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KCI등재 학술저널

産後 精神障碍에 對한 臨床的 考察

THE SEVENTEEN CASES OF POSTPARTUM MENTAL DISORDERS OF KOREAN WOMEM

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This study is to investigate the basic clininical phenomena of the 17 female patients with postpartum, mental disorders in Korea, who were treated in the Department of Neuro-Psychiatry, W oo Sok University Medical School Hospital during the period from March 1st, 1963 until September 30th, 1968. The results obtained were as follows: 1) According to the clinical diagnostic categories, these 17 cases were divided into 9 cases of psychoneurosis, 4 cases of psychotic depression, 2 cases of pseudoneurotic schizophrenia and 2 cases of schizophrenia 2) Eight cases occured in primipara, 5 cases in multipara and the others in each postpartum setting. 3) Most of them (I3cases) developed their mental disorders during I week period after delivery. 4) Their clinical symptoms were similar to those of mental disorders which were not associated with parturition. In addition, about half o f . these cases characteristically manifested somatic symptoms such as lumbago and coldness of the extremities. 5) As to their premorbid personality, 7 had hystericl, 5 depressive, 3 schizoid, 1 paranoid and I psychopathic personality make-up. 6) Thrughgoing anamnesis revealed that they had difficulties in their relations with parents and siblings in early childhood and later in their marital life. 7) As to their attitudes toward the babies,about half of them expressed the feelings of over-concern, frank rejection or guilt about their infants.

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