청소년 정신과 외래환자의 임상적 고찰

Other Titles
The Clinical Study of Adolescent Psychiatric Outpatients
Authors
박영남
Department
Dept. of Psychiatry (정신건강의학)
Issue Date
1985
Citation
Keimyung Medical Journal, Vol.4(2) : 195-200, 1985
Abstract
저자는 1983년 7월부터 1985년 6월까지 계명의대 동산의료원 신경정신과에서 초진받은 만 13세부터 만 18세까지의 청소년 환자 261명의 병력지를 조사하여 다음의 결과를 관찰하였다. ① 조사대상연령의 청소년 환자는 같은 기간동안 신경정신과 외래에 초진받은 환자의 12.6%였으며, 남자와 여자의 비율은 1.8:1로 유의한 차이를 보였다. ② 조사대상 청소년 환자의 정신장애의 분포는 정신분열증유사 정신증 58명(22.2%), 불안장애 50명(19.2%), 간질 41명(15.7%), 정동장애 29명(11.1%), 신체형장애 29명(11.1%), 적응장애 12명(4.7%), 정신지체 9명(3.4%), 행동장애 5명(1.9%) 순으로 나타났다. ③ 연령에 따른 정신장애의 분포는 간질, 불안장애, 적응장애는 전 연령에 고르게 분포하였으며 정신분열증유사 정신증, 정동장애, 신체장애는 고연령층에 편중하는데 비하여, 행동장애는 저연령층에 편중하는 경향을 보였다. ④ 성별에 따른 정신장애 분포는 남자에서는 불안장애, 정신분열증유사 정신증, 간질 순으로 여자에서는 정신분열증유사 정신증, 간질, 정동장애의 순으로 나타났다. ⑤ 조사대상 청소년 환자의 56.7%가 발병후 6개월이상 경과후 내원하였으며, 8.4%만이 발병후 2주이내에 내원하였다. 이들 환자군의 38.3%는 초진후 내원하지 않았으며, 21.5%는 4회이상 치료를 계속하였다. ⑥ 조사대상 환자군의 형제간의 서열분포는 남자에서는 막내, 중간, 첫째 순으로, 여자에서는 중간, 막내, 첫째 순으로 나타나 유의한 차이를 보였다.
The author studied retrospectively the clinical characteristics of 261 adolescent psychiatric outpatients who made their first visit to Department of Neuropsychiatry Dongsan Medical Center, Keimyung University, from July 1983 to June 1985. The results were as follows; 1. This adolescent probands were 12.6% of the new psychiatric outpatients during study period. There were significant difference of sex distribution among probands and the ratio between male and female was 1.8 :1 2. The distributions of psychiatric disorders of probands were in following order ; Schizophrenia like psychosis 58(22.2%), Anxiety disorder 50(19.2%), Seizure disorder 41(15.7%), Affective disorder 29(11.1%), Somatoform disorder 29(11.1%), Adjustment disorder 12(4.7%), Mental retar-dation 9(3.4%), Conduct disorder 5(1.9%). There were some trends in the distribution of psychiatric disorders according to age and sex. Seizure disorder, anxiety disorder and adjustment disorder were relatively evenly distributed among all ages, however, schizophrenia like psychosis, affective disorder and somatoform disorder tended to aggregate among older age group, and conduct disorder was more common among younger age. In male the frequencies of psychiatric disorder were in order of anxiety disorder, schizophrenia like disorder and seizure disorder, and in female in order of schizophrenia like disorder, seizure disorder and affective disorder. 3. The duration of illness was varied widely among probands. It was over six months in 56.7% of probands and within two weeks in only 8.4%. Regarding follow up visit, 38.3% or probands had only one vist and 21.5% of probands made more than 5 visits. 4. The distribution of sibling ordinal position of the probands was in order of last born, inter-mediate born, and first born in male, and in order of intermediate born, last born and first born in female.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/14395
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
2. Keimyung Medical Journal (계명의대 학술지) > 1985
Keimyung Author(s)
박영남
File in this Item
4-195.pdf(338.52 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE