• Title/Summary/Keyword: 신체화된 인지

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Characteristics of the Perception of the Somatic Symptoms and the Cognitive Emotion Regulation Strategies in Patients With Posttraumatic Stress Disorder (외상후스트레스장애 환자의 신체증상 지각 특성과 인지적 정서조절전략)

  • Kwon, Joo-Han;Park, Jong-Il;Sakong, Jeong-Kyu;Yang, Jong-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.102-110
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    • 2021
  • Objectives : The purpose of this study is to investigate the characteristics of the perception of the somatic symptoms and the cognitive emotion regulation strategies in patients with posttraumatic stress disorder (PTSD). Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using Clinician-Administered PTSD Scale (CAPS), Somato-Sensory Amplification Scale (SSAS), Hamilton Anxiety Scale (HAM-A) and Cognitive Emotion Regulation Questionnaire (CERQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SSAS, PTSD patients presented higher average SSAS scores than normal controls but the result is not statistically significant. In PTSD patients, the severity of PTSD is significantly correlated with CERQ-rumination and CERQ-catastrophizing. The SSAS scores of PTSD patients show the significant positive correlation with PTSD hyperarousal symptoms, CERQ-catastrophizing and CERQ-blaming others. Conclusions : These results reveal that patients with PTSD have maladaptive cognitive emotion regulation strategies such as rumination and catastrophizing. Somato-sensory amplification seems to be related with PTSD hyperarousal, CERQ-catastrophizing and CERQ-blaming others. Therefore, reducing somato-sensory amplification, rumination and catastrophizing can be helpful to reduce PTSD symptoms and somatic symptoms in PTSD patients.

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.

Image Recognition and Clustering for Virtual Reality based on Cognitive Rehabilitation Contents (가상현실 기반 인지재활 콘텐츠를 위한 영상 인식 및 군집화)

  • Choi, KwonTaeg
    • Journal of Digital Contents Society
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    • v.18 no.7
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    • pp.1249-1257
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    • 2017
  • Due to the 4th industrial revolution and an aged society, many studies are being conducted to apply virtual reality to medical field. Research on dementia is especially active. This paper proposes virtual reality based on cognitive rehabilitation contents using image recognition and clustering method to improve cognitive and physical disabilities caused by dementia. Unlike the existing cognitive rehabilitation system, this paper uses travel photos that reflect the memories of the subjects to be treated. In order to generate automated cognitive rehabilitation contents, we extract face information, food pictures, place information, and time information from photographs, and normalization is performed for clustering. And we present scenarios that can be used as cognitive rehabilitation contents using travel photos in virtual reality space.

Converging Technologies for the Cognitive Enhancement of Human (인지향상 융합기술)

  • Suh, J.D.;Song, K.B.;Chung, M.A.
    • Electronics and Telecommunications Trends
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    • v.26 no.3
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    • pp.1-13
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    • 2011
  • IT 디바이스, 컴퓨터 등의 인지능력 향상 기능을 가진 전자기기의 혁신적인 발전과 사용으로 현대인간의 인지능력은 수백 년 전 인간에 비하여 크게 확대되었다. 그러나 이러한 인지향상 기기들은 아직까지는 대부분 인간의 몸에 휴대한 상태로 사용되고 있으며 인간의 신체와 일체화되거나 스며들어 자연스럽게 융합접속되어 있지 않다. 만일 인지향상 기능을 갖는 정보통신 전자기기들이 인간의 몸과 일체화되어 활용할 수 있다면 인간의 인지능력은 상상을 초월할 정도로 향상될 것이다. 본 고에서는 이러한 인간인지의 향상을 목적으로 하는 인지향상 융합기술 개념에 대해 간략하게 소개하고 인지향상 융합기술의 사례와 전망에 대하여 살펴보았다.

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Effect of College Students' Perceived Stress, Cognitive Response to Stress, and Somatization on Heart Rate Variability (대학생의 지각된 스트레스, 인지적 스트레스, 신체화가 심박변이도에 미치는 영향)

  • Park, Keum Suk;Yoon, Hea Min
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.178-187
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    • 2019
  • Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.

A Study on the Development of Physical Examination with VR Content and User Satisfaction (VR 콘텐츠를 이용한 신체검사 개발 및 사용자 만족도 연구)

  • An, Ho-Won;Kim, Jun-Min
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.318-326
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    • 2021
  • This study aims to the effectiveness of physical examination using VR contents to solve problems such as the increase in chronic diseases and shortage of professional manpower in the health care field according to the aging and low birth rate, and to provide efficient healthcare. Therefore, this study implemented a one-stop VR content physical examination system by wearing HTC VIVE Pro VR and a stick controller. The system is from step 1 to step 5, and the final body age is determined and a simple solution is provided through five steps sequentially: color blind test, memory test, audiogram test, reaction speed test, and instantaneous cognitive ability test. In addition, for the one-stop VR content physical examination system developed by this study, as a result of verifying the user satisfaction for normal people who visited the health examination center and VR/AR clinical trial center of certified tertiary hospital in Daejeon, the overall satisfaction and the intention to reuse Was high, and according to gender, there was a significant difference in the 5-step test, and according to the age, there were significant differences in the 4-step test and the 5-step test.

청소년의 초기부적응심리도식이 외현화 문제행동에 미치는 영향: 인지적 정서조절에 매개효과

  • Choe, Pil-Yeol;Byeon, Sang-Hae
    • 한국벤처창업학회:학술대회논문집
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    • 2022.11a
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    • pp.67-70
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    • 2022
  • 최근 코로나19가 발생한 2020년부터 청소년의 문제행동은 지능화, 다양화되고 범죄와 폭력의 비중은 높아지고 있다. 청소년의 절도, 사기, 장물, 횡령 등과 같은 초범의 재산 범죄가 44.8%(2015)에서 45.1%(검찰청, 2020), 언어 및 신체의 학교폭력 피해자가 45.2%(2015)에서 54.1%(교육부, 2021)로 나타나 청소년 문제행동에 대한 심각한 실정을 알 수 있다. 청소년기의 범죄와 폭력은 욕망을 충족하기 위한 수행과 목표 달성의 도구적 행위이며 고위험군의 외현화 문제행동이다(Cornish & Clarke, 2002). 외현화 본 연구의 목적은 청소년의 초기부적응심리도식이 외현화 문제행동에 미치는 영향과 인지적 정서조절 매개효과를 실증적으로 검증하고자 한다. 연구를 위해 경기도 소재 중·고등학교 학생 953명을 대상으로 설문조사를 실시하고, SPSS ver. 25.0과 Hayes(2013)가 개발한 Process Macro를 사용하여 자료를 분석하였다. 분석결과는 다음과 같다, 첫째, 초기부적응심리도식이 높을수록 외현화 문제행동이 높은 것으로 나타났다(F=41.871, p<.001). 둘째, 초기부적응심리도식과 외현화 문제행동의 관계에서 인지적 정서조절의 매개효과가 나타났다(F=111.594, p<.001). 따라서 본 연구는 청소년의 외현화 문제행동을 예방 및 감소, 초기 부적응심리도식의 완화를 위해 인지적 정서조절의 효과를 높일 수 있는 상담 및 교육프로그램에 필요한 기초자료를 제공하는데 의의가 있다.

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Cognitive and Online Activity based Profiling to provide Senior User Customized UI/UX (고령 사용자 맞춤형 UI/UX 제공을 위한 인지 및 온라인 활동 기반 프로파일링)

  • Hur, YunA;Whang, Taesun;So, Aram;Lee, Seolhwa;Lim, HeuiSeok
    • Proceedings of The KACE
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    • 2018.08a
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    • pp.89-91
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    • 2018
  • 초 고령사회가 전망됨에 따라 적극적인 문화향유를 즐기는 다양한 신체적 활동성이 있는 새로운 실버세대를 스마트 시니어라고 지칭한다. 이전 연구에서는 스마트 시니어의 신체적 노화나 운동능력 저하를 고려하여 제공하는 맞춤형 UI/UX 콘텐츠 서비스를 제공하였다. 또한 스마트 시니어의 인지 반응 검사를 통하여 인지적 특성 저하 요소를 파악하고 A, B, C 그룹으로 나뉘어 그룹 특성에 맞게 글자 크기, 폰트 종류, 재생 속도 등 설정을 조정하여 맞춤형 UI/UX 콘텐츠를 제공하였다. 그러나 약 180여개의 인지 반응 검사를 진행함에 따라 스마트 시니어의 집중력 저하의 문제점이 있었다. 본 논문에서는 스마트 시니어의 인지 반응 검사지와 온라인 콘텐츠에서 스마트 시니어가 활동하여 변경된 설정 값을 이용하여 유의미한 인지반응 검사지를 추출하고 인지 반응 검사지 결과를 통해 상세한 맞춤형 UI/UX 콘텐츠를 제공하는 모델을 제안한다.

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The Casual Relationship Between Depression and Somatic Symptom of the Adolescence Using an Autoregressive Cross-Lagged Modeling (자기회귀교차지연 모델을 활용한 청소년 우울과 신체화 증상의 인과관계)

  • Han, Jeong Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.646-652
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    • 2017
  • The objective of this study was to verify the longitudinal reciprocal causal relationship between depression and the somatic symptoms of depression among adolescents through an autoregressive cross-lagged model using data from the Korean Children & Youth Panel Survey. The subjects of this study included 1,968 adolescents, who participated in the second, fourth, and sixth Korean Children & Youth Panel Surveys. The results showed that both depression and the somatic symptoms of depression at a previous point in time affect depression and the somatic symptoms of depression at a later point in time. It was also found that depression at a previous point in time has a cross-lagged effect on the somatic symptoms of depression at a later point in time, implying that more severe depression at a previous point in time leads to increased severity of somatic symptoms at a later point in time. It was found that the somatic symptoms of depression at a previous point in time have a cross-lagged effect on depression at a later point in time, indicating that more severe somatic symptoms of depression at a previous point in time lead to increased severity of depression at a later point in time. This study is significant in that it provides baseline information about nursing interventions for adolescent mental health.

Differences of Illness Behavior in Depressive Patients According to the Presence of Somatization (우울증 환자에서 신체화 증상에 따른 질병행동의 차이)

  • Yoon, Chang-Young;Jang, Se-Heon;Jae, Young-Myo;Lee, Dae-Su;Choi, Jin-Hyuk
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.2
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    • pp.68-74
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    • 2009
  • Objectives : Illness behavior is defined as the persistence of an adaptive/maladaptive mode of perceiving, evaluating and responding to health status and symptoms according to the status. In a cognitive aspect, somatizing symptoms are regarded as being originated from distortions, including magnification and/or amplification, of perceiving, evaluating and responding to symptoms such as bodily sensations. That is somatization may be explained by maladaptive illness behavior. In this study, we tried to investigate differences of illness behavior in depressive patient according to the presence of somatization. Methods : We divided 45 patients who were diagnosed as depression with ICD-10 diagnostic criteria into two groups(somatizing and non-somatizing group) according to the somatization subscale of Korean Depression Scale and compared two groups in the differences of illness behavior using the Illness Behavior Questionnaire. Results : Somatizing group showed significantly higher scores than non-somatizing group on the disease affirmation subscale($6.79{\pm}2.08$ vs. 4.76, p=0.003) and the denial subscale($3.25{\pm}1.22$ vs. $2.10{\pm}1.41$, p=0.006). There were no significant differences between two groups on the general hypochondriasis subscale and the affective unstability subscale. In a logistic regression analysis, somatizing group also showed higher odds ratio (OR) scores on the disease affirmation subscale(OR=1.418, p=0.089) and the denial subscale(OR=1.880, p=0.083). Conclusion : The disease affirmation and denial may be a discriminative mechanism of somatization in depressive patients. These subscales of Illness Behavior Questionnare could be useful markers, and psychiatric illnesses with somatizing and depressive symptoms may be differentially diagnosed and be predicted through these subscales.

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