101例惊恐发作患者诊断归属及发作场所调查

目的:分析101例惊恐发作患者诊断归属及发作场所变化。方法:对101例惊恐发作患者以美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)轴Ⅰ障碍用定式临床检查-临床版(SCID-CV)进行诊断;采用自制问卷调查发作情况。结果:符合DSM-Ⅳ惊恐障碍90例(89.1%),广泛性焦虑障碍6例(5.9%),抑郁障碍3例(2.9%),强迫障碍及精神分裂症各1例。90例惊恐障碍患者中,首次发作场所为家中50例,公共场所31例,途中9例;76.6%患者常在初次发生发作的场所发作,23.4%发作场所没有倾向性,仅1例发作场所固定。11例非惊恐障碍患者首发场所为家中3例,公共场所8例;此后发作场所均不固定。结论:约90%惊恐发作患者诊断为惊恐障碍,首次多发作于家中,并且倾向于在初次发作的场所发作;非惊恐障碍患者发作场所不固定。

Diagnostic vesting and episodes place investigation in 101 patients with panic attacks

Objective： To analysis the diagnostic vesting and the change of episodes place in 101 patients with panic attacks.Method：The diagnosis was made by USA diagnostic statistical manual of mental disorders 4th edition （DSM-Ⅳ） with axis Ⅰ disorders structured clinical-clinical version （SCID-CV） in 101 patients with panic attacks,and the episodes place were investigated by questionnaire.Results：According to DSM-Ⅳ,90 cases （89.1%） were panic disorder,6 cases（5.9%）were generalized anxiety disorder,3 cases（2.9%）were depression disorder,and 1 case was obsessive-compulsive disorder or schizophrenia,rspectively.In the 90 panic disorder patients,the place of the first onset was at home in 50 cases,at public places in 31 cases,on the way in 9 cases.Thereafter the place of panic attack was more often in place of the initial attack in 76.6% cases,no preference in 23.4% cases,fixed in 1 case.In the 11 non-panic disorder patients,the place of the first onset was at home in 3 cases,at public places in 9 cases.Thereafter the place of panic attack was not fixed.Conclusion： Approximately 90% patients with panic attack are diagnosed to panic disorder;the first attack mostly is at home,and attack place is tend to the initial attack.The attack place in non-panic disorder patients is not fixed.