Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Anger-Related Characteristics and Childhood Adversity in Somatic Symptom Disorder

신체증상장애와 관련된 분노정서특질과 아동기 역경 경험

  • Kang, Sung-Hyuk (Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Park, Chun Il (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Kim, Hae Won (Department of Medical Education, Yonsei University College of Medicine) ;
  • Kim, Se Joo (Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Kang, Jee In (Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine)
  • 강성혁 (연세대학교 의과대학 정신과학교실, 의학행동과학연구소) ;
  • 박천일 (차의과학대학교 분당차병원 정신건강의학교실) ;
  • 김혜원 (연세대학교 의과대학 의학교육학교실) ;
  • 김세주 (연세대학교 의과대학 정신과학교실, 의학행동과학연구소) ;
  • 강지인 (연세대학교 의과대학 정신과학교실, 의학행동과학연구소)
  • Received : 2020.03.20
  • Accepted : 2020.04.28
  • Published : 2020.10.30
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Abstract

Objective : The present study aims to investigate differences in anger-related features in patients with somatic symptom disorder (SSD) compared to healthy controls, and to examine whether anger trait and anger regulation strategy are associated with clinical characteristics in patients with SSD. In addition, we examined the relationship between childhood adversity and SSD. Methods : 26 patients with SSD and 28 healthy controls were included. Anger-related features were assessed with State-Trait Anger Expression Inventory (STAXI). Clinical somatic symptoms were assessed using the somatization subscale of the Symptom Checklist-90-Revised and the Somatosensory Amplification Scale. Childhood adversity was assessed by the Childhood Traumatic Events Scale. Multivariate analysis of covariance was performed. Results : Disease status of SSD had a significant overall effect on anger-related features (Wilks λ=0.725, F(5, 44)=3.332, p=0.012). Patients with SSD showed a significantly high Trait-Anger (p=0.017) and they had a high score in both Anger-Out (p=0.013) and Anger-In (p=0.001) of anger expression styles. In particular, a directed inward style of anger expression was significantly associated with somatization symptom severity (p=0.003). Regarding childhood adversity, more childhood extreme illness was experienced by the SSD group than the control group (p=0.012). Within the SSD group, childhood extreme illness was associated with higher Trait-Anger (p=0.027) and Anger-Out (p=0.001). Conclusion : The present findings suggest that trait anger, anger expression styles, and childhood adversity of extreme illness may be involved in SSD. Further studies are needed to explore the role of anger-related features and its relationship with childhood adversity in the pathophysiology of SSD.

Keywords

Acknowledgement

본 연구는 2019년도 과학기술정보통신부의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2019R1A2C1084611).

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