry about the implications of the
(c) a significant change in behavior related
B. Presence of agoraphobia.
C. The panic attacks are not due to the direct
D. The panic attacks are not better accounted
|
A. Both (1) and (2): (1) recurrent unexpected panic attacks
(2) at least one of the attacks has been
(a) persistent concern about having
(b) worry about the implications of the
(c) a significant change in behavior related
B. Absence of agoraphobia.
C. The panic attacks are not due to the direct
D. The panic attacks are not better accounted
|
