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KCI등재 학술저널

응급실 내원 정신과 환자에 대한 고찰

신경증환자의 유발요인과 임상양상을 중심으로(ii)

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It has been known that sociocultural factors influence the feature, symptom and frequency of psychiatric disturbance. Few stduies have focused on the relationship of precipitating factors and the clinical feature in neurosis. It was attem pted to study this sociocultural aspect represented by certain precipitating factors and the effects of these precipitating factors on clinical symptoms in 1986. Because the previous study was retrospective, the data gave only limited information. The authors planned a prospective study, studying 291 psychiatric patients, excluding those with organic mental disorders, who had visited the emergency room of Kyung Hee University Hospital from Mar. 27, 1988, to Mar. 26’ 1989. The results obtained can be summarized as follows * 1) All Study Group(excluding those with organic mental disorders). (1) 73.9% of the total patients were female. (2) In diagnosis, neurosis was more prevalent in females (79.5%) than in males(48.7 %). (3) Precipitating factors were found more in the neurotics(81.3%) than in the psychotics(43.4 2) The Neurotic Group. (1) 82.2% of the neurotics were female. (2) The age distribution, in order of frequency, was in the 30s, 20s, 10s, and 40s for males, and in the 20s, 30s, 40s, and 50s for females. (3) Precipitating factors were more prevalent in females than in males(male 67.6%, female 83.0 캉). The most frequent preipitating factors were economic and occupational problems(16.0 ^ ), physical problems(16.0%), and domestic problems(12.(V%) for males, and marital problems (29.6 %), domestic problem s(17.6^), economic and occupational problems(14.8%) for females. (4) Somatic symptoms were most complained about by both males(62.2%) and females(70.2 n 5) The difference between symptoms, according to the content of the precipitating factor, was not identified and the most common somatic symptom was the cardiopulmonary symptom. 6) The most frequent diagnosis was anxiety disorder(32.4%), conversion disorder(32.4% ) in males, and anxiety disorder(45.6%) in females. In conclusion, the neurotics, with whom the precipitating factors were more frequently found, were shown to be mostly females ; precipitating factors were also noted more in females who were in their 20s and 30s. This suggests that housewives in those age groups were more vulnerable to external psychological stresses. The difference between the symptoms, according to the content of the precipitating factor, was not identified. A better designed study, to be focused on marital problems of the younger housewives, should be instituted as soon as possible.

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