본문 바로가기
KERD
논문KCI 등재

양극성 장애의 근거기반치료

Evidence-Based Treatments of Bipolar Disorder

김빛나
한국임상심리학회 (Korean Clinical Psychology Association)|2019.11|Korean Journal of Clinical Psychology|제38권 제4호|pp. 427-444

0

조회

0

다운로드

4

인용

0

참고문헌

키워드

근거기반실무근거기반치료evidence-based treatmentevidence-based practicebipolar disorder양극성 장애무선할당통제연구randomized controlled trial
주제분류심리과학

초록

양극성 장애는 양방향의 기분삽화가 주기적으로 반복되며, 다양한 범위의 기능장해 및 자살 위험성과 관련성이 높은 만성적인 정신장애이다. 본고에서는 양극성 장애의 치료에서 심리사회적 개입의 필요성과 유용성을 논의하고, 해외 및 국내 치료효과 연구를 검토함으로써 양극성 장애의 근거기반치료로서 어떠한 심리치료가 우선 활용 가능한지에 대한 최신지견을 제공하고자 하였다. 무선할당 통제연구를 중심으로 관련 연구들을 고찰한 결과, 해외에서는 대표적으로 4가지 근거기반치료(심리교육, 가족중심치료, 인지행동치료, 대인관계 및 사회적 리듬 치료)가 양극성 장애의 유지치료 및 우울 급성기 치료에 효과가 입증되어 있는 것으로 나타났다. 부가적으로 마음챙김 인지치료, 변증법적 행동치료의 잠정적인 치료 효과가 보고되기 시작하였다. 반면, 국내에서는 일부 예비연구들이 존재하기는 하지만, 확실한 경험적근거를 갖춘 근거기반치료는 아직 없었다. 마지막으로 향후 국내에서 양극성 장애의 근거기반치료를 활성화시키기 위한 방안에 대하여 논의하였다.

Abstract

Bipolar disorder (BD) is a chronic mental disorder characterized by bidirectional mood episodes and associated with diverse functional impairments and suicidal risk. Firstly, this narrative review emphasized the necessity and utility of adjunct psychosocial interventions for BD. Next, the author attempted to provide up-to-date guidelines on which particular psychosocial interventions could be recommended as evidence-based treatment (EBT) of BD by reviewing treatment studies conducted in Korea as well as other countries. As a result, four psychosocial interventions (psychoeducation, family-focused therapy, cognitive behavioral therapy, and interpersonal and social rhythm therapy) were identified as EBTs with strong levels of evidence, based on randomized controlled trials conducted overseas. In general, adjunct psychosocial treatments showed effectiveness in relapse prevention and acute treatment during depressive episodes. Additionally, mindfulness-based cognitive therapy and dialectical behavioral therapy began to demonstrate promising outcomes. However, although several preliminary studies have been published, there was a shortage of empirical evidence for effective EBT of BD within Korea. Lastly, the author discussed how to promote and disseminate EBT of BD within Korea.

참고문헌 (120)

  1. Akiskal, H. S., "Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders", Journal of Affective Disorders, 59, pp.S5~S30 (2000)
  2. Alloy, L. B., "The psychosocial context of bipolar disorder : Environmental, cognitive, and developmental risk factors", Clinical Psychology Review, 25, pp.1043~1075 (2005)
  3. American Psychiatric Association., "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Publishing
  4. American Psychological Association, "Template for developing guidelines: Interventions for mental disorders and psychological aspects of physical disorders" (1995), APA
  5. American Psychological Association., "Evidence-based practice in psychology", American Psychologist, 61, pp.271~285 (2006)
  6. Bark, W. M., "The bipolar disorder survival guide: What you and your family need to know" (2013), Sigma Press
  7. Basco, M. R., "The bipolar workbook: Tools for controlling your mood swings" (2006), The Guilford Press
  8. Basco, M. R., "Cognitive-behavioral therapy for bipolar disorder" (2005), Guilford Press
  9. Bebbington, P., "The epidemiology of bipolar affective disorder", Social Psychiatry and Psychiatric Epidemiology, 30, pp.279~292 (1995)
  10. Benson, R., "The forgotten treatment modality in bipolar illness : Psychotherapy", Diseases of the Nervous System, 36, pp.634~638 (1975)
  11. Bond, K., "Psychoeducation for relapse prevention in bipolar disorder : A systematic review of efficacy in randomized controlled trials", Bipolar Disorders, 17, pp.349~362 (2015)
  12. Cade, J. F., "Lithium salts in the treatment of psychotic excitement", Medical Journal of Australia, 2, pp.349~352 (1949)
  13. Castle, D., "Group-based psychosocial intervention for bipolar disorder : Randomised controlled trial", British Journal of Psychiatry, 196, pp.383~388 (2010)
  14. Chambless, D. L., "Update on empirically validated therapies, II", The Clinical Psychologist, 51, pp.3~16 (1998)
  15. Chambless, D. L., "Defining empirically supported therapies", Journal of Consulting and Clinical Psychology, 66, pp.7~18 (1998)
  16. 조용래, "불안 및 관련 장애들의 근거기반치료: 기준, 연구 이슈, 논평 및 제언", Korean Journal of Clinical Psychology, 36(4), pp.449~457 (2017), 한국임상심리학회[DOI]
  17. Cho, Y., "Bipolar disorder" (2016), Hakjisa
  18. Clemente, A. S., "Bipolar disorder prevalence : A systematic review and meta-analysis of the literature", Brazilian Journal of Psychiatry, 37, pp.155~161 (2015)
  19. Colom, F., "The evolution of psychoeducation for bipolar disorder : From lithium clinics to integrative psychoeducation", World Psychiatry, 13, pp.90~92 (2014)
  20. Colom, F., "Has number of previous episodes any effect on response to group psychoeducation in bipolar patients? A 5‐year follow‐up post hoc analysis", Acta Neuropsychiatrica, 22, pp.50~53 (2010)
  21. Colom, F., "Clinical factors associated with treatment noncompliance in euthymic bipolar patients", The Journal of Clinical Psychiatry, 61, pp.549~555 (2000)
  22. Colom, F., "A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission", Archives of General Psychiatry, 60, pp.402~407 (2003)
  23. Colom, F., "Stabilizing the stabilizer : Group psychoeducation enhances the stability of serum lithium levels", Bipolar Disorders, 7, pp.32~36 (2005)
  24. Colom, F., "Psychoeducation manual for bipolar disorder" (2006), Cambridge University Press
  25. de Barros Pellegrinelli, K., "Efficacy of psychoeducation on symptomatic and functional recovery in bipolar disorder", Acta Psychiatrica Scandinavica, 127, pp.153~158 (2013)
  26. de Azevedo Cardoso, T., "Brief psychoeducation for bipolar disorder : Impact on quality of life in young adults in a 6-month follow-up of a randomized controlled trial", Psychiatry Research, 220, pp.896~902 (2014)
  27. Dean, O. M., "An update on adjunctive treatment options for bipolar disorder", Bipolar Disorders, 20, pp.87~96 (2018)
  28. Dimeff, L., "Dialectical behavior therapy in a nutshell", The California Psychologist, 34, pp.10~13 (2001)
  29. Eisner, L., "Dialectical behavior therapy group skills training for bipolar disorder", Behavior Therapy, 48, pp.557~566 (2017)
  30. Faria, A. D., "The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder : A randomized clinical trial", Psychology Research and Behavior Management, 7, pp.167~174 (2014)
  31. Ferrari, A. J., "A systematic review of the global distribution and availability of prevalence data for bipolar disorder", Journal of Affective Disorders, 134, pp.1~13 (2011)
  32. Frank, E., "Treating bipolar disorder: A clinician’s guide to interpersonal and social rhythm therapy" (2005), Guildford Press
  33. Frank, E., "Adjunctive psychotherapy for bipolar disorder : Effects of changing treatment modality", Journal of Abnormal Psychology, 108, pp.579~587 (1999)
  34. Frank, E., "Two-year outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder", Archives of General Psychiatry, 62, pp.996~1004 (2005)
  35. Frank, E., "Interpersonal and social rhythm therapy : Managing the chaos of bipolar disorder", Biological Psychiatry, 48, pp.593~604 (2000)
  36. Fredman, S. J., "Relatives’ emotional involvement moderates the effects of family therapy for bipolar disorder", Journal of Consulting and Clinical Psychology, 83, pp.81~91 (2015)
  37. Geddes, J. R., "Long-term lithium therapy for bipolar disorder : Systematic review and meta-analysis of randomized controlled trials", American Journal of Psychiatry, 161, pp.217~222 (2004)
  38. Geddes, J. R., "Treatment of bipolar disorder", The Lancet, 381, pp.1672~1682 (2013)
  39. Ghaemi, S. N., ""Cade’s disease"and beyond : Misdiagnosis, antidepressant use, and a proposed definition for bipolar spectrum disorder", The Canadian Journal of Psychiatry, 47, pp.125~134 (2002)
  40. Ghaemi, S. N., "Sensitivity and specificity of a new bipolar spectrum diagnostic scale", Journal of Affective Disorders, 84, pp.273~277 (2005)
  41. Goldstein, T. R., "Dialectical behavior therapy for adolescents with bipolar disorder : A 1-year open trial", Journal of the American Academy of Child &Adolescent Psychiatry, 46, pp.820~830 (2007)
  42. Goldstein, T. R., "Dialectical behavior therapy for adolescents with bipolar disorder : Results from a pilot randomized trial", Journal of Child and Adolescent Psychopharmacology, 25, pp.140~149 (2015)
  43. Goodwin, F. K., "Manic-depressive illness:Bipolar disorders and recurrent depression" (2007), Oxford University Press
  44. Goodwin, G. M., "Evidence-based guidelines for treating bipolar disorder : Revised third edition recommendations from the British Association for Psychopharmacology", Journal of Psychopharmacology, 30, pp.495~553 (2016)
  45. Guyatt, G. H., "Users’ guides to the medical literature : XXV. Evidence-based medicine : Principles for applying the users’ guides to patient care", JAMA, 284, pp.1290~1296 (2000)
  46. 한미령, "양극성 장애 청소년의 단기 심리치료 사례", 정서·행동장애연구, 21(4), pp.279~302 (2005), 한국정서행동장애학회
  47. Henry, C., "Affective lability and affect intensity as core dimensions of bipolar disorders during euthymic period", Psychiatry Research, 159, pp.1~6 (2008)
  48. Hirschfeld, R., "Perceptions and impact of bipolar disorder: How far have we really come? Results of the National Depressive and Manic-Depressive Association 2000 survey of individuals with bipolar disorder", The Journal of Clinical Psychiatry, 64, pp.161~174 (2003)
  49. Inder, M. L., "Randomized, controlled trial of interpersonal and social rhythm therapy for young people with bipolar disorder", Bipolar Disorders, 17, pp.128~138 (2015)
  50. 조현영, "집단 정신건강교육이 양극성장애 환자의 치료 순응도와 병식에 미치는 효과", Mood and Emotion, 8(1), pp.31~36 (2010), 대한우울조울병학회
  51. Johnson, S. L., "Mania and dysregulation in goal pursuit : A review", Clinical Psychology Review, 25, pp.241~262 (2005)
  52. Johnson, S. L., "Life events in bipolar disorder : Towards more specific models", Clinical Psychology Review, 25, pp.1008~1027 (2005)
  53. Johnson, S. L., "Creativity and bipolar disorder: Touched by fire or burning with questions?", Clinical Psychology Review, 32, pp.1~12 (2012)
  54. Judd, L. L., "A prospective investigation of the natural history of the long-term weekly symptomatic status of bipolar II disorder", Archives of General Psychiatry, 60, pp.261~269 (2003)
  55. Judd, L. L., "The long-term natural history of the weekly symptomatic status of bipolar I disorder", Archives of General Psychiatry, 59, pp.530~537 (2002)
  56. 정영은, "양극성장애의 심리사회적 치료", Mood and Emotion, 14(1), pp.19~24 (2016), 대한우울조울병학회
  57. Keller, M. B., "Bipolar I : A five-year prospective follow-up", Journal of Nervous and Mental Disease, 181, pp.238~245 (1993)
  58. Kim, B. N., "Treating bipolar disorder: A clinician’s guide to interpersonal and social rhythm therapy" (2018), Hakjisa
  59. Kim, B. N., "The link between hypomania risk and creativity : The role of heightened behavioral activation system(BAS)sensitivity", Journal of Affective Disorders, 215, pp.9~14 (2017)
  60. 김남우, "기분장애 환자에서 마음챙김에 기초한 인지치료에 따른 우울 증상과 다섯 가지 마음챙김 요소와의 관계", 생물정신의학, 24(4), pp.212~218 (2017), 대한생물정신의학회[DOI]
  61. 김수현, "양극성 장애 자가치료 프로그램개발을 위한 예비연구:아증후군적 조증 집단을 대상으로", 사회과학연구논총, 35(1), pp.85~119 (2019), 이화사회과학원[DOI]
  62. 김원, "양극성 장애에도 정신치료가 필요한가? : 양극성 장애의 정신치료적 접근의 개요와 전망", Mood and Emotion, 9(3), pp.154~161 (2011), 대한우울조울병학회
  63. Klerman, G. L., "Interpersonal psychotherapy of depression" (1984), Jason Aronson
  64. Lam, D. H., "What can we conclude from studies on psychotherapy in bipolar disorders?", British Journal of Psychiatry, 188, pp.321~322 (2006)
  65. Lam, D. H., "Relapse prevention in patients with bipolar disorder : Cognitive therapy outcome after 2 years", American Journal of Psychiatry, 162, pp.324~329 (2005)
  66. Lam, D. H., "Cognitive therapy for bipolar disorder: A therapist’s guide to concepts, methods and practice" (1999), Wiley
  67. Lam, D. H., "Cost-effectiveness of relapse-prevention cognitive therapy for bipolar disorder : 30-month study", British Journal of Psychiatry, 186, pp.500~506 (2005)
  68. Lam, D. H., "A randomized controlled study of cognitive therapy for relapse prevention for bipolar affective disorder : Outcome of the first year", Archives of General Psychiatry, 60, pp.145~152 (2003)
  69. Lauder, S., "A randomized head to head trial of MoodSwings. net. au : An Internet based self-help program for bipolar disorder", Journal of Affective Disorders, 171, pp.13~21 (2015)
  70. 이서영, "인지행동치료 기반 양극성장애 우울삽화용 자가치료 프로그램 개발을 위한 예비연구: 양극성스펙트럼장애 위험집단을 대상으로", 인지행동치료, 17(4), pp.469~487 (2017), 한국인지행동치료학회
  71. Lovas, D. A., "Mindfulness-based cognitive therapy for bipolar disorder : A systematic review", Journal of Affective Disorders, 240, pp.247~261 (2018)
  72. Malhi, G. S., "Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders", Australian & New Zealand Journal of Psychiatry, 49, pp.1087~1206 (2015)
  73. Markar, H. R., "Efficacy of lithium prophylaxis in clinical practice", British Journal of Psychiatry, 155, pp.496~500 (1989)
  74. Merikangas, K. R., "Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication", Archives of General Psychiatry, 64, pp.543~552 (2007)
  75. Merikangas, K. R., "Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative", Archives of General Psychiatry, 68, pp.241~251 (2011)
  76. Michalak, E. E., "Quality of life in bipolar disorder : A review of the literature", Health and Quality of Life Outcomes, 3, pp.72~ (2005)
  77. Miklowitz, D. J., "Adjunctive psychotherapy for bipolar disorder : State of the evidence", American Journal of Psychiatry, 165, pp.1408~1419 (2008)
  78. Miklowitz, D. J., "Expressed emotion moderates the effects of family-focused treatment for bipolar adolescents", Journal of the American Academy of Child & Adolescent Psychiatry, 48, pp.643~651 (2009)
  79. Miklowitz, D. J., "Family-focused therapy for bipolar disorder : Reflections on 30 years of research", Family Process, 55, pp.483~499 (2016)
  80. Miklowitz, D. J., "A randomized study of family-focused psychoeducation and pharmacotherapy in the outpatient management of bipolar disorder", Archives of General Psychiatry, 60, pp.904~912 (2003)
  81. Miklowitz, D. J., "Bipolar disorder: A family-focused treatment approach" (1997), Guildford Press
  82. Miklowitz, D. J., "The psychopathology and treatment of bipolar disorder", Annual Review of Clinical Psychology, 2, pp.199~235 (2006)
  83. Miklowitz, D. J., "Psychosocial treatments for bipolar depression : A 1-year randomized trial from the systematic treatment enhancement program", Archives of General Psychiatry, 64, pp.419~426 (2007)
  84. Miklowitz, D. J., "Intensive psychosocial intervention enhances functioning in patients with bipolar depression : Results from a 9-month randomized controlled trial", American Journal of Psychiatry, 164, pp.1340~1347 (2007)
  85. Miklowitz, D. J., "Pharmacotherapy and family-focused treatment for adolescents with bipolar I and II disorders : A 2-year randomized trial", American Journal of Psychiatry, 171, pp.658~667 (2014)
  86. Miklowitz D. J., "Psychosocial treatments for bipolar disorder : Cost-effectiveness, mediating mechanisms, and future directions", Bipolar Disorders, 11, pp.110~122 (2009)
  87. The epidemiological survey of mental disorder in Korea, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2011)
  88. The survey of mental disorder in Korea, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2016)
  89. Miziou, S., "Psychosocial treatment and interventions for bipolar disorder : A systematic review", Annals of General Psychiatry, 14, pp.19~ (2015)
  90. Mueser, K. T., "Illness management and recovery : A review of the research", Psychiatric Services, 53, pp.1272~1284 (2002)
  91. Murray, G., "Adjuctive psychosocial interventions for bipolar disorder: Some psychotherapeutic context for the Canadian Network for Mood and Anxiety Treatments (CANMAT) & International Society for Bipolar Disorders (ISBD) guidelines", Bipolar Disorders, 20, pp.494~495 (2018)
  92. National Collaborating Centre for Mental Health, UK, "Bipolar disorder: The NICE guideline on the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care", British Psychological Society and the Royal College of Psychiatrists, 389~ (2014)
  93. Oud, M., "Psychological interventions for adults with bipolar disorder : Systematic review and metaanalysis", British Journal of Psychiatry, 208, pp.213~222 (2016)
  94. Parikh, S. V., "A randomized controlled trial of psychoeducation or cognitive-behavioral therapy in bipolar disorder : A Canadian Network for Mood and Anxiety treatments(CANMAT)study", Journal of Clinical Psychiatry, 73, pp.803~810 (2012)
  95. 박재우, "심리적 행동주의 이론에 입각한 양극성 장애 인지 행동 치료 프로그램의 개발과 효과", 박사, 심리학과 임상심리학전공, pp.2013
  96. 박태영, "양극성장애를 겪고 있는 딸에 대한 가족치료 사례연구 : 가족상호작용방식을중심으로", 가족과 가족치료, 21(2), pp.147~176 (2013), 한국가족치료학회[DOI]
  97. Perich, T., "The association between meditation practice and treatment outcome in mindfulness-based cognitive therapy for bipolar disorder", Behaviour Research and Therapy, 51, pp.338~343 (2013)
  98. Perry, A., "Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment", Bmj, 318, pp.149~153 (1999)
  99. Pini, S., "Prevalence and burden of bipolar disorders in European countries", European Neuropsychopharmacology, 15, pp.425~434 (2005)
  100. Prien, R. F., "Drug therapy in the prevention of recurrences in unipolar and bipolar affective disorders : Report of the NIMH Collaborative Study Group comparing lithium carbonate, imipramine, and a lithium carbonate-imipramine combination", Archives of General Psychiatry, 41, pp.1096~1104 (1984)
  101. Prien, R. F., "National Institute of Mental Health workshop report on the treatment of bipolar disorder", Biological Psychiatry, 40, pp.215~220 (1996)
  102. Rea, M. M., "Family-focused treatment versus individual treatment for bipolar disorder : Results of a randomized clinical trial", Journal of Consulting and Clinical Psychology, 71, pp.482~ (2003)
  103. Reinares, M., "Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission : A randomized controlled trial", Bipolar Disorders, 10, pp.511~519 (2008)
  104. Reinares, M., "Psychosocial interventions in bipolar disorder : What, for whom, and when", Journal of Affective Disorders, 156, pp.46~55 (2014)
  105. Rowland, T. A., "Epidemiology and risk factors for bipolar disorder", Therapeutic Advances in Psychopharmacology, 8, pp.251~269 (2018)
  106. Sachs, G. S., "Rationale, design, and methods of the systematic treatment enhancement program for bipolar disorder(STEP-BD)", Biological Psychiatry, 53, pp.1028~1042 (2003)
  107. Salcedo, S., "Empirically supported psychosocial interventions for bipolar disorder : Current state of the research", Journal of Affective Disorders, 201, pp.203~214 (2016)
  108. Scott, J., "A pilot study of cognitive therapy in bipolar disorders", Psychological Medicine, 31, pp.459~467 (2001)
  109. Scott, J. A. N., "Cognitive–behavioural therapy for severe and recurrent bipolar disorders : Randomised controlled trial", British Journal of Psychiatry, 188, pp.313~320 (2006)
  110. Segal, Z. V., "Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse" (2002), Guilford Press
  111. Solomon, D. A., "Preventing recurrence of bipolar I mood episodes and hospitalizations : Family psychotherapy plus pharmacotherapy versus pharmacotherapy alone", Bipolar Disorders, 10, pp.798~805 (2008)
  112. Stafford, N., "Purpose and effectiveness of psychoeducation in patients with bipolar disorder in a bipolar clinic setting", Acta Psychiatrica Scandinavica, 127, pp.11~18 (2013)
  113. Swartz, H. A., "A randomized pilot study of psychotherapy and quetiapine for the acute treatment of bipolar II depression", Bipolar Disorders, 14, pp.211~216 (2012)
  114. Sylvia, L. G., "Psychosocial interventions : Empirically-derived treatments for bipolar disorder", Current Psychiatry Reviews, 4, pp.108~113 (2008)
  115. Van Dijk, S., "A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder", Journal of Affective Disorders, 145, pp.386~393 (2013)
  116. Vieta, E., "Improving treatment adherence in bipolar disorder through psychoeducation", The Journal of Clinical Psychiatry, 66, pp.24~29 (2005)
  117. Williams, J. M. G., "Mindfulness-based cognitive therapy(MBCT)in bipolar disorder : Preliminary evaluation of immediate effects on between-episode functioning", Journal of Affective Disorders, 107, pp.275~279 (2008)
  118. Woods, S. W., "The economic burden of bipolar disease", The Journal of Clinical Psychiatry, 61, pp.38~41 (2000)
  119. Yatham, L. N., "Canadian Network for Mood and Anxiety Treatments(CANMAT)and International Society for Bipolar Disorders(ISBD)2018 guidelines for the management of patients with bipolar disorder", Bipolar Disorders, 20, pp.97~170 (2018)
  120. Zaretsky, A., "Is cognitive-behavioural therapy more effective than psychoeducation in bipolar disorder?", The Canadian Journal of Psychiatry, 53, pp.441~448 (2008)

관련 논문AI추천

양극성 장애 심리사회적 개입에서 최근 발전현황의 탐색적 고찰김빛나, 임영진한국재활심리학회 · 재활심리연구2022 · 제29권 제2호우울증, 양극성 장애, 자살행동, 비자살성 자해의 근거기반 심리치료: 현 상태와 미래의 방향권정혜한국임상심리학회 · Korean Journal of Clinical Psychology2019 · 제38권 제4호우울증의 근거기반치료에 대한 고찰권호인, 김지인한국임상심리학회 · Korean Journal of Clinical Psychology2019 · 제38권 제4호양극성 장애에서 1형과 2형 환자 간의 임상 양상 비교노지혜, 박동연, 박해정, 백지현, 이동수, 최정미, 최지선, 홍경수대한신경정신의학회 · 신경정신의학2009 · 제48권 제4호양극성 장애 환자의 첫 삽화에 따른 임상적 특징유빈, 이은, 김세주, 김윤기, 석정호, 전덕인, 조현상대한신경정신의학회 · 신경정신의학2007 · 제46권 제4호양극성 장애 자가치료 프로그램개발을 위한 예비연구:아증후군적 조증 집단을 대상으로김수현, 이서영, 최승원이화사회과학원 · 사회과학연구논총2019 · 제35권 제1호

이 간행물의 다른 논문 (7건)

The Effect of Binge Eaters’ Anger Regulation Training on Attentional Bias and Caloric Intake이장한, 신은해, 이은지pp. 349-356일상적 우울이 임상적 우울로 발전하는 경로에 대한 모형탐색이순묵, 김종남, 채정민, 최승원, 김아란, 이유진, 이혜림, 서동기pp. 357-368맥락이 사회불안의 사회적 유능성 인식에 미치는 영향최성영, 양재원pp. 369-381우울증, 양극성 장애, 자살행동, 비자살성 자해의 근거기반 심리치료: 현 상태와 미래의 방향권정혜pp. 382-387우울증의 근거기반치료에 대한 고찰김지인, 권호인pp. 388-399
원문 보기