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元章燮 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.6
This 36 years old unmarried male emigrated to USA in 1981. 6 years ago, he underwent partial gastrectomy in Los Angeles during which he received HIV contaminated blood transfusion. About 2 years later he began to develop symptoms of agitation, personality change, short term memory defects and persecutary delusion. He escaped from U.S.A. to Korea to run away from his presumed killers on Oct. 1991. Until now. signs of AIDS or ARC arc not noted. Both HIV antibody test and Western blot test are positive. He denies any history of psychiatric illness.
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김용식,최병호,원장섭 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.4
The present study purported to explore the relationships between alcoholism and depression in 26 chronic alcoholics who were admitted to National Seoul Mental Hospital. Each of these patients was assessed by Minnesota Multiphasic Personality Inventory, Self-Rating Depression Scale at least 2 weeks after admission, and by dexamethasone suppression test at least 3 weeks after admission according to the medical exclusion criteria(except abnormal hepatic enzyme). The results are summarized as follows: The prevalences of depression in chronic alcoholics are 15% on clinical impression, 23% on self rating depression scale, 53% on Hamilton depression rating scale, 0% on Depression scale of MMPI, 16.7% on Mania scale of MMPI, and 61.5% totally. No significant difference between the normal and the abnormal hepatic enzyme groups was found in 2 serum cortisol levels suppressed by dexamethasone. The two of 26 patients(7.8%) were found to be nonsuppressor by the dexamethasone suppression test. These two patients were converted to suppressor 4 weeks after elavil medication.
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元章燮,鄭榮照 大韓神經精神醫學會 1981 신경정신의학 Vol.20 No.1
1976年 1月 1日부터 1980年 8月 30日까지 本病院 神經精神科에 入院하였던 中東地域 就業勤勞者 35名을 分析하여 다음과 같은 結論을 얻었다. 1. 精神分裂症과 神經症이 各各 42.9%를 차지했다. 2. 經濟階級은 下流가 많았고, 특히 精神分裂症에서는 거의 大部分이 下流였다. 3. 年齡은 精神分裂症, 神經症이 共히 30代에 가장 많았다. 4. 誘發因子는 精神分裂症에서 8例, 神經症에서 12例있었다. 誘發因子중 Paykel의 scaling score가 높은 것은 神經症에 1例, 精神分裂症에 2例이었다. 5. 發病까지의 期間은 60.8%가 出國후 3個月內에 發病했고, 96.4%가 9個月內에 發病하여 비교적 早期에 發病한 것으로 나타났다. 6. 發病은 첫 번 出國者에 많았다(19/28). 7. 入院期間은 精神分裂症이 6.8±3.4個月, 神經症이 1.8±1.5個月로 他 調査報告日數보다 길었다. Thirty five psychiatric patients who had their onsets during their employment in Middle Eastern countries and were hospitalized at Paik Hospital, department of neuropsychiatry, Inje Medical College during the period from Jan. 1976 to Aug. 1980 were studied and the following results were obtained. 1. Schizophrenia and neurosis occupied 42.9% each of all the patients. 2. Many of the patients and especially, most of the schizophrenics were from the lower economic class. 3. The most prevalent age bracket for both schizophrenia and neurosis was the fourth decade. 4. Precipitating factors were identified in 8 cases of schizophrenia and 12 cases of neurosis. Among the precipitating factors, Paykel's scaling score was high in one case of neurosis and in two cases of schizophrenia. 5. In 60.8% of the patients, the onsets fell within the first three months of their departure from Korea and in 96.4% within 9 months. 6. More onsets were identified during their first over-seas employments. 7. Mean durations of the hospitalization was 6.8±3.4 months for schizophrenics and 1.8±1.5 months for neurotics, showing a longer hospitalzation compared to the results of other reports.
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최근 9년간 신경정신과에 입원한 환자에 대한 임상적 고찰(1972∼1980년)
이정호,안일남,오석환,정영조,최영민,원장섭,김영훈,하혜경,이승탁,이영주 인제대학교 1983 仁濟醫學 Vol.4 No.2
정신질환 환자들에 대한 정확한 생태를 파악함은 정신 건강과 치료 대책을 세우는데 중요하다. 이에 본 저자들은 1972년부터 1980떤 사이에 인제의대 부속 서울백병원 신경정신과에 입원하여 치료 받았던 환자들에 대한 제반 요인들을 분석 검토하였다. Clinical charactristics of neuropsychiatric inpatients were evaluated and discussed with special referrence to their diagnostic distribution. All discharged cases from neuropsychatric ward of Seoul Paik Hospital during nine years from 1972 to 1980 were 2863. Among them 813 cases were discarded from this study because their clinical charts were vague in description of failed to find out. The materials of this study were extracted from 2050 discharged cases. Total number of cases of inpatients were gradually increasing by each year from 1972 to 1980. Psychoneurosis was diagnosed in 45.2%, schizophrenia in 26.9%, organic brain syndrome in 8.9%, major affective disorder in 5.5%, personality disorder in 4.8%, other psychiatric disorder in 1.5%, psychophysiologic disorder in 1.0%, mental retardation in 0.5%, paranoid state in 0.5%, and other psychosis in 0.3%. The gruop of patients, ranging in age from 21 to 40 was the highest (75.2%) in this study. Male patients were 43.9% and female patients were 56.1%. Schizophrenia leas diagnosed in 32.9%, depressive neurosis in II.3%, anxiety neurosis in 9.3%, and personality disorder in 8.1% in male patients. Hysterical neurosis was diagnosed in 25.5%, depressive neurosis in 22.2%, schizophrenia in 22.2%, and anxiety neurosis in 7.0% in female patients. The authors evaluated the route of admission of patients. Sixty-eight point three percent of total studied cases were admitted through outpatient department, 20.9% of cases were admitted through emergeney room, and 8.2% of cases were transfered from other department or hospital. Among patients who were admitted to psychiatric wards through emergency room and transferred from other department or hospital, psychoneurosis was the hightest diagnostic group in rate. Most of patients who were transferred from other department or hospital were from Internal Medical Department. There were no relationship between seasonality of admission and diagnostic group in this study. readmission rate of total studied patients in neuropsychiatric department of Seoul Paik Hospital was 30%. The readmission rate of personality disorder, mental retardation, schizophrenia, and major affective disorder were relatively high. The cases who were discharged against medical advice were 441. Among them misunderstanding about psychiatric treatment was predominent. Twenty seven percent of patients had physical illness at or during admission. The patients who were diagnosd as psychophysiological disorder had physical illness in 42.8%, 35.4% in personality disorder, 33.9% in major affective disorder, and 24.3% in schizophrenia. About nine percent of total studied cases had the history of attempted suicide. Major affective disorder, Personality disorder, Deressive neurosis, and Other Psychosis showed high incidence of history of attempted suicide prior to admission.
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