정신분열병 환자에서 인지기능의 감퇴와 정신병리와의 관련성
The Relationship Between Intelligence Decline and Psychopathology in Schizophrenic Patients
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목 적 성인 정신분열병 환자들을 대상으로 지적 능력의 변화 수준과 정신병리 의 심각도 사이의 관계를 알아보기 위해 시행하였다. 방 법 20세 이상의 정신분열병 환자 67명을 대상으로 K-WAIS을 시행하였으며, 추정된 병전 지능과의 차이를 구해 두 군으로 분류하였다. 두 군에서 시행한 MPI, SCL-90-R을 비교하였다.
Abstract
Objectives：The purpose of this study was to investigate the relationship between intellectual decline and severity of psychopathology in the participants of adult schizophrenia. Methods：At first, K-WAIS was conducted in 67 participants. The participants were divided into two groups according to the differences between full scale IQ and estimated premorbid IQ. MMPI and SCL-90-R were comparedto these two groups. Results：In a group of severely impaired group(SIG), the scores of somatization, obsession-compulsion, interpersonal sensitivity, depression, hostility, phobic anxiety, paranoid ideation, and psychoticism subscales in SCL-90-R were significantly higher than mildly impaired intelligence group(MIG). In the scores of MMPI, F, masculinityfemininity, paranoia, psychasthenia, schizophrenia, and hypomania subscales were significantly higher in SIG than those of MIG. Conclusion：Psychopathology of the patients with SIG was more severe than the participants with MIG and the distress level of the patients with SIG was also much higher than the participants with MIG.
참고문헌 (20)
- Haywood HC, "Moelis I. Effect of symptom change on intellectual function in schizophrenia. J Abnorm Soc Psychol 1963", pp.76~8
- Fibiger CH, "Huton GH. Neuropsycholo-gical patterns in chronic schizophrenia. J Nerv Ment Dis 1970", klo(f h), pp.291~300
- Gold S, "Longitudinal study of cognitive function in first-episode and recent-onset schizophrenia", 156, pp.1342~1348 (1999)
- Aylward E, "Bettes B. Intelligence of schiz-ophrenia. Schizophr Bull 1984", pp.430~59
- Bilder RM, "Lieberman JA. Intellectual deficits in first-episode schizophrenia Evidence for progressive deterioration. Schizophr Bull 1992", pp.437~48
- Goldberg TE, "et al. Contrasts between pati-ents with affective disorders and patients with schizo-phrenia on a neuropsychological test battery. Am J Psychiatry 1993", pp.1355~62
- Heinrichs RW, "Neurocognitive deficit in schizophrenia: Quantitative review of the evidences", 12, pp.426~445 (1998)
- Bedwell JS, "Why does postpsychotic IQ de-cline in childhood-onset schizophrenia?", 156, pp.1996~1997 (1999)
- "Ciompi L. Learning from outcome studies. Toward a comprehensive biological-psychosocial understanding of schizophrenia. Schizophr Res 198", pp.373~84
- Keefe RS, "et al. Characteristics of very poor outcome schizophrenia. Am J Psychiatry 1987", pp.889~95
- Chaplin R, "The impact of intellec-tual functioning on symptoms and service use in schiz-ophrenia", 50, pp.288~294 (2006)
- Rohling ML, "Depres-sive symptoms and neurocognitive test scores in pa-tients passing symptom validity test", 17, pp.205~222 (2002)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision", pp.297~317 (2000), American Psychiatirc Press, Washington, DC
- 김홍근, "병전 지능 추정의 허와 실", 18, pp.179~186 (2001)
- 김영환, ". 한국가이 던스" (1989)
- Derogatis LR, "A step in the validation of a new self-re-port scale. Br J Psychiatry 1976", pp.280~9
- 김재환, "의 한국판 표준화연구 III. 정신건강 연구 1984", pp.278~311
- 김중술, "다면적 인성검사", pp.96~120 (2004), 서울대학교출판부, 서울
- Boerger AR, "Lilly RS. Behavioral correlates of single scale MMPI code types. J Consult Clin Psychol 1974", pp.398~402
- Trimboli F, "Kilgore RB. A psychodynamic approach to MMPI interpretation. J Pers Assess 1983", pp.614~626