생물정신의학 (Korean Journal of Biological Psychiatry)

  • 제22권4호
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  • Pages.163-172
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  • 2015
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  • 1225-8709(pISSN)
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  • 2005-7571(eISSN)
대한생물정신의학회 (The Korean Society of Biological Psychiatry)
권호 표지

조현병 환자의 언어성 환청과 정신병리의 PANSS 요인들 간의다차원적 관계

Multidimensional Relationship between Auditory Verbal Hallucinations and PANSS Factors of Psychopathology in the Patients with Schizophrenia

  • 신샘이 (동국대학교 일산병원 정신건강의학과) ;
  • 김세현 (동국대학교 일산병원 정신건강의학과) ;
  • 이남영 (동국대학교 일산병원 정신건강의학과) ;
  • 윤탁 (동국대학교 일산병원 정신건강의학과) ;
  • 김용식 (동국대학교 일산병원 정신건강의학과) ;
  • 정인원 (동국대학교 일산병원 정신건강의학과)
  • Shin, Sam Yi (Department of Psychiatry, Dongguk University Ilsan Hospital) ;
  • Kim, Se Hyun (Department of Psychiatry, Dongguk University Ilsan Hospital) ;
  • Lee, Nam Young (Department of Psychiatry, Dongguk University Ilsan Hospital) ;
  • Youn, Tak (Department of Psychiatry, Dongguk University Ilsan Hospital) ;
  • Kim, Yong Sik (Department of Psychiatry, Dongguk University Ilsan Hospital) ;
  • Chung, In Won (Department of Psychiatry, Dongguk University Ilsan Hospital)
  • 투고 : 2015.07.08
  • 심사 : 2015.08.25
  • 발행 : 2015.11.30
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초록

Objectives This study was aimed to examine the multidimensional relationship between auditory verbal hallucinations (AVHs) and Positive and Negative Syndrome Scale (PANSS) factors of psychopathology in the patients with schizophrenia. And we explored the differences between assessments to hallucination by the clinicians and patients. Methods 82 patients with schizophrenia who were assessed by the Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ), Psychotic Symptom Rating Scale-Auditory Hallucination (PSYRATS-AHS), and the PANSS were recruited. Hwang's five-factor model of PANSS, items and total scores of hallucination scales, Kim's and Haddock's factor models of hallucination were applied to examine the correlations between psychopathology and AVHs. AVH-positive patients was 50 in PANSS-HPSVQ group and 24 in PANSS-PSYRATS-AHS. These two groups were separately analyzed. Results Among the five factors of the PANSS, negative and depression/anxiety factors were correlated with the total scores of HPSVQ and PSYRATS-AHS, and positive and autistic preoccupation factors were correlated only with the total score of PSYRATS-AHS. The activation factor was correlated with none of the total scores of HPSVQ/PSYRATS-AHS. These correlation patterns of a total score of HPSVQ/PSYRATS-AHS were same in the emotional factor of HPSVQ and physical factor of PSYRATS-AHS respectively. In the items which showed significant correlations, correlation coefficients of PANSS-PSYRATS-AHS group ranged between 0.406-0.755 and those of PANSS-HPSVQ ranged between 0.283-0.420. Conclusions This study suggested that the psychopathological domains of schizophrenia were differentially correlated with AVHs and the assessment of AVHs by clinicians and patients showed substantial differences which should be integrated into the therapeutic interventions.

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참고문헌

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