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조현병 스펙트럼 환자에서 정신건강복지법에 의한 입원형태에 영향을 미치는 요인에 대한 분석

Factors Affecting Admission Type in Patients with Schizophrenia Spectrum

신경정신의학 2019년 58권 3호 p.238 ~ 244
박영주 ( Park Young-Joo ) - 서울의료원 정신건강의학과

고민수 ( Ko Min-Soo ) - 은평병원 정신건강의학과
김가을 ( Kim Ka-Eul ) - 서울의료원 정신건강의학과
조경형 ( Jho Kyeong-Hyeng ) - 성안드레아병원 정신건강의학과
남희정 ( Nam Hee-Jung ) - 서울의료원 정신건강의학과

Abstract


Objectives: This study examined the admission type and its related factors among patients with psychotic disorders defined based on the revised mental health welfare law.

Methods: This study was conducted on a total of 100 patients diagnosed on the schizophrenia spectrum and other psychotic disorders. The admission type and sociodemographic characteristics were examined. Social support, psychopathology, excitement, insight, and social functioning were evaluated using the Social Support Scale, Positive and Negative Syndrome Scale (PANSS), PANSS excitement component, Brief Psychiatric Rating Scale, Global Assessment Functioning Scale, Strauss-Carpenter scale, Korean version of the Scale to Assess Unawareness of Mental Disorder, and Korean version of Beck Cognitive Insight Scale.

Results: The severity of psychotic symptoms, excitement, social functioning, and insight were significantly different between involuntary and voluntary admissions (p<0.05). Excitement and insight were found to be factors affecting the admission type (p<0.05).

Conclusion: Excitement and insight were factors mainly accounting for the admission type in patients with psychotic disorder. This study could be helpful in improving clinical decision-making and community mental health care.

키워드

Mental health welfare law; Admission type; Psychotic symptom; Insight
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