기흉 또는 혈흉에서의 다면적 인성검사 결과 : 한국 징병 수검자를 대상으로 한 후향적 단면 연구
Result of Multiphasic Personality Inventory on Pneumo- or Hemo-thorax : Retrospective Cross-Sectional Analysis of Military Candidate in Korea
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ObjectivesZZThe aim of this study was to identify associations between pneumo- or hemo-thorax presence and psychological distress in young males by using the Military Multiphasic Personality Inventory (MPI) test. MethodsZZA retrospective cross-sectional study was conducted on data from 19-year-old examinees that were admitted to the Military Manpower Administration in Korea between February 2009 and January 2010. A total of 1955 young males were enrolled in this study. Among them, a normal volunteer control group (n=1561) included individuals without a pneumo- or hemo-thorax. The pneumo- or hemo-thorax group (n=394) included individuals with a pneumo- or hemo-thorax. The latter group was divided into two subgroups : Group A (treated with conservative care or chest tube insertion, n=341) and Group B (treated with wedge resection, n=53). ResultsZZWe compared each of three groups (Control group, Group A, Group B) by using covariance analysis. The somatization subscale score within the neurosis category was significantly higher in Group A (p<0.001) than in the Control group, and there was a tendency toward a higher somatization score in Group B than in the Control group (p=0.073). The other score categories (validity scale ; anxiety, depression, and personality disorder subscales for neurosis scale ; and psychopath scale) showed no significant differences among the three tested groups. ConclusionZZConservative care or chest tube insertion group was associated with higher somatization symptom scores than that in the control group. The wedge resection group had a tendency toward a higher somatization score than that in the control group. The result indicate that individuals with a history of pneumo- or hemo-thorax may be more concerned about their body shape and/or general condition than those without such a history. Supportive intervention and psychiatric education approaches may be useful in relieving somatic distress.
Abstract
ObjectivesZZThe aim of this study was to identify associations between pneumo- or hemo-thorax presence and psychological distress in young males by using the Military Multiphasic Personality Inventory (MPI) test. MethodsZZA retrospective cross-sectional study was conducted on data from 19-year-old examinees that were admitted to the Military Manpower Administration in Korea between February 2009 and January 2010. A total of 1955 young males were enrolled in this study. Among them, a normal volunteer control group (n=1561) included individuals without a pneumo- or hemo-thorax. The pneumo- or hemo-thorax group (n=394) included individuals with a pneumo- or hemo-thorax. The latter group was divided into two subgroups : Group A (treated with conservative care or chest tube insertion, n=341) and Group B (treated with wedge resection, n=53). ResultsZZWe compared each of three groups (Control group, Group A, Group B) by using covariance analysis. The somatization subscale score within the neurosis category was significantly higher in Group A (p<0.001) than in the Control group, and there was a tendency toward a higher somatization score in Group B than in the Control group (p=0.073). The other score categories (validity scale ; anxiety, depression, and personality disorder subscales for neurosis scale ; and psychopath scale) showed no significant differences among the three tested groups. ConclusionZZConservative care or chest tube insertion group was associated with higher somatization symptom scores than that in the control group. The wedge resection group had a tendency toward a higher somatization score than that in the control group. The result indicate that individuals with a history of pneumo- or hemo-thorax may be more concerned about their body shape and/or general condition than those without such a history. Supportive intervention and psychiatric education approaches may be useful in relieving somatic distress.
참고문헌 (21)
- Tschopp JM, "Management of spontaneous pneumothorax: state of the art", Eur Respir J, 28, pp.637~650 (2006)
- Noppen M, "Pneumothorax", Respiration, 76, pp.121~127 (2008)
- Broderick SR, "Hemothorax: etiology, diagnosis, and management", Thorac Surg Clin, 23, pp.89~96 (2013)
- Ohmori K, "28cases of spontaneous hemopneumothorax", Nihon Kyobu Geka Gakkai Zasshi, 36, pp.1059~1064 (1988)
- Leigh-Smith S, "Tension pneumothorax--time for a re-think", Emerg Med J, 22, pp.8~16 (2005)
- Marx J, "Rosen’s emergency medicine: concepts and clinical practice", pp.2010, Mosby
- 임현경, "The Impact of Primary Spontaneous Pneumothorax on Multiphasic Personal Inventory Test Results in Young South Korean Males", Yonsei Medical Journal, 53(5), pp.901~905 (2012), 연세대학교의과대학[DOI]
- Eryigit H, "Are there any psychological factors in male patients with primary spontaneous pneumothorax", Int J Clin Exp Med, 7, pp.1105~1109 (2014)
- Lee SH, "Association between anger and first-onset primary spontaneous pneumothorax", Gen Hosp Psychiatry, 30, pp.331~336 (2008)
- Martín Martín M, "Study of the personality of patients with spontaneous pneumothorax", Arch Bronconeumol, 37, pp.424~428 (2001)
- Wolf EJ, "The MMPI-2 restructured clinical scales in the assessment of posttraumatic stress disorder and comorbid disorders", Psychol Assess, 20, pp.327~340 (2008)
- Won HT, "Final report on development study of military personality inventory" (1998), Korean Psychological Association
- Lee JG, "The evaluation of the Korean military personality inventory", Korean Psychological Association Annual Conference, pp.466~467 (2006)
- Lee JG, "The relationship between the KMPI and the military personality inventory", Korean Psychological Association Annual Conference, pp.464~465 (2006)
- 김태현, "A U-shaped Association between Body Mass Index and Psychological Distress on the Multiphasic Personality Inventory: Retrospective Cross-sectional Analysis of 19-year-old Men in Korea", Journal of Korean Medical Science, 30(6), pp.793~801 (2015), 대한의학회
- van Balen HG, "A neurocorrective approach for MMPI-2 use with brain-damaged patients", Int J Rehabil Res, 22, pp.249~259 (1999)
- Wetzel RD, "Briquet’s syndrome (hysteria) is both a somatoform and a “psychoform” illness:a Minnesota Multiphasic Personality Inventory study", Psychosom Med, 56, pp.564~569 (1994)
- Comrey AL, "A factor analysis of items on the MMPI hypochondriasis scale", Educ Psychol Meas, 17, pp.566~577 (1957)
- O’Connor JP, "Some patterns of hypochondriasis", Educ Psychol Meas, 19, pp.363~371 (1959)
- Wiggins JS, "MMPI Content Scales: interpretation norms and correlations with other scales", J Consult Clin Psychol, 37, pp.403~410 (1971)
- Kunce JT, "Normalizing the MMPI", J Clin Psychol, 32, pp.776~780 (1976)
