학교폭력 피해학생과 부모의 정신의학적 문제

장혁진(Hyuk Jin Jang),곽영숙(Young Sook Kwack) 대한소아청소년정신의학회 2014 소아청소년정신의학 Vol.25 No.4

Objectives:This study was conducted in order to investigate the influences of school violence on the mental health of student victims and their parents. Methods:A total of 56 (aged 7?18) student victims and their parents were selected to participate in a survey. The students had experienced school violence from June 2012 to October 2013. They completed a set of self-report questionnaires, including socio-demographic characteristics, family relationship, Impact of Event Scale-Revised, Child Depression Inventory (CDI), Beck Depression Inventory, Revised Children’s Manifest Anxiety Scale, and Parental Bonding Instrument to evaluate psychiatric complications and to understand the emotional bonding between them. Results:The student’s level of impact of event was significantly related to the parent’s level of impact of event (p<.001). The student’s high CDI score showed positive correlation with high level of impact of event (p<.001). In addition, higher level of the student’s perceived emotional support and understandability of family showed association with lower level of impact of event (p<.01, p<.05). Conclusion:The results of this study suggest that the psychiatric sequelae of school violence is seriously affected by family support and parent’s level of impact of event. Therefore, more active intervention is needed for both students and their parents.

NO 환원반응을 위한 SiC 필터 가공에 V₂O5/TiO₂ 촉매 부착특성

최주홍(Joo-Hong Choi),김진현(Jin-Hyun Kim),장혁진(Hyuk-Jin Jang),김진형(Jin-Hyung Kim) 한국에너지학회 2003 한국에너지공학회 학술발표회 Vol.2003 No.-

정신과 문제로 병사용 진단서를 발급받은 환자들의 임상적 특징

장혁진,김학렬,박상학,김상훈,조용래,표경식 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives : Most Korean young men should take a military physical examination. This study attempted to search the social, economical and psychological features of Korean youths who have psychiatric problems in taking the military physical examination. So this study was intended to help decide whether the youths enter the military service or not. Materials and Methods : This study analyzed diagnostic features that were grouped by 7 categories (antisocial and borderline personality disorder group, the other personality disorders group, psychosis group, organic mental disorder group, neurosis group, pervasive developmental disorders group, the other groups). The study was conducted from 1994 to May 1999 at Chosun University hospital with about 143 patients who were issued the psychiatric certificate for military affairs. Results : According to the results of the psychiatric examination, the antisocial and borderline personality disorder group had increased more year by year than the other groups. Classified by the residential distribution, the residents of agricultural areas belonged to the psychosis group more than others. Classified by the job distribution, the antisocial and borderline personality disorder group had more gangsters than the other groups. Also the pervasive developmental disorders group included those Who were without an occupation. Classified by visiting companion, those who were included in the antisocial and borderline personality disorder group and pervasive developmental disorders group used to come alone as compared with the other groups. In the case of those who have experienced psychiatric treatment in the past and who have been treated psychiatrically after being given the psychiatric certificate, the psychosis group comprised more than 50% statistically. In the case of the existence of a tattoo and self-injured scars, the antisocial and borderline personality disorder group has more than the others statistically. According to psychological examination, by measure of validity scale of MMPI, the antisocial and borderline personality disorder group appeared as the inverted V shape that L, K value was low and F value was high. And the antisocial and borderline personality disorder group measured by the Pd, Pa measure. Pd, Pa measure value got higher points than the organic mental disorder group statistically. Conclusion : The number of the antisocial and borderline personality disorder patients’ visits increased at the psychiatric hospital year by year and there were many gangsters or persons without regular occupation in that kind of patients’group. And there were many visitors who came by themselves to the hospital. Also they tended to have a tattoo or self-injured scars. And most of patients didn’t do commuting psychiatric care after receiving the psychiatric certificate. In the aspect of the psychological examination, they were likely to exaggerate their symptoms or disguise having psychiatric trouble intentionally.

일 대학병원에 입원한 주요우울장애의 증상 특성

이진,김상훈,김학렬,박상학,황걸,장혁진 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.2

Objectives: The purpose of this study was to investigate the frequency and kinds of symptoms and the profile of depressive symptoms and somatic symptoms of admitted patients with major depressive disorder in a university hospital. Methods: The study was cross-sectional study in Chosun university hospital. A total of 299 patients who met the diagnostic criteria of major depressive disorder according to DSM-IV were participated in this study. Forty four item questionnaires were developed to check symptoms and the questionnaires checked from patient's medical record. Results: Common depressive symptoms were the following order: depressive mood (55.2%), initial insomnia (52.8%), anxious/tense (47.8%), tired/no energy (35.1%), suicidal ideation (28.8%). Common somatic symptoms were the following order: decreased appetite (33.1%), headache (22.1%). gastric discomfort (16.7%), palpitation (15.4%), chest discomfort (11.4%). Comparing depressive symptoms and somatic symptoms in terms of gender, anxious/tense, emotional/cry a lot, decreased appetite, gastric discomfort, palpitation, were more frequent in female patients (p<0.05), On the other hand, interpersonal sensitivity, pessimism were more frequent in male patients (p<0.05). Elderly depressed patients showed hypochondriasis symptom more frequently than younger patients (p<0.05). Conclusion: These results suggested that the depressive symptoms showed dissimilar in character according to the gender and age. Therefore proper diagnostic and therapeutic approaches will be needed for each patient's symptom characteristics.

중간뇌 중심회색질에서 Calbindin-D_(28K)의 신경해부학적 표지성

김상훈,장혁진,이진 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.2

Purpose: We investigated whether the calbindin-D_(28K) (CB) immunoreactivity could be available as a neurochemical marker to identify different anatomical subdivisions in the midbrain periaqueductal gray (PAG) of laboratory animals. Materials and Methods: Immunohistochemistry for CB and histochemistry for cytochrome oxidase (CO) were carried out on coronally-sectioned midbrain slices of five species of animals including mice, hamsters, rats, rabbits and guinea pigs. Results: In the rat PAG, at the level of nucleus of trochlear nerve, CB immunoreactive perikarya and plexus of fibers were localized in three band-like areas including dorsolateral PAG (DL), the ventral part of lateral PAG (Lv) and the supraoculomotor cap nucleus (Su3C). The similar pattern in the distribution of CB immunoreactivity was noticed also in the rabbit and the guinea pig PAG at the corresponding level, with three areas of DL, Lv and the ventral part of ventrolateral PAG. In all the 5 species of animals, Su3C was readily marked with clusters of CB-immunoreactive perikarya and fibers. In the comparison between the CB-immunoreactivity and the CO activity in the PAG, CB-immunoreactive areas were coincidided with areas of the low CO activity. Conclusion: The present data suggest that the CB immunoreactivity can be regarded as a reliable neurochemical marker for the specific areas within the midbrain PAG.