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항정신병약물을 처음으로 사용하는 초발 정신증 환자에서 나타나는 체중 및 대사성 지표의 변화 : 후향적 연구
김우진,심주철,공보금,강제욱,문정준,김정은,김민걸,박민경,김성진,김현정,정도운 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2
Objectives:This study was to identify weight & metabolic changes in first-episode psychotic patients with antipsychotics use and investigate the differences of weight & metabolic changes between first-episode psychotic patients and controls with antipsychotics use. Method:In this retrospective study, twenty eight first-episode psychotic patients and twenty eight controls with schizophrenia, schizoaffective or bipolar disorder defined by DSM-IV criteria were included. Information about demographic and clinical characteristics of the subjects was gathered from the medical records. Also body weight, sBP, dBP, fasting glucose, lipid profile and WBC count were evaluated before and after antipsychotics use. Rogistic regression was conducted to assess factors associated with weight gain. Results:First-episode psychotic patients showed more weight and BMI changes than controls after antipsychotics use, and these changes continue over 12 months. On the other hand, there were no significant factors associated with weight gain. Conclusion:The results of present study suggest that antispychotics is one of the major causes inducing weight gain of psychotic patients and antipsychotics-induced weight gain is more vulnerable to drug-naive first-episode psychotic patients.
교육연극을 적용한 집단상담프로그램이 유아의 친사회적 행동 증진에 미치는 영향 : 또래관계 형성이 어려운 유아를 중심으로
정계숙,김미정,김정은 부산대학교 영유아보육연구소 2002 영유아보육연구 Vol.8 No.-
This study examined the applicability of creative drama to group intervention for poorly accepted elementary school children. The study was one of the planned variations study series for identifying the effectiveness of the social and emotional difficulties or developmental delays by the Child Counselling and Intervention Center Child Educare Research Institute, PNU since 1998. The goal of the program was to improve prosocial behavior through creative drama on emotion regulation and social skill. The subjects were 6 children, age 10∼13, with poorly accepted elementary school children. The program was composed of total 16 sessions for 16 weeks. Each session was implemented for 90 minutes by intervenient. Every child was observed and recorded on 3∼4 target behaviors after the 4th session. The behavior episodes of each of children were described through all sessions by the assigned observers for each child. The effects of the program were described with qualitative analysis and the behavior episodes related each child's target behaviors. The changes of target behaviors and other related prosocial behaviors of children were different to children. It was concluded that the group intervention program intended to improve prosocial behavior through the creative drama was generally effective for poorly accepted children.