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공황장애 환자의 초기부적응 심리도식의 특성

Characteristics of Early Maladaptive Schemas in Patients with Panic Disorder

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주제분류정신과학

초록

Objective : This study aimed to investigate the characteristics of the early maladaptive schemas in patients with panic disorder. Methods : Patients (n=35) included people who had met the DSM-IV-TR criteria for panic disorder. The normal control group (n=35) were those people who had no psychiatric disorder and had never experienced panic attack. The early maladaptive schemas and the severity of depression and anxiety were assessed by the Young Schema Questionnaire Short-form (YSQ-SF), the Beck Depression Inventory (BDI), and the Spielberger State-Trait Anxiety Inventory (STAI). Results : The scores on the STAI-S, STAI-T, and BDI were significantly higher in the patient group. Compared to the control group, the scores of vulnerability to harm and illness, and abandonment/instability schemas were significantly higher in the patient group. In the patient group, defectiveness/shame and subjugation schemas were found to predict BDI, dependent/incompetence, abandonment/instability schemas were found to predict STAI-S, and vulnerability to harm and illness, and abandonment/instability schemas were found to predict STAI-T. In normal controls, failure and insufficient self-control/self-discipline, failure, and emotion inhibition schemas were found to predict BDI, STAI-T, and STAI-S. Conclusions : Vulnerability to harm and illness and abandonment/instability schemas may be characteristic schema in patients with panic disorder. (Anxiety and Mood 2011;7(2):85-91)

Abstract

Objective : This study aimed to investigate the characteristics of the early maladaptive schemas in patients with panic disorder. Methods : Patients (n=35) included people who had met the DSM-IV-TR criteria for panic disorder. The normal control group (n=35) were those people who had no psychiatric disorder and had never experienced panic attack. The early maladaptive schemas and the severity of depression and anxiety were assessed by the Young Schema Questionnaire Short-form (YSQ-SF), the Beck Depression Inventory (BDI), and the Spielberger State-Trait Anxiety Inventory (STAI). Results : The scores on the STAI-S, STAI-T, and BDI were significantly higher in the patient group. Compared to the control group, the scores of vulnerability to harm and illness, and abandonment/instability schemas were significantly higher in the patient group. In the patient group, defectiveness/shame and subjugation schemas were found to predict BDI, dependent/incompetence, abandonment/instability schemas were found to predict STAI-S, and vulnerability to harm and illness, and abandonment/instability schemas were found to predict STAI-T. In normal controls, failure and insufficient self-control/self-discipline, failure, and emotion inhibition schemas were found to predict BDI, STAI-T, and STAI-S. Conclusions : Vulnerability to harm and illness and abandonment/instability schemas may be characteristic schema in patients with panic disorder. (Anxiety and Mood 2011;7(2):85-91)

참고문헌 (31)

  1. Roy-byrne P, "Panic disorder", Lancet, 368, pp.1023~1032 (2006)
  2. Gorman JM, "Neuroanatomical hypothesis of panic disorder, revised", Am J Psychiatry, 158, pp.58~67 (2000)
  3. Bouton ME, "A modern learning theory perspective on the etiology of panic disorder", Psychol Rev, 108, pp.4~32 (2001)
  4. Poulton R, "Nonassociative fear acquisition: a review of the evidence from retrospective and longitudinal research", Behav Res Ther, 40, pp.197~208 (2002)
  5. Bush FN, "Theory and technique in psychodynamic treatment of panic disorder", J Psychother Pract Res, 8, pp.234~242 (1999)
  6. Bandelow B, "Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with panic disorder", Compr Psychiatry, 43, pp.269~278 (2002)
  7. Fava L, "Causal modeling of panic disorder theories", Clin Psychol Rev, 29, pp.623~637 (2009)
  8. Young JE, "Schema therapy: a practitioner’s guide" (2003), Guilford Press
  9. 고상현, "공황장애 환자군의 기질 및 성격 특성에 관한 연구", 신경정신의학, 43(6), pp.706~711 (2004), 대한신경정신의학회
  10. Kim YC, "Defense mechanism in panic disorder", J Korean Neuropsychiatr Assoc, 37, pp.415~421 (1998)
  11. Kim YC, "Childhood parental loss and life events before panic onset in panic patients", J Korean Neuropsychiatr Assoc, 35, pp.96~106 (1996)
  12. Halvorsen M, "Early maladaptive schemas, temperament and character trait in clinically depressed and previously depressed subjects", Clin Psychol Psychother, 16, pp.394~407 (2009)
  13. Cockram DM, "Role and treatment of early maladaptive schemas in Vietnam Veterans with PTSD", Clin Psychol Psychother, 17, pp.165~182 (2010)
  14. Unoka Z, "Eating disorder behavior and early maladaptive schemas in subgroups of eating disorders", J Nerv Ment Dis, 198, pp.425~431 (2010)
  15. Schmidt NB, "The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemata", Cognit Ther Res, 19, pp.295~321 (1995)
  16. Young JE, "Young Schema Questionnaire (revised ed.), In Cognitive therapy for personality disorders: A schema-focussed approach. 2nd ed" (1994), Cognitive Therapy Center
  17. Young JE, "Young schema questionnaire short form" (1998), Cognitive Therapy Center
  18. Baranoff J, "Factor structure and internal consistency of the Young Schema Questionnaire (Short Form) in Korean and Australian samples", J Affect Disord, 93, pp.133~140 (2006)
  19. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
  20. Hahn HM, "A standardization study of Beck Depression Inventory in Korea", J Korean Neuropsychiatr Assoc, 25, pp.487~502 (1986)
  21. Spielberger CD, "Manual for the State-Trait Anxiety inventory" (1970), Consulting Psychologists Press
  22. Stopa L, "The effect of mood on responses to the Young Schema Questionnaire: short form", Psychol Psychother, 78, pp.45~57 (2005)
  23. Petrocelli JV, "Early maladaptive schemas of personality disorder subtypes", J Pers Disord, 15, pp.546~559 (2001)
  24. Dutra L, "Core schemas and suicidality in a chronically traumatized population", J Nerv Mental Dis, 196, pp.71~74 (2008)
  25. Andrews G, "Comorbidity and the general neurotic syndrome", Br J Psychiatry, 30, pp.76~84 (1996)
  26. Bandos A, "The state-trait anxiety inventory, trait version: does it really measure anxiety", J Pers Asess, 92, pp.560~567 (2010)
  27. Stallard P, "Early maladaptive schemas in children: Stability and differences between a community and a clinic referred sample", Clin Psychol Pscyhother, 14, pp.10~18 (2007)
  28. Glittelman R, "Relationship between separation anxiety and panic and agoraphobia disorders", Psychopathology, 17, pp.56~65 (1984)
  29. Lim KY, "The Characteristics of panic attack symptoms in panic disorder patients", J Korean Neuropsychiat Assoc, 35, pp.839~848 (1996)
  30. 이소영, "공황장애에서 Paroxetine 단기약물치료가 심리적 상태에 미치는 영향", 신경정신의학, 43(3), pp.312~319 (2004), 대한신경정신의학회
  31. 임승락, "재앙화 사고의 평가 및 임상적 적용: ‘불안취약 사고경향 척도’의 표준화연구", 한국심리학회지 임상, 21(1), pp.189~206 (2002), 한국임상심리학회

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