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NTIS 바로가기생물정신의학 = Korean journal of biological psychiatry, v.19 no.4, 2012년, pp.211 - 218
김성진 (계요병원 정신건강의학과) , 문석우 (건국대학교 의학전문대학원 충주병원 정신건강의학교실) , 김대호 (한양대학교 의학전문대학원 구리병원 정신건강의학교실)
Objectives Body image distortion is found in eating disorder and obesity and there are some evidence that schizophrenia is associated with body image distortion. This study sought to find whether schizophrenic patients report more body image distortion than healthy individuals and whether it is rela...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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신체이미지 왜곡의 문제는 어떤 질환을 가지고 있는 환자에게 주로 나타나는 것으로 알려져 있는가? | 신체이미지 왜곡의 문제는 과거 신경성 식욕부진증이나 폭식증과 같은 섭식장애를 가지고 있는 환자와 비만한 사람에서 나타나는 것으로 알려져 있어5)6) 섭식장애 외의 정신질환과 신체이미지 왜곡의 연구는 드물었지만, 섭식장애가 없고 정상체중을 가지고 있는 사람에서도 왜곡이 나타나는 것이 밝혀졌다.7) | |
신체이미지란 무엇인가? | 신체이미지란 한 개인이 자신의 체형에 대하여 가지고 있는 생각으로 개인의 체중 조절의 동기에 영향을 미친다.1)2) 자신의 체형에 대해 올바르게 인식하지 못하는 신체이미지 왜곡(body image distortion)이나 정서적으로 자신의 신체에 대해 만족하지 못하는 반응을 보이는 체형 불만족(body dissatisfaction)은 운동이나 식이습관조절과 같은 체중 조절 행태에 부정적인 영향을 미쳐 건강에 바람직하지 않은 결과를 초래하기도 한다. | |
조현병 환자가 복용하는 대부분의 비전형 항정신병 약물은 체중 증가, 지질 이상, 당뇨 등과 연관된 이유는 무엇인가? | 15)하지만 조현병 환자가 복용하는 대부분의 비전형 항정신병 약물은 체중 증가, 지질 이상, 당뇨 등과 연관된 것으로 알려져 문제가 되고 있다.16)이는 환경적 요소, 인슐린 과민성(insulin hyper-sensitivity), 생식샘 스테로이드(gonadal steroid), 콜린성(cholinergic) 및 히스타민성(histaminersic)효과 등의 복합적인 기전에 따른 것으로 생각된다.17) 최근 Mathews 등18)은 건강한 성인에게 1주일간 olanzapine을 복용하게 하자 체중, 음식 섭취가 증가하였고 기능성 자기공명영상검사(functional magnetic resonance imaging)상 섭식행동을 억제하는 외측안와전두(lateral orbital frontal)의 반응이 감소한다고 보고한 바 있다. |
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