불안장애의 치료추구시간에 대한 공존 정신질환의 영향 : 사회불안장애와 공황장애 간 비교
Influence of Comorbid Mental Disorder on Time to Seeking Treatment in Anxiety Disorder : Comparison of Social Anxiety Disorder and Panic Disorder
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Objective : Individuals with anxiety disorders experience a wide range of time to seeking treatment (TST) as well as various comorbid mental disorders. The present study examined the TST in social anxiety disorder (SAD) and panic disorder. This study aimed to find out the influence of comorbid mental disorder on TST of anxiety disorder through the comparison of SAD and panic disorder. Methods : This study included 311 SAD and 378 panic disorder patients at the initial visit of psychiatric clinic. Contribution of clinical (number of comorbidity, comorbid type and onset age) and demographic (current age) factors to TST were investigated by multivariate analysis. Results : The median length of TST was 14.03 years in SAD and 2.26 years in panic disorder. In social anxiety disorder, fewer comorbidity, younger onset age, and older age were factors associated with delayed TST. In panic disorder, only younger onset age was associated with delayed TST. In both disorders, comorbid depressive disorder was associated with shorter TST. Conclusion : Our data provided the differences in illness behavior needing help based on comorbid mental disorders between SAD and panic disorder. In addition to comorbid disorder, factors affecting TST of anxiety disorder requires future investigation.
Abstract
Objective : Individuals with anxiety disorders experience a wide range of time to seeking treatment (TST) as well as various comorbid mental disorders. The present study examined the TST in social anxiety disorder (SAD) and panic disorder. This study aimed to find out the influence of comorbid mental disorder on TST of anxiety disorder through the comparison of SAD and panic disorder. Methods : This study included 311 SAD and 378 panic disorder patients at the initial visit of psychiatric clinic. Contribution of clinical (number of comorbidity, comorbid type and onset age) and demographic (current age) factors to TST were investigated by multivariate analysis. Results : The median length of TST was 14.03 years in SAD and 2.26 years in panic disorder. In social anxiety disorder, fewer comorbidity, younger onset age, and older age were factors associated with delayed TST. In panic disorder, only younger onset age was associated with delayed TST. In both disorders, comorbid depressive disorder was associated with shorter TST. Conclusion : Our data provided the differences in illness behavior needing help based on comorbid mental disorders between SAD and panic disorder. In addition to comorbid disorder, factors affecting TST of anxiety disorder requires future investigation.
참고문헌 (30)
- Kessler RC, "Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication", Arch Gen Psychiatry, 62, pp.617~627 (2005)
- Aderka IM, "Functional impairment in social anxiety disorder", J Anxiety Disord, 26, pp.393~400 (2012)
- Stein MB, "Disability and quality of life in social phobia: epidemiologic findings", Am J Psychiatry, 157, pp.1606~1613 (2000)
- Schneier FR, "Functional impairment in social phobia", J Clin Psychiatry, 55, pp.322~331 (1994)
- Kessler RC, "Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the united states. Results from the national comorbidity survey", Arch Gen Psychiatry, 51, pp.8~19 (1994)
- Leon AC, "The social costs of anxiety disorders", Br J Psychiatry Suppl, 27, pp.19~22 (1995)
- Mendlowicz MV, "Quality of life in individyals with anxiety disorders", Am J Psychiatry, 157, pp.669~682 (2000)
- Katon WJ, "Clinical practice. Panic disorder", N Engl J Med, 354, pp.2360~2367 (2006)
- Andrews G, "Prevalence, comorbidity, disability and service utilisation: overview of the Austraslian national mental health survey", Br J Psychiatry, 178, pp.145~153 (2001)
- Dalrymple KL, "Treatment seeking for social anxiety disorder in a general outpatient psychiatry setting", Psychiatry Res, 187, pp.375~381 (2011)
- Kessler RC, "Patterns and Predictors of Treatment Contact After First Onset of Psychiatric Disorders", Am J Psychiatry, 155, pp.62~71 (1998)
- Christiana JM, "Duration between onset and time of obtaining initial treatment among people with anxiety and mood disorders: an international survey of members of mental health patient advocate groups", Psychological Medicine, 30, pp.693~703 (2000)
- The Epidemiological Survey of Mental Disorders in Korea, "서울대학교 의과대학", 254~281 (2011)
- Green AC, "The delay between symptom onset and seeking professional treatment for anxiety and depressive disorders in a rural Australian sample", Soc Psychiatry Psychiatr Epidemiol, 47, pp.1475~1487 (2012)
- Zimmerman M, "Diagnositc comorbidity in 2300 psychiatruc out-patients presenting for treatment evaluated with a semi-structured diagnositc interview", Psychol Med, 38, pp.199~210 (2008)
- Weiller E, "Social phobia in general health care: an unrecognized undertreated disabling disorder", Br J Psychiatry, 168, pp.169~174 (1996)
- Wagner R, "Delays in referral of patients with social phobia, panic disorder, and generalized anxiety disorder attending a specialist anxiety clinic", J Anxiety Disord, 20, pp.363~371 (2006)
- Yoo SW, "Validity of Korean Version of the Mini-International Neuropsychiatric Interview", Anxiety and Mood, 2, pp.50~55 (2006)
- Lee SH, "A clinical study of Socail phobia (1)", J Korean Neuropsychiatry Assoc, 23, pp.111~116 (1984)
- Choi HM, "Gender differences in the symptomatic characteristics of social phobia patients in one university hospital", Anxiety and Mood, 4, pp.62~67 (2008)
- Wittchen HU, "Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity", Psychol Med, 29, pp.309~323 (1999)
- Weinstock LS, "Gender differences in the presentation and management of social anxiety disorder", J Clin Psychiatry, 60(9), pp.9~13 (1999)
- Gökalp PG, "Babaoðlu Clinical features and co-morbidity of social phobics in Turkey", Eur Psychiatry, 16, pp.115~121 (2001)
- Raguram R, "Patterns of phobic neurosis; a retrospective study", Br J Psychiatry, 147, pp.557~560 (1985)
- Weissman MM, "The Cross-national Epidemiology of Panic Disorder", Arch Gen Psychiatry, 54, pp.305~309 (1997)
- Mendlowicz MV, "Quality of life in individyals with anxiety disorders", Am J Psychiatry, 157, pp.669~682 (2000)
- Andrews G, "Prevalence, comorbidity, disability and service utilisation: overview of the Austraslian national mental health survey", Br J Psychiatry, 178, pp.145~153 (2001)
- Coles ME, "The path from initial inquiry to initiation of treatment for social anxiety disorder in an anxiety disorders specialty clinic", J Anxiety Disord, 18, pp.371~383 (2004)
- Olfson M, "Barriers to the treatment of social anxiety", Am J Psychiatry, 157, pp.521~527 (2000)
- Wang PS, "Failure and Delay in Initial Treatment Contact After First Onset of Mental Disorders in the National Comorbidity Survey Replication", Arch Gen Psychiatry, 62, pp.603~613 (2005)