COMPARISON OF DEMOGRAPHIC, CLINICAL, PSYCHOLOGICAL CHARACTERISTICS BETWEEN CHILDHOOD AND ADOLESCENT-ONSET SCHIZOPHRENIA

소아기 발병 및 청소년기 발병 정신분열병 환아의 인구학적, 임상적, 심리학적인 특성

  • Chungh Dong-Seon (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Lim Myung-Ho (Department of Neuropsychiatry, Bundang seoul National University Hospital) ;
  • Kim Soo-Kyoung (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Jung Gwang-Mo (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Hwang Jun-Won (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Kim Boong-Nyun (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Shin Min Sup (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Cho Soo-Churl (Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University) ;
  • Hong Kang-E (Department of Neuropsychiatry, College of Medicine, Dankook University)
  • 정동선 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 임명호 (단국대학병원 신경정신과) ;
  • 김수경 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 정광모 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 황준원 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 김붕년 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 신민섭 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 조수철 (서울대학교 의과대학 신경정신과학교실(소아청소년분과)) ;
  • 홍강의 (분당서울대학교병원 신경정신과)
  • Published : 2005.09.01

Abstract

Objectives : This study was designed to compare the demographic data, clinical characteristics, developmental delay, and psychological tests between childhood-onset and adolescent-onset schizophrenic in-patients. Methods Medical records of the 17 childhood-onset (very early onset) Schizophrenia and 16 adolescent-onset (early onset) Schizophrenia in-patients were reviewed. Sex, age, psychiatric past history, prodromal symptoms and period, subtype, co-morbid disease, developmental delay, prescribed drug and dosage, treatment response, intelligence quotient (IQ), and Rorschach test were evaluated. Results : The mean admission age of childhood-onset (very early onset) group and adolescent-onset (early onset) group were 12.69$({\pm}2.34)$ and 15.13$({\pm}1.04)$ years. The mean onset age of childhood-onset(very early onset) group and adolescent-onset (early onset) group were 10.79$({\pm}1.95)$ and 14.46$({\pm}0.82)$ years. The mean prodromal period of childhood-onset (very early onset) group and adolescent-onset (early onset) group were 15.94$({\pm}12.33)$ and 8.06$({\pm}6.10)$ month. The time to remission period of childhood-onset (very early onset) group and adolescent-onset (early onset) group were 50.58$({\pm}24.67)$ and 30.06$({\pm}18.04)$ days. Longer time to remission period in childhood-osnet (very early onset) group was associated with earlier age of onset. The mean of total IQ, performance IQ, verbal IQ were at an average level. Discussion : Childhood-onset (very early onset) group and adolescent-onset (early onset) group Schizophrenia had different clinical and psychological features including prodromal period, and IQ subtests.