정신과 외래 우울증 환자에서 분노 경험
Anger Experience in Psychiatric Outpatients with Depressive Disorders
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초록
Objectives：This study was conducted to evaluate the degree and type of anger experienced by patients with depressive disorders and to determine which type of anger is correlated with symptom severity. Methods：One hundred-six psychiatric outpatients with depressive disorders and ninety normal control subjects completed the Korean version of Aggression Questionnaire(AQ) and Korean version of Depression, Anxiety, and Stress Scale(DASS). Comparison between two groups was conducted to evaluate which type of anger are prominent in the depressed group. Therefore, correlation and partial correlation between the scores of 4 subscales(Anger, Hostility, Verbal aggression, and Physical aggression) of AQ and the scores of 3 subscales(Depression, Anxiety, and Stress) of DASS were assessed. A multiple regression analysis was performed to determine which type of anger predicted symptom severity. Results：Total AQ score, hostility, anger and physical aggression scores were significantly higher in patients with depressive disorders. After the score of Stress and Anxiety subscale of DASS were controlled；the depression score was significantly correlated with total AQ score, physical aggression and hostility score. The Hostility score was a major predictor of the depressive symptom severity. In addition, the Anger score was a major predictor of the anxiety and stress symptom severity. Conclusion：Anger is frequently found symptom in patients with depressive disorders. Therefore, it is important that clinicians routinely evaluate the degree and type of anger in patients with depressive disorders.
Abstract
Objectives：This study was conducted to evaluate the degree and type of anger experienced by patients with depressive disorders and to determine which type of anger is correlated with symptom severity. Methods：One hundred-six psychiatric outpatients with depressive disorders and ninety normal control subjects completed the Korean version of Aggression Questionnaire(AQ) and Korean version of Depression, Anxiety, and Stress Scale(DASS). Comparison between two groups was conducted to evaluate which type of anger are prominent in the depressed group. Therefore, correlation and partial correlation between the scores of 4 subscales(Anger, Hostility, Verbal aggression, and Physical aggression) of AQ and the scores of 3 subscales(Depression, Anxiety, and Stress) of DASS were assessed. A multiple regression analysis was performed to determine which type of anger predicted symptom severity. Results：Total AQ score, hostility, anger and physical aggression scores were significantly higher in patients with depressive disorders. After the score of Stress and Anxiety subscale of DASS were controlled；the depression score was significantly correlated with total AQ score, physical aggression and hostility score. The Hostility score was a major predictor of the depressive symptom severity. In addition, the Anger score was a major predictor of the anxiety and stress symptom severity. Conclusion：Anger is frequently found symptom in patients with depressive disorders. Therefore, it is important that clinicians routinely evaluate the degree and type of anger in patients with depressive disorders.
참고문헌 (31)
- 최성일, "분노표현방식과 우울 및 신체화 증상과의 관계", 신경정신의학, 40(3), pp.425~433 (2001), 대한신경정신의학회
- 서수균, "한국판 공격성 질문지의 타당화 연구", 한국심리학회지 임상, 21(2), pp.487~501 (2002), 한국임상심리학회
- Buss AH, "The aggression questionnaire", J Pers Soc Psychol, 63, pp.452~459 (1992)
- Spielberger CD, "The experience and expression of anger: Construction and validation of an anger expression scale. Anger and hostility in cardiovascular and behavioral disorders", pp.5~30 (1985), Hemisphere publishing
- Spielberger CD, "Assessment of anger: The State-Trait Anger Scale. Advances in personality assessment. 2", pp.159~187 (1983), Lawrence Erlbaum Associates
- Brannon L, "Health Psychology. An introduction to behaviour and health" (1997), Cole Publishing Company
- Smith TW, "Concepts and methods in the study of anger, hostility, and health. Anger, hostility, and the heart", pp.23~42 (1994), Lawrence Erlbaum Associates
- Martin R, "A Three-Factor Model of Trait Anger: Dimensions of Affect, Behavior, and Cognition", J Pers, 68, pp.869~897 (2000)
- Friedman M, "Type A Behavior and Your Heart" (1974), Fawcett Crest
- Alexander F, "Studies in Psychosomatic Medicine: An Approach to the Cause and Treatment of Vegetative Disturbances" (1948), Ronald Press Co.
- Norcross JC, "Treating anger in psychotherapy: introduction and cases", J Clin Psychol, 55, pp.275~282 (1999)
- Felsten G, "Aggression Questionnaire hostility scale predicts anger in response to mistreatment", Behav Res Ther, 37, pp.87~97 (1999)
- Fava GA, "Subclinical symptoms in mood disorders: pathophysiological and therapeutic implications", Psychol Med, 29, pp.47~61 (1999)
- Freud S, "Mourning and Melancholia, vol 4" (1917), Hogarth Press
- Abraham K, "Notes on the psychoanalytic investigation and treatment of manic-depressive insanity and allied conditions" (1927), Hogarth Press
- Fava M, "Anger attacks in patients with depression", J Clin Psychiatry, 60, pp.21~24 (1999)
- Schless AP, "Depression and hostility", J Nerv Ment Dis, 159, pp.91~100 (1974)
- Kim TH, "The Exploration of the Variables Predicting Anxiety and Depression: Focused on the Groups of Potential Anxiety and Depression", J Stu Res, 32, pp.91~100 (2000)
- Tedlow J, "Axis Ⅰ and Axis Ⅱ disorder comorbidity in unipolar depression with anger attacks", J Affective Disord, 52, pp.217~223 (1999)
- Gould RA, "Prevalence and correlates of anger attacks: a two site study", J Affective Disord, 39, pp.31~38 (1996)
- Lovibond PF, "The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales(DASS) with the Beck Depression and Anxiety Inventories", Behav Res Ther, 33, pp.335~343 (1995)
- Riley WT, "Anger and hostility in depression", J Nerv Ment Dis, 177, pp.668~675 (1989)
- Snaith RP, "Irritability: Definition, assessment and associated factors", Br J Psychiatry, 147, pp.127~136 (1985)
- Biglan A, "Problem-solving interactions of depressed women and their husbands", Behav Res Ther, 16, pp.431~451 (1985)
- Praag HM, "Anxiety and increased aggression as pacemakers of depression", Acta Psychiatr Scand, 98, pp.81~88 (1998)
- Koh KB, "Predominance of anger in depressive disorders compared with anxiety disorders and somatoform disorders", J Clin Psychiatry, 63, pp.486~492 (2002)
- Hodapp V, "Anger and risk of suicide. Study of elderly psychiatric patients", Nervenarzt, 68, pp.55~61 (1997)
- Min SK, "Symptom of Hwabyung", J Korean Neuropsychiatr Assoc, 37, pp.1138~1144 (1998)
- American Psychiatric Assciation, "Diagnostic and statistical manual of mental disorders, Forth edition" (1994), American psychiatric press
- Spitzer RL, "Research diagnostic criteria(RDC) for a selected group of functional disorders" (1981), New York State Psychiatric Institute