慢性우울증의 治療

나철 藥業新聞社 1987 (月刊) 醫藥情報 Vol.1987 No.1

계절성 우울증

羅澈 藥業新聞社 1992 醫藥情報 Vol.1992 No.2

靑少年期의 精神科的 應急 疾患에 關한 臨床的 硏究

나철,이충원,이길홍,민병근 대한신경정신의학회 1976 신경정신의학 Vol.15 No.2

The purpose of this study is to review the psychiatric emergency of adolescence, age froml2 to 21-years, who was admitted to our hospital from Jan. 1975 to Oct. 1975. Fourty cases, who were admitted through emergency room, were evaluated in various factors and compared with sixty-five cases, who were admitted via outpatient psychiatric clinic or transfered from the other departments of the hospital, and the results were as follows: 1. Seventy percent of the psychiatric emergency cases was distributed in late adolescence. 2. In the diagnostic evaluation of the cases admitted via emergency room, 1/3 of the cases were diagnosed as neuroses with hysterical or melancholic personality, and another 1/3 were psychoses including latent or paranoid schizophrenia, however relatively larger number of schizophrenics were admitted through the out-patient psychiatric clinic. 3. Emergency cases had more abruptly breakdown, frequently admitted by forced or discharged by forced such as financial problems, especially in female and well improvement in male cases, more treated by drug only, and rapidly improved or discharged within 2 weeks. 4. Emergency cases had lower socio-economic level, more Christian, more steady school performance and lesser chance of temporary absence from high and middle school, but more chance of temporary absence fromcollege, more higher school performance in fem ale, well adjustment in their occupational life, and lesser chance of heterosexual relationship or more chance of social maladjustment, especially in female. 5. As to the analysis of parental pathogenic traits, it was revealed that their parent showed pathogenic parental traitssuch as overindulgent father or anxious mother, because their children were placed on first or last position in family and experienced parental deprivation of early life, and pathogenic marital relations hip of their parent such as rejecting husband. 6. Emergency cases were supposed to be nervous breakdown due to unable to smooth control of inferiority feelings, repressed hostility and aggression, or frustrated dependency need at the face of various stress such as intrafamilial conflicts or socio-economical stresses, especially in female cases, but male cases tended to be breakdown due to anxiety and guilty feeling, arising from heterosexual conflicts. 7. Among the emergency cases, male patients frequently exhibited of conscious disturbance, indigesion, sleep disturbance or rejecting symptoms such as refusal of food, mutism, 8. disobedience or delinquent reaction, but female patients exhibited of suicidal idea, depressive symptoms or hysterical symptoms.

가족력 유무에 따른 여성 알코올 중독자의 임상적 차이 연구

남범우,박두병,신광철,나철 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

저자는 1990년 7월 1일부터 1995년 6월 30일까지 정신과에 입원한 여성 알코올중독환자 38 명을 대상으로 여성 알코올 중독자의 임상적 특성을 가족력 유무에 따라 비교 분석하여 타 연구 결과와 비교하고 여성 알콜중독의 특징과 관련하여 고찰하였다. 연구결과를 요약하면 다음과 같다. 1) 연구 대상 38명의 환자중 가족력이 있는 군은 11명(28.9%)이었으며 가족력이 없는 군은 27명(71.1%)이었다. 2) 가족력이 있는군이 가족력이 없는 군에 비해 낮은 평균 연령, 높은 기혼 비율, 높은 알코올 의존의 비율, 높은 응급입원 비율, 조기 음주 시작, 장기간의 음주기간, 빈번한 입원, 높은 진전 섬망의 비율, 높은 우울장애의 비율을 보였으나 결혼 상태를 제외하고는 모두 통계적인 유의성은 없었다. 3) 양군 모두 교육수준 및 사회경제력 수준이 비교적 낮은 것으로 나타났다. 4) 양군 모두 병발 질환으로 우울 장애와 간 질환이 가장 많았다. Sex is major risk factor for alcoholism in every culture. In virtually all societies, there is more male than female drinking. It has been suggested that the group of familial alcoholis had more severe clinical pictures of alcoholism, more frequently diagnosed as personality disorders, worse academic and social functioning, more severe physical complication and lower socioeconomic status. Thus the authors intended to compare 38 women alcoholis who had been admitted to department of psychiatry from July 1st 1990 to June 30th 1995 according to their family history of alcoholism. The results were follows: 1) The group with family history were 11(28.9%) and the group without family history were 27(71.1%). 2) The group with family history showed to have lower mean age, higher married state, more diagnosis of alcohol dependence, more emergent admission, younger onset age of drinking, longer duration of drinking, more frequent hospitalization, and higher rates of delirium tremens and depressive disorder, compared to the group without family history. But there was no statistically significant difference except marital status. 3) The level of education and socioeconomic state were relatively low in both groups. 4) Depressive disorder and liver disease were associated most frequently in both groups.

청소년기의 저신과적 응급 질환에 관한 임상적 연구

나철 중앙대학교 영신아카데미연구원 한국청소년 문제연구소 1978 오늘의 청소년 Vol.2 No.-

한국 고교생에 관한 정신의학적 조사 : 제1편 모범학생과 문제학생의 비교 Ⅰ. A Comparison on the Honor and the Problem Students

나철 大韓神經精神醫學會 1978 신경정신의학 Vol.17 No.3

Sixty five honor students and sixty two problem students from high schools in a rural area and Seoul were studied for their personal history, parental status, family and school life, peer relationship, their respected and hatred persons, and their future occupations, were selected and labelled as honor and problem students by their school teachers according to 5 criteria selected by Min. The results were as follows; 1. Parents of a majority of problem students had more marital conflict than those of honor students; marital skew and, marital schism were significantly more in the parents of problem student; they were usually authoritative, rejecting or anxious or domineering, whereas parents of a majority of honor students were of accepting attitude. 2. More honor students come from upper class compared to problem students, whereas more problem students come from low class compared tohonor students. 3. The problem students with stronger inclination to dissatisfaction in family and school life tended to be more reality oriented seeking objects of respected and hatred among people around them, while the honor students could be gene ralized to be more nonreality oriented seeking objects of respected and hatredamong men in the past and or from other countries. Meanwhile, favorite future jobs chosen by honor students were teacher and politician, while that chosen most frequently by problem students was artist. 4. The problem students showed a greater tendency of negative attitude to others: friends, parents and teachers. Heterosexual relationship of the problem students was inclined to be more serious and intimate while that of honor students was usually easy going and superficial.These phenomena of the problem students could be interpreted as signs of idenity diffusion.

비흡연 의과대학 남학생의 시험 스트레스로 인한 순환 자연살세포 백분율의 변화와 성격 특성

남범우,기백석,나철 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

비흡연 의과대학생 32명을 대상으로 시험 20일 전과 시험시작 첫날 순환 자연살 세포의 백분율을 측정하고 다면적 인성검사 및 이화방어기제검사로 성격특성을 측정하여 다음과 같은 결과를 얻었다. 1) 시험시작 첫날에 측정한 순환 자연살 세포의 백분율은 시험전 20일에 측정한 순환 자연살 세포의 백분율에비해 유의하게 감소하였다. 2) 순환 자연살 세포의 백분율의 변화와 성격특성간의 비교에서 이화방어기제검사의 허세 및 유머 척도 사이에서만 의미 있는 부적 상관관계를 보였다. 결론적으로 본 논문은 스트레스와 면역기능간의 관계성에 대한 증거를 지지하는 결과를 보여주었으나 성격적 특성과의 상관관계에 대한 의미 있는 결과를 보이지는 못했다. The present report investigated whether percentages of circulation natural killer cells are changed under examination stress and whether percentages of circulating natural killer cells are associated with personality characteristics. Subjects(n=32) for this study were selected from non-smoking medical male students. For measuring percentages of circulating natural killer cells, blood was drawn twice, with a baselinesample taken 20 days before the final examination and a stress sample drawn on the first day of final examination. Both samples were analyzed using a flow cytometer(FACScan : Becton-Dickinson). Minnesota Multiphasic Personality Inventory(MMPI) and Ewha Defense Mechanism Test(EDMT) were examined for personality characteristics. Percentages of circulating natural killer cells significantly decreased in stress sample as compared with baseline sample. But there is no association between the subscale scores of the two psychological questionnaires and percentages of circulating natural killer cells except show off and humor subscales in EDMT. It is concluded that, in the current setting, there is association between percentages of circulating natural killer cells and examination stress, but no definite evidence for involvement of psychological variables.

정신분열증 환자의 측두엽 크기 변화

나철 중앙대부설한국의과학연구소 1995 한국의과학 Vol.27 No.1

학생 청소년의 가정환경과 문제행동 유형간의 관계분석

나철,이길홍,민병근 중앙대학교 의과대학 의과학연구소 1984 中央醫大誌 Vol.9 No.4

The purpose of the present study was to examine the relationship between the problem behavioral patterns of Korean adolescent students and their family environmental variables, and to collect baseline data for the establishment of effective measures to prevent delinquent acting-out. The data were collected through the questionnaire survey which was conducted on Dec. 1, 1983. Subjects served for this study consisted of 1,404 adolescent students in Korea, randomly sampled from Korean student population by means of census method. Their age range was from 12 to 21. The actual number of cases put into the analyses was 1,315 consisting of 661 boys and 654 girls. The data were analysed by CDC-174 computer of KAIST, using SPSS program. Statistical methods employed were X^2 test and Eta measures. Results of the study were as follows: 1. The 7 types of major problem behavioral patterns of Korean adolescent students were classified arbitrarily by the author as follows: socialized modelling behavior, socialized latent aggressive behavior, undersocialized avoidant behavior of school-norm, socialized sexual behavior, undersocialized nonaggressive behavior, socialized nonaggressive behavior, and undersocialized aggressive behavior in the order of their frequency. Among them, the socialized modeling behavior had the highest incidence with 67.4%. Students with the socialized modeling behavior showed behavioral patterns such as 'frequenting youth forbidden movies', 'collecting actor's pictures', 'modelling of actors and heros', 'one-sided love with opposite sex teacher' etc. 2. What most significantly affect children's problem behavior were the reasons of their separation from parents such as 'parental divorce', 'paternal or maternal hospitalization', 'paternal oversea working', and 'separation with parent because of schooling'. Other affecting variables were parental favoritism, parental education, parental job, family size, parental expectation, parental marital bond, and parental religion stated in their order of predictability. 1) Father's occupation, education and favoritism had more effect on children's problem behaviors than those of mother's. Essentially children showed more the socialized adult modelling behavior when their father had highly educated professional job and loved them. 2) The experience of separation from parents up to the present and the reasons of separation showed more significant correlation with their children's problem behaviors than parental death variable. Particularly, frequent experiences of separation from parents, present state of separation, and separation due to schooling or economic problem were significantly correlated with the socialized latent aggressive behavior and the socialized sexual behavior. 3) The family size showed more significant correlation with their children's problem behavior than the family constellation. Particularly, the large family size tended to bear significant relationships with their children's socialized latent aggressive behavior and socialized sexual behavior, but the small family size with the undersocialized aggressive behavior. 4) When the parental marital bond between anxious mother and alcoholic father was disharmonized frequently by the latter, the adolescent tended to show developmental lag of superego and moral concept due to father-absence. Being reared in such family climate, the adolescent showed aggressive traits such as the socialized latent aggressive behavior, the undersocialized aggressive behavior, and the socialized sexual behavior. 5) The large family size and frequent experiences of separation from parents were significantly correlated with their socialized traits such as the socialized nonaggressive behavior, the socialized latent aggressive behavior, the socialized sexual behavior, and the sociallized adult modeling behavior. 6) The high parental education, professional level ef parental job, parental marital schism, and paternal favoritism of children were significantly correlated with their socialized adult modelling behavior.

스트레스와 내분비장애

나철 藥業新聞社 1993 醫藥情報 Vol.1993 No.9