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RISS 인기검색어
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- 저자 : 백경원(Kyoung Won Paik) (검색결과 3 건)
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김지민,백경원,신홍범,김수인,연규월,임원정,Kim, Ji-Min,Paik, Kyoung-Won,Shin, Hong-Beom,Kim, Soo-In,Yun, Kyu-Wol,Lim, Weon-Jeong 대한수면의학회 2005 수면·정신생리 Vol.12 No.2
Zolpidem은 벤조디아제핀 수용체에 선택적으로 작용하는 약물로 장기 투여 시에도 내성과 금단증상이 적은 장점이 있다. 최근 국외문헌에서 zolpidem 복용후 나타난 야간 식이 장애 사례들이 보고되면서 zolpidem 투약 시 역으로 나타나는 수면장애 호소에 관심이 늘어나고 있다. 저자들은 야간식이 증후군이나 수면장애 기왕력이 없으나 불면을 호소하는 정신과 환자들이 다양한 기간(2주에서 15개월) 동안 zolpidem을 투약한 후, 갑자기 부분적 혹은 전체적 기억상실을 동반한 야간 식이 충동 및 행동을 보였고 zolpidem 투약을 중단하거나 감량하자 하루 만에 증상이 사라진 6사례를 경험하였기에 보고하였다. Objective: The authors would like to find the relationship between zolpidem and nocturnal eating episodes in diverse psychiatric patients. Method: We evaluated case series of 6 patients who showed nocturnal eating episodes after takine zolpidem. Results: We have experienced 6 cases who showed nocturnal eating behavior after taking zolpidem. They included 3 patients with schizoprenia, a patient with major depressive disorder, a patient with PTSD and a patient with bipolra I disorder. With reducing or discontiuation of zolpidem, their nocturanl eating resolved. Conclusion: This finding strongly suggests the relationship between zolpidem and the nocturnal eating episode. Physicians should be aware that zolpidem might induce nocturnal eating behaviors.
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소화기 증상을 보이는 소아 정신신체 질환에 대한 정신과적 고찰
유한익,백경원,Yoo, Hanik K.,Paik, Kyoung-won 대한소아소화기영양학회 2009 Pediatric gastroenterology, hepatology & nutrition Vol.12 No.suppl1
Gastrointestinal (GI) symptoms in children and adolescents are influenced by diverse psychiatric components such as psychosocial stresses, familial environment, school-related situations, and comorbid psychiatric conditions. Absolutely psychiatric symptoms of pediatric patients are also affected by problems of GI system. Lots of symptoms including anorexia, dyspepsia, nausea and so on are commonly originated from either GI or psychiatric causes or both. Sometimes the negative interactions between GI and psychiatric problems aggravate the severity and eventually decline the functions of children and adolescents with GI symptoms. We summarized the common GI and psychiatric conditions which have GI and psychiatric associations. To a clinician who manages pediatric GI disorders, psychiatric considerations can be beneficial to understand the clinical manifestations of patients and to find the way to relieve them. This short and somewhat superficial review may help to have a bird's-eye view on this topic.
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유한익(Hanik K. Yoo),백경원(Kyoung Won Paik) 대한소아청소년정신의학회 2008 소아청소년정신의학 Vol.19 No.2
Although the scientific evidence is not entirely supportive, atypical antipsychotics have been used widely for the treatment of children and adolescents with mental illnesses as alternatives to typical antipsychotics which have more serious unwanted adverse effects than atypical neuroleptics. On the basis of clinical experiences and research data, atypical antipsychotics have been prescribed for adolescents with schizophrenia, manic or mixed episodes of bipolar disorders, tic disorders, aberrant behaviors in pervasive developmental disorders, and impulsive or violent behaviors in disruptive behavior disorders. Due to their efficacy and relatively more tolerable side effects, the use of atypical antipsychotics has become increasingly popular in child and adolescent psychiatry. However, we should pay attention to the limitations associated with short-term clinical experiences and the lack of well-designed controlled studies, especially in terms of adverse effects including those involving metabolic processes.
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