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KMID : 0981220180180030267
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Congnitive Behavior Therapy in Korea
2018 Volume.18 No. 3 p.267 ~ p.284
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Imperative Dichotomous Thinking as a Cognitive Mechanism of Panic Disorder
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Hwang Seong-Hoon
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Abstract
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The cognitive theory explains that panic disorders result from catastrophic misinterpretations on bodily sensations. Following the preceding study (Hwang & Lee, 2012), current study was conducted to test the hypothesis that the dichotomous thinking (DT) works as a cognitive amplifier corresponding to catastrophic misinterpretations in patients with panic disorders. The reason why Hwang and Lee (2012) did not succeed in testing the same hypothesis in college students could be because they did not use measure of DT specific to panic disorder. Upon this analysis, measures for imperative DT reflecting the nature of urgency specific to panic attack was developed and used in addition to measures for general DT. Based upon the clinical diagnoses of psychiatrists or clinical psychologists according to DSM-IV, patients with panic disorder (PD) and with somatoform disorder (SD; each 21 and 18 subjects), and 20 healthy controls (HC) were screened out. To them Somatosensory Amplification Scale (SSAS), Dichotomous Thinking Index, General and Imperative version(DTI-30R, I-DTI each) were administered. As predicted, in the sensitivity to bodily sensation there were significant differences with SD as the highest, PD as second-highest and HC as the lowest. Results concerning DT differed according to the subtype. In the general version of DT the both SD and PD were higher than HC while the two patient groups did not differ from each other. However the imperative DT, as assumed, revealed the significant difference in the descending sequence of PD, SD, and HC. In the end, theoretical and clinical implications of these findings were discussed with the same emphasis on the limitations of present study and directions for future one.: 공황, 신체화, 이분법적 사고, 신체 감각, 임박형 이분법 사고
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KEYWORD
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Panic Disorder, Somatization, Bodily Sensation, Dichotomous Thinking, Imperative Dichotomous Thinking
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