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KMID : 0368820190580040339
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Journal of the Korean Neuropsychiatr Association
2019 Volume.58 No. 4 p.339 ~ p.345
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The Bodily Panic Symptoms and Predisposing Stressors in Korean Patients with Panic Disorder
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Lee Hyun-Joo
Gim Min-Sook
Kim Se-Joo
Park Seon-Cheol
Yang Jong-Chul
Lee Kyoung-Uk
Lee Sang-Hyuk
Lee Seung-Jae
Lim Se-Won
Chae Jeong-Ho
Han Sang-Woo
Hong Jin-Pyo
Seo Ho-Jun
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Abstract
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Objectives: The purpose of this study was to investigate the distinctive features of bodily panic symptoms and the predisposing conditions in Korean patients with panic disorder.
Methods: This was a retrospective chart review study and the data were collected from twelve university-affiliated hospitals in Korea. The patients selected met the diagnostic criteria for panic disorder, were older than 20 years of age, and had initially visited a psychiatry department. The assessments included the chief complaints related to bodily panic symptoms, recent stressors, recent history of alcohol and sleep problems, and time to visit an outpatient clinic.
Results: A total of 814 participants were included in the study. The most commonly experienced symptoms were cardiovascular and respiratory symptoms, which were observed in 63.9% and 55.4% of participants, respectively. Just before the onset of a panic attack, 25.6% of participants experienced sleep-related problems. Episodic binge drinking was also frequently observed (13.2%) and was more prevalent in men than in women (22.6% vs. 4.9%, p<0.001).
About 75% of participants experienced stressful life events just before panic onset. Work-related issues were more prevalent in men than in women (22.0% vs. 13.4%, p=0.001). Family-related issues (4.8% vs. 14.1%, p<0.001) and conflict with a spouse or partner (4.0% vs.11.7%, p<0.001) were more prominent in women than in men.
Conclusion: Our results suggest that cardiovascular symptoms are the most common bodily panic symptoms in Korean patients. Our results suggest that a substantial portion of the Korean patients experienced stressful life events, sleep problems, and/or episodic binge drinking just before the onset of panic disorder.
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KEYWORD
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Panic disorder, Korean patients, Bodily panic symptom, Stressful life event
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