대한불안의학회지 (Anxiety and mood)

  • 제15권1호
  • /
  • Pages.20-28
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  • 2019
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  • 2586-0151(pISSN)
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  • 2586-0046(eISSN)
대한불안의학회 (Korean Academy of Anxiety Disorders)
권호 표지
DOI QR코드

DOI QR Code

불안장애에 동반된 우울증상에 대한 Psychotherapies의 효과비교 : 체계적 문헌고찰

Comparison of Effectiveness of Psychotherapies for Relieving Depressive Symptoms in Anxiety Disorders : A Systematic Review

  • 김선영 (이화여자대학교 의과대학 이대서울병원 정신건강의학과) ;
  • 김은진 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 전상원 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 신동원 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 신영철 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 오강섭 (성균관대학교 의과대학 강북삼성병원 정신건강의학과)
  • Kim, Sun-Young (Department of Psychiatry, Ewha Woman's University Seoul Hospital, Ewha Women's University College of Medicine) ;
  • Kim, Eun-Jin (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jeon, Sang-Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Dong-Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Young-Chul (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Oh, Kang-Seob (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2018.08.29
  • 심사 : 2019.01.22
  • 발행 : 2019.04.30
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초록

Objective : The purpose of this study was to compare and analyze effectiveness of various psychotherapies of depressive symptoms in patients with anxiety disorders by means of a systemic review. Methods : A systematic search using key words was conducted using EMBASE, MEDLINE and CENTRAL. Results : Five studies were included in this systematic review. The Scottish Intercollegiate Guidelines Network (SIGN) was used for quality assessment. Diagnostic-specific cognitive behavioral therapies for various anxiety disorders (ds CBT) were also effective in reducing comorbid depression. Transdiagnostic cognitive behavioral therapies targeting anxiety and depression (tCBT-AD) were not superior than ds CBT for anxiety disorders. Mindfulness-based stress reduction (MBSR) was more effective than traditional cognitive behavioral therapy. Conclusion : ds CBT relieves anxiety symptoms as well as depressive symptoms comorbid with anxiety disorders effectively. In addition, MBSR is more successful for anxiety disorders with co-occurring depression by focusing broadly on the shifting relationship to internal experience rather than focusing narrowly on specific symptoms.

키워드

참고문헌

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