계절성 정동장애에 관한 임상적 연구

• 영문명: A Clinical Study of Seasonal Affective Disorder
• 발행기관: 대한신경정신의학회
• 저자명: 이경규 윤도준 장환일
• 간행물 정보: 『신경정신의학』제31권 제1호, 84~92쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1992.01.30

영문 초록

The purpose of this study was to investigate : (1) whether seasonal affective disorders (SADs) exist among affective disorders in Korea ; (2) if there were SADs in Korea, whether they would be different from other countries，reports describing SAD as having atypical depressive symptoms ; and (3) Is there any difference between winter depression and summer depression as shown in the studies from other countries ; ie, W D shows atypical depressive symptoms and SD shows typical depressive symptoms ? The 76 subjects, having had suffered relapses for at least 2 years in succession, were selected from 375 patients with affective disorder who had been admitted to the Department of Neuropsychiatry of Kyung Hee University Hospital during the 10 years, from 1 January 1980 to 31 December 1989. This study was done by reviewing their records, making a compaison between SAD with depression (n=2 3) and nonseasonal affective disorder (NSAD) with depression(n=25). Also, another comparison was made between SD (n=14) and W D (n = 9 ) in SAD. They were analyzed according to sex，age of onset, season of birth, occupation, premorbid personality, family history of psychosis, and atypical depressive symptoms—hypersomnia, hyperphagia， carbohydrate craving, and irritability. The results were as follows ; 1) There indeed were patients with SAD in Korea. The prevalence of SAD in this study was 10.9%. 2) Comparison between SAD and NSAD with depression : There was a significantly higher number of patients with NSAD with depression among those with indoor occupations and in families with a history of psychosis compared with patients with SAD with depression (p<0.05). There were no significant difference between them in other factors. 3) Comparison between SD and W D in SAD : There were no significant difference between them in all factors. In conclusion, SAD exists in Korea. But, there are no significant differences in depressive symptoms between SAD and NSAD with depression, or between SD and W D as is the case in the previous studies from other countries.

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