http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
아동기 가정 내 스트레스가 공동의존성에 미치는 영향 및 공동의존성과 정신병리와의 관련성
곽운환,손지욱,한규희,박철수,김장락,김붕년,김봉조,강여화,하형래 대한생물치료정신의학회 2003 생물치료정신의학 Vol.9 No.1
연구목적: 본 연구는 공동의존성에 영향을 미치는 아동기 가정내 스트레스 요인과 공동의존성과 다른 병리와의 연관성을 규명하고자 하였다. 더불어 특정한 질환에서의 공동의존성의 평가가 가지는 의의를 탐색해 보고자 하였다. 방 법: 연구 대상은 정상 일반인 남성집단 88명과 알코올리즘 남성 집단 76명으로 구성되어 있다. 평가도구는 본 저자가 직접 작성한 '아동기 가정내 스트레스 요인 측정용 설문'과 공동의존 척도(RPS), 간이증상 진단검사(SCL-90-R)를 사용하였다. 통계적 분석은 Mann-Whitmey test, Kruskall- Wallis test, Multiple linear regression analysis, Spearman correlation analysis를 이용하였다. 결 과: 1) 정상 일반인 군과 알코올리즘 군의 공동의존성 평균값은 각각 49.12점(표준편차=15.41)과 88.31점(표준편차=17.48)이었다. 2) 정상 일반인 군에서는 '아동기 부모 사별'(p<0.01) '부모의 알코올리즘'(p<0.01) '부모의 상습적 구타'(p<0.01)의 3가지 요인에서, 알코올리즘 군에서는 '어린시절 부모 사별'(p<0.01) '부모의 알코올리즘'(p<0.01) '부모의 상습적 구타'(p<0.01) '부도의 도박'(p<0.01) '사회 병질자 부모의 존재'(p<0.05)의 5가지 요인에서 스트레스 유무에 따라 공동의존성에 유의한 차이를 보였다. 3) 두 집단 동시에 SCR-90-R의 8개 소척도 중 '대인관계 예민성'이 공동의존성과 가장 높은 연관성(rs>0.06, p<0.01)을 보였다. 이외에도 '우울증' '불안증'등이 두 집단 모두에서 통계적으로 유의한 연관성을 보였다. 결 론: 본 연구는 부모의 알코올리즘뿐만 아니라 여러 가정 내 스트레스 요인이 공동의존성의 발생에 영향을 미칠 수 있음과 공동의존성이 높은 집단이 다른 정신과 질환을 동반할 가능성이 높음을 증명한다고 할 수 있다. Objectives : The aim of this study was to examine the relationships of codependency with family stressors in childhood and psychopathology. Methods : Subjects were a group of 88 normal adult males and a group of 76 alcoholic males. The degree of codependency was assessed with the Korean version of Recovery Potential Survey(RPS). All subjects filled out questionnaires regarding demographic information and family stressors. The psychopathology was measured by self-administred questionnaires using Symptom Check List-90-Revision(SCL-90-R). Results : 1) There were no significant differences in codependency levels by sociodemographic characteristics in two groups, but obvious difference in mean of codependency scores(normal group : 49.12±15.41, alcoholism group : 88.31±17.48). 2) There were significant differences in codependency levels between the presence and absence of parental physical abuse, parental death, and parental alcoholism(p<0.01) in both groups. 3) Among family stressors, parental physical abuse had the largest contribution to codependency level in multiple linear regression. 4) There were significant correlations between the codependency levels and the scores of SCL-90-R's subscales of interpersonal sensitivity, depression, and anxiety in both groups. Conclusion : The codependency levels were related to some family stressors such as parental physical abuse, parental death, and parental alcoholism and the high-level codependency was correlated with higher level of psychopathology in both normal and alcoholism group. These results suggested that various family stressors, as well as parental alcoholism may be predictors of codependency, and codependency also may be a predictor of other psychiatric disorders.
( Kyu Sik Jung ),( Beom Kyung Kim ),( Seung Up Kim ),( Young Eun Chon ),( Kyung Hyun Cheon ),( Jun Yong Park ),( Do Young Kim ),( Sang Hoon Ahn ),( Chae Yoon Chon ),( Young Nyun Park ),( Kwang Hyub Ha 대한간학회 2013 춘·추계 학술대회 (KASL) Vol.2013 No.1
Background: Controlled attenuation parameter (CAP) is a noninvasive method that measures hepatic steatosis using a process based on transient elastography. However, factors affecting its accuracy have not been described yet. We aimed to identify predictors of discordance between liver biopsy (LB) and CAP when assessing hepatic steatosis. Methods: A total of 129 patients with chronic liver disease who underwent LB and CAP were prospectively enrolled. Histological steatosis was categorized as S0 (<5%), S1 (5-33%), S2 (34-66%), or S3 (>66% of hepatocytes). Discordance was defined as a discordance of at least two stages between LB and CAP. Reference cutoff CAP values to determine discordance were calculated from our cohort (250 dB/m for ≥S1, 299 dB/m for ≥S2, and 327 dB/m for=S3). Results: The median age of the patients (84 men and 45 women) was 52 years. The etiologies of chronic liver disease (CLD) included nonalcoholic fatty liver disease (n=60, 46.5%), chronic hepatitis B (n=45, 34.9%), chronic hepatitis C (n=12, 9.3%) and others (n=12, 9.3%). Histological steatosis repartition was as follows: S0 32.6% (n=42), S1 44.2% (n=57), S2 19.4% (n=25), and S3 3.9% (n=5). Overall discordances were identified in 11 (8.1%) patients. When the histological steatosis grade and necroinflammatory activity were entered into multivariate analysis along with BMI and IQR/M CAP, S3 showed independent higher rates of discordance, as compared to S0-2 (hazard ratio [HR] 14.117 P=0.020). Similarly, when CAP was entered into multivariate analysis instead of histological parameters, along with alanine aminotransferase, BMI and IQR/M CAP, only CAP was independently associated with discordance (HR, 1.016, P=0.041). Conclusions: Our data suggest that patients with a higher CAP (or higher steatosis grade) are at greater risk of discordance between LB and CAP when assessing hepatic steatosis. Further studies should investigate how to enhance the accuracy of CAP interpretation, especially in patients with higher CAP values.
Jung, Kyu Sik,Kim, Seung Up,Choi, Gi Hong,Park, Jun Yong,Park, Young Nyun,Kim, Do Young,Ahn, Sang Hoon,Chon, Chae Yoon,Kim, Kyung Sik,Choi, Eun Hee,Choi, Jin Sub,Han, Kwang-Hyub Raven Press 2012 Annals of Surgical Oncology Vol.19 No.13
<P>The purpose of this study was to investigate whether preoperative liver stiffness measurement (LSM) can predict recurrence after curative resection of hepatocellular carcinoma (HCC). LSM using FibroScan(?) can assess the severity of liver fibrosis, which is significantly associated with recurrence after curative resection of HCC.</P>
증례 : 순환기: 젊은 연령의 신증후군 환자에 발생한 심인성 쇼크를 동반한 급성 심근경색
김규연 ( Kyu Yeun Kim ),배명환 ( Myung Hwan Bae ),박상미 ( Sang Mi Park ),김홍년 ( Hong Nyun Kim ),양영애 ( Young Ae Yang ),장세용 ( Se Yong Jang ),권상훈 ( Sang Hoon Kwon ) 대한내과학회 2016 대한내과학회지 Vol.90 No.4
급성 심근경색은 소아나 젊은 연령에서는 매우 드문 질환이지만 몇몇 기저질환을 가지고 있는 경우 그 발병률이 증가할 수 있고 신증후군도 그 원인 중의 하나이다. 신증후군에서 나타나는 응고항진상태와 동맥경화의 악화가 급성 심근경색의 원인으로 제시되고 있다. 본 증례는 잘 조절되지 않는 미세변화 신증후군을 가지는 젊은 환자에서 발생한 심인성 쇼크를 동반한 ST상승 심근경색을 보고하였다. Acute myocardial infarction (AMI) is very rare in young adults. Nephrotic syndrome is an uncommon cause of AMI in young adults and is characterized by excessive proteinuria, hypoalbuminemia, hyperlipidemia, and generalized edema. The hypercoagulable state and accelerated atherosclerosis in patients with nephrotic syndrome may be associated with the development of AMI in young adults. We report herein a case of ST-segment elevation myocardial infarction with sudden cardiac arrest in a young patient with minimal change disease. (Korean J Med 2016;90:326-329)
Long Versus Short Drug-Eluting Stent In One Patient With Different Vessel: Which Is Better? (초)
( Min Kyu Kang ),( Ung Kim ),( Jong Seon Park ),( Won Jong Park ),( Young Jo Kim ),( Yoon Kyung Cho ),( Hyuk Joon Yoon ),( Chang Wook Nam ),( Seung Ho Hur ),( Yoon Nyun Kim ),( Kwon Bae Kim ) 대한내과학회 2012 대한내과학회 추계학술대회 Vol.2012 No.1