아동기 부모양육에 대한 인식이 성인기 배우자 관계에 미치는 영향

장상렬,이종범 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.4

This study was conducted to identify the effect of child-parent relationships on later adult social bonds in the general popultion. The subjects were 66 married males and 41 married females between the age of 20 and 65 years old in Taegu City. the survey was conducted from March 1 to July 31, 1994. The subjects were tested by Parental Bonding Instrument(PBI) and Intimate Bond Measure(IBM). The results were as follows : The subjects with more caring parents perceived that their spouses also cared for them(p<0.05). Scores of mother's overprotection and most overprotective parent's scores had a negative influence on adults' perception about their spouses' caring (p<0.05). These findings suggest that the childhood experience with parenting contributes to the quality of interpersonal relationships in adulthood. The highest significant correlation is placed between the least caring parent and intimacy of being cared for by their spouse(p<0.001). this finding indicates that if feelings of being protected and not being cared for had been coexisted, the quality oflater interpersonal relations would be more influenced by negative feelings than positive ones. It is also suggested thatthe overprotection has less pathological effects on the quality of interpersonal relations than lack of caring. There were also gender differences. In male subjects, there were significant correlations between scores of maternal care, overprotection and the least caring prent and feelings of being cared for by their spouses(p<0.05). And there were significant correlations between the scores of paternal care and feelings of being controlled by their spouses(0.01). In female subjects, all paternal care and overprotection subscales were significantly corelated with feelings of being cared for by their spouses(p<0.05). The subjects who had experienced separation from their mothers in childhood had a significant correlation with feelings of being controlled by their spouses(p<0.05). This suggests the distress of seperation from parents in childhood could be a factor which affects the social bonds in adulthood.

심한 체중감소 및 등교거부증을 보인 분리불안장애 아동 1례

장상렬,박형배 영남대학교 의과대학 1993 Yeungnam University Journal of Medicine Vol.10 No.1

Seperation anxiety disorder (SAD) is characterized by excessive anxiety about being apart from the individuals to whom a child is most attached. We noticed a case of a 13 year old boy's SAD with symptoms of nausea/vomiting, stomachache, school refusal, and severe weight loss. His mother was overanxious and overdependent but her dependency was frustrated due to family problem. We investigated this case from a point of developmental aspect and family dynamics and tried to attempt therapeutic approach.

대구지역 여고생들의 성(性)적 학대 경험에 관련된 신경증에 관한 연구

노태용,김영욱,서혜수,박형배,이광헌,김창수,장상렬,김진성 영남대학교 의과대학 1995 Yeungnam University Journal of Medicine Vol.12 No.1

성적학대와 관련된 신경증적 경향을 알아보고자 1994년 7월 10일부터 17일까지 M.H.Q의 신경증적척도를 대구시내 소재의 여자고등학교 학생 320명을 대상으로 설문 조사하여 다음과 같은 결과를 얻었다. 1) 성적학대를 받은 군에서는 대조군보다 불안 (p<0.05), 공포(p<0.01), 강박증(p<0.01), 신체화(p<0.05), 우울(p<0.01), 등의 신경증적 경향의 점수가 통계학적으로 유의하게 높았다. 2)단일횟수보다 여러번의 성적학대를 받을 때 신체화(p<0.01), 우울(p<.0.1), 히스테리(p<0.01) 등의 신경적 경향의 점수가 통계적으로 유의하게 높았다. 3) 성적학대를 받은 기간이 1년이하보다 1년이상일 경우 강박증(p<0.05), 신체화(p<0.05), 우울(p<0.05) 등의 신경적 경향의 점수가 통계학적으로 유의하게 높았다. 4) 성적학대의 강도가 높을수록 공포, 신체화, 우울 등의 신경적 경향의 점수가 통계학적으로 유의하게 높았다(p<0.01) 5) 가해자는 낯선사람이 31명(45%)으로 가장 많았고 친척 10명(14%), 형제 7명(10.3%), 동네 이웃사람 6명(8.8%) 등의 순서였고, 상담이나 치료를 받은 적이 있는 사람은 68명중 34명(50%)이었으며 이 중 상담대상으로 친구가 23명(68%), 부모 7명(11.7%) 등의 순서였고 전문가는 2명(5.9%)이었다. This study was intended to identify the neurotic traits related to sexual abuse in female high school students. The Neurosis Scale of Middlesex Hospital Questionnaire was conducted to 320 female high school students in Taegu, Korea from July 10 to July 17, 1994. The results were as follows: 1) The sexual abuse victim group showed significantly higher neurotic traits of Free floating anxiety (p<0.05), phobic(p<0.01), Obsession(p<0.01), Somatic(p<0.05), Depression (p<0.01) than the control group. 2) The Neurotic traits of Somatic(p<0.01), Depression(p<0.01), Hysteric(p<0.01) were higher in the multiple-abused than the single-abused. 3) When the duration of being abused was concerned, subjects with more than 1 year duration had significantly higher neurotic traits of Obsession(p<0.05), Somatic(p<0.05), Depression(p<0.05) than subjects with less than 1 year duration. 4) The neurotic traits of Phobic, Somatic, Depression were significantly higher in the subjects with higher intensity of sexual abuse than with lower intensity. 5) Among 68 victims, 31 girls(45%) were assaulted by strangers, 10(14%) were relatives, 7(10.3%) were by siblings, 6(8.8%) were by neighbors. Among them, 34 girls(50%) bad counselling or psychotherapy and the people to whom they had sought for help were friends(23 girls ; 68%), parents (7 girls ; 11.7%) and mental health professionals (2 girls ; 5.9%).

대구지역 국민학교 어린이의 주의력 결핍 과잉 운동 장애 경향에 대한 선별 검사

박성찬,김창수,서혜수,박형배,김영욱,이광헌,장상렬,김진성 영남대학교 의과대학 1995 Yeungnam University Journal of Medicine Vol.12 No.1

저자들은 1994년 3월부터 5월 사이에 대구지역에 소재한 3개 국민학교 2학년 아동 538명을 대상으로 부모 평가용 ADDES-HV 척도를 이용하여 주의력 결핍 과잉 운동 장애에 대한 선별검사를 실시하여 다음과 같은 결론을 얻었다. 1. 학교별 학생간에는 주의력 결핍 과잉 운동장애 점수간에 차이가 없었다. 2. 세 학교 학생들의 남녀간 비교에서 남자가 ADDES-HV 소척도 및 전체 점수 모두에서 여자보다 유의하게 높았다(p<0.05). 3. ADHD 환아군 및 정상 대조군에서 남녀간의 ADDES-HV 척도의 점수에는 유의한 차이가 없었다. 4. 검사-재검사 신뢰도 검증에서 신뢰도 계수는 주의 산만이 0.80, 충동성이 0.69, 과잉운동이 0.63, 전체 점수 0.82로 모두 만족할 만큼 높았다. 5. 내적일관성에 의한 신뢰도 검증에서 환아군은 Cronbach α값이 0.85(p<0.05), 정상 대조군에서 0.84(p<0.05)였다. 6. ADDES-HV 척도와 DSM-Ⅲ-R 척도와의 공존타당도는 ADHD 환아군에서 0.57(p<0.05), 정상 대조군에서 0.84(p<0.05)였다. 7. ADHD 환아군과 정상 대조군간의 감별 타당도 검증에서 모두 유의하게 환아군이 높은 점수를 보였다(p<0.05). 8. ADDES-HV 척도의 환자군에 대한 판별력을 평가하기 위한 판별 분석에서 전체 판별력은 94.44%였다. 9. 정상적인 점수의 상한선인 절단점을 표준편차 1.5로 볼 때 국민학교 2학년 남학생은 80점, 여학생은 69점이었다. 따라서 ADDES-HV 척도를 한국인에 적용한 결과 신뢰롭고 타당함이 입증되었고 환자를 판별하는 능력이 우수하여 향후 ADHD에 대한 선별검사 및 조사 연구에 유용한 도구임에 입증되었다. The authors applied ADDES-HV parent evaluation scale for the purpose of screening test to 538 2nd grade elementary school students from March 1994 to May. The results were as follows : There was no differences in scores of ADHD between schools. In comparing the male and female between three school students, male students showed significant high scores (p<0.05) than female students in the score of ADDES-HV subscale and total. There was no significant differences in ADDES-HV scale between male students and female students in both ADHD patients and normal controls. In reliability test for test and retest, the reliability coefficient was higher satisfactorily and that of inattention was 0.80, impulsivity was 0.69, hyperactivity was 0.63 and the total score was 0.82. In reliability test by internal consistency, the Cronbach α a coefficient of patient group was 0.85(p 0.05) and that of normal control was 0.84(p 0.05). The Concurrent validity between ADDES-HV scale and DSM- Ⅲ-R scale was 0.57(p 0.05) in ADHD patient group and 0.84(p 0.05) in normal control group. In discriminant validity test between ADHD patient group and normal control, the ADHD patient group showed higher score(p 0.05). The total disciminant capacity of the patient group in ADDES-HV scale was 94.44%. When we regard the cut off point as standard deviation 1.5, the male student was 80 score and the female student was 69 score. In this point of view, ADDES-HV scale was proved to be the useful screening test tool for ADHD research and showed higher reliability and validity in applying to Korean subjects.