학술논문
외상성 신경증의 임상적 고찰
이용수 9
- 영문명
- A CLINICAL STUDY OF HOSPITALIZED PATIENTS W ITH POSTTRAUMATIC NEUROSIS
- 발행기관
- 대한신경정신의학회
- 저자명
- 이성민
- 간행물 정보
- 『신경정신의학』제18권 제2호, 141~150쪽, 전체 10쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1979.04.30
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국문 초록
영문 초록
Fifty seven inpatients diagnosed as posttrauma-tic neurosis were studied with respect to their
socioeconomic status and clinical features.
The results were as follows.
1) The admission rate of posttraumatic neurosis out of the total number of psychiatric inpatients
was 2.8%, and this rate appeared to be increasing year by year.
2) The patients were predom inantly male (87.7%) and in the distribution of ages, most (80.7%)
of them were found to be in the 20-40 year age range.
3) The incidence of posttraumatic neurosis is related to social status. Amongst 57 cases, mineworkers
and the other semi-skilled workers were 63.2%. Educational level was relatively low; the
group below highschool graduation was 70.2%.
Most (82.4%) of th e patients were lower class in economic status. And most of the accidents
occured during working.
4) The average incubation period was 51.9 days, and the cases which showed neurotic symptoms
within three months after injury, were 70.2%. The longer the incubation period, the
longer the average duration of hospitalization.
5) The average duration between injury and the admission to the department of neuropsychiatry
was 146.9 days. Many cases (43.9%) were admitted between three months and six months
after injury. Most (87%) of the patients were hospitalized at the department of neuropsychiatry
within 6 months after injury.
The longer this duration, the longer the average duration of hospitalization.
6) Premorbid personalities were im mature in 45.6%. The average duration of hospitalization
of these cases was longer than the cases without personality disorder.
7) The diagnostic classification based on DSM-II revealed that the cases of mixed type or unspec-
ified neurosis with indiscriminable mixtures of multiple symptoms of various type of neurosis
were 40. 4% and the next was depressive neurosis. In the average duration of hospitalization, the
above two types w ith predom inantly somatic complaints were longer than the others.
8) In the severity of injury, the cases of minor degrees were 54.6%. But in the cases of head
traum a, the more severe was the injury, the longer the average duration of hospitalization.
The same was true in the cases of the traum as of various other portions and they showed longer
duration than the cases w ithout any injury. So to speak, the incidence rate of posttraumatic
neurosis was relatively higher in the cases of minor severity and there was no significant
relationship between severity of injury and that of posttraum atic symptoms. But the more severe
was the injury, the longer the average durations of hospitalization. Most symptoms (58.1%) were
distributed appropriately to the injured parts.
These were the symptoms of central and peripheral nervous system such as the ones of head,
sensory organ, and neuromuscular system. Except them, the other psychiatric symptoms were 27.0%.
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