漢陽大學病院 神經精神科 入院患者의 診斷分布에 관한 考察 (1975ᅳ1980)
Diagnostic Distribution of Neuropsychiatric Inpatients, Hanyang University Hospital (1975—1980)
Clinical characteristics of neuropsychiatric inpatients were evaluated and discussed with special reference to their diagnostic distributions. The materials were extracted from 2,099 discharged cases from the Neuropsychiatric Wards of Hanyang University Hospital during the six years from 1975 to 1980. Schizophrenia was diagnosed in 30.7%t affective disorders in 11.4%, paranoia in 1.3%, psychoneuroses in 22.6%, personality disorders in 7.9 % 、alcoholism and related psychoses in 3.2%, senile psychosis in 0.6% and drug dependency in 0. 4%. Conversion hysteria was diagnosed in 13.5% among the total discharged cases and 22.1% among the total female cases. Diagnosis of schizophrenia has gradually decreased year by year： from 39.4% in 1975 to 25.8% in 1980. Conversely, affective disorders have sharply increased since 1979; from 4.4% in 1975 to 15.2% in 1980. This changing pattern of diagnostic distribution could be attributed to a recent emphasis of narrow concept of schizophrenia, a substantial in crease of the cases of affective disorders who seek psychiatric help due to recent collapse of traditional supportive environment, and change of function of neuropsychiatric department in the university hospital in terms of liaison service. Interestingly enough, 16 cases of male hysteria cound be found among the total 283 hystericsal cases; sex ratio was 1 : 16. Six cases of women alcoholics were also unfamilial finding； sex ratio was 10 ： 1. Fifty six point nine percent was from the age group of twenties and thirties, 3.24% from the age group younger than 15 years, and 2, Z% from the senile age group over 60 years. General imimpression that senile population increases among the psychiatric patient was failed to prove statistically. Electroshock therapy has conducted in 2.4% of all the inpatients； 2. 1% of affective disorders and 7. 1% of schizophrenics. This mode of treatment has gradually declined year by year during the six years. No insulin shock therapy has been practiced during the period.
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