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민성길,전우택,김동기 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.3
Objectives : This study was designed to evaluate the quality of life (QoL) of North Korean defectors in South Korean society and to identify factors influencing their quality of life. Methods : Subjects consisted of 151 defectors. Instruments were Korean version of WHOQOL-Bref, a questionnaire for demographic data, Beck Depression inventory (DBI) and part of PTSD of Korean version of SCID. Results : Generally QoL of the subjects was relatively higher in relations to domains of psychological and physical health, and facets of negative feeling, transportation, mobility, Physical pain and discomfort, personal belief, health and social care, work capacity, self-esteem, and thinking ability. However, QoL was relatively lower in environment domain and lowest in facets of financial resource, leisure activities and opportunity for new information and skills. A higher QoL was related to living with a spouse, having a job, having higher income and religious faith. A lower QoL was related to older age, having larger family, physical diseases, depression and PTSD. Path analysis showed that physical health and psychological domains directly influenced overall QoL while other domains influenced overall QoL indirectly. Conclusion : These results suggest that, to improve QoL of defectors, support in providing job and leisure activities, health service, especially mental heath service, and education program for new information and skills are needed.
민성길 大韓神經精神醫學會 1982 신경정신의학 Vol.21 No.4
The authors studied consultees' acceptance of psychiatric consultants' opinions on 602 inpatients who were referred to the department of psychiatry at Yonsei University Hospital during the period from January 1st to December 31, 1981 and also on other related problems which psychiatric consultation-liaison service is facing in the general hospital. The results showed that the frequency of consultation was still as low as 2.41% of total inpatients, but did show some increase comparing with author's previous study in 1977. The demographic data showed nothing significant except that the department of internal medicine had referred most patients. Survey of the medical records revealed that many consultees had already prescribed psychotropic drugs even before consultation in spite of their lack of understanding on the patients' psychiatric problems. Of psychiatrists' diagnoses, neurotic depression was most frequent. And gastrointestinal system was most frequently involved organ system, which seems to reflect the characteristic tendency of somatization in Korean patients. Psychiatrists' opinions regarding psychiatric diagnosis were accepted in 68.3% of 414 patients recommended. Recommendation of psychological test, psychotherapy and transfer to the department of psychiatry were accepted in only one third of patients recommended. However, recommendation of psychotropic meditation was accepted in almost all patients. This gap seems to reflect nonpsychiatrists' typical attitude toward psychiatric consultation. With these disturbing findings, the author discussed on the strategies for improving nonpsychiatrists' understanding of possible psychiatric problems in their patients and undesirable attitude toward consultation-liaison service of psychiatry.
민성길 大韓神經精神醫學會 1990 신경정신의학 Vol.29 No.4
Biological, phenomenological and pharmacological studies on obsessive-compulsive disorder were reviewed. Obsessive-compulsive disorder has some common manifestations with other psychiatric disorders, particularly depression, which are known to have biological findings as important etiologies. There are many reports on family studies and twin studies which have shown evidence that obsessive-compulsive disorder is a genetic disorder. The effect of psychosurgery, some experiments stimulating the brain, and development of obsessive-compulsive symptoms in brain disorders suggest the anatomical basis of obsessive-compulsive disorder. Many pharmacological studies suggest that serotonin is closely related withobsessive-compulsive disorder. Integrating these findings, it has been suggested that a software package for genetically related ritualistic patterns of behavior is located somewhere in the basal ganglia, connected with the limbic system and frontal lobe. Stress or stimuli, which are perceived as being dangerous, release those ritualistic obsessive-compulsive behavior patterns stored in the intrinsic package circuit. Once the circuit is operating, this obsessive-compulsive behavior can not be controlled by will. The proposed uptake blocking drugs such as clomipramine and fluoxetine may inhibit this process. However, the etiology of obsessive-compulsive disorder could not be this simple. Thus, the integration of these biological theories and psychodynamic explanations will be a very stimulating research subject in the future.