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60세 이상 노인 인구에서 인지기능과 우울증, 자살사고, 혈청지질농도와의 연관성
문정준,이봉주,김정은,김우진,김민효,박민경,송태홍,심주철,김경미,이정구,김영훈,Moon, Jung-Joon,Lee, Bong-Ju,Kim, Jeong-Eun,Kim, Woo-Jin,Kim, Min-Hyo,Park, Min-Kyong,Song, Tae-Hong,Shim, Joo-Cheol,Kim, Gyung-Mee,Lee, Jung-Goo,Kim, Young 대한생물정신의학회 2010 생물정신의학 Vol.17 No.4
Objectives : We investigated a correlation of cognitive function, depression, suicidal idea and serum lipid levels in Korean elderly over 60 years old to find risk factors of deprssion and cognitive decline. Methods : 834 persons participated in this study. Clinical evaluation was done at a point by using Mini-Mental State Examination in the Korean version of CERAD assessment packet(MMSE-KC). We also evaluated 165 persons that agreed to our exact examination for Geriatric Depression Scale(GDS), Scale for Suicidal Ideation(SSI), Hachinski Ischemic Score and serum lipid profile. Correlation analysis was used to evaluate correlation among serum lipid levels, MMSE-KC and SSI. One-way ANOVA was used for comparison of serum lipid levels and cognitive function, depression and SSI. We did a post-hoc analysis. Results : Depression and suicidal ideation were related with cognitive impairment in Korean elderly over 60 years old. Those who have more severe cognitive impairment and depressive symptom, have higher Hachinski ischemic score. We can see high HDL cholesterol levels only in the normal control group. Low total, HDL, LDL cholesterol were related with depression. Conclusion : There was high prevalence of depression in the Korean elderly over 60 years old and low serum lipid level was related with severity of depression and high suicidal ideation. In the normal control group, we can see high HDL cholesterol levels. To confirm this result, we need well-designed and wide range study.
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조선시대 사랑채 유형별 사용자의 영역에 따른 공간 분석
문정준(Moon Jung-Jun),최경란(Choi Kyung-Ran),박진아(Park Jin-A) 한국디자인학회 2011 디자인학연구 Vol.24 No.3
조선시대 초기에 전통가옥은 유교사상의 영향력이 적게 미쳐 가족 중심적인 구성을 가지면서 안채와 사랑채가 각각의 자율성을 가지고 있었다. 그러나 조선 중·후기에는 시대가 변화하면서 유교와 함께 성리학도 같이 발달하기 시작하였고 자연스럽게 남·녀 간의 일생생활 행위가 구분되면서 공간의 분화가 일어나기 시작하였으며 각 사용자 공간에서 영역의 자율성이 축소되었다. 사랑채 는 안채와의 연결 방법에 의해 세 가지 유형으로 나눌 수 있다. 공간의 분화로 인해 안채와의 연결성이 축소되었지만 유형에 따라 대상 가옥의 평면을 분석하면 공간적 요소에 의해 다양한 방법으로 사용자 영역이 확장된다. 그리고 사랑채의 사용자의 공간에서 각 사용자마다 서로 다른 위계에 의해 공간영역이 변화하며 영역의 변화는 사용자들 간의 상호관계에 의한 영향이 크다는 것을 알 수 있다. The traditional house of the early Chosun Era received little influence from Confucian Ideas, and had a composition centered around the family, with autonomy in terms of user domain in the An-Chea and the Sarang-Chae. However, as the times progressed into the mid and late Chosun Era, Neo-Confuciansim began to develop in step with Confucianism, causing division in spatial use as everyday activities of man and woman began to naturally become differentiated; this in turn causing autonomy in each user domain to be reduced. In terms of the Sarang-Chae, there are three types of methods in which the Sarang-Chae is connected to the An-Chea. Although due to division of the space the connectivity with the An-Chea was reduced, depending on the type, various means of user domain is expanded by analyzing the plane of the subject house with compositional elements. Furthermore, in the user domain of the Sarang-Chae, the spatial domain changes depending on the grade of rank within the status system for each user; and it can be seen that this change in domain is highly influenced by interaction between the users.
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정신교육 프로그램이 정신분열병, 정신분열형 장애, 분열정동장애 환자의 병식과 치료태도에 미치는 영향
김정은,문정준,김민효,김우진,박민경,송태홍,심주철 대한정신약물학회 2010 대한정신약물학회지 Vol.21 No.2
Objective This study aimed to confirm effectiveness of psychoeducation program on insight and treatment attitudes in patients with schizophrenia, schizophreniform disorder and schizoaffective disorder. Methods Seventy eight psychotic patients who were diagnosed as schizophrenia, schizophreniform disorder, and schizoaffective disorder by Diagnostic and Statistical Manual of Mental Disorders 4th edition Text Revision (DSM-IV TR) were included. Subjects who decline more than 30% compared with baseline in Positive and Negative Syndrome Scale (PANSS) scores participated in psychoeducation program. Insight and Treatment Attitudes Questionnaire (ITAQ) and Drug Attitude Inventory (DAI)were assessed at pre-psychoeducation, post-psychoeducation and 2 months after discharge to estimate insight and treatment attitudes. Results There were significant improvement in ITAQ and DAI scores at post-psychoeducation and 2 months after discharge. Increase in DAI scores related with high ITAQ scores at post-psychoeducation. Small changes in PANSS scores and ITAQ scores at post-psychoeducation had positive relationship. Subjects of late onset of illness and female took better ITAQ and DAI scores after psychoeducation. Conclusion This study showed that psychoeducation program would be effective for insight and treatment attitudes in patients with schizophrenia, schizophreniform disorder, and schizoaffective disorder. 본 연구를 통해 정신교육 프로그램이 정신분열병, 정신분열형 장애, 분열정동장애 환자의 병식과 치료태도의 향상에유의한 효과가 있음을 알 수 있었다. 기존의 연구들과 마찬가지로 병식의 향상과 약물에 대한 태도의 변화가 유의한 양의 상관관계를 보였고, 정신교육 프로그램의 효과에 영향을미치는 원인들로 성별, 연령, 발병연령, 입원횟수, 입원기간등이 있었다.
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