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이승부,김동희,한선호 순천향대학교 1992 논문집 Vol.14 No.4
정신질환자의 사회복귀는 모든 사회복귀의학의 중요한 구성부분이며 그 중요성은 수용된 장애자의 40%이상이 모두 정신병과 연관되며 또한 정신병의 예방, 치료, 기능훈련은 단지 임상치료로만 해결할 수 없다는 사실에 있다. 사회복귀는 임상치료의 계속이고 점점 많은 사람들의 관심을 불러일으키고 있어 지속적으로 발전되고 있다. 연변사회정신병원(이하 병원이라고 줄임)은 1956년에 개원되어 현재 500베드를 구비한 민정계통에서 관할하는 자선의료사업단체이며 주로 연변지구 208만 인구중 의지할 곳 없고, 집이 없고, 경제적 능력이 없는 민정대상인 정신병환자들의 치료를 맡아보며 치료방법들로는 약물, 심리, 작업, 작문요법 즉 4결합요법을 위주로 하고 사회복귀사업을 폭넓게 추진하고 있으며 개방관리를 실시하고 있다. 본 논문은 주로 병원의 사회복귀병원인 분원의 정신질환자의 사회복귀사업에 관하여 소개, 토론, 연구하려 한다. 연변사회정신병원의 이승부 원장과 순천향대학병원의 한선호는 1990년 7월 30일부터 8월 17일까지 이 분원에 관하여 논문을 만들 것을 토의하였고 초안을 받고 중국과 한국에서 사용되는 한국어의 심한 차이로서 이해가 안되는 부분을 열심히 수정하면서도 뜻만 통한다면 되도록이면 원문에 충실하려고 노력하였기에 공저로써 발표한다. As a part of important problems in psychiatric area, the rehabilitation of psychiatric patients had been considered in many psychiatrists. The authous, thus, introduced rehabilitative programs in Yeonbyeon Social Psychiatric Hospital, China.
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한국인 및 중국 한족 정신분열병 환자의 5-HT2A 수용체 유전자 -1438A/G 다형성
이장호,이광철,이승부,오용인,최영근,조아랑,정주호,장환일 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.1
Objectives : The purpose of the present study was to investigate the association between -1438A/G polymorphism of 5-HT2A receptor gene and schizophrenia in Korean and Han Chinese population. Methods : A sample of 184 Korean patients with schizophrenia and 96 Korean healthy normal controls and 96 Han Chinese patients with schizophrenia and 96 Han-Chinese healthy normal controls were genotyped for a single nucleotide polymorphism with in 5-HT2A receptor gene (promoter region, A-1438G) by Msp I Resthction Fragment Length Polymorphism (RFLP). Results : There was no difference in allelic frequencies and genotype frequencies of -1438A/G polymorphism between Korean schizophrenics and controls (p=0.13) and Han Chinese schizophrenics and controls (p=0.40). Also, -1438A/G Poly-morphism did not show ethnical difference between Korean and Han Chinese controls. The Scale for the Assessment of Negative Symptoms (SANS) scores showed no significant differences between genotypes of -1438A/G polymorphism in both of Korean and Han Chinese schizophrenics. Conclusion : These results suggest that -1438A/G polymorphism of the 5-HT2A receptor gene is not causally related to the development of schizophrenia in Korean and Han Chinese population, and there no ethnic difference between Korean and Han Chinese population.
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노춘희,김경애,이승부,김수지 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4
The purpose of this study is to explore the attitudes toward the mentally ill of Chosunjok in Yanbian and to compare with the attitudes toward of mentally ill of Korean residents. CAMI(community attitudes toward the mentally ill) questionnaire was applied to 447 residents in Yanbian. The results revealed the following. 1) The residents who had religion had more social restrictiveness and negative tendency toward mentally ill than the people who has not the religion. The married people showed more negative tendency in authoritarianism attitude than the single. The higher educational level of residents, the less authoritative and the more sympathetic and positive toward community mental health ideology. Health professionals (nurse, doctor, pharmacist) were more positive in all four attitudes than non-health professionals. The residents who have ever experienced to contact the patients were more negative in social restrictiveness. 2) As for comparison of the Korean. Yanbian Chosunjok has more negative and restrictive on social life of the patients in community, otherwise they are more sympathetic attitudes to the patients and they have more positive community mental health ideology. These findings suggest that the persons without religion, low educational level, the married, the jobless person, and non health professionals need special attention to have got more positive attitudes which will play an important role for accomplishing community mental health services. The results that showed in comparison to Korean means, even thought the roots of the two residents is the same as a Han Min Jok, the attitudes toward mentally ill are different. which have to focus the cross-cultural point of view in promoting the positive attitudes on the mentally ills. The further studies on the Yanbian Chosunjok's mental health needs to be investigated for developing community mental health services. As a minority of Chinese society, Chosunjok set a good example to accomplish high level economic growth and public health policy. The primitive concepts still remain in the society. but solid family system and abundant primary public health network will play a important role in Yanbian community mental health.
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