Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Factor Structure of the Beck Depression Inventory in Anxiety Disorder

불안 장애에서 벡우울척도의 요인구조

  • Yang, Hyun-Joo (Department of Neuropsychiatry, Hanyang University Medical School) ;
  • Kim, Dae-Ho (Department of Neuropsychiatry, Hanyang University Medical School) ;
  • Jang, Eun-Young (Department of Neuropsychiatry, Hanyang University Medical School) ;
  • Han, Chang-Woo (Department of Psychiatry, Gyeyo Hospital) ;
  • Park, Yong-Chon (Department of Neuropsychiatry, Hanyang University Medical School)
  • 양현주 (한양대학교 의과대학 신경정신과학교실) ;
  • 김대호 (한양대학교 의과대학 신경정신과학교실) ;
  • 장은영 (한양대학교 의과대학 신경정신과학교실) ;
  • 한창우 (계요병원 정신과) ;
  • 박용천 (한양대학교 의과대학 신경정신과학교실)
  • Received : 2011.02.15
  • Accepted : 2011.04.04
  • Published : 2011.04.30
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Abstract

Objective : Depressive symptoms often coexist with other anxiety disorder symptoms. Furthermore, an anxiety disorder that is comorbid with a depressive disorder results in more severe symptoms and a poorer outcome prognosis. To understand the construct of depressive symptoms in anxiety disorder, this study investigated the factor structure of the Beck Depression Inventory among outpatients with anxiety disorders. Methods : All data were from psychiatric department outpatients at a university-affiliated hospital. We conducted a principal component analysis using data from 194 outpatients with DSM-IV anxiety disorders and calculated goodness-of-fit-indices. Results : Exploratory factor analysis revealed a four factor structure--Cognitive-affective symptoms (Factor 1), Somatic symptoms (Factor 2), Self-reproach (Factor 3), and Hypochondriasis/indecisiveness (Factor 4)--and a 57% total variance. This four-factor model demonstrated an acceptable level of model fit, and it fit better than did a three-factor solution from the literature on depressive disorder. Conclusion : This study's results suggest a difference in the construct of self-reported depressive symptoms in anxiety disorders. These findings also support a dimensional approach to studying anxiety and depression. Further studies may benefit from including comorbid depressive disorder and its influence on anxiety disorders.

Keywords

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