한국인에게 나타나는 공황장애의 신체적 증상 및 유발 요인의 특징

• 영문명: The Bodily Panic Symptoms and Predisposing Stressors in Korean Patients with Panic Disorder
• 발행기관: 대한신경정신의학회
• 저자명: 이현주(Hyun-Joo Lee) 김민숙(Min-Sook Gim) 김세주(Se Joo Kim) 박선철(Seon-Cheol Park) 양종철(Jong-Chul Yang) 이경욱(Kyo
• 간행물 정보: 『신경정신의학』제58권 제4호, 339~345쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2019.11.30

영문 초록

Objectives The purpose of this study was to investigate the distinctive features of bodily panic symptoms and the predisposing conditions in Korean patients with panic disorder. Methods This was a retrospective chart review study and the data were collected from twelve university-affiliated hospitals in Korea. The patients selected met the diagnostic criteria for panic disorder, were older than 20 years of age, and had initially visited a psychiatry department. The assessments included the chief complaints related to bodily panic symptoms, recent stressors, recent history of alcohol and sleep problems, and time to visit an outpatient clinic. Results A total of 814 participants were included in the study. The most commonly experienced symptoms were cardiovascular and respiratory symptoms, which were observed in 63.9% and 55.4% of participants, respectively. Just before the onset of a panic attack, 25.6% of participants experienced sleep-related problems. Episodic binge drinking was also frequently observed (13.2%) and was more prevalent in men than in women (22.6% vs. 4.9%, p<0.001). About 75% of participants experienced stressful life events just before panic onset. Work-related issues were more prevalent in men than in women (22.0% vs. 13.4%, p=0.001). Family-related issues (4.8% vs. 14.1%, p<0.001) and conflict with a spouse or partner (4.0% vs.11.7%, p<0.001) were more prominent in women than in men. Conclusion Our results suggest that cardiovascular symptoms are the most common bodily panic symptoms in Korean patients. Our results suggest that a substantial portion of the Korean patients experienced stressful life events, sleep problems, and/or episodic binge drinking just before the onset of panic disorder.

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키워드

Panic disorder Korean patients Bodily panic symptom Stressful life event