• 제목/요약/키워드: neurosis

검색결과 83건 처리시간 0.029초

정신과 외래 환자에서의 신경 심리 검사 (Neuropsychological Tests in Psychiatric Outpatients)

  • 이성훈;박희정;박혜정;이희상;김찬형
    • 수면정신생리
    • /
    • 제4권1호
    • /
    • pp.120-128
    • /
    • 1997
  • Clinical neuropsychological tests were developed originally for the diagnosis of neurological and neuro-surgical diseases. Recently, these tests are being introduced to psychiatric patients. Authors had the experience to use these tests in pychiatric outpatient clinic. Results were as follows. There was a significantly increase in language and attentional function in residual schizophrenia compared to normal control. In chronic neurosis, as visuospatial function was reduced, language and attentional functions were enhanced. With these results, authors suggest that application of neuropsychological tests in psychiatric patients may be very helpful in classifying the subgroups of disease, in selecting the modality of treatment, and in expecting prognosis.

  • PDF

어지럼증 환자(患者)의 MMPI 프로파일 특성과 한의학적(韓醫學的) 치료효과(治療效果) (The effects of Oriental medicine treatment and the characteristics of MMPI profile on Vertigo Patients)

  • 김진우;이순이;김자영;김태헌;류영수;강형원
    • 동의신경정신과학회지
    • /
    • 제17권3호
    • /
    • pp.67-75
    • /
    • 2006
  • This Study is attempted to analyze Minnesota Multiphasic Personality Inventory responses to Vertigo patients and remedial value of Oriental medicine treatment. Methods: 24 Vertigo patients and 28 control group were tested by MMPI and QSCCII. It is analyzed by cluster analysis, one-way ANOVA, chi-square test, t-test, Duncan method is used as ex-post test. Results and Conclusions: 1. The MMPI scores of Vertigo patients were elevated in Hs, Hy clinical scales, 1-3 profile type, it is profile of conversional neurosis. In this case body condition where the psychological problem will get conversion is a notable feature. 2. All of the profiles can be classified three types of profile. Group 1(33.3%) showed 1-3-2 profile type and elevated Pt. scale, suggesting mainly depressive neurosis in the department of neuropsychiatry. Group 2 (37.5%) showed a normal profile. Group 3(29.2%) showed 1-3 profile type it is profile of conversional neurosis. With this result it is indicated that 62.5% Vertigo patients are related to emotional difficulties. 3. There was to a remedial value for the Vertigo patients, before treating from VAS score 10.00 after treating at VAS score 4.13. From this study, we know the possibility the Oriental medicine register remedial value for the Vertigo patients.

  • PDF

"상한론"에 나타난 계(悸)와 관련된 처방들의 현대 질환 범위 고찰 (Study on Diseases Scope of Prescriptions Related with the Palpitation in "Shanghanlun")

  • 박미선;김영목
    • 동의생리병리학회지
    • /
    • 제29권1호
    • /
    • pp.1-10
    • /
    • 2015
  • This article is a study on palpitation of which disease cause, disease mechanism and formulas were analyzed with reference to annotations on "Shanghanlun" and "Jinkuiyaolue". And the scope of modern diseases related with palpitation was drawn by research on clinical papers. The source books are "Zhujieshanghanlun" and "Jinkuiyaoluefanglun" and the clinical papers are searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). 13 clauses in "Shanghanlun" and 9 clauses in "Jinkuiyaolue" and 12 formulas are related with palpitation. Disease mechanisms of palpitation were classified as yang deficiency, yin deficiency, qi deficiency, blood deficiency, retained fluid, cold, etc and these days, qi stagnation, phlegm turbidity, blood stasis and fire heat are also considered as disease mechanisms. Modern diseases related with palpitation are arrhythmia(extrasystole, atrial fibrillation, bradycardia, tachycardia, sick sinus syndrome, atrioventricular block), vascular diseases(arterial occlusion, phlebothrombosis, Buerger's disease, coronary artery disease, vasculitis), blood pressure disorder(hypertension, hypotension) and heart diseases such as heart failure, angina pectoris, myocardial infarction, myocarditis, cardiomyopathy, pericardial effusion. And diseases related with psychological change(cardiac neurosis, anxiety neurosis, neurosis, depression, hyperthyroidism, hypothyroidism), pyrexia, anemia, drug intoxication, etc are also related with palpitation. Zhen Wu Tang showing an efficacy in dilating blood vessels and strengthening cardiac function, Wuling Powder with diuretic effect and Fried Glycyrrhizae Decoction acting on the ${\beta}$ receptor are applied to heart failure in different ways. Fried Glycyrrhizae Decoction(308 cases), Zhen Wu Tang(154), Wuling Powder(54), Xiao Chaihu Tang(34), Sini San(20) are reported to have been clinically applied to cardiovascular diseases and Zhen Wu Tang and Wuling Powder mainly applied to heart failure, Fried Glycyrrhizae Decoction, Lizhong Wan, Sini San and Zhen Wu Tang chiefly applied to arrhythmia related diseases. This study focuses on the general research and consideration on clinical applications and is a preliminary study to understand relations between Korean Medicine's symptoms and categories of modern diseases.

소아 ${\cdot}$ 청소년 및 성인 우울신경증 환자에 대한 Paroxetine의 항우울 및 항불안 효과 검증 : 위약과의 이중맹 교차 비교실험 (A DOUBLE BLIND CROSS-OVER COMPARISON OF ANTIDEPRESSANT AND ANTIANXIETY EFFECTS OF PAROXETINE AND PLACEBO IN CHILD-ADOLESCENT AND ADULT DEPRESSIVE NEUROSIS)

  • 김승태;홍경수
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제5권1호
    • /
    • pp.83-92
    • /
    • 1994
  • 본 연구의 목적은, 선택적 serotonin 재흡수 차단제(selective serotonin re-uptake inhibitors : SSRI)로서 불안증상을 동반한 비정신병적 우울증에 효과적인 치료제로 알려지고 있는 paroxetine의 항우울 및 항불안 효과를 검증하고, 성별 및 연령별로 효과의 차이를 파악하는 것이다. 이를 위해 8~55세 사이의 우울신경증 환자 232명을 대상으로 paroxetine과 위약을 이중맹 교차방식으로 투여한 후, 우울 및 불안 증상의 호전도를 Hamilton Depression Scale(HDS)과 Hamilton Anxeity Scale(HAS)로 측정하여 다음과 같은 결과를 얻었다. 1) HDS로 측정된 우울증상에 대해, 성별 및 연령별로 구분된 8개 대상군에서 모두 paroxetine이 위약에 비해 통계적으로 유의하게 높은 호전 효과를 보였다. 2) HAS로 측정된 불안증상에 대해서도, 성별 및 연령별로 구분된 8개 대상군에서 모두 paroxetine이 위약에 비해 통계적으로 유의하게 높은 호전 효과를 보였다. 3) 위약과 비교시, paroxetine의 항우울 효과는 소아 ${\cdot}$ 청소년 여자 환자군에서 가장 두드러졌고, 항불안 효과는 남 ${\cdot}$ 녀 소아 환자군과 35세 이하의 성인 여자 환자군에서 가장 높은 경향을 보였다. 4) 부작용으로는, 전체 232례 중 3례에서 paroxetine 투여 후 경미한 소화불량 및 복통증상을 나타내었으나, 3례 모두 약물의 감량이나 투여중단 없이 회복이 가능했다. 이상의 결과에서 paroxetine은 소아 ${\cdot}$ 청소년 및 성인 우울신경증 환자에서 2주 이내에 위약보다 유의하게 우수한 항우울 및 항불안 효과를 나타내는 것을 알 수 있었다. 향후 보다 장기간의 치료실험을 통하여 이러한 효과의 장기간 지속성에 대한 검증이 필요한 것이다.

  • PDF

우주변화(宇宙變化)와 인성(人性)과의 관련성(關連性)에 관한 조사연구(調査硏究) (A Study on the correlation between the lunar cycle and M. M. P. I)

  • 이석준;유영수
    • 동의신경정신과학회지
    • /
    • 제3권2호
    • /
    • pp.87-96
    • /
    • 1992
  • In order to see the variation of human nature, M.M.P.I. was carried on 2, April 1992 (the last day of the second lunar month) and 15, June 1992 (the fifteenth day of the fifth lunar month). These experiments took male and female students who were in Won kwang University as subjects (108 students on 2, April, 105 students on 15, June). The results of it suggested the followings. 1) Every students' average of T-grades on each measure were in a normal scope. 2) There were no significant differences in comparison between the fifteenth day and the last day of the month. 3) On every measure except L, Mf, Si, the female students showed higher grade in the fifteenth day than the last day of the month. But there was no significant difference in male students. Both male and female students didn't show the significant one. 4) On the fifteenth day of the month, the female students showed higher T-grade then male did on every measure except Mf, Ma, Si. There was a significant difference on D, Pd, Mf(P<0.05) measure. 5) On the last day of the month, male students showed higher T-grade then female did on every measure except L, K, Hy, Pt. There was a significant difference on L(P<0.001), K(P<0.01). 6) On experiments about female students, there was no symptom of neurosis and psychosis on the last day of the month. But three of sixteen students(18.7%) showed symptom of neurosis, one of thirteen(6%) showed symptom of psychosis on the fifteenth day of the month. On experiments about male students, eleven of ninety-two(11.9%), four of ninety-two(4.3%) showed symptom of neurosis and psychosis respectively on the fifteenth day of the month. Ten of ninety-two(10.8%), six of ninety-two(6.5%) showed symptom of neurosis and psychosis respectively on the last day of the month. As the results of the above, human nature changes to some extend according to lunar cycle. And there are many changes in female than male. But it is difficult to generalize this fact by limited subject and only one experiments. So the controlled studies are needed on the basis of this result and have to take many person as a subject.

  • PDF

Bell's Palsy 환자의 MMPI 특성에 관한 고찰 (Characteristics of MMPI Findings in Bell's Palsy)

  • 이아람;김헌일;박상동;황종순;성수민;조현석;김경호;김갑성;김근우
    • Journal of Acupuncture Research
    • /
    • 제21권1호
    • /
    • pp.59-69
    • /
    • 2004
  • Objective: The purpose of this study is to find the characteristics of MMPI in Bell's palsy patients. Methods: 40(21 male, 19 female) patients with Bell's palsy who visited Dept. of Acupuncture and Moxibustion, Bundang Oriental Medicine Hospital, Dongguk University completed a Minnesota Multiphasic Personality Inventory (MMPI)-383. The mean age was 43 years(range 18-72). MMPI scores were analyzed about validity scales, neurosis clinical scales, other clinical scales and by Two code method. Patients's MMPI scores were compared with Korean standard of MMPI. Results: The validity scales were within normal range. The neurosis clinical scales were within normal range. The other clinical scales were within normal range. The study of Two code method showed that D scale and Hy scale was higher than the other clinical scales. Bell's palsy patients's D scale and Hy scale means were higher than Korean standard of MMPI.

  • PDF

갈색세포종 환자 1례의 임상증례(臨床證例) 보고 (A Clinical Case Report On The Patient With Pheochromocytoma)

  • 김국범;한종현;한인선;김은곤;이정희;강병철;성경화;최영규;심윤섭
    • 대한한방내과학회지
    • /
    • 제26권1호
    • /
    • pp.281-289
    • /
    • 2005
  • Objective : Pheochromocytoma may arise within the adrenal medulla, or in other locations, where symptheic ganglia or chromaffin tissues are known to exist. Approximately 0.1 % of hypertensive patients have Pheochromocytoma, This study is to report the clinical effects of ShiHo-GuiZhiTang on pateints who have suffered from such symptoms of Pheochromocytoma as sweating, hypertention, Indigestion, anxiety neurosis, nausea, headache, and epigastric discomfort. Method : ShiHo-GuiZhiTang was used for a patient who had suffered from symptoms of Pheochromocytoma which was diagnosed as Banpeubanri-jueng of soyang disease in Sanghan-Ron. Result : In treating the patient with symptoms of Pheochromocytoma with ShiHo-GuiZhiTang, results were good. Conclusion : The results of this study suggest that ShiHo-GuiZhiTang is effective for such symptoms of Pheochromocytoma as sweating, hypertention, Indigestion, anxiety neurosis, nausea, headache, and epigastric discomfort.

  • PDF

MMPI 임상척도와 성격척도를 통해 살펴 본 공황장애 환자의 특성에 대한 연구 (The study on characteristics of panic disorder through clinical and personality scales in MMPI of patients with Panic disorder)

  • 김진형;국윤재;최성열;김태헌;류영수;강형원
    • 동의신경정신과학회지
    • /
    • 제16권1호
    • /
    • pp.129-142
    • /
    • 2005
  • Objectives : This study was to investigate MMPI profile on clinical scales and personality scales of Panic Disorder patients. Methods : Thirty eight Panic Disorder patients and twenty eight normal control were administered the MMPI. Experimental design was done by nonequivalent control group and statistics were crosstabs, chi-square test, ANOVA, t-test and cluster analysis Results and Conclusions : 1. The MMPI clinical scales profile of Panic Disorder patients was neurotic profile of 2-7 type. Panic Disorder patients was elevated the other scales except L, K, Mf and Ma scales for control group. 2. A result of grouping MMPI in Panic Disorder patients, we could classify into 3 different groups. Group 1 is a profile of conversional neurosis. Group 2 is a normal proflie. Group 3 is a proflie of $'{\Lambda}'$ type neurosis. 3. Personality characteristics in Panic Disorder patients was lowed scores in HST, NAR scales, elevated the other scales except ANT scale. Specially in PAG, AVD scales showed high scores.

  • PDF

월경통(月經痛) 환자(患者)의 MMPI 특성과 사상체질특성(四象體質特性)에 관한 연구(硏究) (The Research on the Characteristics of MMPI Profile and Sasang Constitutional on Dysmenorrhea Patients)

  • 조한백;김송백;최창민;박경환;최철원;이순이
    • 대한한방부인과학회지
    • /
    • 제20권3호
    • /
    • pp.137-154
    • /
    • 2007
  • Purpose: The purpose of this study was to investigate Minnesota Multiphasic Personality Inventory on clinical scales and personality scales of dysmenorrhea patients. Methods : 29 dysmenorrhea patients were tested by MMPI and QSCC II. It is analyzed by one-way ANOVA, Crosstabulation, t-test, and by Duncan method in case of significant difference. Results and Conclusion : 1. The MMPI scores of dysmenorrhea patients were normal range that was elevated in Hs, Hy clinical scales, 1-3 profile type which is profile of conversional neurosis. 2. All of the profiles can be classified three types of profile. Group 1(44.8%) showed a normal profile. Group 2(20.7%) showed a normal profile but elevated in Mf, Ma scales, suggesting mainly extroverted and psychopathic personality. Group 3(34.5%) showed 1-3 profile type which is profile of conversional neurosis. 3. MDQ score and age of dysmenorrhea patients are related to personality in MMPI profile of dysmenorrhea patients.

  • PDF

영화 [아가씨]의 악인형 분석 (Character Analysis of the Movie "THE HANDMAIDEN")

  • 정문권
    • 한국콘텐츠학회논문지
    • /
    • 제19권1호
    • /
    • pp.413-420
    • /
    • 2019
  • 본 연구는 영화 [아가씨]의 주요 등장인물의 유형을 분석하는 것을 목적으로 한다. 영화 [아가씨]의 네 캐릭터는 모두 '실존'을 보았고 악인형의 요소를 가지고 있다는 공통점이 있다. 코즈키와 히데코는 라캉의 정신 분석 방법론에 의해 각각 전형적인 도착증, 강박증 증상을 보였다. 반면 숙희와 고판돌은 범죄 환경 속에서 실존에 직면한 성장 특성을 지니고 있기 때문에 정신 분석 방법론으로 분석해 가는 것이 어려웠다. 따라서 PCL-R 진단 항목을 바탕으로 숙희와 고판돌의 성격 유형을 분석하고 구조 분석을 병행하였다. 결과적으로 코우즈키는 사디스트이며 히데코는 강박증자, 숙희는 반사회적 생활 방식을 가졌지만 정상적인 감정적 범주에 속해있다고 보았으며 고판돌은 소시오패스이며 잠재적인 사디스트의 기질을 갖고 있다고 보았다.