공황에 대한 인지평가가 공황관련 증상차원들에 미치는 영향: 공황발작을 경험한 대학생을 대상으로 = The influences of Cognitive Appraisals on Panic-Related Symptom Dimensions in College Students with Panic Attack

다국어 초록 (Multilingual Abstract)

This study examined the role of panic appraisal dimensions (anticipated panic, perceived consequences of panic, and perceived panic coping efficacy) in predicting panic-related symptoms in a sample of college students who met DSM-Ⅳ criteria for panic attack. 64 nonclinical panickers were administered the measures of panic appraisals, anxiety sensitivity, life stress, panic-related symptom dimensions, anxiety, and depression. After controlling for life stress and anxiety sensitivity, of the three panic appraisal dimensions studied, anticipated panic was the only significant predictor of agoraphobic avoidance, and only perceived consequences of panic significantly predicted the number of panic symptoms. In contrast, both anticipated panic and perceived panic coping efficacy significantly predicted interference with life due to panic. However, any of the panic appraisal dimensions did not significantly add to the variances of panic frequency, anxiety, and depressive symptoms. There was no evidence to suggest moderating relationships between panic appraisal dimensions and life stress. The results provide good support for differential contributions of the three panic appraisal dimensions in predicting panic-related symptoms except panic frequency. Finally, clinical implications as well as future research directions were presented.

참고문헌 (Reference)

1 "한국판 불안통제질문지의 심리측정적 속성" 23 : 503-519, 2004

2 "한국판 Beck Anxiety Inventory의 요인구조 정신과환자를 대상으로 한 확인적 요인분석의 적용" 261-270, 2003

3 "사건귀인 및 무망감과 우울의 관계 공변량구조모형을 통한 분석" 1993

4 "불안민감성:한국판 개정된 검사의 요인구조" 107-108, 2003

5 "공황장애 환자의 임상양상에 관한 조사연구 - 인지특성을 중심으로 -" 1-13, 1997

6 "공황발작을 보이는 대학생들의 임상적 및 심리사회적 특징" 937-947, 2004

7 "University of Texas at Austin" Unpublished manuscript 2003

8 "Theoretical perspectives on the fear of anxiety" 7 : 585-596, 1987

9 "The significance of panic-expectancy for individual patterns of avoidance" 19 : 577-592, 1988

10 "The role of catastrophic misinterpretation of bodily sensations and panic self-efficacy in predicting panic severity Journal of Anxiety Disorders" 325-340, 2004b

11 "The role of anxiety sensitivity in pathogenesis of panic:Prospective evaluation of spontaneous panic attacks during acute stress" 106 : 355-364, 1997

12 "The relationship between panic and anticipatory anxiety in agoraphobia" 235-240, 1988

13 "The nature and treatment of anxiety and panic" Guilford Press 1988

14 "The nature and assessment of catastrophic thoughts in panic disorder" 34 : 363-374, 1996

15 "The impact of panic expectancy and social demand on agoraphobic avoidance" 35 : 813-821, 1997

16 "The expectancy model of fear Theoretical issues in behavior therapy" Academic Press 107-121, 1985

17 "The Structured Clinical Interview for DSM-Ⅳ" 1996

18 "The Panic Appraisal Inventory: Psychometric properties." 875-882, 1997

19 "Role of cognitive appraisal in panic-related avoidance" 373-383, 1989a

20 "Respiratory hypersensitivity as a predictor of agoraphobia status among individuals suffering from panic disorder" 161-170, 2003

21 "Recent life events and panic disorders" 146 : 622-626, 1989

22 "Prospective evaluation of anxiety sensitivity in pathogenesis of panic:Replication and extension" 108 : 532-537, 1997

23 "Performance- related anxiety in agoraphobia:Treatment procedures and cognitive mechanisms of change" 24 : 625-653, 1993

24 "Panic onset and major events in the lives of agoraphobics:A test of contiguity" 98 : 318-321, 1989

25 "Nonclinical panic in college students An investigation of prevalence and symptomatology Journal of Abnormal Psychology" 300-306, 1989b

26 "Mechanism of change in cognitive-behavioral treatment of panic disorder Evidence for fear of fear mediational hypothesis" 2004

27 "MMPI-D 척도의 신뢰도 및 타당도에 대한 연구" 98-113, 1991

28 "Longitudinal course of panic disorder" 39-51, 1985

29 "Life events preceding the onset of panic disorder" 9 : 103-105, 1985

30 "Life events and the onset of panic disorder American Journal of Psychiatry" 1424-1427, 1986

31 "Impact of life events on subjects with panic disorder and on comparison subjects" 147 : 640-644, 1990

32 "How does anxiety sensitivity vary across the anxiety disorders Journal of Anxiety Disorders" 249-259, 1992

33 "Fear and avoidance of aversive affective states:Dimensions and causal relations" 6 : 15-25, 1992

34 "Extinction of panicogenic effects of 35% CO2 challenge in patients with panic disorder" 106 : 630-638, 1997

35 "Experimental analysis of panic Ⅱ" 33-40, 1988

36 "Expectancy model of fear" 141-153, 1991

37 "Emotional processing of fear:exposure to corrective information" 99 : 20-35, 1986

38 "Differential roles of dysfunctional attitudes and autonomic thoughts in depression:An integrated cognitive model of depression" Unpublished doctoral dissertation queensland university : 1992

39 "Diagnostic and Statistical Manual of Mental Disorders" 1994

40 "Cognitive therapy of depression" Guilford Press 1979

41 "Cognitive therapy and the emotional disorders" New American Library 1976

42 "Cognitive theory and therapy of anxiety and depression" Anxiety and depression Distinctive and overlapping features Academic Press 379-411, 1989

43 "Cognitive specificity in panic and depression Implications for comorbidity" 427-443, 1998

44 "Applied multiple regression/correlation analysis for the behavioral sciences" 2003

45 "Anxiety sensitivity in 1984 and panic attacks in 1987" 6 : 241-247, 1992

46 "Anxiety sensitivity as a predictor of the devlopment of panic symptoms" 455-474, 2002

47 "Anxiety and its disorders" Guilford Press 2002

48 "An inventory for measuring depression Archives of General Psychiatry" 561-571, 1961

49 "An integrated cognitive model of panic disorder The role of positive and negative cognitions" 529-555, 2004a

50 "An expanded Anxiety Sensitivity Index:Evidence for a hierarchic structure in a clinical sample" 12 : 463-483, 1998

51 "An examination of levels of agoraphobic severity in panic disorder" 33 : 57-62, 1995

52 "An Inventory for Measuring Clinical Anxiety Journal of Consulting and Clinical Psychology" 893-897, 1988

53 "Agoraphobia with panic attacks and course of illness Archives of General Psychiatry" diag (diag): 1029-103, 1986

54 "A reanalysis of agoraphobia" 9 : 47-59, 1978

55 "A descriptive report of features of initial unexpected panic attacks in minimal and extensive avoiders" 395-400, 1990

56 "A cognitive approach to panic" 24 : 461-470, 1986