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이정식(Jung Sik Lee),박은미(Eun Mi Park),장순우(Soon Woo Chang),이주호(Joo Ho Lee),이원혜(Won Hye Lee) 대한노인정신의학회 2007 노인정신의학 Vol.11 No.2
Objectives : Cognitive impairment often occurs with geriatric depression, and may persist despite remission of depression. The authors investigated change of cognitive functions in geriatric depression according to time interval to identify whether cognitive impairment may persist or not. Methods : At baseline and 1 year follow-up, total 88 non-demented participants living in the asylum for the aged had a clinical examination that included depression assessment (SGDS-K : Short Geriatric Depression Scale of Korean version) and neuropsychological test (frontal lobe function test and CERAD-K : the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease). We divided the elderly into two groups (depressed : 27, non-depressed : 61) and evaluated the differences in change of cognitive functions. Results : Depressed group had lower scores on the word delayed recall test and construction recall test than non-depressed group at one-year follow-up. Except executive function, there was no significant difference in cognitive change between two groups according to time interval. Conclusion : These results support previous observations that cognitive impairment in geriatric depression may persist, especially in the executive function. Timely identification of executive function of depressed older adults may lead to coping strategies that will improve the prognosis of geriatric depression.
여성 알코올 의존 입원환자의 음주 양상 및 기질 성격 특성
이상백(Sang-Baek Lee),이정식(Jung-Sik Lee),송진우(Jin-Woo Song),강상범(Sang-Bum Kang),김응조(Eung-Jo Kim),홍계현(Kye-Hyun Hong),조성민(Sung-Min Cho),이석진(Suk-Jin Lee),장순우(Soon-Woo Chang) 한국중독정신의학회 2009 중독정신의학 Vol.13 No.1
Objective:This study examined the temperament and character inventory (TCI) scores as well as demographic and clinical data of female alcoholic patients, in order to discern new treatment possibilities for them. Methods:Forty-three female patients with alcohol dependence and thirty-two female social drinkers were included in this study. Female patients were divided into subgroups with positive and negative family histories. The presence or absence of drinking problems in the hus-band was also recorded. The demographic data and the TCI scores of groups were obtained. The clinical characteristics of each group were identified by obtaining information about drinking habits and childhood victimization histories, and by administer-ing the Beck Depression Inventory (K-BDI), State-trait Anxiety Inventory (STAI), Buss-Durkee Hostility Inventory (BDHI), Acute Physiological and Psychological Response after Drinking, and the Michigan Alcohol Screening Test (MAST-K). Results:Higher scores of Self-Transcendence (ST) and lower scores of Self-Directedness (SD) were shown in female patients compared to normal controls. Female alcoholics had higher scores on the BDI and STAI, and tended to have more suicidal thoughts and attempts. They also showed higher rates of childhood victimization experiences such as physical abuse. Conclusion:TCI profiles of the female alcoholic patients compared with normal healthy subjects reflected common comorbid psychiatric conditions such as depression, anxiety disorder, and personality dis-order. The evaluation of childhood traumatic experience and suicidal risk should be included in the treatment process for fe-male alcoholics.
입원한 남성과 여성 알코올 의존 환자간의 임상적 특징 및 기질 성격 특성의 차이
이상백(Sang Baek Lee),이정식(Jung Sik Lee),송진우(Jin Woo Song),강상범(Sang Bum Kang),김응조(Eung Jo Kim),홍계현(Kye Hyun Hong),조성민(Sung Min Cho),이석진(Suk-Jin Lee),장순우(Soon Woo Chang) 한국중독정신의학회 2010 중독정신의학 Vol.14 No.1
Objective:Although researchers have performed many stu-dies attempting to understand alcoholics’ characteristics, few have conducted direct comparative studies between male and female alcoholics. This study examined the differences in Temperament and Character Inventory (TCI) scores and in clinical characteristics between male and female alcoholics, to discern new treatment possibilities for both groups. Method:Study participants were 55 male and 49 female patients with alcohol dependence. We obtained their demographic data and TCI scores. Additionally, we identified each group’s clinical characteristics from information on their drinking habits and suicidality histories and from the results of administering the Buss-Durkee Hostility Inventory (BDHI), the Acute Physiological and Psychological Response after Drinking, and the Michigan Alcohol Screening Test (MAST-K) to them. Results:Female patients had higher scores on Harm-Avoidance (HA) and lower scores on Reward-Dependence (RD) and Cooperative (CO) as compared to male patients. Male alcoholics had earlier ages of drinking onset and higher scores on Anger Control. Female alcoholics tended to have more suicidal thoughts and attempts. In the presence of a positive familial history, female alcoholics had higher scores on Spontaneous Aggression and lower scores on Novelty-Seeking (NS) and Reward-Dependence (RD) than did male alcoholics. Conclusion:These results suggest that male alcoholics tend to have more biological traits than female patients have and that female patients have more Editor’s note re highlight: Please clarify. Some information seems to be missing here. psychological problems than male patients have. These differences between male and female alcoholics should be incorporated into treatment processes for patients with alcohol dependence.