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공황장애 환자의 증상에 영향을 미치는 성격 및 방어기제 인자

Factors of Personality and Defense Mechanism Affecting Symptoms in Patients with Panic Disorder

구본훈|정성훈|이준엽|천은진|송신호|최호동
한국정신분석학회 (Korean Psychoanalytic Society)|2012.11|정신분석 (Psychoanalysis)|제23권 제2호|pp. 115-123

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참고문헌

키워드

PersonalityPanic disorderDefense mechanism.

초록

Objectives: There are several studies about the prevalence of comorbid personality in the patients with panic disorder, and the comparison of defense mechanisms between patients with panic disorder and those with normal controls. The purpose of this study is to investigate specific factors of personality and defense mechanisms that affect symptoms in panic disorder patients. Methods: We recruited 38 patients with panic disorder according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder, 4th edition. We investigated specific factors of personality and defense mechanisms affecting symptoms in the patients using the Symptom Checklist-90-Revised (SCL-90-R), the Personality Disorder Questionnaire-4+,and the Defense Style Questionnaire. Results: The defense style turned out to be more primitive as the positive symptom distress level of SCL-90R increased. The factors of personality affecting panic disorder were dependence, avoidance, degree of depress and negativistic personality, while the factors of defense mechanism that influence symptoms of panic disorder were maladaptive defense style, acting out and somatization. In contrast, the symptomatic factor of panic disorder that affects maladaptive defense style was interpersonal sensitivity of SCL-90R. Conclusion: The finding suggests that the level of maturity in defense mechanism is negatively correlated with the severity of symptoms in panic disorder. Interpersonal themes, such as dependence and avoidant personality, can worsen the symptoms of panic disorder.

Abstract

Objectives: There are several studies about the prevalence of comorbid personality in the patients with panic disorder, and the comparison of defense mechanisms between patients with panic disorder and those with normal controls. The purpose of this study is to investigate specific factors of personality and defense mechanisms that affect symptoms in panic disorder patients. Methods: We recruited 38 patients with panic disorder according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder, 4th edition. We investigated specific factors of personality and defense mechanisms affecting symptoms in the patients using the Symptom Checklist-90-Revised (SCL-90-R), the Personality Disorder Questionnaire-4+,and the Defense Style Questionnaire. Results: The defense style turned out to be more primitive as the positive symptom distress level of SCL-90R increased. The factors of personality affecting panic disorder were dependence, avoidance, degree of depress and negativistic personality, while the factors of defense mechanism that influence symptoms of panic disorder were maladaptive defense style, acting out and somatization. In contrast, the symptomatic factor of panic disorder that affects maladaptive defense style was interpersonal sensitivity of SCL-90R. Conclusion: The finding suggests that the level of maturity in defense mechanism is negatively correlated with the severity of symptoms in panic disorder. Interpersonal themes, such as dependence and avoidant personality, can worsen the symptoms of panic disorder.

참고문헌 (37)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders, fourth edition text revision" (2000), American Psychiatric Association
  2. Blaya C, "Do defense mechanisms vary according to the psychiatric disorder?", Rev Bras Psiquiatr, 28, pp.179~183 (2006)
  3. Bond M., "Empirical studies of defense style: relationships with psychopathology and change", Harv Rev Psychiatry, 12, pp.263~278 (2004)
  4. Bond MP, "An empirical study of the relationship between diagnosis and defense style", Arch Gen Psychiatry, 43, pp.285~288 (1986)
  5. Busch FN, "An empirical study of defense mechanisms in panic disorder", J Nerv Ment Dis, 183, pp.299~303 (1995)
  6. Chung MW, "A preliminary study for the development of a defense style questionnaire adapted for Koreans.", J Korean Neuropsychiatr Assoc, 32, pp.707~716 (1993)
  7. de Ruiter C, "Personality in panic disorder with agoraphobia: a Rorschach study", J Pers Assess, 59, pp.304~316 (1992)
  8. Derogatis LR, "SCL-90: an outpatient psychiatric rating scale--preliminary report", Psychopharmacol Bull, 9, pp.13~28 (1973)
  9. Fario M, "Defense mechanisms and symptom severity in panic disorder", Acta Biomed, 81, pp.30~34 (2010)
  10. Gassner SM, "The role of traumatic experience in panic disorder and agoraphobia", Psychoanal Psychol, 21, pp.222~243 (2004)
  11. Grant BF, "Co-occurrence of 12-month mood and anxiety disorders and personality disorders in the US: results from the national epidemiologic survey on alcohol and related conditions", J Psychiatr Res, 39, pp.1~9 (2005)
  12. Greenson RR., "The technique and practice of psychoanalysis" (1967), International Universities Press
  13. Hoffart A, "Personality traits among panic disorder with agoraphobia patients before and after symptom-focused treatment", J Anxiety Disord, 11, pp.77~87 (1997)
  14. Hunt C, "Measuring personality disorder: the use of self-report questionnaires", J Persnal Disord, 6, pp.125~133 (1992)
  15. Hyler SE, "Validity of the Personality Diagnostic Questionnaire--revised: comparison with two structured interviews", Am J Psychiatry, 147, pp.1043~1048 (1990)
  16. Kendler KS, "Childhood parental loss and adult psychopathology in women. A twin study perspective", Arch Gen Psychiatry, 49, pp.109~116 (1992)
  17. Kennedy BL, "Defense styles and Personality dimensions of research subjects with anxiety and depressive disorders", Psychiatr Q, 72, pp.251~262 (2001)
  18. Kim DI, "The preliminary study of reliability and validity on the Korean version of personality disorder questionnaire-4+ (PDQ-4+)", J Korean Neuropsychiatr Assoc, 39, pp.525~538 (2000)
  19. Kim GI, "Korean Manual of Symptom Checklist-90- Revision" (1984), Jungangjeokseongcholpansa
  20. 김소영, "한국에서의 메스암페타민 남용 또는 의존 환자의 인격장애에 관한 연구", 생물치료정신의학, 9(2), pp.204~212 (2003), 대한생물치료정신의학회
  21. Kipper L, "Brazilian patients with panic disorder: the use of defense mechanisms and their association with severity", J Nerv Ment Dis, 192, pp.58~64 (2004)
  22. Kipper L, "Evaluation of defense mechanisms in adult patients with panic disorder: before and after treatment", J Nerv Ment Dis, 193, pp.619~624 (2005)
  23. Klass ET, "Does interpersonal loss preceding panic disorder onset moderate response to psychotherapy? An exploratory study", J Clin Psychiatry, 70, pp.406~411 (2009)
  24. 권정해, "경계성 인격장애 환자와 우울증 환자의 임상양상, 심리특성 및 방어기제의 차이", 정신분석, 22(2), pp.106~115 (2011), 한국정신분석학회
  25. Mavissakalian M, "A comparison of DSM-III personality disorders in panic", agoraphobia and obsessive-compulsive disorder, 1990, pp.31, 238~244
  26. 문보영, "일 대학병원을 방문한 경계성 인격장애 환자의 성별에 따른 임상양상, 심리특성 및 방어기제의 차이", 정신분석, 22(1), pp.9~18 (2011), 한국정신분석학회
  27. Ozkan M, "Comorbid personality disorders in subjects with panic disorder: do personality disorders increase clinical severity?", Compr Psychiatry, 46, pp.20~26 (2005)
  28. Pollock C, "Defense styles associated with specific anxiety disorders", Am J Psychiatry, 146, pp.1500~1502 (1989)
  29. Roy-Byrne PP, "Life events and the onset of panic disorder", Am J Psychiatry, 143, pp.1424~1427 (1986)
  30. clinical psychiatry, 10th ed, "Kaplan & sadock’s synopsis of psychiatry: behavioral sciences", pp.2007, Sadock BJ
  31. Shim JH, "A study of personality factor and defense mechanism in panic disorder patients", J Korean Neuropsychiatr Assoc, 38, pp.1315~1323 (1999)
  32. Skodol AE, "Patterns of anxiety and personality disorder comorbidity", J Psychiatr Res, 29, pp.361~374 (1995)
  33. Solms M, "The brain and the inner world: an introduction to the neuroscience of subjective experience" (2002), Other Press
  34. SPSS Inc, "Statistical Package for the Social Sciences (SPSS) for Window(version 16.0)" (2008), SPSS Inc
  35. Taylor GJ., "Psychoanalysis and psychosomatics: a new synthesis", J Am Acad Psychoanal, 20, pp.251~275 (1992)
  36. Watt DF., "Commentary on “Integrating the psychoanalytic and neurobiological views of panic disorder”", Neuropsychoanalysis, 7, pp.150~153 (2005)
  37. Zaubler TS, "Panic disorder in the general medical setting", J Psychosom Res, 44, pp.25~42 (1998)

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