Agoraphobia is a disease: a tribute to Sir Martin Roth.
Autor: | Fava GA; Affective Disorders Program, Department of Psychology, University of Bologna, Bologna, Italy. giovanniandrea.fava@unibo.it, Rafanelli C, Tossani E, Grandi S |
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Jazyk: | angličtina |
Zdroj: | Psychotherapy and psychosomatics [Psychother Psychosom] 2008; Vol. 77 (3), pp. 133-8. Date of Electronic Publication: 2008 Feb 14. |
DOI: | 10.1159/000116606 |
Abstrakt: | The evidence which has accumulated on the course of agoraphobia challenges the DSM view that phobic avoidance is secondary to panic attacks. In particular, a longitudinal study by Wittchen et al. indicates that agoraphobia, as a diagnostic category, is frequently independent of panic disorder and panic attacks, is unlikely to remit spontaneously and entails compromised quality of life. A staging system of agoraphobia is presented. Panic may ensue in the longitudinal development of agoraphobia, as well as of other anxiety disorders, and be conceptualized as a potential outcome in the course of anxiety, phobias and hypochondriasis as more than a specific disease entity. These recent research findings confirm the clinical observations and phenomenological research of Sir Martin Roth (1917-2006) and call for a reassessment of the concept of neurosis. (Copyright (c) 2008 S. Karger AG, Basel.) |
Databáze: | MEDLINE |
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