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서수린(Surin Seo),형원석(Won Seok William Hyung),이승훈(Seung-Hoon Lee),김준형(Junhyung Kim),최광연(Kwang-Yeon Choi),윤현철(HyunChul Youn),정현강(Hyun-Ghang Jeong) 대한노인정신의학회 2023 노인정신의학 Vol.27 No.2
Objective: Cognitive dysfunction is frequently reported after surgery and anesthesia in elderly patients. This study aims to investigate the incidence of dementia for eight years after anesthesia. Methods: We extracted the data between 2007 and 2020 from the Health Insurance Review and Assessment Service Database. We analyzed risk of developing dementia after anesthesia using Cox proportional hazard models. Results: Data were collected from 62,541 patient. Among them, subjects with and without anesthesia were 15,857 and 46,684, respectively. Subjects with anesthesia had more hypertension, diabetes mellitus and hyperlipemia than those without anesthesia. The risk of dementia incidence was found to increase 1.7 times in subjects with anesthesia (hazard ratio=1.751, 95% confidence interval=1.596-1.921). Even after the correction for gender, age, and comorbidity, the statistical significance of this risk remained (hazard ratio=1.662, 95% confidence interval=1.512-1.827). Conclusion: Our findings suggest that anesthesia possibly contribute on cognitive impairment. Clinician might need closed observation on cognitive function in patients after surgery and anesthesia.
최삼욱(Sam-Wook Choi),신영철(Young-Chul Shin),김대진(Dai-Jin Kim),최정석(Jung-Seok Choi),김서희(Seohee Kim),김승현(Seung-Hyun Kim),윤현철(HyunChul Youn) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.1
Objectives : Gambling disorder (GD) is defined as persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress. GD can cause personal, vocational, legal, and financial problems. However, the gold standard for treating GD has not been established yet. This re-view summarizes the screening, diagnosis, assessment, and treatment for GD. Methods : We referred to new and previously published studies and guidelines. Results : We introduced screening methods such as self-report scales and described DSM-5 diagnostic criteria. We also suggested essential information worthy of considering during the assessment stage. Explanations about treatment included novel options and conventional methods such as cognitive behavioral therapy and pharmacotherapy. Finally, we created an algorithm for treating GD. Conclusion : This review not only provides a summary for GD treatment, but also serves as a reference for designing future studies on GD.