흉통을 호소하는 환자들의 심리특성 - 관상동맥조영술을 받은 환자들을 대상으로-

• 영문명: The Psychological Characteristics of Patients Suffering from Chest Pain
• 발행기관: 대한신경정신의학회
• 저자명: 김재환 이무석
• 간행물 정보: 『신경정신의학』제34권 제5호, 1351~1360쪽, 전체 10쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1995.09.30

영문 초록

The purpose of this investigation was to compare the psychological characteristics such as depression, anxiety, personality in patients who had a negative coronary arteriogram with those in patients who had arteriographic evidence o f coronary artery stenosis. Pathients admitted for coronary arteriography to the cardiovascular department of the C honnam University Hospital were assessed, the day before coronary arteriography，psychological characteristics by self-rating scales such as Beck Depression Inventory, State-Trait Anxiety In ventory, Eysencks Personality Questionnaire, Eysencks Type A Personality Questionnaire and were assessed prevalences of panic disorder by semi-structural interview with DSM-III-R criteria for panic disorder. The results of comparing the psychological characteristics in groups with and without significant coronary artery stenosis are as follows ； Patients with chest pain and a negative coronary arteriogram were significantly younger and more likely to be female, endorsed a greater number of autonomic symptoms with chest pain and were more likely to report atypical chest pain than patients with chest pain and a positive coronary arteriogram. These patients had significantly greater prevalences of panic disorder by DSM-III-R criteria and significantly higher scores on BDI, Trait Anxiety than patients with chest pain and a positive coronary arteriogram, but there were no statistically significant differences in State Anxiety, Personality Questionnaire. We recognized that patients with chest pain and a negative coronary arteriogram had much more psychiatric problems than patients with chest pain and a positive coronary arteriogram

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키워드

Chest pain Coronary arteriography Panic disorder Psychological characteristics