http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
지역사회 정신보건 서비스를 이용하는 불면증을 동반한 만성 조현병 환자의 수면의 특징
황동기,남민,이유진 대한수면의학회 2017 수면·정신생리 Vol.24 No.2
Objectives: To evaluate sleep characteristics and factors associated with sleep disturbance in schizophrenia patients with concurrent active psychotic symptoms and insomnia. Methods: Schizophrenia patients with insomnia and active psychotic symptoms (n = 63) were recruited from communitybased mental rehabilitative facilities. Sleep scales such as the Korean version of the Insomnia Severity Index (ISI-K) and the Korean Version of the Pittsburgh Sleep Quality Index (PSQI-K) were evaluated and those with ISI-K >15 were included in the study. Psychotic, anxiety and depressive symptoms were rated with the Brief Psychotic Rating Scale (BPRS), the Korean Version of the Anxiety Sensitivity Index (K-ASI), and the Korean Version of the Beck Depression Inventory-I (K-BDI), respectively. Pearson correlation analyses were performed between the sociodemographic data, ISI-K and PSQI-K. Multiple linear regression analysis was conducted to investigate the factors which affected the ISI-K and PSQI-K. Results: The mean ISI-K and PSQI-K scores were 18.1 ± 2.6 and 12.0 ± 2.2, respectively. Pearson correlation analysis showed a negative correlation between age of onset and ISI-K score and positive correlations between BRPS and PSQI-K scores and between K-ASI and both ISI-K and PSQI-K scores. Multiple regression analyses for both ISI-K and PSQI-K with K-ASI, age of onset, and BPRS as covariates revealed K-ASI as the only significant remaining factor. Conclusion: Our study suggests that anxiety symptoms are associated with insomnia symptoms in schizophrenia patients regardless of depressive or psychotic symptoms. 목 적:본 연구의 목적은 불면증과 정신병적 증상이 지속되는 조현병 환자의 수면 장애와 연관된 요인과 수면의특징을 평가하는 것이다. 방 법:지역사회 정신보건 시설에 거주 중이며 불면증과정신병적 증상이 동반된 조현병 환자들이 참여하였다(n = 63). The Korean version of Insomnia Severity Index (ISIK) 와 the Korean Version of Pittsburgh Sleep Quality Index (PSQI-K)와 같은 수면 척도가 평가되었고, ISI-K 점수가 15 점 이상인 대상자들이 연구에 참여하였다. 정신병적, 불안, 우울 증상은 각각 Brief Psychotic Rating Scale (BPRS), the Korean Version of Anxiety Sensitivity Index (K-ASI) 그리고 the Korean Version of Beck Depression Inventory-I (K-BDI)로 평가하였다. 사회인구학적 자료와 ISI-K 그리고 PSQI-K 사이의 상관관계를 확인하기 위해 Pearson correlation analysis를 시행하였다. ISI-K와 PSQI-K에 영향을미치는 각각의 요인을 확인하기 위하여 다중회귀분석으로분석하였다. 결 과:ISI-K와 PSQI-K의 평균 점수는 각각 18.1 ± 2.6 점과 12.0 ± 2.2점이었다. Pearson correlation analysis 결과에서 발병 연령과 ISI-K사이의 음의 상관관계와 BPRS 와 PSQI-K 사이, K-ASI와 모든 수면 척도 사이의 양의 상관관계를 확인하였다. ISI-K와 PSQI-K에 대해 K-ASI와발병연령, K-ASI와 BPRS를 각각 단계적으로 입력한 모든다중회귀분석에서 K-ASI만이 유의한 요인으로 남았다. 결 론:본 연구는 조현병 환자의 불면 증상이 우울 또는정신병적 증상과 무관한 반면, 불안 증상과 관련이 있다는점을 제안한다.
황동기,송오섭 한국군사과학기술학회 2018 한국군사과학기술학회지 Vol.21 No.6
A well-designed flight vibration specification enables the optimum weight design of the Surface-to-Air or Air-to-Air Missile, improves the maneuverability of the flight vehicle, improves the engagement of target, and increases the price competitiveness of the components and the missile system. Conventional flight vibration specifications are used by using a somewhat higher standard as suggested in MIL-STD-810C, or based on accumulated data from developed similar missile systems. In this study, we confirmed the validity of FEA response analysis by comparing response data obtained by FEA and response data of real product. Also we proposed that each specification that reflects the structural characteristics of the place where the components are mounted is required instead of verifying all the components by a single flight vibration specification.