정신질환자에 대한 집단음악치료 연구

정영조 인제대학교 1992 仁濟醫學 Vol.13 No.2

약 5주간에 걸쳐 정신질환자 12명을 대상으로 즉흥적 음악요법과 부분적인 Guided Imagery and Music(GIM)을 실시하였다. 집단음악요법이 정신질환자의 증상호전과 예후 판정에 어느 정도 도움을 줄 것인가에 흥미를 갖고 본 연구를 시도하였다. 그 결과 정신질환자들이 음악요법에서 얻은 음악적 활동의 호전은 정신병적 호전과 거의 병행하여 나간다는 사실을 확인하였다. I have had a trial of the group music therapy in 12 psychiatric patients who admitted in Seoul Paik Hospital since Feb 1992. I observe the on going process of patient's status in group MT, and so can summarize the findings. Resistance which the patients feel about the therapist can be relieves gradually with the supportive and encouraged acceptance through the music process. Also improvisational music play offers the organization and the coordination which remove defensive resistance, and contributes to relieve the symptom. I find that patients can judge the one's self behavior and then change it through the music process. The use of music as a tool of group therapy offers to the members being in the process of group therapy, the experiences of 'here and now' which helps patients learning a technical interpersonal relationship. Conclusively, First, the music therapy is effective as adjunctive method of the psychotherapy. Second, the music therapy would make be easy to observe the thought, behavior and feelings of patients for a psychiatrist or a music therapist. Third, the music therapy would be of benefit for assessing the prognosis of the social adaptation and symptomatological improvement of the patients. Forth, the music therapy would be benefit for establishing the rapport of the doctor·patient relationship. Fifth, the music therapy would of benefit for converting the nonverbal communication such as the depressive mood, social withdrawal and mutistic behavior of the patients to verbal communication. Sixth, the music therapy and dancing therapy would be helpful for the chronified patient who would be required the long term admission for treatment to refresh themselves. Finally, although I have had a few cases, the music therapy may be helpful for the patients who were relatively improved in acute negative symptom such as, negativism, autistic behavior, social withdrawal by antipsychotic medications.

응급실을 통한 정신과 입원환자에 대한 임상적 고찰

정영조,김진규 인제대학교 1992 仁濟醫學 Vol.13 No.4

본 연구는 1987년 1월 1일 부터 1989년 12월 31일까지 서울백병원 응급실을 통해 신경정신과에 입원한 환자 170례를 대상으로 병력지를 분석정리하여 응급실 및 외래를 통한 입원환자의 재입원 환자수의 비교, 평균재원일수의 비교, 진단별 분류, 응급실 내원 동기, 퇴원시 치료 반응 등을 분석, 연구하였다. The authors investigated the clinical characteristics of 170 neuropsychiatric patients admitted to Seoul Paik Hospital via the E.R. from January 1, 1987 to Decemenber 31, 1989. The results were as follows : 1.The proportion of patients admitted via the E.R. was 23.7% of total neuropsychiatric admissions. 2.The readmission proportin of patients admitted via the E.R. was 32.4% which was higher than the readmission proportion of 24.7% of patients admitted 1 via the O.P.D 3.The average duration of hospitalization of neuropsychiatric patients admitted via the E.R. was 39.4 days which was shorter than the average duration of 48.6 days for patients admitted via the O.P.D. 4.53% of the emergency admission patients were in their twenties or thirties in age. Male to female ratio was 1.02:1. 5.25.9% of the emergency admission patients is were diagnosed as shizophrenia, which was the most frequent diagnosis in all patients. 6.40% of the energency admission patients were discharged within 2 weeks. 7.Presenting porblems, in the order of frequency, were paralysis or numbness of extremities and somatic symptoms, hallucination of paranoid idea, anxiety or panic state. Neurotic symptoms are prominant over psychotic symptoms in chief complaints. 8.17.4% of the emergency admission patients were discharged A.M.A. without satisfactory improvement of symptoms.

스트레스 대응전략 -생물학적 접근-

정영조,Chung, Young-Cho 한국정신신체의학회 1995 정신신체의학 Vol.3 No.1

Because the origins of stress are various, complex, and often indirectly-causing, reactions to stress are also various according to it's psychopathologies and mechanisms. For a proper management of stress, first of all accurate evaluation and diagnosis must be done. Then, treatment against the stress also can be considered, if necessary. In case of extreme stress, psychotropic drugs such as short-term anxiolytics or antidepressants can be used according to it's specific target symtoms. But long-term treatment of stress must be directed by increasing the individual's usual coping strategy or decreasing the externally causing stresses. Reactions to stress and drug interactions. which are not the whole of the biologic treatment strategy, are very important As a results, in our discussions, we ought to describe the issues by focusing the interactions between the drug and it's reaction to stress rather than the reaction to stress or drug itself and aimed at helping the proper treatment against the stress.

우울증환자의 신체증상에 관한 연구

정영조 최신의학사 1982 最新醫學 Vol.25 No.6

고유수용성 신경근 촉진법 통합패턴이 요통환자의 균형에 미치는 영향

정영조,배성수,Jung, Young-Jo,Bae, Sung-Soo 대한고유수용성신경근촉진법학회 2007 PNF and Movement Vol.5 No.2

Purpose : The purpose of this study was to find out The effect of Low back pain on the total pattens of Proprioceptive neuromuscular facilitation(PNF). Methods : The subjects of the study were 62 low back pain patients. They were divided into two groups: 31 in the experimental group and 31 in the control group. the experimental group performed modalities and PNF total patterns three times for a week. the control group performed only modalities and ROM exercise three times for a week. Back muscle strength was measured by a back muscle strength measuring machine, the intensity of pain was measured by the Visual Analogue Scale (VAS), and the level of disability was measured by Oswestry low back pain disability index. Study measurements were compared before and after 6 weeks exercise program. The two groups of subjects were assessed by utilizing two different balance measurement: Static standing balance was measured by balance performance monitor (BPM) and Dynamic standing balance was measured by one leg standing(OLS). The scale for static standing balance was measured by using, sway area, sway path, max velocity. Results : The results of this study were as follow: 1) The score on visual analogue scale shows statistically significant increase on PNF group of post test(p<.05). 2) The score on Oswestry low back pain disability index. shows statistically significant decrease on PNF group of post test(p<.05). 3) The change sway area was statistically significant on pre-test and post-test(p<.05). 4) The change sway path was statistically significant on pre-test and post-test(p<.05). 5) The change max velocity was statistically significant on pre-test and post-test(p<.05). 6) The score on one leg standing shows statistically significant increase on PNF group of post test(p<.05). Conclusion : These results of this study indicated that Proprioceptive Neuromuscular Facilitation Total patterns which performed for six weeks had a statistically significant influence on low back pain. If the exercise for muscle strength is performed along with therapeutic stabilizing exercise, a better effect can be expected on low back pain. We hope that this study will provide a basic data for further research with a bigger group and on a long-term effect.

Neuroleptic Malignant Syndrome 2예

정영조,김영훈,박재훈,엄용섭,이정호,오석환 인제대학교 1984 仁濟醫學 Vol.5 No.2

저자들은 증상 및 임상적 경과로 보아 Neuroleptic malignant syndrome으로 생각되는 2예를 경험하였기에 문헌 고찰과 함께 이를 보고한다. Neuroleptic malignant syndrome, first named by Delay and Deniker, is a fetal illness characterized by muscular rigidity, hyperthermia, catatonic stupor and autonomic dysfunctions. Although Delay and Deniker suggest that respiratory in-sufficiency is a cardinal feature, it seems probable that respiratory distress associated with pneumonia is a secondary complication resulting from dysphagia. The pathogenesis of Neuroleptic malignant syndrome is unclear. But the various sins of Neuroleptic malignant syndrome can be explained as disorders of hypothalamus, basal ganglia and brain stem auctions. A possible link between Neuroleptic malignant syndrome and Acute lethal catatonia has been noted. And several authors discussed the relationship of this syndrome to Malignant hyperpyrexia, in which the use of inhaled anesthetics or muscle relaxing agent precipitates tachycardia, tachypnea, rapid temperature elevation and muscular rigidity. The authors present two cases of possible Neuroleptic malignant syndrome. Their detailed clinical features and out-comes are reported here with a brief review of recent therapeutic explorations.

Cell/Microparticle Hybrid Spheroid System for Cell Survival and Osteogenic Differentiation

정영조,김민지,이진호,오세행 한국고분자학회 2019 한국고분자학회 학술대회 연구논문 초록집 Vol.44 No.2

치매의 예방과 관리

정영조,이승환 인제대학교 2000 仁濟醫學 Vol.21 No.1

Everyone want to live long without physical problems. In the beginning of 20 century, the Korean average longevity did not exceed 25 years old. However, due to a rapid development of economy and social welfare system, the average longevity had reached 52.4 years old in 1960, 73.5 in 1995, 74.9 in 2000 and it will be 79 in 2030. So the dementia has emerged as a major health challenge, not only for clinician but for a society as a whole. Our faculties in Ilsanpaik hospital hale opened the dementia clinic to provide the better treatment and care service for the elderly. In this purpose we reviewed and summerized the articles about the prevention and management of dementia.

당뇨성 신경병환자들에서 우울증상

정영조,이영호,한기석,권오영,임경호,Chung, Young-Cho,Lee, Young-Ho,Han, Ki-Seok,Kwon, Oh-Young,Lim, Kyung-Ho 한국정신신체의학회 1993 정신신체의학 Vol.1 No.1

Before studying the effectiveness of amitriptyline in alleviating the pain of diabetic neuropathy, this study was designed to compare the severity and nature of depressive symtoms of diabetic patients with neuropathy with those of diabetic patients without neuropathy and patients with somatoform disorder whose complaints were mainly somatic pain, respectively. The authors administered Beck Depression Inventory(BDI) to the three groups of patients. The mean total scores of BDI were relatively low in all groups and not significantly different among the three groups. The mean scores of four subscales of BDI were also not significantly different among the three groups. These results might suggest that the pain of diabetic neuropathy did not influence on the severity and the nature of depressive symptoms of preexisting diabetes.

정신과적 음악요법의 이론과 실제 : Theory and practics

정영조 韓國臨床藝術學會 1990 임상예술 Vol.5 No.-