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首页> 外文期刊>Journal of anxiety disorders >Instability of physical anxiety symptoms in daily life of patients with panic disorder and patients with posttraumatic stress disorder.
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Instability of physical anxiety symptoms in daily life of patients with panic disorder and patients with posttraumatic stress disorder.

机译：恐慌症患者和创伤后应激障碍患者日常生活中身体焦虑症状的不稳定性。

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摘要

The present study examined severity as well as degree and temporal pattern of instability of DSM-IV-based bodily symptoms of anxiety (BSA) in daily life of 26 panic disorder (PD) patients, 17 posttraumatic stress disorder (PTSD) patients, and 28 healthy controls (HC) during 1 week, using electronic diaries. The ecological momentary assessment around every 3h during wake times was accepted well by patients. Compared to HC, patient groups exhibited elevated instability of BSA. BSA instability was more pronounced in PTSD than PD (p<0.005), even after controlling for mean symptom level. Numbers of symptomatic episodes were comparable in PTSD and PD, but the duration of symptom-free episodes was shorter in PTSD than PD. Results indicate that PTSD patients are particularly burdened by fluctuations in somatic symptoms of anxiety, implying perceived unpredictability and uncontrollability. Electronic diaries can be applied in innovative ways to provide novel insights into the phenomenology of anxiety disorders that may not be captured well by retrospective interviews and questionnaires.
机译：本研究调查了26名恐慌症（PD），17名创伤后应激障碍（PTSD）患者和28名基于DSM-IV的身体焦虑症（BSA）在日常生活中的不稳定性的严重程度以及程度和时间模式使用电子日记在1周内进行健康对照（HC）。病人在唤醒时间内每隔3小时进行一次生态瞬时评估就被患者接受。与HC相比，患者组表现出升高的BSA不稳定性。即使控制了平均症状水平，PTSD中的BSA不稳定性也比PD更为明显（p <0.005）。在PTSD和PD中，症状发作的次数相当，但在PTSD中，无症状发作的持续时间短于PD。结果表明，创伤后应激障碍患者特别容易遭受躯体焦虑症状波动的困扰，这意味着人们感到不可预测和不可控制。电子日记可以创新方式应用，以提供对焦虑症现象学的新颖见解，而回顾性访谈和问卷调查可能无法很好地捕捉到这种现象。

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