정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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외상후스트레스장애 환자의 신체증상 지각 특성과 인지적 정서조절전략

Characteristics of the Perception of the Somatic Symptoms and the Cognitive Emotion Regulation Strategies in Patients With Posttraumatic Stress Disorder

  • 권주한 (전북대학교병원 정신건강의학과) ;
  • 박종일 (전북대학교병원 정신건강의학과) ;
  • 사공정규 (동국대학교 의과대학 정신과학교실) ;
  • 양종철 (전북대학교병원 정신건강의학과)
  • Kwon, Joo-Han (Department of Psychiatry, Jeonbuk National University Hospital) ;
  • Park, Jong-Il (Department of Psychiatry, Jeonbuk National University Hospital) ;
  • Sakong, Jeong-Kyu (Department of Psychiatry, Dongguk University College of Medicine) ;
  • Yang, Jong-Chul (Department of Psychiatry, Jeonbuk National University Hospital)
  • 투고 : 2021.04.23
  • 심사 : 2021.08.14
  • 발행 : 2021.12.31
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초록

연구목적 본 연구는 외상후스트레스장애 환자들의 신체증상 지각 특성과 인지적 정서조절전략을 탐색하기 위해 시행하였다. 방 법 본 연구는 2019년 7월 1일부터 2021년 2월 28일까지 48명의 외상후스트레스장애 환자들과 48명의 정상인을 대상으로 시행하였다. 환자군에 대해 임상가용 외상후스트레스장애 척도, 신체감각 증폭 척도, 인지적 정서조절전략 척도, Hamilton 불안 척도를 평가하였고 정상대조군에 대해 신체감각 증폭 척도를 평가하였다. 신체감각 증폭 척도에 대해 집단간 차이를 검증하였고 환자군에서 척도간 상관 관계를 확인하였다. 결 과 신체감각 증폭 정도는 외상후스트레스장애 환자들이 정상인보다 평균적으로 높았으나 유의하지는 않았다. 외상후스트레스장애 환자군에서, 외상후스트레스장애 증상 심각도는 반추, 파국화의 인지적 정서조절전략과 유의한 양의 상관관계를 나타냈고, 신체감각 증폭 정도는 외상후스트레스장애 과각성 증상과 파국화, 타인비난의 부적응적 인지적 정서조절전략과 유의한 양의 상관관계를 보였다. 결 론 외상후스트레스장애 환자들은 반추, 파국화와 같은 부적응적인 인지적 정서조절전략을 가지고 있으며, 신체감각의 증폭은 외상후스트레스 증상 중 과각성 증상 및 파국화, 타인비난의 인지전략과 관련이 있을 것으로 보인다. 또한 반추, 파국화, 타인비난, 신체감각 증폭과 같은 부정적인 인지를 줄여주는 것이 외상후스트레스장애 증상과 신체증상에 도움이 될 수 있을 것이다.

Objectives : The purpose of this study is to investigate the characteristics of the perception of the somatic symptoms and the cognitive emotion regulation strategies in patients with posttraumatic stress disorder (PTSD). Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using Clinician-Administered PTSD Scale (CAPS), Somato-Sensory Amplification Scale (SSAS), Hamilton Anxiety Scale (HAM-A) and Cognitive Emotion Regulation Questionnaire (CERQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SSAS, PTSD patients presented higher average SSAS scores than normal controls but the result is not statistically significant. In PTSD patients, the severity of PTSD is significantly correlated with CERQ-rumination and CERQ-catastrophizing. The SSAS scores of PTSD patients show the significant positive correlation with PTSD hyperarousal symptoms, CERQ-catastrophizing and CERQ-blaming others. Conclusions : These results reveal that patients with PTSD have maladaptive cognitive emotion regulation strategies such as rumination and catastrophizing. Somato-sensory amplification seems to be related with PTSD hyperarousal, CERQ-catastrophizing and CERQ-blaming others. Therefore, reducing somato-sensory amplification, rumination and catastrophizing can be helpful to reduce PTSD symptoms and somatic symptoms in PTSD patients.

키워드

과제정보

이 연구는 한국정신신체의학회(Korean Psychosomatic Society)의 후원과 한국연구재단(NRF-2019R1F1A1059029)의 지원을 받아 수행된 연구임.

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