한국인 전상자의 외상성 신경증의 임상적 연구

연규월 최신의학사 1984 最新醫學 Vol.27 No.1

성적갈등과 결혼만족도에 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.3

Autor has been interested in the factors which influence the sexual conflict of marital relation and researched the latent sexual conflict of mairital relation by way of social field survey through questionnaire method from June 20th, 1984 to Aug. 10th, 1984(The subjects:653 couples of middle class people in Seoul). This study is researched and analyzed under the following hypothesis; If the latent sexual conflict of marital relation comes into existence, the unsatisfaction of wives will be shown in higher degree than that of husbands. The results are as followings; 1) As to the satisfaction of marital relation, the attitude about the importance of sexual life, and the anticipation about the sex before marriage which are the factors operating on the sexual life of marital relation, the unsatisfaction of wives is shown in higher degree than that of husbands. 2) The reason for the unsatisfaction of wives is interpreted under the followings. Psychoanalytically, woman has complicated process of dissolution of Oedipus complex and the unconscious drive wish to have an achievement about the passive attitude. Psychosocially, woman has much more role conflict and disadventages of sexuality under the double concepts of social value system.

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.-

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.

항경련제 복용과 혈액소견 및 간기능에 대한 일반 이학적 검사의 필요성

연규월 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.3

In a prospective study of 59 epileptic patients receiving anticonvulsant drugs, the author evaluated routine screening for hematologic and liver toxicity. CBC, differential, platelets and liver function were obtained within 6 months after anticonvulsant medication. During this time, the author evaluated the psychiatric symptoms and adverse effects of drugs. In laboratory monitoring, 5.1% of patients had minor abnormalities of blood studies(minimal below level of Hb, Hct, MCV) and 18.6% of patients had abnormalities of liver function(elevation of ALP. ALT & AST) necessitating rechecks. All were the same finding on repeat, but there were no clinical symptoms of hematological abnormalities and liver toxicity. In clinical monitoring. 62.7 of patients had psychiatric symptoms and the most common symptom wasdepression(15.3%). 71.2% of patients had minor adverse effects of anticonvulsants and the most common symptom was disturbance of school performance(18.6%). Conclusively, severe toxic reaction was not in the patients with abnormal hematologic & liver function, but psychiatric symptoms and adverse effects of drugs were sufficiently evaluated from clinical observation. So, the author believes that clinical monitoring is more important than laboratory monitoring and routine blood & liver function is not necessary.

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.

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.

정신과 입원환자의 혈청 Folate농도에 관한 연구 : A Preliminary Study

연규월,우행원 梨花女子大學校 醫科大學 醫科學硏究所 1992 EMJ (Ewha medical journal) Vol.15 No.2

Serum folate levels have been estimated in 187 successively admitted inpatients at Department of Neuropsychiatry. Ewha Womans University Hospital. The mean age of the patients was 34.8±14.9, and the mean serum folate value was 8.0±4.0ng/ml.The younger age patients with sleep and conduct disorder and epilepsy had lower serum folate value than older patients with other diseases. In regard to the relation between folate deficiency and psychiatric diagnosis, epilepsy had the lowest serum folate value(3.6±l.6ng/ml) and neurosis had the highest value(10.4±5.5ng/ml). The patients with low(0~2.5ng/ml)serum folate value were 6 cases(3.2%), consisting of 4 schizophrenia, 1 mood disorder and 1 epilepsy. The ratio of patients with low and equivocal (below 5.0ng/ml) serum folate value was 24.6%, epilepsy had the highest proportion(66.6%). None of the alcoholism had low and equivocal serum folate value. 73.9% of patients with low and equivocal serum folate value were continously ill for more than year comparing to 48.9% of patients with normal serum folate value, and the difference was significant(X^2=3.92, p<0.05). Since folate deficiency appeared to be in certain psychiatric disease and related to the chronicity of mental illness, it would be wise to carry out serum folate estimations and to treat the patients with subnormal serum folate value with folate supplements.

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.