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KMID : 0378019820250050127
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New Medical Journal
1982 Volume.25 No. 5 p.127 ~ p.138
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Socie-Cultural aspects of Neurosis
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Abstract
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In this Study, An attempt was made to evaluate the Socio-environmental aspects of 255 out-patients in the Neuro-Psychiatric Department of Maryknoll Hospital in the city of Busan, Korea.
The data was collected between October, 1980, and Januarry, 1981. The results were as followings;
1) Diagnostic distribution;
Depressive Neurosis 34.9%, Anxiety Neurosis 29.4%, Hysterical Neurosis 24.7%, Phobic Neurosis 2.4%, Hypochondriacal Neurosis 2.4%, Obsessive Compulsive Neurosis 1. 5%, Post-traumatic Neurosis 2.0%, Unspecified Neurosis 2.4%, Depersonalizational Neurosis 0.4%, Special attention was given to the high percentage of Depressive Neurosis, Anxiety Neurosis and Hysterical Neurosis.
2) Sex distribution;
By Comparison, there was a high percentage of Male patients with Phobic Neurosis, Obsessive-Compulsive Neurosis, Hypochondriacal Neurosis and Other Neurosis, but in the total results Female patients (73%) were considerably higher than Male patients (27%).
3) Marital Status;
There was a higher percentage among the married group (75.7%) than the Unmarried group (14.1%), which result was very Significant (P<0.01). 4) Educational background;
Educational level of the patient was relatively low; those having attended primary & junior School were 69.1%, high School & college were 30.9%, but among Obsessive￢Compulsive Neurosis 75% attended college, and the remaining 25% attended high school.
5) Number of sibling of the patient was relatively large. The number of sibling were 4 or above in 60% of the cases. Sibling Order was either first or middle child in 84.8%, but this was not Significant.
6) In General, for a large percentage of Cases, the choice of treatment for the first visit was either herb medicine or no psychiatric departments of a hospital.
In Cases Showing tendency toward external Symptoms, As in Cases of Hysterical Neurosis, Depersonalizational Neurosis, Obsessive-Compulsive Neurosis, Post-traumatic Neurosis, 50% chose hospital treatment (non-psychiatric department).
In this Study the diagnoses appearing most frequently were Depressive Neurosis and Anxiety Neurosis, totally over 40% of the cases. these patients, manifesting few exfernal Symptoms, tended to seek herb medicine their last choice of treatment was the Psychiatric department. (P<0.05)
7) Occupation of the patients was distributed according to mental work group 20.8%, Physical work group 23.1%, but house wife group(49.4%) was apparently higher than any other category.
8) Duration between the initial onset and the first visit to a Psychatric department was relatively long. Referral to Psychiatric department was distributed according to transfer from other department 45.2%, patient´s own request 22.7%0, other 18.000,family member´s referral 14.1°0. (P<0.01)
9) Social class of the patient was middle class in 54%, high class in 29%.
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