Skip to main content
SpringerLink
Log in

Inhalt und Wert neuer Begriffe: Panikattacke, atypische Depression, Angstdepression und nichtmelancholische depressive Zustände im Lichte der Syndromdynamik

  • Conference paper
Die Differenzierung von Angst und Depression

Part of the book series: Tropon-Symposium ((BAYERZNS,volume 1))

  • 74 Accesses

Zusammenfassung

Am Anfang dieser Ausführungen scheint es dringend geboten zu sein, einige Schlüsselwörter kurz zu erläutern, insbesondere darzulegen, in welchem Sinne sie hier gebraucht werden. Was meinen eigentlich Wörter wie „Inhalt“, „Wert“ und „Syndromdynamik“ bezüglich ihrer verschiedenen klinischen Begrifflichkeit? Der Begriff „Inhalt“ lenkt das Augenmerk auf einige gegenwärtig kursierende Sätze von Inklusions- und Exklusionskriterien — worunter sich oft genug chronologische befinden —, die zum Stellen einer psychiatrischen Diagnose gebraucht werden. Mit „Wert“ meint man den Grad der Brauchbarkeit, den die in Frage kommenden klinischen Begriffe bis heute erlangt haben. Wenn man also in diesen Ausführungen von Validität bzw. von validen Diagnosen spricht, wird damit gerade dieser Aspekt der Utilität diagnostischer Begriffe mit angesprochen (Kendell 1975; Robins u. Guze 1970).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Anderson DT, Noyes R, Crowe RR (1984) A comparison of panic disorder and generalized anxiety disorder. Am J Psychiatry 141:572–574

    PubMed  CAS  Google Scholar 

  • Andreasen N (1982) Concepts, diagnosis and classification. In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh London Melbourne New York, pp 24–62

    Google Scholar 

  • American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association, Washington DC

    Google Scholar 

  • Beeber AR, Pies RW (1983) The nonmelancholic depressive syndromes. An alternative approach to classification. J Nery Ment Dis 171:3–9

    Article  CAS  Google Scholar 

  • Bowen RC, Kohut S (1979) The relationship between agoraphobia and primary affective disorders. Can J Psychiatry 24:317–322

    CAS  Google Scholar 

  • Breier A, Charney DS, Heninger GR (1984) Major depression in patients with agoraphobia and panic disorder. Arch Gen Psychiatry 41:1129–1135

    Article  PubMed  CAS  Google Scholar 

  • Breier A, Chamey DS, Heninger GR (1985) The diagnostic validity of anxiety disorders and their relationship to depressive illness. Am J Psychiatry 142:787–797

    PubMed  CAS  Google Scholar 

  • Carroll BJ (1984) Problems with diagnostic criteria for depression. J Clin Psychiatry 45:14–18

    PubMed  CAS  Google Scholar 

  • Cassidy WL, Flanagan ND, Spellman M et al. (1957) Clinical observation in manic depressive disease: A quantitative study of one hundred manic depressive patients and fifty medically sick controls. JAMA 164:1535–1546

    Article  CAS  Google Scholar 

  • Cloninger CR, Martin RL, Clayton P et al. (1981) A blind follow up and family study of anxiety neurosis: Preliminary analysis of the St. Louis 500. In: Klein DF, Raskin J (eds) Anxiety: New research and changing concepts. Raven Press, New York, pp 137–154

    Google Scholar 

  • Conrad K (1972) Die symptomatischen Psychosen. In: Kisker KP, Meyer JE, Müller M, Strömgren E (Hrsg) Psychiatrie der Gegenwart. Klinische Psychiatrie, Bd 11/2,2. Aufl. Springer, Berlin Heidelberg New York, S 1–70

    Google Scholar 

  • Dealy RS, Isiki DM, Avery DH et al. (1981) Secondary depression in anxiety disorders. Compr Psychiatry 22:612–618

    Article  PubMed  CAS  Google Scholar 

  • Fawcett J, Kravitz HM (1983) Anxiety syndromes and their relationship to depressive illness. J. Clin Psychiatry 44:8–11

    PubMed  CAS  Google Scholar 

  • Feighner JP, Robins E, Guze SB et al. (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26:57–63

    Article  PubMed  CAS  Google Scholar 

  • Hamilton M (1982) Symptoms and assessment of depression. In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh London Melbourne New York, pp 311

    Google Scholar 

  • Hoehn-Saric (1982) Comparison of generalized anxiety with panic disorder patients. Psychopharm Bull 18:104–108

    CAS  Google Scholar 

  • Kendell RE (1975) The role of diagnosis in psychiatry. Blackwell Scientific, Oxford

    Google Scholar 

  • Leckmann JF, Merikangas KR, Pauls DL et al. (1983a) Anxiety disorders and depression: Contradictons between family study data and DSM-III conventions. Am J Psychiatry 140:80–882

    Google Scholar 

  • Leckmann JF, Weissmann MM, Merikangas KR et al. (1983b) Panic disorder and major depression. Increased risk of depression, alcoholism, panic, and phobic disorders in families of depressed ptobands with panic disorder. Arch Gen Psychiatry 40:1055–1060

    Article  Google Scholar 

  • McNair DM, Kahn RJ (1981) Inxipramine compared with a benzodiazepine for agoraphobia. In: Klein DF, Raskin J (eds) Anxiety: new research and changing concepts. Raven Press, New York, pp 69–80

    Google Scholar 

  • Munjack DJ, Moss HB (1981) Affective disorders and alcoholism in families of agoraphobics. Arch Gen Psychiatry 38:869–871

    Article  PubMed  CAS  Google Scholar 

  • Overall JE, Hollister LE, Johnson MH et al. (1966) Nosology of depression and differential response to drugs. JAMA 195:946–948

    Article  PubMed  CAS  Google Scholar 

  • Paykel ES (1971) Classification of depressed patients. A cluster analysis derived grouping. Br J Psychiatry 118:275–288

    Article  PubMed  CAS  Google Scholar 

  • Paykel ES (1972) Depressive typologies and response to amitriptyline. Br J Psychiatry 12:147–156

    Article  Google Scholar 

  • Paykel ES (1983) The classification of depression. Br J Clin Pharmacol 15:1555–1595

    Google Scholar 

  • Paykel ES, Parker RR, Penrose RJJ et al. (1979) Depressive classification and prediction of response to phenelzine. Br J Psychiatry 134:572–581

    Article  PubMed  CAS  Google Scholar 

  • Pohl R, Rainey JM, Gershon S (1984) Changes in the drug treatment of anxiety disorders. Psychopathology [Suppl] 17/1:6–14

    Article  Google Scholar 

  • Raskin M, Peeke VS, Dickmann W et al. (1982) Panic and generalized anxiety disorders. Developmental antecedents and precipitants. Arch Gen Psychiatry 39:687–689

    Article  PubMed  CAS  Google Scholar 

  • Robins E, Guze SB (1970) Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia. Am J Psychiatry 126:983–987

    PubMed  CAS  Google Scholar 

  • Roth M, Mountjoy CQ (1982) The distinction between anxiety states and depressive disorders. In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh London Melbourne New York, pp 70–92

    Google Scholar 

  • Russell GFM, de Silva P (1983) Observations on the relationship between anxiety and depressive symptoms during the course of depressive illness. Br J Clin Pharmacol 15:1475–1535

    Google Scholar 

  • Schwab JJ (1984) Anxiety in depression. Clin Ther 6:536–545

    PubMed  CAS  Google Scholar 

  • Sheehan PV (1982) Panic attacks and phobias. N Engl J Med 301:156–158

    Article  Google Scholar 

  • Sheehan DV, Sheehan KH (1982) The classification of anxiety and hysterical states. Part I: Historical review and empirical delineation. J Clin Psychopharmacol 2:235–244

    PubMed  CAS  Google Scholar 

  • Spitzer RL, Endicott J, Robins E (1975) Research Diagnostic Criteria (RDC) for a selected group of functional disorders. New York State Psychiatric Institute, New York

    Google Scholar 

  • Tyrer P (1984) Classification of anxiety. Br J Psychiatry 144:78–83

    Article  PubMed  CAS  Google Scholar 

  • Valkenburg C van, Winokur G, Lowry M et al. (1983) Depression occuring in chronically anxious persons. Comp Psychiatry 24:285–289

    Article  Google Scholar 

  • Valkenburg C van, Akiskal HS, Puzantian V et al. (1984a) Anxious depressions. Clinical, family history, and naturalistic outcome. Comparisons with panic and major depressive disorder. J Affect Dis 6:67–82

    Article  Google Scholar 

  • Valkenburg C van, Winokur G, Behar D et al. (1984b) Depressed women with panic attacks. Comp Psychiatry 45:367–369

    Google Scholar 

  • Uhde TW, Boulenger J-P, Roy-Byrne PB et al. (1985) Longitudinal course of panic disorder: Clinical and biological considerations. Prog Neuropsychopharmacol Biol Psychiatry 9:39–51

    Article  PubMed  CAS  Google Scholar 

  • Kendell RE (1975) The role of diagnosis in psychiatry. Blackwell Scientific, Oxford

    Google Scholar 

  • Leckmann JF, Merikangas KR, Pauls DL et al. (1983a) Anxiety disorders and depression: Contradictons between family study data and DSM-III conventions. Am J Psychiatry 140:80–882

    Google Scholar 

  • Leckmann JF, Weissmann MM, Merikangas KR et al. (1983b) Panic disorder and major depression. Increased risk of depression, alcoholism, panic, and phobic disorders in families of depressed ptobands with panic disorder. Arch Gen Psychiatry 40:1055–1060

    Article  Google Scholar 

  • McNair DM, Kahn RJ (1981) Inxipramine compared with a benzodiazepine for agoraphobia. In: Klein DF, Raskin J (eds) Anxiety: new research and changing concepts. Raven Press, New York, pp 69–80

    Google Scholar 

  • Munjack DJ, Moss HB (1981) Affective disorders and alcoholism in families of agoraphobics. Arch Gen Psychiatry 38:869–871

    Article  PubMed  CAS  Google Scholar 

  • Overall JE, Hollister LE, Johnson MH et al. (1966) Nosology of depression and differential response to drugs. JAMA 195:946–948

    Article  PubMed  CAS  Google Scholar 

  • Paykel ES (1971) Classification of depressed patients. A cluster analysis derived grouping. Br J Psychiatry 118:275–288

    Article  PubMed  CAS  Google Scholar 

  • Paykel ES (1972) Depressive typologies and response to amitriptyline. Br J Psychiatry 12:147–156

    Article  Google Scholar 

  • Paykel ES (1983) The classification of depression. Br J Clin Pharmacol 15:1555–1595

    Google Scholar 

  • Paykel ES, Parker RR, Penrose RJJ et al. (1979) Depressive classification and prediction of response to phenelzine. Br J Psychiatry 134:572–581

    Article  PubMed  CAS  Google Scholar 

  • Pohl R, Rainey JM, Gershon S (1984) Changes in the drug treatment of anxiety disorders. Psychopathology [Suppl] 17/1:6–14

    Article  Google Scholar 

  • Raskin M, Peeke VS, Dickmann W et al. (1982) Panic and generalized anxiety disorders. Developmental antecedents and precipitants. Arch Gen Psychiatry 39:687–689

    Article  PubMed  CAS  Google Scholar 

  • Robins E, Guze SB (1970) Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia. Am J Psychiatry 126:983–987

    PubMed  CAS  Google Scholar 

  • Roth M, Mountjoy CQ (1982) The distinction between anxiety states and depressive disorders. In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh London Melbourne New York, pp 70–92

    Google Scholar 

  • Russell GFM, de Silva P (1983) Observations on the relationship between anxiety and depressive symptoms during the course of depressive illness. Br J Clin Pharmacol 15:1475–1535

    Google Scholar 

  • Schwab JJ (1984) Anxiety in depression. Clin Ther 6:536–545

    PubMed  CAS  Google Scholar 

  • Sheehan PV (1982) Panic attacks and phobias. N Engl J Med 301:156–158

    Article  Google Scholar 

  • Sheehan DV, Sheehan KH (1982) The classification of anxiety and hysterical states. Part I: Historical review and empirical delineation. J Clin Psychopharmacol 2:235–244

    PubMed  CAS  Google Scholar 

  • Spitzer RL, Endicott J, Robins E (1975) Research Diagnostic Criteria (RDC) for a selected group of functional disorders. New York State Psychiatric Institute, New York

    Google Scholar 

  • Tyrer P (1984) Classification of anxiety. Br J Psychiatry 144:78–83

    Article  PubMed  CAS  Google Scholar 

  • Valkenburg C van, Winokur G, Lowry M et al. (1983) Depression occuring in chronically anxious persons. Comp Psychiatry 24:285–289

    Article  Google Scholar 

  • Valkenburg C van, Akiskal HS, Puzantian V et al. (1984a) Anxious depressions. Clinical, family history, and naturalistic outcome. Comparisons with panic and major depressive disorder. J Affect Dis 6:67–82

    Article  Google Scholar 

  • Valkenburg C van, Winokur G, Behar D et al. (1984b) Depressed women with panic attacks. Comp Psychiatry 45:367–369

    Google Scholar 

  • Uhde TW, Boulenger J-P, Roy-Byrne PB et al. (1985) Longitudinal course of panic disorder: Clinical and biological considerations. Prog Neuropsychopharmacol Biol Psychiatry 9:39–51

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. K. Koehler
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Psychiatrische Klinik und Poliklinik, Freien Universität Berlin, Eschenallee 3, 1000, Berlin 19, Deutschland

    Hanfried Helmchen  & Michael Linden  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Koehler, K. (1986). Inhalt und Wert neuer Begriffe: Panikattacke, atypische Depression, Angstdepression und nichtmelancholische depressive Zustände im Lichte der Syndromdynamik. In: Helmchen, H., Linden, M. (eds) Die Differenzierung von Angst und Depression. Tropon-Symposium, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82895-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-82895-9_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-17017-4

  • Online ISBN: 978-3-642-82895-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation