초록
Objective : This study aimed to investigate differences in demographic, clinical characteristics, and quality of life between panic-disorder patients with generalized anxiety disorder (PD+GAD) and without generalized anxiety disorder (PD-GAD). Methods : We examined data from 218 patients diagnosed with PD+GAD (150 patients) and PD-GAD (68patients). The following instruments were applied: Stress coping strategies, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Panic Disorder Severity Scale (PDSS), Anxiety Sensitivity Index-Revised (ASI-R), Albany Panic and Phobia Questionnaire (APPQ), NEO-neuroticism(NEO-N), Short Form health survey-36 (SF-36). Results : Compared to the PD-GAD group, the PD+GAD group had higher scores in emotion-focused coping strategies and clinical severity, such as BDI, BAI, PDSS, ASI, APPQ, and neuroticism. The PD+ GAD group showed lower scores in most scales in SF-36 status than PD-GAD group. Conclusions : This study shows that PD+GAD patients are different from PD-GAD patients in coping strategies, clinical severity and quality of life. It emphasizes the need of personalized therapy in clinical approach among patients with PD+GAD.
키워드
공황장애, 범불안장애, 스트레스 대처전략, 임상적특징, 삶의 질.
참고문헌(40)
-
[학술지] Wittchen HU / 1993 / Epidemiology of panic disorder : progress and unresolved issues / Journal of Psychiatric Research 27 : 47 ~ 68
-
[학술지] Roy-Byrne PP / 1999 / Panic disorder in the primary care setting: comorbidity, disability, service utilization, and treatment / The Journal of Clinical Psychiatry 60 : 492 ~ 499
-
[학술지] Brown TA / 1995 / Diagnostic comorbidity in panic disorder: Effect on treatment outcome and course of comorbid diagnoses following treatment / Journal of Consulting and Clinical Psychology 63 : 408
-
[학술지] Staecevic V / 1992 / Patterns of comorbidity in panic disorder and agoraphobia / Psychiatry Research 42 : 171 ~ 183
-
[학술지] Kessler RC / 1994 / Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey / Archives of General Psychiatry 51 : 8 ~ 19
-
[단행본] Fogel BS / 2015 / Psychiatric care of the medical patient / Oxford University Press
-
[학술지] Brown TA / 1992 / Comorbidity among anxiety disorders:Implications for treatment and DSM-IV / Journal of Consulting and Clinical Psychology 60 : 835
-
[학술지] Goisman RM / 1995 / Comorbidity of anxiety disorders in a multicenter anxiety study / Comprehensive Psychiatry 36 : 303 ~ 311
-
[학술지] Hettema JM / 2001 / A review and meta-analysis of the genetic epidemiology of anxiety disorders / American Journal of Psychiatry 158 : 1568 ~ 1578
-
[학술지] Maron E / 2005 / Associations between serotonin-related gene polymorphisms and panic disorder / International Journal of Neuropsychopharmacology 8 : 261 ~ 266
-
[학술지] You J-S / 2005 / Serotonin transporter and tryptophan hydroxylase gene polymorphisms in Chinese patients with generalized anxiety disorder / Psychiatric Genetics 15 : 7 ~ 11
-
[학술지] Samochowiec J / 2004 / Association studies of MAO-A, COMT, and 5-HTT genes polymorphisms in patients with anxiety disorders of the phobic spectrum / Psychiatry Research 128 : 21 ~ 26
-
[학술지] Scheibe G / 1997 / Predictors and outcome in panic disorder : a 2-year prospective follow-up study / Psychopathology 30 : 177 ~ 184
-
[학술지] Apfeldorf WJ / 2000 / Morbidity of comorbid psychiatric diagnoses in the clinical presentation of panic disorder / Depression and Anxiety 12 : 78 ~ 84
-
[학술지] Gorman JM / 1996 / Comorbidity of depression and panic disorder / The Journal of Clinical Psychiatry
-
[기타] First MB / 2004 / The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II)
-
[학술지] Spitzer RL / 2006 / A brief measure for assessing generalized anxiety disorder : the GAD-7 / Archives of Internal Medicine 166 : 1092 ~ 1097
-
[학술지] Seo J-G / 2015 / Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine / The Journal of Headache and Pain 16 : 97
-
[단행본] Lazarus RS / 1984 / Stress, appraisal, and coping / Springer Publishing Company
-
[학술지] Ceslowitz SB / 1989 / Burnout and coping strategies among hospital staff nurses / Journal of Advanced Nursing 14 : 553 ~ 557
-
[단행본] Beck AT / 1996 / Beck depression inventory
-
[학술지] 송열매 / 2012 / 인터넷으로 시행한 벡 우울 척도 2판의 신뢰도와 타당도 : 대학생을 대상으로 / 신경정신의학 51 (6) : 402 ~ 408
-
[기타] Steer RA / 1997 / Beck Anxiety Inventory
-
[학술지] Shear MK / 1997 / Multicenter collaborative panic disorder severity scale / American Journal of Psychiatry 154 : 1571 ~ 1575
-
[학술지] Lee EH / 2009 / Reliability and validity of the self-report version of the Panic Disorder Severity Scale in Korea / Depression and Anxiety 26 : E120 ~ E123
-
[학술지] Deacon BJ / 2003 / The Anxiety Sensitivity Index-Revised: psychometric properties and factor structure in two nonclinical samples / Behaviour Research and Therapy 41 : 1427 ~ 1449
-
[학술지] 김지혜 / 2004 / 한국어 확장판 불안 민감도 지수의 타당화 연구 / 신경정신의학 43 (1) : 54 ~ 61
-
[학술지] Brown TA / 2005 / A psychometric reanalysis of the Albany Panic and Phobia Questionnaire / Behaviour Research and Therapy 43 : 337 ~ 355
-
[학술지] 김지혜 / 2004 / 한국판 알마니 공황-공포 질문지 타당화 연구 / 신경정신의학 43 (3) : 329 ~ 336
-
[학술지] Stough C / 2001 / Psychophysiological correlates of the NEO PI-R openness, agreeableness and conscientiousness:preliminary results / International Journal of Psychophysiology 41 : 87 ~ 91
-
[학술지] Nam B / 2003 / Testing the validity of the Korean SF-36 health survey / J Korean Soc Health Stat 28 : 3 ~ 24
-
[학술지] Fawzy FI / 1990 / A structured psychiatric intervention for cancer patients:II. Changes over time in immunological measures / Archives of General Psychiatry 47 : 729 ~ 735
-
[학술지] Wells A / 1995 / Meta-cognition and worry : A cognitive model of generalized anxiety disorder / Behavioural and Cognitive Psychotherapy 23 : 301 ~ 320
-
[학술지] 김보라 / 2013 / Factors Associated with Treatment Outcomes in Mindfulness-Based Cognitive Therapy for Panic Disorder / Yonsei Medical Journal 54 (6) : 1454 ~ 1462
-
[학술지] Zbozinek TD / 2012 / Diagnostic overlap of generalized anxiety disorder and major depressive disorder in a primary care sample / Depression and Anxiety 29 : 1065 ~ 1071
-
[학술지] Deacon B / 2006 / Anxiety sensitivity and its dimensions across the anxiety disorders / Journal of Anxiety Disorders 20 : 837 ~ 857
-
[학술지] Monkul ES / 2004 / Panic Disorder Severity Scale : reliability and validity of the Turkish version / Depression and Anxiety 20 : 8 ~ 16
-
[학술지] Gunthert KC / 1999 / The role of neuroticism in daily stress and coping / Journal of Personality and Social Psychology 77 : 1087
-
[학술지] Flint J / 2004 / The genetic basis of neuroticism / Neuroscience & Biobehavioral Reviews 28 : 307 ~ 316
-
[학술지] Olff M. / 1999 / Stress, depression and immunity: the role of defense and coping styles / Psychiatry Research 85 : 7 ~ 15