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일 도시 여자 고등학생에서 월경전기증후군 및 월경전불쾌장애와 우울, 수면의 질, 수면형태의 연관성
이지연,김석만,강석훈,정혜경,최진희,소형석,김태용,백기청,Lee, JiYeon,Kim, Seok Man,Kang, Suk-Hoon,Chung, HaeGyung,Choi, JinHee,So, HyungSeok,Kim, Tae Yong,Paik, Ki-Chung 대한불안의학회 2016 대한불안의학회지 Vol.12 No.2
Objective : Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) is known to reduce the quality of sleep and is associated with various psychiatric disorders. The aim of this study was to investigate the relationship of PMS with depression, sleep qulity and sleep pattern in Korean female adolescents. Methods : Out of 867 high school female students, 400 female subjects were included in this study. All participants completed self-report questionnaires that included demographic variables, shortened premenstrual assessment form (SPAF), patient health questionnaire-9 (PHQ-9), Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), insomnia severity index (ISI) and Korean translation of composite scale (CS). A total of 394 individuals who completed the questionnaires were analyzed. Results : As score of SPAF, 143 subjects was defined PMDD group. They had more prevalence of eveningness, more depressive symptom, poorer sleep quality, and more excessive sleepiness than non-PMDD groups. Although the PMDD groups showed more menstrual dysmenorrhea, no difference was found in bleeding duration and cycle. PMS symptom had correlations with depression, poorer sleep quality and excessive sleepiness during the daytime. There was no difference in sleep duration between two groups, but PMS might have a relationship with eveningness of chronotype. Conclusions : Among Korean female high school students, the PMS might have an association with depression and poor sleep quality, and it might lead to daytime impairment due to excessive sleepiness. An appropriate evaluation of PMS could be helpful in determining the mental health condition of adolescents.
특발성 렘수면 행동장애 환자와 정상인의 신경인지기능 특성 비교
김석만(Seok Man Kim),강석훈(Suk-Hoon Kang),정혜경(HaeGyung Chung),최진희(JinHee Choi),소형석(HyungSeok So),김태용(Tae Yong Kim),김태(Tea Kim),윤인영(In-Young Yoon) 대한생물치료정신의학회 2016 생물치료정신의학 Vol.22 No.3
Objectives:Rapid eye movement(REM) sleep behavior disorder(RBD) is a parasomnia characterized by loss of normal atonia during REM sleep and dream enacting behavior(DEB) including vocalizations, striking behaviors or violent movements. A proportion of RBD patients had showed mild cognitive decline, but it is controversial. This study has an aim to compare neurocognitive functions between idiopathic RBD(iRBD) and normal subjects in the Korean elderly. Methods:Twenty-six iRBD subjects and 25 normal controls were selected by polysomnography, brain magnetic resonance imaging and clinical interview with psychiatrist. All the subjects completed the Korean version of the consortium to establish a registry for Alzheimer’s disease neuropsychological battery(CERAD-KN) as an objective cognitive measure and subjective memory complaints questionnaire(SMCQ). Additionally Pittsburgh sleep quality index (PSQI) for sleep quality, the Epworth sleepiness scale(ESS) for daytime sleepiness and the Korean version of the geriatric depression scale(GDS) for depressive symptoms were done. Results:iRBD subjects showed poorer sleep quality with PSQI than normal controls, but there were no differences in other sleep parameters between groups. In the neurocognitive function test, iRBD subjects showed higher SMCQ score and lower score of Digit span backward test than normal controls. Conclusion:In the elderly, subjects with iRBD had subjective memory complaints and impaired attention function, but not other objective cognitive measures. As attention function as well as subjective memory complaints might an indicator for cognitive disorders, iRBD patients with mild cognitive decline needs to be adequately controlled.