여성무용인의 결혼 및 출산, 일과 가정 병행에 대한 인식, 무용지속의도간의 차이 연구 - 무용학과 대학생과 졸업생을 대상으로 -

정명훈(Myung-Hun Jung),최은정(Eun-Jeung Choi) 한국콘텐츠학회 2021 한국콘텐츠학회논문지 Vol.21 No.5

본 연구는 무용학과에 재학 중인 여학생과 졸업한 여성무용수들을 연구대상으로 결혼과 출산의도 일과 가정갈등, 무용지속의도에서 그룹 간 차이와 상관관계를 파악하고자 하였다. 두 집단은 가지지향형 결혼관, 일과 가정 갈등, 출산의도에서 유의미한 차이를 보였고, 전체 집단에서는 여러 요인 간에 상관관계가 나타났으나 가족건강성만이 유일하게 무용지속의도에 영향을 끼쳤다. 이러한 연구결과에 근거하여 여성무용인들을 위한 육아지원 정책과 서비스 개발에 기초자료를 제공하였다. This purpose of this study was to examine the differences and correlations of marriage and childbirth intentions, work-family conflict, and continuing dance intentions for female dance students and graduated female dancers. The two groups showed significant differences in self-directed view of marriage, work-family conflict, and childbirth intentions. In the whole, there was a correlation among, several factors, and only family health had a significant effect on intention to continue dance.

한국형 우울장애 약물치료 알고리듬 2021 (V) : 안전성, 부작용, 동반 신체질환을 고려한 항우울제 선택 및 치료저항성 우울증의 임상적 정의

정명훈(Myung Hun Jung),이정구(Jung Goo Lee),박원명(Won-Myong Bahk),우영섭(Young Sup Woo),왕성민(Sheng-Min Wang),정종현(Jong-Hyun Jeong),김원(Won Kim),심세훈(Se-Hoon Shim),서정석(Jeong Seok Seo),장승호(Seung-Ho Jang),양찬모(Chan-Mo Y 대한신경정신의학회 2021 신경정신의학 Vol.60 No.4

Objectives To revise Korean Medication Algorithm Project for Depressive Disorder 2017 (KMAPDD 2017) guidelines by revising antidepressant choices based on their safety, adverse effects, comorbid physical illnesses, and the clinical definition of treatment-resistant depression (TRD). Methods A 33-item questionnaire comprised of six parts was developed. A 65-expert consensus (65/97, 67.0%) was obtained on pharmacological treatment strategies regarding antidepressant choice with respect to safety, adverse effects, and comorbid physical illnesses. Multiple response sets were subjected to statistical analysis. Results The results obtained showed that first-line pharmacotherapeutic strategies based on various clinical considerations were as follows: mirtazapine (for patients with increased suicidality, Gastrointestinal discomfort, and insomnia), bupropion (for patients with orthostatic hypotension, history of a safety accident, serotonin syndrome, sedation, sexual dysfunction, and weight gain), and escitalopram (for patients with anticholinergic side effects). For patients exhibiting comorbid conditions, duloxetine was the first line pharmacotherapeutic strategy for chronic pain, escitalopram was the first-line pharmacotherapeutic strategy for diabetes, hypertension, liver disease, Parkinson’s disease, renal disease, epilepsy, and thyroid disease, and sertraline was a first-line pharmacotherapeutic strategy for arrhythmia and cardiovascular disease. Conclusion Pharmacological treatment strategy of KMAP-DD 2021 is similar to that of KMAPDD 2017. Additional study is required to determine antidepressant choices for TRD and cancer patients with depression.

하지 골절 노인환자의 수술 후 섬망 위험성 평가

한정엽(Jung Yeop Han),전덕인(Duk In Jon),홍현주(Hyun Ju Hong),정명훈(Myung Hun Jung),유제현(Je Hyun Yoo),박재용(Jae Yong Park),류상현(Sang Hyun Rhyu),홍나래(Na rei Hong) 대한노인정신의학회 2018 노인정신의학 Vol.22 No.2

Objective:Delirium is very common in orthopedic elderly patients and increase comorbidity and mortality rates. By controling the risk factors of delirium, prevention strategy can be effective and reduce negative outcomes. The purpose of this study was to explore the usefulness of delirium risk assessment with some simple collateral questionaires. Methods:The subjects were 50 elderly patients (≥65 years old) who admitted to a department of orthopedic surgery for operations of lower extremity fractures. They were evaluated with Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Confusion Assessment Method and Korean Dementia Screening Questionnaire (KDSQ) by psychiatrists. The demographic data, medical histories, and orthopedic chart were checked through medical records of patients. Results:27 subjects (54.0%) were diagnosed as delirium. There was a significant difference between delirium group and control group with all KDSQ scores. Depressive category of KDSQ score had the highest correlation (coefficient=0.399) and can be independent risk factor of delirium (p=0.045). Conclusion:Cognitive impairment and depressive symptoms have high correlation with delirium. We found that just a few questions of cognitive impairment and depressive symptoms by caregivers

정신병으로 입원한 환자에서 외래 순응도와 관련 있는 임상적 요인에 대한 후향적 조사

김소정(Sou Jung Kim),김소은(So-Eun Kim),전덕인(Duk-In Jon),홍현주(Hyun Ju Hong),정명훈(Myung Hun Jung),홍나래(Narei Hong) 대한사회정신의학회 2011 사회정신의학 Vol.16 No.2

목 적 : 본 연구는 정신병 환자들의 재발과 밀접한 연관이 있는 것으로 알려진 외래 순응도와 관련된 임상적 요인들을 확인해보고자 실시되었다. 방 법 : 2006년 1월부터 2008년 12월까지 한림대학교성심병원 정신과 병동에 정신병으로 입원 치료 후 퇴원한 환자 213명의 의무기록을 후향적으로 조사하였다. 환자들의 외래 순응도에 따라 순응군과 비순응군으로 분류하였고 사회인구학적 특성, 임상적 특성, 약물 복용력 등을 조사하였다. 결 과 : 순응군에서는 비순응군에 비해 퇴원시 병식이 높았으며, 남성 비율이 더 높고, 진단명의 경우 조현병(편집형)이 많았으며, 발병연 령이 더 이르고, 퇴원시 CGI-S 점수가 낮고(p=0.009), CGI-I 점수가 높았다(p=0.013). 또한 순응군에서 퀘티아핀(Quetiapine)과 클로자핀(Clozapine)을 복용하는 환자의 비율이 더 높았으며, 아미설피라이드(Amisulpiride)와 리스페리돈 서방성 미립구 주사제 (Risperidone Long-Acting Injection)를 사용하는 환자의 비율은 더 낮았다. 외래 순응도와 관계가 가장 큰 요인은 퇴원시 병식이 었으며 부작용 여부, 직업, 결혼, 학력, 유병기간, 나이, 입원 횟수, 다중약 사용여부와 같은 요인은 두 군간에 차이가 없는 것으로 나타났다. 결 론 : 외래 순응도와 상관관계가 가장 큰 임상적 요인은 퇴원시 병식이었다. 따라서 입원 기간 동안 환자들에게 약물 치료 및 교육 등을 실시하여 퇴원시 병식을 높여주는 것이 환자의 외래 순응도를 높이고 재발율을 낮추는데 도움이 될 수 있음을 알 수 있었다. Objective : This study aims to identify variables which predicts the compliance of outpatient treatment that is known to be related to recurrence of psychotic patients. Methods : The medical records of 213 patients who discharged with the diagnosis of psychotic disorder from Department of Psychiatry, Hallym University Sacred Heart Hospital from Jan, 2006 to Dec, 2008 were reviewed. The patients were divided into compliance group and non-compliance group. Data on sociodemographic and clinical variables, and profiles of drug use were analyzed. Results : The patients in compliance group showed better insight at discharge, higher rate of male, earlier onset, higher rate of schizophrenia, paranoid type, lower CGI-S score and higher CGI-I score at discharge than those in non-compliance group. And compliance group consists of higher rate of Quetiapine and Clozapine-use subjects and lower rate of Amisulpiride and Risperidone Long-Acting Injection-use subjects than non-compliance group. The most influential clinical variable on compliance was insight at discharge. Other variables such as side-effect of drugs, occupation, marital status, education, period of illness, age, number of admission, and number of drugs showed no influence on compliance. Conclusion : The most important factor to compliance seems to be the insight at discharge than other clinical factors. Thus improving the insight at discharge by drug treatment and education might be able to improve the compliance of outpatient treatment and reduce the recurrence rate.

감염성 두개강내 동맥류의 수술 및 내과적 치험 2례 - 증 례 보 고 -

반성수,안치성,정명훈,최일승,최선욱,송관영,강동수,Ban, Sung Soo,Ahn, Chi Sung,Jung, Myung Hun,Choe, Il Seung,Choi, Sun Wook,Song, Kwan Young,Kang, Dong Soo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1

Object : To determine whether to use surgical or medical therapy in treatment of infectious intracranial aneurysms, we reviewed two recent cases of infectious intracranial aneurysms and others known previous reports of aforementioned cases. Hence, we attempted to compare the validity and effectiveness of surgical and medical treatment. Method : Recently, we treated two cases of ruptured infectious intracranial aneurysms. In former case, the aneurysm was located distal to the middle cerebral artery in a patient with mild mitral regurgitation of the heart. In latter case, the aneurysm was multiple with varying hemorrhage. The hemorrhage was located bilaterally and a moderate mitral regurgitation and infective endocarditis were accompanied in this patient. Result : Due to the large size of the intracranial hematoma, stable medical condition, and easy resectability, we treated the former patient surgically. And, because of successive hemorrhage by multiple aneurysmal rupture, and the risk of heart failure, we treated the latter patient medically with serial follow-up angiography. Both patients are at present in good health. Conclusion : Because of the variability in associated factors, such as the patient's health, the number of lesions, location, anatomy of the aneurysms and the causative organism, each patient's care must be individualized and tailored to the patient's particular clinical situation.

두통환자에 대한 방사선학적 검사의 진단적 가치

반성수,최일승,안치성,정명훈,최선욱,송관영,강동수,Ban, Sung Soo,Choe, Il Seung,Ahn, Chi Sung,Jung, Myung Hun,Choi, Sun Wook,Song, Kwan Young,Kang, Dong Soo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.10

Objective : The goal of this study is to identify the significant radiologic abnormalities in patients complaining headache and to determine predictive factors for clinically significant radiological abnormalities. Method : The study population was 410 patients having underwent CT or MRI study among 1000 patients complaining headache in outpatient basis between 1996-1999. All of these patients answered self-administered questionaire about their headaches. We reviewed the patient's charts and the questionaires and examined the radiologic study results. Result : Of the 410 patients referred for CT or MRI study, male : female ratio was 1 : 1.97. Twenty-five patients(6.1%) revealed clinically significant organic lesions. Mean age was 46.1 in radiologic abnormal group and 48.4 in normal group. Short symptom duration(p<0.01), motor weakness(p<0.05), vomiting(p<0.05), cranial nerve palsy(p<0.05), and trauma history(p<0.05) were factors indicated higher incidence of radiologic abnormality. But, patients age, and severity of headache were not associated with clinically significant radiologic lesion. The ratio of radiologic abnormality was 0.8% in patients not having any risk factor. Conclusion : The results indicate that radiologic study should be done in headache patients having the risk factors such as short symptom duration, motor weakness, vomiting, cranial nerve palsy, trauma history. For patients without any such a risk factor, the radiologic study doesn't seem mandatory.

새만금 지역의 바다생태계와 어로작업의 상관관계 연구

함한희(Hanhee Hahm),정명훈(Myung-Hun Jung),이동창(Dong-Chang Lee) 한국환경사회학회 2011 환경사회학연구 ECO Vol.15 No.2

이 논문에서는 새만금 간척개발사업의 결과 발생한 생태계의 변화가 어민들의 어업활동에 어떤 영향을 미쳤는가에 주목해서 바다생태계와 인간문화의 상호작용성에 대해서 분석했다. 특히 새만금지역 어민들의 어로작업이 장기간에 걸쳐서 변화를 해왔으며, 바다생태계의 변화와 밀접한 관계를 맺고 있다는 점을 중시했다. 시기별 변화를 비교분석하기 위해서 새만금사업이 시행되기 이전 시기와 공사가 진행 중이던 시기 그리고 방조제완공 후로 나누어서 첫째 새만금지역의 생태계의 변화를 조사하여 비교ㆍ검토했다. 둘째, 어로작업도 세 시기별 특징을 살핀 결과 과거의 어로는 자연과 공동체가 상호작용해서 만들어 낸 전통지식과 기술을 바탕으로 했다면, 현재에는 극도의 위기 속에서 생산성 향상을 목적으로 한 개별적이고 경쟁적인 어로작업으로 변했다는 점을 지적했다. 세 번째로는 바다공간에서 일어난 물리적 변화와 어족자원, 문화영역에서 일어난 어로기술력과 어민들의 인식변화의 상호관계성에 주목했다. 새만금사업 이전에는 바다와 어족이 공유재로 인식되었고 그것에 대한 소유권도 개방성을 띠었다. 그러나 새만금사업 이후가 되면서 바다는 크게 축소되고 또 오염도 심각해졌다. 해수유통이 원활해지지 않자, 바다자원은 물론이고 어민들의 기술, 의식 등에서도 심각한 변화가 초래되었다. 한정된 자원을 둘러싼 경쟁구조가 나타나고 어로작업의 도덕성이나 윤리의식이 크게 손상되었다. 바다와 인간 사이에 이루어지는 상호관계망은 생태계 균형이 깨질 때 일방적인 관계로 변해갔다. 부정적인 양태의 어업을 중지하지 못하고 있는 새만금지역의 어민들을 통해서 생계양식의 포기가 무엇을 의미하는가에 대해서 성찰을 제의했다. 나아가서 개발사업과 관련한 정책적 차원의 재조정이 필요하다는 점을 역설했다. We analyze the interaction between marin ecology and culture focusing on changes of fishery taking place in the area of Saemangeum. It is located in the southwestern part of sea and coastal areas and administratively extends to three counties, Buan, Gimje and Gunsan. Fishery in the area has kept change in response to the devastated fishing environments including the sea and mudflats as a result of Saemangeum reclamation project. Since the dam construction project started in 1991, the regional sea and mudflats have been greatly affected by it. The first evidence of deterioration of the sea environment caused by the dam building was the noticeably shrinking in the variety of fish and increasing pollutions of the water. Because of this, the fishermen tried to develop their survival strategies in terms of using high-tech fishing tools and advanced methods. In the traditional period, fishery and its related knowledge including norms and ethics were naturally formed through communal activities and respect for nature. However, in recent years, fishery has evolved into competitive and independent activities of individual fishermen. Some fishermen seem to be irresponsible in use of contaminated materials in order to increase catches of clams. They are unattentive to collect small fish and clams which was avoided in the past. Under this situation the interconnectivity between sea and humanity has vanished and is replaced by the exploitative relations. The sea space and marine products was no longer considered as open and public properties and instead, a competitive and irresponsible fishery is now widely carried out on the afflicted area. In final we reconsider the meaning of the continuity of fishery under a very polluted water using illegal tools and technologies.

병적 도박 환자에서의 회백질 부피 변화 분석 : 화소 기반 형태분석 방법을 이용한 예비 연구

최정석,신영철,정위훈,정명훈,장준환,강도형,최치훈,권준수,이준영,Choi, Jung-Seok,Shin, Young-Chul,Jung, Wi Hoon,Jung, Myung Hun,Jang, Joon Hwan,Kang, Do-Hyung,Choi, Chi-Hoon,Kwon, Jun Soo,Lee, Jun-Young 대한생물정신의학회 2009 생물정신의학 Vol.16 No.3

Objectives : The purpose of this study was to examine structural abnormalities of brain in patients with pathological gambling(PG) using voxel-based morphometry. Methods : We compared gray matter(GM) volumes between 10 patients with PG and 14 age- and IQ-matched healthy controls and examined the relationship of GM volumes with clinical variables in patients with PG. Results : We found significant increase of GM volume in the superior, middle, and inferior frontal gyri, the midbrain, the middle temporal gyrus, the precuneus, and the fusiform gyrus of patients with PG. A significant decrease of GM volume was observed in the parahippocampal gyrus and the lingual gyrus of the patient group. In addition, GM volumes in some of these regions were positively associated with South Oaks Gambling Screen score and negatively with age of onset in patients with PG. Conclusion : Current findings indicate that structural abnormalities in the fronto-temporal cortex, the midbrain, and the precuneus might be involved in the pathophysiology of PG, and contribute to some of the behavioral changes observed in patients with PG.

일개 시 지역의 정신건강 인식에 대한 10년 전후 비교 분석

전우혁(Woo-Hyeok Jeon),조명선(Myung Sun Cho),전덕인(Duk-In Jon),홍현주(Hyun Ju Hong),홍나래(Narei Hong),정명훈(Myung Hun Jung) 대한사회정신의학회 2020 사회정신의학 Vol.25 No.2

연구목적 : 정신질환에 대한 적절한 관리의 필요성이 점점 증가하는 한편 이에 대한 사회적인 인식과 태도는 여전히 부정적인 것이 현실이다. 본 연구는 각각 2008년과 2018년에 조사한 안양 시민의 정신건강에 대한 인식과 정신건강 수준을 비교 평가하고자 한다. 방 법 : 안양시에 거주 중인 20세 이상의 성인 남녀 600여 명을 대상으로 설문조사 하였다. 설문 내용은 사회 인구학적 요인과 함께 정신 건강 종합서비스 욕구, 정신건강 문제 해결을 위한 질문, 연령에 따른 대상자 별 정신건강 서비스 욕구에 관한 질문, 자살 사고에 대한 인식도 및 경험 유무 등으로 이루어졌다. 결 과 : 안양시민은 2008년에 비해 2018년에 스스로의 정신건강 점수를 더 낮게 평가하였으며, 정신건강에 대한 도움의 필요성을 인식하는 비율 및 실제 도움을 받은 비율 또한 감소하였다. 연령별로는 청소년과 노인에서 정신건강 문제의 중요도가 증가하였으며 연령 전반에서는 ‘정서’ 문제의 중요도가 크게 상승하였다. 한편 자살에 대한 인식에 개선이 뚜렷하지 않았고 자살 위기 시 정신건강의 도움에 대한 필요성은 낮게 평가되었다. 결 론 : 일반 시민들이 정신건강에 대한 도움을 부정적으로 인식하는 것은 정신질환 자체에 대한 편견과 부정적인 인식에 의한 것으로 추론된다. 이와 같은 정신건강에 대한 인식 및 편견 해소와 정신건강 서비스 이용을 향상시키기 위하여 다각도의 노력이 필요할 것이다. 또한 청소년 및 노인의 정신건강 문제가 중요하게 보고되며 시민들의 자살 문제는 여전히 개선되지 않아 해당 연령층 및 위험 군을 대상으로 한 세분화된 개입과 지원이 필요할 것이다. Objectives : While the necessity of proper management for mental illness increases gradually, the attitude toward mental health and psychiatric treatment is still remaining negative. The purpose of this study was to compare Anyang citizens’ aware-ness and level of mental health surveyed in 2008 and 2018, respectively. Methods : About six hundred men and women over 20 years old residing at Anyang city were recruited for this study. The selfreport questionnaire consists of the sociodemographic data, needs for overall mental health service, methods to solve their own mental health problem, age-specific needs for the mental health service, and awareness and experience of sui-cidal ideation. Results : Anyang citizens rated their mental health score lower in 2018 than in 2008, and the rate of the need for help to mental health as well as the rate of getting actual help were decreased. Age-specifically, there were large increases in the impor-tance of adolescent and senior citizens’ mental health problem. In all ages, there was a large increase in the importance of emotional problem. Meanwhile, there is no clear improvement in the perception of suicide, and the need for help to mental health at suicidal crisis was estimated low. Conclusion : It is inferred that a negative awareness of the help to mental health is due to negative perception and prejudice toward mental illness itself. Therefore we suggest that multifarious efforts are needed to reduce citizens’ negative perception and prejudice toward mental health as well as to make use of the mental health services. Furthermore, as adolescent and se-nior citizens’ mental health problem were reported importantly, as well as suicide problem is still unimproved, specific intervention and support targeting the relevant groups are necessary.

인터넷 중독 예방 프로그램의 효과

박민수(Minn Suh Park),전덕인(Duk-In Jon),홍현주(Hyun Ju Hong),정명훈(Myung Hun Jung),홍나래(Narei Hong) 대한사회정신의학회 2017 사회정신의학 Vol.22 No.2

연구목적 : 인터넷이 보급되면서 인터넷 중독의 피해가 확산되고 있고, 청소년기는 중독에 대해 취약한 시기이기에 인터넷 중독에 대한 예방 책이 중요하다. 본 연구는 기존 인터넷 중독 예방 프로그램의 효과를 초등학교 고학년 학생 집단을 대상으로 중독 증상의 정도와 양상의 변화를 통해 확인하고자 했다. 방 법 : 경기도 1개 시의 5개 초등학교에 소속된 4, 5학년 초등학생 대상으로 인터넷 중독 예방 프로그램을 시행하였다. 이중 프로그램 시행 전, 직후 2번에 걸쳐 청소년 인터넷중독 자가진단 척도(KS-II)을 작성한 556명을 대상으로 분석을 시행하였다. 일반 사용자군, 위험 사용자군으로 나눠 일상생활 장애, 가상적 대인관계 지향성, 금단, 내성의 척도 내 4가지 영역에 대해 독립표본 T검정과 반복측정 분산분석을 시행하였다. 결 과 : 프로그램 시행 후 일반 사용자군과 위험 사용자군 모두 일상생활 장애, 가상적 대인관계 지향성, 금단, 내성 등 전 영역에 걸쳐 통계적으로 유의하게 점수가 감소하였다. 일상생활 장애, 금단, 총점의 경우, 두 군 사이의 상호작용 효과가 나타나 일반 사용자군에 비해 위험 사용자군에서 점수가 더 감소하였다. 결 론 : 인터넷 중독 예방 프로그램이 인터넷 중독 위험 사용자군과 일반 사용자군에서 인터넷 중독에 대한 인식 정도를 변화시키는 것을 통해 중독 증상의 정도와 양상에 영향을 준다는 것을 청소년 인터넷 중독 자가진단 척도의 변화로써 확인할 수 있었다. 또한 그중에서도 일상생활 장애, 금단 및 총점의 경우, 위험 사용자군에서 특이적으로 점수를 더욱 감소시킨다는 것을 알 수 있었다. Objectives : While Internet is being spread, the problems of internet addiction is also increasing in the world. Because adolescent is fragile to addiction, internet addiction prevention is important. This study tries to check the effect of the established internet addiction prevention program for elementary school students with change of addiction-related symptoms. Methods : The internet addiction prevention program was run for 4th and 5th grade students of 5 elementary schools in 1 city of Gyeonggi-Do, Korea. 556 participants completed Internet Addiction Scale for Adolescent (KS-II) before and after the 3-session program. We divided the participants into 2 groups, normal user group and risky user group, and conducted independent T test and repetitive ANOVA over 4 domains, disturbance in daily life, cyber world oriented, withdrawal symptom, and tolerance. Results : Over all domains, each score was statistically lowered in both normal user group and risky user group after the program. Due to interaction effect, score of disturbance in daily life, withdrawal symptom, and total score was decreased more in risky user group than in normal user group. Conclusion : This study showed that the internet addiction prevention program which would change the level of knowledge about internet addiction in normal user group and risky user group could affect severity and aspects of addiction symptom with change of score of self-report scale. Also, especially in disturbance in daily life, withdrawal symptom, and total score, decrease of the score decreased more than other domain.