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Stress Coping Strategies and Cognitive Characteristics of Somatic Symptom Perception in Patients with Generalized Anxiety Disorder

범불안장애 환자의 스트레스 대처방식과 신체증상 지각에 대한 인지적 특성

  • Kim, Yong (Department of Psychiatry, Chonbuk National University Medical School) ;
  • Park, Jong-Il (Department of Psychiatry, Chonbuk National University Medical School) ;
  • Park, Tae-Won (Department of Psychiatry, Chonbuk National University Medical School) ;
  • Chung, SangKeun (Department of Psychiatry, Chonbuk National University Medical School) ;
  • Yang, Jong-Chul (Department of Psychiatry, Chonbuk National University Medical School)
  • 김용 (전북대학교 의학전문대학원 정신과학교실) ;
  • 박종일 (전북대학교 의학전문대학원 정신과학교실) ;
  • 박태원 (전북대학교 의학전문대학원 정신과학교실) ;
  • 정상근 (전북대학교 의학전문대학원 정신과학교실) ;
  • 양종철 (전북대학교 의학전문대학원 정신과학교실)
  • Received : 2017.07.17
  • Accepted : 2017.09.05
  • Published : 2017.10.31

Abstract

Objective : The purpose of this study was to investigate strategies used to cope with stress and the cognitive characteristics of somatic symptom perception in patients with generalized anxiety disorder(GAD). Methods : A total of 55 patients meeting DSM-5 criteria for GAD and 55 normal controls were recruited for participation in this study. We evaluated subjects using The Way of Stress Coping Questionnaire (SCQ), Somato-Sensory Amplification Scale (SSAS), Symptom Interpretation Questionnaire (SIQ), and the Generalized Anxiety Disorder for 7 Item (GAD-7). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SCQ, GAD patients presented significantly lower scores on seeking social support and higher scores on wishful thinking than normal controls. GAD patients had significantly greater amplification of physical sensation in SSAS and higher scores in physical, psychological interpretation subsets of SIQ than normal controls. GAD-7 scores were positively correlated with physical interpretation scores on SIQ. Conclusion : Results reveal that patients with GAD have insufficient coping strategies for stress, greater amplification of body sensations, and tendency towards a physical, psychological interpretation of somatic symptoms.

Keywords

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