• Title/Summary/Keyword: 사회적 회피/불안

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Personality Trait in Panic Disorder Patient and Its Clinical Significance (공황장애 환자의 성격특성과 임상적 의의)

  • Chae, Young-Lae;Lee, Chung-Tai;Kim, Bo-Yeon;Lee, Sung-Pil;Hong, Seung-Chul;Kim, Chong-Woo;Keh, Yoon-Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.2
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    • pp.139-146
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    • 1995
  • Forty patients meeting DSM-III-H criteria for panic disorder and 51 normal controls were assessed with the Personality Diagnostic Questionnaire-Revised(PDQ-R), a self-rating scale designed to assess Axis II personality disorders and traits. Results replicated previous findings of a preponderance of dependent, avoidant, and histrionic features. But our result showed other features such as paranoid, schizotypal, borderline, and antisocial traits also. Patients were divided into two groups according to the severity of their personality traits(high or low). These groups were compared in various panic symptomatology and SCL-90-R. None of the specific symptom dimensions in panic disorder, i.e. panic, anxiety, agoraphobia, social impairment, or chronicity was different between groups. Rather, high personality trait groups were found to have significantly more symptomatology in SCR-90-R than low personality groups. Result indicated that patients exhibiting a greater number of personality traits were also significantly more symptomatic. The results suggested a possible link beteween panic disorder and personality disorder. And, general factors such as depression, social or interpersonal sensitivity might provide a much better explanation of personality disorders in panic patients.

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Relationship between Psychosocial Factor and Positive Health Behavior Change after Diagnosis in Breast Cancer Patients (유방암 환자에서 심리사회적 요인과 암 진단 후 건강행동 변화의 관계)

  • Jung, Dooyoung;Shim, Eun-Jung;Hwang, Jun-Won;Hahm, Bong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.91-97
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    • 2012
  • Objectives : With the increase in cancer prevalence, the health behavior of cancer survivors has become an important issue. This study was conducted to examine the psychosocial correlates of behavior changes after cancer diagnosis. Methods : 95 patients completed questionnaires assessing depression, anxiety, insomnia, posttraumatic stress symptoms, social constraints, personal beliefs about cancer cause and health-related behavior changes after cancer diagnosis. Results : In the multiple logistic regression analysis, insomnia was the only significant predictor of positive change in physical behavior : normal sleep group(Odds ratio=9.462, 95% CI 1.738-51.509) and subthreshold insomnia group(Odds ratio=10.529, 95% CI 1.701-65.161) showed a larger increase compared to the insomnia group. In psychosocial behavior, low age, religion and causal belief in hormonal factors were independent factors that predicted increase in positive change. Conclusions : This study showed a difference between predictors of physical and psychosocial health behavior change after breast cancer diagnosis. Multi-faceted approaches are required to promote positive change in health behavior in cancer patients.

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The Effects of Instruction and Stimulus Presentation Time in Attention Bias Modification Training on Social Anxiety Symptom Group (주의편향수정 훈련에서 지시문과 자극제시 시간의 효과: 사회불안증상 집단을 대상으로)

  • Kim, Seul-A;Hong, Chang-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.641-649
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    • 2020
  • This study was conducted to examine the effects of instruction (explicit, implicit) and stimulus presentation time (300 ms, 500 ms) in ABM training. According to the Social Avoidance and Distress Scale (SADS) and the attention bias score (ABS), 60 undergraduate students were selected. All participants' SADS scores were above 82 and their ABS score was greater than 0. The training group was explicit-300 ms training group (n=10), explicit-500 ms training group (n=10), implicit-300 ms training group (n=10) and implicit-500 ms training group (n=10). In the implicit instruction group, only information about procedure was included. In the explicit instruction group, additional information about training manipulation (the probe always presented at the location of the preceding neutral stimuli) was provided. The control group were placebo-300 ms control group(n=10) and placebo-500 ms control group(n=10). After 8 sessions of training, the effect was only found in instruction conditions. The explicit training group showed significantly decreased SADS after training. ABS changed significantly in all three conditions but the treatment effect was most effective in the explicit instruction condition. No significant effect was found in the stimulus presentation time. These results suggest that explicit instruction might promote the effect of ABM training compared to implicit instruction.

Differences in Infant Problem Behaviors According to Adult Attachment and Parenting Attitudes of Mother (어머니의 성인애착과 양육태도에 따른 유아의 문제행동에서의 차이)

  • Lee, Seung Hee;Kim, Sag Ok
    • Korean Journal of Child Education & Care
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    • v.19 no.1
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    • pp.75-86
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    • 2019
  • Objective: The study looked at the relationship between the mother's adult attachment, the children's problematic behavior and the mother's nurturing attitude. In doing so, this study tried to determine whether the mother's nurturing attitude would play a moderating role in the context of the effect of mother' adult attachment on the children's problematic behavior. Methods: we surveyed 352 mothers of 3~5 year old infants who were financially dependent on day care centers. Results: The problematic behavior of being daunted is high when mothers' adult attachment of avoidance is high and when mothers have low level of controlling pattern in their nurturing of their children. The problematic behavior of anxiety and depression was observed when adult attachment of anxiety was high and low level of controlling pattern in their nurturing. Meanwhile, when the externalized problematic behaviors were examined, no interaction effect of mothers' adult attachment and nurturing pattern was observed in all sub-levels of the children's externalized problematic behaviors. Conclusion/Implications: We could see how the influence of parenting attitude appears in mothers with unstable adult attachment. In addition, mothers with unstable adult attachment may be able to confirm that the quality of the interaction of the parent-child relationship and the form of the child's problem behavior differ according to the level of the mother's parenting attitude in the child's problem behavior. The results of this study showed that mothers with unstable adult attachment differed in the form of problem behaviors of infants according to mother's parenting attitude in infant problem behaviors.

Differences in Cognitive and Psychological Characteristics of Psychiatric Patients with Military Service Issues versus General Psychiatric Outpatients (군 복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군과 일반 외래 환자군의 인지적 및 심리적 특성의 차이)

  • Shim, Seungyun;Choi, Junho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.143-154
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    • 2020
  • Objectives : The purpose of this study was to examine cognitive and psychological characteristics of patients with military service suitability issues compared to the general psychiatric outpatients. Methods : 108 patients who visited psychiatric clinic center due to military service suitability issues and 80 general psychiatric patients were recruited from the Department of Psychiatry of university hospital. ANCOVA and chi-equare test were used to examine differences between two groups. Furthermore, we utilized paired t-test to compare the scrore within military group depending on when they performed the psychological assessment. Results : There were no significant differences between military group and general outpatient group in WAIS-IV scores. However, military group scored remarkably higher than control group on validity scales, F-r and Fp-r whereas they scored lower on validity scale, K-r. Furthermore, military group showed significantly higher on BDI and MMPI-2-RF, EID, RCd, RC2, RC3, COG, HLP, SFD, NFC, STW, SAVE, SHY, DSF, NEGE-r, INTR-r. As a result of comparison within the military group following the periods of assessment, military group did not show the significant differences on the overall scales of MMPI-2-RF. Conclusions : The present study showed that military group tends to report their psychological distress more exaggeratedly. In addition, they had significantly elevated not only emotional distress such as depression and anxiety but interpersonal problem. The implications and limitations were discussed along with some suggestions for the future studies.

Changes of Stress and Coping Strategy in Families of Schizophrenic Patients after Brief Program of Family Education (정신분열병 환자 가족의 단기 가족교육 후 대처전략 및 스트레스 변화에 대한 연구)

  • Seo, Seung-Woo;Yi, Ho-Taek;Paek, Ju-Hee;Lee, Sang-Yeon
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.16-27
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    • 2001
  • Objectives : This study was aimed to investigate stress and coping strategy in the families of schizophrenic patient, and changes of knowledge, stress and coping strategy after brief program of family education compared with control group Methods : The education group consisted of twenty four people who were families with schizophrenic patients and attended the brief program of family education. The control group consisted of twenty two people with schizophrenic inpatients. Self-report questionnaires such as Family Coping Questionnaire(FCQ), Patient Rejection Scale(PRS), Worry Questionnaire, Knowledge Questionnaire, Beck Depression Inventory(BDI), and State-Trait Anxiety Inventory(STAI) were administered to the education group and the control group, twice at the pre-test and post-test. Results : 1) In the education group, scores of worry questionnaire, BDI and STAI-S at the post-test were significantly lower than those at the pre-test. Social interests score of FCQ and knowledge questionnaire score at the post-test were significantly higher than those at the pre-test. In FCQ factors, social interests associated with avoidance strategy score at the post-test was significantly higher than that at the pre-test. However, in the control group, there was no significant difference in all questionnaires. 2) In the education group, significant positive correlation existed between calculated differences of worry questionnaire and STAI-S, and between worry questionnaire and STAI-T, whereas significant negative correlation existed between positive communication of FCQ and PRS, and between knowledge questionnaire and STAI-S. In the control group, significant negative correlation existed between information of FCQ and PRS, and between positive communication of FCQ and PRS. 3) In the education group, significant positive correlation existed between calculated differences of worry questionnaire and age of patient, whereas significant negative correlation existed between knowledge questionnaire and duration of illness. However, in the control group, there was no significant correlation. Conclusion : The brief program of family education was effective in increasing knowledge about schizophrenia, decreasing worry and anxiety about the patients in families with schizophrenic patient. In the education group as knowledge about schizophrenia increased, anxiety about schizophrenic patient decreased, but there was no significant correlation in the control group. As relative's rejection feeling about schizophrenic patient decreased, positive communication strategy increased in both groups. However, the control group was more affected by rejection feeling than the education group.

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COMORBIDITY AND RISK FACTORS ASSOCIATED WITH CHILDREN WHO HAVE THE SYMPTOMS OF OPPOSITIONAL DEFIANT DISORDER - COMMUNITY BASED STUDY - (반항성 도전 장애 아동과 연관된 공존 증상 및 위험 요인에 관한 연구 - 지역사회 연구 -)

  • Kim Boong-Nyun;Jung Kwang-Mo;Cho Soo Churl;Hong Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.79-89
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    • 2005
  • Objectives : To acquire an improved understanding of oppositional defiant disorder, we evaluated the characteristics of children who have the symptoms of ODD in community sample. Methods : 1200 children from an elementary school in Bucheon (an urban community near Seoul) were recruited by randomized sampling method. By Disruptive Behavior Disorder Scale according to DSM-III-R & DSM-IV, we evaluated the symptoms of ODD and selected subjects with ODD. Psychiatric comorbidity, character trait were compared in subjects with ODD and comparison group. Also we examined the association between prenatal/perinatal risk factors, family functions and the symptoms of ODD. Data were analyzed by appropriate statistical method using SPSS 11.5 window version. Result : Children with oppositional defiant disorder were revealed to have significantly higher rates of psychiatric comorbidity and significantly greater family dysfunction compared to comparison group. Among the prenatal/perinatal risk factors, severe emotional stress during pregnancy, postpartum depression, medication during pregnancy were revealed as risk factors of ODD. In character inventory, ODD group were evaluated to have high score in novelty seeking, harm avoidance, but low in reward dependency. Conclusion : These results support that 1) prenatal/perinatal and psycho-social risk factors could be a important role in the progression of ODD, and 2) children with ODD have diverse comorbid psychiatric symptoms.

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The Structure of Driving Behavior Determinants and Its Relationship between Reckless Driving Behavior (운전행동 결정요인의 구성과 위험운전행동과의 관계)

  • Ju Seok Oh ;Soon Chul Lee
    • Korean Journal of Culture and Social Issue
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    • v.17 no.2
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    • pp.175-197
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    • 2011
  • This study aimed to expand and reconstruct the Driving Behavior Determinants' factors in order to confirm the relationship between Driving Behavior Determinants(DBD) and drivers' reckless driving behavior level. To expand the structure of DBD, drivers anger, introversion and type A characteristics were added, which were never considered as related factors in existing DBD studies before. The correlations between the new factors of DBD and reckless driving behavior(includes driver's personal records of driving experiences for the last three years) were verified. A factor analysis result showed us that new DBD questionnaire consists of five factors such as, 'Problem Evading', 'Benefits/Sensation Seeking', 'Anti-personal Anxiety', 'Anti-personal Anger', and 'Aggression'. Also, reckless driving behavior consists of 'Speeding', 'Inexperienced Coping', 'Wild Driving', 'Drunken Driving', and 'Distraction'. The result of correlation between the DBD and reckless driving behavior indicates that inappropriate level of DBD is highly correlated with dangerous driving behavior and strong possibilities of traffic accidents. Based on these results, we might be able to discriminate drivers according to DBD level and predict their reckless driving behavior through a standardization procedure. Futhermore, this will make us to provide drivers differentiated safety education service.

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The Analysis on Psychological Changes of Unemployed according to the Unemployment Period (실업자의 실업기간별 심리적 변화분석)

  • Park, Hye-Gyeong;Kim, Byeong-Suk;Choi, Jeong-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.423-442
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    • 2018
  • This study observes the psychological changes of unemployed people according to their unemployment period. With this what psychological changes they face according to their unemployment period and what psychological characteristics they show, whether if psychological changes and job hunting activities are in relation, and whether if psychological changes affect job hunting activities. The study subjects received unemployment wage and were divided according to before employment, 1~3 months unemployed, and 4 months or more unemployed. An in-depth research of 8 people was conducted within the period of 2017.05~08. The psychological characteristics of people, in the period from when they first sense unemployment possibilities until three months of unemployment, are anger, anxiety, fear, which is a mixed characteristic that does not disappear but continues deepening. In study there was no significant difference in depression, anxiety, anger, social phobia, alcohol, religion factors, low self-esteem, and low self-efficacy in before employment, 1~3 months unemployed, and 4 months or more unemployed. However, the average levels of anger anxiety, depression, and social phobia were higher when the unemployment period was longer and the results of low self-esteem and low self-efficacy support further research.

The Genealogy of Forbidden Sound -Political Aesthetics of Ambiguity in the Criticism of Japanese Style in Korean Society of the 1960s (일본적인 것, 혹은 금지된 '소리'의 계보 -한일국교정상화 성립기 '왜색(倭色)' 비판담론과 양의성의 정치미학)

  • Jeong, Chang-Hoon
    • Journal of Popular Narrative
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    • v.25 no.1
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    • pp.349-392
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    • 2019
  • In the 1960s of Korea, the normalization of diplomatic relations between Korea and Japan led to a sense of a vigorous anxiety and fear that "Japan will once again come to the Korean peninsula". As a reaction to this, the discourse on the criticism of 'Japanese Style' strongly emerged. If the prior discourse of criticism was to express the national antipathy toward the colonial remnants that had not yet been disposed of, the critical discourse of the 1960s was the wariness of the newly created 'Japanese Style' in popular culture, and to grasp it as a symptomatic phenomenon that 'evil-minded Japan' was revealed. Thus, this new logic of criticism of the 'Japanese Style' had a qualitative difference from the existing ones. It was accompanied by a willingness to inspect and censor the 'masses' that grew up as consumers of transnational 'mass culture' that flowed and chained in the geopolitical order under the Cold War system. Therefore, the topology of 'popular things=Japanese things=consuming things' reveals the paradox of moral demands that existed within Korean society in the 1960s. This was to solidify the divisive circulation structure that caused them to avoid direct contact with the other called 'Japan', but at the same time, get as close to it as ever. It is a repetitive obsession that pushes the other to another side through the moral segregation that strictly draws a line of demarcation between oneself and the other, but on the other hand is attracted to the object and pulls it back to its side. This paper intends to listen to the different voices that have arisen in the repetitive obsession to understand the significance of the dissonance that has been repeated in the contemporary era. This will be an examination of the paradoxical object of Japan that has been repeatedly asked to build the internal control principle of Korean society, or to hide the oppressive and violent side of the power, and that can neither be accepted nor destroyed completely as part of oneself.