Rorschach 검사에 나타난 경계선 인격장애의 대상표상에 관한 일연구

신동균(Dong Kyun Shin),이민수(Min Soo Lee),오현주(Hyun Joo Oh),최윤경(Yoon Kyoung Choi) 한국정신병리진단분류학회 2001 精神病理學 Vol.10 No.1

N/A N/A

수면위생의 실행과 효과에 대한 연구

최윤경,김인,서광윤,신동균,Choi, Yun-Kyeung,Kim, Leen,Suh, Kwang-Yoon,Shin, Dong-Kyun 대한수면의학회 1997 수면·정신생리 Vol.4 No.2

연구배경: 불면증을 경험한 적이 있는 일반인들을 대상으로 어떤 수면위생 수칙들을 얼마나 실행하고 있으며 또 실행했을 때 수면에 얼마나 도움이 되는지를 살펴보고자 하였다. 특히, 실행이 많이 되고 있지는 않지만 수면에 특이하게 도움이 된다고 보고된 항목들이 있다면, 불면증 치료 프로그램을 계획 적용하기 전에 그에 대한 경험적, 이론적 근거를 확립하고 이를 실제 임상에서 적극적으로 적용할 수 있을 것이다. 방 법: 불면증을 경험한 적이 있는 만 18세 이상의 성인 226명을 대상으로, 인구통계학적 변인, 불면증 경험, 수면위생 수칙에 대한 실행과 효과를 평가하는 항목들로 구성된 질문지를 실시하였다. 조사원이 일대일로 면담을 실시하여 질문지에 답하도록 하였다. 결 과: 잠자리에서의 각성과 관련된 수면위생 수칙은 비교적 많이 실행되고 또 수면에 효과가 있는 것으로 보고되었다. '매일 규칙적인 운동을 한다'. '잠자기 전에 뜨거운 물에 목욕을 한다'와 같은 수면의 항상성 추동과 관련된 수면위생 수칙들과 '잠자기 전 긴장을 풀어준다'와 같은 항목들은 평상시 실행도는 낮으나, 불면증이 있을 때 실행을 하면 매우 효과적이라 평가되었다. 결 론: 본 연구의 결과, 좀 더 강조해서 교육해야 하고 실행하도록 지도해야 할 필요가 있는 항목들을 발견할 수 있었다. 따라서, 불면증의 치료 프로그램에 이러한 수면위생 수칙에 대한 교육을 포함시키고 좀 더 실제적인 실행을 할 수 있도록 항목별로 자세하게 주지시킬 필요가 있겠다. 특히, 평소에 실행도는 낮지만 실행하였을 때 효과적이라고 평가된 세가지 항목들에 대해서는, 임상실제에서 불면증환자들을 대상으로 개별 항목별 치료효과를 측정하는 후속 연구가 시도될 만 하다고 사료된다. Objectives : The authors investigated the practice of sleep hygiene and its effectiveness in general population who had experienced insomnia. If we find the items which be little practiced but especially effective, we would establish empirical an and theoretical basis to design the treatment program for insomnia, therefore apply it in clinical practice. Methods : The 226 subjects who had experienced insomnia, were at the age above 18 in Seoul, Korea. The questionnaire included the demographic data, the experience of insomnia, and the practices and effects of sleep hygiene instruction. The interview was administered face to face by the investigators. Results : The subjects reported that they practiced many of the sleep hygiene items related with arousal in sleep setting, and that those items were effective. The items such as 'get regular exercise each day(H)', 'take a hot bath(H)', 'concentrate on the pleasant feeling of relaxation(A)' were not usually practiced, but these items were reported very effective for sleep. Conclusion : The findings suggested that there were sleep hygiene items which should be educated and directed to practice actively in treatment program for insomniacs. Some items, which were especially reported low practice but highly effective, would be recommended to be studied about each therapeutic effectiveness in follow-up studies.

Rorschach 검사에 나타난 경계선 인격장애집단의 방어기제

임혜진(Hye Jin Lim),신동균(Dong Kyun Shin),이민수(Min Soo Lee) 한국정신병리진단분류학회 2001 精神病理學 Vol.10 No.1

N/A N/A

차량용 EMI 케이블 경로와 전기적인 커플 링 체크 툴 시스템 개발

채창엽(Chang Yeop Chae),김해룡(Hae Lyong Kim),신동균(Dong Kyun Shin),오택원(Tack Won Oh),이근우(Keun Woo Lee) 한국자동차공학회 2017 한국자동차공학회 학술대회 및 전시회 Vol.2017 No.11

一部 自殺企圖者에 대한 社會精神醫學的 調査硏究

宋雲龍(Hae-Yong Song),廉容泰(Young-Tae Yum),申東均(Dong-Kyun Shin) 한국농촌의학 지역보건학회 1984 농촌의학·지역보건 Vol.9 No.1

Holtzman 잉크얼룩 檢査의 韓國標準化 : 第一編 韓國靑少年의 HIT 標準化 및 美國靑少年과의 比較 1. Standardizing HIT for Korean adolescents and comparison with American adolescents

申東均 고려대학교 의과대학 1975 고려대 의대 잡지 Vol.12 No.2

Author attempted the standardization of the Holtzman Inkblot Test for Korean. And at the first work, it was attempted to standardize the normative data in 105 samples of adolescents according to 22 variables of the HIT and to compare these normative data with Holtzman's normative data of American adolescents. The result of this study were as follow: 1. Using the normative data for adolescents, the T-score profile sheet was devised. 2. The results of comparative study of above-mentioned two groups were as follows. 1) In the cluster of reactions to the stimuli, the RT variable was significantly delayed in Korean adolescents. 2) In the cluster of manner of approach and organization of the blot, the S and the FD variables showed significantly lower scores in Korean adolescents. 3) In the cluster of reality contact and communality, all of the variables (FA, A and P) showed no significant differences. 4) In the cluster of intelligence and maturity, all of the variables (M, I, Br, H and Ab) showed signigicantly higher scores in Korean adolescents. 5) In the cluster of emotional responsivity, the C variable showed significantly lower scores, in which the Ax, the Hs and the Pn variables showed significantly higher scores in Korean adolescents but the Sh variable showed no significant difference. 6) In the cluster of psychopathology, all of the variables (V, Sx and At) showed no significant differences.

不安神經症, 精神病的 憂鬱症 및 精神分裂症에 있어서 Rorschach card 反應樣相 : 第一編:正常人의 Rorschach card에 있어서 反應誘發時間에 關한 反應樣相 I. The pattern of reaction time of Rorschach cards in normal adults

申東均 고려대학교 의과대학 1972 고려대 의대 잡지 Vol.9 No.2

Allen suggested that while the combinations of multiple dimensions of the stimuli in the Rorschach cards give much influences to the reaction time there is also time delay due to the subjects requirement of recovering and verbalizing a concept which is socially acceptable. With the measurement of reaction time in 10 Rorschach cards it was attempted to assess the reaction pattern of normal Korean adults. The results of this study were as follows: 1. In the analysis of variance of reaction time the difference between cards was significant at 0.01 level and the difference between subjects was significant at 0.05 level. 2. According. to the similarity of reaction times, the cards were classified into the following four groups(verified with t-test). First group includes card Ⅴ, second group includes card Ⅰ, Ⅲ and Ⅷ, third group includes card Ⅱ, Ⅳ, Ⅹ and Ⅶ, and fourth group includes card Ⅸ and Ⅵ. 3. In the trend analysis of variance of reaction time the linear regression was significant at 0.01 level (F=67.9097). 4. The linear functions of reaction time variability could be expressed in terms of the equation FRT=RpㆍS+LT, read to FRT(reaction time), Rp(reaction pattern quotient to card situations as subject's constant), S(variation of card situations) and LT(theoretical latent time). 5. In normal adult Rp was 2.64 and LT was 6.3. 6. These results led estabilishing the hypothesis that Rp offers an index to ego function for reality testing and LT offers to the degree of reality approach.

위내시경 검사환자에 대한 정신의학적 연구 : BDI와 STAI를 중심으로

신동균,조숙행,이성근 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.6

The authors studied the emotinal status of the medical outpatient who underwent gastroscopy for gastrointestinal complaints by means of BDI(Beck Depression Inventory) and STAI(State-Trait Anxiety Inventory). Also, the authors compared the degree of anxiety and depression according to each factors of demographic and other data which might influence emotional status. The subjects were 674 patients who underwent gastroscopy at Guro Hospital, College of Medicine, Korea University. from March 1 to September 30, 1986. The results are as follows : 1) There were no statistically significant differences in BDI and STAI between the negative group and positive group, and between the ulcer group and gastritis group. 2) There were no statistically significant differences in BDI and STAI between the gastric ulcer group and duodenal ulcer group, and among the chronic superficial group and erosive gastritis group and atrophic gastritis group. In atrophic gastritis group, there was no statistically significant difference in BDI and T-A among patients with mild, moderate or severe pathology. But in S-A, patients with severe pathology showed higher degree of anxiety than patients with mild or moderate pathology. 3) 25% of the positive group and 13% of the ulcer group and 23% of the gastritis group were rated as depressed by BDI(a score of 21 was used as criterion). 4) In the negative group, according to sex, there was significant difference in BDI and STAI. According to economic state, there was significant difference in BDI, but not in STAI. According to sleep pattern, there were significant difference in BDI and S-A, but not in T-A. 5) In the ulcer group, according to sex, education level, and sleep pattern, there were significant differences in BDI and S-A, but not in T-A. According to economic state, there was significant differences in T-A, but not in BDI or S-A. 6) In the gastritis group, according to age, there was significant differences in BDI but not in STAI. According to marital state, there was significant differences in BDI and T-A, but not in S-A. According to sex, economic state, educational level, early parental death, and sleep pattern, there was significant differences in BDI and STAI.

불응성 정신분열증 환자에서 Clozapine과 Haloperidol의 치료효과 및 혈장 Homovanillic Acid 농도 변화에 대한 비교

신동균,정인과,이민수,곽동일,김원 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.3

The purpose of this study was to evaluate the therapeutic effect of clozapine and the effect of clozapine on the change of plasma homovanillic acid(HVA) level compared with that of haloperidol in refractory schizophrenics. Nineteen refractory schizophrenic patients were divided into two groups. Nine patients were treated with clozapine and ten patients with haloperidol for 12 weeks, after one week of drug-free period. Brief Psychiatric Rating Scale(BPRS) and Positive and Negative Syndrome Scale(PANSS) were used to assess the therapeutic effects and plasma HVA levels were measured to evaluate the dopaminergic function before and during the treatment with clozapine and haplperidol. The results were as follows: 1) The ratio of therapeutic response(BPRS score decrement>20%) was 44.4% with clozapine treatment and 20% with haloperidol treatment. 2) Clozapine was significantly more effective in reducing the psychotic symptoms compared with haloperidol at 12th week on BPRS, at 10th and 12th week on PANSS, at 12th week on PANSS positive symptom subscale and 8th, 10th and 12th week on PANSS negative symptom subscale(p<0.05). Clozapine was more effective in reducing the positive and negative symptoms in the refractory schizophrenics campared with haloperidol. 3) The plasma HVA level was raised at 1st and 2nd week after treatment with haloperidol and then returned to the baseline level or lower. The plasma HVA level at 2nd week after treatment with haloperidol was significantly increased compared with baseline plasma HVA level(p<0.05). The plasma HVA level at 1st week after treatment with clozapine was significantly decreased compared with the baseline plasma HVA level(p<0.05). After that, plasma HVA levels did not significantly change during treatment with clozapine(p>0.05). 4) There were no significant correlation between the baseline plasma HVA level and the clinical improvement after treatment with clozapine(rs=0.05,p>0.1). And there were no significant correlation between the baseline plasma HVA level and the changes of plasma HVA level after treatment with clozapine(rs=-0.4,p>0.1). These findings suggest that the effect of clozapine on antidopaminergic function is weak and that clozapine may be effective in refractory schizophrenics by mechanism other than, or in addition to, dopaminergic receptor blockade.

삼풍사고 생존자들에서 스트레스 대처방식과 심리적 고통의 관계

신동균,이준상,이민수,최윤경 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4

국문초록동일한 외상적 스트레스를 경험했을 지라도 나타나는 증상과 증상의 심각도는 다양할 수 있으며, 이는 대처방식과 관련된 것으로 보인다. 따라서 어떤 대처방식이 스트레스를 다루는데 효과적인가 하는 문제에 관심을 가지게 되었다. 본연구에서는 624명의 삼풍백화점 붕괴사고 생존자들에게 대처방식 질문지를 사용하여 적극적 대처집단(n=67)과 소극적 대처집단(n=63)을 선정하였다. 적극적 대처집단과 소극적 대처집단에서 Beck의 우울증 척도(BDI), 상태-특성 불안척도(STAI), 사건의 영향척도(IES), 다면적인성검사(MMPI) 및 성격요인검사(16PF)에서의 점수들을 비교하였다. 그 결과, 소극적 대처집단은 적극적 대처집단 보다 불안, 우울, 외상적 스트레스에 대한 침입적 사고, 부인, 성격의 취약한 특성들을 더 많이 보고하였다. 이러한 결과는 삼풍사고 생존자들에서 문제집중적 대처와 사회적 지지 추구와 같은 능동적인 대처가 더 효율적이고 성공적임을 시사한다. 따라서 능동적인 대처를 훈련시킴으로써 외상적 사건의 생존자들이 일상생활에 복귀하고 적응하는데 도움을 줄 수 있을 것이다. ABSTRACT The Relationship of Coping Style and Psychological Distress in the Survivors of Sampoong Accident Yun Kyeung Choi, M.A., Min Soo Lee, M.D., Joon Sang Lee, M.D., Dong Kyun Shin, M.D. Departments of Psychiatry, College of Medicine, Korea University, Seoul Although the same traumatic stress was experienced, the presenting symptoms and their severity might be different. The difference could be associated with the coping style. Thus we were interested in which coping style is more efficient in dealing with stress. Among the 624 survivors of Sampoong Accident we selected active coping group(n=67) and passive coping group(n=63) using the Ways of Coping Checklist. These two groups were compared on scores in Beck Depression Inventory, State-Trait Axiety Inventory, Impact of Event Scale, MMPI, and 16 Personality Factor Questionnaire. The passive coping group reported that they were more anxious and depressive, and they showed more intrusive thought about traumatic stress, denial, and vulnerable factors of personality than active coping group. These results suggest that active coping style such as problem-focused coping and seeking social supports is more efficient and successful in case as Sampoong Accident. Therefore, for the survivors of extremly traumatic accident, training of active coping skills can be helpful for rehabilitation and adaptation in everyday life.