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E-ISSN : 2733-4538
본 연구는 공황관련 증상들을 예측하는데 있어 공황에 대한 인지평가차원 (발생가능성 예측, 지각된 결과, 대처 효능감)의 역할을 검증하고자 하였다. 대학생 중 DSM-Ⅳ의 진단기준을 충족시킨 공황발작 경험자들 (n=64)을 대상으로 공황관련 평가, 생활 스트레스, 불안민감성, 그리고 공황관련 증상들과 불안 및 우울증상에 대한 자료들을 수집하였다. 생활 스트레스와 불안민감성의 영향을 통제한 회귀분석 결과, 공황관련 세 인지평가차원들 중 공황발생가능성 예측만이 광장공포증적 회피를, 공황의 지각된 결과만이 공황증상의 수를 유의미하게 예측하였다. 이와 달리, 공황으로 인한 생활지장 정도에 대해서는 공황발생가능성 예측과 공황 대처 효능감 양자 모두가 유의미하게 기여하였다. 그렇지만, 공황발작 빈도, 불안증상 및 우울증상의 수준에 대한 공황평가차원들의 추가적인 효과는 유의미하지 못하였다. 공황관련 증상들에 대한 공황평가와 생활 스트레스의 상호작용효과는 공황과 관련된 어떤 유형의 증상들에서도 유의미하지 않았다. 이 결과들은 공황발작 빈도를 제외한 공황관련 증상들을 예측하는데 있어 공황의 인지평가차원들의 차별적인 영향을 지지하는 좋은 증거라 하겠다. 끝으로, 본 연구의 임상적 함의와 미래의 연구방향을 제안하였다.
This study examined the role of panic appraisal dimensions (anticipated panic, perceived consequences of panic, and perceived panic coping efficacy) in predicting panic-related symptoms in a sample of college students who met DSM-Ⅳ criteria for panic attack. 64 nonclinical panickers were administered the measures of panic appraisals, anxiety sensitivity, life stress, panic-related symptom dimensions, anxiety, and depression. After controlling for life stress and anxiety sensitivity, of the three panic appraisal dimensions studied, anticipated panic was the only significant predictor of agoraphobic avoidance, and only perceived consequences of panic significantly predicted the number of panic symptoms. In contrast, both anticipated panic and perceived panic coping efficacy significantly predicted interference with life due to panic. However, any of the panic appraisal dimensions did not significantly add to the variances of panic frequency, anxiety, and depressive symptoms. There was no evidence to suggest moderating relationships between panic appraisal dimensions and life stress. The results provide good support for differential contributions of the three panic appraisal dimensions in predicting panic-related symptoms except panic frequency. Finally, clinical implications as well as future research directions were presented.
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