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초기 정신증 환자에서 병전 외상력에 따른 증상, 기능과 예후의 차이Differences in Symptoms, Functions, and Their Outcomes According to the Degree of Trauma in Patients with Early Psychosis

Other Titles
Differences in Symptoms, Functions, and Their Outcomes According to the Degree of Trauma in Patients with Early Psychosis
Authors
문서영윤지애이규영박염홍김성완이봉주이승환김정진원승희김승현강시현김의태정영철유제춘
Issue Date
2020
Publisher
대한신경정신의학회
Keywords
Trauma · Psychosis · Psychotic symptoms · Social and occupational functioning.
Citation
신경정신의학, v.59, no.3, pp.228 - 235
Indexed
KCI
OTHER
Journal Title
신경정신의학
Volume
59
Number
3
Start Page
228
End Page
235
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/33809
DOI
10.4306/jknpa.2020.59.3.228
ISSN
1015-4817
Abstract
Objectives There has been growing interest in the relationship between mental illness and premorbid trauma recently. The purpose of this study was to examine the difference in symptoms, functions, and their outcomes according to the degree of trauma in patients with early psychosis. Methods The study involved 226 people who participated in the Korean Early Psychosis Cohort Study, and we divided the participants into two groups according to the degree of trauma. Positive and Negative Syndrome Scale (PANSS) and Social and Occupational Functioning Assessment Scale (SOFAS) were compared at the start of the study and at 12 months after the treatment using paired t-test and repeated measures analysis of variance. Results At the beginning of the study, there was no significant difference between the two groups. But after 12 months of treatment, the high trauma group showed less improvement in PANSS negative score, general psychopathological score, total score, and SOFAS than the low trauma group. Conclusion In patients with early psychosis and at least moderate severity of premorbid trauma, negative symptoms, general psychopathological, and social and occupational functional improvements after treatment are less.
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Guro Hospital (Department of Psychiatry, Guro Hospital)
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