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소아정신과에 내원한 경련성질환 아동 및 청소년에 관한 연구
정도언 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.2
국립서울정신병원 소아정신과 외래에서 5년 7개월간에 진료받은 경련성질환 아동 및 청소년 총 114명에 대해 병록지조사법으로 연구후 다음과 같은 결론을 얻었다. 1. 연구대상 114명은 동일기간의 소아정신과 외래환자 총 650명의 17.5%를 차지해 경련성질환 진료가 소아정신과 외래에서 큰 비중을 차지하고 있음을 알 수 있었다. 2. 경련발작 외에 행동, 사회성, 정서 및 학습제반에 걸쳐서 다양한 장애를 보였으나 외래에서 시행한 주된 치료는 약물요법이었다. 3. 약물요법에서 초진직후부터 두가지 이상의 항경련제를 투여한 경우가 전체의 62.3%였으며 단독약물요법이 32.5%로 항경련제의 일반적 사용원칙에 위배되는 경우가 60%이상으로 초기나 중기 발달 단계에 있는 아동이나 청소년에게서 장애를 초래할 가능성을 배제할수 없었다. 4. 항경련제 투여후 행동이나 정서의 장애를 나타낸 예에서는 공통적으로 phenobarbital 이나 primidone을 투여 받고 있었기에 그 약리작용에 의해 행동이나 정서의 변화가 온 것으로 판단되었으며 그런 경우 맹목적인 항정신약물 투여보다는 항경련제의 대체가 바람직할 것으로 생각된다. 소아나 청소년의 경련성질환은 그 시기로 보아 발달상의 위기로 받아들여져야 하고 경련발작 자체의 약물치료에만 치중할 것이 아니라 그 환아의 행동, 정서, 인지, 학습 및 사회성 등 제반 발달이 정상적으로 이루어지도록 포괄적 치료가 시행되어야 한다. 이를 위해서는 정신과의사의 역할이 중요하며 경련성질환을 단순히 신경질환이라는 입장보다는 행동과학적 입장에서 다루어야 할것이다. 114 subjects (children and adolescents) with convulsive disorder were studied retrospectively, based on their medical records. They constituted 17.5% of the total child psychiatry outpatients seen for 5 years and 7 months. Besides the seizure attacks, various kinds of conduct, emotional, social and learning disturbances were reported, however, the treatment done in the outpatient clinic was exclusively drug therapyoriented. In anticonvulsant drug therapy, more than two kinds of anticonvulsants were prescribed in 62.3% of the study subjects. Especially in children and adolescents, it may affect the ongoing normal developmental processes adversely. While on treatment with anticonvulsants, 19 subjects were reported to develop some hyperkinetic behavior, personality change, destructive behavior and memory impairment. In most cases, it was estimated to be the effect of phenobarbital and/or primidone commonly administered to them. Antipsychotic drugs were prescribed to some of them to control the conduct problems but it is somewhat undesirable due to the antipsychotics' potential action to lower the seizure threshold and to cause tardive dyskinesia if used on a long term basis. Rather, it is recommended that the suspected anticonvulsant be substituted. Convulsive disorders in children or adolescents should be regarded as a 'developmental crisis' and they should be treated comprehensively, not in terms of a simple neurological disorder. Normal developmental progress should be fully encouraged.
바이오피드백의 국내 도입에 관한 소고 : 서울대학교병원의 경험을 중심으로
정도언,Jeong, Do-Un 한국정신신체의학회 2006 정신신체의학 Vol.14 No.1
The author presents the history of introduction of biofeedback system into Korea, depending on his personal experience at the Seoul National University Hospital. He, as the witness of biofeedback applied to clinical psychiatry and research in Korea, maintains that biofeedback should receive much more attention filled with enthusiasm, particularly because of the rapid development of medical engineering backed up by the unimaginable progress of computer- and neuro-science.
한국 성인의 수면습관 및 불면증 관련 요인 : 3개 농촌지역주민을 대상으로 한 단시적 연구
정도언,손창호,성주헌,장성훈,이건세,이원진,신해림,이부옥,조수헌,Jeong, Do-Un,Sohn, Chang-Ho,Sung, Joo-Hon,Chang, Song-Hun,Lee, Kun-Sei,Lee, Won-Jin,Shin, Hai-Rim,Lee, Bu-Ok,Cho, Soo-Hun 대한수면의학회 1997 수면·정신생리 Vol.4 No.2
Objectives: We attempted to study sleep habits and insomnia-associated factors in Korean rural adult population. Methods : In 1,441 adult subjects of three rural communities selected by cluster sampling, we administered an epidemiologic survey using questionnaire methods from July 14, 1996 to July 28, 1996. Results : 1) Mean sleep latency and mean time to sleep again after awakening during nocturnal sleep were longer in females than in males. Females suffered more frequently from insomnia symptom, awakening during nocturnal sleep. morning headache, dysphoric mood in the morning, and the feeling of 'not refreshed' on waking-up than males. 2) The older age group (defined as those older than 65 years) was found to have earlier bed-time, longer sleep latency, more frequent nocturia, longer time to sleep again after awakening during nocturnal sleep, and more frequent insomnia symptom. 3) The presence of insomnia symptom more than once a week was significantly associated with suffering from physical illness, being divorced-separated-widowed, frequently feeling depressed, nocturia, or low education level. 4) In multiple logistic regression analysis, old age, being female, low education level, frequently feeling depressed, and nocturia were independently associated with the presence of insomnia symptom more than once a week. Conclusion : We conclude that, in a Korean rural adult population, insomnia symptom increases with age and females usually suffer more from insomnia symptom than males. In addition, low education level, feeling depressed mood frequently, and nocturia are found to be significantly associated independently with the presence of insomnia symptom more than once a week.
폐쇄성(閉鎖性) 수면(睡眠) 무호흡증(無呼吸症)에서 지속적(持續的) 상기도(上氣道) 양압술(陽壓術)에 따른 수면구조(睡眠構造) 및 기능(機能) 변화(變化)
정도언,윤인영,심영수,Jeong, Do-Un,Yoon, In-Young,Shim, Young-Soo 대한수면의학회 1994 수면·정신생리 Vol.1 No.2
Obstructive sleep apnea syndrome(OSAS) is most frequently diagnosed in the sleep laboratories and its severity is objectively estimated. In terms of treatment, the most prevalent method is the continuous positive airway pressure(CPAP) application as of now. However, in Korea, CPAP is still not sufficiently known and it is attributable to the fact that sleep study facilities have not been popularized. In this article, the authors present their own experience with CPAP in nine subjects with OSAS. In this study, CPAP was found to decrease stage 1 sleep and to increase stage 2 sleep, with increasing mean oxygen saturation and decreasing lowest oxygen saturation during nocturnal sleep. Also, it tended to increase sleep continuity and generally to improve sleep architecture. Rebound slow wave and/or REM sleep stages during CPAP were also noted in 8 out of 9 cases. The authors suggest that CPAP should be considered as the primary mode of treatment for patients with obstructive sleep apnea syndrome and related educational programs for physicians should be developed and provided by sleep specialists.