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김황년 大韓神經精神醫學會 1987 신경정신의학 Vol.26 No.4
The characteristic feature of akathisia - a subjective sense of restlessness - may be accompanied by a variety of behavioral manifestations that range from fidgeting and irritability to an inability to sit still, sleep disturbance, hyper-activity, and extreme agitation. The author reported two cases. Each of the cases revealed impulsive self-mutilation or suicidal attempt, concurrent with neuroleptic-induced akathisia was treated. The author belives along with some review over literature that akathisia often exacervates psychotic agitation and sometimes contributes to impulsive self-multilation and suicidal behavior. The cases reported here attest to the need for early diagnosis and aggressive treatment of akathisia.
백인호,김광수,김황년 大韓神經精神醫學會 1983 신경정신의학 Vol.22 No.2
This study was designed to support the conception of delusional unipolar depression as a distinct subtype of depressive illness. The clinical course, symptoms and treatment response of 13 delusional and 74 nondelusional unipolar depressed patients were compared in a retrospective analysis. The results were as follows: 1) Age at inset of the delusional patients was older than that of the nondelusional patients (t-test, p<.05). 2) The delusional patients had more self-reproach, insomnia and were more ruminative, agitated and referential than the nondelusional patients (p<.001, p<.05, p<.05, p<.01, p<.001). 3) The delusional patients had poor responses to tricyclic antidepressant therapy or tricyclic-antipsyychotic combination therapy compared with nondelusional patients (p<.001, p<.05).
김황년,석재호 大韓神經精神醫學會 1987 신경정신의학 Vol.26 No.4
This study was designed to investigate the characteristic features of the suicidal attempt from the view points of socio-environmental factors and psychopathology thought to be contributing to the problems of suicide in the army. The subjects were those who attempted to suicide and were transferred to the OO Armed Forces General Hospital, from the period of January 1, 1985. To March 31, 1987. The result may be summarized as follows; 1) Religious status revealed that 56.7% of the cases claimed to have affiliated with no religions where as 43.3% affiliated to various religions. 2) Among the attempters, 80% attempted to suicide within one year after the enlistment. 3) The suicidal attempt was the lowest in autumn and highest in the spring. 4) Drug ingestion was the most common mthod of the attempt(40%), and insecticides were the most common drugs(41.7%). 5) The most apparent dynamic motive of the suicides was guilty or inferiority feeling according to maladjustments in role performance. 6) Among the attempters, 43.3% belonged to the diagnostic category of personality disorders.