Agoraphobia is a disease: A tribute to Sir Martin Roth

作者：Fava Giovanni A^*; Rafanelli Chiara; Tossani Eliana; Grandi Silvana

来源：Psychotherapy and Psychosomatics, 2008, 77(3): 133-138.

DOI：10.1159/000116606

• agoraphobia
• prodromal symptoms
• panic disorder
• phobic disorder
• hypochondriasis
• staging
• neurosis

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.

• 出版日期2008