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논문 기본 정보

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학술저널
저자정보
Lim Ah Young (Department of Psychiatry SMG-SNU Boramae Medical Center) Park Su Mi (Department of Psychiatry SMG-SNU Boramae Medical Center) Shin Eunbin (Department of Psychiatry SMG-SNU Boramae Medical Center) Lee Jun-Young (Department of Psychiatry SMG-SNU Boramae Medical Center) Choi Jung-Seok (Department of Psychiatry SMG-SNU Boramae Medical Center) Jung Hee-Yeon (Department of Psychiatry SMG-SNU Boramae Medical Center)
저널정보
대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제18권 제1호
발행연도
2021.1
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19 - 30 (12page)

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Objective To investigate clinical and psychological characteristics of young men referred for a psychiatric evaluation due to expected unsuitability for military service and identify their heterogeneous subgroups based on the profiles of MMPI-2 and TCI.Methods We conducted a latent profile analysis of 348 men using MMPI-2 and TCI and then a comparative analysis of four latent classes in relation to sociodemographic, clinical, and IQ variables.Results We identified four classes with distinct clinical and psychological features: Class 1 (nonclinical: n=68), Class 2 (internalized: n=129), Class 3 (externalized: n=60), Class 4 (confused: n=91). Class 1 showed no significant psychiatric symptoms and relatively adaptive temperament and characteristics. Class 2 showed relatively higher harm avoidance and introverted traits indicating vulnerability to internalizing disorder. Class 3 was related to higher novelty seeking, impulsivity, and bipolarity. Class 4 showed the most severe clinical symptoms including psychotic experiences with extremely unstable temperament and immature personality. In total, 50?70% participants reported clinically significant depression, anxiety, and suicidal idea. Participants showed lower processing speed index (M=85.9, SD=16.6) than the general population.Conclusion The results suggest that clinical conceptualization and therapeutic intervention considering distinctive features of young men with adaptive problems related to military service are needed.

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