외래 중심 알코올 의존 치료의 30개월 외래추적률 및 관련 요인

백명재,강웅구 대한신경정신의학회 2011 신경정신의학 Vol.50 No.2

Objectives The patient with alcohol dependence needs continuing care in an outpatient treatment setting. This naturalistic retrospective study is the first report investigating the long-term follow-up rate and predictors of outcome in outpatient-based alcoholism treatment in Korea. Methods We conducted a chart review of patients, who visited a university-affiliated hospital alcohol clinic from 2005 to 2007. All patients diagnosed with alcohol dependence were enrolled. Patients were evaluated using a customized alcoholism evaluation package. Demographic factors, clinical data and self rating scales were included in the evaluation form. Results Of 109 patients, 27 (24.8%) adhered to our outpatient-based treatment for 30 months. The mean follow-up duration of participants was 11.1 months. A Kaplan-Meier survival analysis showed that comorbidity, initial treatment on admission, previous treatment history and family history made a significant difference to follow-up duration. Age, sex, alcohol history, motivation, AUDIT-K, BDI, BAI and RTCQ-TV were not significantly associated with follow-up duration. Conclusion Comparing to outcomes of previous inpatient alcohol treatment in Korea, long term follow-up rate in outpatient treatment was superior, and abstinence/controlled drinking rate is not inferior. This finding suggests that outpatient based alcoholism treatment has sufficient efficacy. Objectives The patient with alcohol dependence needs continuing care in an outpatient treatment setting. This naturalistic retrospective study is the first report investigating the long-term follow-up rate and predictors of outcome in outpatient-based alcoholism treatment in Korea. Methods We conducted a chart review of patients, who visited a university-affiliated hospital alcohol clinic from 2005 to 2007. All patients diagnosed with alcohol dependence were enrolled. Patients were evaluated using a customized alcoholism evaluation package. Demographic factors, clinical data and self rating scales were included in the evaluation form. Results Of 109 patients, 27 (24.8%) adhered to our outpatient-based treatment for 30 months. The mean follow-up duration of participants was 11.1 months. A Kaplan-Meier survival analysis showed that comorbidity, initial treatment on admission, previous treatment history and family history made a significant difference to follow-up duration. Age, sex, alcohol history, motivation, AUDIT-K, BDI, BAI and RTCQ-TV were not significantly associated with follow-up duration. Conclusion Comparing to outcomes of previous inpatient alcohol treatment in Korea, long term follow-up rate in outpatient treatment was superior, and abstinence/controlled drinking rate is not inferior. This finding suggests that outpatient based alcoholism treatment has sufficient efficacy.

Bioengineered intestinal organoids for site-directed treatment of intestinal injuries

백명재,조윤기 한국공업화학회 2023 한국공업화학회 연구논문 초록집 Vol.2023 No.0

Microfluidically fabricated endometrial organoid microgels as building blocks for endometrial injuries

백명재,조윤기 한국공업화학회 2023 한국공업화학회 연구논문 초록집 Vol.2023 No.0

전환기 젊은이의 군대적응 : 적응장애는 가벼운 우울증인가?

백명재 대한소아청소년정신의학회 2019 대한소아청소년정신의학회 학술대회논문집 Vol.2019 No.11

현상학적 정신병리학

백명재,강웅구 대한신경정신의학회 2011 신경정신의학 Vol.50 No.2

Phenomenology was founded in the 19th century by Edmund Husserl. Apart from natural sciences and metaphysics, phenomenology is presented as a rigorous scientific discipline, which aims to provide an understanding of the subjective experiences of human beings. After the eras of descriptive and dynamic psychiatry, phenomenological methods were adopted by psychiatry, and phenomenological psychopathology suggested a new perspective for understanding the pathological experiences of psychiatric patients. However, after the development of psychopharmacology and the operational diagnostic system, the center of phenomenology in psychopathology was moved from comprehensive understanding to simple description. Thus, phenomenological psychopathology in its original meaning did not get remarkable repercussions, especially in the English-speaking world. In this article, some major concepts of phenomenology will be briefly presented and then phenomenological psychopathology in its original meaning will be introduced. Secondly, as an example of its application, symptoms of schizophrenia will be interpreted in terms of phenomenological psychopathology. Finally, the authors will present a neurobiological interpretation of the phenomenological psychopathology of schizophrenia and suggest a possible role of phenomenological psychopathology in mitigating the impasse in psychiatric genetics research.

국군 맞춤형 PTSD 예방 및 치료 가이드라인 개발 연구

백명재 ( Myungjae Baik ),조수철 ( Soochurl Cho ),김지혜 ( Jihye Kim ),이보미 ( Bomi Lee ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1

Objectives; This guideline has been developed to advise on the prevention and management of PTSD in ROK military. Our primary objective is providing useful evidence-based practice in the field and clinical setting. Methods; The guideline is based on a systematic review of various clinical guidelines of PTSD including previous PTSD guideline in ROK military and US DOD. And we supplement the guideline for Psychological First Aids(PFA) with stabilization therapy. Results; Our guideline is composed of 5 modules and each module has separate algorithm. Core module represents an overview of this guideline. Module A is for individuals experiencing acute stress reaction. Module B consists of assessment. diagnosis and treatment process of PTSD. Module C provides the best available evidence based treatment for individuals experiencing acute stress reaction or PTSD. Module D recommends basic principles for leadership. Conclusions; Developed by a panel of multidisciplinary experts, it provides a clear explanation of the logical relationships between various care options and health outcomes. Every healthcare professional in military can utilize for evaluating the appropriateness of applying them in the setting of any particular clinical situation.

생체 신장 이식 공여자에 대한 정신사회적 평가

이아라,백명재,이상민,강원섭,박진경 한국정신신체의학회 2023 정신신체의학 Vol.31 No.2

우리나라의 경우, 이식 대기자에 비해 공여 장기 수가 부족하여 생체 장기기증에 대한 의존도가 높으며, 생체장기기증 건수도 지속적으로 증가하고 있다. 특히, 생체 신장 이식 건수는 전 세계적으로 높기 때문에 생체 신장 공여자에 대한 이식 전 정신사회적 평가의 중요성이 부각되고 있다. 이전 연구에 따르면 이식 전 공여자 평가 시 사전 동의 여부 및 수술 위험성에 대한 인지 여부를 파악하는 것이 중요하며 이를 위해 다음과 같은 평가도구들을 시행할 수 있다. ELPAT living organ donor Psychological Assessment Tool (EPAT), Live Donor Assessment Tool (LDAT), Living Donation Expectancies Questionnaire (LDEQ), Minnesota Multiphasic Personality Inventory-2 questionnaire (MMPI-2). 이식 전 정신사회적 평가 도구에 관한 문헌을 검토한 후, 한국의 생체 신장 기증자에 대한 법적 고려 사항을 살펴본 후 생체 신장 공여자에 대한 효과적인 이식 전 선별 평가 방법을 제안하려 한다. In Korea, the dependence on living donations is high due to the shortage of organs available for donation compared to the number of people waiting for transplants and the number of living organ donations continues to increase. In particular, the number of living-donor transplantations is high worldwide, highlighting the importance of pre-transplant psychosocial evaluation of living kidney donors. According to previous studies, when evaluating living organ donors before transplantation, it is crucial to determine whether the donor can give informed consent and be aware of the risks after surgery. Pre-transplant evaluation tests such as ELPAT living organ donor Psychological Assessment Tool (EPAT), Live Donor Assessment Tool (LDAT), Living Donation Expectancies Questionnaire (LDEQ), Minnesota Multiphasic Personality Inventory-2 questionnaire (MMPI-2) and Temperament and Character Inventory (TCI) are conducted for donors. After reviewing the literature on these pre-transplant psychosocial assessment tools, we will also look at legal considerations for living kidney donors in Korea and suggest an effective and essential pre-transplant screening evaluation method for living kidney transplant donors

미 공군 자살예방 프로그램에 대한 고찰과 한국군을 위한 제언

오대종,백명재,조수철 대한신경정신의학회 2017 신경정신의학 Vol.56 No.2

Suicide is a major public health problem among Korean military personnel. As multiple factors and their interactions are related to suicide, multicomponent intervention might be useful for reducing suicide and suicide-related outcomes. The United States Air Force Suicide Prevention Program (AFSPP) launched in 1996 is a good example of an evidence-based multifaceted program focusing on leadership involvement and whole community-level efforts. For early identification and management of an at-risk population, AFSPP aims to encourage help-seeking and reduce stigma by changing the community s social norms regarding mental health and suicide. The present study reviewed the key elements of this successful intervention and made a proposal for improving the suicide prevention strategy in the Korean armed forces. This review might be useful for establishing a comprehensive intervention in local communities and organizations outside of the military.

암환자의 외상 후 성장에 영향을 미치는 요인

이남표,김종우,백명재,오미애,이아라,강원섭 한국정신신체의학회 2023 정신신체의학 Vol.31 No.2

연구목적암 진단은 정서적 고통을 야기함과 동시에 외상 후 성장이라는 긍정적 변화도 일으킬 수 있다. 암환자의 외상후 성장에 영향을 주는 요인을 분석하고자 이 연구를 수행하였다. 방 법서울소재 일 대학병원에서 정신건강의학과 진료를 받은 암환자 52명의 의무기록을 조사하여 외상 후 성장과 회복탄력성, 불안취약 사고경향, 마음챙김 주의 알아차림, 수용태도 등의 요인 간 상관관계를 분석하였다. 결 과다중 일반화 선형모델 결과 회복탄력성(B=1.45, p<0.0001), 마음챙김 주의 알아차림(B=0.58, p=0.0030), 수용태도(B=1.29, p=0.0003)는 양의 상관관계가 있었고, 불안취약 사고경향(B=-0.84, p<0.0001)은 음의 상관관계가 있었다. 결 론암환자의 외상 후 성장을 촉진하는 요인은 회복탄력성, 마음챙김, 수용태도가 있었고, 저해하는 요인은 불안취약 사고경향이 있었다. 암환자 진료 시 외상 후 성장에 영향을 미치는 요인들을 고려한 접근이 필요하다. Objectives:Cancer diagnosis causes significant distress while it may also bring positive change: post-traumatic growth. This study was conducted to analyze factors that affect post-traumatic growth. Methods:Medical records of 52 cancer patients who received psychiatric treatment at a university hospital in Seoul were reviewed and the correlation between post-traumatic growth and following factors were analyzed: Resilience, Anxious thoughts and tendencies, Mindful attention awareness, Acceptance attitude Results:Using Multiple Generalized Linear model, a positive correlation was found between post-traumatic growth and resilience (B=1.45, p<0.0001), mindful attention awareness (B=0.58, p=0.0030) and acceptance attitude (B=1.29, p=0.0003), while anxious thoughts and tendencies (B=-0.84, p<0.0001) had negative association. Conclusions:Factors that have a positive impact on post-traumatic growth were resilience, mindful attention awareness, acceptance attitude and a factor with a negative impact was anxious thoughts and tendencies; Factors that impact post-traumatic growth need to be taken into account, when approaching the treatment of cancer patients.

한국 군진 정신의학의 역사

전한가람 ( Hankaram Jeon ),백명재 ( Myungjae Baik ),이도형 ( Dohyeong Lee ),조수철 ( Soochurl Cho ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1

This research explores important aspects of the history of Korean military psychiatry, which has played a significant role in mental health enhancing of Korean soldiers. Since the onset of modern psychiatry in Korea decades ago, Korean military psychiatry has made a great contribution to the development of Korean psychiatry. Furthermore, Korean military psychiatry is playing a leading role on the treatment and management of patients with adjustment disorder and post-traumatic stress disorder in Korea recently. At this point in time, it is necessary to review the history of Korean military psychiatry, and to make a plan for the future of Korean military psychiatry.