Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Result of Multiphasic Personality Inventory among Myasthenia Gravis in Late Adolescence Visiting for Conscription Examination

군신체검사를 받은 후기 청소년에서 중증근무력증의 다면적 인성검사 결과

  • Seong, HyeYoon (Department of Psychiatry, Gongju National Hospital) ;
  • Lee, Jonggook (Department of Psychiatry, Gongju National Hospital) ;
  • Oh, Jungkeun (Department of Psychiatry, Gongju National Hospital) ;
  • Seo, JeongSeok (Department of Psychiatry, School of Medicine, Konkuk University) ;
  • Noh, Soo Rim (Department of Psychology, Chungnam National University) ;
  • Kim, Taehyun (Department of Psychiatry, Gongju National Hospital) ;
  • Nam, Beomwoo (Department of Psychiatry, School of Medicine, Konkuk University)
  • 성혜윤 (국립공주병원 정신건강의학과) ;
  • 이종국 (국립공주병원 정신건강의학과) ;
  • 오중근 (국립공주병원 정신건강의학과) ;
  • 서정석 (건국대학교 충주병원 정신건강의학과) ;
  • 노수림 (충남대학교 심리학과) ;
  • 김태현 (국립공주병원 정신건강의학과) ;
  • 남범우 (건국대학교 충주병원 정신건강의학과)
  • Received : 2019.06.07
  • Accepted : 2019.07.15
  • Published : 2019.12.31
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Abstract

Objectives : The purpose of this study was to quantitatively assess the degree of myasthenia gravis (MG) affecting mental health through the results of multiphasic military personality inventory in late adolescence. Methods : We collected and analyzed the results of the military personality inventory for healthy controls and MG patients among the 19-year-old men who visited the Military Manpower Administration from February 2007 to January 2010. Military personality inventory invented for Korean military test has similar system to Minnesota multiphasic personality inventory. Results : Among validity scales, each score of faking good, faking bad and infrequency subscales showed no difference between healthy control and MG groups, respectively (t=-0.51, p=0.607 ; t=0.11, p=0.913 ; t=1.41, p=0.158). Among neurosis scales, the score of somatization subscale was higher (t=2.29, p=0.023) in MG group. Among psychopath scales, the score of schizophrenia subscale was lower in MG group (t=-2.38, p=0.018). Conclusions : According to MPI results, we can confirm that MG patients in late adolescence may be more concerned with their somatic symptoms than the control group, and that they may be more likely to abide by the regulation and be conventional in their behavior than the control group.

연구목적 본 연구는 후기청소년기에서 중증근무력증이 정신건강에 영향을 미치는 정도를 다면적 인성검사인 군인성 검사 결과를 통해 정량적으로 확인하고자 하였다. 방 법 우리는 2007년 2월부터 2010년 1월까지 병무청으로 군 신체검사를 받으러 방문한 19세 남성 중 다른 내외과 및 정신건강의학과 질환이 없는 건강한 대상자들 104명과 중증근무력증으로 확진 된 대상자들 26명의 군인성 검사 결과를 수집하고 분석하였다. 군인성검사는 미네소타 다면적 인성 검사와 비슷한 점수 체계를 가지고 있으며 한국의 징병 검사를 위해 개발되었다. 결 과 군인성검사 결과 중 타당도 척도인 긍정왜곡, 부정왜곡 및 희귀도 하위척도는 중증근무력증 환자 및 정상 대상자 간에 유의미한 차이를 보이지 않았다(t=-0.51, p=0.607 ; t=0.11, p=0.913 ; t=1.41, p=0.158). 신경증 척도에서는 신체화 하위척도 점수가 중증근무력증 환자에서 정상 대상자들에 비해 유의하게 높았다(t=2.29, p=0.023). 정신증 척도에서는 정신분열 하위척도 점수가 중증근무력증 환자에서 정상 대상자들에 비해 더 낮았다(t=-2.38, p=0.018). 결 론 MPI 결과로 미루어 볼 때 후기 청소년기 중증근무력증 환자는 본인의 신체증상에 다소 예민한 상태이며 질병을 관리하는 과정에서 다른 정상 대상자에 비하여 규칙을 더 잘 지키려고 하고 더욱 관습적으로 행동하려는 경향이 있을 것으로 유추해 볼 수 있다.

Keywords

References

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