• 정신신체의학
• /
• 제12권1호
• /
• pp.23-29
• /
• 2004

본 연구의 목적은 관상동맥질환 환자들과 정상인 간의 분노수준을 비교하고자 하는 것이었다. 233명의 관상동맥질환 환자들과 215명의 정상대조군을 대상으로 조사하였다. 분노수준을 평가하기 위해서 분노표현척도, 스트레스반응척도의 분노 및 공격성 하위척도, SCL-90-R의 적대감 하위척도를 사용하였다. 관상동맥질환 환자군은 정상대조군보다 분노표현 하위척도점수 및 분노전체 하위척도 점수, 스트레스반응척도의 분노 및 공격성 하위척도 점수가 각각 유의하게 더 높았다. 협심증 환자들은 심근경색증 환자들보다 분노표현 하위척도점수 및 분노전체 하위척도 점수가 유의하게 더 높았다. 환자군에서 남자는 여자보다 분노억제 하위척도 점수가 유의하게 더 높은 반면, 여자는 남자보다 분노표현 하위척도 점수가 유의하게 더 높았다. 이상의 결과는 관상동맥 질환 환자들이 정상인들보다 분노수준, 특히 분노표현의 정도가 더 높다는 것과 성별에 따라 분노표현에 차이가 있음을 시사해 준다. 또한 환자들의 높은 분노 수준은 병의 경과에 나쁜 영향을 미칠 수 있다는 점에서 관상동맥질환 환자들에 대한 분노관리의 필요성이 강조된다.

• 생물정신의학
• /
• 제19권2호
• /
• pp.106-113
• /
• 2012

Objectives : The purpose of this study is to investigate the relationship between the triallelic serotonin transporter gene and stressful life events to determine their effect on depression with alcohol dependence. Methods : Ninety-five hospitalized patients with alcohol dependence (73 male, 22 female) were enrolled in this study. Thirty-two (33.7%) of the total patients were diagnosed with major depressive disorder and dysthymic disorder by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV. The characteristics of stress were evaluated using the stressful life events scale, and depressive symptoms were assessed using the depression scale (Beck Depression Inventory, BDI). Alcoholism with depression (n = 32) and alcoholism without depression (n = 63) were genotyped for the triallelic serotonin transporter gene ($L_A$ : higher expressing allele, $L_G$/S : lower expressing allele). Results : There was no significant difference in the allele frequency between the depression group and the non-depression group (${\chi}^2$ = 0.345, p = 0.619). $L_G$/S alleles had more comorbid depression in the higher score of stressful life events scale [Mental-Haenszel (MH)-${\chi}^2$ = 4.477, p = 0.034]. But there was no significant difference in the comorbidity according to the scores from the stressful life event scale in the $L_A$ alleles (MH-${\chi}^2$ = 0.741, p = 0.399). In the results, alcohol-dependent individuals with $L_G$/S alleles had more comorbid depression than those with $L_A$ alleles when they had experienced severe stressful life events (MH-odds ratio = 2.699, p = 0.028). Conclusions : These results suggest that there is no direct relationship between triallelic serotonin transporter gene and depression in the alcohol dependent patients. But alcohol dependent individuals with the lower expressing alleles of the serotonin transporter gene were more susceptible to depression than those with the higher expressing alleles in response to stressful life events.

• 기본간호학회지
• /
• 제7권1호
• /
• pp.71-85
• /
• 2000

Social support was found to have buffering effects on the stress response of stroke patients. Especially, the aspects of social support found to be most influential were support from a close, personal source, and overall satisfaction with support. The purpose of this study was to identify the current social network and its characteristics according to gender difference in post-hospitalized stroke patients in Korea. The sample consisted of a convenience sample of 254 patients was recruited 129 men and 125 women who were receiving follow-up care at outpatients clinics. Four aspects of social support-source, quantity, qualify & type- were measured using the modified Social Support Inventory for Stroke Survivors(SSISS) which was developed by McColl & Friedland(1989). Regarding sources of social support, 61.4% reported for 'spouse' as primary caregiver and 31.9%, 'children'. But the distribution of sources of personal support were related to gender; 82.2% of male patients had support from their spouses, while only 40% of female patients reported from 'spouse' but 51.4% from 'children'. Among the children, daughters and sons were more significant support persons than daughters-in-law. The percentages for sources of these significant other support persons were 55.5% for 'children', 8.7% for 'spouse', and 8.3% for 'brothers'. The physician at the outpatient department was the main source of professional support. For the quantify and qualify of social support, the primary caregiver's support was more significant than support by significant other persons. Male patients reported that primary the caregiver' support was greater than that of significant other persons, while female patients perceived significant other persons as giving greater support. Regarding the type of perceived social support, the stroke patients were highly satisfied with the primary caregiver's support in aspects of instrumental, emotional, and informational support. They also reported high satisfaction with support from significant others' support in the aspect of emotional support, while emotional and informational support from professionals was reported as satisfactory. In conclusion, gender difference in the social support network was found in that male patients perceived more support from their spouses, while female patients perceived more support from their children as compared to their spouses.