靑少年期 精神疾患에 關한 臨床的 考察

郭東日,洪聖均,李祥淵 최신의학사 1975 最新醫學 Vol.18 No.2

This study is intended to investigate the various factors of three hundred five adolescents of outpatients who visited the department of neuropsychiatry, Woo Sok Hospital, Korea University during the period from Jan. 1970 to Dec. 1972. The result were as follows: 1. As to age and sex distribution, the most frequent age group was 18 year old patients (18.0% of the study group). The male patient was highly distributed at the age of 18 and 20, and the female patient was highly distributed at the age of 16. 2. As to the diagnostic categories according to age groups, it was revealed that neuroses was the most common at the age of 12, 13, 16, 19 and 20, and schizophrenia was the most common at the age of 14. 15, 17 and 18. As a whole, male patient had a higher rate than female patient in schizophrenics and female patient had a higher rate than male patient in neurotics. And it was revealed that neuroses was the highest rate of 36. 1%, and schizophreia(35.7%), psychophysiologic disorders(12.5%), affective psychoses(9.8%) were the higher rate in this order(305 of the study group). 3. As to yearly diagnostic distribution, it was the author's impression that the psychiatric disorders of adolescence was on the increase in Seoul area. 4. As to the socio-economic status according to diagnostic categories, the middle upper classes tend to have relatively more affective psychoses or personality disorder and the middle lowers classes tend to have neuroses or schizophrenia. As a whole,' the most patients came from the middle lower classes families. 5. As to the number of previous psychiatric consultation, the cases of none-previous psychiatric consultation were 80.3%.

전환장애와 신체화장애의 임상적 비교 연구

김정일,정인과,곽동일 大韓神經精神醫學會 1987 신경정신의학 Vol.26 No.2

In this study, the author investigated the various clinical characteristics of 40 female patients with conversion disorder and 28 female patients who somatization disorder, who visited the neuropsychiatric department of Korea University Guro Hospital during the period from September, 1983 to July, 1986. And additional attempt was made to compare the clinical characteristics between the two groups. The results are as follows. 1) The conversion disorder patients had significantly earlier onset than somatization disorder ones(p<0.05). 2) There were no significant differences in occupation, education, and religion between conversion disorder and somatization disorder. But the economic state of somatization patients was significantly higher than that of conversion disorder(p<0.05). 3) There were no significant difference in duration of hospitalization, but admission via OPD was more frequent in conversion disorder than in somatization disorder. 4) Of the symptoms of conversion disorder, muscle paralysis, muscle weakness, walking difficulty and loss of voice were more common. Of the symptoms of somatization disorder, sickly, cardiopulmonary symptoms, and psychosexual symptoms were more common. 5) The duration of symptoms in somatization disorder was longer than in conversion disorder(p<0.05). 6) Targets of secondary gain had no significant difference between the two disorders. 7) The clinical response in conversion disorder was better than in somatization disorder, but the duration of OPD follow up after discharge was significantly shorter in conversion disorder than in somatization disorder(p<0.05). 8) Somatization disorder had more personality problems than conversion disorder. 9) The current physical disorder or condition in somatization disorder was more frequent than in conversion disorder but had no statistical significance. 10) There was no significant difference in severity of psychosocial stressor between these two disorders. 11) The highest level of adaptive functioning during the past year was lower in somatization disorder comparing to conversion disorder(p<0.05).

酒精中毒

郭東日 大韓法醫學會 1979 대한법의학회지 Vol.3 No.1

The category of alcoholism is for patients whose alcohol intake is great enough to damage their physical health, or their personal or social functioning, or when it has become a presequisite to normal functioning. The author described the epidemiology and social consequences, the physiological effect of alcohol, the personality factors, the causes and the treatment of alcoholism.

정신과 환자군에서 경한 스트레스요인(Minor Stressor)의 평가 : 불안, 우울장애 환자 중심으로 for the Patient with Anxiety or Depressive Disorder

이봉현,조숙행,곽동일 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

본 연구는 1995년 3월 2일부터 1995년 9월 2일까지 약 6개월에 걸쳐 고려대학교 의과대학부속 구로병원 정신과에 내원한 환자중 DSM-IV 진단기준상 불안장애, 우울장애(주우울장애와 불쾌기분장애 포함)에 부합되는 환자들과 신체적 질환 및 정신적 질환이 없는 건강한 일반인을대상으로, 경한 생활사건스트레스를 측정하는 매일 스트레스평가서(DSI), 주요 생활사건척도, 우울척도(BDI), 불안척도(STAI)등을 사용하여 측정후 비교분석하여 다음과 같은 결과를 얻게 되었다. 1) 경한 생활사건스트레스는 사회인구학적 변인에 따라 차이를 보이지 않았다. 2) 경한 생활사건의 빈도, 경한 생활사건으로 인한 스트레스의 지각정도 및 취약성은 환자군이대조군보다 높은 경향을 보였고 특히, 불안장애군에서 가장 높았으나 통계적 유의성은 보이지 않았다. 3) 경한 생활사건스트레스중 불안장애군은 개인능력 요인에서, 우울장애군은 환경스트레스요인에서 대조군에 비해 유의하게 높은 취약성을 보였다. 4) 경한 생활사건스트레스는 주요 생활사건스트레스와 관련이 없었다. 5) 경한 생활사건스트레스는 주요 생활사건스트레스보다 우울, 불안점수와 더욱 높은 상관관계를 보였다. The purpose of this study was to evaluate the effect of minor stressor to the patients with the psychiatric disorders[depressive disorder(major depressive disorder and dysthymic disorer),anxiety disorders according to the criteria of DSM-IV]and control group(N=40). Minorstressor was measured by the Daily stress inventory(DSI) and major life event stress was measured by the Major life event stress inventory. The severity of anxiety and depression were measured by the Beck Depression Inventory(BDI), State-Trait Anxiety Inventory(STAI). The one week DSI impact/event ratio(I/E ratio ; the index of vulnerability to stressful events) score was not affected by the demographic factors. There was no significant difference on DSI scores(event, impact, impact/ event ratio) in minor stressor between the depressive disorder, anxiety disorder and control group, but the anxiety group had the highest DSI scores. The one week DSI scores were not correlated with the score of major life event stress, but positively correlated with the score of BDI, STAI(p<.001) in patient group. And the scores of BDI, STAI were positively more correlated with DSI score than the stress of major life events. The authors concluded that the minor life event as well as the major life event were closely associated with the anxiety and depressive symptoms of patient group. So the DSI seems to be very effective tool to evaluate the minor life event stress. Using a stable baseline of at least 1week and recording DSI scores throughout treatment would provide a potentially useful measure of the course and impact of various interventions, such as medication effects, stress management gainsand response to biofeedback.

리듐療法

郭東日 대한의학협회 1974 대한의학협회지 Vol.17 No.11

스크럼(Scrum) 기반 소프트웨어 개발 프로젝트의 범위 검증 및 통제 방법론

곽동일,백동현 한국프로젝트경영학회 2012 한국프로젝트경영학회 학술대회 Vol.2012 No.1

精神神經科

郭東日 藥業新聞社 1984 (月刊) 醫藥情報 Vol.1984 No.6

早期父母死別과 MMPI의 臨床尺度

郭東日 大韓神經精神醫學會 1979 신경정신의학 Vol.18 No.2

Twenty-one depressive neurotics who experienced the death of one of their parents before age of ten were studied at the Department of Neuropsychiatry, Korea University Hospital from 1975 to 1978. Those patients completed MMPI during the course of their clinical assessment. Using a one-tail and a two-tail ‘t’test, the mean scores on the F scale, neurotic triad, and psychotic tetrad of the early bereaved, early mother bereaved, early father bereaved, early bereaved men, early bereaved women, early father bereaved women, early father bereaved men, and nondepressiveearly bereaved patients were compared with those of non-bereaved depressive patients matched for sex by decade of birth, who had their parents alive until at least age 25. The results of the study were as follows; 1. The F and Pa scales were statistcally significant in the early bereaved (p<0.01 and p<0.05). 2. The F and Pa scales were statistically significant in the early mother bereaved (p<0.05 and p<0.05), and the F scale was also statistically significant in the early father bereaved (p<0.05). 3. Only the F scale was statistically significant in the early bereaved men (p<0.05), but the F, D, Pa, Pt, and Sc scales were statistically significant in the early bereaved women (p<0.05). 4. The F, D, Pa, Pt, and Sc scales were statistically significant in the early father bereaved women (p<0.05), and there was no significant difference in the early father bereaved men. 5. There was no significant difference in the early bereaved (non-depressive).

韓國人의 恐怖 對象

郭東日 고려대학교 의과대학 1973 고려대학교 의과대학 잡지 Vol.10 No.1

T-50 외부연료탱크 날개에 적용된 진동 응력 생성 기법

곽동일,백승길,박구환,김영익 한국항공우주학회 2005 한국항공우주학회 학술발표회 논문집 Vol.- No.-