• Title/Summary/Keyword: 불안 신체 증상

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Relationship between Somatization and Mental Health of Registered Nurses (간호사의 신체화 증상과 정신건강의 관계)

  • Joo, Jungmin;Goo, Ae Jin;Kim, Sung-Wan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.135-142
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    • 2020
  • Objectives : To identify the relationship between somatization, stress, depression, anxiety, and psychological symptoms risk for nurses working in the intensive care unit. Create clinical evidence of psychosomatic medicine research and complement the meaning of somatization. Methods : Seventy of the mental health checkups conducted by the National Mental Health Center among the nurses using tools including Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, and Symptom Checklist-90-Revision. Results : 12.9% of the patients experienced more than moderate somatization. There was no statistical relationship between somatization and psychological stress perception, but feeling of anxiety and decreased self-confidence were related to the level of somatization. The group with severe somatization experienced more depression and anxiety. The group with high physical fatigue also had no statistical relationship with psychological stress perception, but had an effect on the feeling of tension, stress, or decreased control. Physical fatigue level was increased by experience of depression, not by anxiety. For psychological symptoms the higher the level of somatization, the higher the obsession and hostility was explored. In the linear regression model, stress, depression, and anxiety accounted for 39.3% of somatization and 16.1% of physical fatigue symptoms. Conclusions : We can estimate the decrease in stress cognitive symptoms, accompanying depression and anxiety, compulsion and hostility as characteristics of somatization. The causal relationship between somatization and psychological symptoms cannot be confirmed in this study, but the interrelationships are observed, can be referred to mediation strategies.

Effects of College Life Characteristics on Depression, Anxiety, and Somatic Symptoms among Freshmen (대학생활 특성이 대학 신입생의 우울, 불안 및 신체증상에 미치는 영향)

  • Park, Mijeong;Choi, Jihea;Lee, Eun Young;Park, Miyoung
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.346-355
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    • 2014
  • The study was undertaken to identify college freshmen' depression, anxiety, and somatic symptoms and clarify college life characteristics influencing it. The study was a descriptive study with 300 freshmen from H university. Data were collected from April 22 to 26, 2013 using a structured self-report questionnaire. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. As a result, first, the mean scores of the subjects were 2.33 in depression, 1.94 in anxiety, and 1.63 in somatic symptoms. Their depression, anxiety and somatic symptoms were higher as their sex and perceived self-efficacy. Second, college life characteristics explained 46.1% of variance in depression and 26.3% of variance in anxiety. college life characteristics, depression and anxiety explained 35.8% of variance in somatic symptoms among freshmen. These results will be used for developing programs to increase mental and physical health and to adapt in college life for freshmen.

Difference of Somatic Symptoms between Anxiety Disorder and Major Depressive Disorder and Their Domainal Association with Suicidal Idealization, Plan and Attempts (불안 장애와 주요우울장애에서 나타나는 신체 증상과 증상군에 따른 자살 사고, 계획, 행동과의 관계 고찰)

  • Ahn, Jun Seok;Kim, Eun young;Cho, Maeng Je;Hong, Jin Pyo;Hahm, Bong-Jin;Chung, In-Won;Ahn, Joon-Ho;Jeon, Hong Jin;Seong, Su Jeong;Lee, Dong-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.174-183
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    • 2016
  • Objectives : The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts. Methods : A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year. Results : Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly. Conclusions : Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.

A Study on the Effect of Subjective Health Status, Death Anxiety and Life Meaning of the Elderly on Somatization; Focusing on Local Community (노인의 주관적 건강상태, 죽음불안, 삶의 의미가 신체화 증상에 미치는 영향; 지역사회 중심으로)

  • Kim, Hae-Yeon;Cho, Jeong-Lim
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.415-426
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    • 2022
  • This study was to investigates the effects of subjective health status, death anxiety and life mening of the elderly living in local community might influence somatization. Participants were 241 65 years of age or older and living in K city and B city. Data were collected with structured questionnaires from February 1 to March 25, 2018. Data were analyzed SPSS 21.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Factors which influeence somatization of the elderly in local community were ife meaning(𝛽=-.260, p<.001), subjective health status(𝛽=-.256, p<.001), death anxiety(𝛽=.163, p<.01). Therefore a program which can reduce somatization should be developed and utilized.

Pharmacological Treatment of Anxiety Disorders in Medical Illness (내과질환에 동반된 불안증상에 대한 약물치료)

  • Woo, Jong-Min;Lee, Chang-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.3-6
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    • 2007
  • Anxiety disorders are common illness to general physician. The comorbidity between anxiety disorders and medical illness is not only a diagnostic issue, but also has implications of the course of the disease and its outcome. The comorbid condition requires consideration of each individual illness, their psychological and physiological condition. This article aims to review the literature on the prevalence of anxiety disorders in patients prescribing to psychiatrists and to discuss pharmacological treatment options for patients with a comorbid anxiety disorder and medical illness.

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Mediating Effects of Self-esteem and Social Support on the Relationship between Physical, Psychological Symptoms and Campus Life Satisfaction of Students (대학생의 신체적, 심리적 증상과 대학생활만족도와의 관계에서 자아존중감과 사회적 지지의 매개효과)

  • Lee, Yong-Ho;Kim, Hui-Kyung;Kim, Nam-Song
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.483-492
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    • 2013
  • The study aimed to understand how general characteristics, health consciousness and health behavior of college students are related to physical symptoms, psychological symptoms, self-esteem, social support and the students' satisfaction with college life while it examined how self-esteem and social support are affected by the physical symptoms and psychological symptoms as depression and anxiety and the college life satisfaction. According to the results from path analysis, age, with the social support as a medium, appeared to have had a positive influence on the students' satisfaction with college life while physical symptoms, depression and anxiety had been found, with self-esteem and social support as a media, to affect the students' campus life satisfaction, with physical symptoms positively while depression and anxiety negatively. In conclusion, the study verified mediated effects, sizes and paths of both self-esteem and social support when they are related to physical symptoms, psychological symptoms and college students' satisfaction with their campus life.

Effects of Somatic Symptoms, Aging Anxiety and Social Support on Depression in Middle-aged Women (중년여성의 신체화 증상, 노화불안, 사회적 지지가 우울에 미치는 영향)

  • Lee, Nan-Young
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.847-855
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    • 2022
  • The purpose of this study is descriptive research to understand the effects of somatic symptoms, aging anxiety, and social support of middle-aged women on depression. Data collection was conducted from March 2020 to May 2020 using a structured questionnaire from a sample of 110 middle-aged women. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Pearson's correlation coefficients and multiple linear regression analysis using SPSS Window 25.0 program. As a result of the study, the influence factors on the depression were confirmed by the somatic symptoms(β=0.42, p<.001), aging anxiety(β=0.35, p<.001) and total explanatory power of the variables was found to be 48.0%. Therefore, based on the result of this study, it suggests that more research is needed a program that considers somatic symptoms and aging anxiety when developing interventions to reduce depression and to verify the effectiveness.

The Effects of Job Stress and Mental Health of Care Service Workers on Self-diagnosed Oral Symptom in Seoul (서울시 돌봄 서비스 노동자의 직무스트레스와 정신건강이 주관적 구강 증상에 미치는 영향)

  • Hong, Min-Hee;Lee, Jung-Min;Jang, Ki-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.274-282
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    • 2020
  • This study examined the effect of job stress and mental health factors on the oral symptoms of caring service workers in Seoul. For the research method, a survey was conducted from July 24 to August 6, targeting 150 caring service workers. The survey items were job stress, mental health (physical symptoms, anxiety, and insomnia), and self-diagnosed oral symptoms. The results of the study were as follows. Job stress (p=0.001) had a significant effect on the oral symptoms. In addition, physical symptoms (p<0.001), anxiety symptoms (p<0.001), and insomnia symptoms (p<0.001) all had significant effects on the oral symptoms. Among the risk factors, physical symptoms had the greatest influence on oral symptoms. In addition, according to the correlation result of job stress, anxiety symptoms, insomnia symptoms, oral symptoms, as job stress increases, physical symptoms (p<0.001), anxiety symptoms (p<0.001), insomnia symptoms (p<0.001), oral symptoms (p<0.01) showed an increasing positive correlation and a statistically significant difference. Physical and psychological labor power is greatly exhausted by care service workers performing tasks that require physical and mental care for those who are being cared for. Therefore, there is a need for systematic expansion measures for the mental health of workers and the introduction of customized oral health education programs to improve oral health because improved health and oral health conditions can increase work performance.

The Influence of Medical Workers' Emotional Labor on Somatic Symptoms -Focusing on Mediating Effects of Depression and Anxiety- (의료 종사자의 감정노동이 신체증상에 미치는 영향 -우울 및 불안의 매개효과를 중심으로-)

  • Lee, Jung-Min;Jang, Ki-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.586-594
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    • 2020
  • The purpose of this study is to propose interventions on emotional labor and health issues through verifying the mediating effects of depression and anxiety on the relationship between emotional labor and somatic symptoms in medical workers. For this study, a sample of 200 medical workers completed the questionnaires of the Korean Emotional Labor Scale, the Patient Health Questionnaire-15, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7. The data was analyzed using the SPSS 25.0 program. The results of this study can be summarized as follows. 1. Results showed a risk of emotional labor, depression, and somatic symptoms in medical workers. 2. The risk group of the emotional labor's 4 factors (excluding organizational support and protection system) had a significantly higher level of depression compared with the normal group. Particularly in emotional dissonance and impairment, depression in the risk group was moderate, while depression in the normal group was normal. 3. Only emotional dissonance and impairment had a significant influence on somatic symptoms. Reflecting the results, the mediating effects of depression and anxiety on the relationship between emotional dissonance and impairment and somatic symptoms were verified. Results showed that depression had a partial mediating effect, whereas anxiety did not have a mediating effect. Finally, we discuss the necessity of dealing with emotional dissonance and depression in emotional labor and health issues.

Point Prevalence of Anxiety and Depression among Cancer Inpatients in a General Hospital : A Preliminary Study for the Development of Distress Management Strategies in Cancer Patients (일 종합병원 입원 암환자의 불안과 우울증상의 시점 유병률 : 암 환자 디스트레스 중재 전략을 위한 예비 연구)

  • Lee, Min-A;Huh, Hyu-Jung;Min, Jung-Ah;Lee, Chang-Uk;Lee, Chul;Kim, Tae-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.122-131
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    • 2013
  • Objectives: This study aimed to examine the point prevalence of anxiety, depression and the associated risk factors in hospitalized patients with cancer. Methods: A total of 114 patients with cancer who admitted to the Cancer Center in St. Mary's Hospital were enrolled for a day. The patients were asked to complete Hospital Anxiety and Depression Scale(HADS). Sociodemographic and cancer related clinical variables were also evaluated. Results: The point prevalence of anxiety and depression was 10.5% and 34.2%, respectively, as assessed with HADS. Logistic regression models revealed that distant metastasis was significantly associated with anxiety in patients with cancer and previous chemotherapy and Low socioeconomic status were significantly associated with depression. Conclusions: Our results indicate that more than one third of patients with cancer suffer from either anxiety or depression. In addition, previous chemotherapy as well as low socioeconomic status and distant metastasis were associated risk factors of anxiety and depression, respectively. These findings suggest the need for screening and systematized psychosocial intervention for psychological distress in hospitalized patients with cancer.

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