• 한국치위생학회지
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• 제14권3호
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• pp.353-362
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• 2014

Objectives : The purpose of the study is to investigate the xerostomia in the chronic severe psychiatric patients in Korea because there were few reports on xerostomia in the psychiatric patients. Methods : The subjects were 61 psychiatric patients in the mental hospital by convenience cluster sampling. A self-reported symptom questionnaire was filled out by the three researchers on the basis of medical records by the informed consent. The stimulated salivary flow rate of the patients was measured by saliva sampling. Results : The subjects consisted of 45.9% of male and 54.1% of female. High school graduation accounted for 40.0% and 20.0% did not attend the school. The majority of the patients were medicaid recipients. Schizophrenia accounted for 86.9% and most patients were long term care recipients. A total of 68.9% of the patients suffered from salivary dysfunction. The medication in schizophrenia seemed to decrease the stimulated salivary flow rate and made the patients difficult in chewing and swallowing due to xerostomia and low saliva secretion(p<0.05). Conclusions : Medication in schizophrenic patients caused the salivary dysfunction. So the collaboration between the psychiatry doctors and dental hygienists is very important to improve the salivary secretion in the schizophrenic patients. The continuous and long term care of the xerostomia will help the patients maintain the good oral hygiene.

• 동의신경정신과학회지
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• 제14권2호
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• pp.155-167
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• 2003

Objective : The aims of this study were to show the clinical aspects and to investigate psychiatric traits by SCL-90-R in patients who visited Oriental Medicine Hospital Emergency Room. Method : We studied twenty patients who visited Daejeon University Oriental Medicine Hospital from May, 2003 to September, 2003. Results : 1. The ratio of male to female patients was 1:3 and age distribution was most frequent in 30s&40s. 2. The most frequent cause of illness was stress in occupation and overwork. The greater part of patients came to hospital in 12hours after an attack. 3. In chief problem, somatic symptoms such as headache, dizziness, numbness and chest discomfort were most frequent. In diagnosis, somatization disorder was most frequent. 4. After treatment, most of symptoms were improved. 5. Psychiatric traits by SCL-90-R correlated with somatization and anxiety.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권4호
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• pp.209-216
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• 2014

Objectives : Alcohol use disorder (AUD) is often comorbid with adult attention-deficit hyperactivity disorder (ADHD) and other psychiatric illnesses. When associated with other mental problems, the prognosis of the AUD can be more serious. This study shows research on the clinical and neuropsychological characteristics according to whether or not ADHD symptoms and AUD were comorbid. Methods : A total of 64 adult inpatients who completed AUD scales about adult ADHD, alcohol dependence, depression, anxiety, and impulsiveness. They also completed neuropsychological tests about attention and executive function. According to the Adult ADHD Self-Report Scale score, patients were categorized into two groups (ADHD symptom positive/negative group). Results : Fourteen among the 64 subjects were part of the ADHD symptom positive group (21.9%). They had statistically significant shorter abstinence periods and a higher rate of history of 'rule violation during school' and 'physical damage in childhood' compared to the ADHD symptom negative group. Conclusion : The comorbidity rate with ADHD symptom in adult AUD is higher than the general population. The ADHD symptom positive group suffered from more severe and refractory AUD. Considering the more frequent history of rule violation during school in the ADHD symptom positive group, the association between ADHD and AUD may be mediated by conduct disorder. Therefore we suggest the necessity of careful evaluation and intervention in children and adolescents with ADHD and conduct disorder.

• 정신신체의학
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• 제31권2호
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• pp.72-78
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• 2023

연구목적 코로나19 감염으로 인한 다양한 정신과적 증상, 정신신체증상을 파악하고 장기적 영향을 조사하였다. 방 법 체계적 문헌고찰을 통해 국내외 데이터베이스에서 논문을 선정하고, "COVID-19", "psychosomatic" 등의 검색어를 활용하였다. 정신신체증상에 대한 구조화된 측정도구를 사용한 연구를 포함하여, 총 16편의 논문이 최종 분석 대상으로 포함되었다. 결 과 코로나19 급성 감염과 관련된 정신증상으로는 불안, 우울, 신체증상 등이 보고되고 있다. 장기간 지속되는 포스트 코로나증후군의 증상으로는 흉통, 피로 등이 보고되었고, 이와 관련된 정신신체증상의 발생 빈도는 10%-20%로 파악되었다. 감염병으로 인한 심리사회적 스트레스, 여성, 노인, 정신과적 기왕력이나 동반 정신질환 등의 요인이 관련을 미친다. 전신염증, 자가면역, 자율신경계의 이상반응 등이 관련이 있을 것으로 생각되고 있다. 결 론 코로나19 감염 이후 발생하는 정신신체증상은 삶의 질과 심리사회적 기능에 부정적인 영향을 미칠 뿐 아니라 증상에 대한 정신과적 이해와 접근은 예방과 치료에도 중요하다.

• 생물정신의학
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• 제12권2호
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• pp.89-97
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• 2005

Depression is a frequently developed psychiatric symptom after stroke. Poststroke depression(PSD) causes not only psychological distress related to depression but also other disturbances in many areas such as cognitive function, activities of daily living and quality of life. Therefore, a comprehensive understanding of accurate detection and appropriate treatment of depression is mandatory in patients with stroke. This review focused on the current knowledge of PSD.

• 디지털융복합연구
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• 제16권11호
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• pp.605-611
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• 2018

본 연구는 회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향을 살펴보고 나아가 회복지향실천의 각 하위영역 중 어떠한 요인이 정신과적 증상에 영향을 미치는지 탐색함으로써 지역사회 정신보건기관의 회복지향실천 적용을 위한 실천적 의의를 제시하는데 그 목적이 있다. 이를 위해 전국 정신장애인 사회복귀시설을 이용하는 정신장애인 378명을 대상으로 설문조사를 실시하였으며, 상관관계분석 및 위계적 회귀분석을 실시하였다. 연구결과, 연령과 유병기간을 포함한 회복지향실천의 5개 하위요인 중 '삶의 목표', '관여', '치료대안의 다양성'이 정신장애인들의 증상을 완화시키는 것으로 확인되었다. 이러한 연구결과를 바탕으로 국내 정신보건기관이 회복지향실천의 가치와 요소를 반영하여 정신장애인의 회복을 촉진시킬 수 있도록 정신의학 및 사회복지학의 융복합적 의의를 제시하였다.

• 생물정신의학
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• 제24권3호
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• pp.129-133
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• 2017

Objectives Obsessive-compulsive disorder (OCD) is a disabling psychiatric disorder, and more attention is recently paid on the quality of life (QoL) in OCD patients. The Euro-QoL-5D (EQ-5D) is a widely used self-report to calculate a single score which represents 'health utilities'. The aim of this study was to assess the health-related QoL for patients with OCD using the EQ-5D and to examine the relationship between health-related QoL and symptom severity. Methods Seventy-three patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of OCD were recruited from the outpatient clinic in Seoul National University Hospital. Symptom severity was assessed using the Yale-Brown Obsessive-Compulsive Scale (YBOCS), and QoL was assessed with the EQ-5D-5L questionnaire. Using Korean valuation study, a single score of QoL was calculated. Results Most of the OCD patients were relatively young (< 45 years) with the mean YBOCS total score of 19.33. The mean EQ-5D score was 0.71 and significantly correlated with symptom severity (r = -0.483, p < 0.001). 25% of the EQ-5D score was predicted by the YBOCS total score (b = -0.011, p < 0.001) by regression analysis. Conclusions OCD patients suffer from lower health-related QoL and QoL significantly decreased as symptom severity increased. The results of the EQ-5D would enable further studies on QoL comparison across medical disease and mental disorders.

• Journal of Yeungnam Medical Science
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• 제9권1호
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• pp.68-74
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• 1992

신체화 장애의 진단의 간편성을 위해 1991년 3월부터 1992년 2월까지 영남대학교 의과대학 부속병원 정신과에 내원한 여자 환자 135명을 대상으로 7-symptom screening test를 적용한 결과 다음과 같은 결론을 얻었다. 7개증상 모두의 판별 Index는 3.0 이상이었으며, 7개증상중 2개의 증상이 있을때 정확도가 89%(민감도 99%, 특이도 77%), 3개의 증상이 있을때 정확도가 87%(민감도 83% 특이도 90%)로 나타났으며 판별 분석 결과 cut off 점수는 7개증상중 3개 이상일 때 신체화 장애 진단에 속할 확률이 87%로 나타났다. 즉 7개의 screen 증상중 3개 이상 있는 경우 신체화 장애로 진단할 수 있다는 것을 나타낸 것이며 다시말해서 7개중 3개 증상 유무가 판별의 분기점이 되는것을 의미한다. 이는 7-symptom screening test가 신체화 장애 진단에 정확하고 간편한 검사 도구임을 나타내준다 하겠다.

• 정신신체의학
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• 제20권2호
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• pp.98-104
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• 2012

연구목적 : 본 연구는 뇌졸중 급성기에 신경 및 정신 증상간의 연관성을 조사하고자 하였다. 방 법 : 뇌졸중 환자 412명을 대상으로, 신경증상 중 뇌졸중의 심각성는 미국국립보건원 뇌졸중척도(NIHSS), 일상생활 수행장애는 바델지수(BI) 및 수정 랑킨척도(mRS), 인지기능은 한국판 간이정신상태검사(K-MMSE), 그리고 근력은 표준화된 악력측정을 통해 평가하였다. 정신증상은 간이정신진단검사(SCL-90-R)를 통해 9가지의 증상영역(신체화, 강박증, 대인예민성, 우울, 불안, 적대성, 공포불안, 편집증, 정신증)과 한가지의 부가적 항목을 조사하였다. 신경 및 정신 증상간 연관성은 입원 당시와 퇴원직전(뇌졸중 치료시작 전과 후)에 각각 분석하였다. 결 과 : 입원 당시 NIHSS 점수는 공포불안 및 부가항목과 연관이 있었고, BI와 mRS 점수는 우울, 공포불안, 그리고 부가항목과 연관성을 보였다. 퇴원 당시의 NIHSS 점수는 신체화, 우울, 공포불안, 부가 항목과 연관이 있었고, BI와 mRS 점수는 우울, 공포불안, 부가항목과 연관이 있었으며, MMSE 점수는 강박증, 우울, 공포불안, 부가 항목과 연관을 보였고, 악력은 신체화, 우울, 불안, 부가항목과 연관되었다. 결 론 : 뇌졸중의 급성기에는 신경 증상이 심할수록 우울, 공포불안, 수면 및 식욕 장애 등 정신 증상이 동반될 가능성이 높았다. 뇌졸중 후 신경증상이 심각한 환자에 대해 신경학적 치료와 함께 적극적인 정신과 치료가 필요하다.

• 생물정신의학
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• 제23권3호
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• pp.69-79
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• 2016

Frontotemporal dementia (FTD) is a degenerative disease characterized by the selective frontal and temporal lobe atrophy, and progressive deficits in behavior, executive function, or language. The prevalence and incidence of FTD are 15-22/100000 and 2.7-4.1/100000, respectively, in midlife. Hereditary is an important risk factor for FTD. Although there is some controversy regarding the further syndromatic subdivision of the different types of FTD, FTD is clinically classified into behavioral variant of frontotemporal dementia, semantic dementia and progressive nonfluent aphasia. FTD can be misdiagnosed as many psychiatric disorders because of similarity of the prominent behavioral features. Advances in clinical, imaging, and molecular characterization have increased the accuracy of FTD diagnosis, thus developing for the accurate differentiation of these syndromes from psychiatric disorders. We also discuss about therapeutic strategies for symptom management of FTD. Medications such as serotonin reuptake inhibitors, antipsychotics, and other novel treatments have been used in FTD with various rates of success. Further advanced research should be directed at understanding and developing new diagnostic and therapeutic modalities to improve the FTD patients' prognosis and quality of life.