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신체증상장애와 관련된 분노정서특질과 아동기 역경 경험

Other Titles
 Anger-Related Characteristics and Childhood Adversity in Somatic Symptom Disorder 
 강성혁  ;  박천일  ;  김혜원  ;  김세주  ;  강지인 
 Anxiety and Mood (대한불안의학회지), Vol.16(2) : 49-56, 2020-10 
Journal Title
 Anxiety and Mood (대한불안의학회지) 
Issue Date
Emotion ; Anger expression ; Childhood adversity·Somatization ; Somatic symptom disorder
Objective : The present study aims to investigate differences in anger-related features in patients withsomatic symptom disorder (SSD) compared to healthy controls, and to examine whether anger trait and angerregulation strategy are associated with clinical characteristics in patients with SSD. In addition, we examinedthe relationship between childhood adversity and SSD. Methods : 26 patients with SSD and 28 healthy controls were included. Anger-related features were assessedwith State-Trait Anger Expression Inventory (STAXI). Clinical somatic symptoms were assessed usingthe somatization subscale of the Symptom Checklist-90-Revised and the Somatosensory AmplificationScale. Childhood adversity was assessed by the Childhood Traumatic Events Scale. Multivariate analysis ofcovariance was performed. Results : Disease status of SSD had a significant overall effect on anger-related features (Wilks λ=0.725,F(5, 44)=3.332, p=0.012). Patients with SSD showed a significantly high Trait-Anger (p=0.017) and they hada high score in both Anger-Out (p=0.013) and Anger-In (p=0.001) of anger expression styles. In particular, adirected inward style of anger expression was significantly associated with somatization symptom severity(p=0.003). Regarding childhood adversity, more childhood extreme illness was experienced by the SSDgroup than the control group (p=0.012). Within the SSD group, childhood extreme illness was associatedwith higher Trait-Anger (p=0.027) and Anger-Out (p=0.001). Conclusion : The present findings suggest that trait anger, anger expression styles, and childhood adversityof extreme illness may be involved in SSD. Further studies are needed to explore the role of anger-relatedfeatures and its relationship with childhood adversity in the pathophysiology of SSD.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Medical Education (의학교육학과) > 1. Journal Papers
Yonsei Authors
Kang, Jee In(강지인) ORCID logo https://orcid.org/0000-0002-2818-7183
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
Kim, Hae Won(김혜원) ORCID logo https://orcid.org/0000-0002-9321-8361
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