청장년층 공황장애와 준·고령층 공황장애 사이의 조기외상 경험 비교

• 영문명: Comparison of Early Trauma History between Young/Middle Adulthood Patients and Earlier/Later Older Adulthood Patients with Panic Disorder
• 발행기관: 대한노인정신의학회
• 저자명: 김지은(Ji Eun Kim) 송인한(In Han Song) 이강수(Kang-Soo Lee) 이상혁(Sang-Hyuk Lee)
• 간행물 정보: 『노인정신의학』노인정신의학 제20권 제2호, 53~60쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2016.10.30

영문 초록

Objective：To investigate the early trauma history between young/middle adulthood patients and earlier/later older adulthood patients with panic disorder (PD). Methods：216 patients with PD and 76 healthy controls (HCs) were included for analysis. Patients with PD were operationally dichotomized into two groups of young/middle adulthood (age below 50 years) and earlier/later older adulthood (age 50 years or over) to compare the early trauma history between two groups. Data of sociodemographic factors, self-reported shortened form of the Early Trauma Inventory (ETI), and the Albany Panic and Phobia Questionnaire (APPQ) were analyzed. Results：Patients with PD showed higher scores of ETI than HCs. Young/middle adulthood PD showed statistically significantly higher levels of general trauma (t=-2.088, p=0.041), physical abuse (t=-2.456, p=0.014), emotional abuse (t=-3.690, p=0.000), and total scores of trauma (t=-3.534, p=0.001) except sexual abuse. In the young/middle adulthood PD group, ETI scores were significantly correlated with APPQ scores while no significant correlation with ETI was found in earlier/later older adulthood PD. Conclusion：These results show that PD is statistically associated with early trauma history and that early trauma history is more significantly related with PD in young/middle adulthood than earlier/later older adulthood. These findings suggest that the age factor should be considered in clinical practice for patients with PD.

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키워드

Panic disorder Young/middle adulthood Earlier/later older adulthood Symptom severity Early trauma