백반증 환자의 정서상태와 성격특성

이경규,이종헌,김현우,백기청,김유찬,Lee, Kyung-Kyu,Lee, Jong-Hyun,Kim, Hyun-Woo,Paik, Ki-Chung,Kim, You-Chan 한국정신신체의학회 2000 정신신체의학 Vol.8 No.1

Objectives : This study was aimed to investigate the emotional state and personality factors of patients with vitiligo, and the impacts of clinical characteristics. Methods : Twenty one patients with vitiligo and 20 normal controls were studied. Beck Depression Inventory(BDI), Spielberg's State and Trait Anxiety Inventory(STAI) and Cattell's 16 Personality Factors Questionnaire(16-PF) were used for assessment. Statistically, t-test, Oneway ANOVA, Mann-Whitney U test and Pearson's correlation test were used. Results : The Results were as follows. 1) The comparison of total score of BDI, state anxiety and trait anxiety between the patients with vitiligo and normal controls were not significantly different. 2) In first-stratum source traits of 16-PF, normal control group was significantly higher than the patients with vitiligo in H-factor(Boldness) and I-factor(Tender-mindedness). In second-stratum source traits of 16-PF, there was no significant difference between the patients with vitiligo and normal control in all factors. 3) According to sex, the comparison of total scores of BDI, STAI between male and female patients with vitiligo were not significantly different. In the comparison of 16-PF, female patients were higher than male patients in I-factor only. 4) As according to age(under and over 30 years of age), the comparison of total scores of BDI, STAI between patients over 30 years of age and under 30 years of age were not significantly different. In the comparison of 16-PF, patients over 30 years of age were higher than patients under 30 years of age in E-, G-, L-, M-, Q2-, Q3-, IND-, SUP-, and CRE-factor. 5) As according to the presence of progression of vitiligo and the presence of visible lesion, the comparison of total scores of BDI, STAI and 16-PF were not significantly different. 6) There were no significant correlation between the duration of the vitiligo and BDI, STAI-S, STAI-T, and 16-PF. Conclusions : There were no significant difference between patients with vitiligo and normal controls on the emotional state and personality characteristics. But patients with vitiligo were more bolder and tender-minded than normal controls on 16-PF. The author propose that methods of treatment to resolve problems of the interpersonal relations will be helpful.

정신건강의학과 의사를 위한 심인성 어지럼

이경규,Lee, Kyung-Kyu 한국정신신체의학회 2016 정신신체의학 Vol.24 No.1

어지럼을 호소하는 환자들 중 많은 환자에서 신경 이과적 검사에서는 이상이 없고 정신의학적으로 문제가 있는 경우가 있다. 이런 경우에 심인성 어지럼증이란 진단을 붙이는데, 이는 대개 정신의학적 문제로 인하여 어지럼이 발생한다. 어지럼증 환자의 2-4명 중 1명일 정도로 많은 편이다. 그러나 한국에서는 심인성 어지럼에 대한 진료, 연구 등이 부족한 편이다. 이에 저자는 한국 정신건강의학과 의사들이 심인성 어지럼에 대하여 많은 관심을 가지고 적극적인 동참을 하도록 하기위하여 이 논문을 발표하였다. 이 논문은 정신질환 특히 불안과 어지럼의 생물학적, 심리적 연관성을 포함한 심인성 어지럼의 원인 및 진단, 심인성 어지럼과 관련된 정신질환 및 각 정신질환에서의 어지럼의 특성, 그리고 심인성 어지럼의 치료에 대하여 고찰하였다. 또한 정신건강의학과 의사를 대상으로 하였기에 신경 이과와의 협진에 필수적인 중추성 및 말초성 어지럼에 대해서도 간략히 고찰하였다. 치료에서는 특정치료, 증상치료, 전정재활치료 뿐만이 아니라 심인성 어지럼의 치료에 필수적인 약물치료 및 인지행동치료에 대해서도 고찰하였다. 어지럼 환자에게 신경 이과적 검사 및 진료 시 기질적 문제가 없거나, 기질적 문제가 있을지라도 다른 정신과적 증상이 상당히 동반된 심인성 어지럼 환자라면 정신의학적 치료를 적용하여 치료성공률을 높이고 나은 귀결을 보일 것이다. 어지럼의 치료에는 다학제적 접근을 통한 환자-중심의 치료적 접근이 환자들의 고통 경감과 삶의 질의 향상을 도모할 수 있다. 이를 위해서 한국 정신건강의학과 의사들의 심인성 어지럼증에 대한 관심 증가 및 적극적인 참여가 필요하다고 제시한다.

공황장애 환자의 정서상태와 성격특성

이경규,최은영,Lee, Kyung-Kyu,Choi, Eun-Young 한국정신신체의학회 2004 정신신체의학 Vol.12 No.1

Objectives: The purpose of the present study was to investigate the emotional state and personality characteristics of patient with panic disorder. Methods: Twenty patients with panic disorder, 21 patients with somatoform disorder, and 20 normal healthy controls were studied. Korean version of Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI) and Korean standardized edition of Cattell's 16 Personality Factors Questionnaire(16-PF) were used for assessment. Statistically, One-way ANOVA with Scheffe test were used by SPSS/PC for windows. Results: 1) Total score of BDI was higher in the panic group than the somatoform group and normal control group(p<0.001). 2) Total score of state anxiety and trait anxiety in the panic group was higher than the somatoform group and normal control group(p<0.001). 3) In 16 PF, there were no definitely abnormal range of scores. But in first-stratum source traits of 16PF, the panic group was higher than the somatoform group and normal healthy group in O-factor (p<0.01) and Q4-factor(p<0.001). In second-stratum source traits of 16PF, the panic group was higher than the somatoform group in ANX-factor(p<0.05), but lower than normal control group in TOUfactor(p<0.05). 4) There were no differences in the panic subgroup according to sex and cutoff points of BDI score 16 and STAI-T score 54. 5) According to cutoff point of STAI-S score 52, the panic subgroup above 52 was higher than the panic subgroup under 52 in G-factor(p<0.001), Q3-factor(p<0.05) and SUP-factor(p<0.001), but lower in L-factor(p<0.05). Conclusion: These results suggest that emotional state of patients with panic disorder are depressive and anxious as compared with patients with somatoform disorder and normal controls. Patients with panic disorder did not show any abnormal personality characteristics but were more guilt-prone, anxious, emotionally sensitive. We propose that the understanding of panic patients' emotional state and personality characteristics will helpful to treat and manage in patient with panic disorder.

새로운 항우울제의 부작용: 오심 및 구토, 체중증가, 성 기능장애 - 발병기전, 역학, 약물학적 처치를 중심으로 -

이경규,Lee, Kyung-Kyu 한국정신신체의학회 2013 정신신체의학 Vol.21 No.2

Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

재활용 선별 잔재 쓰레기 처리 문제

이경규,Lee, Gyeong-Gyu 한국자원재생재활용연합회 2004 재활용회보 Vol.3 No.-

원형탈모증 환자의 정서상태와 성격특성에 관한 임상적 연구

이경규,백기청,Lee, Kyung-Kyu,Paik, Ki-Chung 한국정신신체의학회 1997 정신신체의학 Vol.5 No.2

Objectives: This study was aimed to investigate the emotional state and personality characteristics of alopecia aerata patient and to determine whether these characteristics are similar with those of neurotic patient. Methods : 20 alopecia aerata patients, 20 neurotic patients, and 20 normal healthy controls were studied. Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI) and Korean standardized edition of Catell's 16 Personality factors Questionnaire(16PF) were used for assessment. Results: 1) Total score of BDI was higher in neurosis group than alopecia aerata group and normal control group(p<0.05). Inspire of statistical non-significance, total score of in alopecia aerata group was higher than normal control group. 2) Total scores of state anxiety and trait anxiety in alopecia aerata and neurosis group were significantly higher than normal control group(p<0.001). 3) In first-stratum source traits of 16PF, normal control group was significantly higher than alopecia aerata group and neurosis group in B-factor(intelligence) and C-factor(ego-strength)(p<0.05). Alopecia aerata group and neurosis group were significantly higher than normal control group in O-factor(guilt-proneness) and $Q_4-factor(tension,\;anxiety)$(p<0.001). 4) In second-stratum source traits of 16PF, alopecia aerata group and neurosis group were significantly higher than normal control group in ANX-factor(anxiety)(p<0.05). Conclusions : These results suggest that emotional state and personality characterstics of patients with alopecia aerata are a distinguishable different to compare with normal control, and are very similar with those of neurotic patients. The authors propose that psychiatric management in patient with alopecia aerata will be more benificial.

신체형장애 환자와 당뇨병 환자에서의 Alexithymia

이경규,이정엽,김현우,최상전,Lee, Kyung-Kyu,Lee, Jeong-Yeob,Kim, Hyun-Woo,Choi, Sang-Jun 한국정신신체의학회 1999 정신신체의학 Vol.7 No.2

Objectives : "Alexithymia" mean literally "no word for mood(or emotion)". It is not only a marked constriction in emotional functioning but a deficit in their cognitive processing. We designed this study to investigate the level of alexithymia, psychopathology and personality factors of patients with somatoform disorder and with diabetes mellitus. Methods : The subjects were consisted of patients with somatoform disorder(N=20), patients with diabetes mellitus(N=20), and normal control(N=20). The level of alexithymia, psychopathology and personality factors were assessed by the Toronto Alexithymia Scale(TAS), the Symptom Checklist 90-Revision(SCL 90-R), and the Sixteen Personality Factor Questionnaire(16-PF). And we compared demographic characteristics, psychopathology and personality factors among three groups, and assessed the relationship between alexithymia and psychopathology, and between alexithymia and personality factors. Results : The results were as follows. 1) Patients with somatoform disorder showed significantly higher TAS scores compared to patients with diabetes mellitus and the normal control group. 2) Patients With somatoform disorder showed significantly higher scores of somatization, anxiety scales than patients with diabetes mellitus and the normal control group, and showed significantly higher scores of obsessive-compulsive, depression, phobic anxiety, psychoticism scales than the normal control group by the SCL-90-R. 3) The normal control group showed high intelligence scores only as compared to patients with somatoform disorder by the 16-PF. 4) A significant relationship was found between TAS scores and psychopathology in patients with somatoform disorder. 5) All three groups did not shown any correlation between TAS and 16-PF. Conclusion : Patients with somatoform disorder showed higher TAS scores and more multiple psychopathology than patients with diabetes mellitus and the normal controls. A significant relationship was found between TAS scores and psychopathology in patients with somatoform disorder. We suggest that the therapeutic approach to patients with somatoform disorder to express emotions and manage psychopathology, and that the treatment methods of patients with diabetes mellitus aims to improve firstly physical conditions are more helpful.

항정신병약물성 악성증후군에 관한 3증례 및 개관

이경규,김현우,Lee, Kyung-Kyu,Kim, Hyun-Woo 대한생물정신의학회 1997 생물정신의학 Vol.4 No.1

We are report on three cases of typical clinical characterstics and treatment response in neuroleptic maligant syndrome(NMS), and reviewed the literatures of NMS. NMS was first recognized as a life-threatening complication of dopamine receptor antagonists, and defined as a catatonic-like states associated with fever, obtundation, muscle rigidity, and unstable vital sign in patients taking neuroleptic agents. Concepts of NMS have changed because medications other than classic neuroleptic drugs have been implicated as triggering agents and syndromes identical to NMS have been observed in other conditions. The important neurochemical features are probably functional dopamine deficiency and ensuing hyperactivity of excitatory amino acid neurotransmission in the basal ganglia and hypothalamus. Recognition of NMS and early discontinuation of neuroleptics are the most important step in its management. Supportive care includes management of hyperthermia and fluid replacement. Controversial therapeutic measures include the application of dopamine receptor agonists, excitatory amino acid antagonists, or dantrolene. Psychiatric patients with a history on NMS and psychotic relapse necessitating antipsycotics do not commonly redevelop NMS.

헤르만 헤세의 『페터 카멘친트』와 이문열의 『젊은 날의 초상』에 나타난 자아정체성 찾기의 여정

이경규 ( Lee Kyung-kyu ) 한국독일언어문학회 2020 독일언어문학 Vol.0 No.88

본 논문은 헤세의 『페터 카멘친트』와 이문열의 『젊은 날의 초상』을 함께 읽고 청년들, 특히 대학생들의 자아정체성 문제를 고찰해보는데 그 목적이 있다. 두 작품은 시ㆍ공간적 차이에도 불구하고 완성도 높은 교양소설로서 삶의 의미와 목표를 찾아 편력의 길을 가는 두 젊은이를 형상화하고 있다. 주인공 페터와 영훈은 자의식이 본격적으로 형성되는 고등학교 시절부터 집을 떠나 학교와 세상을 돌아다니며 많은 것을 경험하고 변화된 혹은 성장한 모습으로 귀향한다. 이들의 방황과 편력을 추동하는 공부ㆍ사랑ㆍ우정ㆍ돈ㆍ죽음 같은 문제는 시공을 넘어 현대 젊은이들의 관심사와도 일치하고 그와 씨름하는 방식에서 많은 것을 배울 수 있다. 두 주인공의 편력은 결과적으로 예술가, 즉 작가의 길을 예비하는 여정으로 귀결되지만 넓게 보면 바람직한 교양인으로의 길이 된다. 배움에 대한 갈망이 큰 영훈과 페터는 어디서든 독서, 인간관계, 글쓰기를 중단하지 않는다. 이들은 고등학교든 대학교든 제도권의 공부에는 잘 적응하지 못하고 자유로운 토론과 문예활동을 통해 지식을 연마하고 문화 예술적 삶을 체험하는데 많은 시간을 보낸다. 이런 저런 현실의 벽에 부딪혀 두 젊은이는 절망에 빠져 자살도 생각하지만 잘 극복하고 삶의 의미와 방향을 새롭게 정립한다. 이 과정에서 폭넓게 만나는 친구와 세 상 사람들은 두 사람의 인격과 정체성을 형성하는데 중요한 역할을 한다. 두 주인공이 긴 편력을 끝내고 귀환하면서 소설이 마무리 되지만 문제가 다 해결되었다거나 현실세 계로 행복하게 편입되는 것은 아니다. 결론은 유보되어 독자들의 과제로 남는다. 요컨대, 두 젊은이가 보여주는 치열한 방황과 편력은 비록 120년 전 혹은 40년 전 시대를 배경으로 하고 있지만 오늘날의 젊은이들에게도 생각할 거리를 많이 제공한다. Hesses Bildungsroman Peter Camenzind hat in vieler Hinsicht Gemeinsamkeiten mit Mun-Yeol Lees Roman Porträt der Jugendzeit, der ebenfalls als einer der wichtigen Bildungsromane in der modernen koreanischen Literatur anerkannt ist. Zunächst zeigen beide Werke sprachlich-formal die Struktur der Rahmenerzählung, deren Verlauf jeweils aus Fortgang, Wanderungen und Rụ̈ckkehr der Hauptperson besteht. Peter von Peter Camenzind und Young-Hun von Porträt der Jugendzeit werden während ihrer Wanderjahre mit verschiedenen Problemen wie Studium, Liebe, Freundschaft, Literaur, Natur, Trinken, Geld und so weiter konfrontiert. In diesem Beitrag wird untersucht, wie beide Jungen damit umgehen und sich dadurch zum wahren Selbst entwickeln. Dabei zeigt sich erstens, was und wie sie lernen und studieren. Für sie spielen Schule wie Universität, die als bürokratische Organisation schablonenhaft und zwangsmäßig sind, kaum eine Rolle. Insbesondere ander Universität lernen beide Jungen viel mehr durch eigene Studien und Lektüre bzw. durch Diskussion mit Freunden als durch Professoren. Zweitens spielen für die Bildung und Entwicklung von Peter und Young-Hun Freundschaft und Liebe eine entscheidende Rolle. Sie haben in der Liebe nicht viel Erfolg, was aber als jugendliche Erfahrung von Bedeutung ist. Im Großen und Ganzen übt die Freundschaft mehr Einfluss auf beide Jungen aus, als die Liebe. Drittens erleben beide Romanhelden die Natur als einen einflussreichen spirituellen Faktor. Sie trägt also dazu bei, ihre Gemütsbildung sowie ästhetische Wahrnehmung zu fördern. Die Natur wirkt für beide Jünglinge, künftige Dichter, sowohl Gegenstand der Dichtung als auch inspirierendes Subjekt. Schließlich zeigen sich die langen Wanderjahre von Peter und Young-Hun als gelungene Bildgungswege zum wahren Selbst.

고속휴대인터넷을 위한 TDD 방식의 광 중계 시스템 설계 및 분석

이경규(Gyung-Gyu Lee),오명근(Myung-Keun Oh),이인섭(In-sup Lee),윤창호(Chang-Ho Yoon),김경호(Kyoung-Ho Kim),송승준(Seung Joon Song),김환우(Whan-Wook Kim),이성춘(Seong-Choon Lee),류규태(Kyoo-Tae Ryoo),정은철(Eun-Cheul Jeong) 한국통신학회 2005 한국통신학회 학술대회 및 강연회 Vol.2005 No.4