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RISS 인기검색어
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- 저자 : 강윤형(Yun Hyoung Kang) (검색결과 5 건)
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충청지역 ‘정신건강 전문가 학교방문지원사업’에 참여한 초등학생 중 학교폭력 경험군의 임상적 특성
유세영 ( Se Young Yoo ),강윤형 ( Yun Hyoung Kang ),홍현주 ( Hyun Ju Hong ),이종국 ( Jonggook Lee ),손정우 ( Jung-woo Son ),이제정 ( Je Jung Lee ) 한국정신병리진단분류학회 2020 精神病理學 Vol.24 No.2
Objectives: This study examined the characteristics of elementary school students who were referred to the Professional school visits outreach project in 2017 and 2018 and analyzed the emotional and behavioral characteristics of the students who experienced school violence. Methods: 160 elementary students were included in the analysis and the participant’s parents were asked to complete the Child Behavior Checklist 6-18. To obtain general information and experience of bullying, a semi-structured interview with the student, parents and the teacher was conducted. Results: The participants had a high proportion of vulnerable groups, and the main presumptive diagnoses were ADHD and depression, which were similar to those of the clinical group. Experiences of child abuse increased the risk of experiencing bullying (OR=2.16, p,0.5). The median scores of rule-breaking (p=.03) and aggressive behaviors (p=.01), externalization (p=.01) and conduct problems (p<.01) were significantly different among bullying participant roles. Bullies exhibited the most serious emotional behavior problems. Conclusion: The group with experience of school violence had more social immaturity and behavior problems, and less social and adaptability than the group without experience. Bullies had severe rule-breaking, aggression, externalization, and behavior problems, and showed the most problems in emotional behavior, and victims showed a tendency to have poor social and adaptation skills.
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충청지역 ‘정신건강 전문가 학교방문지원사업’에서 자해나 자살시도군의 특성
이제정(Je Jung Lee),강윤형(Yun Hyoung Kang),홍현주(Hyun Ju Hong),김영훈(Young Hoon Kim),손정우(Jung-Woo Son) 대한신경정신의학회 2020 신경정신의학 Vol.59 No.1
Objectives This study examined the characteristics of students who participated in the ‘Professional School Visits Outreach Project’ and evaluated the factors affecting self-injury or suicidal attempts. Methods In a cross-sectional study, psychiatrists or mental health professionals conducted a semi-structured interview with 296 students, families, and teachers in Chungcheong province and recorded the socioeconomic status (SES), past psychiatric history, current clinical symptoms, and mental status exams. Logistic regression analysis was performed on the variables with differences between the students who had attempted self-harm or suicide and those who had not. Results The subjects of this study belonged to a relatively low SES. In addition, their provisional diagnosis was mainly attention-deficit/hyperactivity disorder (38.5%) or depression (29.1%). Approximately 18.2% of students had attempted self-injury or suicide. The variables with differences between students who had attempted self-harm or suicide and those who had not, were female [odds ratio (OR) 2.878, p=0.002], provisional diagnosis of depression (OR 3.045, p=0.001), and a history of bullying victim (OR 1.927, p=0.048). Although the risks of self-injury or suicidal attempts were not increased by child abuse alone, it was increased in girls who experienced both childhood abuse and bullying victim (OR 4.222, p=0.002). Conclusion The ‘Professional School Visits Outreach Project’ provides therapeutic opportunities for low SES and high-risk adolescents with multiple difficulties, such as child abuse, bullying victim, and suicidal behaviors. In addition, the recurrent experience of trauma in girls appears to increase the risk of adolescent self-injury or suicidal attempts.
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김병로,강윤형,홍경수,유범희,김승태 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.1
정신분열병 환자의 항정신병 약물 유지치료에 관한 임상의들의 의견을 통해 실제 치료 현황을 살펴보고자, 서울, 경기 일원에서 진료에 종사하는, 임상 경험이 최소한 2년 이상이고 50세 이하인 정신과 의사들을 대상으로 우편 조사를 시행하였다. 대상자 453명에게 설문지를 보내어 215명으로 부터 유효한 응답을 얻었다(응답률 47%). 응답자들은 유지치료 전략 가운데 약물치료에 가장 큰 비중(58%)을 두고 있었다. 응답자 대다수(79%)가 Halo-peridol을 가장 선호하였고 전체적으로 일일 상용 유지 용량은 Chlorpromazine 치환량으로 383±229(75∼1250)mg이었으며 유지 기간은 첫 발병인 경우 1.8±1.0(0.25∼7.5)년, 두 번 이상의 발병인 경우 3.9±1.8(0.5∼10)년으로 개인적 변이가 컸다. 치료 비중도에서 전공의군이 전문의군에 비해 정신치료에 대한 비중이 높았고 진료기관 유형에 따라 치료 비중도, 유지 용량및 유지 기간 등에서 차이를 보였다. 유지치료 방침에 대해서는 대다수(93%)가 '일정 용량을 장기적으로 유지한다'는 의견을 보였다. 약물 유지치료에 대한 기존 지침에 만족하는 경우(4.3%)는 매우 적었다. 정신분열병의 약물 유지치료에 관한 내용과 방법은 임상의마다 다양하였고 진료 환경이나 임상의의 연한이 이에 영항을 미치고 있었다. 향후 임상가들 마다 상이한 의견 차이를 좁히고 임상에서 유용한 치료 지침을 마련하기 위해서는 임상 연구와 함께 약물 역학적(pharmaco-epidemiological) 연구가 절실히 필요하다. We investigated the actual status of antipsychotics maintenance therapy(AMT) for schizophrenic patients through a mail survey sent to psychiatrists practicing in Seoul and Kyonggi province who had no less than two years of psychiatric expertise and who were below fifty years of age. Out of 453 questionnaires sent, 215 completed questionnaires were returned (response rate 47%). The majority of respondents considered pharmacotherapy as the most important longterm treatment strategy for schizophrenia. Haloperidol was selected by the majority as their first choice neuroleptics. The proposed mean daily maintenance dosage was 383±229(75-1250)mg in chlorpromazine equivalent. The mean duration of AMT was 1.8±1.0(0.25-7.5)years after the first episode and 3.6±1.8(0.5-10)years after multi-episodes. Psychotherapy was regarded as more important by the resident psychiatrists group than by the certified psychiatrists group. There were preferential differences for a particular treatment strategy, dosage and duration of AMT among the different clinics. A great number of respondents(93%) regarded long-term continuous maintenance as their major AMT policy. Only a few respondents(4.3%) were satisfied with the established guidelines for AMT in treatment of schizophrenia. The results show considerable variations in psychiatrists opinions on AMT which was influenced by grades of expertise of the clinician and the working environment of the clinic or the hospital. To decrease these variabilities and make clinically useful guidelines, it will be necessary to do further pharmacoepidemiological studies as well as other types of related clinical research.
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