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이응천,이정섭,김창현,조필자 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.4
The authors assessed the differences of psychopathology, life-event and coping strategies between 71 epileptic patients and 74 chronic ill patients. To Investigate the relationship between psychiatric symptoms, stresses and coping strategies in epileptic patients and controls, Scale of Symptom checklist-90-revision(SCL-90-R), Multidimentional Coping Scale(MCS) and Life-event(SLE) were applied to the patients. Collected data were processed with SPSS/PC ver employing Chi-square test, t-test and Pearson correlation analysis. Summary of the result were as follows : 1) Epileptic patients, compared with chronic ill controls, showed significant difference in the item of the paranoid ideation of the SCL-90-R and in the item of perseverance of the MCS. 2) Chronic ill controls, compared with epileptic patients, had significant correlation with SCL-90-R and life-event, and these findings suggest that Epileptic patients have blunted coping strategies due to chronic illness and early onset age. 3) Among epileptic patients, the ones with early onset(≤18-year-old) showed significantly high scores in the obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, additional items of the SCL-90-R and attention shift to production, emotional support seeking, emotional expression, acceptance, emotional pacification, self-criticism, positive comparison, active coping of the MCS. 4) In coping strategies adopted by epileptic patient, the ones with long duration of illness(>5years) showed significant difference at the emotional support seeking, emotional pacification, acceptance, religious seeking, positive comparison of the MCS. The epileptic patients treated with polypharmacy showed significantly high scores in the somatization, obsessive-compulsive, phobic anxiety, paranoid ideation of the SCL-90-R. In conclusion, we suggest that epileptic patients have simillar psychopathology and coping strategies with chronic ill patients. The epileptic patients with early-onset had more potential psychopathology and passive coping strategy than late-onset patients.
조필자,김철규 大韓神經精神醫學會 1980 신경정신의학 Vol.19 No.4
The authors have studied 133 neuropsychiatric inpatients in National Medical Center with the chief complaints of headache from July 25, 1976 to Mar. 25, 1980. Those who had organic basis for his headache were 39 cases and remaining 94 cases had functional or psychogenic basis. The results were as follows: 1. In the diagnostic proportion, Cerebrovascular disorder(28.8%), infection of CNS(20.5%), and convulsive disorder(12.8%) were leading causes among the organic cases, and shizophrenia(17.0%), depression(16.0%), histerical neurosis(16.0%) were majority among the functional cases. 2. In the sex difference, the female was 2.5 times more prevalent then the maleamong the-functional cases. Between theage of 20 and 29, 31.6% persent of the total cases were occupied. Elderly patients were significantly prevalentin the organic cases. 3. The average duration of headache being suffered before the admission were 87 days in the overall cases, 25 days in the organic cases, and 110 days in the functional cases. 4. The total period of the hospitalization was 22days in the overall cases, 11 days in theorganic cases, 27 days in the functional cases. 5. The common associated symptoms were lose of consciousness, paralysis or paresthesia, speech disturbace et al. in the organic cases, where as paresthesia or paralysis, insomnia, irritability et al. were prominant in the functional cases. 6. The patterns of headache and their verbal representations were variabble and ambigous. 7. The premorbid personality of the psychogenic patients were histrionic, depressive, paranoid, or schizoid etc. 8. The precipitatieg factors in the psychogenic cases were marrital conflicts, family troubles, or financial problems in order. 9. Nearly 80 percents of the overall cases favorable responsive toward the neuropsychiatric treatments, but the cases having received long-term followup treatments for more than 1 years were 48.3 percents.
가역적 치매 증상을 보인 상시상 정맥동 경막 동정맥루 1예
김홍식,조필자,김정찬,주종규,김승민,선우일남 대한신경과학회 2005 대한신경과학회지 Vol.23 No.5
A 58-years-old man came to the hospital because of progressive intellectual deterioration, gait disturbance and postural instability for 6 months. Neuropsychological tests showed severe impairment of memory and executive functions, and dural arteriovenous fistula of the superior sagittal sinus (dAVF of SSS) was found on brain MRI and angiography. The symptoms were markedly improved after selective transvascular embolization treatments. Even though the dAVF of SSS is a rare cause of dementia, we suggest that it can be one of the treatable causes of dementia.