• 제목/요약/키워드: 신경심리

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암 환자의 말초신경병증 관련 일상활동장애와 삶의 질: 심리적 디스트레스의 매개효과 (Disturbance in ADL from Chemotherapy-induced Peripheral Neuropathy and Quality of Life in Cancer Patients: The Mediating Effect of Psychological Distress)

  • 김경연;이승희;김정혜;오복자
    • 대한간호학회지
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    • 제45권5호
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    • pp.661-670
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    • 2015
  • Purpose: The purpose of this study was to examine the mediation of psychological distress in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life in order to provide a basis for planning nursing interventions to improve the quality of life in cancer patients. Methods: A purposive sample of 130 patients treated with chemotherapy were recruited in the cross-sectional survey design. Data were collected using self-report questionnaires. The instruments were the Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: The mean score for disturbance in ADL from chemotherapy induced peripheral neuropathy was 3.30. Overall quality of life was 2.48. The mean score was 1.04 for psychological distress. The prevalence was 35.4% for anxiety and 47.7% for depression. There were significant correlations among the three variables, disturbance in ADL from chemotherapy induced peripheral neuropathy, psychosocial distress, and quality of life. Psychosocial distress had a complete mediating effect (${\beta}$= -.74, p <.001) in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life (Sobel test: Z= -6.11, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on disturbance of ADL management, and decrease of psychological distress are highly recommended to improve quality of life in cancer patients.

입체효과 최적화를 위한 사용자 보조 소프트컴퓨팅 기법 (User Assistant Soft Computing Method for 3D Effect Optimization)

  • 최우경;김성주;전홍태
    • 한국지능시스템학회논문지
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    • 제15권1호
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    • pp.69-74
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    • 2005
  • 본 논문에서는 신경망 학습을 위한 데이터 획득 시 생길 수 있는 오차론 줄이기 위해 획득 데이터에 대한 전처리 과정을 퍼지로써 구현하는 알고리즘을 제안하였다. 신경망은 주어진 정보론 이용하여 학습을 가능하게 함으로써 시스템의 특징을 추출하는 데 매우 우수한 능력을 발휘하고 있다. 그러나 이는 학습에 사용하는 데이터에 오차가 포함되지 않는다는 점을 전제로 하고 있다. 그런데 데이터 획득 과정이 인간의 주관적 판단에 의해 수작업으로 이루어지는 경우 학습 데이터는 오차가 존재할 수 있다. 학습 데이터의 오차론 줄이기 위해 초기에 획득된 데이터를 분석하고 추가적인 후보 데이터를 선정하여 그 중에서 가장 적절한 데이터를 고르게 하였다. 데이터 후보 추천 시스템은 데이터 획득 과정에서 큰 영향을 미치는 물체의 거리와 크기를 모두 고려할 수 있도록 퍼지 모델로써 구현하였다. 후보 추천 결과, 상당수의 오차 데이터를 수정할 수 있었으며 이는 심리적 요인과 신체적 요인이 크게 작용한 데이터일수록 큰 효과를 나타냈다.

초발 주요우울장애 환자의 우울 삽화 및 관해 상태에서 신경인지기능 결함 비교 (Comparison of Neuropsychological Deficits between Depressed Episode and Remission in First-onset Patients with Major Depressive Disorder)

  • 허지원;김용구
    • 생물정신의학
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    • 제15권2호
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    • pp.92-100
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    • 2008
  • Objectives : The purpose of this study was to investigate 1) the neuropsychological deficits with major depressive disorder(MDD) in depressed state and 2) the changes of neuropsychological dysfunctions during depressed episodes and remitted periods in the MDD group. Methods : 12 patients with MDD and 70 normal controls who were diagnosed and classified by DSM-IV and SCID-IV interview participated in this study. The psychopathology was measured using the Hamilton rating scale for depression(HAM-D) and Brief Psychiatric Rating Scale(BPRS). The memory function, executive function, and sustained attention were measured by a trained psychologist using the Korean version of Memory Assessment Scale(K-MAS), Wisconsin Card Sorting Test(WCST), and Vigilance(VIG) and Cognitrone (COG) in Vienna Test System. After 6 weeks of treatment, we retested the cognitive tests in order to measure the cognitive functions in remitted states. Results : Patients with MDD achieved significantly lower score in sentence immediately recall, verbal memory score and total memory score of the K-MAS, total errors of the WCST, response time of Vigilance and response time at "Yes" response of Cognitrone than normal controls at baseline. After 6 weeks of medication, the psychiatric symptoms in the patient group were attenuated, and most of the neuropsychological functions including attention, memory, and frontal/executive function were improved except for response time of Cognitrone. Conclusions : This study provides evidence for distinct neuropsychological deficits in patients with MDD on their depressed states and remitted periods. The impairment on response time remains after remission, and this would be a trait marker of major depressive disorder.

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유학 심성론의 심리치료와 한의학적 활용에 대한 소고 -율곡의 인심도심도론을 중심으로- (A Study on Use of Psychotherapy and Korean Medicine for Eastern Philosophy -Focus on Diagram Theory of InShimDoShim of Yulgok)

  • 이정환;정선용;김종우
    • 동의신경정신과학회지
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    • 제29권3호
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    • pp.165-181
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    • 2018
  • Objectives: The purpose of this study is to use in therapy through considering representative oriental philosophical thought in terms of psychotherapy and Oriental medicine. Methods: This study examines psychotherapy and oriental aspects of "Diagram theory of InShimDoShim" that Yulgok, a Neo-Confucian scholar in the Joseon Dynasty, wrote about action of the mind and suggests ways to use it. Results and Conclusion: Diagram theory of InShimDoShim contains much content that can be applied in psychotherapy. It has a positive perspective of human nature and looked at life as realization of nature and life as subjective self-realization. Positive and negative experiences of life are expressions of positive nature. By reinterpreting these experiences, humans contribute to the goal of life that expresses their nature in a healthy way. Yulgok defines a healthy mind capable of living a good life as "an inshim who listens to doshim's command". Therapists can adopt this mindset as the goal of psychotherapy. Yulgok said that the way of manifesting nature is only possible through energy, and that the clear and tidy of this temperament creates a healthy and unhealthy mind. In this part, it is possible to apply therapeutic intervention of the diagram theory of InShimDoShim and Oriental medicine. Oriental medicine can calm temperament by using a treatment method to regulate energy, and clear energy creates a healthy mind and body. The principle that the mind is composed of nature and energy provides a basis for psychosomatic medicine.

TAS-20K를 이용한 사상체질의 심리적 특징에 대한 연구 (A Study on the Psychological Characteristics of Sasang Constitution with TAS-20K)

  • 김광호;김보균;김종우;황의완
    • 동의신경정신과학회지
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    • 제11권2호
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    • pp.113-122
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    • 2000
  • In order to understand the psychological charateristics of Sasang Constitution. the Korean version of 20-item Toronto Alexithymia Scale(TAS-20K) was completed by 59 sixth grade students of oriental medical college of KyungHee university who defined as one of Sasang constitution from June 2000 to August, and the mean scores of Yangin versus Eumin and Sasang constitution on TAS-20K was compared. The results of this study were as follows.1. Comparison between male and female on Means of TAS-20K ScoreMann-Whitney U test detected no significant differences between mean ranks of TAS-20K scores of male and those of female in F1, F2 and Total, but significant difference in F3(Mann-Whitney U test, t=2.493. p=.018)2. Comparison between Yangin and Eumin on Means of TAS-20K ScoreMann-whitney U test detected no significant differences between mean ranks of TAS-20K scores of Yangin and those of Eumin in F1. F3 and Total, but significant difference in F2(Mann-Whitney U test. t=-2.805. p=.008)3. Comparison among Sasang constitution on Means of TAS-20K ScoreAlthough mean of TAS-20K score of Taeyangin. Soyangin and Soeumin, there were no significant differences among Sasang constitution in F1, F2 and F3 as well as Total when mean ranks of TAS-20K scores of Sasang constitution were compaed by one-way ANOVA.

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정(精).氣(기).神(신).혼(魂).백(魄) 개념의 상징성에 관한 연구 -분석심리학적 고찰- (A Study about symbolic nature of the concepts of Jing(精).Qi(氣).Shen(神).Hun(魂).Po(魄) -A psychological consideration-)

  • 이수진;구병수
    • 동의신경정신과학회지
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    • 제11권1호
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    • pp.103-113
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    • 2000
  • The aim of this study is to review the concepts of Jing(精) Qi(氣) Shen(神) Hun(魂) Po(魄) in the light of the Jungian psychology. According to the explanations of the Jungian psychology human beings have archetypes-a priori conditioning factors-in the collective unconscious. These archetyps are concerned with common concepts conceived by mankind about the fundamental elements which constitute the universe and the existence. The archetype is perceived in a symbol, hence Jing(精) Qi(氣) Shen(神) Hun(魂) Po(魄) also are these symbolic representations which had common background of mankind. The meaning of Jing(精) is emphasized as psychic and physical elements, and concerned with instinct. Qi(氣) corresponds to Jung's definition of libido as life energy. The concept of Shen(神) has the value of the self archetype as whole psyche's president principle. Hun(魂) and Po(魄) are intuitive notions of the Orient compared with Animus and Anima which are characteristic representations. However from a standpoint of autonomous energy as archetype the difference would be diminished. Considering each purpose of Hun(魂) and Po(魄) Hun(魂) has a intention of integrating the unconscious flux into consciousness while Po(魄) has a tendency toward instinct to secure a body. It is precious to recognize deeply that these concepts of jing(精) Qi(氣) Shen(神) Hun(魂) Po(魄) play an important part which mediate between the unconscious and consciousness, psyche and body as symbols.

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가정폭력 피해여성들의 사건충격과 정서 그리고 삶의 질에 대한 M&L 트라우마 심리치료 프로그램의 효과에 대한 임상연구 (The Effects of M&L Trauma Psychotherapy on Impact of Events, Affection, and Quality of Life among Female Vicims of Family Violence)

  • 서주희;김정숙;고경숙;오정란;고인성;강형원
    • 동의신경정신과학회지
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    • 제26권2호
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    • pp.79-88
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    • 2015
  • Objectives: The purpose of this study is to investigate the effects of the M&L Trauma Psychotherapy Program on: Impact of Event Scale - Revised (IES-R-K); Euro QOL-5 Dimension (EQ5D); Five-facet Mindfulness Questionnaire (FFMQ); and psychological tests. Methods: Eight middle-aged women subjected to domestic violence participated in the two-day M&L Trauma Psychotherapy Program. The Program was executed 5 times 2 days for about 3 hours. We evaluated IES-R-K, EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression inventory (STAXI) and SUDS before the Program and for four weeks afterwards, to analyze the effects of the M&L Trauma Psychotherapy Program. Results: The scores of IES-R-K, BDI, STAI-S, STAI-T, Hwa ST and Hwa CT decreased significantly (p<0.05). EQ5D scores increased significantly (p<0.05) and overall physical condition scale (VAS) increased. In the FFMQ scores, all five facet scores increased slightly. Scores of SUDS decreased significantly right after the program, and remained decreased four weeks later, rather than before the Program (p<0.05). Conclusions: The results suggested that the M&L Trauma Psychotherapy Program improved post-traumatic stress, quality of life and mindfulness skills, and had positive responses to psychological problems - depression, anxiety, anger and distress.

우울증상에 대한 심리척도의 유용성에 대한 기초연구 -비우울증, 화병과의 비교를 중심으로- (Preliminary Study on the Usefulness of Psychological Scale Measurements in Depression Symptoms)

  • 최우창;김나현;최승원;정인철
    • 동의신경정신과학회지
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    • 제24권4호
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    • pp.363-372
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    • 2013
  • Objectives: The purpose of this study is to investigate the usefulness of psychological measurements in depression symptoms as compared with non-depressions and hwabyung. Methods: A total of 21 patients, who were diagnosed with depression and hwabyung, were evaluated by using the SCL-90-R, BDI, STAI, STAXI, ISI, HRSD, 20-Item Alexithymia Scale, BSDS and NEO-PI. Thereafter, they were statistically analyzed. Results: 1) In the results of SCL-90-R, the PST score group of hwa-byung group without depression was significantly higher when compared to the score from the depression group without hwa-byung. 2) In the results of NEO-PI, the NEO-PI-O score of hwa-byung group without depression was significantly higher when compared to the score from the depression group without hwa-byung. 3) In the results of 20-Item Alexithymia Scale, the total score and score of difficulty for identifying feelings scale from the depression group was significantly higher when compared to the score of non depression group. Conclusions: The results found are expected to serve as a useful resource for future studies when developing the instruments of oriental medical evaluations for hwa-byung.

제2형 양극성 장애의 주요우울 삽화에 대한 복합 한방 치료 사례보고: 대인관계 및 사회적 리듬 치료와 변증 치료를 중심으로 (A Case Study on a Patient with Major Depressive Episode of Bipolar II Disorder Treated with a Combination of Interpersonal and Social Rhythm Therapy and Korean Medicine)

  • 이지윤;김주연;정진형;정인철
    • 동의신경정신과학회지
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    • 제31권3호
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    • pp.213-223
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    • 2020
  • 본 논문은 제2형 양극성 장애 환자에게 한의학적 변증체계와 함께 IPSRT의 심리 치료 기법을 적용한 증례이다. 제2형 양극성 장애 환자에게 한의치료와 IPSRT를 4개월간 병용한 결과, 환자의 사회적 리듬, 우울증 및 대인관계 능력이 개선되었으며 4개월후 추적조사에서도 호전상태가 유지되었다. 향후 양극성 장애 환자에 대한 높은 근거수준의 한의 임상연구 수행과 한의표준임상진료지침의 개발 등을 통해 양극성장애에 한의치료가 보다 활발히 활용되기를 기대한다.

순환 신경망 기술을 이용한 코스피 200 지수에 대한 예측 모델 개발 및 성능 분석 연구 (Development and Performance Analysis of Predictive Model for KOSPI 200 Index using Recurrent Neural Networks)

  • 김성수;홍광진
    • 한국산업정보학회논문지
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    • 제22권6호
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    • pp.23-29
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    • 2017
  • Wealthfront, Betterment 등의 성공에 힘입어 전세계적으로 알고리즘을 통한 자동적인 자산분배 시스템인 로보어드바이저에 대한 관심이 증가하고 있다. 로보 어드바이저는 자산을 관리하는데 있어 사람의 개입을 최소화 하기 때문에 서비스를 이용하는데 드는 비용을 줄일 수 있으며 사람의 심리적 요인을 배제할 수 있다는 장점을 지닌다. 본 논문에서는 기존의 기술적 분석 기법을 대체하기 위하여 딥러닝 기술을 이용한 코스피 200 선물지수 예측 모델을 개발하고 그 성능을 분석하였다. 모델의 성능 분석 결과 제안하는 모델은 보합세에 놓인 종목의 방향성과 주가를 예측하는 문제에 활용 될 수 있음을 확인하였고, 향후 본 연구에서 제안하는 모델을 기존의 기술적 분석과 결합하여 로보어드바이저 서비스에 적용할 수 있음을 확인하였다.