• Title/Summary/Keyword: 신경심리

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Relationship between Clock-Drawing Performance and Neuropsychological Functions in Patients with Chronic Schizophrenia (만성 조현병 환자의 시계 그리기 검사 수행과 신경심리 기능 간의 관련성)

  • Kwon, Mee-Yun;Park, Min-Seok;Kim, Myung-Sun
    • Korean Journal of Schizophrenia Research
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    • v.23 no.1
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    • pp.15-28
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    • 2020
  • Objectives: This study investigated the relationship between clock-drawing test (CDT) performance and neuropsychological functions in patients with chronic schizophrenia. Methods: Thirty-one patients with schizophrenia and 30 healthy controls participated in this study. The CDT was administered in three conditions and analyzed using both quantitative and qualitative scoring systems. Comprehensive neuropsychological tests were administered. Results: The results of the quantitative analysis showed that the schizophrenia group performed significantly worse in all three conditions of the CDT compared with the control group. However, no significant differences were observed between the two groups, when the IQ and educational level were controlled. The qualitative analysis showed that the schizophrenia group exhibited significantly more errors in "graphic difficulty" compared with the control group. In addition, CDT quantitative scores were significantly correlated with visuospatial function, memory, attention and executive functions in patients with schizophrenia. Conversely, each qualitative error type was correlated with specific cognitive domains. Furthermore, "graphic difficulty" and "spatial/planning deficit" were identified as predictors of depression symptoms in patients with schizophrenia. Conclusion: The present study demonstrated that the CDT is useful for assessing cognitive dysfunctions in patients with schizophrenia, while qualitative analyses provide more specific information about cognitive deficits compared with quantitative analyses.

Neuropsychological Mechanism of Delusion (망상의 신경심리학적 기전)

  • Lee, Sung-Hoon;Kim, Dong-Wha;Park, Yun-Zo;Park, Hae-Jung;Shin, Yoon-Sik
    • Sleep Medicine and Psychophysiology
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    • v.7 no.1
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    • pp.60-66
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    • 2000
  • Objectives: The Psychopathology of schizophrenia was expected to be related with focal dysfunction of brain while schizophrenia is recognized and studied as the brain disease. Authors studied correlation between neuropsychological tests and delusion which is representative symptom of schizophrenia in patients with head trauma and psychiatric patients in order to explore the functional localization of brain in delusional symptom. Methods: Halstead Reitan Neuropsychological Test Battery and Korean Weschler Intelligent Scale and Minnesota Multiphasic Personality Inventory(MMPI) were administered to one hundred ninteen patients consisted of sixty nine psychiatric patients and fifty patients with brain damage. We tested correlation between results of neuropsychological tests and delusional scale made from twenty four items related with delusion in MMPI. T-test between eighteen higher delusion scorers and twenty one lower scorers was examed in psychiatric group. Results: In brain damage group, signigicant correlations were found in the tests related with function of frontal lobe such as category test, trail making AB test, tactual performance test, digit symbol test and fingertip number writing test, and significant correlations were also noted in the tests related with function of left temporal and parietal lobes such as information, comprehension, vocabulary, similarities and speech sound perception test. The tests related with the function of right hemisphere such as tactual performance test location, picture completion and performance, and the tests related with subcortical function such as arithmetic, digit span, attention, digit symbol test, digit symbol and trail making AB test were signigicantly corelated with delusional scale too. In psychiatric group there were significant difference of delusional score in the tests related with function of left hemisphere such as vocabulary, vocable IQ, comprehension and language, and in the tests related with subcortical function such as N 120 voltage, digit symbol and arithmetic. Conclusions: Delusion seems to be related with function of frontal lobe, left hemisphere and subcortex in both groups. Right hemisphere may be also partially related with delusion.

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Association between Cognitive function, Behavioral and Psychological Symptoms of Dementia and Temporal Lobe Atrophy in Patients with Alzheimer's Disease and Mild Cognitive Impairment (알츠하이머형 치매 및 경도인지장애 환자에서 인지기능 및 행동심리증상과 내측두엽 위축의 연관성)

  • Jeong, Jae Yoon;Lee, Kang Joon;Kim, Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.2
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    • pp.155-163
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    • 2019
  • Objectives : The aim of this study was to compare severity, neurocognitive functions, and behavioral and psychological symptoms of dementia (BPSD) according to the degree of temporal lobe atrophy (MTA) in Korean patients with dementia due to Alzheimer's disease and mild cognitive impairment due to Alzheimer's disease. Methods : Participants were 114 elderly subjects diagnosed with Alzheimer's disease or mild cognitive impairment in this cross-sectional study. MTA in brain MRI was rated with standardized visual rating scales (Scheltens scale) and the subjects were divided into two groups according to Scheltens scale. Severity was evaluated with Clinical Dementia Rating (CDR) and Global Deterioration Scale (GDS). Neurocognitive functions was evaluated with the Korean version of Short Blessed Test (SBT-K) and the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease assessment packet (CERAD-K). BPSD was evaluated with the Korean version of the Neuropsychiatric Inventory (K-NPI). Independent t-test was performed to compare severity, neurocognitive functions, and BPSD between two groups. Results : The group with high severity of MTA showed significantly lower scores in CDR, SBT-K, MMSE-KC, modified Boston naming test, word list recognition, and word list memory (p<0.05). There were no differences in K-NPI scores between two groups. Conclusions : Severity and neurocognitive functions of dementia had significant positive association with MTA, but BPSD had no association with MTA. Evaluating MTA seems to have potential benefit in diagnosing and treating neurocognitive impairments in the elderly. Further evaluation is needed to confirm the association between certain brain structures and BPSD.

The Report on Relaxation Therapy Application for Chronic Neck Pain with Tension Myositis Syndrome Trend (긴장성 근육통 증후군으로 인한 만성 경항통 환자에 대한 이완 요법 적용 1례(例))

  • Kim, Gyu-Tae;Kwon, Seung-Ro;Song, Joo-Hyun;Kim, Su-Yong;Lee, Je-Kyun
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.277-285
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    • 2005
  • Tension Myositis Syndrome is defined as the muscle syndromes affected by brain signal as a result of stress. Furthermore, painful muscles cause tensional emotions in body system. Pain is the result of mutual co-operations between the brain and muscles. Unpleasant feelings increase the pain intensity. In addition, painful muscles were seen to have influences on the brain neurological system. Therefore, in spite of physical treatments, chronic pain has a tendency to be persistent and incurable. For psychological cures, We applied deep breathing, muscle relaxation therapy for anxious, sensitive chronic neck pain patient, then we evaluated her Visual Analogue Scale in reference to subjective feelings of pains every other day at 9 PM. In conclusion, We found that deep breathing and muscle relaxations helped reduce the feeling of pains for those who suffered from anxiety, tensional pains. Therefore, relaxation therapies are necessary methods for pain controls as well as physical treatments.

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Neuropsychological Evaluation of Visual Perception and Construction (시지각 및 구성능력의 신경심리학적 평가)

  • Lee, Chang Uk;Oh, Byung Hoon
    • Korean Journal of Biological Psychiatry
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    • v.4 no.1
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    • pp.24-28
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    • 1997
  • Visual perception is a complex process engaging many different aspects of brain functioning. Like other cognitive functions, the extensive cortical distribution and complexity of visual perceptional activites make them hihgly vulnerable to brain injury. Dectection and characterization of perceptual disorders require a careful clinical assessment as well as the application of selected neuropsychological tests. In this article we reviewed neuropsychological assessment of visual perception and constructional abilities. And the principal visuospatial disorders are discussed, the associated neuropsychiatric disorders are presented.

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An Introduction to Luria-Nebraska Neuropsychological Battery (Luria-Nebraska 신경심리검사의 소개)

  • Kim, Young-Chul
    • Sleep Medicine and Psychophysiology
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    • v.1 no.1
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    • pp.29-35
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    • 1994
  • Overall purposes of neuropsychological tests are summarized as follows: 1) Indentifying brain damage in individuals who have symptoms of uncertain etiology; 2) Assessing the extent and nature of deficits for forensic purposes and planning appropriate intervention; 3) Evaluating the effects of intervention or rehabilitation; 4) Examining the effects of various types of brain damage across different populations; and 5) Testing theoretical propositions about brain-behavior relationship. Of the neuropsychological tests, the Luria-Nebraska Neuropsychological Battery(LNNB) is easily transportable, relatively inexpensive, and performable by trained technician. The Korean version of LNNB is now being designed and will be used clinically in the near future. Localization and equipotential theories of brain function had been prevalent until Luria's theory of brain function. Brain, composed of three brain units in the theory, is the functional system in which each brain area has specific function and produce the function-related behavior. LNNB consists of 11 clinical scales, 5 summary scales, 8 localization scales, and 28 factor scales.

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Neuropsychological Assessment for Children with Psychiatric Disorders (소아정신과 장애 아동의 신경심리학적 평가)

  • Shin, Min-Sup
    • Sleep Medicine and Psychophysiology
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    • v.2 no.2
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    • pp.115-128
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    • 1995
  • Present study reviewed various standardized neuropsychological assessment methods for children that are widely used in Korean child-psychiatric clinic settings to evaluate neurological problems, especially soft neurological signs that could not be identified by neurological techniques like CT, MRI. The characteristics of those neuropsychological test responses in children with psychiatric disorders that neurological factors are thought to play more important role than psychological factors in their etiology were examined. It is more important and required to establish the developmental norms for interpreting the results of neuropsychological tests and for identifying the signs of brain damage in case of children than adults. There are many difficulties in diagnosing brain dysfunction and conducting research for neurological problems in psychiatric disordered children due to lack of the standardized Korean version of neuropsyhological test for children, Therefore, several issues on developing the Korean version of neuropsyhological tests for children were discussed.

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관능에 관여하는 의식요소와 식품관능평가의 시간함수개념

  • 전재근
    • Proceedings of the Korean Society of Food Science and Nutrition Conference
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    • 2000.11a
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    • pp.115-123
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    • 2000
  • 식품의 관능검사는 인간의 의식과 식품간의 반응결과를 객관적으로 나타내는 방법으로 수치, 언어적 묘사, 도표 등의 표현법을 사용하고 있으며 검사 요원들 간의 오차를 발생한다. 이 오차를 줄이기 위하여 통계 및 심리학적으로 접근하여 해결을 시도해 오고 있으며 오차를 심리적 잡음 (psychological noise)이라고 주장되고 있다. 식품의 기호도는 감각신경세포에서 전기적 신호로 전환되어 뇌에 전달되고 의식의 분석과 해석을 거쳐 얻어지는 것이므로 전기적 신호처리가 포함된다. 그러나 현재의 관능검사 방법들은 시간의 함수관계를 중시하고 있지 않다. 감각신경의 신호 전달체계의 유사성을 바탕으로 관능검사과정에 시간함수를 도인하는 개념이 요구된다. 시간을 개입하는 방법론으로 의식과 식품간의 일어나는 순차적 또는 병열적 행동과 의식체계를 분석하고 시간인자의 중요성을 부각시켰다. 시간함수의 도입방법으로 관능영향인자 표의 구성하고 bar-code를 생성하는 프로그램과 파형곡선으로 전환하는 개념을 제안하였다.

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Cognitive Neruopsychological Assessment and fMRl Study in an Acquired Dyslexic Patient : A case study (후천성 난독증에 대한 인지신경심리학적 언어행동평가와 대뇌 활성화 양상 : 단일사례연구)

  • Sohn, Hyo-Jeong;Pyun, Sung-Bom;Nam, Ki-Chun
    • Annual Conference on Human and Language Technology
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    • 2004.10d
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    • pp.270-272
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    • 2004
  • 본 논문에서는 뇌손상으로 인하여 난독증을 보이는 환자를 대상으로 시각적 단어 재인과정에 대한 평가와 기능적 자기공명영상기법을 통한 언어처리과정의 대뇌활성 양상을 살펴봄으로써 난독증의 특성을 알아보고자 한다. 인지신경심리학적 언어행동평가를 통해 환자 JYM는 자소-음소 변환(grapheme-phoneme conversion)경로와 직접 경로(direct route) 모두가 손상된 심층성 난독증(deep dyslexia)으로 보이며. 기능적 자기공명영상촬영 결과 언어처리과정에서 특정한 언어관련영역보다 등외측전전두영역과 시각피질의 활성이 증가되는 양상을 나타냈다.

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Integrative Approach of Mathematical Learning Disability (수학학습장애의 통합적 접근)

  • Soomi Kim
    • Journal of Educational Research in Mathematics
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    • v.10 no.1
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    • pp.11-34
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    • 2000
  • 수학학습장애는 독해장애와 더불어 학습장애의 주요영역으로 인식되고 있다. 그러나 독해 장애에 대한 연구와 비교하였을 때 상대적으로 주목받지 못한 분야로, 과연 수학학습장애는 무엇이며, 수학학습장애 아를 판별하는 기준을 어떻게 설정할 것인가의 문제가 여전히 논란이 되고 있다. 본고에서는 수학학습장애에 대한 최근의 세 가지 관점-신경학적 관점, 발달심리적 관점, 교육적 관점-의 고찰을 통해, 수학학습장애를 진단하기 위한 하나의 통합적 관점이 필요함을 제안하고 있다. 이것은 수학학습장애를 신경적 결함으로만 해석하려는 전통적 관점에 대한 발달심리학자들의 비판을 수용한 것이며, 오늘날 파행적인 교육체계에서 희생되고 소외되어온 학생계층을 포용하기 위한 한 가지 제안이 될 것이다.

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