• Title/Summary/Keyword: '의사-신체성'

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Pharmacotherapy for Patients Complaining With Somatic Symptoms (신체증상을 호소하는 환자의 약물치료)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.95-101
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    • 2021
  • Patients complaining with somatic symptoms are very common in clinical practice, and are often consulted to medical department. But it is difficult to treat well. The treatment of somatic symptom disorder is multi-modal as none of the methods on their own provide a satisfactory outcome. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Drugs such as tricyclic antidepressants, serotonin reuptake inibitors(SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics are studied. The evidence indicates that these drugs are effective in somatic symptom disorders. All classes of antidepressants seem to be effective against somatic symptom disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder, and SNRIs appear to be more effective than other antidepressants when pain is predominant. The author suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by using not only psychotherapeutic approach but also pharmacological treatment. It will be helpful to reduce suffering and increase quality of life of these patients.

Quality of Life of Older Cancer Patients in Comparison with Older Chronic Disease Patients and Middle-Aged Cancer Patients (노인 암환자를 중심으로 노인 만성질환자 및 중년 암환자 간의 삶의 질과 그 영향 요인 비교)

  • Lim, Yeonok;Kim, Yojin;Yoon, Hyunsook
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.367-393
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    • 2013
  • Quality of life(QoL) of older cancer patients have not gained enough attention from researchers even when cancer is the number one cause of death of Korean elderly. Therefore, this study aims at understanding the QoL of older cancer patients and factors related to it, applying Taylor(2012)'s Stress-Coping Process model, and by comparing with older chronic disease patients and middle-aged cancer patients. Results indicated that physical health QoL of older cancer patients was the worst and their mental health QoL was similar with middle aged cancer patients. Multi-group analysis of Structural Equation Modeling indicated that the relation between QoL and the stress coping resources was not statistically different from older cancer patients and older chronic disease group, as well older cancer patients and middle-aged cancer patients. Implications of results to improve the QoL of older cancer patients are discussed.

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Human Sexuality and Sexual Dysfunction (성(性)생활과 성기능장애)

  • Cho, Doo-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.10-25
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    • 1999
  • Children above age of two are able to have sexual excitement, and they actively seek the pleasure actively or passively through touch and masturbation. In late $60_s$ and early $70_s$, Masters, obstetrician, and Johnson, social worker, illustrated four phases of human sexual responses, namely excitement, plateau, orgasmic and resolution phases in both sexes, and multiple orgasms in the female. Their treatment principles of sexual dysfunctions were largely based on behavioral model, introducing the concepts of sensate focus, dual therapy and sex education. Following Masters and Johnson, Kaplan, psychiatrist and psychoanalyst, in the early and mid-$70_s$ introduced new sex therapy which was based on the combination of analytically-oriented psychotherapy and behavior therapy, and classified sexual dysfunctions into three categories such as desire excitement and orgasmic phase disorders. Since $1980_s$ other medical fields joined the stream, putting the concentrated effort on the treatment of the impotence in the male. They have developed penile prosthesis, local injection therapy, and the administration of oral medications. Nowadays Sildenafil(Viagra) seems the best choice for the treatment of the impotence in the male.

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Understanding Stress : Psychosocial Aspect (스트레스의 사회 심리적 이해)

  • Chung, Sang-Keun
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.66-80
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    • 2001
  • Most people experience stress during his or her life. The types of psychosocial stressors are variable. Also, the stress appraisal, coping, and responses in stress process are variable. These varieties reflect individual differences due to ongoing social situation, personal dispositions such as personal resources and vulnerability factors, etc. The stress process results in psychosocial growth or no substantial change in functioning or health, or adverse change in functioning(illness) or health to person. Therefore, the preventive management and treatment of stress need to be tailored to individual characteristics. All physicians managing the stress-related patients have to understand the multidimensional aspects of stress. To understand stress better in psychosocial aspect, I comprehensively reviewed the literature on stress.

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Satisfaction with Neighborhood Environments for Dog Walking and Exercise (반려견 산책 및 운동을 위한 근린환경 인식 및 만족도 연구)

  • Song, Jin-Gyeoung;Lee, Jeong-Yeon;Lee, Hyung-Sook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.50 no.4
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    • pp.53-62
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    • 2022
  • Animal companionship is gaining popularity in Korea, and interest in dog walking is also increasing as a strategy to maintain the physical and mental health of dogs and dog owners. The purpose of this study was to investigate the perception and satisfaction of dog owners with the neighborhood environments for dog walking and to examine the willingness to pay (WTP) for an off-leash dog park. Of a total of 249 online survey respondents, 47.8% said they take a walk at least once a day and mainly walk around nearby neighborhoods or parks. Respondents showed a high attachment to their dogs and recognized that dog walks help increase physical activity and maintain the health of owners and their dogs. The satisfaction with neighborhood environments, such as attractive views and the connection of walking trails, was low, and there was a high demand for off-leash dog parks. The truncated mean WTP was estimated to be 85,618 Korean Won, and the result of regression analysis and t-test revealed that walking frequency and the satisfaction with dog walking facilities were statistically significant in the WTP. In order to encourage dog walking to promote physical activity and health, more attention needs to be devoted to improving neighborhood environments for dog walking.

Literature Review on Communication Assessment Scales for AAC User (보완대체의사소통체계 사용자를 위한 의사소통 측정도구 문헌분석)

  • Jeong, So-Young;Kim, Sam-Sup
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.818-828
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    • 2014
  • The purpose of this study was to investigate targets to use measurement tools to communicate developed in Korea and factors consisting of questions, to examine how measurement tools to communicate applied for AAC subjects were. In the case of measuring language and communication skills targeting people with disabilities, aphasia was out of common, in the case of applying to different types of failures, it showed rare. While factors consisting of questions on measurement tools to communicate had many factors on communication limitations and many factors on impairments in body functions that limit communication, they didn't have a lot of factors on restrictions in participation caused by communication limitations and lots of environmental factors that serve as barriers or facilitators for communication. AAC intervention was applied in the order of physical disabilities, autistic disorder, mental retardation, developmental disabilities, communication disorders, although "PPVT-R", "REVT" were widely used as measurement tools to communicate used in AAC intervention experiment, there were much more cases of relying on observation than standardized tools. Based on the results, we discussed that the need of evaluating to provide ACC application and individualized education(IEP)'s grounds and the research on evaluation criteria and measurement questions should be tried.

유치에 대한 Traumatic Injury의 처치

  • Han, Se-Hyeon
    • The Journal of the Korean dental association
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    • v.22 no.5 s.180
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    • pp.383-385
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    • 1984
  • 생활양식의 변화에 따라 유치 및 유영구치에 대한 traumatic injury가 크게 증가하고 있으며 이는 어린이나 보호자에게 심리적으로 커다란 영향을 미칠 수 있는 것이다. 어린이의 신체중 구강주위에 가장 많은 injury를 받는 것으로 나타나고 있고 하악전치 보다는 상악전치가, 여자 보다는 남자가 더욱 많은 injury를 받는 것으로 알려져 있으며 유전치에 대한 injury가 가장 많은 시기는 걷는 것, 달리는 것을 처음 재우게 되는 1½~2½세 사이이다. 물론 같은 어린이가 수회의 injury를 받을 수 있으며 특히 조심성이 없거나 가정이 파괴된 상태의 어린이에 있어 사고 위험이 높은 것으로 나타나고 있다. 일단 injury가 발생하면 가능한 한 빨리 치료가 이루어져야 하는데 유치는 계승치 맹출에 의하여 정상적인 치근 흡수현상을 나타내고 발육중인 유영구치는 치근이 미완성된 상태이므로 성숙된 영구치와는 처치방법이 다르며 때 고려해야 할 사항으로, ① management of child, ② degree of root resorption (degree of permanent tooth development), ③ space problems, ④ degree of parental concern, ⑤habits, ⑥ speech, ⑦ esthetics등이 있다.

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Psychogenic Dizziness for Psychiatrists in Korea (정신건강의학과 의사를 위한 심인성 어지럼)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.9-19
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    • 2016
  • Many patients with dizziness present with a symptom pattern that does not reveal the cause by neurotologic diagnostic approaches. In such cases, the physician frequently diagnoses psychogenic dizziness. Psychogenic dizziness is not characterized by true vertigo, and occurs in combination with other psychiatric symptom cluster. One out of two to four patients with dizziness are psychogenic dizziness. But there are few concern about this including clinical practice and study in Korea. I wrote this paper to increase concerning and attending to this for psychiatrists in Korea. I reviewed etiology including biological and psychological relations between dizziness and psychiatric disorder(especially anxiety), diagnostic approaches of, characteristics of dizziness of various psychiatric disorders related to, and the treatment of psychogenic dizziness. I also briefly reviewed the central and peripheral dizziness for psychiatrists. I suggest psychiatrists and clinicians in the psychosomatic field in Korea to acknowledge, concern, and attend to psychogenic dizziness. In turn, it will be helpful to well treat the patients with psychogenic dizziness.

Psycho-oncology : A Historical Review (정신종양학의 역사와 개관)

  • Lee, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.3-9
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    • 1994
  • The psychobiological model of cancer has a long history, with Galen's view on melancholic woman being often quoted. From a historical perspective, the 1950s witnessed a surge of interest in psychosomatic medicine and in researches linking psychological, social, and environmental factors to disease onset and progression. The 1960s witnessed the growth of animal experiements, in the hope of better understanding the effects of psychological and behavioral factors on carcinogenesis while controlling confounding variables. The 1970s saw rapid advances in immunology and neurochemistry. Further researches in the 1980s in psychoneuroimmunology explored relationships between immunological responses and psychosocial variables, and their implications for cancer vulnerability and progression. In this review, the interacting aspects of oncology and psychiatry are presented with selected major findings in the fold of psychooncology researches.

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Mediation Effect of Marriage Satisfaction about Personality Traits of Married Female Immigrants to Affect on Preparing Their Old Age (결혼이주여성의 성격특성이 노후준비에 미치는 영향에서 결혼만족도의 매개효과)

  • Song, Sun-Hee
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.49-56
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    • 2016
  • The purpose of the study is to explore mediation effect of marriage satisfaction when personality traits of married female immigrants would influence the preparation for old age. The survey targets are married female immigrants who live in Seoul, Gyeonggi province, Chungcheong province, and Jeolla province, who are using the programs of Multicultural Center, and who could communicate each other. The analysis was also conducted on 426 of 450 questionnaires. The findings are as follows. First of all, extroversion, agreeableness, conscientiousness, openness of personality traits appear as positive correlation with emotional preparation, physical preparation, financial preparation, marriage satisfaction. However, financial preparation has no correlation with neuroticism. Second, personality traits and marriage satisfaction explain about emotional preparation as 34.6 %, but there is no mediation effect of marriage satisfaction. Third, personality traits and marriage satisfaction explain about physical preparation as 28.1%. In addition, agreeableness and physical preparation have mediation effect of marriage satisfaction. Fourth, personality traits and marriage satisfaction explain about financial preparation as 15.9%.. Moreover, openness and financial preparation have mediation effect of marriage satisfaction.