정신분열증에서 심리기능장애와 예후와의 관계에 관한 임상적 고찰

신석철 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

To investigate the effects of psychological Impairments on the prognosis in schizophrenia, 148 schizophrenic patients on Screening Schedule were applied 10 items of Psychological impairment Rating Schedule. The author devided the long-term prognosis of Diagnostic and Prognostic Schedule into the group of good prognosis (85 cases) and the group of poor prognosis (63 cases) and to find out the difference of symptom structure between two groups, tried factor analysis using SPSS/PC+ based on the scores of each subitems. The results of factor analysis were as follows: 1. In the group of good prognosis, 3 factors were extracted as disordered communication factor, attention withdrawal and loss of initiative factor, and psychic slowness factor. In the group of poor prognosis, 3 factors were extracted as disordered communication by expression factor, fatigue factor, and psychic slowness factor. 2. Generally, disordered communication was common in both groups but, in the group of poor prognosis attention withdrawal, loss of initiative, disordered self-expression were the additional symptoms and subjective fatigability was characteristic, and psychic slowness was common symptom in both groups.

두부손상 환자의 정신과적 합병증에 관한 장애 감정례의 일반 사항에 관한 분석

신석철,왕성근,신윤오,김덕호,김상국,강동숙 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

Authorst ried retrospective analysis to find out general characteristics of the patients undergoing disability evaluation at the department of psychiatry Chungnam National University Hospital from 1986 to 1990. The subjects, who were suffered from psychiatric complications due to head trauma by traffic accident, were 66 patients and they were classified depending on the demographic status, situations of traffic accident, evalaution periods, whether or not perform operation, and rates of evaluated disability and diagnosis. The results were summarized as follows. 1. General background of the subjects were as follows. 1) The frequency order of request were court(59 %) and insurance company(19.7%). 2) The place of accident was more common in large city, common accident vehicle were bus, truck, and cabs. 3) The season of accident were more common in Spring and Autumn. 2. Male(71.2%) was more common than in female and more common in the age group of 5-19 years old(37.9%). The most frequent job of the patients was labour, and the education level was more common in the graduates of elementary school(47.9% ). 3. The interval between accident and evaluation was most frequent in 12-23 months(47.5%), and duration of evaluation was mostly 14 to 21 days. Performed brain operation was 31.8% and non-operated patients was 50.0%. The rates of disability according to the McBride's disability evaluation were mostly belonged to the group of beow 40%(74.1%). 4. The final diagnosis after evaluation were organic personality disorder(45.5%) and dementia(31.8%).

저, 고선량률 방사선 조사된 AKR/J 마우스의 흉선암 조절에 관여하는 세포고사 관련 유전자 분석 연구

신석철,최무현,봉진종,강유미,방현순,최승진,김희선 대한방사선방어학회 2011 대한방사선방어학회 학술발표회 논문요약집 Vol.2011 No.11

비마약성 약물의존

신석철 한국의학사 1986 診斷과治療 Vol.6 No.1

靑少年期 性格形成에 關한 推計學的 一硏究 : 간편 MMPI에 依한 By Simplified MMPI

申石澈 大韓神經精神醫學會 1974 신경정신의학 Vol.13 No.1

13歲에서 19歲에 이르는 男學生 1,200名을 對象으로 "간편 MMPI 性格檢査"를 實施하여 얻은 T得點을 基礎調査로 하여 因子分析法을 通한 分析結果는 아래와 같다. 1. 因子群과 各年齡에 있어서 因子負荷量의 群形成은 다음과 같다. 全對象은 {Hs, D, Hy}, {Pd, Ma} 및 {Pa, Sc} 等의 因子群으로 大別할수 있으나 ①13歲 : {Hs, D, Hy}, {Pd, Pt, Ma}, 및 {Pa, Sc} ②15歲 : {D, Hy, Pt}, {Hs, Pd} 및 {Pa, Sc, Ma} ③17歲 : {Hs, Hy}, {Pa, Sc}, {Pd, Ma} 및 {D, Pt} ④19歲 : {Hs, D, Hy}, {Pd, Pt, Ma}, 및 {Pa, Sc} 等의 群을 形成하였다. 2. 神經症尺度의 因子群은 年少群에서는 不分明하였으나 年上群에서는 分明한 因子群을 形成한 것으로 보아 神經症의 潛在 病後는 年齡의 增加에 따라 漸次的으로 形成되어 간다. 精神病尺度의 因子群은 年少群에서 分明하였으나 年上群에서 分離되었다. 3. Boaderline Profile Pattern의 數는 年上群에서 많고 因子分析에서 群을 形成하였던 因子들은 Profile pattern 形成에도 共히 參與하였다. 精神病尺度와 行動障碍尺度의 得點은 年少群에서 높았다. 尺度間 相關關係는 큰 傾向이 있었다. In studying the personality structure in total aspect, one has to examine not only the behavioral pattern of that individual, but also the dynamic potential that has induced that particular behavior. MMPI has been utilized quite effectively in the field of psychiatric as well as psychological practice for the understanding of Personality, however, it lacks in giving the information about the dynamic potential of the personality. The author has attempted to study the internal structure of MMPI by applying the factor analysis. One thousand and two hundred normal, male student, aged between 13 through 19 were selected randomly for this study. Summaries are made as follows: 1. Throughout the entire age group, the general tendency to form the group of factor loads is as follows: {Hs, D, Hy} {Pd, Ma} and {Pa, Sc}. And factor loads having shown the strong tendency to form the specific group according to the age are as follows: 1) Age 13 group: {Hs, D, Hy}, {Pd, Pt, Ma} and {Pa, Sc} 2) Age 15 group: {D, Hy, Pt}, {Hs, D} and {Pa, Sc, Ma} 3) Age 17 group: {Hs, Hy}, {Pa, Sc}, {Pd, Ma} and {D, Pt} 4) Age 19 group: {Hs, D, Hy}, {Pd, Pa, Ma} and {Pt, Sc} 2. Grouping tendency in neurotic factors(Hs, D, Hy) becomes quite distinctive as the age gets older, while that of psychotic factors(Pa, Sc) shows the reverse, ie distinctive at younger age and loose at the elder. 3. The number of boarderline profile pattern tends to increase by aging and those factors participated in forming the group at the internal structure of MMPI are also found in the formation of the same profile pattern. 4. The correlation among the various scales are very high.

강박장애환자에 대한 Clomipramine Hydrochloride의 임상효과

신석철,왕성근,강민희,신윤오 최신의학사 1990 最新醫學 Vol.33 No.5

韓國人 靑年 男子의 肛門性 性格 特性에 關한 因子分析 硏究

申石澈 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.2

The author attempted to confirm anal trait of the Korean adult male. This study was based on a translation into Korean of the anal trait scale of Gotheil and consisted of a forty item questionnaire regarding the anal traits. This study also tried to perform principal component factor analysis based on the score of forty item questionnaires on anal trait scale from the one hull-ire] fifty adult males, and varimax rotated factors with Kaiser normalization. The result of principal component factor analysis based on the score of forty item questionnaire on the anal trait scale, i. e. anal trait of the Korean adult male showed the following factors as being cominant. Indecisiveness factor, Practicalness factor, Emotional constrictiveness factor, Checking factor, Rigidity factor, Miseriness factor, Conservativeness factor, Design factor, Meticulousness factor, Parsimony factor, Perfectionistic factor, Accuracy factor, Cleanliness factor, Sensitivity factor, and Orderliness factor.

정신분열증 환자의 반응 시간에 관한 연구

申石澈 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.2

The simple visual reaction time was measured and discussed the irregular preparation interval of one through ten second for 14 schizophrenics and same number of normal control group, who was matched age and sex with schizophrenic research group. Simple reaction time is more prolonged in schizophrenic group than that of normal control group. Figure of the reaction time to every prepation interval was revealed U-shape of schizophrenics against L-shape in normal control group.

노년기에 처음으로 발생한 조증 삽화

신석철,김정란,지익성 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

It has been known that mania in the elderly was a uncommon condition, but the incidence of first admissions for mania tends to increase with advancing age. The etiology of late-onset mania appears to be more heterogeneous, which including identifiable causes, especially brain diseases. The psychopathology of late-onset mania is often attenuated and less severe than in the young. Lithium remains the primary medication in mania in the elderly. However, certain anticonvulsants (valproic acid and carbamazepine) have a number of advantages, including a more tolerable as patients with secondary mania due to neurological and other medical disorders. We report a case of first-episode mania in 73-year old woman, who was treated with valproic acid for 2 weeks to attain stabilizing her symptoms.

정신분열증 환자에 있어서 일반 건강설문의 인자 분석 연구

신석철,김충수 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

To investigate the components of general health in schizophrenia, the author applied the Korean version of Goldberg and Hillier's General Health Questionnaire on the 57 schizophrenic patients, and tried factor analysis using SPSS/PC+based on the scores of each items. The result of factor analysis were summarised as following 6 factors: Factor 1 was somatic symptoms and depression factor, factor 2 was indecisiveness factor, factor 3 was role dysfunction factor, factor 4 was insomnia factor, factor 5 was neurasthenia and escape factor, and factor 6 was nervousness and inefficiency factor. This results were thought to be as the concentration of genreal health in schizophrenia.