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김진세,유승호,정인과,제용진,김해열 대한생물치료정신의학회 1997 생물치료정신의학 Vol.3 No.1
본 연구는 24명의 비정신병적 우울증 환자, 25명의 정신병적 우울증 환자, 그리고 49명의 정신분열병 환자 총 98명을 대상으로 신경심리학적 양상을 비교하여, 정신병적 우울증이 비정신병적 우울증과는 다른 신경심리학적 이상이 있는지에 대하여 알아보았다. 신경심리학적 검사로써 숫자상징검사, 선로잇기검사 A형과 B형, 수지력검사, 시각지속수행검사, 공간기억검사 및 위스콘신 카드 분류검사 등을 시행하였다. 그 결과는 다음과 같다. 1) 숫자상징검사, 선로잇기검사 A형에서 비정신병적 우울증 환자군이 정신분열병 환자군보다 통계적으로 유의하게 높은 수행능력을 보였다. 2) 시각지속수행검사에서 비정신병적 우울증 환자군이 정신분열병 환자군보다 통계적으로 유의하게 높은 수행능력을 보였으며, 정신병적 우울증 환자군은 정신분열병 환자군과 유사하게 낮은 수행능력을 보였다. 3) 공간기억검사에서 정확한 반응의 비율은 정신분열병 환자군이 다른 두 군보다 통계적으로 유의하게 낮은 수행결과를 보였고, 정신병적 우울증 환자군은 비정신병적 우울증 환자군과 서로 비슷했다. 4) 위스콘신카드 분류검사에서 비정신병적 우울증 환자군은 정신병적 우울증 환자군과 정신분열병 환자군에 비해서 통계적으로 유의하게 높은 수행능력을 보였고, 정신병적 우울증 환자군과 정신분열병 환자군 사이에는 통계적으로 유의한 차이를 보이지 않았다. 결론적으로 정신병적 우울증의 신경심리학적 양상은 비정신병적 우울증과 다르며, 특히 전두엽의 기능부전을 의심할 수 있는 소견을 보였다. Objectives : A lot of studies have suggested evidences that psychotic depression is different from nonpsychotic depression in many aspects. Hence, the authors compared clinical variables and neuropsychological features of psychotic depression to those of non psychotic depression and schizophrenia in order to find out whether psychotic depression is classified by the different diagnostic category to nonpsychoticdepression. Methods : We examined the neuropsychological features of 24 nonpsychotic depression patients, 25 psychotic depression patients, and 49 schizophrenia patients. The neuropsychological tests that we made comprise digit symbol test, trail-making test A, trail-making test B, finger tapping test, continuous visual performance test, spatial memory test, and Wisconsin card sorting test. Results : 1) Mean score of digit symbol test and trail making test A in nonpsychotic depression group is statistically higher than in schizophrenia group. 2) Nonpsychotic depression group showed statistically higher accuracy than schizophrenia group and psychotic depression group showed similar result with schizophrenia group in continuous visual performance test. 3) Schizophrenia group showed statistically lower rates of accurate responses than the other two groups in spatial memory test. 4) Nonpsychotic depression group showed better performances than the other two groups and psychotic depression group showed no significant difference with schizophrenia in correct total score, error total score, and completed categories score for Wisconsin card sorting test. Conclusions : Above results show that frontal dysfunction might be appeared in psychotic depression. Therefore, we suggest that psychotic depression might be distinguished from nonpsychotic depression.
12주간 복합운동과 영양교육이 비만중년여성의 신체조성, 간기능, 혈중지질 및 인슐린 저항성에 미치는 영향
김해열(Hae-Yeol Kim),곽이섭(Yi-Sub Kwak),성기동(Gi-Dong Sung),손원목(Won-Mok Son),김도연(Do-Yeon Kim),백영호(Yeong-Ho Baek) 한국생명과학회 2017 생명과학회지 Vol.27 No.7
본 연구는 체지방률 30% 이상인 비만 중년여성을 대상으로 복합운동 영양교육군(n=7), 복합운동군(n=7), 대조군(n=7) 총21명을 대상으로 연구한 결과 다음과 같은 결론을 얻었다. 12주간 복합운동과 영양교육의 실시는 비만 중년 여성의 체지방률, 제지방량, GOT, TC, TG, HDL-C, 인슐린 저항성을 개선시키는 효과를 나타냈다. 이러한 결과는 복합운동과 영양교육이 비만중년여성의 신체조성, 간기능, 혈중지질, 및 인슐린 저항성에 긍정적인 영향을 미쳐 중년여성의 비만을 개선하는데 효과적인 프로그램 사료되며, 추후에도 비만중년여성의 운동방법, 운동빈도, 식이방법 등을 고려한 다양한 연구가 필요할 것으로 사료된다. This study investigated the effect of 12 weeks combined exercise and nutrition education program on body composition, liver function, serum lipids and insulin resistance in obese middle-aged women. The combined exercise program was performed for 55 minutes 3 times per week during which the intensity progressively increased from RPE 13 to 14, 60-70%HRR (1~5 weeks), RPE 15 to 17, 70-80% HRR (6~12 weeks) and nutrition education was conducted 20 minutes one day per week. The subjects were 21 obese middle-aged women were composed of the nutrition education group (A, n=7), combined exercise group (B, n=7), and the control group (C, n=7). The results of the study in the nutrition education group and combined exercise group were as follows; The A and B group had significantly lower body composition than did the control group. The A group had significantly lower liver function, TC, TG, HDL-C, and HOMA-IR than did the control group. Consequently, combined exercise and nutrition education program effective in preventing diabetes caused by obesity in obese middle-aged woman. On the basis of the results of this study, the following recommendations are made for further studies: additional studies are needed to confirm the results of this study and to compare the effects of combined exercise on these variables in obese and non-obese men and women by age or exercise type; they are also needed to develop effective nutrition education programs for different age groups or body types.
대학생 집단에 적용된 정신치료극의 효과 : TAT 및 Yalom의 집단치유인자를 통하여 Through TAT and Yalom's Curative Factors
김유광,김해열,김혜남 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.1
We investigated what change in elements of personality can take place through twelve-Psychodrama Sessions, by evaluating TAT results individually in the system of Bellak. We also examined which of the curative factors of Yalom's is helpful to participants. Twelve college students of normal group were voluntarily chosen as subjects. 1) The result of TAT analysis and comparison. In six of them. the conflict between Dependence on and independence from parents and conflict of identity have been found to take place, and self-assertiveness has been observed to arise. These phenomena have something similar to the content of psychodrama sessions. In three of twelve, their conflicts have been clarified more. and self-expressiveness and self-receptivity have been observed to develop. Four of them have been found using more mature defenses than their former defenses. But one of them has been found using less mature defenses. 2) The study of Yalom's curative factors. University, self-understanding and existential aware are highly valued as the most effective group psychotherapeutic factors. Identification, guidance and altruism are valued as least effective group psychotherapeutic factors.
조민희,강윤선,김해열,이재영 대한금속재료학회 1999 대한금속재료학회 학술대회 개요집 Vol.1999 No.1
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