精神科에 來院한 學生患者 = A Clinical Study on Student Patients with emotional Disorders

국문 초록 (Abstract)

中高等 및 大學生들의 情緖障碍를 일으키는데 관여하는 力動的 要因을 찾아보기 위하여, 1973年 부터 1976年까지 4年 동안 慶北醫大附屬病院 및 大邱東山 基督病院 外來에 來院한 學生患者中 functional mental disorder로 診斷된 男女 197名의 患者를 對象으로 이들의 臨床資料를 調査分析하였던바 그 結果를 要約하면 아래와 같다.
全患者中 高等學生이 52%로 가장많고 大學生 34%中學生 14%의 順이었으며 男學生이 女學生 보다5倍나 많았다.
中, 高等學生은 高學年 患者가 低學年 患者보다 많았으나 大學生은 新入生患者가 高學年患者 보다 더 많았다.
來院한 季節別로 보면 3월에서 5월사이의 學年初가 제일 많았고 學年末에 갈수록 적었다.
診斷別로는 神經症이 48%로 가장 많고 다음이 精神病 35%, 精神生理障碍나 人格障碍등은 10%미만이었다.
發病後 來院 까지의 期間이 1年以上인 경우가 47%나 되었고 來院後 治療를 권고해도 이를 받아들이지 않고 follow-up이 안된 患者가 63%나 되었으며 이것은 上級學校에 갈수록 심했다.
神經症群에서는 學習과 관계되는 頭痛, 注意集中 곤란, 기억장애등이 가장 빈번한 主症狀이 였으며 精神病群에서는 行動障碍와 思考障碍, 그중에서 with-drawal이 제일 많은 증상이었다.
死別, 離婚, 別居, 再婚等 父母의 결혼生活에 異常이 있는 患者가 全體의 34%나 됐고 精神病群에서는 44%에 達했다.
精神醫學的 面談을 통해 情緖障碍의 發病에 가장 중요한 力動的 要因으로 생각되는 문제로는 患者에 대한 父母의 잘못된 태도가 50%로 가장 많고, 그중에서 부모의 지나친 기대 때문에 환자가 부담을 느끼고 發病한 경우가 가장 많았다.

다국어 초록 (Multilingual Abstract)

In order to clarify the factors contributing to mental disorders of students, the clinical data were analysed on a group of 197 junior high and senior high student and college student patients diagnosed as functional mental disorders, who visited outpatient psychiatric department of Kyungpook National University Hospital and Taegu Dongsan Presbyterian Hospital during the period of 1973-1976.
Results were summarized as followings:
Fifty two percent of the study group were senior high school student, and 34% college students, 14% junior high school students, and the ratio of male to female was 5：1.
Among junior high and senior high student patients, higher graders were larger in number, however, freshmen outnumbered juniors or seniors in college student patients.
Visits of student patients were most frequent at the beginning of the school year, but less frequent towards the end of the school year.
Forty eight percent of total cases were classified as neurosis, 35% as psychosis, 10% as psychophysiologic disorder, and eight percent as other diagnosis.
The duration of visting clinic after onset of symptom manifestation was quit long. i.e. for 47% of total cases, it took more than one year to come.
In the neurotic group, the most common chief complaint was headache, and next was difficulty in concentration and forgetfulness relating to schoolwork, but in psychotic group, bizarre behaviors and thought disturbances were more common.
Sixty three percent of total cases made no follow-up visit after their initial interview, only 11 percent visited more than four times.
Fewer college students willingly accepted a proposal for psychiatric treatment than junior high and senior high students.
Abnormal marital status of parents such as bereavement, divorce, separation, remarriage, and marital discord were seen in 34% of total cases.
Parents' morbid attitude towards students, especially emotional burden caused by parents' overexpectancy, seemed to be the most signigicant factor comtiributing to emotional breakdown.