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과민대장증후군에 대한 위장-특징적 불안(GSA)의 영향: 역기능적 인지와 부적응적 행동을 중심으로

Influence of Gastrointestinal-Specific Anxiety (GSA) on Irritable Bowel Syndrome: Focusing on Dysfunctional Cognition and Maladaptive Behavior

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주제분류심리과학

초록

본 연구는 과민대장증후군(IBS) 증상 관리에서 위장-특징적 불안(GSA)의 영향을 이해하고자 IBS 증상 심각도의 예측 요인을 살펴보았다. 또, GSA를 위장-특징적 역기능적 인지와 위장-특징적 부적응적 행동으로 구분하여, 이러한 요인들이 IBS 증상심각도에 미치는 매개효과를 검증하였다. 대학생 109명을 ROME Ⅲ 기준으로 IBS 집단과 non-IBS 집단으로 구분하여 두 집단을 비교하였다. 연구 결과, IBS 집단에서는 위장-특징적 부적응적 행동이 IBS 증상 심각도를 유의하게 예측하였으며, non-IBS 집단에서는 그렇지 않았다. 또한, IBS 집단에서 위장-특징적 역기능적 인지와 IBS 증상 심각도를 위장-특징적 부적응적 행동이 완전매개한 것으로 나타났다. 이 연구는 GSA를 인지적 요소와 행동적 요소로 구분함으로써, IBS 증상 관리와 관련된 보다 구체적인 기초 정보를 제공했다는 점에서 의의가 있다.

Abstract

This study investigated the impact of gastrointestinal-specific anxiety (GSA) on symptom management of irritable bowel syndrome (IBS) by examining predictors of IBS symptom severity. Additionally, GSA is divided into maladaptive cognition and dysfunctional behavior to verify their mediating effects on IBS symptom severity. A total of 109 university students were classified into IBS and non-IBS groups based on the Rome III criteria. Comparisons between the two groups were then conducted. Results showed that dysfunctional behavior significantly predicted IBS symptom severity in the IBS group, but not in the non-IBS group. In addition, dysfunctional behavior fully mediated the relationship between maladaptive cognition and IBS symptom severity in the IBS group. This study is significant in that it provides more detailed foundational information related to IBS symptom management by distinguishing between cognitive and behavioral components of GSA.

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