Psychological features in panic disorder: a comparison with major depression

Arquivos de Neuro-Psiquiatria

Yasmin A. Almeida¹  Antonio E. Nardi¹ 

[1] ,Federal University of Rio de Janeiro Institute of Psychiatry Rio de Janeiro RJ ,Brasil

关键词: panic attack;    psychology;    psychopathology;    psychotherapy;    ataque de pânico;    psicologia;    psicopatologia;    psicoterapia;   

DOI  :  10.1590/S0004-282X2002000400007

来源: SciELO

【 摘 要 】

OBJECTIVE: We aim to evaluate the psychodymanic model for panic disorder (PD) formulated by Shear et al. (1993), comparing PD patients and major depression (MD) patients. METHOD: We evaluated these parameters in open interviews in 10 PD patients and 10 patients with MD (DSM-IV). The data were recorded on videotape and were examined by 5 diagnostic blind appraisers. RESULTS: The data allowed a comparative analysis that underscores the existence of a psychological model for PD vs MD: 1) the protracted symbiotic phase of development and the existence of problems with separation in PD patients; 2) patients with MD tended to have a particularly negative impression of relationship with the first objects; furthermore, they had remarkable experiences of loss; and 3) while the PD patients tended to be shy and inhibited in childhood, especially showing a clear difficulty in expressing aggressiveness, the depressed patients tended to disclose an impulsive aggressiveness from infancy to adulthood. CONCLUSION: Exposure to parental behaviours that augment fearfulness may result in disturbances in object relations and persistence of conflicts between dependence and independence may predispose to anxiety symptoms and fears of PD.

【 授权许可】

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