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精神科에 來院한 學生患者

A Clinical Study on Student Patients with Emotional Disorders

경북의대잡지 1977년 18권 2호 p.337 ~ 351
윤석하,
소속 상세정보
윤석하 (  ) - 경북대학교 의과대학 신경정신과교실

Abstract


In order to clarify the factors contributing to mental disorders of students, the clinical data. were ar.~alysed on a group of 197 junior high and senior high student and college student patients. diagnos<;d as functional mental disorders, who visited outpatient psychiatric department of $yungpook 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 students, and 34% college stud-ents, 14% junior high school students, and the ratio of male to female was 5 : 1.
Among junior high and senior high student patient:,, 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 visiting clinic after onset of symptom manifestation was quite long, i. e. for 47% of total cases, it took more than one year to come.
In the neurotic groin, the most common chief complaint was headache, and next was difficulty in concentration and forgetfulness relating to schoolwork, but in psychotic groua, 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 t;ian four times.
Fewer college students willingly accepted a proposal for psychiatric treatment than junior high and senior high students.
Abnormal m~.rital 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 significant factor comtiributing to emotional breakdown.

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