한국어판 소아청소년 기질성격검사의 신뢰도 및 타당도 연구

하지현 ( Jee Hyun Ha ),유희정 ( Hee Jeong Yoo ),조인희 ( In Hee Cho ),류인균 ( In Kyoon Lyoo ),신재공 ( Jae Gong Shin ),김지현 ( Ji Hyeon Kim ),홍계현 ( Kye Hyun Hong ),최소현 ( So Hyun Choi ) 한국정신병리진단분류학회 2005 精神病理學 Vol.14 No.1

Objectives: The purpose of this study is to evaluate the reliability and validity of the Junior Temperament and Character Inventory(JTCI), which is a child and adolescent version of Temperament and Character Inventory. Method: JTCI was translated to Korean and applied to 796 children(male=402, female=394, age=11.0±0.9), and their parents. Internal consistency was calculated by Cronbach`s α. A test-retest study was done after 3 months with 115 subjects. Factor analysis for the temperament and character factors were performed using principal component analysis, rotating factor varimax. Results: Cronbach`s α values of the JTCI scales ranged from .52 to .77 for the temperament scales except persistence(.09), and from .47 to .65 for the character scales. Test-retest correlation was relatively low. Factor analysis of temperament showed 3 factors out of 4 temperament scales, but couldn`t extract clear differentiations in character dimension. Intercorrelation between 7 factors were clear each other significantly. Female showed higher reward dependence, persistence, self-directedenss and cooperativeness than male. Discussion: Although reliability is relatively low, this study suggests JTCI is a useful tool to evaluate biosocial model of personality in children population. Character dimension should be assessed with the careful consideration of their development.

5년 동안 추적한 만성 조현병 환자에서 대사증후군의 예측인자

조재길,윤보현,전봉희,박수희,송제헌,정하란,홍계현,Joe, Jae-Gil,Yoon, Bo-Hyun,Jeon, Bong-Hee,Park, Su-Hee,Song, Je-Heon,Jeong, Ha-Ran,Hong, Kye Hyun 한국정신신체의학회 2016 정신신체의학 Vol.24 No.2

연구목적 본 연구는 대사증후군의 예방과 회복을 위해 5년 동안 추적이 가능한 만성 조현병 환자에서 대사증후군의 변화와 예측인자를 조사하였다. 방 법 2011년부터 2016년까지 추적이 가능하며 동의서에 동의한 107명의 환자가 본 연구에 포함되었다. Revised National Cholesterol Education Program-Adult Treatment Panel III(NCEP-ATP III)를 이용하여 대사증후군을 정의하였다. 결 과 추적 관찰 기간 동안 22명(20.5%)의 환자가 새롭게 대사증후군에 진단되었고 14명(13.1%)는 대사증후군에서 회복되었다. 77명(66.4%)은 변화가 없었다(대사증후군이 있는 환자:34명[31.8%], 대사증후군이 없는 환자 : 37명[34.6%]). 복부둘레와 중성 지방이 대사증후군의 유무가 변화된 환자들에서 중요한 인자였다. 다른 변수를 통제한 다변량 회귀분석에서 여성(OR=2.846, 95% C.I. 1.020-7.942), 1달에 1회 이상 외래 방문(OR=3.155, 95% C.I. 1.188-8.379), 항우울제 병합치료(OR=3.991, 95% C.I. 1.048-15.205)가 대사증후군의 유병률에 유의한 영향을 주었다. 반면에 항정신병 약물의 종류나 용량은 대사증후군의 유병률에 영향을 주지 못했다. 결 론 만성 조현병 환자에서 약제의 변경 및 용량조절보다 증상에서의 회복과 건강한 생활 습관이 대사증후군에 중요하다. Objectives : To investigate changes in, and predictors of, metabolic syndrome(MetS) status over a 5-year period in chronic schizophrenic patients and to identify factors associated with the prevention of or recovery from MetS. Methods : In total, 107 patients, all of whom provided written informed consent, were followed from 2011 to 2016 at Naju National Hospital for this study. MetS was defined according to the revised National Cholesterol Education Program-Adult Treatment Panel III guidelines. Results : During follow-up period, 22(20.5%) patients were newly diagnosed to MetS, 14(13.1%) were disappeared, 77(66.4%) were not changed[MetS : 34(31.8%), No MetS 37(34.6%)]. Common significant factors in the two changed groups were triglyceride and waist circumference, not dose and type of antipsychotic medication. Multiple logistic regression analysis revealed that female gender(odds ratio[OR]=2.846, 95% confidence interval[CI] : 1.020-7.942), attending two or more outpatient visits per month(OR=3.155, 95% CI : 1.188-8.379) and taking antidepressant medication(OR=3.991, 95% CI : 1.048-15.205) were significantly associated with MetS after controlling for other confounding variables. Type and dose of antipsychotic medication were not significantly associated with MetS. Conclusions : Triglyceride and waist circumference were important manageable indicator of MetS. Adoption of a healthy lifestyle is more important than adjusting the dose or type of antipsychotic medication in the treatment of chronic schizophrenia patients with MetS.

입원한 남성과 여성 알코올 의존 환자간의 임상적 특징 및 기질 성격 특성의 차이

이상백(Sang Baek Lee),이정식(Jung Sik Lee),송진우(Jin Woo Song),강상범(Sang Bum Kang),김응조(Eung Jo Kim),홍계현(Kye Hyun Hong),조성민(Sung Min Cho),이석진(Suk-Jin Lee),장순우(Soon Woo Chang) 한국중독정신의학회 2010 중독정신의학 Vol.14 No.1

Objective:Although researchers have performed many stu-dies attempting to understand alcoholics’ characteristics, few have conducted direct comparative studies between male and female alcoholics. This study examined the differences in Temperament and Character Inventory (TCI) scores and in clinical characteristics between male and female alcoholics, to discern new treatment possibilities for both groups. Method:Study participants were 55 male and 49 female patients with alcohol dependence. We obtained their demographic data and TCI scores. Additionally, we identified each group’s clinical characteristics from information on their drinking habits and suicidality histories and from the results of administering the Buss-Durkee Hostility Inventory (BDHI), the Acute Physiological and Psychological Response after Drinking, and the Michigan Alcohol Screening Test (MAST-K) to them. Results:Female patients had higher scores on Harm-Avoidance (HA) and lower scores on Reward-Dependence (RD) and Cooperative (CO) as compared to male patients. Male alcoholics had earlier ages of drinking onset and higher scores on Anger Control. Female alcoholics tended to have more suicidal thoughts and attempts. In the presence of a positive familial history, female alcoholics had higher scores on Spontaneous Aggression and lower scores on Novelty-Seeking (NS) and Reward-Dependence (RD) than did male alcoholics. Conclusion:These results suggest that male alcoholics tend to have more biological traits than female patients have and that female patients have more Editor’s note re highlight: Please clarify. Some information seems to be missing here. psychological problems than male patients have. These differences between male and female alcoholics should be incorporated into treatment processes for patients with alcohol dependence.

여성 알코올 의존 입원환자의 음주 양상 및 기질 성격 특성

이상백(Sang-Baek Lee),이정식(Jung-Sik Lee),송진우(Jin-Woo Song),강상범(Sang-Bum Kang),김응조(Eung-Jo Kim),홍계현(Kye-Hyun Hong),조성민(Sung-Min Cho),이석진(Suk-Jin Lee),장순우(Soon-Woo Chang) 한국중독정신의학회 2009 중독정신의학 Vol.13 No.1

Objective:This study examined the temperament and character inventory (TCI) scores as well as demographic and clinical data of female alcoholic patients, in order to discern new treatment possibilities for them. Methods:Forty-three female patients with alcohol dependence and thirty-two female social drinkers were included in this study. Female patients were divided into subgroups with positive and negative family histories. The presence or absence of drinking problems in the hus-band was also recorded. The demographic data and the TCI scores of groups were obtained. The clinical characteristics of each group were identified by obtaining information about drinking habits and childhood victimization histories, and by administer-ing the Beck Depression Inventory (K-BDI), State-trait Anxiety Inventory (STAI), Buss-Durkee Hostility Inventory (BDHI), Acute Physiological and Psychological Response after Drinking, and the Michigan Alcohol Screening Test (MAST-K). Results:Higher scores of Self-Transcendence (ST) and lower scores of Self-Directedness (SD) were shown in female patients compared to normal controls. Female alcoholics had higher scores on the BDI and STAI, and tended to have more suicidal thoughts and attempts. They also showed higher rates of childhood victimization experiences such as physical abuse. Conclusion:TCI profiles of the female alcoholic patients compared with normal healthy subjects reflected common comorbid psychiatric conditions such as depression, anxiety disorder, and personality dis-order. The evaluation of childhood traumatic experience and suicidal risk should be included in the treatment process for fe-male alcoholics.