공황장애의 임상적 특성 = Clinical Characteristics of Panic Disorder

다국어 초록 (Multilingual Abstract)

Objectives : To clarify clinical features of panic disorder and to compare the characteristics of cognitive patterns, avoidance behaviors, and coping strategies among patients who have panic disorder with or without agoraphobia.
Methods : Family backgrounds, cognitive patterns in the first panic attack, coping strategies, and avoidance behaviors were compared among the three groups classified by panic patients with mild agoraphobia(mild PDA=66), severe agoraphobia(severe PDA=71), and without agoraphobia(PD=21)
Results : 1) Severe PDA reported significantly high panic attack frequency and more dysfunctional level than PD. 2) Catastrophic thinking of 'dying' in PD was significantly frequent than the other groups. Other fears of 'going craze or loss of control' in severe PDA were the highest among the three groups, though it was not significant. Specific thinking process or interpretation in the first panic attack was not significantly different among the three groups. 3) As avoidance behaviors became worse, the frequency of avoidance behaviors and the patters of avoidance behaviors increased.
Conclusions : The results suggested that as avoidance behaviors became worse, the frequency of panic, maladaptive functioning and the patterns of avoidance behaviors increase. This might be why we need to decrease avoidance behaviors through exposure as the treatment.

목차 (Table of Contents)

• 서론
• 연구대상 및 방법
• 1.연구 대상
• 2.연구 방법
• 결과
• 사회인구학적 자료
• 공황의 임상적 특징
• 1.발병 장소
• 2.스트레스와 사고 내용 및 대처 방법
• 3.DSM-IV 진단 범위 내의 증상 및 시작 증상
• 4.특징적 증상의 유형
• 5.가족력, 성장기 가정 환경 및 부모의 양육 태도
• 광장공황군와 비광장공황군의 임상 양상 비교
• 1.공화의 양상
• 2.스트레스 사건, 인지 내용, 대처 방법 및 가장 고통스러운 증상 유형
• 4.회피양상 등 대처 방식 비교
• 논의