Journal of affective disorders · 2009
The anger syndrome hwa-byung and its comorbidity.
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Min Sung Kil, Suh Shin-young
Аннотация
BACKGROUND: The aim of this study was to identify patients with hwa-byung (HB), a Korean culture-related anger syndrome, and to compare the comorbidities of HB with those of other psychiatric disorders.
METHODS: The study participants included 280 patients with depressive disorders, anxiety disorders, somatoform disorders, adjustment disorders, or self-labeled hwa-byung. For all patients, the DSM-IV diagnosis was made using the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1). The diagnosis of HB was made according to research diagnostic criteria of HB. Assessment of HB symptoms was performed using the Hwa-byung Scale.
RESULTS: Female patients were more and mean age was older in HB group than non-HB group. Of 280 patients, 183 patients were diagnosed with HB. Forty-seven of these patients had only HB, and the rest had various comorbid DSM-IV diagnoses, with major depressive disorder (MD) and generalized anxiety disorder (GAD) being the most frequent. The distributions of single diagnoses and comorbid diagnoses were similar for HB, MD and GAD.
LIMITATIONS: Sample size may be small, axis II diagnoses were not assessed, and patients with psychotic features were not included.
CONCLUSIONS: Our results suggest that HB, which comprises unique anger-related symptoms, is comparable to MD or GAD in comorbidity profile.
METHODS: The study participants included 280 patients with depressive disorders, anxiety disorders, somatoform disorders, adjustment disorders, or self-labeled hwa-byung. For all patients, the DSM-IV diagnosis was made using the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1). The diagnosis of HB was made according to research diagnostic criteria of HB. Assessment of HB symptoms was performed using the Hwa-byung Scale.
RESULTS: Female patients were more and mean age was older in HB group than non-HB group. Of 280 patients, 183 patients were diagnosed with HB. Forty-seven of these patients had only HB, and the rest had various comorbid DSM-IV diagnoses, with major depressive disorder (MD) and generalized anxiety disorder (GAD) being the most frequent. The distributions of single diagnoses and comorbid diagnoses were similar for HB, MD and GAD.
LIMITATIONS: Sample size may be small, axis II diagnoses were not assessed, and patients with psychotic features were not included.
CONCLUSIONS: Our results suggest that HB, which comprises unique anger-related symptoms, is comparable to MD or GAD in comorbidity profile.
Предметные рубрики MeSH
Adjustment DisordersAdolescentAdultAge FactorsAgedAngerAnxiety DisordersAsian PeopleComorbidityCross-Cultural ComparisonCross-Sectional StudiesMajor Depressive DisorderDiagnostic and Statistical Manual of Mental DisordersFemaleHateHumansInterview, PsychologicalLife Change EventsMaleMental DisordersMiddle AgedPersonality AssessmentPsychometricsRepublic of KoreaSex FactorsSocial ValuesSomatoform DisordersSyndromeYoung Adult