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        청소년 정신분열증 환자 어머니의 단기집단 정신치료의 연구

        고기형,곽영숙,백기청 대한신경정신의학회 1991 신경정신의학 Vol.30 No.1

        To evaluate schizophrenic mothers’ conflict, depression, and attitude toward their schizophrenic children and how they perceive psychiatric illness, we studied group process of nine mothers in twelve sessions. The results were as follows * 1) There was not significant difference of BDI score statistically irrespective of group psychotherapy. 2) There was significant difference in only atmosphere of family in PBR. 3) There was partial changes in cause, treatment and perspective of disease. 4) Drop-out rate was 10.1 %. 5) Late attendance rate was 2.8 persons per session and abscence rate was 0.8 person per session. 6) Group silence was 0.9 frequency per session and there was great difference to authority and style of therapist. 7) Laughther rate and crying rate were 0.6 and 0.4 frequency, respectively. 8) Familial attendance was 0.3 person per session except mothers. 9) There was overt depression during group psychotherapy. 10) Uncooperation of therapist made group process to involve only therapist. 11) Goup cohesion and unversality were major group dynamics, which dependency and helplessness appeared.

      • KCI등재

        청소년 정신분열증 환자의 어머니의 단기집단 정신치료의 연구

        곽영숙,백기청,고기형 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.1

        To evaluate schizophrenic mothers' conflict, depression, and attitude toward their schizophrenic children and how they perceive psychiatric illness, we studied group process of nine mothers in twelve sessions. The results were as follows : 1) There was significant difference in only atmosphere of family in PBR. 3) There was partial changes in cause, treatment and perspective of disease. 4) Drop-out rate was 10.1%. 5) Late attendance rate was 2.8 persons per session and abscence rate was 0.8 person per session. 6) Group silence was 0.9 frequency per session and there was great difference to authority and style of therapist. 7) Laughter rate and crying rate were 0.6 and 0.4 frequency, respectively. 8) Familial attendance was 0.3 person per session except mothers. 9) There was overt depression during group psychotherapy. 10) Uncooperation of therapist made group process to involve only therapist. 11) Goup cohesion and universality were major group dynamics, which dependency and helplessness appeared.

      • 자궁경부선암에서 Carcinoembryonic Antigen과 Secretory Component의 출현도

        이준우,고기형,유재형,송계용 중앙대학교 의과대학 의과학연구소 1984 中央醫大誌 Vol.9 No.4

        To observe the correlation between the carcinoembryonic antigen and the secretory component with their morphological differentiation in the adenocarcinoma, immunohistochemical studies were carried out with 46 cases of adenocarcinoma of the cervix. The study consists of 34 cases of the tubular type, 4 cases of the papillary type, 6 cases of the papillotubular type and 2 cases of the poorly differentiated signet ring cell type. The results were as follows; 1. CEA is positive in 85.3% of the tubular type and negative in 75% of the papillary type and focal positive in papillotubular and signet ring cells. 2. SC is positive in 58.8% of the tubular type and negative in 75% of the papillary type and focal positive in the papillotubular and negative in the signet ring cells. 3. The coincidence rate in both CEA and SC was 61.0% and the positive rate in either CEA or SC was 91.2% in the tubular adenocarcinoma. 75% of the papillary type was negative both in CEA and sc. Therefore, CEA and SC were positive in the majority of adenocarcinoma of uterine cervix, especially in the tubular type, where there was a close relationship with morphological differentiation, suggesting serial check of both CEA and SC in the tubular type was useful to treatment and prognosis. But papillary type and poorly differentiated signet ring cells were not consistent.

      • 증상의 안정기에 있는 만성 정신분열병 환자에서 직업 유무에 따른 증상의 차이

        권하영(Ha-Young Kwon),김진훈(Jin Hun Kim),윤해주(Hai-Joo Yoon),고기형(Kee-Hyung Koh),최승순(Seung-Soon Choi),장동원(Dong-Won Chang) 대한사회정신의학회 2005 사회정신의학 Vol.10 No.1

        목 적: 본 연구는 증상의 안정기에 있는 만성 정신분열병 환자를 대상으로 직업 유무에 따라 나누어진 두 군에서 현재의 증상의 차이를 알아보고자 시행되었다. 방 법: 국립 서울 병원 외래 진료를 받고 있거나 개인 낮병원을 다니고 있는 정신분열병으로 진단 받은 환자 80명을 대상으로 하였다. 연구 시작 시점으로부터 지난 6개월 동안 최소 1개월 이상 돈을 받고 일을 한 경험이 있는 군을 직업군(45명)으로 하였고 그렇지 않은 군을 비직업군(35명)으로 하였다. 모든 연구 참가자들에게서 일반 인구학적 특성, 직업적 특성, 양성 및 음성 증후군 척도, Beck 우울척도, Simpson-Angus 평가 척도 그리고 전반적 기능 평가척도 등의 평가가 개인 면담 및 설문지로 실시되었다. 결 과: 직업군의 음성증상의 합은 13.31±4.70으로 비직업군 17.80±4.87에 비해 유의하게 낮았다(F=0.46, df:78, p=0.00). 또한 GAF 점수가 직업군에서 유의하게 높았다(F=6.07, df:78, p=0.00). 결 론: 만성 정신분열병 환자를 대상으로 직업 유무에 따른 증상의 차이를 본 결과, 직업군에서 음성증상이 유의하게 낮다는 것을 알 수있었다. Objectives:This study of chronic & symptomatically stable schizophrenic patients was performed to evaluate differences in current psychiatric symptoms between the group with job and those without. Methods:80 schizophrenic patients, from outpatients of Seoul National Hospital and a local psychiatric day hospital, were divided into two groups:a group with job and a group without. Subjects were assessed by sociodemographic, occupational features, Positive and Negative Symptom Scale(PANSS), Beck Depression Inventory(BDI), SimpsonAngus Rating Scale(SAS), and Global Assessment of Functioning(GAF) through out the interview and questionnaire inquiry. Results:In the group of patients with job, the mean score of negative symptoms of the PANSS was 13.31±4.70 which is significantly low compared to 17.80±4.87 of that in those without job(F=0.46, df:78, p=0.00). GAF score in the group of patients with job was significantly high compared to that in the group of those without job(F=6.07, df:78, p=0.00). Conclusion:It is concluded that the score of negative symptoms of the PANSS was significantly low in the group of patients with job.

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