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뇌졸중 환자에서 뇌 병변 부위와 정서적 문제와의 관계

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Author(s)
박기영황성은장은진정철호
Keimyung Author(s)
Park, Gi YoungJung, Chul Ho
Department
Dept. of Rehabilitation Medicine (재활의학)
Dept. of Psychiatry (정신건강의학)
Journal Title
대한재활의학회지
Issued Date
2001
Volume
25
Issue
5
Keyword
StrokeEmotionNeuroanatomyNeuropsychology
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.
Alternative Title
The Emotional Problem and Its Relation to Lesion Location in Stroke Patient
Keimyung Author(s)(Kor)
박기영
정철호
Publisher
School of Medicine
Citation
박기영 et al. (2001). 뇌졸중 환자에서 뇌 병변 부위와 정서적 문제와의 관계. 대한재활의학회지, 25(5), 751–757.
Type
Article
ISSN
1225-584X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39457
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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