• Title/Summary/Keyword: 신체 및 정신 건강

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The Relationship of Physical Activity Types with Depression, Stress and Happiness in the Elderly (노년기 신체 활동 특성과 우울, 스트레스 및 행복의 관계)

  • Kang, Hee Kyung
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.680-691
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    • 2021
  • This study investigated the relationship of physical activity types with depression, stress and happiness in the elderly. The data were from the seventh Korea National Health and Nutrition Examination Survey, 2019, 2,381 cases. The results showed the levels of Activity of Daily Living were relatively high, but the levels of moderate recreational activity and aerobic physical activity prevalence were low. The levels of depression, stress and happiness were satisfactory. There were some differences in depression, stress and happiness by the levels of activity of daily living, moderate recreational activity and aerobic physical activity prevalence. The implications to enhance physical activities and mental health for the elderly were discussed.

Survey of Work Experiences and Practices of Occupational Therapists in the Mental Health Field: A Focus on Physical Function Enhancement Interventions (정신건강 분야에서 근무하는 작업치료사의 업무 경험 및 실태조사: 신체기능 향상 중재를 중심으로)

  • Kim, Min-Jee;Kim, Young-wook;Kim, Jun-hyeok;Kim, Ga-hee;Choi, Hong-seok;Moon, Kwangtae
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.53-65
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    • 2023
  • Objective : This study aimed to identify the experiences and practices of occupational therapists in mental health and provide interventions for improving body function in individuals with mental illness. Methods : Data were collected from mental health therapists between November 7 and November 14, 2022. A survey was distributed via email and 46 responses were analyzed using descriptive statistics and correlations. Results : The majority were female (58.7%), aged 20-30 years (84.8%), working in mental health centers (41.3%), and undergoing mental health occupational therapy training (91.3%). They had 1-3 years of mental health experience (65.2%) and were commonly involved in programs (71.1%), case management (62.2%), and administration (57.8%). Interventions for physical functioning were common (73.9%), including group interventions (41.2%), such as stretching, aerobic exercise, and walk training, and individual interventions (38.1%), such as walking, stretching, and aerobic exercise. Conclusion : Occupational therapists play a crucial role in enabling individuals with mental illness to engage in daily life activities. However, relevant studies in this field are lacking. This study emphasizes the importance of mental health occupational therapy and the need for evidence-based services for physical function improvement interventions to provide more effective treatments for mental illnesses.

Influences of Work and Family on the Married Female Workers' Health (기혼 여성노동자의 건강에 미치는 직업특성과 가족특성)

  • Park, Soo-Mi;Han, Sung-Hyun
    • Korea journal of population studies
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    • v.27 no.2
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    • pp.155-175
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    • 2004
  • 이 연구는 여성의 삶의 질에 '일'과 '가족'이 갖는 의미가 무엇인지를 알아보기 위해서, 여성의 '신체적${\cdot}$정신적 건강'에 미치는 '일'과 '가족'의 효과를 분석하고 있다. 이 연구는 생산직 및 사무직에 종사하는 기혼 여성 902명에 대한 설문지 면접조사결과를 회귀분석방법으로 분석하였다. 분석결과, 기혼여성노동자의 신체적 건강과 정신건강에 미치는 직업특성${\cdot}$가족특성의 영향력에 변별성이 발견되었다. 가족특성이 기혼여성노동자의 정신건강에만 유의미한 영향을 미친 반면, 직업특성은 이들의 신체적 건강${\cdot}$정신건강 모두에 유의미한 영향을 미침으로써 여성들에게 직업이 갖는 의미가 재해석되어야 함을 암시하였다. 분석결과가 함의하는 바는 다음과 같다. 첫째, '업무스트레스'의 효과처럼 동일한 변수가 성별로 상이한 효과를 미친다는 사실에서 '일'에 대한 성별화된 사회규범이 해체되어야 한다. 둘째, 여성의 연령 증가, 자녀수 증가에 따라 정신건강이 좋아진다는 결과에서 여성에게 '가족'과 '일'의 갈등적 측면 못지않게 지원적 측면이 강화되고 있다. 셋째, 기혼여성노동자의 건강에 가장 영향력 있는 변수는 '가정형편' 변수로서, 건강의 계층화 현상에 주목할 필요가 있으며 저소득층에 대한 각별한 건강복지정책이 요구된다는 점이다.

Relationship of Participation in Jazz Dance to Body Image and Mental Healt (재즈댄스 참가와 신체상 및 정신건강과의 관계)

  • Choi, Sung-Ae
    • The Journal of the Korea Contents Association
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    • v.8 no.8
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    • pp.196-205
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    • 2008
  • The purpose of this study was to examine the relationship of participation in jazz dance to body image and mental health in an attempt to make a contribution to the spread of jazz dance. The subjects in this study were 183 people who were selected by purposive sampling from a population of Seoul and Gyeonggi province residents who were at the Western age of 18 and up. The selected people took general education courses at colleges, attended cultural centers or fitness clubs, or learned dance for all. One instrument used in this study to assess their body image was Jourard and Secord(1954)'s Body Cathexis Scale, which was modified into six factors and 39 items. The other was Kim Gwang-il, et. al.(1978)'s 46-item inventory, which translated Rickles and Rock(l976)'s SCL-90 with 90 items to suit Korean circumstances. That inventory was modified into 31 items and four factors. For data handling, factor analysis, reliability analysis, regression analysis and path analysis were utilized. The findings of the study were as follows: 1. The extent of jazz dance participation had an impact on their body image. Those who performed jazz dance more frequency had a better image about their health and the lower part of the body. 2. The level of jazz dance participation exerted an influence on their mental health. A longer participation term led to more interpersonal sensitivity, and a higher participation frequency was followed by more somatization. 3. Concerning the causal relationship of participation in jazz dance to body image and mental health, the participation frequency affected health, the image of the lower part of the body and somatization in the firsthand manner, and the image of the lower part of the body had a firsthand impact on interpersonal sensitivity, hostility, anxiety and depression. Accordingly, the image of the lower part of the body played a crucial role as a parameter in the relationship between the jazz dance participation frequency and mental health.

What Should We do with Korea's Biomedical Model of Medicine? - From Biomedical to Biopsychosocial Model - (우리나라 의료의 생의학적 모델 어떻게 할 것인가? - 생의학적 모델에서 생물정신사회적 모델로 -)

  • Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.3-8
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    • 2012
  • Understanding the biopsychosocial model of illness is crucial for any meaningful advance of health. The maintenance and promotion of health is achieved by different combinations of physical, mental, social and spiritual well-being. Health is not an objective of living. It is not only a state, but also a resource for everyday life. Health is a positive concept that emphasizes personal and social resources, as well as physical capacities. Understanding the biopsychosocial model of health and disease is very important in the medical system. George Engel challenged the medical profession to reconsider a strict biomedical approach to medical education and care, and to embrace a "new medical model," the biopsychosocial model. He argued that humans are at once biological, psychological, and social beings who behave in certain ways that can promote or harm their health. Although understanding the biopsychosocial model of illness is important, Korea's medical system have mainly been focusing on the biomedical model of illness. I would like to highlight the importance of biopsychosocial model of illness for Korea's medical system and real clinical field according to the 20th anniversary of Korean Society of Psychosomatic Medicine.

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The Relation among Adolescents Metabolic Syndrome, Dietary Life, Physical Activity and Mental Health - Using 7th National Nutrition Survey of 1st Year(2016) - (청소년의 대사증후군과 식생활, 신체활동 및 정신건강 관련성 연구 - 국민건강영양조사 제7기 1차년도(2016년) 자료를 이용하여 -)

  • Moon, Woo-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.158-168
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    • 2019
  • This study has researched and analyzed the relation among adolescents metabolic syndrome, dietary life, physical activity and mental health using $7^{th}$ National Nutrition Survey of $1^{st}$ year(2016) to provide the base data for the prevention of adolescent metabolic syndrome and the promotion of mental health. The subjects have been aimed at 13-18 year-old adolescents. The normal group consists of 201 males(56.4%) and 187 females(47.4%) and the adolescents with metabolic syndrome are composed of 9 males(56.4%) and 6 females(43.6%), totally 403 subjects. As a result of analyzing on the relation among adolescents' metabolic syndrome, dietary life, physical activity and mental health, the main influencing factors of metabolic syndrome are as follows. First, with regard to physical features, as BMI increases 1, the prevalence rate of metabolic syndrome multiplies 1.746 times. Second, when eating breakfast once to twice a week, the prevalence rate of metabolic syndrome decreases 0.87 times. Third, with regard to physical activity, as usual sitting hours a day increase 1 hour, the prevalence rate of metabolic syndrome multiplies 1.054 times. Fourth, the relation between metabolic syndrome and mental health of adolescents is not significant at all. Thus, the further study on metabolic syndrome focused on adolescents should be extended through the development of various variables of dietary life, physical activity and mental health focused on adolescents. In addition, the development of effective intervention program combining with dietary life, physical activity and mental health factors is necessary.

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.

The Physical and Mental Symptoms of Normal Subjects with Mild Life Stress (생활 스트레스가 경미한 일반 성인에서의 신체적 및 정신적 증상 - 종합병원 건강증진센터 내원자들을 대상으로 -)

  • Chu, Sang-Hee;Ha, Eun-Hye;Lee, Byung-Ook;Jon, Duk-In;Kim, Young-Hyun;Song, Dong-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.48-54
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    • 2002
  • Objectives : Aims of the study were to investigate the physical and mental symptom profiles related with perceived life stress in normal populations. Methods: The study subjects were 186 subjects who visited the Health Promotion Center at National Health Insurance Corporation Ilsan Hospital between July and December, 2000. We measured Life Stress Assessment Scale (LSAS), SCL-90-R (Symptom Check List-90 Revised), and Physical Health Check Questionnaires to evaluate perceived life stress for one year, and physical and mental symptoms. The physical markers related with stress were also measured. According to LSAS scores, we selected two groups from all subjects : Group I (LSAS score with lower 25 percentile) and Group II (LSAS score with higher 75 percentile). Each number of subjects was 46 in Group I and 47 in Group II. We analyzed stasistical significances of study variables between Group I and II. Results : Group II subjects showed higher scores in all subscales of SCL-90-R compared to Group I subjects. Comparing to Group I, Group II subjects complained more physiological symptoms related with anxiety and depression. But there were no statistical differences in the physical markers related stress between two groups. Conclusion: We found that past year-life stress caused various mental and physical symptoms, which didn't develop any physical illness related life stress in normal populations yet.

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MMPI 와 생리적 특성간의 상관성 분석

  • 박세권;정연수;김동수
    • Proceedings of the Korean Statistical Society Conference
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    • 2004.11a
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    • pp.111-116
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    • 2004
  • 스트레스 수준이 논을 것으로 예상되는 공군사관학교 수험생의 신체검사 결과로부터 신체건강 지표인 혈액 내 생화학적 요인들과 정신건강 지표인 다면 인성검사 점수를 추출하여 통계적 상관성 및 유의성을 비교 분석하였다 사관생도들 중 $10\%$의 표본을 추출하여 사관생도와 수험생 집단간의 특성 비교를 위한 비교집단으로 이용하였다. 수험생과 사관생도 집단 간의 특성 요인 비교는 Mann-whitney U 검정과 Kruskal-Wallis 검정을 이용하였다. 수험생 집단 내에서 혈중 요인 및 정신건강 지표인 MMPI 점수는 정상범주에 있었고 두 요인 간 상관성은 발견할 수 없었다. 그러나 사관생도와 수험생 집단 간의 특성 요인들에 대한 유의성 검정 결과, 특히 2학년생도들의 혈액 내 혈구 수 및 활동성 또는 적극성과 관련된 MMPI 하위척도에서 수험생 집단과 매운 유의한 차이를 보이는 특이한 현상을 발견할 수 있었고 이에 대한 해석을 언급하였다.

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Pharmacotherapy for Patients Complaining With Somatic Symptoms (신체증상을 호소하는 환자의 약물치료)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.95-101
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    • 2021
  • Patients complaining with somatic symptoms are very common in clinical practice, and are often consulted to medical department. But it is difficult to treat well. The treatment of somatic symptom disorder is multi-modal as none of the methods on their own provide a satisfactory outcome. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Drugs such as tricyclic antidepressants, serotonin reuptake inibitors(SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics are studied. The evidence indicates that these drugs are effective in somatic symptom disorders. All classes of antidepressants seem to be effective against somatic symptom disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder, and SNRIs appear to be more effective than other antidepressants when pain is predominant. The author suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by using not only psychotherapeutic approach but also pharmacological treatment. It will be helpful to reduce suffering and increase quality of life of these patients.