• Title/Summary/Keyword: Anxiety Disorders

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The History of the Concept of Anxiety and Anxiety Disorders (불안과 불안 장애의 개념의 역사)

  • Yoon Young Chang;Won Kim
    • Anxiety and mood
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    • v.19 no.2
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    • pp.27-36
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    • 2023
  • Interest in anxiety has a long history, and this topic has played a significant role in the field of mental health. The concept of anxiety has evolved diversely over time and across cultures, influencing our understanding, diagnosis, and treatment approaches for anxiety disorders. In this paper, we have reviewed and summarized various concepts and theories related to anxiety that have evolved over several centuries. Furthermore, we have examined how the diagnostic criteria in the DSM (Diagnostic and Statistical Manual of Mental Disorders) have changed within this historical context. A precise understanding of the history of the concept of anxiety and anxiety disorders is believed to have a positive impact on shaping the future path of anxiety disorders in psychiatry.

Relationship Between Personality Traits and Anxiety Disorders (성격특성과 불안장애의 관계)

  • Park, Su-Bin;Hong, Jin-Pyo
    • Anxiety and mood
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    • v.5 no.1
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    • pp.3-7
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    • 2009
  • In this article, we review research on how normal personality traits and personality disorder traits may relate to anxiety disorders ; as predisposing factors, 2) as complications, 3) as pathoplastic factors, and 4) as manifestations of common underlying etiologies. Based on current literatures, we draw a conclusion as follows : 1) Normal personality traits such as high neuroticism and low extraversion and personality disorder traits, especially cluster C traits, are at least risk factors for certain anxiety disorders ; 2) Anxiety disorders in early life might influence a later development of personality disorder ; 3) Personality disorder traits may have negative influence on the outcome of anxiety disorders ; 4) Personality and anxiety disorders may be manifestations of common genetic and environmental etiologies.

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Anxiety Disorder (불안장애)

  • Jung, Han-Yong
    • The Journal of the Korean life insurance medical association
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    • v.29 no.1
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    • pp.7-11
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    • 2010
  • Anxiety disorders Anxiety disorders are among the most prevalent mental disorders in the general population. Anxiety disorders can be viewed as a family of related but distinct mental disorders, which include following as classified in the text revision of fourth edition of Diagnostic and Statistical Manual Disorders(DSM-IV-TR): (1) panic disorder with or without agoraphobia; (2) agoraphobia with or without panic disorder; (3) specific phobia; (4) social phobia; (5) obsessive-compulsive disorder; (6) posttraumatic stress disorder; (7) acute stress disorder; (8) generalized anxiety disorder. An acute intense attack of anxiety accompanied by feeling of impending doom is known as panic disorder. The term phobia refer to an excessive fear of a specific object, circumstance, or situation. Obsessivecompulsive disorder is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions. Posttraumatic stress disorder is a condition marked by development of symptoms after exposure to traumatic life events. Generalized anxiety disorder is defined as excessive anxiety and worry about several events or activities for most days during at least a 6-month period.

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Cytokines in Depression and Anxiety Disorder (우울증, 불안장애에서의 사이토카인의 역할)

  • Song, Yoon-Jae;Kang, Eun-Ho;Yu, Bum-Hee
    • Anxiety and mood
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    • v.4 no.2
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    • pp.91-98
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    • 2008
  • Depression and anxiety disorders are common psychiatric illnesses whose etiology remains partially understood. The etiology of depression and anxiety disorders is multi-factorial, and abnormalities in neurotransmitter, neuroendocrine system, and brain activation have been implicated in those conditions. However, the pathophysiology of depression and anxiety disorder is certainly not well understood, and some patients with depression or anxiety disorders do not respond to antidepressant therapy. Recently, immunological factors such as cytokines are known to be closely related to central nervous system as well as depression and anxiety disorders. This review highlights recent progress in understanding the function of cytokines in depression and anxiety disorders.

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Recognition of Anxiety Disorders in Depressed Patients (우울증 환자들에서 불안장애의 인지)

  • Kim, Jung-Bum;Jung, Sung-Won
    • Anxiety and mood
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    • v.3 no.1
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    • pp.15-19
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    • 2007
  • Substantial rates of comorbid anxiety disorders have been found using structured research diagnostic interviews in depressed outpatients. Comorbid anxiety disorders is underrecognized in routine clinical settings, in which clinicians usually use unstructured diagnostic interviews. Recognition of comorbid conditions such as anxiety disorders in patients seeking treatment for depression is clinically important because the presence of these disorders might influence selection of treatment options or predict the chronicity of the depression. A reliable and valid self-report screening questionnaire, such as the Psychiatric Diagnostic Screening Questionnaire (PDSQ), would potentially enhance usual clinical practice as a useful diagnostic aid.

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항불안제로서의 Benzodiazepine계 약물의 위치

  • O Gang-Seop
    • 대한불안의학회:학술대회논문집
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    • 2005.10a
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    • pp.80-91
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    • 2005
  • o Benzodiazepines can be effective in treating Anxiety Disorders o Efficacy of Benzodiazepines varies across Anxiety Disorders o Proper diagnosis is important before prescribing o Consider Side effects and withdrawal symptoms o Periodic Evalustion of Risk/Benefit of BZ o Advised gto use proper dose, duration for indicated Anxiety Disorders

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Characteristic of Trait Anxiety and Positive Psychological Factors in Patients with Depression and/or Anxiety Disorders (우울증 및 불안장애 환자에서 특성불안 차이에 따른 긍정심리요인의 특징)

  • An, Hee-Young;Min, Jung-Ah;Kim, Sun-Young;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.9 no.1
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    • pp.61-67
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    • 2013
  • Objective : The aim of this study was to investigate the relationship between trait anxiety and positive psychological factors. Methods : A total of 429 outpatients diagnosed with depression and/or anxiety disorders surveyed with questionnaires measuring socio-demographic, clinical, and positive psychological factors. The relationships of trait anxiety with clinical symptoms and positive psychological factors were evaluated. Results : Patients with low trait anxiety showed high optimism, gratitude, hope, spirituality and purpose in life. After adjusting age, scores of BDI and STAI-S, the results showed low trait anxiety was associated with high spirituality and purpose in life. Conclusion : The result revealed that trait anxiety had negative-relationship with spirituality and purpose in life in patients with depressive and/or anxiety disorders. Although trait anxiety was known as a general tendency which is stable, approach to trait anxiety by modulating these associated positive psychological factors would be newer approach of treatment to patients with depressive and/or anxiety disorders.

Neurobiological Basis of Anxiety Related Disorders (불안 관련 장애의 신경생물학적 이해)

  • Kim, Kyung-Min;Kim, Min-Kyoung;Lee, Sang-Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.21 no.4
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    • pp.128-140
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    • 2014
  • Anxiety disorders are characterized by dysregulation of neuroendocrine, neurotransmitter and neuroanatomical functions. Substantial advances in research method offered new insights into the neurobiologic mechanisms in anxiety disorders. Advances in molecular biology have enabled illumination of hormone and neurotransmitters that have important roles in anxiety. The neuroanatomic circuits related to anxiety are also being elucidated by improvements in neuroimaging technology such as structural and functional magnetic resonance imaging. This article reviews the research data in relation to the neurobiology underlying fear and pathologic anxiety and discusses their implications for development of biological treatments for anxiety disorders.

Comparison of Effectiveness of Psychotherapies for Relieving Depressive Symptoms in Anxiety Disorders : A Systematic Review (불안장애에 동반된 우울증상에 대한 Psychotherapies의 효과비교 : 체계적 문헌고찰)

  • Kim, Sun-Young;Kim, Eun-Jin;Jeon, Sang-Won;Shin, Dong-Won;Shin, Young-Chul;Oh, Kang-Seob
    • Anxiety and mood
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    • v.15 no.1
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    • pp.20-28
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    • 2019
  • 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.

Influences of Injury Severity and Age on Severe Anxiety in Posttraumatic Stress Disorder Patients with no Previous History of Psychiatric Disorders (정신건강의학과 치료 과거력이 없는 외상후 스트레스 장애 환자에서 나이와 손상 심각도가 중증 불안에 미치는 영향)

  • Park, Woon Yeong;Park, Sang Hag;Kim, Sang Hoon;Kim, Seung Gon;Park, Jung In;Choo, Il Han
    • Anxiety and mood
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    • v.9 no.1
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    • pp.54-60
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    • 2013
  • Objectives : Posttraumatic stress disorder (PTSD) is classified as an anxiety disorder. PTSD occurrence is known to be increased in middle-aged and older people, female, and individuals with a previous history of psychiatric disorders, lower education levels, low socioeconomic status, and severely injured patients. Anxiety symptoms are also related to later development of PTSD. In this study, we investigate the influences of injury severity and sociodemographic factors on severe anxiety in PTSD patients with no previous history of psychiatric disorders. Methods : Forty-one PTSD patients without previous history of psychiatric disorders were recruited from the psychiatric clinic at Chosun University Hospital. Subjects underwent psychiatric and physical examinations including the Injury Severity Score (ISS), Beck Anxiety Inventory (BAI), and Korean-Wechsler Adult Intelligence Scale (K-WAIS). We defined severe anxiety as a BAI scores of 30 or more. Logistic regression analyses and multi-step model selection were applied to identify predictive factors for severe anxiety. Results : In univariate analysis, age, ISS, and socioeconomic status were found to be significant factors. Through multivariate logistic regression analyses and a stepwise model selection, we found the combination of age and ISS to be the best-fitted model for affecting severe anxiety in PTSD patients without a previous history of psychiatric disorders. Conclusion : Our findings suggest that the combination of age and ISS could develop severe anxiety in PTSD patients with no previous history of psychiatric disorders.