공황 장애의 인지一행동 집단 치료 : 치료 효과와 치유 인자

• 영문명: A Cognitive-Behavioral Group Treatment of Panic Disorder : The Efectiveness of the Treatment and Curative Factors
• 발행기관: 대한신경정신의학회
• 저자명: 김영신 임기영
• 간행물 정보: 『신경정신의학』제34권 제1호, 240~248쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1995.01.30

영문 초록

A cognitive-behavioral group treatment program is being applied for patients with panic disorder since October 1991. The four main components o f the treatment are 1) education of patient, 2) somatic control exercise, 3) cognitive restructuring, 4) interoceptive reconditioning and exposure. Authors examined the effectiveness o f the treatment by comparing the scores of Patient Rated Anxiety Scale o f before and after the treatment and by using Y alom’s Curative Factor Questionnaire to find the curative factors of the treatment The results were as follows. 1) Among the total of 24 subjects, 4 were female and 20 were male. The mean age of subjects was 37.29 years old, 87.50 짰 o f subjects married and average education was 14 years. Ages o f onset varied from 17 to 49 and mean age o f onset was 34.79 years old. 75.00% of subjects were accompained by agoraphobia. 2) Total score o f Patient Rated Anxiety Scale before treatment program was 86.63，of which the scores o f endogenous anxiety and exogenous anxiety or phobia were 68.83 and 17.79. After 12 weeks of treatment program, the total score decreased to 48.71 and scores for endogenous anxiety and exogenous anxiety decreased to 39.21 and 9.50 that are statistically significant 3) Although all the scores of the questions in Patient Rated Anxiety Scale showed statistically significant improvement after the treatment program, physical symptoms of respiratory system and cognitive symptoms particularly fear o f dying or losing control showed higher improvement 4) Among Y alom’s curative factors, universality, group cohesiveness and existential factors showed high scores ; 26.37，24.24 and 24.11. The subjects who showed much improvement with our program scored high in altruism compared to those who did not show much improvement 5) Within the treatment program, education about medication, physiology of anxiety and panic and cognitive restructuring were scored high by patients as therapeutic factors. The authors concluded that cognitive-behavioral treatment as an effective treatment modality for the treatment o f panic disorder

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키워드

Cognitive-behavioral treatment Panic disorder Effectiveness Curative factors