Journal of the Korean Academy of Child and Adolescent Psychiatry
- Volume 11 Issue 1
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- Pages.124-143
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- 2000
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- 2233-9183(eISSN)
A SURVEY OF THE PSYCHOSIS AMONG SCHOOL VIOLENCE VICTIMS
학교폭력 피해자의 정신병 실태 조사
- Kwon, Seok-Woo (Department of Neuropsychiatry, Seoul National University Hospital) ;
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Shin, Min-Sup
(Division of Child & Adolescent Psychiatry, Seoul National University Children's Hospital) ;
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Cho, Soo-Churl
(Division of Child & Adolescent Psychiatry, Seoul National University Children's Hospital) ;
- Shin, Sung-Woong (Division of Child & Adolescent Psychiatry, Seoul National University Children's Hospital)
- 권석우 (서울대학교병원 신경정신과) ;
-
신민섭
(서울대학교 어린이병원 소아청소년정신과) ;
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조수철
(서울대학교 어린이병원 소아청소년정신과) ;
- 신성웅 (서울대학교 어린이병원 소아청소년정신과)
- Published : 2000.06.30
Abstract
Objectives:The primary purpose of this study is to understand the psychopathology of the victims of school violence in terms of early psychosis. By doing this, the early detection of psychosis among the victims is possible, and early detection may lead to early intervention. Methods:Two-thousand and nine-hundred seventy two students from 16 middle schools in Seoul were asked to fill out questionnaire comprised of popularity and intellectual and school status of Piers-Harris Children's Self Concept Inventory, Symptom Check List-90-Revised, and Ostracism Scale. The subjects whose scores upon Ostracism Scale were higher than average by two standard deviation were labeled as ‘Repelled and Isolated group', and subjects whose scores on popularity were significantly lower than average and whose scores on psychoticism of SCL-90-R were higher than average were defined as 'tentative early psychosis group'. Odds ratios were calculated from the numbers of subjects with and without high psychoticism scores and high ostracism scores. On the subjects of 'tentative early psychotic group', we examined every clinical characteristic and conducted correlation analysis and regression analysis in order to find out the risk factors and to construct theoretical model that explains the psychoticism scores. Results:The results were as follows:1) Total 157(5.3%) subjects were rated significantly higher on ostracism scale, and among them, 47 subjects(29.9%) were rated significantly higher than average on psychoticism scale, while only 50 subjects among 2,135 students who were rated within normal range showed significantly higher score on psychoticism scale. Odds ratio for psychotic group of isolated group were 17.82 and it was statistically significant. 2) Forty-seven subjects(31 boys, 16 girls) who were rated as they were unpopular and rejected from peers had significantly higher psychoticism scores. They were not significantly different from simply high psychoticism subjects in anxiety, social anhedonia scale, magical thinking, obsessivecompulsive symptoms, phobic anxiety, psychoticism, somatization, but showed higher ostracism scores and paranoid tendencies. Among school violence victims, who rated themselves unpopular and showed higher psychoticism scores, the psychoticism scores were mainly explained by anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization scales(
본 연구는 학교폭력의 피해자를 대상으로 정신병리에 대한 특성을 알아내고, 조기 정신병과의 관계를 규명함을 기본 목적으로 시행되었다. 더 나아가서는 조기정신병의 발견과 아울러, 조기 치료를 시행함으로써 심각한 정신병의 예방을 도모하고자 하였다. 서울시 전 구역 중 16개 중학교를 선정하여 중학교 1, 2학년 남