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정신분열병 환자의 항정신병약물 치료과정에서 나타나는 언어성 환청의 다차원적 변화

Multi-dimensional Changes in Auditory Verbal Hallucination during Antipsychotic Treatment of Schizophrenic Patients

정성훈|김용식|안용민|장재승
대한신경정신의학회 (Korean Neuropsychiatric Association)|2005.01|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제44권 제1호|pp. 65-74

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참고문헌

주제분류정신과학

초록

Abstract

Objectives: Auditory verbal hallucination (AVH) is prominent for its high prevalence and difficulty in evaluation. Authors hypothesized that it may be possible to find the useful dimensions of AVH that reflect the clinical status of schizophrenic patients by assessing the multi-dimensional changes and linguistic form of AVH during antipsychotic treatment. Methods: 33 schizophrenic patients with AVH were selected and periodically assessed with 11 items on hallucinations subscale of ‘The Psychotic Symptom Rating Scales (PSYRATS)’. In addition, to use the linguistic forms observed in the AVH, the evaluations of sentence structure of AVH reported by the patients were conducted. Results: PSYRATS showed the multidimensionality inherent in AVH. The changes in the quantitative dimensions did not correlate well with the subjective distress of the patient. However, qualitative changes in the cognitive and emotional dimensions showed more favorable correlation with clinical course of the patient. The sentence structures of AVH showed tendency to change from “sentence” to “non-sentence” type with overall improvement during treatment. Conclusion: Multi-dimensional approach to AVH can give us more information about the changing patterns of multi-faceted structure of AVH and clinical status of patients than one-dimensional or categorical approach.

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관련 논문AI추천

치료저항성 환청을 지닌 정신분열병 환자의 임상특성 및 신경인지기능서광윤, 송형석, 이승환, 정영조, 최병훈대한신경정신의학회 · 신경정신의학2004 · 제43권 제3호정신분열병 환자의 주관적 증상과 객관적 정신병리와의 관련성김용식, 신민섭, 이창인, 정성훈, 주연호대한신경정신의학회 · 신경정신의학2001 · 제40권 제4호정신분열병 환자에서 항정신병 약물의 치료 반응과 장기 체중 증가김희철, 정성원대한생물치료정신의학회 · 생물치료정신의학2007 · 제13권 제1호항정신병약물이 정신분열병 환자의 신경인지기능에 미치는 효과박영남대한생물치료정신의학회 · 생물치료정신의학2005 · 제11권 제1호초발 정신분열병 환자에서의 리스페리돈 치료 반응 예측인자김상욱, 홍경수대한신경정신의학회 · 신경정신의학2002 · 제41권 제6호Long-Term Changes in Self-Report Auditory Verbal Hallucinations in Patients with Schizophrenia Using Clozapine김세현, Hee Yeon Jung, In Won Chung, Seong Hoon Jeong, Tak Youn, Yong Sik Kim대한신경정신의학회 · PSYCHIATRY INVESTIGATION2019 · 제16권 제5호

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