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자폐스펙트럼장애 아동의 치료개입시기에 영향을 미치는 요인 : 후향적 분석
유은라(Yu, Eun-ra),김지훈(Kim, Ji-hoon),민은정(Min, Eun-jeong),서비아(Seo, Bi-A),최진혁(Choi, Jin-Hyeok),최범성(Choi, Bum-Sung) 한국자폐학회 2020 자폐성 장애연구 Vol.20 No.1
본 연구의 목적은 자폐스펙트럼장애 아동의 부모가 자폐증상을 인지한 이후, 보다 빠른 치료적 개입시작에 영향을 미치는 요인을 파악하는 데 있다. 연구대상은 B 대학병원에 내원한 만 2세부터 만 6세 사이의 자폐스펙트럼장애 아동 170명을 대상으로 하였다. 연구방법은 빈도 및 기술통계분석, 독립표본 t-검정, 상관관계분석, 다중회귀분석을 실시하였다. 연구결과, 아동이 다른 아이들과 다름을 인지한 시기는 평균 생후 20개월 시점인 것으로 확인되었고, 치료를 처음 시작한 연령은 35.5개월로 아동의 증상을 인지하고 치료시작까지 걸리는 시간은 평균 14.5개월 소요되는 것으로 확인되었다. 영향요인 분석 결과, 아동의 일상생활능력 중 사회성과 부모상호작용 중 지시성이 낮고, 상동행동적인 문제가 심하며, 모의 학력이 더 높을수록 치료적 개입이 보다 조기에 이뤄지는 것을 확인하였다. 이에 영향을 미치는 요인들이 자폐스펙트럼장애 아동의 원활한 치료를 위해 활용되도록 제언하였다. The purpose of this study was to investigate the factors that affect the initiation of therapeutic intervention after parental awareness of autism symptom in children with autism spectrum disorder(ASD). We studied 170 children with ASD from 2 to 6 years old who visited B National University Hospital. The research methods were frequency, descriptive statistical analysis, independent sample t-test, correlation analysis, and multiple regression analysis. According to the results, when the average age child was about 20.8 months, the parents recognized the child s autism symptoms and the average age of starting intervention was 35.5 months. The average time to start therapeutic intervention after parents recognized the child s autism was 14.5 months on average. The timing of intervention for children with ASD was faster as the less sociality in the daily life area of the children, the lower the direction among the parent interactive behavior scale, the more severe the symptoms of stereotypic behavior patterns and the higher the mother s educational background of the children. It was suggested that the factors affecting the initiation of therapeutic intervention be used for the early intervention of children with ASD.
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무대공포증과 연관된 프로프라놀롤 복용과 스트레스 대처방식의 관련성: 예술고등학교 음악 전공 학생들을 대상으로
윤동욱(Dong-Uk Yoon),송병아(Byeong-a Song),이형준(Hyung-Jun Lee),유은라(Eun-ra Yu) 대한스트레스학회 2021 스트레스硏究 Vol.29 No.4
본 연구는 예술고등학교 학생들의 무대공포증과 연관된 프로프라놀롤 복용과 스트레스 대처방식의 관련성을 연구하고자 하였다. 먼저 스트레스 대처방식 유형을 두 집단으로 구분한 뒤, 각 집단별 특징과 프로프라놀롤 복용 여부와 관련된 연관요인의 차이를 확인하고자 하였다. 적극적 대처군이 62.4%로 소극적 대처군인 37.6%보다 많았으며 남학생이 여학생보다 적극적 대처를 하는 비율이 유의하게 높았다. 소극적 대처군의 경우 무대공포, 완벽주의, 불안, 회피가 유의하게 높았다. 프로프라놀롤 복용군은 미복용군에 비해 연습시간이 많았으며, 적극적 대처군에서 프로프라놀롤의 복용 여부와 연습시간은 양의 상관관계였으며, 소극적 대처군에서는 프로프라놀롤의 복용 여부와 회피 반응은 음의 상관관계였다. 향후 무대공포증 극복를 위한 치료개입방안과 프로프라놀롤 오남용 관련 연구와 예방이 필요할 것이다. Background: In order to verify the effect of taking propranolol to overcome music performance anxiety in art high school students, Lazarus and Folkman’s stress coping models were applied to classify stress coping types into active and passive coping groups and determine what factors influenced whether or not propranolol was taken. Methods: Descriptive statistics analysis was conducted to identify the general characteristics of 394 art high school students. Chi-square test and independent t-test were conducted to verify the difference between music performance anxiety and related factors according to the stress coping model. Binary logistic regression analysis was performed to analyze the factors influencing whether propranolol was taken according to the stress coping model. Results: The active coping group were higher at 62.4% compared to the 37.6% of the passive coping group. Male students had a significantly higher rate of active response than females. In the case of the passive coping group, music performance anxiety, perfectionism, anxiety, and avoidance were significantly higher. The propranolol-dosing group had more practice time than the non-dosing group. The active coping group showed a positive correlation with the practice time according to whether propranolol was taken, and the passive coping group showed a negative correlation with avoidance. Conclusions: It was confirmed that the use of propranolol to overcome music performance anxiety differed according to the stress coping model. Clinical suggestions were presented for the need for cognitive behavioral therapy on intervention measures to overcome music performance anxiety.
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소아청소년기 발병 양극성 장애와 성인기 발병 양극성 장애의 인지 및 임상적 특성에 대한 비교 연구
김현미(Hyeonmi Kim),허성영(Sung-Young Huh),김성곤(Sung-Gon Kim),김지훈(Ji-Hoon Kim),정우영(Woo-Young Jung),유은라(Eun-ra Yu),최범성(Bum-Sung Choi),김대욱(Dae-Wook Kim),윤동욱(Dong-Uk Yoon) 대한생물치료정신의학회 2020 생물치료정신의학 Vol.26 No.2
Objectives:Childhood/adolescent-onset of bipolar disorder presents functional impairments on emotional, academic, and social aspects. These impairments could continue into adulthood. However, there are few studies comparing cognitive function between childhood/adolescent- and adult-onset using psychological test. This study aims to improve understanding of childhood/adolescent-onset of bipolar disorder by comparing differences in cognitive function, clinical and demographic features between the two groups. Methods:This study was conducted on 145 patients diagnosed with bipolar disorder type I, II, and other specified bipolar disorder by DSM 5 at the time of discharge from 2016 to 2019 at the Department of Psychiatry, Pusan National University Yangsan Hospital. Demographic information, clinical data, and results of psychological tests (K-WISC-IV, K-WAIS-IV) were collected and reviewed. Results:Childhood/adolescent-onset group was significantly low in total potential IQ and in language understanding than adult-onset group (p=0.008 and p=0.013). The childhood/adolescent group had significantly more psychiatric comorbidities than the adult group (p<0.001). The average number of prescribed antipsychotic agents was 1.18 (SD=±0.64) in the childhood/adolescent group, and 1.78 (SD=±0.82) in the adult group. The difference was statistically significant (p<0.001). Conclusion:Patients with childhood/adolescent-onset bipolar disorder have lower total potential IQ and language understanding comparing patients with adult-onset bipolar disorder. This highlights the importance of conducting a well-designed prospective study to find out more about the characteristics of childhood/adolescent-onset bipolar disorder.
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