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A Comparison of the Clinical Characteristics of Panic Disorder with and without Generalized Anxiety Disorder

공황장애 환자에서 범불안장애 공존 유무에 따른 임상적 특징 비교

  • Oh, Jongsoo (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Jung, Sra (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Choi, Tai-Kiu (Department of Psychiatry, CHA Bundang Medical Center, CHA University)
  • 오종수 (차의과학대학교 분당차병원 정신건강의학교실) ;
  • 정슬아 (차의과학대학교 분당차병원 정신건강의학교실) ;
  • 최태규 (차의과학대학교 분당차병원 정신건강의학교실)
  • Received : 2016.11.21
  • Accepted : 2017.04.18
  • Published : 2017.04.30

Abstract

Objective : This study aimed to investigate differences in demographic, clinical characteristics, and quality of life between panic-disorder patients with generalized anxiety disorder (PD+GAD) and without generalized anxiety disorder (PD-GAD). Methods : We examined data from 218 patients diagnosed with PD+GAD (150 patients) and PD-GAD (68patients). The following instruments were applied: Stress coping strategies, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Panic Disorder Severity Scale (PDSS), Anxiety Sensitivity Index-Revised (ASI-R), Albany Panic and Phobia Questionnaire (APPQ), NEO-neuroticism(NEO-N), Short Form health survey-36 (SF-36). Results : Compared to the PD-GAD group, the PD+GAD group had higher scores in emotion-focused coping strategies and clinical severity, such as BDI, BAI, PDSS, ASI, APPQ, and neuroticism. The PD+ GAD group showed lower scores in most scales in SF-36 status than PD-GAD group. Conclusions : This study shows that PD+GAD patients are different from PD-GAD patients in coping strategies, clinical severity and quality of life. It emphasizes the need of personalized therapy in clinical approach among patients with PD+GAD.

Keywords

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