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2024 한국형 범불안장애 치료지침 II: 정신치료전략

Korean Guidelines for the Treatment of Generalized Anxiety Disorder 2024 Part II: Psychological Treatment Strategies

  • 박천일 (연세대학교 의과대학 정신과학교실) ;
  • 서준호 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 김민경 (차의과학대학교 정신건강의학교실) ;
  • 안명희 (서울아산병원 건강의학과) ;
  • 이현아 (순천향대학교 의과대학 정신건강의학교실) ;
  • 장윤영 (인제대학교 의과대학 정신건강의학교실) ;
  • 문은수 (부산대학교 의과대학 정신건강의학교실) ;
  • 이경욱 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 서호석 (서호석연세정신건강의학과) ;
  • 김원 (인제대학교 의과대학 정신건강의학교실)
  • Chun Il Park (Department of Psychiatry, Yonsei University College of Medicine) ;
  • Jun Ho Seo (Department of Psychiatry, Yonsei University Wonju College of Medicine) ;
  • Min-Kyoung Kim (Department of Psychiatry, CHA Ilsan Medical Center, CHA University) ;
  • Myung Hee Ahn (Division of Psychiatry, Health Screening and Promotion Center, Asan Medical Center) ;
  • Hyeon-Ah Lee (Department of Psychiatry, College of Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Yoon Young Chang (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Eunsoo Moon (Department of Psychiatry, Pusan National University School of Medicine) ;
  • Kyoung-Uk Lee (Department of Psychiatry, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Ho-Suk Suh (Suh Hosuk Yonsei Psychiatry Clinic for Healthy Mind) ;
  • Won Kim (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine)
  • 투고 : 2024.10.06
  • 심사 : 2024.10.23
  • 발행 : 2024.10.30

초록

Objective : This study aimed to establish a consensus on treatment strategies for psychological therapy in generalized anxiety disorder (GAD) as outlined in the 2024 Korean guidelines for treating GAD. Methods : The executive committee developed questionnaires on treatment strategies for patients with GAD based on previous treatment guidelines and academic articles published internationally and in Korea. Sixty-two experts responded to questionnaires developed. The consensus of expert opinions was classified into three categories (first-line, second-line, and third-line choices) using chi-square test and 95% confidence intervals. Results : Findings of this study suggest that individual cognitive behavioral therapy (CBT), group CBT, mindfulness-based cognitive therapy (MBCT), acceptance and commitment therapy (ACT), and applied relaxation are appropriate psychotherapies for GAD. Additionally, it is recommended to initiate CBT early when treating GAD, with eight treatment sessions being the most preferred for both individual and group CBT. Conclusion : This expert consensus survey reflected clinical experiences of Korean practitioners. Results of this study provide valuable insights for Korean clinicians when implementing psychotherapy for GAD.

키워드

참고문헌

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