뇌졸중 환자에서 뇌 병변 부위와 정서적 문제와의 관계

Other Titles
The Emotional Problem and Its Relation to Lesion Location in Stroke Patient
Authors
박기영황성은장은진정철호
Department
Dept. of Rehabilitation Medicine (재활의학); Dept. of Psychiatry (정신건강의학)
Issue Date
2001
Citation
대한재활의학회지, Vol.25(5) : 751-757, 2001
ISSN
1225-584X
Abstract
Objective: This study is aimed at the pathoanatomic correlates of emotional problem in the patients with stroke. Method: Thirty patients with single, unilateral hemispheric lesion and no predisposing factors for psychiatric disorder were selected. Several neuropsychological assessments such as Minimental status examination-Korean (MMSE-K), Minnesota multiphasic personality inventory (MMPI), Symptom checklist-90-Revision (SCL-90-R) and Functional independence measure (FIM) were performed on all patients by a clinical psychologist and an occupational therapist. Results: There were statistically significant differences between right and left hemisphere lesion group in emotional problems. Right hemispheric lesion group showed significantly higher scores of psychasthenia (MMPI), Obsessive-compulsive (SCL-90-R) and self care (FIM) than left hemispheric lesion group did. But there were no statistically significant differences between cortical and subcortical lesion group. Groups of left cortical lesion, right cortical lesion, left subcortical lesion and right subcortical lesion were not significantly different in their neuropsychological assessments and FIM except self care. Conclusion: Obsessive-compulsive and anxious emotional problems are more closely related with right hemispheric lesion. Therefore patients with right hemispheric lesion need more careful psychological and psychiatric evaluation. However, because of the small numbers of subjects involved in the study, the role of lesion location remains unclear so that consecutive follow-up studies are needed.
Keywords
StrokeEmotionNeuroanatomyNeuropsychology
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39457
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
Keimyung Author(s)
박기영; 정철호
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