일 대학병원을 방문한 경계성 인격장애 환자의 성별에 따른 임상양상, 심리특성 및 방어기제의 차이

문보영,구본훈,정진영,이혜림,송신호,이준엽 한국정신분석학회 2011 精神分析 (Psychoanalysis) Vol.22 No.1

Objectives: Previous studies on gender differences of patients with borderline personality disorder (BPD) were mainly to estimate prevalence rates and comorbidities in epidemiology. This study evaluated clinical and psychological characteristics, including defense mechanisms, between male and female patients with BPD in a clinical setting. Methods: We recruited 30 male and 35 female patients with BPD according to the Diagnostic and Statistical Manual of Mental Disorder, 4th edition diagnostic criteria. We investigated the gender difference of Axis I comorbidities and characteristics of suicidal attempts, and retrospectively assessed psychological characteristics of patients with BPD using the Symptom Checklist-90-Revised, the Minnesota Multiphasic Personality Inventory, the Personality Disorder Questionnaire-4+, and the Defense Style Questionnaire. Results: Male patients showed amoreparanoid, socially introverted, and antisocial tendency compared to female patients. Female patients used splitting more frequently as the primary defense mechanism than male patients. Conclusion: This study suggests that the core psychopathologies of BPD are very similar between male and female patients in spite of some gender differences in clinical characteristics of BPD. Female patients are more likely to show a typical prototype of BPD than male.

공황장애 환자의 증상에 영향을 미치는 성격 및 방어기제 인자

최호동,천은진,이준엽,송신호,정성훈,구본훈 한국정신분석학회 2012 精神分析 (Psychoanalysis) Vol.23 No.2

Objectives: There are several studies about the prevalence of comorbid personality in the patients with panic disorder, and the comparison of defense mechanisms between patients with panic disorder and those with normal controls. The purpose of this study is to investigate specific factors of personality and defense mechanisms that affect symptoms in panic disorder patients. Methods: We recruited 38 patients with panic disorder according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder, 4th edition. We investigated specific factors of personality and defense mechanisms affecting symptoms in the patients using the Symptom Checklist-90-Revised (SCL-90-R), the Personality Disorder Questionnaire-4+,and the Defense Style Questionnaire. Results: The defense style turned out to be more primitive as the positive symptom distress level of SCL-90R increased. The factors of personality affecting panic disorder were dependence, avoidance, degree of depress and negativistic personality, while the factors of defense mechanism that influence symptoms of panic disorder were maladaptive defense style, acting out and somatization. In contrast, the symptomatic factor of panic disorder that affects maladaptive defense style was interpersonal sensitivity of SCL-90R. Conclusion: The finding suggests that the level of maturity in defense mechanism is negatively correlated with the severity of symptoms in panic disorder. Interpersonal themes, such as dependence and avoidant personality, can worsen the symptoms of panic disorder.

항암제 투여 환자의 우울 양상

주열,서완석,김진성,이종범,정성덕,송신호,배대석,이경희,현명수 한국정신신체의학회 2002 정신신체의학 Vol.10 No.2

주의력결핍과 과잉행동을 주 증상으로 한 소아·청소년 환자의 임상특성

이종범,배진우,정성덕,김진성,서완석,배대석,송신호 대한신경정신의학회 2003 신경정신의학 Vol.42 No.2

Objectives:This study is to understand basic clinical characteristics, behavior symptoms, psychopathology, intelligence and neuropsychiatric functions of ADHD. Methods:This study examined 1,432 outpatients with attention deficit or hyperactivity under 19 who had visited Yeung Nam University Psychiatric Center from July 01, 1998 to June 20, 2001 with K-ABC, K-WISC (or K-WAIS), K-PIC, ADDESHV, ACTeRS, CAP, SNAP, CPT and WCST Results:41.2% of the whole outpatients who visited clinics were diagnosed as having ADHD. 37.5% of the patients with ADHD had ADHD-I;59.8% had ADHD-C;and 2.7% had ADHD-HI. The proportion of males to females was 5.6 to 1. Females were a little younger and had generally lower functional standards including intellectual level than males (p<.001). The psychopathology through K-PIC showed that 23.8% of the subjects had psychopathologies related to language development and 18.5-26.5% of the subjects had other psychopathologies related to performance development, anxiety, delinquency, psychosis, autism. In behavioral symptom checklist, general difference was confirmed (p<.001), and ADHD subtype was differentiated by behavioral symptom checklist, especially ADDES-HV and ACTeRS (p<.05). In intellectual level, children with ADHD showed significantly lower IQ than normal children (p<.001). It raised questions that there can be problems not only in the course of testing IQs of children with ADHD but in development and display their intellectual abilities. And children with ADHD showed significantly poorer attention and performance abilities than normal children (p<.05). Conclusion:With above results, this study could confirm that ADHD-C had the largest percentage among subtypes of ADHD. And though the proportion of female patients was low, their functional standards were generally lower than male patients. Besides co-existent psychiatric diseases can be ignored in diagnosing ADHD. Though specific differences among subtypes have not been discovered, children with ADHD showed significantly lower functional standards such as IQ, attention, and performance abilities than normal children.

DSM-Ⅳ B와 C 군집 인격장애에서 방어기제와 심리적 특성의 차이: 경계성 인격구조 이론과의 시사점

김혜금,구본훈,정진영,차영,최중현,천은진,이준엽,송신호,김응조 한국정신분석학회 2014 精神分析 (Psychoanalysis) Vol.25 No.1

Objectives: The purpose of this study was to find out differences of defense mechanisms and psychological characteristics between personality B and C clusters by Diagnostic and Statistical Manual of Mental Disorders, fourth edition criteria. Methods: One hundred and eighty patients with axis II personality disorder [cluster B (n=121), C (n=59)] were enrolled in this study. All subjects completed psychological test with Minnesota Multiphasic Personality Inventory (MMPI), the Symptom Checklist-90-Revised (SCL-90-R), the Personality Disorder Questionnaire (PDQ), and the Defense Style Questionnaire (DSQ). Results: Somatization and hostility subscale scores of SCL-90-R were significantly increased in cluster B. Depression and social introversion of MMPI were significantly increased in cluster C, while psychopathic deviate and hypomania were significantly increased in cluster B. Paranoid, antisocial, borderline, histrionic, narcissistic, negativistic personality disorder of PDQ were significantly increased in cluster B. Image-distorting-defense styles of DSQ were significantly increased in cluster B. In addition, neurotic denial, non-delusional projection, acting out, and affiliation were significantly increased in cluster B, while omnipotence was significantly increased in cluster C. Conclusion: It seems that hostility can be exposed more easily in cluster B. So, that causes interpersonal problems more commonly. On the other hand, it seems that hostility can be introjected in cluster C. So, that causes more tendency of depression or social introversion. In addition, patients with cluster B personality disorders have more primitive defense mechanisms, while patients with cluster C personality disorders commonly use omnipotent fantasy without expression of their conflicts. The characteristics in the patients with cluster B personality disorders are more compatible with the theory of borderline personality organization than those in the patients with cluster C personality disorders.

“대형 유조선사고, 어떻게 대처할 것인가?”

윤범상(사회자),강창구,고경옥(토론자),송신호(토론자),이상돈(토론자),이창섭(토론자),임기택(토론자),송무석(편집자) 한국해양환경·에너지학회 1998 한국해양환경·에너지학회지 Vol.1 No.1