생물정신의학 (Korean Journal of Biological Psychiatry)

  • 제20권3호
  • /
  • Pages.80-85
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  • 2013
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  • 1225-8709(pISSN)
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  • 2005-7571(eISSN)
대한생물정신의학회 (The Korean Society of Biological Psychiatry)
권호 표지

조현병 입원 환자의 망상과 환각 : 1990년대와 2000년대의 비교

Patterns of Delusions and Hallucinations in Schizophrenia : Comparison between the 1990s and the 2000s

  • 정현진 (한양대학교 의과대학 및 의료원 정신건강의학교실) ;
  • 김대호 (한양대학교 의과대학 및 의료원 정신건강의학교실) ;
  • 오현영 (한양대학교 의과대학 및 의료원 정신건강의학교실) ;
  • 박용천 (한양대학교 의과대학 및 의료원 정신건강의학교실)
  • Jung, Hyun-Jin (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University) ;
  • Kim, Daeho (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University) ;
  • Oh, Hyun Young (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University) ;
  • Park, Yong-Chon (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University)
  • 투고 : 2013.04.26
  • 심사 : 2013.05.13
  • 발행 : 2013.08.31
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초록

Objectives Research suggests that content of delusion and hallucination in schizophrenia is influenced by culture and social environment. However, few studies investigated chronological change of delusions and hallucinations within a society. To investigate changes in delusions and hallucinations of schizophrenia according to time, we compared contents of symptoms between inpatients with schizophrenia at two different time frames. Methods All admissions to a psychiatric unit of Hanyang University Guri Hospital with discharge diagnoses of schizophrenia at two different five-year time frames (1996-2000 and 2006-2010) were reviewed. Using a checklist, adapted from the Scale for Assessment of Positive Symptoms, we investigated delusions and hallucinations of 247 patients (104 in the 1990s and 143 in the 2000s). Results Delusions and hallucinations of patients did not differ at two time frames. In women, however, auditory and somato-tactile hallucinations were significantly more frequent in the 1990s (p < 0.05). Conclusions Our findings support the literature emphasizing that content and frequency of hallucination may differ according to cultural environment. We speculate that attitude toward sex and defensiveness toward disclosure of symptoms may have contributed to interval difference.

키워드

참고문헌

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