• 생물정신의학
• /
• 제15권4호
• /
• pp.297-302
• /
• 2008

Objectives : The purpose of this study is to investigate whether the ability of facial affect perception is associated with schizotypal personality traits in healthy normal controls. Methods : 241 normal subjects were recruited in this study. The age range of all subjects was from 19 to 63 years. The schizotypal personality questionnaire(SPQ) and facial affect identification test(FAIT), which were developed and standardized in Korea, were applied. Subjects from high 1 standard deviation(H group, N=40) and low 1 standard deviation(L group, N=26) on SPQ score were compared. Results : We found that the H group showed significantly reduced ability on the correctness of sadness and neutral compared with the L group. But, no significant association between SPQ and intensity or reaction point was observed in all subjects. Conclusion : This study suggests the individuals with high schizotypal personality trait have impairments on the facial affect identification. Also, these findings may provide the reasonable explanation of social cognition deficit of schizotypal personality disorder.

• 정신신체의학
• /
• 제5권1호
• /
• pp.43-51
• /
• 1997

This study was conducted to identify the relationships between personality disorders/traits and somatoform disorders. After the patients were screened through self-rated SCID-II Questionnaire(Structured Clinical Interview for DSM-III-R, Questionnaire), the researcher got psychiatric history, performed clinician-rated SCID-P(Structured Clinical Interview for DSM-III-R, Patient Edition), classified and diagnosed mental disorders with SCID-P, and evaluated SCID-II(Structured Clinical Interview for DSM-III-R, Personality Disorders) by direct interview. The prevalencies of avoidant, obsessive-compulsive, schizotypal, narcissistic, paranoid, dependent, self-defeating, borderline personality disorders/traits in patients with somatoform disorders were diagnosed as 67.4%, 48.8%, 44.2%, 41.9%, 37.2%, 34.9%, 34.9%, 32.6%, respectively. The frequencies of self-defeating and schizotypal PD/traits were significantly higher than those of other neurotic control group. The results of this study could be regarded as replicating the results of previous studies that had reported most of all patients with somatoform disorder had presented with personality disorders/traits. This study, however, showed that the patients with somatoform disorders accompanied not with any specific types of personality disorders/traits but with various types of personality disorders/traits, which was much different from the previous usual clinical impressions. Thus, it is necessary for clinicians to approach the patients with somatoform disorders through more flexible and more supportive methods and attitude, in order that they should treat them more effectively.

• 인지과학
• /
• 제28권1호
• /
• pp.1-26
• /
• 2017

본 연구는 청각 oddball 방안, 사건관련전위와 sLORETA를 사용하여 조현형 인격 성향을 가지는 대학생의 P300 신호원을 조사하였다. 또한 P300 신호원의 전류밀도와 조현병 증상간의 관계를 조사하였다. Schizotypal personality questionnaire(SPQ)의 점수에 근거하여 조현형 인격성향군(n=37)과 정상통제군(n=42)을 선정하였다. P300은 자주 제시되는 표준 자극(1000Hz)과 드물게 제시되는 목표 자극(1500Hz)으로 구성되는 청각 oddball 과제를 사용하여 측정하였으며, 참여자들은 목표 자극이 몇 번 제시되었는지 횟수를 세어 실험 후 보고하는 것이 요구되었다. 행동분석 결과, Oddball 과제의 정확률에서는 두 집단 간 유의한 차이가 관찰되지 않았다. 사건관련전위를 분석한 결과, 조현형 인격성향군이 정상통제군에 비해 유의하게 감소된 P300 진폭을 보였다. P300의 신호원을 추정하기 위하여 sLORETA를 사용하여 분석한 결과, 두 집단 모두에서 좌우반구 전두엽, 두정엽, 측두엽, 후두엽에 분포되어 관찰되었다. 두 집단의 P300 신호원의 전류밀도를 비교한 결과, 조현형 인격성향군이 정상통제군에 비해 좌반구 상측두회와 우반구 중측두회에서 감소된 활성화를 보인 반면 좌반구 하전두회와 우반구 상전두회에서는 활성화 증가를 보였다. 이에 덧붙여, 조현형 인격성향군에서 우반구 상전두회의 전류밀도와 SPQ의 와해 점수 사이에 부적 상관이 관찰되었다. 이러한 결과는 P300 신호 원인 전두 및 측두 영역의 이상을 조현병 환자뿐만 아니라 경미한 증상을 가지고 있는 조현형 인격성향군도 가지고 있음을 시사한다. 이에 덧붙여 본 연구 결과는 조현병 고위험군의 선별에 사용되는 SPQ의 경우 총점보다는 와해 점수가 고위험군의 선별에 더 유용하게 사용될 수 있음을 시사한다.

• 동의신경정신과학회지
• /
• 제23권4호
• /
• pp.123-132
• /
• 2012

Objectives : This study aims to investigate the correlation between the characteristics of personality on MMPI scale, and the siblings relation, number of current family living with, gender and age of the Oriental Medical University students. Methods : For this study, we carried out the MMPI profiling and gathered information regarding the sibling relation of the subjects. We studied the correlation between the two measures, and the correlation between MMPI scales and the subjects' gender and age. Results : 1. The group without siblings had higher STY figures then the groups with siblings. 2. There was no significant differences in MMPI profiles among the only child group, first-born group, second-born group, and third-born group. 3. The married group showed higher Pd, Pt, Sc, BDL figures than the unmarried group. 4. As the number of family members currently living with increased, the BDL and STY figures decreased. 5. The male group had higher Hs, Hy, Pa, Ma, NAR, BDL, ANT, CPS, PAR, and SZD figures, while the female group had higher D, Pd, Mf, Pt, HST, PAG, and DEP figures. 6. As the subjects' age increased, the figure of Hs, D, Pt, Sc, Si, AVD, and SZD increased, while the HST figure decreased. Conclusions : By the above results, we can assume that the sibling relations and the order one is born in the family does not affect one's personality much in grown-ups; whereas the gender and age affect the personality.

• 정신신체의학
• /
• 제4권1호
• /
• pp.79-84
• /
• 1996

We have studied 16 patients diagnosed of social phobia among the hospitalized patients for 1 year, from September 1994 to August 1995, to evaluate whether serial phobic symptoms are the prodromal symptoms of the other psychiatric disorder or concomitant disorder. The results were as follows; 1) In the subject of this study, the mean age of onset of social phobic symptoms was 17.3, and the mean age of inital hospital visit was 27.4. 2) The proportion of offensive type was higher than the simple type : 7 cases of the subjects classified as simple type, 9 cases as offensive type. 3) According to the type of social phobia, they developed different type of psychiatric disorder. Majority of patients with simple type had final diagnosis of mood disorder. Patients with offensive type had schizophrenia spectrum disorder, such as schizophrenia, delusional disorder, and schizophrenia, personality disorder. 4) Social phobic symptoms have taken various courses according to the final diagnosis. In the patients who developed major depression and delusional disorder, social phobic symptoms have not been changed during the course. Patients with the final diagnosis of schizophrenia and schizotypal personality disorder have showed various social phobic symptoms. In the patients with the final diagnosis of bipolar disorder, their social phobic symptoms disappeared with improvement of depression.

• 정신신체의학
• /
• 제3권2호
• /
• pp.139-146
• /
• 1995

공황장애 환자에서 동반되는 인격장애의 양상을 조사하고, 인격장애 특성의 과다(過多)에 따른 공황증상의 심각도, 만성도, 전반적인 정신병리의 차이를 알아보고자 자기보고형 측정도구인 Personality Disorder Questionnaire-Revised(PDQ-R)와 간이 정신상태검사(SCL-90-R)를 이용하여 조사하였다. 대상은 전형적인 공황장애 환자 45명과 성별. 나이, 교육정도를 조합한 건강대조군 45명이었으며 이들에게 PDQ-R을 실시하여 공황장애 환자군과 대조군의 인격장애 양상을 비교 조사하였다. 또한 공황장애 환자만을 대상으로 공황증상의 심각도와 함께 SCL-90-R로 인격장애 동반여부에 따른 증상의 차이를 조사하여 다음과 같은 결과를 얻었다. 1) 공황장애 환자들은 대조군에 비하여 전체 PDQ-R점수가 유의하게 높게 나타나 차이가 있었다. 공황장애군은 대조군에 비하여 편집성, 의존성, 회피성 인격의 특징과 함께 반사회성, 경계성 경향을 나타내었다. 2) PDQ-R총점이 높은 집단과 낮은 집단 사이에 광장공포증상과 불안증상이 유의한 차이가 있었으나, 공황발작 빈도, 공황증상의 최근 심각도, 공포증상으로 인한 사회적 기능장애, 만성도 여부, 광장공포증 때 회피 및 공포증상의 정도에는 차이가 없었다. 3) SCL-90-R을 이용하여 동반증상을 알아본 결과 PDQ-R총점이 높은 군은 낮은 군에 비하여 모든 증상 항목이 의미 있게 높게 나타났다. 이러한 본 연구의 결과는 PDQ-R을 이용한 인격장애 측정시 동반증상이 영향을 미쳐 혼합되어 나타났을 가능성을 고려해야 하겠으며 앞으로 더욱 체계적인 조사방법과 함께 추적조사를 통하여 치료에 따른 인격장애의 변화를 관찰해야 하겠다.