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국내 대학병원 공황장애 환자들의 임상적 특징에 대한 연구 : 다기관, 후향적 연구
Clinical Characteristics of Panic Disorder Patients in Korean University Hospital : A Multi-Center, Retrospective Study

대한불안의학회지 2014년 10권 1호 p.11 ~ p.16

오재영(Oh Jae-Young) - 성균관대학교 의과대학 삼성서울병원 정신건강의학교실
이재헌(Lee Jae-Hon) - 성균관대학교 의과대학 강북삼성병원 건강의학본부
한상우(Han Sang-Woo) - 순천향대학교 의과대학 서울병원 정신건강의학교실
지익성(Chee Ik-Seung) - 충남대학교 의학전문대학원 정신건강의학교실
구본훈(Koo Bon-Hoon) - 영남대학교 의과대학 영남대학교병원 정신건강의학교실
우종민(Woo Jong-Min) - 인제대학교 의과대학 서울백병원 정신건강의학교실
양종철(Yang Jong-Chul) - 전북대학교 의학전문대학원 정신건강의학교실
김민숙(Gim Min-Sook) - 인제대학교 의과대학 상계백병원 정신건강의학교실
이상혁(Lee Sang-Hyuk) - 분당차병원 정신건강의학과
허정윤(Heo Jung-Yoon) - 성균관대학교 의과대학 삼성서울병원 정신건강의학교실
유범희(Yu Bum-Hee) - 유범희 정신건강의학과 의원

Abstract

Objective : Despite the high prevalence and clinical importance of panic disorder, studies on the clinical characteristics and course of panic disorder are relatively rare. This study is a multi-center, and retrospective study to examine the clinical characteristics and course of Korean panic disorder patients who visit university hospital.

Methods : The study subjects were panic disorder patients who had visited the psychiatric outpatient clinics of 8 university hospitals in South Korea from January to December in 2008. Finally, 238 panic patients were included in this study. Their medical charts were retrospectively reviewed and reassessed by experienced psychiatrists to examine their clinical characteristics, demographic data and clinical course in repose to pharmacotherapy.

Results : Among the 238 patients (121 males vs. 117 females), the mean age of disease onset was 41.3±12.7 years and female patients showed 5 years older age of disease onset, compared with male patients. The mean score of PSR scale was 4.5±1.0 at the first visit, reflecting a ‘marked’ level of severity of illness and impairment in functioning. Only 110 patients (46.4%) completed the whole follow up visits, whereas 128 patients (53.6%) dropped out during the treatment. After 17.7±0.5 months of mean follow up period, the mean score of PSR scale at the last visit was reduced into 2.1±0.9, reflecting a ‘residual’ severity of illness and impairment in functioning. The cumulative recovery rate was 62.1% in the completer group, whereas that of the drop-out group was 47.7%.

Conclusions : The mean age of disease onset in Korean panic disorder patients who had visited university hospital was about 10 years older than that of Western panic disorder patients in previous studies, and the Korean panic disorder patients who had visited university hospital showed a relatively higher cumulative recovery rate. These differences might result from an ethnic difference in clinical characteristics and course in response to pharmacotherapy of panic disorder.

키워드

공황장애, 약물치료, 임상특징, 후향적 연구

Panic disorder, Pharmacotherapy, Clinical characteristics, Retrospective study

KMID : 1143820140100010011

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

국내 대학병원 공황장애 환자들의 임상적 특징에 대한 연구 : 다기관, 후향적 연구 Clinical Characteristics of Panic Disorder Patients in Korean University Hospital : A Multi-Center, Retrospective Study

Abstract

키워드

국내 대학병원 공황장애 환자들의 임상적 특징에 대한 연구 : 다기관, 후향적 연구
Clinical Characteristics of Panic Disorder Patients in Korean University Hospital : A Multi-Center, Retrospective Study