학술논문
단극성 및 양극성 정서질환의 망상과 환각에 대한 임상적 고찰
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- 영문명
- A Clinical Study on Delusions and Hallucinations in Both Unipolar and Bipolar A ffectve Illness
- 발행기관
- 대한신경정신의학회
- 저자명
- 이민수
- 간행물 정보
- 『신경정신의학』제20권 제2호, 195~207쪽, 전체 13쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1981.05.31
4,360원
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국문 초록
영문 초록
In this study, the author reported on the v arious clinical characteristics of 49 unipolar and
98 bipolar patients who were diagnosed as the manic depressive illness and visited the neuropsychiatric
department o f Korea university hospital during the period from January, 1977 to February, 1980.
This study was to investigate phenomenologically the frequency and characteristic nature of
delusions and hallucinations seen in the above subjects. An additional attemp was made to
ascertain the clinical differences between these two groups for which other authors reported.
The mean age at the onset of the unipolar illness was 30.8 years old, ranging from 16 to 35
years and the mean age of the bipolar illness was 25.3 years old, ranging from 15 to 54 years.
The number of females were 1.6 times greater than males in the unipolar, and 2.3 times greater
in the bipolar patients.
Bipolar patients had higher academic achievement than unipolar patients and both groups
came from socioeconom ically upper-middle class, and no significant difference of the religious
background was found between these two groups.
The married were seen more, common in the unipolar than the bipolar. Depressive personality was found most frequently in the unipolar, and cyclothymic one in the bipolar.
In the family history, the bipolar had more positive history of a ffective illness in the first
degree relatives than the unipolar.
In ordinal position o f the siblings, the greatest number was the middle born in both groups.
Twelve patients of the unipolar and 21 patients of the bipolar had history of parental loss by
death, divorce or separation before they reached the age of 13 years and the frequency of the
loss was similar in both groups 24. in the unipolar and 21.3% in the bipolar group.
The precipitating factors, such as death, loss, separation and other stressful life events were
accounted for 31.3% of the total patients. Delusions occurred in the rate of 42.9% of
the total patients and were seen in the rate of 66.1% of the bipolar manic and 27.8% of the
depressive in both the bipolar and unipolar. A ccording to the themes of delusions, grandious natures
were seen most frequently in the manic, and persecutory ones in the depressive. Among
the grandious delusions, political delusions were highest in males and religious ones in females.
Hallucinations occurred in the rate of 6. 1% of the total patients. Among these, auditory halluci
nations w ere seen most frequently.
목차
서 론
조사대상 및 방법
조사 결과
고 안
결 론
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