Personality Profiles in Patients Referred for Chest Pain: Investigation With Emphasis on Panic Disorder Patients

作者: Toril Dammen , Øivind Ekeberg , Harald Arnesen , Svein Friis

DOI: 10.1176/APPI.PSY.41.3.269

关键词:

摘要: Patients (N = 199) referred to cardiac outpatient investigation because of chest pain were assessed with the Personality Diagnostic Questionnaire (PDQ-4). Thirty-nine percent scored positive for any personality disorder. Borderline and avoidant disorders found significantly more often in patients panic disorder (PD) (n 72) than without PD (12.5% vs. 2.5%, 23.7% 7.7%, respectively). In patients, presence was associated higher scores self-reported anxiety-agoraphobia symptoms, neuroticism, suicidal thoughts. These results suggest that pathology is important a subgroup presenting these may require extensive treatment.

参考文章(37)
Matig Mavissakalian, The relationship between panic disorder/agoraphobia and personality disorders. Psychiatric Clinics of North America. ,vol. 13, pp. 661- 684 ,(1990) , 10.1016/S0193-953X(18)30342-3
Russell Jr Noyes, Rudolf Hoehn-Saric, The Anxiety Disorders ,(1998)
James Reich, Yulia Braginsky, Paranoid personality traits in a panic disorder population: a pilot study. Comprehensive Psychiatry. ,vol. 35, pp. 260- 264 ,(1994) , 10.1016/0010-440X(94)90017-5
Steven E. Hyler, Andrew E. Skodol, John M. Oldham, H. David Kellman, Norman Doidge, Validity of the Personality Diagnostic Questionnaire-Revised: A replication in an outpatient sample Comprehensive Psychiatry. ,vol. 33, pp. 73- 77 ,(1992) , 10.1016/0010-440X(92)90001-7
Matig Mavissakalian, Mary Sue Hamann, DSM-III personality disorder in agoraphobia Comprehensive Psychiatry. ,vol. 27, pp. 471- 479 ,(1986) , 10.1016/0010-440X(86)90035-0
Kurt Kroenke, A.David Mangelsdorff, Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcome The American Journal of Medicine. ,vol. 86, pp. 262- 266 ,(1989) , 10.1016/0002-9343(89)90293-3
Richard P. Fleet, André Marchand, Gilles Dupuis, Janusz Kaczorowski, Bernard D. Beitman, Comparing emergency department and psychiatric setting patients with panic disorder. Psychosomatics. ,vol. 39, pp. 512- 518 ,(1998) , 10.1016/S0033-3182(98)71283-6
Robert J. Gatchel, Peter B. Polatin, Regina K. Kinney, Predicting outcome of chronic back pain using clinical predictors of psychopathology: a prospective analysis. Health Psychology. ,vol. 14, pp. 415- 420 ,(1995) , 10.1037/0278-6133.14.5.415
Ayuso Mateos, Bayon Perez, Santo-Domingo Carrasco, D. Olivares, Atypical Chest Pain and Panic Disorder Psychotherapy and Psychosomatics. ,vol. 52, pp. 92- 95 ,(1989) , 10.1159/000288305