• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.7-15
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• 2022

Objectives : The purpose of this study is to identify the effect of office workers' stress level and stress vulnerability on heart rate variability (HRV), confirm the significance of objective stress indicators obtained through subjective stress and heart rate variability devices, and examine their effectiveness as an integrated stress measurement tool in community mental health projects. Methods : From June to July in 2020, 929 workers participated in the stress management and mental health promotion project carried out by K hospital, and their recorded database was used for study analysis with their agreements. Multiple linear regression analysis was performed to find out the effects of general stress level, and stress vulnerability on heart rate variability. Results : All general characteristics were found to have a significant effect on SDNN (ln), RMSSD (ln), LF (ln), and HF (ln), but work experience did not significantly affect RMSSD (ln). Stress level and stress vulnerability did not significantly affect heart rate variability, but stress perception, a sub-factor of stress level, was found to have a significant effect on RMSSD (ln) (β=0.118, p=0.023). Conclusions : In this study, stress perception, a sub-factor of stress level, was found to be a factor affecting RMSSD (ln). This indicates an association with the activity of parasympathetic nerves in stressful situations, and more follow-up studies are needed to use it as a direct indicator of chronic stress and integrated stress in the community mental health field.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.1
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• pp.43-53
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• 2016

Objectives : Somatic symptoms after the exposure of psychological trauma frequently developed. However, the somatic symptoms are not covered under the diagnostic criteria of posttraumatic stress disorder(PTSD) in detail, although they are often associated with social and occupational functioning and patient-doctor relationships. The aim of this article is to highlight the potential mechanisms, the common manifestations, and the treatment of the somatic symptoms. Methods : This article studied the somatic symptoms searched using academic search engines like PubMed, Scopus, Google Scholar, KoreaMed and KISS from the earliest available date of indexing to March 31, 2016. Results : The mechanism of somatic symptoms after the exposure was described as psychological and physiological aspects. Psychological mechanism consisted of psychodynamic theory, cognitive behavioral theory, and others. Physiological mechanism involved changes in neuroendocrine and immune system, autonomic nervous system and central nervous system. Somatization associated with psychological trauma manifested various health conditions on head and neck, chest, abdominal, musculoskeletal, and dermatological and immune system. Few studies described the standardization of treatment for the somatic symptoms. Conclusions : Clinicians and disaster behavioral health providers should think of the accompanying somatic symptoms during intervention of psychological trauma and PTSD. Further studies are needed on the somatic symptoms seen in psychological trauma and PTSD.

• Journal of The Korean Digital Architecture Interior Association
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• v.13 no.2
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• pp.53-60
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• 2013

세계 경제가 고도성장에 따른 산업구조의 변화를 갖게 되었고, 의학기술의 발달로 건강한 고령자의 증가가 나타나는 사회 현상이 나타나게 되었다. 우리나라 역시 65세 이상의 건강한 고령인구의 증가 추세와 고령화 사회로의 진입이 현실화 되고 있다. 또 급속한 핵가족화 등으로 인하여 가족 내의 노인부양 기능이 약화되고 있으며, 건강한 노인 단독세대가 급증함에 따라 해당 관련 복지의 구체적인 정책 실천방향에 대한 요구와 신체적, 사회 심리적 특성에 따른 힐링 환경의 개발요구가 높아지고 있다. 이에 본 연구에서는 인류 건강증진 개념 및 고찰을 통해 힐링 환경의 공간특성을 도출하고, 이를 통하여 보다 질적으로 향상된 건강한 주거환경을 제시하고자 하는데 그 의미가 있다. 본 논문에 있어서의 공간에 의한 인류 건강증진은 1. 건강과 질병은 하나의 스펙트럼 상에 놓여 있으며, 한편은 최상의 건강 상태이며 다른 한편은 질병에 의한 사망이라는 개념에 의미를 둔다. 2. 병, 의학 전문가 관점에서 건강을 증진시키는 과정에 중심을 두고 있는 새로운 치료적 환경에 대한 혁신적인 패러다임을 주지하는 입장에서, 안녕(healing)을 양성하는 공간 특성을 도출 개념이다. 3. 환경변화에 적응하는 역동적 건강개념에 그 근거를 두고, "건강은 단순히 무 질병의 개념이 아니라 신체적, 정신적, 문화적 에다가 영적으로 완전한 안녕 상태"라는 개념을 적용한다. 4. 특히, 병, 의학 전문가 관점으로 인해 간과되었던 대상자의 공간으로부터 얻게 되는 심리적, 사회적, 정신적 요구들을 반영하는 안녕(healing) 개념의 힐링 철학의 개념을 갖는다.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.128-135
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• 2021

Objectives : The aim of the present study is to investigate the impact of COVID-19 on the incidence and severity of childhood and adolescent self-harm. Methods : Medical records were retrospectively reviewed for patients under the age of 18 who visited the emergency room of Konyang University Hospital to compare the rate of self-harm attempts and the demographic, clinical, and self-harm-related of self-harm attempters aspects before and after the COVID-19 outbreak. Results : During 11 months after the COVID-19 outbreak, the proportion of the number of children and adolescents patients with self-harm and their episodes increased significantly compared to that during 11 months before the COVID-19 outbreak (𝛘²=14.397, p<0.001; 𝛘²=24.156, p<0.001). Between about the year before and after the outbreak of COVID-19, there was a significant difference in the prior self-harm history and psychiatric history among children and adolescents who visited the emergency room and the ratio of hospitalization to other departments than department of psychiatry (p<0.05; p<0.05; p<0.05). Conclusions : In the COVID-19 situation, the proportion of children and adolescents who visited the emergency room due to self-harm and admission to other departments are increasing. And it has been shown that the incidence of self-harm has significantly increased in children and adolescents with a history of prior self-harm and psychiatric past history. These findings underscore the need for the psychiatric evaluation and intervention of self-harm related high-risk groups among children and adolescents in pandemic situations.

• Journal of dental hygiene science
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• v.9 no.3
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• pp.295-302
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• 2009

The purpose of this study is to provide fundamental data for managing occupational stress and promoting health by investigating the factors of dental hygienists' occupational stress and the relationship among occupational stress, health status and somatization. The subjects in this study are 28 dental hygienists who have worked at dental clinic in the metropolitan area. The findings of this study are as follows: 1. The average age of the subjects is 25.1 and the average working career is 42.8 months. 8-9 hours is the most frequent average working time as 55.5% and a 6-day workweek appears most frequently with 33.8%. 2. The total average of occupational stress is 45.24 points and out of the seven sub-factors, job demand is the highest as 56.17 points. 3. A group of working at dental university hospitals scores significantly high and a group of working over 10 hours per day scores significantly low in health status (p<0.05). 4. A group of a 5-day workweek. night and holiday duty scores 18.64 which is significantly high in somatization(p<0.05). 5. Occupational stress have slightly negative correlation (-.341, p<0.01) with health status and slightly positive correlation (.330, p<0.01) with somatization. There is a strong, negative correlation between health status and somatization(-.762, p<0.01 ). 6. Health status and somatization have a slightly positive correlation with every other sub-factor of occupational stress except job self-control.

• Korean Journal of Psychosomatic Medicine
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• v.21 no.1
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• pp.27-43
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• 2013

Objectives : We surveyed this study for knowing the relation within stress, depression and medical comorbidities, and finding the risk factors of major depression. Methods : 1764 subjects were enrolled from Jan. 2009 to Dec. 2009 who visit Korea University Guro hospital healthcare center. The subjects answered the questionnaire of PSS(Perceived Stress Scale), PHQ-9(Patient Health Questionnaire-9) and the demographic data. We categorized them as the stress group, depressive group, medical comorbidity group and analyzed the correlation analyses and logistic regression analyses. Results : 198 of 1764 subjects(11.8%) were applied to major depression, and the depressive group showed the higher mean stress score(23.19) and mean depression score(12.95) than the normal group. The total PHQ-9 score was increased by perceiving more stress, having more medical comorbidities. The subjects with female, visiting due to recent health problems, irregular exercise, current smoking, history of angina and cerebrovascular disease showed the increased risk of major depression. Conclusions : In this study, we find the PSS, PHQ-9 were valuable for mental health screening in healthcare center. As perceiving more stress and having more medical comorbidity, risk of major depression were increased. Accordingly the individuals with medical diseases or unhealthy lifestyle would need the mental health screen.

• The Journal of Korean Society for School & Community Health Education
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• v.9 no.2
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• pp.119-124
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• 2008

1821년 독일에서 발명된 하모니카는 유럽, 아시아, 미 대륙으로 확산되면서 각 나라와 지역의 기호 및 전통에 따라 수용, 변화되었으며 현재는 약 150여종의 서로 다른 모습으로 그 장점을 따라 활용되고 있다. 하모니카는 인간의 생활에 여러가지 유익을 주는데 다만 심폐기능을 중심으로 하는 신체적 건강뿐만 아니라 정신적, 정서적 건강에 유익한 영향을 미친다. 특히 이러한 하모니카를 활용한 여가생활과 인간관계의 형성은 학령기 어린이와 청소년들에게 더 없이 유익하다. 학령기 어린이와 청소년들의 건강증진과 삶의 질에 미치는 유익한 영향은 구체적으로 학교 자퇴율의 감소, 학습능력의 향상, 수업집중도의 향상, 정신건강수준 향상, 사회관계 형성, 음주, 흡연, 폭력 등 건강위험행위 예방, 신체적, 정서적 안정 등을 들 수 있다. 따라서 하모니카 불기와 감상하기를 학교 재량수업시간에 도입하는 것은 위와 같은 다양한 유익을 확대하는데 의미있는 방법이므로 신중하게 검토할 필요가 있다.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.1
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• pp.12-18
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• 2017

Objectives : Psychiatric staffs may experience excessive work stress, burnout, and reduced job satisfaction in clinical settings. This can increase chances of diminishing their overall working efficiency or having difficulty managing their own mental health. The purpose of this study was to investigate the effect of group mindfulness-based cognitive therapy(MBCT) on job stress, burnout, self-efficacy, resilience, and job satisfaction. Methods : Twenty eight psychiatric staffs who agreed to participate in the study were included. Self-report questionnaires were used to measure job stress, burnout, resilience, self-efficacy, and job satisfaction. To examine the effects of group MBCT, the scores were compared before and after MBCT. Results : Work stress and burnout scale scores were significantly decreased after group MBCT. Resilience, job satisfaction, and self-efficacy scale scores were significantly increased after group MBCT. Conclusions : In the current study, group MBCT for psychiatric staffs helped to reduce their work stress and burnout, and, as well, helped to improve resilience, self-efficacy, and job satisfaction. This suggests that, in mental health treatment settings, psychiatric staffs can improve their mental health through group MBCT. Improving mental health of psychiatric staff may also have a positive impact on their patients.

• Journal of Convergence for Information Technology
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• v.11 no.11
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• pp.1-9
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• 2021

This study aimed to find out the factors influencing the fall of middle-aged women aged 40 to 64 and to use it as basic data for the development of a fall prevention program. The study was based on raw data from the 2019 Korea Community Health Survey. To establish the impact of fall experience of middle-aged women, descriptive statistics, chi-square test, and multiple logistic regression were used. Of the 43,917 people surveyed, 11.9% of middle-aged women said that they had experienced a fall. Falls were more common among women with increasing age or without a spouse. Those who experienced a lot of depression and perceived stress and were diagnosed with diabetes also had a higher fall experience. In the case of drinking, women who drank more than non-drinkers were more likely to fall. The results of this study can lead to a better understanding middle-aged women who have experienced falls, and they can be used as basic data for the development of related health programs.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.176-183
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• 2021

Objectives : The purpose of this study was to find out how demographic factors, suicide attempt patterns, psychiatric history and management of suicide attempters affect the completion of emergency department (ED) based case management program. Methods : Among the patients who attempted suicide and visited the emergency department of Chung-Ang University Hospital from June 1, 2018 to May 31, 2021, 661 patients who agreed to case management were studied. After being discharged from the emergency department, subjects were registered for an eight-week follow-up service program. Hierarchical logistic regression analysis was conducted with demographic factors, suicide attempt patterns, psychiatric history and management as independent variables, and completion of case management program as dependent variables. Results : Suicide attempt pattern had the most significant influence on the completion of case management program, followed by demographic factors, psychiatric history and management. Those who completed the case management program were significantly more likely to have suicide plans in the future, more authentic in suicide attempts, and had higher proportion of past suicide attempts than those who did not complete the program. Conclusions : To ensure that the subjects complete the follow-up project program and get connected to community services, an individualized approach with consideration of suicide attempt patterns, demographic factors, and psychiatric history is needed.