양극성장애와 조현병 환자의 분노대응 방식 비교

Abstract

Objectives：This study aimed to compare anger coping strategies between bipolar I disorder and schizophrenia, and to explore the relationship between impulsivity and anger coping strategies. Methods：Forty three bipolar patients who met DSM-IV criteria for bipolar I disorder and forty three schizophrenia controls who were matched by age and sex were included. Anger coping strategies were measured by Anger Coping Scale(ACS), and the levels of impulsivity were also measured by Barratt Impulsiveness Scale(BIS). Independent t-test was used to compare anger coping strategies between two groups, and analysis of covariance(ANCOVA) to adjust the influence of impulsivity. Results：Score of problem-solving coping strategy was significantly higher in bipolar I disorder than schizophrenia (t=-2.047 p=.044). Problem-solving strategy was negatively correlated with total impulsivity in both bipolar patients and schizophrenic controls(bipolar I disorder r=-.376 p=.013 ; schizophrenia r=-.395 p=.009). There was no significant difference of problem-solving coping strategy between two groups after adjusting impulsivity(F=2.385 p=.126). Conclusion：These results suggested that bipolar I patients have a tendency to use more problem-solving coping strategy for anger situation than schizophrenia, which can be influenced by the level of impulsivity