• 한국국방경영분석학회지
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• 제34권3호
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• pp.93-105
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• 2008

최근 정신질환에 대한 사회적 편견이 감소하면서 이차성 이득(secondary gain), 즉 군복무 기피를 위한 목적으로 정신과적 증상을 호소하는 환자가 늘어나고 있다. 특히 객관적 진단도구가 없는 정신의학적 문제의 경우 환자의 주관적 증상호소와 의사의 전문적 판단이 실제 유일한 진단 기준이다. 본 논문에서는 데이터마이닝을 이용하여 과거 정신과 입원 환자들의 처방데이터 분석을 통해 의병전역 결정을 위한 객관적 기준을 제공하여 의무조사의 신속한 의사결정에 도움을 주고자 한다. 따라서 정신과 환자 처방분석을 통한 의병전역 결정지원 시스템을 제안한다.

• 동의신경정신과학회지
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• 제35권3호
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• pp.231-246
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• 2024

Objectives: To build basic clinical data for developing an artificial intelligence algorithm for Korean herbal prescriptions for anxiety, depression, anger, and insomnia. Methods: Subjects were recruited among those who reported mild or more severe symptoms of anxiety, depression, anger, and insomnia (Anxiety: State-Trait Anxiety Inventory≥40, Depression: Beck Depression Inventory≥14, Anger: State-Trait Anxiety Inventory≥16, Insomnia: Insomnia Severity Index≥8). Clinical observation items including basic medical information and symptoms were collected from them. These data were then analyzed by experts in Hyungsang medicine, Sasang constitutional medicine, and Sanghan-Geumgwe medicine. Results and Conclusions: Experts of the three societies presented key clinical data and recommended prescriptions. Results of this study can be used as basic data for developing an artificial intelligence algorithm for Korean herbal prescriptions in the future.

• 한국통신학회논문지
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• 제42권3호
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• pp.686-697
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• 2017

고령자들의 정신적/육체적 건강 유지를 위해 디지털 메디신 (Digitial Medicine)의 일환으로 일상에서의 운동 프로그램을 사용하는 시도가 다양하게 이루어지고 있다. 특히 웨이러블 기기에 부착된 센서를 활용한 운동 처방과 분석 방법은 IoT 기술을 헬스케어 분야에 적용시키는 대표적인 예로 제시된다. 본 연구에서는 현재 수원시 노인정신건강센터에서 운영하는 운동 프로그램에서 기존에 수기로 수집되고 작성되는 데이터 분석의 신뢰성을 개선하고 노인들의 운동 동기를 촉구하고자 스마트밴드와 BLE 스캐너 장치를 활용하여 IoT(Internet of Thing)기반 행동 인터벤션(intervention) 시스템을 구현한다. 실제 운동 처방과 운동 데이터 분석을 통해 행동 인터벤션 시스템을 테스트하여 데이터 수집과 분석의 무결성을 검증하고 시스템의 개발과 적용에 대한 일련의 과정을 제시한다.

• 생물정신의학
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• 제26권2호
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• pp.39-46
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• 2019

Antidepressants are widely used to treat depression in Korea, however, only a few studies have focused on the provider of the treatment. The aim of the study is to compare the differences between patients who were prescribed antidepressants by psychiatrists and those who were prescribed antidepressants by non-psychiatrists in South Korea. Patients with a diagnosis of depressive disorder who had been newly prescribed antidepressants in 2012 were selected from the Health Insurance Review and Assessment Service database. They were classified into two groups depending on whether they received the antidepressant prescription from a psychiatrist or non-psychiatrist. Sociodemographic, clinical, and depression related cost has been investigated. Treatment resistant depression, which is defined as a failure of two antidepressant regimens to alleviate symptoms, was also investigated. Prescription adequacy was assessed based on whether a regimen was maintained for at least 4 weeks. Among the 834694 patients with pharmaceutically treated depression (PTD) examined in this study, 326122 (39.1%) were treated by psychiatrists. Patients who were treated by psychiatrists were younger and had more psychiatric comorbidities than those treated by non-psychiatrists. They had longer PTD duration (229.3 days vs. 103.0 days, p < 0.05) and a larger proportion of treatment resistant depression (9.3% of PTD) when compared to those patients treated by non-psychiatrists. The patients treated by psychiatrists had a smaller proportion of inadequate antidepressant use compared to those patients in the non-psychiatrist group (44.5% vs. 65.1%, p < 0.05). The costs related to depression corrected with PTD duration were higher in the non-psychiatrist group (32214 won vs. 56001 won, p < 0.05). Patients who receive antidepressants from psychiatrists are patients with more severe, treatment-resistant depression. Psychiatrists prescribe antidepressants more adequately and cost- effectively than non-psychiatrists.