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정신건강의학과 치료 과거력이 없는 외상후 스트레스 장애 환자에서 나이와손상 심각도가 중증 불안에 미치는 영향

Influences of Injury Severity and Age on Severe Anxiety in Posttraumatic Stress Disorder Patients with no Previous History of Psychiatric Disorders

김상훈|박상학|추일한|박정인|김승곤|박운영
대한불안의학회 (Korean Academy of Anxiety Disorders)|2013.04|대한불안의학회지 (Anxiety and Mood)|제9권 제1호|pp. 54-60

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참고문헌

키워드

외상후 스트레스 장애·불안·손상 심각도 점수· 나이.Posttraumatic stress disorder·Severe anxiety·Injury severity score·Age.
주제분류정신과학

초록

Abstract

Objectives : Posttraumatic stress disorder (PTSD) is classified as an anxiety disorder. PTSD occurrenceis known to be increased in middle-aged and older people, female, and individuals with a previous historyof psychiatric disorders, lower education levels, low socioeconomic status, and severely injured patients. Anxiety symptoms are also related to later development of PTSD. In this study, we investigate the influencesof injury severity and sociodemographic factors on severe anxiety in PTSD patients with no previous historyof psychiatric disorders. Methods : Forty-one PTSD patients without previous history of psychiatric disorders were recruited fromthe psychiatric clinic at Chosun University Hospital. Subjects underwent psychiatric and physical examinationsincluding the Injury Severity Score (ISS), Beck Anxiety Inventory (BAI), and Korean-WechslerAdult Intelligence Scale (K-WAIS). We defined severe anxiety as a BAI scores of 30 or more. Logistic regressionanalyses and multi-step model selection were applied to identify predictive factors for severe anxiety. Results : In univariate analysis, age, ISS, and socioeconomic status were found to be significant factors. Through multivariate logistic regression analyses and a stepwise model selection, we found the combinationof age and ISS to be the best-fitted model for affecting severe anxiety in PTSD patients without a previoushistory of psychiatric disorders. Conclusion : Our findings suggest that the combination of age and ISS could develop severe anxiety inPTSD patients with no previous history of psychiatric disorders.

참고문헌 (33)

  1. "American Psychiatric Association. Diagnostic and statistical manual of mental disorders, In Text Revision" (2000), American Psychiatric Association
  2. Blanchard EB, "Who develops PTSD from motor vehicle accident?", Behav Res Ther, 34, pp.1~10 (1996)
  3. Mayou R, "Psychiatric consequences of road traffic accidents", BMJ, 307, pp.9~13 (1993)
  4. Ursano RJ, "Acute and chronic posttraumatic stress disorder in motor vehicle accident victims", Am J Psychiatry, 156, pp.589~595 (1999)
  5. Chen CH, "Long-term psychological outcome of 1999 Taiwan earthquake survivors: a survey of a high risk sample with property damage", Compr Psychiatry, 48, pp.269~275 (2007)
  6. Priebe S, "Posttraumatic stress disorder six months after an earthquake: findings from a community sample in a rural region in Italy", Soc Psychiatry Psychiatr Epidemiol, 44, pp.393~397 (2009)
  7. Meroni R, "Psychiatric disorders in patients suffering from an acute cerebrovascular accident or traumatic injury, and their effects on rehabilitation: an observational study", Eur J Phys Rehabil Med, 48, pp.1~9 (2012)
  8. Sandweiss DA, "Preinjury psychiatric status, injury severity, and postdevelopmental posttraumatic stress disorder", Arch Gen Psychiatry, 68, pp.496~504 (2011)
  9. Mayou R, "Prediction of psychological outcomes one year after a motor vehicle accident", Am J Psychiatry, 158, pp.1231~1238 (2001)
  10. Brewin CR, "Meta-analysis of risk factors of PTSD in trauma exposed adults", J Consult Clin Psychol, 68, pp.748~766 (2000)
  11. Brasel KJ, "Injury severity and quality of life: Whose perspective in important?", J Trauma, 68, pp.263~268 (2010)
  12. Phifer JF, "Psychological distress and somatic symptoms after natural disaster: differential vulnerability among older adults", Psychol Aging, 5, pp.412~420 (1990)
  13. Williams J, "Longer term health of young and middle-aged adults following unintentional falls at home resulting in hospitalization", Injury, 43, pp.103~108 (2012)
  14. Breslau N, "Epidemiologic studies of trauma, posttraumatic stress disorder, and other psychiatric disorders", Can J Psychiatry, 47, pp.923~929 (2002)
  15. Hapke U, "Post-traumatic stress disorder: The role of trauma, pre-existing psychiatric disorders, and gender", Eur Arch Psychiatry Clin Neurosci, 256, pp.299~306 (2006)
  16. Perkonigg A, "Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity", Acta Psychiatr Scand, 101, pp.46~59 (2000)
  17. Blanchard EB, "Psychiatric morbidity associated with motor vehicle accidents", J Nerv Ment Dis, 183, pp.495~504 (1995)
  18. O’Donnell ML, "Psychiatric morbidity following injury", Am J Psychiatry, 161, pp.507~514 (2004)
  19. Karakaya I, "The symptoms of PTSD, depression and anxiety in adolescent students three and a half years after the Marmara earthquake", Turk Psikiyqtri Derq, 15, pp.257~263 (2004)
  20. Shalev AY, "Prospective study of posttraumatic stress disorder and depression following trauma", Am J psychiatry, 155, pp.630~637 (1998)
  21. Freedman SA, "Predictors of chronic posttraumatic stress disorder: a prospective study", Br J Psychiatry, 174, pp.353~359 (1999)
  22. Yook SP, "A clinical study on the Korean version of Beck anxiety inventory: comparative study of patient and non-patient", J Korean Clinical Psychology, 16, pp.185~197 (1997)
  23. Beck AT, "Beck Anxiety Inventory manual", The Psychological Corportaion Harcourt Brace Jovanovich, Inc (1990)
  24. Baker SP, "The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care", J Trauma, 14, pp.187~196 (1974)
  25. Chon YS, "Korean Wechsler Intelligence Scale manual" (1963), Central Education Research Institute
  26. Wechsler D, "Wechsler Adult Intelligence Scale" (1997), The Psychological Corporation
  27. Grant BF, "Prevalence, correlates, comorbidity, and comparative disability of DSM-IV generalized anxiety disorder in the USA: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Psychol Med, 35, pp.1747~1759 (2005)
  28. Lee MS, "The factors influencing on the severity of psychiatric symptoms of the Sampoong Accident survivors", J Korean Neuropsychiatr Assoc, 36, pp.841~849 (1997)
  29. Regier DA, "One-month prevalence of mental disorders in the United States, based on five Epidemiologic Catchment Area sites", Arch Gen Psychiatry, 45, pp.977~986 (1988)
  30. Malt UF, "Psychosocial consequences of road accidents", Eur Psychiatry, 8, pp.227~228 (1993)
  31. Ehlers A, "Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents", J Abnorm Psychol, 107, pp.508~519 (1998)
  32. Han PP, "Postinjury depression is a serious complication in adolescents after major trauma: Injury severity and injury-event factors predict depression and long-term quality of life deficits", J Trauma, 70, pp.923~930 (2011)
  33. Holbrook TL, "Long-term posttraumatic stress disorder persists after major trauma in adolescents: new data on risk factors and functional outcome", J Trauma, 58, pp.764~769 (2005)

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