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      • KCI등재

        소아기 주의력결핍 과잉행동장애 양상이 성인기 알코올 사용장애에 미치는 영향

        은태경(Tae-Kyung Eun),김한오(Hano Kim),박선희(Sunhee Park),임재영(Jae-Young Lim),정재경(Jae-Kyung Chung),김의중(Eui-Joong Kim),이규영(Kyu Young Lee),방수영(Soo-Young Bhang),이진경(Jin-Kyung Lee),주은정(Eun-Jeong Joo) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.1

        Objectives : To find a possible association between childhood Attention Deficit Hyperactivity Disorder (ADHD) features and adulthood alcohol use disorder, we investigated the scores of the Wender-Utah Rating Scale (WURS) in Korean male patients with alcohol use disorder. Methods : Seventy-one adult male patients with alcohol use disorder and 71 normal adult male controls were included in the study. The ADHD features of childhood were determined using the WURS. The total score and three Factor Sum Scores (Impulsivity score, Inattention score, Mood instability score) were analyzed. In addition, we investigated the scores of the Adult ADHD Self-Report Scale-V1.1 (ASRS) and clinical characteristics in association with childhood ADHD features. Results : Childhood ADHD and adulthood ADHD features were found 28.2% and 14.1% in the patient group, respectively. The WURS scores were significant-ly higher in the patient group, as compared to the control group. Familial loading of alcohol use disorder and depression, ASRS, education, occupational status, and previous suicidal attempts were associated with one or more Factor Sum Scores. Higher inattention score was associated with previous suicidal attempts in the patients group (p=0.038, OR=1.16). Conclusion : The study results indicated that childhood ADHD features are the risk factors of adulthood alcohol use disorder in the Korean male population. Especially, childhood inattention could be a significant risk factor for suicidal behavior in patients with alcohol use disorder.

      • KCI등재

        자연경과 관찰에 의한 주의력결핍 과잉행동장애 아동에서 장기간의 약물치료가 성장에 미치는 영향

        염찬우(Chan-Woo Yeom),은태경(Tae-Kyung Eun),박훈섭(Hoon-Sub Park),이규영(Kyu-Young Lee),김의중(Eui-Joong Kim),주은정(Eun-Jeong Joo),구영진(Young-Jin Koo) 대한소아청소년정신의학회 2014 소아청소년정신의학 Vol.25 No.2

        Objectives:This study was conducted naturalistically in order to observe the long-term effects of attention-deficit hyperactivity disorder (ADHD) medications on growth rates among Korean school-aged boys with ADHD. Methods:Participants in the study were boys with ADHD aged 6 to 11 years who have taken ADHD medication, methylphenidate (extended release) or atomoxetine. They attended scheduled visits monthly or bimonthly for clinical assessment with measurement of height and weight. In this study, 35 boys with ADHD (mean age at baseline=7.90±1.77 years ; mean age at endpoint=12.54±1.91 years) were included, with a mean follow-up period of 4.64 years (±1.62 years), ranging from 2 to 9.7 years. Height, weight, and body mass index (BMI) measurements were converted to “age-corrected Z-scores” using data from Growth Charts provided by the Korean Center for Disease Control and Prevention from 2007. Results:Age-corrected endpoint growth parameters (height, weight, BMI Z-scores) did not differ significantly from the baseline values (height t=0.027 ; weight t=-0.61 ; BMI t=-1.86, in paired t-test). Especially high correlation was observed between the baseline and endpoint height Z-scores (r=0.876, p<.001), for which the coefficient of determination r² was 0.767, meaning that the amount of variability in endpoint height Z-scores explained by the baseline height Z-scores was 76.7%. Conclusion:Our results suggested that the long-term effects of ADHD medications on growth parameters to be tolerable in Korean school-aged boys with ADHD.

      • KCI등재

        일 도시지역의 독거노인에 있어서 우울증상 및 자살경향성에 영향을 미치는 인구학적 변인에 대한 고찰

        박훈섭,오희진,권민영,강민정,은태경,서민철,오종길,김의중,주은정,방수영,이규영,Park, Hoon-Sub,Oh, Hee-jin,Kwon, Min-Young,Kang, Min-Jeong,Eun, Tae-Kyung,Seo, Min-Cheol,Oh, Jong-Kil,Kim, Eui-Joong,Joo, Eun-Jeong,Bang, Soo-Young,Lee, Kyu 한국정신신체의학회 2015 정신신체의학 Vol.23 No.1

        연구목적 일 도시지역의 독거 노인을 대상으로 노인 우울증상 및 자살 경향성 정도를 파악하고 이에 영향을 끼치는 인구사회적 변인들을 파악하고자 하였다. 방 법 2009년 서울시 도봉구에 거주하는 589명의 65세 이상의 독거노인을 대상으로한국형 축약형 노인 우울증 척도, 자살 경향성 척도, 인구사회학적 변인들을 조사하였다. 수집된 정보들을 바탕으로 통계적 분석을 시행하였다. 결 과 독거노인의 평균연령은 75.69세(표준편차 6.17), 학력은 무학 40.1%, 초등학교 졸업 31.4%, 고등학교 졸업 12.9%, 중학교 졸업 11.7%, 대학교 졸업이상 3.2% 순이었다. 우울증상의 위험성을 높이는 변인들에는 종교 없음, 우울증 과거력 있음, 신체질환 병력 있음, 활동단체 없음, 가족에 대한 만족도가 낮음의 경우가 있었다. 자살 경향성에서는 종교 없음, 우울증 과거력 있음, 가족에 대한 만족도가 낮음이 영향을 줄 수 있는 변수였다. 특히 낮은 가족에 대한 만족도 및 우울증 과거력이 있음의 경우는 독거노인의 우울증상 및 자살 경향성을 크게 높일 수 있는 변인들로 나타났다. 결 론 독거 노인의 우울증 병력, 가족 만족도, 사회적 지지체계 등과 같은 위험 변인들에 대한 평가 및 개입이 노인 우울증 및 자살 예방에 도움이 될 것으로 보인다. Objectives: To understand the risk factors of demographic data in geriatric depression scale, and suicidality among in elderly who live alone at one urban region. Methods:In 2009, 589 elderly who live alone(age${\geq}$65) were carried out a survey about several socio-demographic data, Korean version of the Geriatric Depression Scale(SGDS-K) and Suicidal Ideation Questionnaire (SIQ). Statistical analysis was performed for the collected data. Results: Mean age of elderly who live alone is 75.69(SD 6.17). 40.1% of participants uneducated, 31.4% graduate from elementary school, 12.9% graduate from high school, 11.7% graduate from middle school, 3.2% graduate from university. Religionless, having past history of depression or physical diseases, low subjective satisfaction of family situation, and not having any social group activity have significance to depressive symptoms of elderly who live alone. Having past history of depression, religionless, low subjective satisfaction of family situation have significance to suicidality. Especially, low subjective satisfaction of family situation and having past history of depression are powerful demographic factor both depressive symptoms and suicidality of elderly who live alone. Conclusions: When we take care elderly who live alone, we should consider many things, but especially the social support network such as family satisfaction and past history of depression for reducing or preventing their depression and suicide both elderly depression and suicide who live alone.

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