慢性型を中心に(Panic Discover をめぐって)(第30回日本心身医学会総会)

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Recently there have been several significant findings of panic disorders concerning their reactions to medication of their neuro-biological studies. Indeed there is no doubt that a severe emotional change by a panic attack induces neuro-biological changes in the brain and this process could be a target for drugs of efficacy. However, many retrospective studies showed poor prognosis. Intensive psychotherapy would not be effective for the chronic panic disorder, leading to the state of chronic anxiety which is caused by anticipatory anxiety infolded with hypovhondriachal, depressive or phobic symptoms. We discussed the problem of panic disorder in relation to its personality tendencies, condescriptive analysis of our clinical data, case reports and non-subjective cluster analysis with following results. 1)The patients of panic disorder have, in general, complex, personality features showing a bilateral traits of nervous and introvert character such as hypersensitivity, considerateness towards other people and introspection, and extravert character such as gaiety, liveliness and sociability. 2)The patients with this twofold character which is manifested such traits as gentleminded, obedient, mild and good-natured had a good prognosis. 3)On the other hand, we could points out that a group of patients with bad prognosis showed sthenic factors such as little self-examination and considerateness, being rather extraverted, strong-minded, short-tempered and active.
日本心身医学会の論文
1990-08-01

慢性型を中心に(Panic Discover をめぐって)(第30回日本心身医学会総会)

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