권골 부정유합의 외과적 처치 및 문헌고찰

한응열(Eung Yul Han),김신묵(Sin Mook Kim),안병후(Byung Hoo Ahn) 조선대학교 구강생물학연구소 1985 Oral Biology Research (Oral Biol Res) Vol.8 No.-

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외래치료명령제-정신질환자의 재활을 돕는 제도

홍진표(Jin-Pyo Hong),이동은(Dong-Eun Lee),김병후(Byung-Hoo Kim),최용성(Yong-Sung Choi),서동우(Tong-Woo Suh),김진학(Jin-Hak Kim),박종익(Jong-Ik Park),정은기(Eun-Kee Chung) 대한사회정신의학회 2001 사회정신의학 Vol.6 No.1

정신보건법이 제정된 후 정신질환자의 인권보호 및 삶의 질 향상을 기대했지만, 장기입원은 오히려 가속화되고 있고, 만성정신질환자의 지역사회 관리는 제대로 이루어지지 못하고 있다. 본 논문의 목적은 이런 어려움을 극복하기 위해 미국, 호주 등에서 실시되고 있는 외래치료명령제를 소개하고 국내에 도입 필요성을 강조하기 위함이다. 외래치료명령제는 정신분열병, 조울정신병같은 만성적인 정신질환을 앓고 있어서 지속적인 약물치료가 필요한 환자들이 병식이 부족하여 치료가 중단됨으로써 반복적으로 재발되는 환자들을 지역사회에서 치료받도록 법적으로 강제하는 제도이다. 외국 연구들은 외래치료명령제를 실시할 경우 재발율이 낮아지고, 입원기간이 단축되는 등 많은 효과를 보고하고 있다. 외래치료명령제가 환자의 인권을 침해하고 치료를 거부할 권리를 제한한다는 주장이 있다. 따라서 대상을 엄격히 제한하고 치료를 거부할 권리에 대한 심사를 강화하면서 외래치료명령제를 실시한다면 비의료적 이유로 장기입원된 환자들이 지역사회에서 치료를 받을 수 있는 권리를 오히려 보장하게 될 것이다. 외래치료명령제가 실시되기 위해서는 정신보건법이 개정되어야 하며 정신보건전문가의 철저한 이해와 적극적인 협조가 필요하다. After legislation of the Mental Health Law in 1995 in Korea, we have anticipated improvement of human rights and quality of life of the mentally ill. But the recent result shows contradictory to our anticipation that long-term hospitalization has been validated and community care of chronic mental patients has gone too far distant. The objective of this article is to introduce the involuntary outpatient commitment which were used as an aid for rehabilitation of the chronic mentally ill in United States and Australia and to insist on the necessity of involuntary outpatient commitment in Korea. Involuntary outpatient commitment is a form of civil commitment in which the court orders an individual who have been poorly compliant to treatment and recurrently relapsed to comply with a specific outpatient treatment program. Many studies reported that involuntary outpatient commitment appears to provide improved outcome in rates of rehospitalization and length of hospital stay. Considering some arguments that outpatient commitment entails excessive state intrusion and interferes with the right to refuse treatment, explicit criteria of outpatient commitment should be operationalized and strict review system for refusal of treatment should be applied. Outpatient commitment decreases the time individuals must spend in psychiatric hospitals and enhances the right to be treated in the least restrictive ways. Mental health law should be revised for involuntary outpatient commitment. And understanding and cooperation of mental health personnels is the essential component in implementing involuntary outpatient commitment in Korea.

알콜 중독환자 가족과 일반가족의 정신증상 발현율과 가족기능에 관한 비교연구

김소야자,이만홍,황미희,남궁기,김병후,김선아 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.6

For designing practical intervention modality of alcoholic family, the authors analysed the differences of occurrence in mental symptoms, family adaptation and coersion, and life satisfaction between family members of alcoholism and those of normal in 3 Kangwha districts(Myun). 1) Family members of alcoholism showed higher scores in 6 of 9 symptoms ; obsessive-compulsive, depression, anxiety, hostility, paranoid ideation, psychoticism, than those of normal group, but the difference was not staticticaly significant. 2) The family coersion score of alcoholic family was 20.3, significantly(P<0.1) lower than 22.2 of normal family, and the family adaptation score of alcoholic family was 30.3, also significantly(P<0.01) lower than 34.6 of alcoholic family in t-test. The life satisfaction of normal family was higher than those of alcoholic family, and this difference was statisticaly signicant(P<0.01).

신경섬유종증 환자의 외과적 치험 2례

여환호,안병후,김수관,김영균 大韓顎顔面成形再建外科學會 1992 Maxillofacial Plastic Reconstructive Surgery Vol.14 No.4

Tumors arising from nerve tissue are uncommon in the oral maxillofacial regions. Neurofibroma, a benign neurogenic tumor, can occur as circumscribed solitary or multiple lesions. A solitary neurofibroma is seldom undergo sarcomatous transformation, but fibromatosis is common. Therfore, it is important that we observe the oral and radiographic changes to help minimize the tremendous potential of the disease for facial disfigurement and altered function. The turmors were exised and there are no evidence of recurrence. The patients are satisfied with function and esthetic aspects.

권骨 不正癒合의 外科的 處置 및 文獻考察

韓應烈,金信默,安秉厚 朝鮮大學校 口腔生物學硏究所 1985 口腔生物學硏究 Vol.8 No.-

한국어판 소아용 진단적 면담검사의 개발과 타당도 조사

송동호,김병후,남궁기,이혜련,신승철,이성훈,고복자,김경희,이만홍,노경선 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.4

National Institute of Mental Health Diagnostic Interview Schedule for Children (NIMH-DISC) was translated into Korean version through several times of back-translation and expert-review. We studied the validity of NIMH-DISC Korean Version by examining agreements between DISC diagnoses and clinical diagnoses. 52 subjects and their parents were concurrently interviewed by lay-interviewers using the DISC, who had been trained for 10 weeks. Of the all subjects, 27 were outpatients or inpatients at child psychiatric clinic of Yonsei Hospital and 25 were the psychiatric outpatients at School Health Center. The results were as follow; 1) It was necessary to several times of back-translation and expert-review in developing the Korean Version of DISC. 2) Kappa values of agreement between DISC diagnoses and clinical diagnoses were low except schizophrenic disorder, so DISC does not seem to be useful to diagnose the child psychiatric disorders.

장기간 이별 후 고대하던 가족과의 재회를 통한 정서적 해소효과

유빈,석정호,김혜선,김병후,유계준 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.3

Objectives : Separation and reunion is common experiences in our life but enduring unwanted early-life separation from family members may be a distressful event. This study was executed to observe emotional resolution in the subjects who eagerly desire and experience reunion with their families after long-lasting separation. Methods : Thirty subjects who have participated in the reunion program of the Korean Broadcasting System (KBS) from April 2005 to July 2005 were interviewed to assess their demographic characteristics and memories about separation. Their anxiety and depressive mood were assessed using Spielberger’s State-Trait Anxiety Inventory, Beck Depression Inventory, Hamilton Depression Rating Scale and Hamilton Anxiety Rating Scale before the family reunion. At the time of the reunion, psychological states of 14 participants who were able to meet their family members were assessed again using the same assessment tools and the follow-up assessment was performed for one possible case at 7 months after the reunion. Results : The depression and anxiety levels of most subjects were significantly decreased after the reunion. Standardized T scores of their state-anxiety were mostly in abnormal range before the reunion but most of their anxiety levels were reduced within normal range after the reunion. Duration of education was negatively correlated with trait-anxiety level and duration of separation respectively even though trait-anxiety levels were not directly correlated with duration of separation. Emotional acceptability about childhood separation tended to contribute to the increased anxiety level. Conclusion : This is the first study to assess psychological distresses of the Korean people who have suffered from long-lasting separation with their families. The results in this study suggest that the eagerly desired reunion after long-lasting separation from family may have a resolutive effect for emotional distress, further study will be needed for larger population suffering from early-life separation.