한국인 전상자의 외상성 신경증의 임상적 연구

연규월 최신의학사 1984 最新醫學 Vol.27 No.1

갈등에 대한 일 예비적 연구

연규월,이근후 梨花女子大學校 醫科大學 醫科學硏究所 1984 EMJ (Ewha medical journal) Vol.7 No.2

103 Females over 30 years old were interviewed face to face and analyzed in order to determine the intensity and the nature of conflicts according to each psychosexual development. The results were as follows: 1) In the age distribution, majority of patients were distributed between 3rd and 4th decade(70%). 2) Educational level was relatively high and most of them was graduated from university. 3) Socioeconomic status revealed that most of them was thought as a middle class. 4) The highest score of mean of intensity of conflict according to age distri-bution was intensity of conflict in relating to anal personality trait. 5) Comparing with age, the highest score was between 40 and 50 years old. 6) The highest items were dependency, subordination, passivity inthe intens-ity of conflict in relating to oral personality traitn, cleanliness, emotional constr-ictiveness in anal personality traitn, identificatnion, guilty in the phallic personal-ity trait. 7) As to the conflict relation which occur most frequently, the first is the relation with mother in childhood, and the second is the relation with spouse.

가족환경이 정신분열증 환자 재발에 미치는 영향

연규월 梨花女子大學校 韓國生活科學硏究院 1992 韓國生活科學硏究院 論叢 Vol.49 No.-

Objective : The aim of this work was to study the relationship between intrafamilial expressed emotion(EE) and other prognostic indicators on the schizophrenic relapse. Method : Subjects were 43 schizophrenic patients who were admitted to the department of neuropsychiatry at Ewha Womans university hospital. During hospital admission, their key relatives were interviewed with the Camberwell Family Interview(CFI) and levels of emotional expression were assessed. After discharge from hospital with clinical improvement, all patients were followed-up for a period of nine months and their psychiatric state was assessed to provide information about relapse. Results : The majority of patients were female and unmarried and living with parents. The greater proportion of the key relatives was mother. Remitted patients from high-expressed emotion households relapsed at a significantly higher rate than did those from low expressed emotion households. The best clinical outcome was observed in those patients who redided in low-EE home environments and regularly adhered to antipsychotic medication regimens. Conclusions : There was a significant association between high levels of expressed emotion and relapse for remitted schizophrenic patients and the regular use of medication was a protective factor to the schizophrenic relapse particularly for the patients in high-EE environments.

청소년기 정신과 입원환자의 입원기간에 영향을 미치는 요인

연규월 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.6

This study reviewed 145 adolescent consecutive admissions to the psychiatric department at Ewha Womans university Hospital for factors that determine length of hospitalization. Demographic variables and variables describing the socio-economic status, history of suicide attempts, suicide ideation at the time of admission, referral sources, Axis IV score, Axis V score and number of hospitalization were not significantly associated with length of hospitalization. Bur variables describing the discharge diagnosis, history of assault, threat at the time of admission, past history of psychiatric illness, medications received during the index hospitalization, level of functioning(strain ratio=Axis IV/V), and results of follow-up were significantly associated with length of hospitalization. Patients with psychotic/organic disorders had the longest hospitalization and patients with internalizing disorders had the shortest hospitalization. Patients with more prescrived medications had the longest hospitalization and patients who did not receive medications had the shortest hospitalization.

소아,청소년기 행동장애 입원환자의 임상적 특징에 관한 연구

연규월 梨花女子大學校 韓國生活科學硏究院 1993 韓國生活科學硏究院 論叢 Vol.52 No.-

근친상간으로 인한 가성경련발작 1례

연규월 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.4

One case is described in which pseudoseizure developed after father-daughter incest anddisappeared after psychotherapeutic exploration of the incestuous experience. Patient was youngadult female referred for seizures, suicide attempts, self-destructive ideations and acting outs,and dissociative symptoms. It is suggested that, female young adults presented to the clinicianwith symptoms of pseudoseizure, a detailed history should be taken to explore for the possibility of incest.

부부간 성적갈등에 영향을 미치는 요인에 관한 연구

연규월,이근후 梨花女子大學校 醫科大學 醫科學硏究所 1988 EMJ (Ewha medical journal) Vol.11 No.4

Author has been researched the factors which influence the latent sexual conflict of marital relation by way of social field survey through questionnair method from June 20th, 1984 to Aug. 10th, 1984. The results are as followings : In case of latent sexual conflict of marital relation, the most influential factors are age, sivling order, survival of parents, preference of parents, experience of sexual education at the age of puberty, experience of masturbation at the age of puberty, style of marriage, period of acquaintance before marriage premarital sexual experience, and occupation. The most important factors among the said factors are the experience and the attitude before the age of puberty.

일 종합병원 소아 건강검진 센터를 이용한 소아, 청소년의 행동과 적성 및 지능에 관한 조사연구

연규월,김경희 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.2

목적 : 소아 건강검진 센터를 이용한 소아, 청소년을 대상으로 성격, 적성 및 지능 검사를 실시하여 소아 정신고의 자문 및 치료가 필요하다고 생각되는 대상의 빈도와 소아 건강검진 센터에서 시행한 검사의 임상적 유용성을 조사하여 소아, 청소년 정신장애 클리닉 발전의 기초자료로 삼고자 본 연구를 실시하였다. 방법 : 1994년 12월 15일부터 1995년 1월 28일까지, 1995년 8월 5일부터 1995년 8월 26일까지 이화여대 부속 동대문병원 소아 건강검진센터를 이용한 만 6세에서 17세 미만의 소아, 청소년 478명을 대상으로 한국 적성 연구소에서 제작한 KAS(Korean Attitude System)검사를 실시하였다. 결과 : 1) 본 대상자들의 행동발달에 영향을 주는 하위항목은 지도, 협동, 감정, 준법, 정서, 근면, 책임, 자주의 순이었고, 이중 지도, 협동, 감정의 세 항목은 남녀 모두 정서 행동발달 상황이 가장 좋지 않은 하위 항목이었다. 2) 남녀 모두에서 진로 적성은 어문학, 법정, 공학, 과학, 사회학에 대한 선호도가 높았다. 3) 평균 지능은 남녀 모두 보통 이상(high average)의 지능지수를 나타냈다. 총 3명(0.6%)이 보통 이하(below average)의 지능지수를 나타냈는데 2명은 경계선 지능지체이었고 1명(0.3%)만이 경도의 지능지체를 나타냈다. 4) 정신과로 의뢰된 아동의 수는 총 8명(1.7%)이었고 이들 모두 행동, 정서, 사고면에서 비정상적인 양상을 나타냈으며 5명이 주의력 결핍장애, 2명은 전반적 발달장애, 1명은 우울증이었다. 결론 : 이상의 결과로 볼 때 이화여대 부속 동대문 병원 소아 건강검진센터에서 실시하고 있는 성격, 적성 및 지능검사는 1차적으로 소아 정신병리를 검열하는데 있어서 도움이 될 수 있으나 보다 더 자세한 진단적 도구와 소아 정신과에 대한 홍보가 필요하다고 생각된다. Objective : This study was performed to investigate the prevalence of abnormal behavior, ada-ptability and intelligence of child and adolescents and the usefulness of KAS(Korean Attitude System) as a screening method to detect the psychopathology of child and adolescents. Method : 478 child and adolescents were completed the instruments of KAS that focused on development of behavior, adaptability and intelligence at the children's medical examination center. Results : The most influenced subcategories to the disturbance of behavior of the subjects were leadership, cooperation, and emotion (in order). The preference of adaptability was high in the fields of literature, law, technology, medicine and sociology. The mean I.Q. of the subjects was high average and not different in both sex. The subjects with below average of I.Q. were three cases(0.6%) and the two of them were boderline and only one case was mild mental retardation. The total number of patients referred to the department of psychiatry was eight cases(1.7%) and revealed the disturbance of behavior, affect, and thought. Conclusion : Finally the authors concluded that KAS test performed at the children's medical examination center was useful primary screening method to detect the psychopathology of child and adolescents.

혈청 Vitamin B_12 및 Folic Acid 농도와 정신장애와의 관계

연규월,우행원 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.1

The serum vitamin B_12(B_12) and folic acid estimations were performed on 206 psychiatricinpatients, consecutive admissions to a Ewha Womans University Hospital. NeuropsychiatricDepartment.The mean serum B_12 value in the subjects(1004.24±479.76pg/ml) was somewhat higher thanthe normal serum B_12 value and none of the subjects has serum B_12 deficiency. The mean serum B_12 value was the lowest in 21∼30 age group and the highest in 31∼40age group(p<0.05). The mean serum folic acid value(8.09±4.15ng/ml) was in the range of normal value. Butthe patients with low serum folic acid value(O~2.5ng/ml) were 6 cases(2.9%), consisting of3 schizophrenia, 1 mood disorder and 1 epilepsy and the ratio of patients with low anti equivocalserum folic acid value(<5.Ong/ml) was 23.8% . The mean serum folic acid value was the lowestin 11~20 age group and the highest in 51~60 age group(p<0.05). Patients with epilepsy, organic mental disorder and schizophrenia(in order) had significantlylower mean serum B_12 & folic acid values and alcoholism had significantly higher mean serumB_12 & folic acid values(p<0.05). It was concluded that serum B_12 deficiency was not related to the psychiatric disorders andthe serum folic acid deficiency, but folic acid deficiency appeared to be in certain psychiatricdisorders and related to the chronicity of mental illness.

소아 청소년 정신과 외래환자의 임상양상

연규월 梨花女子大學校 醫科大學 醫科學硏究所 1997 EMJ (Ewha medical journal) Vol.20 No.4

목적: 본 연구의 목적은 소아 청소년 정신장애 외래환자의 일반적 특성. 주요 임상증상. 진단. 그리고 치료에 대해 조사하여 그 결과를 토대로 향후 본교실 소아 청소년분과 발전에 기초 자료로 삼고저 함이다. 방법: 1997년 1월 1일부터 7월31일까지 만 6개월동안 이화여대부속 동대문병원 정신과외래를 처음 방문한 소아 청소년 호나자 111명을 대상으로 병력조사와 문진을 통해 일반 인구학적 특성, 주요임상증상, 진단분포, 치료기간 및 종류에 대해 통계학적 조사를 하였다. 결과: 1)일반 인구학적 특징 대상환자 111명의 남녀 비율은 1.1:1이고, 연령별로는 13~18세 사이의 청소년기가 가장 많았다(52.3%), 형제 순위는 첫째 아이가 가장 많았고(42.3%), 대부분 양부모가 모두 생존하였다(91.9%). 첫 번째 방문시 동반자는 어머니가 가장 많았고(75.7%) 대상자이 대부분이 서울시내에 거주하였다(74.8%). 2) 주요 임상증상 대상자들의 호소증상은 대부분 3개 이상이었고(69.4%), 가장 많은 호소증상은 신체적 증상이고 학업문제, 불안, 두려움, 안절부절함, 주의산만, 행실장애 및 물질남용 등의 순이었다. 3)진단분포 대상자 대부분이 1개 이상의 진단을 공유하고 있었다. 가장 많은 진단은 행실장애이고, 기분장애, 지질성 정신장애, 불안장애, 학습장애의 순이었다. 4) 치료기간 및 종류 대상자 대부분이 5번 이상의 외래치료를 받았다(62.2%). 남녀 모두 약물치료와 정신치료 또는 행동치료의 병합치료가 많았으며 남아는 놀이치료나 정신치료를 받은 경우가 가장 적었고 여아는 관찰만 한 경우가 가장 적었으며 두 집단간 유의한 차이가 있었다. 111명의 외래 환자중 28명(25.2%)이 조사기간동안 1번이상의 입원한 기왕력이 있었다. 결론: 이상의 결과는 점차 증가하고 있는 소아 청소년 정신 장애 환자 치료를 위한 특수치료시설(놀이치료, 행동치료)의 확보와 소아 청소년 정신장애 분과 설립의 필요성을 제시하고 있다. Objectives : This study aims to investigate the domographic characteristics, main clinical problems, diagnoses and treatments of child and adolescent psychiatric outpatients. Methods : The statistical analyses were based on the clinical reports and medical records of 111 child and adolescent psychiatric patients who wisited to the outpatient clinic during current 6 months. Results : 1)The sex ratio(male : female) of these 111 patients was 1.1:1 and the most frequent age group was adolescent period(13-18 years of age). In sibling order, the first born child was more prevalent. Almost all the patients had both parents and was accompanied by a mother on the first visit. The most living place of the patients was in Seoul. 2) The main problems visiting our coinic were in following order : somatic symptoms, learning problems, anxiety, fear & restlessness, attention deficits, conduct problems and substance abuse etc. 3) Diagnostic distribution of the patients was in following order : conduct disorder, mood disorder, organic mental disorder, attention deficit hyperactivity disorder, anxiety disorder etc. 4) The patients who visited to the outpatient coinic above 5 times were more frequent. The more frequently used method for treatments was in the sequence of pharmacotherapy combined with psychotherapy and behavior therapy. Conclusion : These results suggest that the necessity of the space of special therapy(such as play and behavior therapy) for the children and division of child and adolescent psychiatry is very important in current situation.