본문 바로가기
KERD
논문KCI 등재

국립법무병원에서 입원 치료중인 조울병 환자들의 성별에 따른 특성에 대한 연구

Gender-Dependent Characteristics of Bipolar Patients in the National Forensic Psychiatric Hospital

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류기타의약학

초록

Forty patients (20 male and 20 female) diagnosed with bipolar disorder voluntarily participated in this study. For each patient, questionnaire and computerized objective data, obtained from involved doctors, nurses, psychologists, prosecutors, and the hospital information system, were collected after receiving the patients’written consent. When a patient’s answers diverged greatly from computerized data (i.e., onset age, history of criminal prosecution and re-hospitalization), computerized data were given priority. Immediately after the authors collected the questionnaires, any personal identifying information was replaced by random numbers to prevent bias and protect privacy. Statistical analysis was performed using SPSS version 20.0 for MS Windows. Comparative items on questionnaires were evaluated by paired t test and chi square test. Male patients were found to have a higher recidivism rate than female patients (P<0.05). Female patients reported more trauma history (P<0.05), bipolar type II diagnoses (P<0.05), and suicide attempts (P<0.01) than male patients. There was no statistically significant difference between male and female patients for Intelligence Quotient (IQ) or for 13 of the Minnesota Multiphasic Personality Inventory (MMPI) subscales.

Abstract

Forty patients (20 male and 20 female) diagnosed with bipolar disorder voluntarily participated in this study. For each patient, questionnaire and computerized objective data, obtained from involved doctors, nurses, psychologists, prosecutors, and the hospital information system, were collected after receiving the patients’written consent. When a patient’s answers diverged greatly from computerized data (i.e., onset age, history of criminal prosecution and re-hospitalization), computerized data were given priority. Immediately after the authors collected the questionnaires, any personal identifying information was replaced by random numbers to prevent bias and protect privacy. Statistical analysis was performed using SPSS version 20.0 for MS Windows. Comparative items on questionnaires were evaluated by paired t test and chi square test. Male patients were found to have a higher recidivism rate than female patients (P<0.05). Female patients reported more trauma history (P<0.05), bipolar type II diagnoses (P<0.05), and suicide attempts (P<0.01) than male patients. There was no statistically significant difference between male and female patients for Intelligence Quotient (IQ) or for 13 of the Minnesota Multiphasic Personality Inventory (MMPI) subscales.

참고문헌 (18)

  1. Kim JH, "Female and bipolar disorder: bipolar disorder", pp.255~271 (2009), Sigma Press
  2. Andreoli SB, "Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil", PLoS One, 9, pp.e88836~ (2014)
  3. Stanczakowa T., "The course of affective disorders in different periods of life", Psychiatr Pol, 27, pp.655~666 (1993)
  4. Crump C, "Comorbidities and mortality in bipolar disorder: a Swedish national cohort study", JAMA Psychiatry, 70, pp.931~939 (2013)
  5. Cosgrove KP, "Evolving knowledge of sex differences in brain structure, function, and chemistry", Biol Psychiatry, 62, pp.847~855 (2007)
  6. Lombardo LE, "Trait impulsivity as an endophenotype for bipolar I disorder", Bipolar Disord, 14, pp.565~570 (2012)
  7. Hidalgo-Mazzei D, "Comorbid bipolar disorder and borderline personality disorder and substance use disorder", J Nerv Ment Dis, 203, pp.54~57 (2015)
  8. Christopher PP, "Prevalence of involvement in the criminal justice system during severe mania and associated symptomatology", Psychiatr Serv, 63, pp.33~39 (2012)
  9. Friedman SH, "Gender differences in criminality: bipolar disorder with co-occurring substance abuse", J Am Acad Psychiatry Law, 33, pp.188~195 (2005)
  10. Fovet T, "Individuals with bipolar disorder and their relationship with the criminal justice system: a critical review", Psychiatr Serv, 66, pp.348~353 (2015)
  11. Lee GS, "A forensic psychiatric study for substance-related offenders", Korean J Leg Med, 25, pp.6~11 (2001)
  12. Freeman TW, "A doubleblind comparison of valproate and lithium in the treatment of acute mania", Am J Psychiatry, 149, pp.108~111 (1992)
  13. Swann AC, "Depression during mania. Treatment response to lithium or divalproex", Arch Gen Psychiatry, 54, pp.37~42 (1997)
  14. Park WM, "Clinical neuropsychopharmacology", pp.336~354 (2014), Sigma Press
  15. Biederman J, "Absence of gender difference in pediatric bipolar disorder: findings from a large sample of referred youth", J Affect Disord, 83, pp.207~214 (2004)
  16. Leverich GS, "Early physical and sexual abuse associated with an adverse course of bipolar illness", Biol Psychiatry, 51, pp.288~297 (2002)
  17. Arnold LM., "Gender differences in bipolar disorder", Psychiatr Clin North Am, 26, pp.595~620 (2003)
  18. Park WM, "Textbook of bipolar disorders", pp.348~ (2014), Sigma Press

관련 논문AI추천

양극성 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 제4호일 대학병원을 방문한 경계성 인격장애 환자의 성별에 따른 임상양상, 심리특성 및 방어기제의 차이구본훈, 문보영, 송신호, 이준엽, 이혜림, 정진영한국정신분석학회 · 정신분석2011 · 제22권 제1호양극성 장애 환자와 정상인에서 계절성의 양상과 관련 요인 탐색김지선, 남희정, 노지혜, 백지현, 이동수, 최정미, 최지선, 홍경수대한생물정신의학회 · 생물정신의학2010 · 제17권 제3호Clinical Characteristics and Psychotropic Drug Prescription Patterns of Bipolar Disorder Patients with a History of Suicidal Attempts: Findings from the REAP-BD, Korea이정구, Chay-Hoon Tan, Dong-Woo Lee, Joonho Choi, Joon Hyuk Park, Kiwon Kim, Naotaka Shinfuku, Ok-Jin Jang, Seon-Cheol Park, Seung-Gon Kim, Shih-Ku Lin, Yong Chon Park대한신경정신의학회 · PSYCHIATRY INVESTIGATION2019 · 제16권 제6호Clinical Characteristics of Non-Suicidal Self-Injury and Suicide Attempts among Psychiatric Patients in Korea: A Retrospective Chart Review김소정, 성요안나, Seok Hyeon Kim, Yubeen Bae대한신경정신의학회 · PSYCHIATRY INVESTIGATION2020 · 제17권 제4호

이 간행물의 다른 논문 (6건)