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1
Comparative Analysis of Emotional Symptoms in Elderly Koreans with Hwa-Byung and Depression

ChaeSung Im,Sengmi Baeg,JinHoon Choi,Miji Lee,HyunJin Kim,IkSeung Chee,SoHyun Ahn,JeongLan Kim 대한신경정신의학회 2017 PSYCHIATRY INVESTIGATION Vol.14 No.6
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  KCI
  
  스콜라
Objective-This study compared the symptomatic emotional traits of elderly South Korean patients with hwa-byung and those with depression. Methods-We enrolled 58 patients with hwa-byung, 180 patients with depression, and 181 healthy control subjects. All participants completed the Hwa-byung Scale, Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI), Geriatric Depression Scale (GDS), State Trait Anger Expression Inventory (STAXI), Reaction Inventory (RI), and Aggression Questionnaire (AQ). Chi-square tests and a one-way analysis of variance with Games-Howell post-hoc tests were used to compare demographic variables and scores. Results-A binary logistic regression analysis was used to examine risk factors for hwa-byung. Scores in the hwa-byung group were higher than those in the depression group for the HDRS; BDI; GDS; trait anger STAXI subscale (trait anger temperament and trait anger reaction); state anger and anger expression STAXI subscales (anger-in, anger-out, and anger control); physical and verbal aggression as well as anger and hostility AQ subscales; and disturbance, embarrassing circumstances, personal disrespect, and unpleasant encounters RI subscales. A binary logistic regression analysis demonstrated that the state anger STAXI subscale, verbal aggression and anger AQ subscales, and unpleasant encounters RI subscale were significantly associated with hwa-byung. Conclusion-Elderly patients with hwa-byung had more severe anger traits and states as well as higher depression severity compared to those diagnosed with clinical depression. Excessive anger and anger reactivity to unpleasant factors may be risk factors for hwa-byung, whereas the appropriate expression (rather than suppression) of anger may decrease the risk of hwa-byung.
2
노인 입원 환자에서 섬망 발생과 결과에 대한 후향적 연구

임채성(Chaesung Im),차승민(Seungmin Cha),김재헌(Jaeheon Kim),이재민(Jaemin Lee),김정란(Jeong Lan Kim) 대한생물치료정신의학회 2012 생물치료정신의학 Vol.18 No.2
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  KCI
  
  DBpia
Objectives:This study was aimed to examine the development and outcome of delirium in elderly inpatients retrospectively. Methods:We reviewed medical records of 2,570 patients, who were referred to consultation of psychiatry between January 2007 and December 2011. We found 916 patients(35.6%) who were confirmed as delirium by psychiatrists with DSM-IV-TR diagnostic criteria. The epidemiologic and clinical information were obtained and the factors affecting on recovery and recurrence of delirium were explored. All statistical analyses were conducted by using Pearson Chi- Square test, Student`s t-test, Binary logistic regression analysis with SPSS 17.0. Results:916 patients presented delirium. 577 patients(63.0%) were men and 339 patients(37.0%) were women. The mean of age was 74.6 years. The most frequently prescribed medicine was risperidone(52.7%), and followed by quetiapine(26.8%), olanzapine (9.9%). We found significant differences in Sex, Age, Ambulation state and Treatment in recovered and unchanged patients group. Additionally we also found that male sex can be a risk factor of recurrent delirium(OR 1.914, CI 1.102-3.323). Conclusion:These results suggest that female, advanced age, ambulation and antipsychotic medication can be associated with positive outcome of delirium, whereas male can increase the risk of recurrence of delirium.