초기 정신증 환자에서 병전 외상력에 따른 증상, 기능과 예후의 차이

• 영문명: Differences in Symptoms, Functions, and Their Outcomes According to the Degree of Trauma in Patients with Early Psychosis
• 발행기관: 대한신경정신의학회
• 저자명: 문서영(Seoyoung Moon) 윤지애(Ji Ae Yoon) 이규영(Kyu Young Lee) 박염홍(Yan Hong Piao) 김성완(Sung-Wan Kim) 이봉주(Bong
• 간행물 정보: 『신경정신의학』제59권 제3호, 228~235쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2020.08.31

영문 초록

Objectives There has been growing interest in the relationship between mental illness and premorbid trauma recently. The purpose of this study was to examine the difference in symptoms, functions, and their outcomes according to the degree of trauma in patients with early psychosis. Methods The study involved 226 people who participated in the Korean Early Psychosis Cohort Study, and we divided the participants into two groups according to the degree of trauma. Positive and Negative Syndrome Scale (PANSS) and Social and Occupational Functioning Assessment Scale (SOFAS) were compared at the start of the study and at 12 months after the treatment using paired t-test and repeated measures analysis of variance. Results At the beginning of the study, there was no significant difference between the two groups. But after 12 months of treatment, the high trauma group showed less improvement in PANSS negative score, general psychopathological score, total score, and SOFAS than the low trauma group. Conclusion In patients with early psychosis and at least moderate severity of premorbid trauma, negative symptoms, general psychopathological, and social and occupational functional improvements after treatment are less.

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키워드

정신증 외상 정신병적 증상 사회직업기능 Trauma Psychosis Psychotic symptoms Social and occupational functioning