• Title/Summary/Keyword: schizophrenic subjects

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Study of Sasang Constitutional Tendency on the 20 Cases of Schizophrenic Patients Visiting Daeya Public Health Center (대야보건소에 내원한 정신분열병 회원 20례에 대한 체질진단소견)

  • Lee Si-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1443-1445
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    • 2005
  • The causes of schizophrenia are multifactorial and stress-diathesis model is one of the supporitive causes. This study is aimed for Sasang Constitutional tendency of schizophrenic patients. 20 Subjects are recruited from Gunsan Mental Health Center. They agreed with this study in advance and visited Daeya Public Health Center to interview with Sasang Constitutional Specialist. Their Sasang Constitution types are determined by QSCC II and interview with specialist. Taeumin and Soyangin are prevelant among the 20 cases of schizophrenic subjects visiting Public Health Center; 10 subjects are Taeumin, 9 subjects are Soyangin and 1 subject is Soeumin.

Alexithymia and the Recognition of Facial Emotion in Schizophrenic Patients (정신분열병 환자에서의 감정표현불능증과 얼굴정서인식결핍)

  • Noh, Jin-Chan;Park, Sung-Hyouk;Kim, Kyung-Hee;Kim, So-Yul;Shin, Sung-Woong;Lee, Koun-Seok
    • Korean Journal of Biological Psychiatry
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    • v.18 no.4
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    • pp.239-244
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    • 2011
  • Objectives Schizophrenic patients have been shown to be impaired in both emotional self-awareness and recognition of others' facial emotions. Alexithymia refers to the deficits in emotional self-awareness. The relationship between alexithymia and recognition of others' facial emotions needs to be explored to better understand the characteristics of emotional deficits in schizophrenic patients. Methods Thirty control subjects and 31 schizophrenic patients completed the Toronto Alexithymia Scale-20-Korean version (TAS-20K) and facial emotion recognition task. The stimuli in facial emotion recognition task consist of 6 emotions (happiness, sadness, anger, fear, disgust, and neutral). Recognition accuracy was calculated within each emotion category. Correlations between TAS-20K and recognition accuracy were analyzed. Results The schizophrenic patients showed higher TAS-20K scores and lower recognition accuracy compared with the control subjects. The schizophrenic patients did not demonstrate any significant correlations between TAS-20K and recognition accuracy, unlike the control subjects. Conclusions The data suggest that, although schizophrenia may impair both emotional self-awareness and recognition of others' facial emotions, the degrees of deficit can be different between emotional self-awareness and recognition of others' facial emotions. This indicates that the emotional deficits in schizophrenia may assume more complex features.

Combined Dexamethasone/Insulin-induced Hypoglycemic Test in Manic and Schizophrenic Patients (조증 및 정신분열병 환자에서 덱사메사손/인슐린-유도성 저혈당 병합검사)

  • Sung, Si Yong;Park, Chul Soo;Sohn, Jin Wook
    • Korean Journal of Biological Psychiatry
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    • v.4 no.2
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    • pp.272-278
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    • 1997
  • Many investigators are trying to elucidate the pathogenesis of psychiatric disorders on the basis of neuroendocrine responses to stimulation or perturbation. Dexamethasone(DEX) suppression has been the most widely utilized as the prototypical challenge test. Dexamethasone suppression test(DST) has proven to be valuable in diagnosing the depressive spectrum disorder. Reported specificity of diagnosis of depression is relatively high, but sensitivity is limited. Some researchers used the combination of dexamethasone and corticotropin releasing hormone(CRH) in order to improve the sensitivity. They reported that combined DEX/CRH test is more sensitive than DST alone. In this study the authors modified the DEX/CRH test, i.e., we administered the insulin instead of CRH. Total subjects were 28(7 normal controls, 10 manic patients, 11 schizophrenic patients). Subjects were taken DEX(1.5mg p.o.) at 11 p.m., insulin 16 hours later(0.1 unit/kg i.v.). Five blood samples for the determination of cortisol and ACTH were serially drawn at 15 minute interval. The results are as followings : 1) The cortisol and ACTH levels of manic subjects increased following insulin administration. Manic subjects showed higher levels of cortisol and ACTH than schizophrenic and normal control subjects. The cortisol and ACTH levels of schizophrenic and normal control subjects did not show gross changes. 2) The sensitivity of the test was lower than that of reported DEX/CRH test.

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Improvement of Smooth Pursuit Eye Movements after Cigarette Smoking in Chronic Schizophrenic Patients (만성정신분열병 환자의 흡연후 추적안구운동의 호전)

  • Kim, Jong-Hun;Lee, In-Sang;Seo, Han-Gil;Jung, Sun-Il;Park, Chul-Soo;Woo, Sung-Il
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.119-124
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    • 1999
  • This study was done to examine whether cigarette smoking improved smooth pursuit eye movement(SPEM) abnormalities in chronic schizophrenic inpatients. Fifteen schizophrenic and twelve alcoholic subjects abstained from their usual cigarette smoking for a minimum of nine hours and their baseline performances during the constant velocity smooth pursuit tasks were assessed. Then, the subjects smoked as much as they desired in a 10 minutes period and were retested immediately after smoking and 15 minutes after smoking. Electrooculographic recordings during the eye movements were converted and saved as digitized files. Power spectral density curves and natural logarithm value of signal/noise(Ln S/N) ratios were computed from them. In the schizophrenic patients, Ln S/N ratios increased significantly immediately after smoking compared to baseline. But, Ln S/N ratios showed no statistically significant changes after 15 minutes compared to baseline. In alcoholic subjects, Ln S/N ratios showed no statistically significant changes immediately after smoking and after 15 minutes compared to baseline. In conclusion, SPEM was improved in schizophrenic patients immediately after smoking and we hypothesized that nicotinic receptor dysfunction maybe a candidate mechanism for smooth pursuit eye movement abnormalities in schizophrenia.

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An Analysis on the Visual Preference of Waterscape Facilities for Healing Garden in Psychiatric Hospitals (정신병원 치료정원을 위한 수경시설의 시각적 선호도 분석)

  • Jeong, Na-Ra;Ahn, Deug-Soo
    • Journal of the Korean Institute of Landscape Architecture
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    • v.35 no.3
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    • pp.50-61
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    • 2007
  • The purpose of this study is to establish design guidelines for waterscape facilities of healing gardens in psychiatric hospitals. Data were collected through simulation and interview. The subjects included schizophrenic (n=42) and alcoholic (n=41) inpatients as well as medical staff personnel (n=40) at Maeumsarang Hospital. The results of this study are as follows: It was revealed that for all three groups the first preference was a natural flowing waterscape, and the second preference was a natural descending waterscape. The schizophrenic subjects had a greater preference for a static artificial waterscape and a descending artificial multistory waterscape than the other two groups. The alcoholic subjects preferred an ascending natural multistory waterscape. The analysis on the preference towards an ascending type and a descending type from the perspective of naturalness and complexity. Complexity had a greater influence than naturalness in the ascending waterscapes, and naturalness had more influence than complexity in the descending style waterscapes. Therefore, these factors need to be taken into consideration when designing either ascending or descending waterscape facilities. In general, the subjects preferred natural, dynamic and descending waterscapes to the artificial, static and ascending variety.

The Effects of Solution-focused Group Counseling Program for the Families with Schizophrenic Patients (정신분열병 환자 가족에 대한 해결중심 집단상담 프로그램의 효과)

  • Chung Soon-Ah;Yang Soo
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1155-1163
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    • 2004
  • Purpose: This study was designed to examine the effects of a solution-focused group counseling program on the family burden, active coping, expressed emotion, and family support in schizophrenic patients and their families. Method: The subjects consisted of 48 schizophrenic patients and 56 families. Twenty-four schizophrenic patients and 28 families were assigned to both the experimental and control groups. The solution-focused group counseling program was conducted for the families of the experimental group, but not for the control group or the patients of the experimental group. Result: There was a significant greater decrease in scores of family burden and expressed emotion in the experimental groups than the control groups. There was a larger increase in active coping scores in the experimental groups than the control groups, but it was not significant. There was no significant difference between the two groups in family support scores. Conclusion: This program may be an effective nursing intervention program for families with schizophrenic members.

A Study on Self-Efficacy and Quality of Life in Schizophrenic Patients (정신분열병 환자의 자기효능과 삶의 질에 관한 연구)

  • 노은선;권혜진;류은정
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.912-920
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    • 2001
  • The purpose of this study is to identify the correlation that exists between quality of life and self-efficacy of schizophrenic patients, focusing on the influence of related factors on these varables. Method: The subjects of this study were 151 schizophrenic patients. The data were collected using questionnaires. The instruments used for this study were the general self-efficacy scale developed by Sherer & Maddex(1982), the specific self-efficacy scale modified and complemented by these co-researchers on the basis of the past studies and modified SIP by Voruganti(1996). The period of data collection was from July. 2000 to Jan. 2001. Data analysis was done by SPSS, t-test, ANOVA and the Pearson Correlation Coefficient. Result: 1. The level of self-efficacy showed a mean score of 60.0 and the level of quality of life, a mean score of 47.0. 2. The general characteristics affecting the self-efficacy of schizophrenic patients were staying with family (p=0.05) and employment (p=0.00). 3. The general characteristics affecting the quality of life of schizophrenic patients were staying with family (p=0.04), employment (p=0.05) and duration of illness (0.03). 4. A positive correlation was identified between self-efficacy and quality of life (r=-0.469, p=0.000). Conclusion: The study suggests that nursing intervention strategy should be worked out to develop a psychiatric rehabilitation program that can promote self-efficacy and thus enhance the quality of life of schizophrenic patients.

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The Effects of an Insight-oriented Nursing Program on Schizophrenic Patients' Insight, Positive and Negative Syndromes, and Depression (병식-지향 간호프로그램이 정신분열병 환자의 병식, 양성.음성증상, 우울에 미치는 효과)

  • An, Hyo-Ja
    • Journal of Korean Academy of Nursing
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    • v.37 no.4
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    • pp.510-518
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    • 2007
  • Purpose: This study examined the effects of an insight-oriented nursing program on schizophrenic patients' insight, positive and negative syndromes, and depression. Method: A non-equivalent control group non-synchronized design was utilized. For this research, a total of 34 subjects were selected at a psychiatric hospital in Daegu during the period ranging from Oct. 1st, 2005 to Feb. 11th, 2006 (experimental group=17, control group=17). Result: After the treatment, between the experimental and control groups, there wasa significant difference in the level of SUMD(t=-4.52, p=.000) and positive syndrome(t=6.97, p=.013), but no significant difference in the negative syndrome(t=-1.81, p=.079) and depression(t=2.23, p=.145). Conclusion: The results of this study show that the insight-oriented nursing program works well for schizophrenic patients. Therefore, it is recommended that this program should be used in clinical practice as an effective nursing intervention for schizophrenic patients.

Effectiveness of a Web-based Learning Program for Medication and Symptom Management Education of the Schizophrenia Patient (정신분열병환자를 위한 웹기반 약물 및 증상 자가 관리 교육 프로그램 효과*)

  • Shon, Kyung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.285-292
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    • 2009
  • Purpose: This study was to examine the effect of a web-based education program for schizophrenic patients in order to identify symptoms, facilitate medication and prevent recurrence. Method: The design of this study was a quasi experimental research with nonequivalent control group, pretest-posttest design. The subjects of this study were inpatients in the psychiatric day hospitals in Busan; 14 schizophrenic patients for the web-based education group (Exp.I); 14 schizophrenic patients for the web-based education with face -to- face education (Exp.II); and 16 schizophrenic patients for the face -to- face education as control group (Con. G). The data were collected from November 5th 2007 to January 28th 2008 and were analyzed with $\chi^2$-test, ANOVA, ANCOVA and Bonferroni test in SPSS Win 11.0. Results: After receiving education, each with different methods, the Exp.I group attained the highest learning achievement in the knowledge of medication and symptom management. In addition, the Exp.I group and Exp.II group attained the lower scores in the relapse warning symptoms than the control group. There were significant differences among the three groups. Conclusions: A web-based learning program for medication and symptom management education is an effective rehabilitation program that reduces the relapse rate of schizophrenic patients.

REARING PATTERN OF SCHIZOPHRENIC MOTHERS AND THEIR CHILDREN'S BEHAVIOUR PROBLEMS (정신분열병이 있는 어머니의 양육태도와 자녀의 행동문제)

  • Kang, Kyung-Mi;Kwack, Young-Sook;Lee, Sung-Hun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.180-189
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    • 1998
  • Objects:This study is investigated to compare psychopathology and their perceived parental rearing pattern of the children of schizophrenic mother with those of normal control group. The correlation were also assessed between perceived parenting style and problem behaviour Method:Thirty children(age 12-18) of schizophrenic mother and normal control subjects completed self-report questionnaires containing child·adolescent behaviour problem check list(K-CBCL) and Parental bonding instrument(PBI). Result:The result were as follow in the children of schizophrenic mother:1) the mean score of problem behaviour significantly higher than normal control group. 2) Parenting style was perceived to be less caring and more overprotective than in the control subject. 3) there was positive correlation between maternal overprotection and problem behaviour and negative correlation between maternal care and problem behaviour. Conclusion:We succeed in identify that the children of schizophrenic mother have more problems in social adjustment than normal control subjects. Parental rearing style are thought to be significantly negativistic in the children of schizophrenic mother. It is guessed that less caring and more overprotective rearing style of schizophrenic mother could have influence on problem behaviours of their children.

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