Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Characteristics of Early Maladaptive Schemas in Patients with Panic Disorder

공황장애 환자의 초기부적응 심리도식의 특성

  • Woo, Na Young (Department of Psychiatry, Hallym University College of Medicine, Kangnam Sacred Heart Hospital) ;
  • Lee, Byung Wook (Department of Psychiatry, Hallym University College of Medicine, Kangnam Sacred Heart Hospital) ;
  • Lee, Hong Seock (Department of Psychiatry, Hallym University College of Medicine, Kangnam Sacred Heart Hospital) ;
  • Jung, Myung Hoon (Department of Psychiatry, Hallym University College of Medicine, Sacred Heart Hospital) ;
  • Yi, Jung Seo (Department of Psychiatry, Hallym University College of Medicine, Kangnam Sacred Heart Hospital)
  • 우나영 (한림대학교 의과대학 강남성심병원 정신과학교실) ;
  • 이병욱 (한림대학교 의과대학 강남성심병원 정신과학교실) ;
  • 이홍석 (한림대학교 의과대학 강남성심병원 정신과학교실) ;
  • 정명훈 (한림대학교 의과대학 한림대학교성심병원 정신과학교실) ;
  • 이중서 (한림대학교 의과대학 강남성심병원 정신과학교실)
  • Received : 2011.08.10
  • Accepted : 2011.10.14
  • Published : 2011.10.30
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Abstract

Objective : This study aimed to investigate the characteristics of the early maladaptive schemas in patients with panic disorder. Methods : Patients (n=35) included people who had met the DSM-IV-TR criteria for panic disorder. The normal control group (n=35) were those people who had no psychiatric disorder and had never experienced panic attack. The early maladaptive schemas and the severity of depression and anxiety were assessed by the Young Schema Questionnaire Short-form (YSQ-SF), the Beck Depression Inventory (BDI), and the Spielberger State-Trait Anxiety Inventory (STAI). Results : The scores on the STAI-S, STAI-T, and BDI were significantly higher in the patient group. Compared to the control group, the scores of vulnerability to harm and illness, and abandonment/instability schemas were significantly higher in the patient group. In the patient group, defectiveness/shame and subjugation schemas were found to predict BDI, dependent/incompetence, abandonment/instability schemas were found to predict STAI-S, and vulnerability to harm and illness, and abandonment/instability schemas were found to predict STAI-T. In normal controls, failure and insufficient self-control/self-discipline, failure, and emotion inhibition schemas were found to predict BDI, STAI-T, and STAI-S. Conclusions : Vulnerability to harm and illness and abandonment/instability schemas may be characteristic schema in patients with panic disorder.

본 연구에서는 공황장애 환자의 심리도식 특성을 조사하였다. 대조군에 비해 환자군은 상태 및 특성불안, 우울 점수가 유의하게 높았으며 YSQ 중에서는 유기/불안정, 위험/질병에 대한 취약성 도식 점수가 유의하게 높았다. 환자군에서 ST-AI로 평가한 불안 수준은 모든 심리도식과, BDI로 평가한 우울 수준은 특권의식/과대성을 제외한 14개 도식과 상관관계가 있었으나 대조군에서는 훨씬 적은 수의 도식만이 상관관계를 보였다. 환자군에서 위험/질병에 대한 취약성, 유기/불안정 도식이 특성불안 수준을 가장 잘 예측하였으며 의존/무능, 유기/불안정 도식은 상태불안 수준을, 결함/수치심, 복종 도식은 우울 수준을 가장 잘 예측하였다. 이를 종합할 때, 초기부적응 심리도식은 공황장애의 발병과 경과 그리고 치료 반응에 영향을 미칠 가능성이 있다. 향후 대규모 집단을 대상으로 공황장애 환자의 심리도식 특성을 파악하고 치료에 접목시키는 작업이 필요할 것으로 생각된다.

Keywords

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