Clinical Characteristics of Female Panic Disorder with Early Sexual Abuse History

초기 성 학대 경험이 있는 여성 공황장애 환자의 임상적 특성

  • Kim, Kyung Min (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Kim, Min-Kyoung (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Lee, Kang Soo (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Choi, Tai Kiu (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Lee, Sang-Hyuk (Department of Psychiatry, CHA Bundang Medical Center, CHA University)
  • 김경민 (차의과학대학교 분당차병원 정신건강의학과) ;
  • 김민경 (차의과학대학교 분당차병원 정신건강의학과) ;
  • 이강수 (차의과학대학교 분당차병원 정신건강의학과) ;
  • 최태규 (차의과학대학교 분당차병원 정신건강의학과) ;
  • 이상혁 (차의과학대학교 분당차병원 정신건강의학과)
  • Received : 2016.06.02
  • Accepted : 2016.07.29
  • Published : 2016.11.30

Abstract

Objectives The objective of this study is to investigate differences of clinical characteristics between a healthy female control group and female panic disorder (PD) patients with early sexual abuse history (PD+S) and without early sexual abuse history (PD-S). Methods We examined data from 83 patients diagnosed with PD and 20 healthy control subjects. We divided the patients with PD into PD+S (32 patients) and PD-S (51 patients) to compare demographic and clinical characteristics. The following instruments were applied: the Stress coping strategies, the Beck Depression Inventory (BDI), the Panic Disorder Severity Scale, the Anxiety Sensitivity Index-Revised (ASI-R), the Albany Panic and Phobia Questionnaire (APPQ) and the NEO-neuroticism. Results Compared to the PD-S, the PD+S group showed higher scores in neuroticism and the APPQ. And, in the PD+S group, the scores of neuroticism were correlated with the ASI-R and APPQ subscale scores and the APPQ total scores were associated with the scores of BDI. Conclusions This study shows that female PD+S patients have higher scores in neuroticism and the APPQ than the PD-S group, and these factors are associated with the panic-related symptoms severity. It emphasizes the need of specific strategies considering the childhood abuse history such as early sexual abuse in clinical approach among patients with PD.

Keywords

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