Gender Differences of Stressful Life Events, Coping Style, Symptom Severity, and Health-Related Quality of Life in Patients With Panic Disorder
Abstract
Although affective disorders have been known to have sex differences in the associated clinical characteristics and quality of life (QOL), sex differences among patients with panic disorder (PD) have remained relatively unexplored in Korea. We examined the sex differences in different types of stressful life events (SLEs), coping styles, symptom severity, and health-related QOL (HRQOL) in patients with PD. Data from 291 female and 254 male participants diagnosed with PD were analyzed using a structured clinical interview following the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria. Females with PD reported more SLEs including separation issues, physical illness or disability, and pregnancy-related problems than males. They also reported lower levels of confrontation and help-seeking coping strategies and higher levels of agoraphobia in symptom severity than males. The HRQOL of females with PD was significantly lower than male in physical functioning of HRQOL. This study suggests that the patient's sex is relevant to the assessment and treatment of PD.
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Women reported lower levels of confrontation strategies than men (t = 2.65, p = 0.008).
“Women reported lower levels of confrontation strategies (t = 2.65, p = 0.008) and help-seeking (t = 3.25; p = 0.001) than men”
From Managing emotions in panic disorder: A systematic review of studies related to emotional intelligence, alexithymia, emotion regulation, and coping (2023) · cites this paper as Kim et al (2017)
Due to differences in coping strategies, women may struggle to deal with negative life events.
“However, due to differences in coping strategies, women may struggle to deal with negative life events.52”
From Infertility-Related Stress, and Dyadic Coping as Predictors of Quality of Life: Gender Differences Among Couples with Infertility Issues (2024) · cites this paper as [52]
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“52 As a result, men achieve better quality of life, while women are more likely to experience negative emotions and poorer quality of life.”
Background
- Authors
- Kim, J. E., Song, I. H., & Lee, S.-H.
- Affiliations
- Yonsei University (KR)
- Corresponding author
- Kim, Ji Eun
- Song, In Han
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2017-09
- Volume
- 205
- Issue
- 9
- Pages
- 714-719
- ISSN
- 0022-3018 (ISSN-L)
- 1539-736X
- OpenAlex
- W2626624421
- Cited by
- 28
- References
- 36
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 2
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- panic disorder, sex differences, life events, coping styles, symptom severity, health-related quality of life, agoraphobia, help-seeking, confrontation coping, physical function, Korean patients
- MeSH terms
- Adaptation, Psychological, Adult, Female, Humans, Male, Middle Aged, Quality of Life, Severity of Illness Index, Sex Factors, Stress, Psychological, Panic Disorder, Republic of Korea
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