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논문검색은 역시 페이퍼서치

정신병리학검색

The Korean Journal of Psychopathology


  • - 주제 : 의약학분야 > 정신과학
  • - 성격 : 학술지
  • - 간기: 연간
  • - 국내 등재 : -
  • - 해외 등재 : -
  • - ISSN : 1225-5300
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 15권 1호 (2006)

정신과 표집에서 낮은 Pa에 대한 역해석의 타당성

황성훈 ( Seong Hoon Hwang ) , 양귀화 ( Kyu Hwa Yang ) , 원성두 ( Sung Doo Won )
4,000
초록보기
Objectives: This study investigates whether the reverse interpretation of low Pa score in MMPI that indicate a paranoid tendency is appropriate. Methods: The 96 psychiatric patients perform MMPI and Rorschach test, and their clinical diagnosis and symptoms were evaluated. Study group is divided into high, middle and low Pa group on the basis of Pa score. Dependent variables were Rorschach Hypervigilance Index(HVI), content index related to the paranoid tendency, clinician`s diagnosis and symptoms, MMPI validation scale, and Harris-Lingoes subscale. If the reverse interpretation were valid, low Pa group would differ from middle Pa group in dependent variables and not from high Pa group. Results: HVI cannot discriminate the three group. On the other hand, in the analysis of MMPI validation scale and Harris-Lingoes subscale, the low pa group had higher score on L, K scale than high Pa group. Low Pa group is significantly high in Naivete(Pa3) but low in Persecutory idea(Pa1) and Poignancy(Pa2). That is, patients with low Pa scores were more defensive about their own problems or symptoms and revealed less persecutory idea. But they leaked their covert paranoid tendency through the Naivete subscale. Conclusion: Low score on Pa does indicate paranoid tendency.

한국판 의사 공감척도의 신뢰도와 타당도 검사

강원섭 ( Won Sub Kang ) , 김용희 ( Yong Hee Kim ) , 장환일 ( Hwan Il Chang )
4,000
초록보기
Objectives: This study was conducted to evaluate the reliability and validity of the Korean Version of the Jefferson Scale of Empathy-HP-version(K-JSE-HP). Method: The subjects were 86 residents who are working at Kyunghee University Hospital. The reliability and validity of K-JSE-HP and the differences on mean empathy scores by physicians` gender, specialty, career, and personality traits were examined. Results: The 20 items(except 2 items) of the K-JSE-HP(emotional empathy, cognitive empathy) was associated with excellent internal consistency(cronbach`s α=0.88) in reliabilities. The correlation coefficient between sum and the general items of the K-JSE-HP showed appropriate scores. Individual items showed good concurrent validity. Empathy scores were inversely correlated with impulsivity. But it were not associated with gender, specialty and career. Conclusion: K-JSE-HP was confirmed in its reliability and validity. It can be a useful scale for evaluating empathy in physician with various specialty.

다섯 가지 시계그리기검사 채점법의 알쯔하이머병 선별 유용성 비교

서은현 ( Eun Hyun Seo ) , 박희형 ( Hee Hyung Park ) , 이동영 ( Dong Young Lee ) , 추일한 ( Il Han Choo ) , 이정희 ( Jung Hie Lee ) , 정세훈 ( Sae Hoon Chung ) , 윤종철 ( Jong Chul Youn ) , 김기웅 ( Ki Woong Kim ) , 주진형 ( Jin Hyung Jhoo ) , 김신겸 ( Shin Gyeom Kim ) , 우종인 ( Jong Inn
4,000
초록보기
Objectives: This study aimed to compare the reliability and screening ability for Alzheimer`s disease (AD) of five scoring methods of clock drawing test(CDT). Methods: Consecutively recruited 155 probable AD patients and 155 normal control subjects participated in the study. The clock picture drawn by each subject was scored according to five CDT scoring methods, such as the CERAD, Rouleau, Sunderland, Mendez and Todd method. The inter-rater reliability was compared by calculating Pearson`s correlation coefficients. The screening ability was compared by analyzing the receiver operating characteristic(ROC) curves. Results: The five scoring methods had excellent inter-rater reliability in common. In terms of the screening ability for overall AD, there was no difference among the scoring methods. There was also no inter-method difference in screening ability for very mild AD. In contrast, as for the screening of mild to severe AD, the CERAD method showed significantly better ability than the other four methods. Conclusions: Regardless of their complexity, CDT scoring methods appears to have similar screening ability for overall AD. In screening clinically more evident AD except very mild one, however, the CERAD methods, in spite of its simplicity, can be probably applied more usefully than other CDT scoring methods.

시설거주 노인들에서 주관적 기억장애 호소와 객관적 인지기능

이정식 ( Jung Sik Lee ) , 이우경 ( Woo Kyeong Lee ) , 박은미 ( Eun Mi Park ) , 이원혜 ( Won Hye Lee ) , 오홍석 ( Hong Seok Oh ) , 안은숙 ( Eun Soog An ) , 고영 ( Young Ko )
4,000
초록보기
Objectives: There are inconsistent results about relationships among the subjective memory complaints(SMC), objective memory functions, and depression. The Authors tried to examine the association of subjective memory complaints in the elderly with objective cognitive functions, depression and other demographic variables such as sex, age, and education. Methods: Total 175 participants living in the asylum for the aged had completed CERAD-K(the Korean version of the Consortium to Establish a Registry for Alzheimer`s Disease) to evaluate neuropsychological function. All of them were evaluated by four specific questions about everyday memory function. Symptoms of depression were evaluated by SGDS-K(Short Geriatric Depression Scale of Korean version). We divided the elderly into two groups(SMC+ group, SMC- group) to evaluate the differences in cognitive function and depression. Results: 109(62.3%) of the subject acknowledged having trouble with their memory. Memory decline and cognitive decline were associated with SMC. SMC+ group scored significantly lower on word delayed recall test than SMC- group, especially. Age, sex and education were significantly associated with SMC in total subject but not education in non-demented subject. Total score of SMC was explained partly by word delayed recall and depression variables in non-demented subject. Conclusion: This study suggested that association between SMC and objective memory function had clinical implication that SMC was a significant part of MCI criteria associated with early stage of Alzheimer`s Disease.

음주운전자들의 기질적 특성

한덕현 ( Doug Hyun Han ) , 조규현 ( Kyu Hyun Cho ) , 배수정 ( Soo Jeong Bae ) , 배수진 ( Su Jin Bae ) , 김형준 ( Hyung Joon Kim ) , 김지현 ( Ji Hyun Kim ) , 이지영 ( Jee Young Rhee ) , 김다정 ( Da Jung Kim ) , 류인균 ( In Kyoon Lyoo )
4,000
초록보기
Introduction: Although alcohol driving has caused enormous economic and social loss and threatened the safety of human life, the educational system has just been regarded as offering information. We would report temperamental characteristics of person with drink-driving(drinking drivers) for suggesting proper educational data. Method: Forty four drinking drivers who participated in drinking driver educational program has been recruited. The educational program was held every month by Korean Probation & Parole office. For the alcohol dependence group, fifty one patients have been recruited who were admitted with the diagnosis of alcohol dependence by DSM-Ⅳ diagnosis criteria. Control group was forty eight persons who worked in hospital. For the measurement tool, Alcohol Use Disorders Identification Test: AUDIT-K, Alcohol Dependence Scale: ADS, Temperament and Character Inventory were used. Result: Harm Avoidance(HA) score had significant difference in three group. And the subscales of harm avoidance(HA1, HA2, HA3, HA4) had also significant difference between three group. In alcohol dependence group, the score was most high. And control group had higher score than drinking driver group. Novel Seeking(NS) score and the subscales(NS1, NS2) had no difference between control group and drinking driver group. There was significant difference in alcohol dependence group compared to these two groups. The subscale NS4 had significant difference in three group and alcohol dependence group had most high score. The subscale NS4 score was higher in drinking driver group than control group. Conclusion: It seems that motivation and education to raise self-efficacy would be more effective for drinking driver, because, generally speaking, they can easily be friendly to other people and strange situations, tend to never get tired easily, and have ability to maintain their own energy without coercion.

주부 우울증의 정신병리, 스트레스 특성과 경과

김시경 ( Sie Kyeong Kim )
4,000
초록보기
Objectives: This study aimed to examine the characteristics of married women complaining of depressive symptoms by assessing their psychopathology, life event stress, stress perception and coping skills, and to analyze the effects of those characteristics on outcomes after 12 months. The results are expected to provide basic data for testing the diagnostic validity of housewife depression. Method: The subjects were 52 housewives who visited the psychiatric outpatient clinic of Chungbuk National University Hospital with depressive symptoms during March to August 2005. After a psychiatric interview, the subjects filled a Korean version of symptom checklist-90-revision, life experience survey and stress perception questionnaire and ways of coping skills I checklist, and they were compared with a control group of 60 healthy women. After 12 months, the changes of subjective depressive feelings were evaluated through face-to-face or telephone interviews. Results: Depression group had higher academic qualifications than before, and while the cases of conversions or somatizations decreased but emotional symptoms such as anxiety and depression increased. Major stressors had been diversified from family problems to social problems. Although active coping skills increased, passive coping skills did not decreased. Psychopathological factors and negative life events were closely related to subjective depressive feelings measured after 12 months. Conclusions: With the development of society, stress factors and the psychopathology of housewives with depression are being modernized. However, the stress perception and coping skills look to follow the characteristics of traditional society. The progress of housewife depression was significantly affected mainly by early psychopathology and negative life event.
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