공황장애 환자의 평가에 있어서 내부감각적 두려움의 중요성

• 영문명: The Significance of Interoceptive Fear in Assessment of Panic Disorder Patients
• 발행기관: 대한신경정신의학회
• 저자명: 성태훈 임영진 유범희 김지혜
• 간행물 정보: 『신경정신의학』제45권 제2호, 128~135쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2006.03.30

영문 초록

Objectives：We investigated the significance of interoceptive fear in assessment of panic disorder (PD) patients. Methods：102 patients affected by PDs with (n=68) or without (n=34) agoraphobia according to DSM-IV criteria completed self-report questionnaires, such as Albany Panic and Phobia Questionnaire (APPQ), The Expanded Anxiety Sensitivity Index (ASI-R), Agoraphobic Cognitions Questionnaire (ACQ), Body Sensation Questionnaire (BSQ), Beck Anxiety Inventory (BAI), and Panic Disorder Severity Scale (PDSS). Pearson correlation analysis, stepwise regression analysis, paired t-test and independent t-test were used. Results：All variables except BSQ were significantly correlated with panic severity. In stepwise regression analysis, interoceptive fear and catastrophic cognition were the most significant predicting variables for panic severity. After 3-months medication, all variables significantly diminished, but interoceptive fear and catastrophic cognition of panic patients were still significantly higher than normal control. Conclusion：Interoceptive fear is the fear of automatic sensations that are similar to those of a panic attack and is the most significant variable in predicting panic severity. After 3-months medication, interoceptive fear significantly decreased, but still was higher than the control group.

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키워드

Panic disorder Agoraphobia Interoceptive fear Panic disorder severity