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논문 기본 정보

자료유형
학술저널
저자정보
박철현 (인제대학교 의과대학 상계백병원 정신건강의학교실) 김민숙 (인제대학교 의과대학 상계백병원 정신건강의학교실)
저널정보
대한신경정신의학회 신경정신의학 신경정신의학 제61권 제4호
발행연도
2022.11
수록면
308 - 316 (9page)

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Objectives This study compared cognitive functions according to the detailed symptoms and se verity of posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) and evaluat ed the relationship between the characteristics of PTSD symptoms and cognitive functions. Methods This study was a retrospective medical record review study, and the Korean Wechsler In telligence Scale-Fourth Edition (K-WAIS-IV), Impact of Event Scale-Revised-Korean version (IES-R-K), and the Korean Beck Depression Inventory-II (BDI-II) were used for the correlation analysis. The cor relation between the IES-R-K, BDI-II, and K-WAIS-IV in the PTSD and MDD groups was compared, and the correlation between the IES-R-K and K-WAIS-IV subtest in the PTSD group was verified. Results The BDI-II score was significantly higher in the MDD group, and the IES-R-K score was significantly higher in the PTSD group. In the MDD group, there was no significant association be tween the BDI-II and K-WAIS-IV scores, but in the PTSD group, the association was significant. In the MDD group, the higher the hyperarousal, the lower the working memory and full-scale IQ of the K-WAIS-IV. Whereas, in the PTSD group, the higher the emotional numbness and dissoci ation of the IES-R-K, the lower the perceptual reasoning and working memory. Particularly, in the PTSD group, there was a significant association between emotional numbness and dissociation and the digit span subtest of working memory. Conclusion The severity of the depression of the PTSD group was associated with the K-WAIS IV score. When depressive symptoms were controlled in the PTSD group, emotional numbness and dissociation predicted perceptual reasoning and working memory, particularly, the digit span subtest of working memory

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