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충청지역 ‘정신건강 전문가 학교방문지원사업’에서 자해나 자살시도군의 특성
이제정(Je Jung Lee),강윤형(Yun Hyoung Kang),홍현주(Hyun Ju Hong),김영훈(Young Hoon Kim),손정우(Jung-Woo Son) 대한신경정신의학회 2020 신경정신의학 Vol.59 No.1
Objectives This study examined the characteristics of students who participated in the ‘Professional School Visits Outreach Project’ and evaluated the factors affecting self-injury or suicidal attempts. Methods In a cross-sectional study, psychiatrists or mental health professionals conducted a semi-structured interview with 296 students, families, and teachers in Chungcheong province and recorded the socioeconomic status (SES), past psychiatric history, current clinical symptoms, and mental status exams. Logistic regression analysis was performed on the variables with differences between the students who had attempted self-harm or suicide and those who had not. Results The subjects of this study belonged to a relatively low SES. In addition, their provisional diagnosis was mainly attention-deficit/hyperactivity disorder (38.5%) or depression (29.1%). Approximately 18.2% of students had attempted self-injury or suicide. The variables with differences between students who had attempted self-harm or suicide and those who had not, were female [odds ratio (OR) 2.878, p=0.002], provisional diagnosis of depression (OR 3.045, p=0.001), and a history of bullying victim (OR 1.927, p=0.048). Although the risks of self-injury or suicidal attempts were not increased by child abuse alone, it was increased in girls who experienced both childhood abuse and bullying victim (OR 4.222, p=0.002). Conclusion The ‘Professional School Visits Outreach Project’ provides therapeutic opportunities for low SES and high-risk adolescents with multiple difficulties, such as child abuse, bullying victim, and suicidal behaviors. In addition, the recurrent experience of trauma in girls appears to increase the risk of adolescent self-injury or suicidal attempts.
이한준 ( Hanjun Lee ),남범우 ( Beomwoo Nam ),서정석 ( Jeong Seok Seo ),김태 ( Tae Kim ),노수림 ( Soo Rim Noh ),이제정 ( Je Jung Lee ),오근 ( Keun Oh ),서희영 ( Hee Young Seo ),김태 ( Tae Kim ),이종국 ( Jonggook Lee ) 한국정신병리진단분류학회 2021 精神病理學 Vol.25 No.2
Objectives The purpose of this study was to quantitatively assess multiphasic personality inventory results of narcolepsy affecting mental health using military personality inventory in Korea. Method We registered the 19-year-old men who visited the Military Manpower Administration from February 2010 to January 2013. Results Among demographic characteristics, both narcolepsy and control groups are 19-year-old male. Education level and socioeconomic status are higher(χ2=4.23, p=0.04 ; χ2=17.94, p=0.001) in control group. BMI is higher(t=-3.10, p=0.002) in narcolepsy group. Parents relationship showed no difference between control and narcolepsy groups(χ2=7.57, p=0.06). Among validity scales, score of faking good subscale was higher(t=4.368, p<0.001) in control group, of faking bad subscale was higher(t=-2.497, p=0.013) in narcolepsy group, of infrequency subscale showed no difference(t=-0.466, p=0.642) between control and narcolepsy groups. Among neurosis scales, the score of somatization, depression, anxiety, and personality disorder subscales were higher in narcolepsy group, respectively(t=-4.721, p<0.001 ; t=-5.189, p<0.001 ; t=-6.068, p<0.001 ; t=-2.161, p=0.032). Among psychopath scales, the score of paranoia subscale was higher in narcolepsy group(t=-2.795, p=0.006), of schizophrenia subscale showed no difference (t=-0.687, p=0.493). Conclusion According to MPI results, we suggest that narcolepsy patients are more concerned with their somatic symptoms, more depressive and anxious, have more introverted or impulsive tendency and paranoid traits.
알코올중독 입원 치료프로그램의 효과성에 관한 연구(I) - 병식의 변화와 만족도를 중심으로 -
성상경(Sang-Kyung Sung),이제정(Je-Jung Lee):김한오(Hano Kim):이규항(Kyu-Hang Lee) 한국중독정신의학회 2002 중독정신의학 Vol.6 No.1
The purpose of this study is to examine the clinical effectiveness of an inpatient alcohol treatment program by researching changes in patients’ insight throughout the treatment process and patients’ level of satisfaction within the program. 89 patients (81 male and 8 female patients) were chosen for this study, all of whom were diagnosed as alcohol-dependence according to the DSM-IV diagnostic criteria and participating the inpatient alcohol treatment program at the alcohol/drug abuse treatment center in Keyo hospital. The program’s effectiveness was evaluated by:1) assessing how Hanil Alcohol Insight Scale (hereinafter HAIS), National Alcoholism Scale Test (hereinaf- ter NAST), and the level of patients’ self-recognition changed after taking the course and 2) analyzing correlations between NAST and HAIS. The result showed significant difference in the patients’ average HAIS scores before and after the program: 6.4 at the time of admission, and 9.0 after the treatment process (p<0.001). We found that the patients’ NAST and HAIS scores are positively correlated. Also, patients’ satisfactory level with the treatment program’s general circumstance was higher than that with information service about the treatment process and rule application issues, and communication service like telephone use. In conclusion, our inpatient alcohol treatment program was found to be effective in terms of improving patients’ insight, and patients’ level of overall satisfaction with the treatment program was generally high. Further studies on correlations among other variables such as the independent program’s impact on each patient, level of the patient’s insight, and follow-up treatment results may be required.
충청지역 ‘정신건강 전문가 학교방문지원사업’에 참여한 초등학생 중 학교폭력 경험군의 임상적 특성
유세영 ( Se Young Yoo ),강윤형 ( Yun Hyoung Kang ),홍현주 ( Hyun Ju Hong ),이종국 ( Jonggook Lee ),손정우 ( Jung-woo Son ),이제정 ( Je Jung Lee ) 한국정신병리진단분류학회 2020 精神病理學 Vol.24 No.2
Objectives: This study examined the characteristics of elementary school students who were referred to the Professional school visits outreach project in 2017 and 2018 and analyzed the emotional and behavioral characteristics of the students who experienced school violence. Methods: 160 elementary students were included in the analysis and the participant’s parents were asked to complete the Child Behavior Checklist 6-18. To obtain general information and experience of bullying, a semi-structured interview with the student, parents and the teacher was conducted. Results: The participants had a high proportion of vulnerable groups, and the main presumptive diagnoses were ADHD and depression, which were similar to those of the clinical group. Experiences of child abuse increased the risk of experiencing bullying (OR=2.16, p,0.5). The median scores of rule-breaking (p=.03) and aggressive behaviors (p=.01), externalization (p=.01) and conduct problems (p<.01) were significantly different among bullying participant roles. Bullies exhibited the most serious emotional behavior problems. Conclusion: The group with experience of school violence had more social immaturity and behavior problems, and less social and adaptability than the group without experience. Bullies had severe rule-breaking, aggression, externalization, and behavior problems, and showed the most problems in emotional behavior, and victims showed a tendency to have poor social and adaptation skills.
단순 코골이 또는 폐쇄성 수면 무호흡증이 있는 후기 남자 청소년에서 다면적 인성 검사 결과
유민지 ( Minji Yu ),남범우 ( Beomwoo Nam ),서정석 ( Seo Jeong Seok ),노수림 ( Soo Rim Noh ),이종국 ( Jonggook Lee ),이제정 ( Je Jung Lee ),서희영 ( Heeyoung Seo ),김태현 ( Taehyun Kim ),오근 ( Keun Oh ) 한국정신병리진단분류학회 2021 精神病理學 Vol.25 No.2
Objectives The purpose of this study was to quantitatively assess the degree of Simple Snoring(SS) or Obstructive Sleep Apnea (OSA) affecting mental health through the results of multiphasic military personality inventory. Method We collected and analyzed the results of the military personality inventory(MPI) for healthy controls and SS or OSA patients among the 19-year-old men who visited the Military Manpower Administration from January 2008 to January 2013. MPI invented for Korean military test has similar system to Minnesota multiphasic personality inventory. Results Among demographic data, education level was lower in SS or OSA group (χ2=69.49, p<0.001). Socio-economic status and parents-relationship were not statistically different between two groups (χ2=2.94, p=0.401; χ2=2.01, p=0.570). BMI was higher in SS or OSA group (t=-8.24, p<0.001). Among validity scale, the score of faking good subscale was lower in SS or OSA group (t=3.157, p=0.002). Each score of faking bad and infrequency subscale was higher in SS or OSA group (t=-3.741, p<0.001; t=-2.766, p=0.006). Among neurosis scale, each score of anxiety, depression, somatization and personality disorder subscale was higher in SS or OSA group, respectively (t=-4.060, p<0.001; t=-3.977, p<0.001; t=-4.293, p<0.001; t=-3.499, p=0.001). Among psychopath scale, each score of schizophrenia and paranoia subscales were not statistically different between two groups (t=-1.669, p=0.096; t=-2.012, p=0.045). Conclusion According to MPI results, we can confirm that SS or OSA patients may appear feature such as anxiety, depression, somatization and personality tendency (introversion or impulsivity) than the control group.