한국 청소년의 인터넷 게임 중독과 음주, 흡연군의 성격, 기질 특성 비교

이상규(Sang-Kyu Lee),이홍석(Hong-Seock Lee),손봉기(Bong-Ki Son),이흥표(Heung-Pyo Lee),권선중(Sun-Joong Kwon,) 한국중독정신의학회 2005 중독정신의학 Vol.9 No.1

Objectives:The purpose of this study was to investigate the differences of the personality profiles between internet game addictor and substance abuser in the Korean high school students. Subjects & Methods:Subjects were 482 high school students (male/female=245/237) who resided in Korean urban area. All subjects completed the questionnaire asking the history of alcohol or smoking abuse, Internet Game Addiction Test (IGAT). and Temperament Character Inventory (TCI). IGAT for the Koreans was revised from the Young’s Internet Addiction Test. When subjects checked “yes” in more than 10 items of IGAT, they were labeled as “risk group”, and when less than 10, they were labeled as “non-risk group”. Results: Compared to non-risk group for the internet game addiction, risk group showed statistically significant higher ‘harm avoidance’, lower ‘reward dependence’, higher ‘self-transcendence’, lower ‘self-directedness’ and lower ‘cooperativeness’. Meanwhile, subjects who have abused alcohol or tobacco had higher ‘novelty seeking’ and lower ‘harm avoidance’ than nonusers. Conclulsion:The present results indicate the possibility that pathophysiology of behavior addiction such as internet game, in Korean adolescents, may be different from that of alcohol and smoking abuse

인터넷 중독의 치료

김현수(Hyun Soo Kim) 한국중독정신의학회 2012 중독정신의학 Vol.16 No.1

Internet addiction treatment is a new area of paradigm and concept. Many disputes and controversies exist, and there are no apparent guidelines or consensus about Internet addiction treatment currently. This short paper presents a few recent reports on Internet addiction treatment. Some drugs were tried for Internet addiction but no definite evidence emerged supporting the use of any drug. But much new information about SSRI, bupropion, naltrexone and methylphenidate in the treatment of Internet addiction became available. Many psychosocial approaches were also tried for patients with Internet addiction, including cognitive behavioral therapy, reality therapy, solution focused therapy, family intervention, and camping schools targeted for adolescents and adult addicts. But systematic meta-analysis showed many limitations of the different approaches and research. Although the approaches were not complete failures, many difficult problems arose from the start-up of therapy. In the future more precise and scientific definitions relating to Internet addiction, development of concepts and the establishment of criteria for therapy of Internet addiction will be formulated.

한국인 남성 알코올 의존증에서 나타난 도파민 D2 수용체의 대립유전자형 빈도

이종섭(Jong Sub Lee),오미희(Mee Hee Oh),이창훈(Chang Hoon Lee),송경순(Kyoung Soon Song),배종훈(Jong Hoon Bae),기선완(Sun Wan Ki),이홍식(Hong Shick Lee),유계준(Kae Joon You) 한국중독정신의학회 1997 중독정신의학 Vol.1 No.1

Dopamine D2 receptor(DRD2) gene is known to have a strong effect on susceptibility of alcohol dependence and to play an important role on appetite such as alcohol seeking behavior. It is known that alcohol induces excitatory effects on dopamine neurons and stimulates brain reward systems by which man craves euphorogenic reward effect of drug(such as alcohol). And it has been suggested that DRD2 has a direct role on alcohol seeking behavior. This study investigated polymorphic patterns of DRD2 gene of Korean male alcohol dependence by restriction fragment length polymorphism(RFLP) and associations of Korean character traits with susceptibility on alcohol. Also, this study examined allelic association of DRD2 gene in various chara cteristics and alcohol-related of alcohol dependence. Subjects of this study consisted of 71 patients with alcohol dependence and 139 healthy male subjects without alcohol dependence for the study of allelic association of DRD2 gene in Korean male alcohol dependence. Allelic association of DRD2 gene between two groups was tested by chi-square test, and those in severity and family history of alcohol dependence, age onset of alcohol drinking, and duration of alcohol drinking history were tested by ANOVA and t-test. The results were as followings; 1) A1A1, A1A2, A2A2 genotype frequency of DRD2 gene in Korean male alcohol dependence were 19.7%, 29.6%, 50.7% and those of control group were 15.8%, 51.8%, 33.1%. There was statistically significant difference between two groups. 2) Ratios of Korean male alcohol dependence with and without A1 allele were 0.49, 0.51 respectively, and those of control groups were 0.67, 0.33 respectively. The difference between two groups were statistically significant. But the difference between two groups on ratio of presence of A2 allele was not statistically insignificant. 3) A1 and A2 allelic frequencies of Korean male alcohol dependence were 0.35 and 0.65 and those of control group were 0.42, 0.58 respectively. So there was no evidence of DRD2 A1 allelic association in Korean alcohol dependence. 4) According to Diagnostic Criteria of National Council on Alcoholism(NCA) on severity alcohol dependence, the genotype of the most severe alcohol dependence was A1A1. on the other hand, the less severe type was A1A2, and the least severe type was A2A2. And A1 and A2 allele frequency of severe alcohol dependence were 0.46 and 0.54 respectively and those of less severe alcohol dependence were 0.18 and 0.72 respectively. Therefore, there was allelic association of DRD2 gene in severity of Korean male alcohol dependence. 5) There were statistically significant differences among subgroups with A1A1, A1A2, A2A2 genotypes on scores of NCA in total patients with alcohol dependence and also significant differences between patients with alcohol dependence with and without A1 allele on scores of NCA. Therefore, there was statistically significant possibility in allelic association of DRD2 gene in NCA scores of patients with alcohol dependence. 6) There were no allelic associations of DRD2 gene in the variable characteristics(age, family history of alcohol dependence, onset age of alcohol drinking, and onset age of alcohol problems). 7) In comparing A1 allelic frequencies of DRD2 gene in this study with those in other studies on various populations, there were no differences statistically among Asians in controls and statistically significant differences, however, in other populations elsewhere. And there were also higher in A1 allelic frequencies in Korean and Japanese with alcohol dependence than the whites. In summarizing above results, there was no allelic association of DRD2 gene in Korean male alcohol dependence, but there was the possibility of A1 allelic association in severity of alcohol dependence. So this study implied that Korean alcohol dependence were influenced by extenal factor like severity of alcohol dependence rather than genetic factor. Therefore

도시 쉼터 남성 노숙인의 우울, 아동기외상, 울분에 따른 중독 특성과의 관련성

정희연(Heeyeon Chung),조선진(Sun-Jin Jo),송후림(Hoo Rim Song),홍민하(Minha Hong),김우정(Woo jung Kim),김영종(Young-Jong Kim),김현수(Hyun-Soo Kim) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.2

Objectives : This study investigated the effects of depression, child trauma, and embitterment on the characteristics on the addiction problems in homeless men. Methods : The subjects were 120 homeless men from a city shelter in Seoul. Questionnaires with socio-demographic and psychiatric content were administered. The instruments included the Patient Health Questionnaire-9, the Childhood Trauma Questionnaire, the Post-Traumatic Embitterment Disorder Self-rating Scale, the Alcohol Use Disorders Identification Test, the Fagerstrom Test for Nicotine Dependence, the Canadian Problem Gambling Index, and the Smartphone Addiction Scale-Short Form. We analyzed the demographic data, score of the above instruments, and frequencies of the addiction problems in homeless men. Results : Depressed subjects displayed significantly higher frequencies in problematic alcohol use, nicotine dependence, and problematic gambling. The child trauma group had significantly higher frequency in problematic alcohol use. The embitterment group exhibited significantly higher frequencies in problematic alcohol use, nicotine dependence, problematic gambling, and problematic smartphone use. Conclusion : The study findings suggest that homeless men with depression, child trauma, embitterment have higher frequencies in addiction problems compared to homeless men without those factors.

알코올중독환자와 정신분열증환자의 임상적 배경이 폐결핵 조기발견에 미치는 영향에 관한 연구

이경덕(Kyung Duk Lee),이창민(Chang Min Lee),김길숙(Gil Sook Kim),오동열(Dong Yul Oh) 한국중독정신의학회 2000 중독정신의학 Vol.4 No.1

Background:This study was designed to investigate the psychiatric background according to the radiologic extent of pulmonary tuberculosis. Methods:The 106 subject (alcoholism 40 cases and schizophrenia 66 cases) were patients who had admitted in Seoul National Mental Hospital from January, 1996 to December, 1999. Data was analysed by SAS package program. Results:1) The difference of general characteristics of alcoholism and schizophrenia showed in sex, age, marital status, occupation and family numbers. 2) The most frequent onset age in schizophrenia was 2nd decade. Schizophrenic patients were cared in mental hospital mainly but more than half of alcoholic patients were cared at home care and The most of alcoholic patients were diagnosed at admission in psychiatric facillity but 33.3% of the schizophrenic patient were found during hospitalization at psychiatric facillity. 3) The study about general characteristics of psychiatric patient and radiologic extent of pulmonary tuberculosis was proved that alcoholic patients of longer duration of illness had more faradvanced pulmonary tuberculosis and schizophrenic patients in asylum had higher rate in far advanced pulmonary tuberculosis

국립부곡정신병원 부설 마약류중독진료소에 입원한 환자들의 인구학적 및 임상적 특성 분석

조현윤,성시용,김미영,서정석,한진희 한국중독정신의학회 2001 중독정신의학 Vol.5 No.2

조현병 환자군에서 비만 및 음식중독 연관 심리요인 연구

김보영,정겨운,이태경 한국중독정신의학회 2023 중독정신의학 Vol.27 No.1

Objectives: This study aims to investigate the present status of food addiction in schizophrenic patients attending day-hospital and outpatient clinics at a mental hospital. Additionally, we examined the correlation between food addiction, depression, and stress perceptions among schizophrenia patients. Methods: The participants in this study were schizophrenic patients who attended day-hospital and outpatient clinics. Their symptom severity was mild as measured by a Clinical Global Impression-Severity score of 3 or less. We administered the Yale Food Addiction Scale 2.0, the Perceived Stress Scale, and the Zung Self Depression Scale. Statistical analysis was conducted using the SPSS program. Results: The prevalence of food addiction among participants was 25.8%. We observed a significant positive correlation between depression and food addiction. Additionally, there was a significant difference in the occurrence of food addiction between the moderately depressed group and the normal group. Conclusion: The high prevalence of food addiction among patients with schizophrenia indicates that it requires increased clinical attention. Our findings suggest that there is a positive association between depression and food addiction, with higher levels of depression corresponding to higher levels of food addiction. Therefore, depression appears to be a significant factor in the development of food addiction in schizophrenia patients.

알코올중독자 자녀 선별검사 점수와 가족기능 점수가 자녀의 정신사회적 증상에 미치는 영향

박찬일(Chan-Il Park),김종성(Jong-Sung Kim),정진규(Jin-Gyu Jung),김갑중(Gap-Jung Kim),오장균(Jang-Kyun Oh) 한국중독정신의학회 2007 중독정신의학 Vol.11 No.2

Objectives:Alcohol dependence is known to be a disease affecting family function thereby influencing children. This study was designed to evaluate the influence of parents’ drinking and family function on their children’s psychosocial symptoms. Methods:The subjects were consisted of 187 Korean children. Effects of parents’ drinking problems on children were evaluated by the CAST-K (The Korean Version of the Children of Alcoholics Screening Test) questionnaire, family functions by Family APGAR (adaptability, partnership, growth, affection and resolve) and children’s psychosocial symptoms by PSC (Pediatric Symptomatic Checklist)-17. Results:There was a sig-nificant (p<0.01) positive correlation (r=0.374) between CAST score and PSC-17, and a significant (p<0.01) negative correlation (r=-0.302) between Family APGAR score and PSC-17. CAST-K and Family APGAR score had 21.8% explanatory power for children’s psychosocial symptoms by stepwise multiple regression analysis (p=0.000). Conclusion:The above results suggest that the drinking of parents and family dysfunction can produce child-ren’s psychosocial symptoms. When clinicians face children with psychosocial symptoms, they should evaluate the parent’s drink-ing problems and the family function. Also treating a patient with drinking problems, clinicians should evaluate whether their child-ren have psychosocial symptoms or not.

청소년에서 DSM-5에서 제안된 인터넷게임중독 진단기준과 정신과의사의 임상적 면담에 의해 평가된 인터넷게임중독 비교

정현숙(Hyunsuk Jeong),임현우(Hyeon Woo Yim),이승엽(Seung-Yup Lee),이해국(Hae Kook Lee),방수영(Soo-young Bhang),조선진(Sun-jin Jo),권용실(Yong-Sil Kwon),최정석(Jung-Seok Choi) 한국중독정신의학회 2018 중독정신의학 Vol.22 No.1

초등학생의 주의력결핍과잉행동 증상과 인터넷 중독 경향성, 우울, 불안 증상의 관련성

유 미(Mi Lyu),김근향(Keun-Hyang Kim),홍현주(Hyun Ju Hong),최태규(Tai-kiu Choi),육기환(Ki-Hwan Yook) 한국중독정신의학회 2010 중독정신의학 Vol.14 No.1

Objectives:This study aimed to evaluate the relationship between Attention-Deficit/Hyperactivity Symptoms and Internet Addiction, Depression, and Anxiety in Elementary-school Students. Methods:Participants were 477 children, ranging from the 4th to the 6th grade in elementary school and their parents. The participants completed the following measures; the Korean version of the parent ADHD Rating Scale (K-ARS), the Korean version of the Conners Parent Rating Scale (K-CPRS), the Korean version of the Child Behavior Checklist (K-CBCL), the Young’s Internet Addiction Test (IAT), the Children’s Depression inventory (CDI), and the Revised Children’s Manifest Anxiety Scale (RCMAS). Results:ADHD symptoms, depression, and anxiety symptoms were significantly related to Internet addiction severity. After we controlled for the effects of sex, depression, and anxiety symptoms, ADHD symptoms predicted Internet addiction severity, as parent-reported and as child-reported. However, there were some differences between parent-report scale scores and child-report scale scores. In the parent reports, ADHD symptoms correlated more significantly with Internet addiction than with either depression or anxiety symptoms, whereas the child reports, depression contributed more to Internet addiction than did ADHD symptoms. Conclusion:These results suggest we might need to pay more attention to diagnosing and treating Internet addiction, since different informants could be reporting the variables affecting internet addiction differently.