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주의력결핍과잉행동장애의 아형에 따른 기질 및 성격 변인의 차이
유한익 ( Han Ik K. Yoo ),김진용 ( Jin Yong Kim ),전정원 ( Jeong Won Jeon ),박수빈 ( Su Bin Park ),홍진표 ( Jin Pyo Hong ),김성윤 ( Seong Yoon Kim ),김창윤 ( Chang Yoon Kim ),류인균 ( In Kyoon Lyoo ) 한국정신병리진단분류학회 2005 精神病理學 Vol.14 No.1
Objectives: This study was performed to identify temperament and character factors in children and adolescents with attention deficit hyperactivity disorder(ADHD) according to diagnostic subtypes, which were assessed using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version(KSADS-PL). Methods: Ninety subjects with ADHD(72 males, 10.07±2.73 years) were diagnostically assessed with the KSADS-PL given separately to mothers about their children and to children about themselves. The JTCI was applied to measure temperament and character factors. Separate JTCI data were obtained from mothers about their children and from children about themselves. Basic demographic data were also obtained. Results: More girls were diagnosed as predominantly inattentive type of ADHD(p=.048). Even after adjusting the influence of sex, combined and predominantly hyperactive-impulsive type of ADHD group showed higher Reward Dependence(p<.001) and Persistence(p=.007), and lower Self-Directedness(p=.048) and Cooperativeness(p=.004), and younger age(p=.038) than predominantly inattentive group. Conclusion: Temperament and character factors were significantly associated with ADHD subtypes.
K-SADS-PL을 사용하여 평가한 주의력결핍과잉행동장애 외래 환자의 공존질환에 대한 연구
김진용 ( Jin Yong Kim ),유한익 ( Han Ik K. Yoo ),고진경 ( Jin Kyung Goh ),전정원 ( Jeong Won Jeon ),홍진표 ( Jin Pyo Hong ),김성윤 ( Seong Yoon Kim ),김창윤 ( Chang Yoon Kim ) 한국정신병리진단분류학회 2005 精神病理學 Vol.14 No.1
Objectives: This study was performed to assess the comorbidity and associated emotional and behavioral manifestations in attention deficit hyperactivity disorder(ADHD) subjects, and the parenting stress and sense of competence in their mothers. Method: To investigate the comorbid conditions of ADHD, 102 ADHD patients(82 males, 9.58±2.65) and their caregivers visiting outpatient clinic were interviewed using the Korean version of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime. The Korean-Child Behavior Checklist, Children`s Depression Inventory, and Revised Children`s Manifest Anxiety Scale(RCMAS) were used to measure the psychopathologies in the subjects. The Parenting Stress Index/Short form and Parenting Sense of Competence Scale were also applied to the caregivers of ADHD patients. Results: Eighty-four(82.4%) of ADHD subjects had comordid psychiatric disorders. Comorbid oppositional defiant disorder, anxiety disorders, tic disorders, and elimination disorders were accompanied with ADHD in 54.9%, 24.9%, 19.6%, and 12.7%, respectively. Mean scores of Social Problems, Total Behavior Problems, and RCMAS were significantly higher in comorbid ADHD group than pure ADHD group. Parents of ADHD patients with comorbidity reported higher parenting stress and lower parenting sense of competence. Conclusion: Majority of ADHD patients had comorbid psychiatric conditions, and more psychopathologies and related parenting complications were associated with comorbidity.
소아 간질환자의 삶의 질과 이에 미치는 영향에 관한 연구
김성은(Sung Eun Kim),서현아(Hyun Ah Suh),염미선(Mi Sun Yum),유수정(Su Jeong You),김덕수(Deok Soo Kim),유한익(Han Ik Yoo),고태성(Tae-Sung Ko) 대한소아신경학회 2006 대한소아신경학회지 Vol.14 No.2
목 적 : 삶의 질이란 한 인간의 삶의 기대에 대한 개인의 평가를 의미하는 것으로 최근 만성 질환을 가지고 있는 환자에서 관심이 증가하고 있다. 그러나 소아 간질환자의 삶의 질에 대한 국내연구는 거의 없는 상태로 본 연구는 소아 간질환자의 삶의 질에 영향을 미치는 요인들을 찾고 각각의 관계를 비교해 보고자 하였다. 방 법 : 2005년 5월 16일부터 7월 7일까지 서울아산병원 소아과 환자 중 간질치료 약물을 복용중인 환자군 79명과 K-CBCL(부모용 한국판 아동행동평가 척도)을 시행하여 정상으로 판명되고 환자군과 나이, 성별을 맞춘 정상군 79명을 대상으로 하였다. 당사자 및 보호자 전원에게 동의서를 받은 후 K-QOLCE(한국판 소아간질환자의 삶의 질 척도)를 이용하여 설문조사를 시행하였고 환자군과 정상군간의 삶의 질의 차이가 있는 지와 환자군 내에서 다양한 임상요인들이 삶의 질에 영향을 미치는가에 대해 조사하였다. 결 과: 두 군 모두 남아는 41명, 여아는 38명이었고 평균연령은 10세(4세-17세)였다. 환자군과 정상군의 비교에서는 신체 기능(신체적 제한, 에너지/피로), 안녕감(우울, 불안, 통제력/무력감, 자신감), 인지 기능(집중력, 기억력, 언어능력, 다른 인지능력), 사회적 기능(사회적 활동), 행동문제, 일반건강, 삶의 질의 각 문항에서 경련성 질환 환아의 삶의 질이 통계학적으로 유의하게 낮았다(P<0.05). 환자군에서는 발병 연령이 느릴수록, 유병 기간이 길수록, 복용 약물 개수가 많을수록, 약물 복용기간이 길수록 삶의 질이 낮게 나왔고(P<0.05), 성별, 부모의 학력, 경제상태, 지난 4주간의 발병 빈도와의 통계학적 유의성은 보이지 않았다. 간질 종류와 관련해서는 신체적 제한(P=0.017), 자신감(P=0.006), 다른 인지능력(P=0.02), 행동문제(P=0.019)항목에서 부분발작의 경우가 전신발작에 비해 삶의 질이 높게 나왔다. 결 론: 본 연구에서 소아 간질환자의 삶의 질이 정상군에 비해 떨어진다는 사실과 간질 치료와 관련된 여러 인자들이 소아 간질환자의 삶의 질에 영향을 미침을 알 수 있었다. 따라서 소아 간질환자 치료 시 이러한 인자들을 고려한다면 치료의 1차적 목적인 경련 조절뿐 아니라 개개인의 삶의 질도 보다 향상될 것으로 기대된다. Purpose : Despite the worldwide interests in the quality of life issues in children with epilepsy, only few studies have been conducted in Korea yet. This study is aimed to analyze clinical factors related with the issues of life in children with epilepsy. Methods : A total of 158 children(79 patients/79 control) were involved in the study from the Department of Pediatrics at Asan Medical Center and 79 normal children who completed the Korean Child Behavior Checklist(K-CBCL). We used the Korean version of the Quality of Life in Childhood Epilepsy Questionnaire(K-QOLCE) to evaluate the quality of life. The differences of the quality of life between the patients and the controls were compared and the influencing factors were evaluated. Results : The scores of physical functions, well-being, cognition, social functions, behaviors, general health, and quality of life were lower in the patients than in the controls. We found higher scores of quality of life in the patients with epilepsy who were younger when diagnosed, had shorter disease period, took fewer drugs, and took drugs for a shorter time(P<0.05). Higher scores of physical restriction(P=0.017), self-esteem(P=0.006), cognition(P=0.02), and behaviors(P=0.019) were noted for the patients with partial seizures, compared to those with generalized seizures. Conclusion : We found that the quality of life in the pediatric epilepsy patients was lower than that of normal children and various factors associated with the treatment of epilepsy influenced the quality of life. The information obtained from this study will help us offer better epilepsy management.
황준원,유한익,김붕년,신민섭,조수철 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.2
Objectives : This study was designed to evaluate the relationship between the degree of obesity and psychopathology in children. methods : 504 children from the Kimpo City and their parents participated in this study. According to BMI percentile for their gender and age, we divided them into three groups : the normoweight group, the overweight group, and the obese group. The Child Depression Inventory (CDI), the Stait-Trait Anxiety Inventory for Children (STAI-C), and the subscale 3 of the Piers-Harris Self-Concept Scale were used for children. The Korean-Child Behavioral Checklist (K-CBCL) was completed by their parents. Results : In subscale 3 of the Piers-Harhs Self-Concept Scale, 'the physical appearance and attitude', the score of the Over-weight group was significantly lower than that of the normoweight group, In CDI and STAI-C, there were no differences among three groups. We found significant differences among three groups in the mean scores of social problems, delinquent behavior, aggressive behavior, externalizing symptoms, and total problem in the CBCL scale. Conclusion : The findings in this study showed evidences for a psychosocial at-risk population in a community samples of children with overweight and obesity. The nation-wide study including adolescents is needed.
한국 성인을 대상으로 한 전산화 Standard Progressive Matrices의 표준화 예비연구
홍경수,이민수,오병훈,하규섭,유한익,이창욱,연병길,김성윤,신민섭,김재진,권준수 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5
연구목적 : 전산화 Standard Progressive Matrices(SPM) 검사의 한국인 성인 표준자료를 확립함으로써, 간이로 지능을 평가하는 경우에도 보다 정확하게 지능지수를 추정하기 위해서 본 연구를 수행하였다. 방 법 : 18세 이상의 남녀 정상인 자원자 353명을 대상으로 전산화 SPM 검사를 시행하고, 백분율 및 표준점수(T-점수)를 기준으로 하여 표준화 자료를 작성하였다. 전체 대상군을 성별, 연령별로 구분한 후 평균과·분포가 유사한 집단은 군을 합치는 방법을 사용하였다. 한국인 표준자료에 근거하여 추정한 SPM 지능지수와 외국인 표준자료에 근거하여 추정한 SPM 지능지수를 각각 KWAIS 지능지수와 비교함으로써 타당도를 검증하였다. 결 과 : 18∼30세, 31∼40세, 41∼50세, 51세 이상의 연령군으로 구분된 한국 정상 성인의 SPM 표준화 자료를 산출하였다. 본 연구 결과에 의한 표준화 자료를 적용하여 지능지수를 추정하는 것이 현재 사용하고 있는 외국인의 표준화 자료를 이용하는 것보다 KWAIS 지능지수에 더욱 근접한 결과를 보였다. 결 론 : 18세에서 50세까지의 한국인 남녀에게는 간이지능평가도구로서 전산화 SPM 검사의 한국인 표준화 자료를 유용하고 타당하게 적용할 수 있음을 확인하였다. Objectives : We conducted this study to provide standardized data of the computerized Standard Progressive Matrices(SPM) test in Korean adults. Methods : The computerized SPM test was administered to 353 healthy volunteers aged 18 years over. We provided the standardized data(percentile and standardized T-scores) for the groups with similar mean and distribution of SPM scores, which was originally divided by age and sex. The validity of the new standardized data was tested by comparing IQs estimated by SPM and K-WAIS. Results : The standardized SPM data were provided for four age groups : 18 to 30 years, 31 to 40 years, 41 to 50 years, 51 years and over. IQ estimated by this standardized data tends to be closer to IQ by K-WAIS than the IQ estimated by foreign normative data. Conclusion : The standardized data of the computerized SPM were proven to be a useful and valid tool for measuring IQ briefly, compared with the conventional way of measuring IQ.