치과 치료 경험이 아동의 치과의사와 치과 치료에 대한 태도에 끼치는 영향에 관한 조사 연구

문필성,이광희 원광대학교 치의학연구소 1996 圓光齒醫學 Vol.6 No.1

The purpose of this study was to investigate the effect of dental experience on the attitude of children toward the dentist and the dental treatment. The subjects of the study were 1,090 children from second grade to forth grade of three elementary schools of the Iksan city. The children were investigated by the questionnaire which consisted of seven items about the attitude toward the dentist, the attitude toward the dental treatment, the dental reatment experience, the number of times of dental treatment, the last time of the dental visit, pain of dental treatment, and fear of dental treatment. There were significant differences among the grades in the attitude toward the dental treatment and in the attitude toward the dentist (P<0.01). Second grade children had the most negative attitudes. But, there were no differences between boys and girls. Girls felt more pain and fear than boys (P<0.01). There were significant relationships between the pain and the attitude toward the dentist, between the pain and the attitude toward the dental treatment, between the fear and the attitude toward the dentist, and between the fear and the attitude toward the dental treatment (P<0.01, all). The number of dental visit had significant relationship with the attitude toward the dental treatment (P<0.05). There were significant relationships between. the pain and the fear and between the attitude toward the dentist and the attitude toward the dental treatment.

치과 치료 경험이 아동의 치과의사와 치과 치료에 대한 태도에 끼치는 영향에 관한 조사 연구

허용욱,이광희,문필성,김대업 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.2

The purpose of this study was to investgated the effect of dental experience the attitude of children toward the dentist and the dental treatment.The subject of the study were 1,090 children from second grade to forth grade of three elementary schools of the Iksan city.The children were investgated by the questionnaire which cosisted of seven items about the attitude toward the dentist,the attitude toward the dental treatment,the dental treatment experience,the number of times of dental treatment,the last time of the dental visit,pain of dental treatment,and fear of dental treatment. There were significant differences among the grades in the attitude toward the dental treatment and in the attitude toward the dentist(P<0.01).Second grade children had the most negative attitudes.But,there were no differences between boys and girls.Girls felt more pain and fear than boys(P<0.01).There were significant relationships between the pain and the attitude toward the dentist,between the pain and the attitude toward the dentist, and between the fear and the attitude toward the dental treatment(P<0.01,all).The number of dental visit had significant relationship with the attitude toward the dental treatment(P<0.05).There was significant relationship between the pain and the fear between the attitude toward the dentist and the attitude toward the dental treatmen.

일차성 불면증 환자에서의 주간 졸림증과 연관된 수면변인에 대한 연구

이유진,이진성,손창호,이은혜,문필성,정도언,Lee, Yu-Jin,Lee, Jin-Sung,Sohn, Chang-Ho,Lee, Eun-Hye,Moon, Pil-Sung,Jeong, Do-Un 대한수면의학회 2005 수면·정신생리 Vol.12 No.2

목 적:본 연구에서는 일차성 불면증으로 진단받은 환자들과 대조군 사이의 주간 졸림증 정도를 비교하고 불면증 환자에서의 주간 졸림증과 야간 수면다원검사에서 산출한 수면 변인 사이의 상관관계를 평가해 보고자 하였다. 방 법:서울대학교병원 수면 클리닉에서 일차성 불면증으로 진단받은 환자 87명과 88명의 대조군을 대상으로 하였다. 한국판 엡워스 졸림증 척도로 두 군의 주관적인 주간 졸림증을 평가하여 비교하였고 불면증 환자군에서 야간수면다원검사상의 수면변인과 엡워스 졸림증 척도 사이의 상관관계를 평가하였다. 결 과:불면증 환자군(남자 43명, 여자 44명; 평균연령 $50.7{\pm}11.9$)의 엡워스 졸림증 척도가 대조군(남자 43명, 여자 45명; 평균연령 $52.0{\pm}14.0$)에 비해 유의하게 낮았다. 연령을 통제하였을 때, 불면증 환자군의 엡워스 졸림증척도 점수는 수면변인 중 총 수면시간(total sleep time, min), 수면 효율(sleep efficiency%), 2단계 수면 분율(stage 2 sleep time%)과 유의한 음의 상관관계를 보였다(각각 r=-0.232, p=0.034; r=-0.215, p=0.049; r=-0.349, p=0.001). 또한, 수면 중 각성 횟수(number of awakenings), 수면 중 2분 이상 각성한 횟수(number of awakenings>2 mins), 수면 중 각성시간(wake after sleep onset, min)과는 유의한 양의 상관관계를 보였다(각각 r=0.412, p=0.000; r=0.473, p=0.000; r=0.367, p=0.001). 불면증 환자군의 엡워스 졸림증 척도는 수면 잠복기(sleep latency, min), 1단계 수면 분율(stage 1 sleep time%), 서파 수면분율(slow wave sleep time%), 렘수면 분율(REM sleep time%)과 유의한 상관관계를 보이지 않았다. 결 론:본 연구에서 불면증 환자는 대조군에 비해 주간 졸림증 정도가 더 낮았으며, 불면증 환자의 주간 졸림증은 수면의 양적 질적 저하와 연관되어 있었다. Objectives: The purpose of this study was to assess the difference of subjective daytime sleepiness level between primary insomnia patients and healthy control subjects. We also investigated the relationship between subjective daytime sleepiness level and variables of nocturnal polysomnograghic sleep architecture of insomnia patients. Method: Total subjects were 87 patients with primary insomnia diagnosed with polysomnography and 88 normal controls. The daytime sleepiness level in each group was measured by Korean version of Epworth Sleepiness Scale (ESS). The correlations of ESS score and nocturnal polysomnographic variables were calculated in the patient group. Results: Patients with insomnia had the lower ESS scores than the control group. In patients group, the ESS score showed significant negative correlations with total sleep time, sleep efficiency%, and stage 2 sleep time%. The ESS score also showed significant positive correlations with number of awakenings, number of awakenings more than 2 minutes, and wake after sleep onset time. Conclusions: Insomnia patients showed lower level of subjective daytime sleepiness that may indicate their higher alertness comparing to control subjects. Daytime sleepiness of patients with insomnia was associated with polysomnographic variables including total sleep time, sleep efficiency%, stage 2 sleep time% and disrupted continuity of nocturnal sleep.

정신분열병 환자의 살인행동과 관련된 기질 및 성격 특성

정재열(Jaeyeul Jung),정석훈(Seockhoon Chung),문필성(Pilsung Moon),김창윤(Chang Yoon Kim),홍진표(Jin Pyo Hong) 대한사회정신의학회 2007 사회정신의학 Vol.12 No.2

연구목적: 기질성격검사를 통하여 살인행동을 보인 정신분열병 환자의 인격적 특성을 알아보고자 한다. 방 법: 살인행동을 보인 정신분열병 환자 84명과 살인행동을 보인 적이 없는 정신분열병 환자 100명, 정상대조군 61명을 대상으로 하여 한국판 기질성격검사를 시행하였다. 일원배치분산분석과 t-검증을 통하여 세 군 간의 기질성격검사의 결과를 비교하였다. 구조화된 면담도구인 SCID(Structured Clinical Interview for DSM-Ⅳ)를 이용하여 진단을 하였고, 양성 및 음성 증상척도 (Positive And Negative Syndrome Scale, PANSS)를 측정하였다. 공격성척도는 LHA(Life History of Aggression)를 사용 하였다. 결 과: 새로움추구요인(Novelty seeking)은 살인행동을 보인 정신분열병 환자들(homicidal schizophrenic patients, HS)이 살인행 동을 보인 적 없는 정신분열병 환자들(non-homicidal schizophrenic patients, NHS)보다 더 낮은 것으로 나타났다(p=0.01). 위험회피요인(Harm avoidance, HA)과 자기초월성(Self-transcendence, ST)은 두 정신분열병 환자군(HS, NHS)에서 일반 대조군에 비해 유의미하게 높게 나왔다(p<0.01). 보상의존요인(Reward dependence, RD)과 자기중심성(Self-directedness, SD), 사회협조성(Cooperativeness, C)은 일반대조군에 비해 낮은 점수를 보였다(p<0.01). 양성 및 음성 증상척도의 총합점수와 인구학적 변인의 차이는 보이지 않았다. 결 론: 높은 새로움추구요인(Novelty seeking)은 살인행동을 보인 정신분열병 환자들의 인격적 특성이 아니며 이번 연구를 통해 기존의 연구결과에서처럼 정신분열병 환자들이 일반대조군에 비해 높은 위험회피요인(HA)과 자기초월성(ST)을 보인다는 것을 확인하였다. Objectives:The aim of this study was to assess dimensions of temperament and character in homicidal schizophrenic patients by using the temperament and character inventory(TCI) which was defined based on Cloninger’s biosocial model. Subjects and Methods:Eighty four homicidal schizophrenic patients and 100 non-homicidal schizophrenic patients and 61 normal controls participated in this study. We used the Korean version of the TCI to compare these 3 groups. Diagnostic evaluation was made with Structured Clinical Interview for DSM-Ⅳ(SCID), and symptom evaluation was made with Positive and Negative Syndrome Scale(PANSS), and violent behavior was assessed with Life History of Aggression(LHA). Results:Novelty seeking(NS) was lower in homicidal schizophrenic patients(HS) than non-homicidal schizophrenic patients(NHS)(p=0.01). Harm avoidance(HA) and Self-transcendence(ST) were higher in two schizophrenic patients groups(HS, NHS) than normal control(p<0.01). In two schizophrenic patients groups(HS, NHS) Reward dependence(RD) and Self-directedness(SD) and Cooperativeness(C) were lower than normal control(p<0.01). Conclusion:The author found that higher NS was not a characteristic of homicidal schizophrenic patients comparing with non-homicidal schizophrenic patients. This study replicates the results of previous studies suggesting that schizophrenic patients have high HA and high ST.