군신체검사 대상자 중 기면증이 있는 남성의 성격 특성

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.

정신보건시설 운영자의 정신질환에 대한 태도 및인권 감수성 평가

이경민(Kyungmin Lee),이종국(Jonggook Lee) 대한사회정신의학회 2011 사회정신의학 Vol.16 No.2

연구목적 : 본 연구는 정신보건 인권교육에 참석한 정신보건시설 운영자를 대상으로 정신질환에 대한 태도와 인권감수성을 조사하여 정신 보건 인권교육의 기초자료로 활용하고 또한 이를 향후 인권교육 세부내용에 반영할 수 있는 방안들을 살펴보고자 하였다. 방 법 : 2009년 3월부터 7월까지 시행한 운영자 교육에 참석한 대상자에게 설문지를 통해 조사하였다. 정신장애인 분야의 인권교육 평가 도구를 사용하여 인권에 대한 감수성을 평가하였고, CAMI(Community Attitudes toward the Mentally Ill)를 이용하여 정신질환에 대한 태도를 조사하였다. 결 과 : 성별과 학력에 따른 운영자의 정신질환에 대한 태도 및 인권감수성의 차이는 전반적으로 유의하지 않았다. 다만 CAMI의 사회생활 제한 및 지역정신보건개념의 하위 척도에서만 여성이 남성에 비해 통계적으로 유의하게 긍정적인 태도를 보였다. 연령의 경우 60 세 이상의 운영자가 다른 연령대의 운영자에 비해 정신질환에 대해 부정적인 태도를 나타냈다. 인권감수성은 40-49세의 운영자가 20-39세의 운영자에 비해 감수성이 낮은 것으로 나타났다. 직종에 따라서는 운영자가 의사이거나 행정직인 경우가 정신질환에 대해 부정적인 태도와 낮은 감수성을 보였다. 다른 기관에 비해 사회복귀시설이 전반적으로 정신질환에 긍정적인 태도와 높은 감수 성을 보였다. 5년 미만으로 근무한 운영자와 30년 이상 근무한 운영자가 CAMI의 세 항목인 권위주의, 사회생활 제한, 지역정신보건 개념에서 정신질환에 대한 태도가 부정적으로 나타났다. 인권감수성과 CAMI의 자비심 영역에서는 근무기간에 따른 차이가 유의 미하지 않았다. 결 론 : 정신질환에 대한 태도와 인권감수성은 정신보건시설 운영자의 여러 하위 특성에 따라 다소 상이한 결과를 보였다. 이를 토대로 향후 정신보건 인권교육의 시행에 있어서 각 하위 특성에 따른 접근과 세분화된 인권교육이 필요할 것으로 생각된다. Objectives : This study aims to investigate the attitudes and sensitivity of directors of mental health facilities, who participated the Human Rights Education Program in 2009, towards mental illness and their human rights. The findings will be used to figure out current situation of the mental health field in perspective of human right issue as well as a basis for future program development. Methods : We investigated the questionnaire from the Human Rights Education Program which was going on from March to July in 2009 by applying two questionnaires for assessment of their attitudes and sensitivity toward human rights of mentally ill people. One questionnaire is the Assessment Tool for Human Rights Education which was developed to investigate the human rights sensitivity and contains questions specifying mental health issue. The other is Community Attitudes Toward the Mentally Ill (CAMI) which was developed by S. Martin Taylor and Michael J. Dear. Results : There showed no significant difference in CAMI and human rights sensitivity according to participants’ sex and education level. Female showed significant positive attitude at social restrictiveness and community mental health ideaology of CAMI. Participants over 60 showed more negative attitude than younger participants at CAMI questionnaire. In human rights sensitivity questionnaire, participants aged 40-49 years were less sensitive than those aged 20-39. Doctors and non-medical persons were found to be more negative at both CAMI and human rights sensitivity. Directors of community psychiatric rehabilitation centers had more positive attitude and better sensitivity than others. About questions for benevolence in CAMI and human rights sensitivity, there was no significant difference according to their duration of working. About questions for authoritarianism, social restrictiveness, and community mental health ideaology in CAMI, participants who had worked less than 5 years and more than 30 years showed more negative attitudes than others. Conclusion : The findings of the investigation are diverse depending on the characteristic variables of the participants about their attitudes toward mental illness and human rights sensitivity. We could propose that development of more individualized and user-friendly approach according to characteristics of participants should be necessary to make the education program be more practical and effective

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.