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KMID : 0381219920240030349
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Journal of RIMSK
1992 Volume.24 No. 3 p.349 ~ p.377
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A Sociopsychiatric Study on the School Entrance Test Stress Syndrome in Korea
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이길홍
박두병/나철/이재우/김영돈
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Abstract
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the purpose of present study was to investigate the effect of school entrance test on adolescent's mental disorder, and to secure effective measures coping with school entrance test stress syndrome..
The subjects in this study composed of the 150 control students without school entrance examination and 168 examiness who were admitted to department of Psychiatry in Pildong Hospital and Yongsan Hospital, chung Ang University medical Center from
January 1981 to December 1991.
Data were processed by IBM PC AT Computer using SPSS/PC+ Program and were statistically analysed by chi-square test and f-test. and summaries of the results were as follows.
1) the rate of adolescent psychiatric in-patients of total psychiatric in-patients were 15.3%, and the rate of examinee of total adolescent psychiatric in-patients were 16.7%. Among examiness, 78.6% were admitted due to school entrance test
stress
syndrome.
2) In the correlative analysis between social changes and annual rates of hospitalization rate among adolescent psychiatric in-patient, there were some characteristic changes, such as increasing tendency of he numbers of adolescent psychiatric
in-patients annually, and increasing trends of hospitalization , more in younger group, and more in female ones. While the proportion of adolescent cases were decreased in recent years. these findings suggested that the adolescent mental
disorders
were
higher in the social atmosphere such as political turmoil status, while these rates were lower in educational and economical wellbeing.
3) In the clinical manifestations, the examinees showed more suffered from neurotic disorders, more frequently complaints of symptoms, obsessive compulsive symptoms, sleep disorders, anxious symptoms, and more experienced of serious
psycho-social
streeors in school or social lifer than control group.
4) Their mental disorders were more frequently initiated or exacerbated due to underachievement of their school performance, obsessive compulsive personalitytraits, preoccupation to top class complex, or parental over-compensation mechanism. In
the
subtypes of school entrance stress syndrome, the examinees showed more melancholic manifestations such as the emptiness types, the slump types or the despair types than control group.
5) The examinees were more frequently admitted to open ward with their fathers from march to Juen, more used anti-psychotics such as melleril or anti-anxiety drugs such as xanax, lesser experienced psychotherapy, and more discharged from open
ward
with
the state of improved in their illness than control group.
6) the examiness shwed more frequently used the somatization as device of resistances toward their hospitals' therapeutic milieu in adolescents, more tried supportive psychotherapy such as reassurance and clarification in management of
adolescent's
resistances, more used their parent's resistance such as themessages of 'I can't talk about my child without talking about myself', and more used reassurance technique in the management of parent's resistances.
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