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      • KCI등재

        아동행동 조사표에 의한 입원한 행동장애 청소년의 분류

        이환배,곽영숙,백기청 대한신경정신의학회 1992 신경정신의학 Vol.31 No.2

        To make a suchclassification of conduct disorder by using CB C L, the authors investigated 37 conduct disorders adolescents in Seoul National Mental Hospital during the period from June 1,1987 to June 30, 1991. The results were as follows ; 1) The total nembers of conduct disorder adolescents are 37 patient, and 4 clusters are subclassified. 2) In one way ANO VA , the scores of externalizing and internalizing showed statistically significance. 3) To compare the score of subscale factor, in parent form CB CL, delinquent, aggressive, hyperactive factor showed statistically significance, and the remainder factors are not significant. 4) In comparison between clinical data and clusters, the age o f symptom onset showed statistically significance, and orders are cluster 4,cluster 2, cluster 3 and cluster 1. The X 2 test, the sex showed statistically significant the ratio o f females 60.0% in cluster 2,14.3% in cluster 3, 12.5% in cluster 1 and 0% in cluster 4. 5) i) In the main and interaction effects between 4 clusters and 2 forme of CBCL in each matched CBCL subscale, external, internal, aggressive(P〈0.001) and deliniquent(P< 0 . 01) factor showed statistically significant. ii) In the two forms of CBCL, social, school and total factor showed statistically significant. The remainder factor showed statistically no significance. iii) In the clusters and two forms of CBCL, the external and aggressive and internal factor showed statistically significance and in the cluster 1,the score of YSR of external and aggressive factor are higher than parent form CBCL, and in cluster 3 the scores of parent form and higher. In cluster 4,the score of internal factor of parent form CBCL is higher than the self form.

      • KCI등재

        아동행동 조사표에 의한 입원한 행동장애 청소년 분류

        이환배,백기청,곽영숙 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.2

        To make a suchclassification of conduct disorder by using CBCL. the authors investigated 37 conduct disorders adolescents in Seoul National Mental Hospital during the period from June 1, 1987 to June 30, 1991. The results were as follows : 1) The total numbers of conduct disorder adolescents are 37 patient, and 4 clusters are subclassified. 2) In one way ANOVA. the scores of externalizing and internalizing showed statistically significance. 3) To compare the score of subscale factor, in parent form CBCL, delinquent, aggressive, hyperactive factor showed statistically significance, and the remainder factors are not significant. 4) In comparison between clinical data and clusters, the age of symptom onset showed statistically significance, and orders are cluster 4, cluster 2, cluster 3 and cluster 1. The X2 test, the sex showed statistically significant the ratio of females 60.0% in cluster 2, 14.3% in cluster 3, 12.5% in cluster 1 and 0% in cluster 4. 5) i) In the main and interaction effects between 4 clusters and 2 forme of CBCL in each matched CBCL subscale, external, internal. aggressive(P<0.001) and deliniquent(P<0.01) factor showed statistically significant. ii) In the two forms of CBCL, social, school and total factor showed statistically significant. The remainder factor showed statistically no significance. iii) In the clusters and two forms of CBCL. the external and aggressive and internal factor showed statistically significance and in the cluster 1, the score of YSR of external and aggressive factor are higher than parent form CBCL, and in cluster 3 the scores of parent form and higher. In cluster 4, the score of internal factor of parent form CBCL is higher than the self form.

      • KCI등재후보

        한국 육군 일개 사단에서 군 복무 부적응자들의 정신의학적 평가 : 그린캠프 참가자들을 중심으로

        김주현,강석훈,예병석,황현국,서재원,채공주,이환배,김찬형,Kim, Ju-Hyun,Kang, Suk-Hoon,Ye, Byoung-Seok,Hwang, Hyun-Kuk,Suh, Jae-Won,Chai, Gong-Ju,Lee, Hwan-Bae,Kim, Chan-Hyung 대한불안의학회 2010 대한불안의학회지 Vol.6 No.2

        Objectives : In this study, we aimed to elucidate the demographic and psychological characteristics of maladaptive soldiers in the Republic of Korean Army. Methods : Study participants included 110 male conscripts who had participated in the Green camp, which was a form of group psychosocial treatment program for maladaptive soldiers. All participants were interviewed and diagnosed by a psychiatrist, and classified into two groups according to whether they left or rejoined the army. We analyzed the differences between these two groups in terms of demographic features, psychiatric diagnosis and the Minnesota Multiphasic Personality Inventory (MMPI) subscores. Results : Compared with soldiers who rejoined their units, those who left military service exhibited significantly lower educational level (p=0.041) and a higher rate in psychiatric treatment prior to enlistment (p=0.011). Among the 106 subjects, 63 (59.4%) and 23 (21.7%) were diagnosed with personality disorder and adjustment disorder, respectively. Further, those who left military service were diagnosed more frequently with mood disorder (p=0.001) and schizophrenia (p=0.014) than those who rejoined their units. Additionally, the MMPI scores of soldiers who left military service were significantly higher on the psychasthenia (p=0.028) and schizophrenia (p=0.039) scales than those of soldiers who rejoined their units. Conclusion : Most of the maladaptive soldiers were diagnosed with mental disorders. The results of this study suggest that systematic, consistent psychiatric evaluation and intervention for maladaptive male conscripts is crucial in the Republic of Korean army.

      • KCI등재

        인터넷 중독 위험 남자 청소년의 기질성격특성 : 7년의 변화경향

        김윤중(Yoon-jung Kim),이상규(Sang-kyu Lee),최종혁(Jong-hyuk Choi),이환배(Hwan-bae Lee) 한국중독정신의학회 2013 중독정신의학 Vol.17 No.2

        Objectives : This study attempted to compare findings of two studies (internet use, temperament & character profiles and mood) on internet addiction, which had been performed in 2005 and 2012. Methods : Two cross-sectional studies surveyed using a self-report questionnaire on internet usage pat-tern, Temperament and Character Inventory (TCI) and Beck depression inventory (BDI). The earlier study included 213 male middle school students in 2005, and the latter study included 400 male middle school students in 2012. We compared the prevalence rates and patterns in temperament, character and depressive severity of internet addiction risk group between the two surveys separated by seven years. Results : The prevalence of high-risk internet addiction was 77% in 2005 and 42.1% in 2012. The addiction risk group had higher scores for harm avoidance (HA) and BDI with lower scores for reward dependence (RD), self-directedness (SD), and cooperativeness (CO), compared to the non-addicted group in 2005. The addiction risk group showed higher novelty seeking (NS), HA, and BDI scores with lower RD, persistence (P), SD and CO scores, compared to the non-addicted group in 2012. Conclusion : Our results suggested that prevalence of internet addiction has de-creased among adolescents in Korean, but the temperament and character of adolescents with internet addiction seems to have adopted patterns similar to those of substance-based addictions.

      • KCI등재

        한국 남성의 알코올 금단 증상 예측 요인

        임선경(Sun-Kyung Lim),이상규(Sang-Kyu Lee,),이환배(Hwan-Bae Lee) 한국중독정신의학회 2011 중독정신의학 Vol.15 No.1

        Objectives : This study aimed to investigate the factors contributing to differences between alcohol dependence patients who do and who do not experience alcohol withdrawal symp-toms. Furthermore, this study investigated factors that may be pertinent to predicting the degree and duration of alcohol withdrawal symptoms. Methods : Participants were 45 hospital-ized male patients who met the DSM-IV criteria for alcohol dependence. To assess their degree of alcohol withdrawal symptoms, we administered the revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar). Then, the participants were divided into two groups--one with with-drawal symptoms and the other without--according to their CIWA-Ar scores. We investigated each patient’s sociodemo-graphic factors, alcohol-related factors, clinical laboratory tests, psychopathology, and heart rate variability (HRV), com-paring the two groups’ data to identify their differences. In addition, we carried out a multiple regression analysis to identify factors affecting CIWA-Ar scores and withdrawal symptom duration. Results : Of the patients with withdrawal symptoms, 21 had CIWA-Ar scores of 10 or higher, while 24 patients had CIWA-Ar scores lower than 10. The two groups showed significant differences in aspartate aminotransferase level (p=0.024), Hamilton rating scale for depression score (p=0.001), and du-ration of their alcohol dependence (p=0.019). The multiple regression analysis showed that aspartate aminotransferase level (p<0.001), pulse rate (p=0.001), and Hamilton rating scale for depression score (p=0.001) affected highest CIWA-Ar scores and that aspartate aminotransferase (p<0.001), pulse rate (p=0.001), Hamilton rating scale for depression score (p=0.004), and HRV index (p=0.011) affected withdrawal symptom duration. Conclusion : This study identified several factors in alcohol dependence patients that may cause the differences between the patients who experience withdrawal symptoms and those who do not experience withdrawal symptoms. Further-more, we identified some factors that affect the degree and duration of withdrawal symptoms. These findings suggest different approaches may be needed for the treatment of alcohol dependence patients based on the degree and duration of their alcohol withdrawal symptoms.

      • 만성 정신분열병 환자의 사회 재활을 위한 원예 작업의 치료적 효과

        한덕현(Doug-Hyun Han),홍유미(Yu-Mi Hong),이병용(Byeong-Yong Lee),이환배(Hwan-Bae Lee),이상훈(Sang-Hoon Lee) 대한사회정신의학회 2003 사회정신의학 Vol.8 No.1

        연구목적: 원예작업은 정신 질환이 있는 환자에게 사회적 기능 및 인지 기능을 향상시키고 자존감을 높이는 효과가 있다. 만성 정신분열병 환자의 치료에 있어서 인지 기능의 향상은 사회 재활 훈련에 긍정적 효과를 나타낸다고 알려져 있다. 이에 저자는 만성 정신 분열병 환자군에서 원예 작업 치료를 시행하여 작업에 따른 인지 기능 및 증상의 변화를 관찰하였다. 방 법: 정신분열병으로 진단 받은 후 5년 이상 지속적 외래 및 입원 치료를 받은 과거력이 있는 남자 환자 중 원예작업을 실시한 자발적 지원자 33명을 환자군으로 하였고 원예작업을 실시하지 않은 28명을 대조군으로 하였다. 원예작업 시작 전과 5개월 후에 인지 기능을 숫자 외우기(Digit span), 계산(Calculation), 바꿔쓰기(Digit Symbol Substitution Task from the Wechsler Adult Intelligence Scale-III), Trail Making Teat-A(TMTA)로 측정하고 증상은 Scale for the Assessment of Positive Symptoms (SAPS), Scale for the Assessment of Negative Symptoms(SANS), Brief Psychiatric Rating Scale(BPRS)로 측정하였다. 결 과: 환자군은 대조군에 비해 바꿔쓰기, TMTA 항목에서 통계적으로 유의한 향상을 보였다. 환자군 음성 정신분열병군이 대조군 음성 정신분열병군에 비해 바꿔쓰기, TMTA 항목에서 통계적으로 유의한 향상을 보였다. 양성 증상, 음성 증상, 인지 기능 상호 간에 영향은 없었다. 결 론: 원예작업은 만성 정신분열병 환자의 인지 기능의 향상을 도모하며 이에 따른 빠른 일상 생활의 수행 능력과 대인 관계의 향상, 직업 생활로의 연계에 있어서 큰 도움을 줄 수 있다. Object:Gardening improves the cognitive function & social interaction of psychiatric patients. The improvement of cognitive function in chronic schizophrenic patients is related to the good result of social skill acquisition training. In the study, we compared the cognitive function & symptoms of chronic schizophrenia patients before gardening with after that. Method:Thirty three chronic schizophrenic patients were assigned to gardening. Neuropsychological test & symptom scale for pretest-posttest(5months later) comparison consisted of Digit span, calculation, Digit Symbol Substitution Task from Wechsler Adult Intelligence Scale III(DSST), Traio-Making Test-A(TMTA), Scale for the Assessment of Positive symptoms(SAPS), Scale for the Assessment of Negative symptoms(SANS), Brief Psychiatric Rating Scale(BPRS) . Result:The gardening group showed significantly improvement in DSST & TMTA. There was no relationship between symptoms & cognitive function test. The gardening group especially in negative schizophrenic patients also showed significantly improvement in DSST & TMTA. Conclusion:Gardening for chronic schizophrenia patients, especially negative schizophrenic patients can have benefits related to the cognitive improvement, social function, interpersonal relationship, & vocational training.

      • 탄소섬유시트보강 몰탈충전 각형강관의 휨성능에 관한 실험적 연구

        이상윤 ( Lee¸ Sang-yun ),하상수 ( Ha¸ Sang-su ),이환배 ( Lee¸ Hwan-bae ),김상학 ( Kim¸ Sang-hak ),이종규 ( Lee¸ Jong-gyu ),김태수 ( Kim¸ Tae-soo ) 한국구조물진단유지관리공학회 2023 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.27 No.2

        이 연구는 기존 건축물의 보강체의 시공성 및 강도보강을 위해 냉간성형 각형강관에 탄소섬유시트와 고강도 몰탈충 전한 부재의 휨성능을 평가하는 것을 목적으로 한다. 2개의 높이의 각형강관과 비교실험체인 H형강을 대상으로 각형강관에는 휨보강용 탄소섬유시트 보강매수(무보강, 1,2, 3겹)와 몰탈충전여부를 변수로 하여 실험체를 제작하였고 휨실험을 수행하였다. 각형강관의 보강형태에 따라 H형강 단순보 실험체의 휨성능을 비교하였다.

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