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한국인에게 나타나는 공황장애의 신체적 증상 및 유발 요인의 특징

Other Titles
 The bodily panic symptoms and predisposing stressors in Korean patients with panic disorder 
Authors
 이현주  ;  김민숙  ;  김세주  ;  박선철  ;  양종철  ;  이경욱  ;  이상혁  ;  이승재  ;  임세원  ;  채정호  ;  한상우  ;  홍진표  ;  서호준 
Citation
 Journal of the Korean Neuropsychiatric Association (신경정신의학), Vol.58(4) : 339-345, 2019 
Journal Title
 Journal of the Korean Neuropsychiatric Association (신경정신의학) 
ISSN
 1015-4817 
Issue Date
2019
Keywords
Panic disorder ; Korean patients ; Bodily panic symptom ; Stressful life event
Abstract
Objectives The purpose of this study was to investigate the distinctive features of bodily panic symptoms and the predisposing conditions in Korean patients with panic disorder. Methods This was a retrospective chart review study and the data were collected from twelve university-affiliated hospitals in Korea. The patients selected met the diagnostic criteria for panic disorder, were older than 20 years of age, and had initially visited a psychiatry department. The assessments included the chief complaints related to bodily panic symptoms, recent stressors, recent history of alcohol and sleep problems, and time to visit an outpatient clinic. Results A total of 814 participants were included in the study. The most commonly experienced symptoms were cardiovascular and respiratory symptoms, which were observed in 63.9% and 55.4% of participants, respectively. Just before the onset of a panic attack, 25.6% of participants experienced sleep-related problems. Episodic binge drinking was also frequently observed (13.2%) and was more prevalent in men than in women (22.6% vs. 4.9%, p<0.001). About 75% of participants experienced stressful life events just before panic onset. Work-related issues were more prevalent in men than in women (22.0% vs. 13.4%, p=0.001). Family-related issues (4.8% vs. 14.1%, p<0.001) and conflict with a spouse or partner (4.0% vs.11.7%, p<0.001) were more prominent in women than in men. Conclusion Our results suggest that cardiovascular symptoms are the most common bodily panic symptoms in Korean patients. Our results suggest that a substantial portion of the Korean patients experienced stressful life events, sleep problems, and/or episodic binge drinking just before the onset of panic disorder.
Files in This Item:
T201905513.pdf Download
DOI
10.4306/jknpa.2019.58.4.339
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174765
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