Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Influences of Injury Severity and Age on Severe Anxiety in Posttraumatic Stress Disorder Patients with no Previous History of Psychiatric Disorders

정신건강의학과 치료 과거력이 없는 외상후 스트레스 장애 환자에서 나이와 손상 심각도가 중증 불안에 미치는 영향

  • Park, Woon Yeong (Department of Neuropsychiatry, Chosun University Hospital) ;
  • Park, Sang Hag (Department of Neuropsychiatry, Chosun University Hospital) ;
  • Kim, Sang Hoon (Department of Neuropsychiatry, Chosun University Hospital) ;
  • Kim, Seung Gon (Department of Neuropsychiatry, Chosun University Hospital) ;
  • Park, Jung In (Department of Neuropsychiatry, Chosun University Hospital) ;
  • Choo, Il Han (Department of Neuropsychiatry, Chosun University Hospital)
  • 박운영 (조선대학교 의과대학 조선대학교병원 정신건강의학교실) ;
  • 박상학 (조선대학교 의과대학 조선대학교병원 정신건강의학교실) ;
  • 김상훈 (조선대학교 의과대학 조선대학교병원 정신건강의학교실) ;
  • 김승곤 (조선대학교 의과대학 조선대학교병원 정신건강의학교실) ;
  • 박정인 (조선대학교 의과대학 조선대학교병원 정신건강의학교실) ;
  • 추일한 (조선대학교 의과대학 조선대학교병원 정신건강의학교실)
  • Received : 2013.03.20
  • Accepted : 2013.04.15
  • Published : 2013.04.30
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Abstract

Objectives : Posttraumatic stress disorder (PTSD) is classified as an anxiety disorder. PTSD occurrence is known to be increased in middle-aged and older people, female, and individuals with a previous history of psychiatric disorders, lower education levels, low socioeconomic status, and severely injured patients. Anxiety symptoms are also related to later development of PTSD. In this study, we investigate the influences of injury severity and sociodemographic factors on severe anxiety in PTSD patients with no previous history of psychiatric disorders. Methods : Forty-one PTSD patients without previous history of psychiatric disorders were recruited from the psychiatric clinic at Chosun University Hospital. Subjects underwent psychiatric and physical examinations including the Injury Severity Score (ISS), Beck Anxiety Inventory (BAI), and Korean-Wechsler Adult Intelligence Scale (K-WAIS). We defined severe anxiety as a BAI scores of 30 or more. Logistic regression analyses and multi-step model selection were applied to identify predictive factors for severe anxiety. Results : In univariate analysis, age, ISS, and socioeconomic status were found to be significant factors. Through multivariate logistic regression analyses and a stepwise model selection, we found the combination of age and ISS to be the best-fitted model for affecting severe anxiety in PTSD patients without a previous history of psychiatric disorders. Conclusion : Our findings suggest that the combination of age and ISS could develop severe anxiety in PTSD patients with no previous history of psychiatric disorders.

Keywords

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