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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 : 17권 1호 (2008)

종설 : 망상개념의 역사적 개관

양병환 ( Byung Hwan Yang ) , 김양석 ( Yang Suk Kim )
1,000
초록보기
Delusion existed from the prehistoric age and the concept of delusion has changed according to times and culture. Delusion is relatively easy to diagnose but difficult to understand. We reviewed the concept of delusion from prehistoric age to 20th century including Greek period, Roman period, the middle ages, and the modern period. In Greek and Roman period, Hippocrates made his case that mental disorder was disease of brain against those days belief that it was the Heaven`s justice and Asklepiades drew a line between delusion and hallucination from one concept of phantasia. Go through the Dark ages, even though age of reason, we still lived under the philosophy of religion, but there was the opinion that mental disorder was disease of brain and to be insane was to have delusion and vice versa. The concept of delusion of the 18th century based on speculative neurobiology progressed to the 19th century model; to be insane was to have delusions which was called the intellectualist view of insanity and delusions resulted from failures in the apparatus that served to acquire experiences. The view that delusions are ``wrong beliefs``, was first formulated during the 19th century. By the end of the 19th century, the concept of as a morbid belief had become well established. In the 20th century, there were Karl Jaspers, Kurt Schneider of Heidelberg school. We hope that this review help understand the concept of delusion more easily.

종설 : 치매의 신경정신과적 측면

문석우 ( Seok Woo Moon )
4,000
초록보기
There are many non-cognitive behaviors in dementia such as delusion, hallucination, mood, sleep, sexuality, agitated behavior etc. Some differences exist in the behaviors according to the type of dementia. Different types of neuropsychiatric disturbances have been linked to specific brain diseases and anatomical region. Some studies suggest that the neuropsychiatric disturbances are not highly correlated with particular neuropsychological deficits and are best conceptualized as manifestations of CNS dysfunction rather than as reaction to declining intellectual abilities. Sometimes neuropsychiatric changes antedate the cognitive decline, and are presenting manifestation of the dementia. This paper reviews the characteristics of non-cognitive behaviors in several types of dementia.

종설 : 우울증과 인지손상

문석우 ( Seok Woo Moon )
4,000
초록보기
The word pseudodementia implies that the depression is primary and that the poor cognitive impairment is a concomitant aspect of the primary condition and the cognitive affective disorder implies that the cognitive disorder is primary and that the affective symptom is secondary. Some elderly patients with depression appear irreversibly demented but fully recover cognitively with successful treatment of the depression. Several studies demonstrate that approximately the half of individuals who present with both depression and cognitive impairment is cognitively intact on long-term follow-up and that the other half develops a permanent cognitive disorder. I review evidence that supports the existence of the entity, depression induced cognitive impairment (DICI).

원저 : Rorschach 검사에 나타난 경계선 인격장애 환자의 구강의존성

이수정 ( Su Jung Lee ) , 도진아 ( Jin Ah Do ) , 이경규 ( Kyung Kyu Lee )
4,000
초록보기
Objectives: The purpose of this study was to investigate the Rorschach oral dependency(ROD) of borderline personality disorder(BPD) patients. Method: In this study, Rorschach oral dependency scores were compared with normal group and frequencies of ROD scale subcategories in each group. In addition, for providing usefulness of ROD to understand BPD, we investigated relationship between the MMPI clinical scales and the ROD scores. The subjects were 20 patients diagnosed as BPD, and 20 normal persons. Results: First, BPD patients had significantly higher ROD scores than normal group. Second, there were not significantly differences of ROD scale subcategories` frequencies between BPD patients and normal group. Third, BPD patients` ROD scores were positively related to MMPI Scale Hs, D, Hy, and Pt. Conclusion: We might speculate that BPD patients have excessive needing dependent. And ROD scores of BPD patients related in neurotic defense mechanism more than their primitive defense mechanism.

원저 : 시설 거주 노인의 주관적 기억장애와 인지기능변화 -1년 추적 연구

이정식 ( Jung Sik Lee ) , 김태학 ( Tae Hak Kim ) , 김한비 ( Han Bee Kim ) , 이우경 ( Woo Kyeong Lee ) , 오홍석 ( Hong Seok Oh ) , 박종원 ( Chong Won Park )
4,000
초록보기
Objectives: There are inconsistent results about relationships among the subjective memory complaints(SMC), objective cognitive functions and clinical implication that SMC was a significant part of Mild Cognitive Impairment(MCI) criteria associated with early stage of Alzheimer`s disease. The Authors tried to investigate change of cognitive functions in subjective memory complainers according to time interval to identify whether SMC is related with cognitive decline or not. Methods: At baseline and one-year follow-up, total 143 participants living in the asylum for the aged had a clinical examination and neuropsychological test(frontal lobe function test, CERAD-K: the Korean version of the Consortium to Establish a Registry for Alzheimer`s Disease and Digit Span Test). All of them were evaluated by four specific questions about everyday memory function. We divided the elderly into two groups(SMC+ group: 87, SMC- group: 56) and evaluated the differences in change of cognitive functions. Results: SMC+ group had lower scores on the word list recognition test than SMC- group at oneyear follow-up(MANCOVA: age and education variables were controlled). There was a statistically significant cognitive decline on the digit span-forward test at follow-up in SMC+ group. But, there was no significant difference between two groups in change of cognitive functions according to time interval. Conclusion: These results suggested that there was no difference in cognitive decline between two groups according to time interval. It is questionable and needs more investigations that SMC is a significant part of MCI criteria.

원저 : 한국판 치매 행동평가 척도(BRSD-K)와 한국판 Neuropsychiartic Inventory(NPI-K)의 도구적 특성 비교

윤종철 ( Jong Chul Youn ) , 이원혜 ( Won Hea Lee ) , 최종배 ( Jong Bae Choi )
4,000
초록보기
Aim: This study was purposed to compare the psychometric properties between the Korean version of Behavior Rating Scale for Dementia(BRSD-K) and Neuropsychiatric Inventory(NPI-K). Methods: The formal caregivers of 99 dementia patients who were diagnosed by DSM-IV criteria and admitted to geriatric hospital or nursing home were interviewed by both BRSD-K and NPI-K for measuring behavioral and psychological symptoms in dementia (BPSD). Overall prevalence of BPSD, mean scores of BRSD-K and NPI-K according to the severity of dementia, correlations between BRSDK total and subscale scores and the corresponding scores of NPI-K were analyzed. Results: Above 95% of the subjects showed one or more BPSD during the last month. Severity of BPSD measured by BRSD-K and NPI-K were not statistically significant among the severity of dementia. Correlations between BRSD-K subscale score and the corresponding scores of NPI-K were statistically significant except that of psychotic subscale score of BRSD-K and delusion score of NPI-K(p<0.01). Conclusion: Results of this study showed that BRSD-K and NPI-K were not identical although both were useful to evaluate BPSD. It was also suggested that BPSD of inpatient were different from those of outpatient since it was relatively severe in mild stage.

원저 : 거주자 재활 프로그램에 참여한 알코올 의존 환자의 재발율; 10년 추적연구

선우경식 ( Kyung Shik Sunwoo ) , 최신정 ( Sin Jyoung Choi )
4,000
초록보기
요셉의원 부설 알코올 의존증 재활을 위한 거주치료 프로그램은 1996년 개원하였으며 2006년 6월까지 97명이 재활 프로그램을 이수하기 위하여 입소하였다. 그러나 치료 프로그램 중도에서 자진 퇴소한 환자가 59명, 6개월 프로그램을 이수한 환자가 14명, 그리고 12개월 프로그램을 이수한 환자가 24명이었다. 이 환자들의 재발률을 비교하면 다음과 같다. 1. 프로그램 도중 퇴소한 환자의 재발률은 97.2%이다. 2. 6개월 프로그램을 이수한 환자의 재발률은 78.5%이다. 3. 12개월 프로그램을 이수한 환자의 재발률은 20.83%이다. 4. 1996년도 4월부터 2006년도 6월까지 10년간 97명 중 재발률은 76.3%이다. 이상의 결과로 보아 거주치료는 알코올 의존증으로부터 회복하는 데 도움이 됨을 알 수 있었다. 특히 12개월 동안 재활프로그램을 이수한 환자의 재발률은 6개월 이수한 환자보다 훨씬 낮음을 관찰하였다.
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