여성정신장애의 유발요인에 관한 연구 = A Study on the Precipitaing Events of the Mentally Disordered Women

다국어 초록 (Multilingual Abstract)

One of the more recent development in research of illness, both psychiatric and medical, is the formal assesment and evaluation of individuals life events (so called precipitating events). Very frequently patients are able to point out one or several incidents that have had a decisive impact on their lives, prompting the appearance of symptoms.
This study was intended to examine the relationship between women psychiatric illness and its precipitating events, its life events and relating variable of personal, marital, familial and hospital history. Subjects served for the study consisted of 356 mentally disordered women, sampled from January 1978 to June 1980, using medical records and individual interview. Their age range was between 21 and 66. The actual number of cases put into the analyses was 333. Thus collected data were computerized at KIST by SPSS programming and were statistically analysed by Chi-square test.
Results of the study were as follows:
1. In diagnostic distribution, 67 cases (20.1%) were diagnosed as schizophrenic disorder, 143 cases: (42.9%) as affective disorder, 118 cases (35,4%) as neurotic disorder and 5 cases (1.5%) as personality disorder and postpartum psychoses.
In age distribution, 71 cases (21.3%) were ranged between 30 and 34, 64 cases (19.2%) between 35 and 39, 59 cases (17.7%) between 40 and 44, 48 cases (14.4%) between 50 and 59, 45 cases (13.5%) below 29, 40 cases (12,0%) between 45 and 49,6 cases (1.8%) over 60 years of age.
Religious distribution was as follows: Protestants 58 cases (22.8%), Buddhism 39 cases (15.4%) Catholics 7 cases (6.7%) Confusianism 2 cases (0.8%) and non-religious 217 cases. Distribution of educational level was as follows: high school 162 cases (30.6%), college 81cases (24.3%), primary school 64 cases (19. 2%), illiteracy 53 cases(15.9%) and middle school 33 cases (9.9%)
Occupational distribution was as follows: working women 97 cases (29.1%) and non-working, women (housewife) 236 cases (70.9%).
2. Regarding to the duration of onset, it was revealed that 66.1% among mentally disordered women with neurotic disorder had been the life events within 1 months, the affective disorder within 1 to 3 months (31.5%) and the schizophrenic disorder over 6 months (61.2%)
3. The subtypes of marital bond were as follows; the accepted bond 33.0%, the paranoid bon(14.7%, the schizoid bond 12.9%, the power-effeminate bond 12.3%, the power-anxious bond 10.8%, the excessive drinking-dependent bond 9.3%, the effeminate-dominate bond 2.7% and the others 4.2%.
And female patients with accepted bond tended to show other problems except for problems with spouse, and patients with conflict habituated bond (power-effeminate, effeminate-dominate, power-anxious and excessive drinking-dependent) and devitalized bond (schizoid and paranoid) tended to show problems with spouse and physical illness as more important factors.
4. Mentally disordered women with harmonious marital relation were admitted to mental hospital by other problems except for problems with spouse, on the other hand, mentally disordered women with disharmonious marital relation, hospitalized by problems with spouse.
5. It was revealed that the important precipitating events among the mentally hospitalized women shown personal illness, increase in argument with spouse, loss of money, marital separation, troubles with parents-in-law, troubles with other family' and physical illness of family member significantly in these order.
6. Mentally disorded women between 20 and 30 shown mostly neurotic disorder and had increase in argument with spouse, loss of money, troubles with parents-in-law and trouble with other family member. Between 30 and 40, most commonly schizophrenic disorder, attacked by personal physical illness and increase in argument with spouse. Between 40 and 60, mostly affective disorder was diagnosed, developed by marital separation and business failure of husband.