• Title/Summary/Keyword: 우울반응

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Mental Healthcare Digital Twin Technology for Risk Prediction and Management (정신건강 위험 예측 및 관리를 위한 멘탈 헬스케어 디지털 트윈 기술 연구)

  • SeMo Yang;KangYoon Lee
    • The Journal of Bigdata
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    • v.7 no.1
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    • pp.29-36
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    • 2022
  • The prevalence of stress and depression among emotional workers is increasing due to the rapid increase in emotional labor and service workers. However, the current mental health management of emotional workers is difficult to consider the emotional response at the time of stress situations, and the existing mental health management is limited because the individual's base state is not reflected. In this study, we present mental healthcare digital twin solution technology, a personalized stress risk management solution. For mental health risk management due to emotional labor, a solution simulation is performed to accurately predict stress risk through synchronization/modeling of dynamic objects in virtual space by extracting individual stress risk factors such as emotional/physical response and environment into various modalities. It provides a mental healthcare digital twin solution for predicting personalized mental health risks that can be configured with modalities and objects tailored to the environment of emotional workers and improved according to user feedback.

The Use of Pharmacogenomic Method for the Prediction of Antidepressant Responsiveness (약리 유전학적 방법을 이용한 항우울제 치료반응성의 예측)

  • Kim, Doh Kwan;Lim, Shinn-Won
    • Korean Journal of Biological Psychiatry
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    • v.9 no.1
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    • pp.25-33
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    • 2002
  • Serotonin transporter(5-HTT) is one of the major action site of antidepressants in neuronal cells. According to the recent studies, it is known that the functional polymorphism in the promoter region of the 5-HTT gene(5-HTT linked polymorphism repetitive element in promoter region, 5-HTTLPR) is associated with antidepressant responsiveness, and the distributions of 5-HTTLPR is various among the different populations. Our preliminary study suggested that it is possible to measure the endophenotype of 5-HTTLPR genotype by examining the pharmacodynamic research of the 5-HTT in platelet membranes. However, there are limitations to predicting the antidepressant responsiveness only from the endophenotypic characteristics of 5-HTT gene promoter polymorphism, and therefore we propose to use the pharmacogenomic methods for overcoming these limitations. We found that the significant correlations existed among the genetic polymorphisms of biogenic amine transporters whose structure and characteristics are similar to the 5-HTT, and the predictable odds ratio of antidepressant responsiveness are increased significantly by combining the effect with other associated polymorphisms, compared to the effect of 5-HTT promoter polymorphism only. These results support the hypothesis that antidepressant treatment has to be individualized according to the genetic and ethnic background of depressed patients. It would be possible to develope the evaluation tools to predict the antidepressant responsiveness and its side effect profile, if scientists reveal the genes related to the action mechanism as well as the metabolism of antidepressants so as to discover the interaction of those genes and contribution of endogenotypes toward antidepressant responsiveness.

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According to Depression Index, Difference of Response to Mental Stress and Effect to Aromatherapy (우울 지수에 따른 일과성 스트레스 및 향기요법 반응에 대한 HRV 분석)

  • An, Tae-Han;Koo, Byung-Soo;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.3
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    • pp.11-22
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    • 2012
  • Objectives : The purpose of this study is to show the differences of mental stress measured with heart rate variability (HRV) and to evaluate the effects of Aromatherapy under mental stress, according to the depression index. Methods : The volunteers were allocated into 2 groups by BDI scores. Each group is divided into 2 subgroups again. After instrumentation and 10-minutes rest period, mental stress by operation was provided for 15-minutes. HRV was recorded before and after the mental stress. Then the control groups rested for 15-minutes. The experimental groups were treated with Aromatherapy. And then HRV was recorded. Results : 1. There were no significant differences in the mean HRT and SDNN between each group. 2. LF, HF, and LF norm showed different changes in each group. 3. LF/HF ratio showed significant changes. Conclusions : These results suggest that psychic factor makes an important rule under the mental stress and the effect of Aromatherapy, and Aromatherapy is effective to recover mental stress.

Effects of Laughter Therapy on Stress Response and Pain of Military Personnel with Low Back Pain in Hospital (웃음요법이 군병원 요통환자의 스트레스 반응과 통증에 미치는 영향)

  • Yu, Jeong-A;Kim, Keum-Soon
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.36-45
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    • 2009
  • Purpose: This study was to determine the effects of laughter therapy on stress response and pain of military patients with low back pain. Method: The subjects in the experimental group received 3-sessions of laughter therapy on 3 consecutive days. The primary outcome measures were state anxiety, depression, blood pressure, pulse rate and pain. Result: After 3 sessions of laughter therapy, the scores of state anxiety(p=.046), depression(p=.028) and pulse rate(p=.003) were significantly lower and diastolic blood pressure(p=.038) was significantly higher in the experimental group than those in the control group. The level of pain(p=.711) was not different significantly between two groups. Conclusion: Laughter therapy could be an effective strategic intervention for military patients with low back pain to reduce the level of anxiety and depression. Further studies are needed to determine long-term effects of laughter therapy and its effects on cardiovascular system and pain.

Proposal for the Dataset Structure for Developing Emotionally Intelligent Chatbots with Integrated Counseling Strategies (상담 전략을 통합한 정서 교감형 챗봇 개발을 위한 데이터셋 구조 제안)

  • Dong-Hyok Shin;Jae Hee Yang;Jin Yea Jang;Saim Shin
    • Annual Conference on Human and Language Technology
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    • 2023.10a
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    • pp.179-184
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    • 2023
  • 본 연구는 우울감을 느끼거나 대화 상대 부재로 어려움을 겪는 사용자와 정서 교감형 시스템간의 대화로 구성된 한국어 데이터 셋을 구축하고 이때 시스템이 사용할 수 있는 효과적인 응대 전략을 제안하는데 목적이 있다. 데이터셋은 사용자와 시스템 간의 대화 쌍을 기본 단위로 하며, 사용자의 7가지 기본 감정(행복, 슬픔, 공포, 놀람, 분노, 혐오, 중립)과 시스템의 4가지 응대 전략(명료화, 공감적 응대, 제안, 페르소나)에 따라 주석이 된다. 이 중, 공감적 응대 전략은 10가지 독특한 반응 유형(수용적 경청, 후행 발화 요청, 승인/동의, 비승인/재고 요청, 놀람, 격려, 느낌 표시, 상대 발화 반복, 인사, 의견 제시) 및 4가지 후행 발화 요청 유형(무엇, 왜, 어떻게, 그밖에)을 포함하는 구조로 구체화되었다. 이러한 주석은 시스템이 사용자의 다양한 감정을 식별하고 적절한 공감 수준을 나타내는 응답을 생성하는 데 있어 연구적인 의의가 있으며, 필요시 사용자가 부정적 감정을 극복할 수 있는 활동을 제안하는 데 도움을 줄 수 있다는 점에서 실제적인 의의가 있다.

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A Study on Psychological Factors and Gastric Physiological Activity in the Functional Dyspepsia -Using Gastric Emptying Test- (가능성 소화장애증 환자의 정신사회적 요인과 위장 생리활동성의 연관성에 관한 연구 -위 배출능 검사를 이용하여-)

  • Kim, Jin-A;Lim, Seung-Han;Moon, Seong-Keun;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.49-57
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    • 2001
  • Objectives : This study was designed to investigate the relationship between gastric emptying, psychopathology(especially anxiety and depression), and various factors that can mediate stress and response, such as coping style, social support and level of perceived stress. Methods : A total 30 patients who complained of the non-ulcer dyspepsia and did not have any abnormal finding on the gastroduodenal endoscopic examination, 24 hour ambulatory esophageal manometry and conventional gastroesophageal manometry were tested with gastric emptying that would be a functional examination of stomach. The correlations between the gastric emptying and psychological vaiable such as quantity of perceived stress, Symptom Checklist-90-Revision(SCL-90-R), Beck Depression Inventory(BDI), Spielberger Stait-Trait Anxiety Inventory(STAI), Ways of Coping Checklist and Interpersonal Support Evaluation List were evaluated. Results : 1) The mean and standard deviation of the time for half of the meal to empty(T50%) was $118.50{\pm}23.64$ minute which showed no gastric stasis in terms of gastric emptying test. 2) There were significant positive correlations between T50% and the state anxiety, T50% and thedepression. 3) There was no significant correlation between T50% and the quantity of perceived stress, T50% and mediating factors(coping style and social support). Conclusion : These results suggested that psychopathology, especially emotional components such as depression and anxiety, could affect on the current physiological functional gastric activity(gastric emptying), but quantity of perceive stress and mediating factors of stress and response such as coping style and social support could not affected on the functional gastric activity. These results showed that psychological interventions should considered in management of the patients with functional dyspepia.

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The Comparison of Stress Responses, Anger Expression and Alexithymia between Chronic Gastritis and Gastric Ulcer Patients (만성위염 환자들과 위궤양 환자들 간의 스트레스반응, 분노표현 및 감정표현불능증의 비교)

  • Koh, Kyung-Bong;Oh, Seung-Jun;Lee, Sung-Hee;Lee, Sang-In;Chung, Jae-Bock
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.30-37
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    • 2004
  • The objective of this study was to make a comparison between chronic superficial gastritis and gastric ulcer patients regarding stress responses, anger expression and alexithymia. The subjects included 100 patients with chronic superficial gastritis and 40 patients with gastric ulcer confirmed by gastroscopy. Stress responses were measured by the Stress Response Inventory(SRI) and anxiety, depression, somatization and hostility subscales of the Symptom Checklist-90-revised(SCL-90-R). Anger expression and anger suppression were assessed by the Anger Expression Scale. The level of alexithymia was assessed by the Toronto Alexithymia Scale(TAS). Multiple regression analysis showed that the patients with chronic gastritis scored significantly higher on tension subscale and somatization subscale of the SRI, and anxiety subscale of the SCL-90-R than those with gastric ulcer. However, no significant differences were found in the score of anger expression and anger suppression subscales and total score of TAS between the two groups. In chronic gastritis patients, women scored significantly higher on somatization subscale of the SRI than men, whereas in gastric ulcer patients, men scored significantly higher on somatization subscale of the SRI than women. These results suggest that chronic gastritis patients are more likely to have higher level of stress responses and higher susceptibility to stress than gastric ulcer patients. In addition, in chronic gastritis patients, women are more likely to somatize than men, but in gastric ulcer patients, men are more likely to somatize than women. However, there were no differences between the two groups in anger expression, anger suppression and alexithymia.

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Stress Perception, Stress Response and Coping Strategy of Patients with Chronic Prostatitis (만성전립선염 환자들의 스트레스 지각, 스트레스 반응 및 대처방식)

  • Kim, Sun-Kyung;Lee, Jin;Jeong, Seong-Yun;Kim, Hack-Ryul;Park, Sang-Hag;Lee, Moon-In;Kim, Sang-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.1
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    • pp.8-14
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    • 2009
  • Objectives : The purpose of this study was to investigate the various aspects of stress in patients with chronic prostatitis. Methods : Thirty two chronic prostatitis patients meeting the criteria of NIH-category III were compared with sixty four controls. Data pertaining to the source of, response to, and coping with stress, as well as chronic prostatitis symptom index were collected using a self-report questionnaire. The questionnaire consisted of a Global Assessment of Recent Stress(GARS), Stress Response Inventory(SRI), Ways of Coping Checklist(WCC), in addition to the NIH-CPSI. Results : From the results of GARS subscales, the scores of changes in relationship, sickness or injury and financial were significantly higher in patients with chronic prostatitis than normal controls. Chronic prostatitis patients had greater amplification of somatization, depression and anger in SRI and significantly lower score in ways of coping checklist compared with controls. In the NIH-CPSI of chronic prostatitis patients, the degree of symptom played a role in depression as stress response item and significant negative correlationship between the symptom point and problem focused, seeking social support coping strategy was observed. Conclusion : These results show that patients with chronic prostatitis have greater stress, higher stress response and insufficient coping strategy. Therefore, these efforts should be considered that enhancing healthier coping strategy and evaluation and management of stress experienced by chronic protatitis patients

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MMPI and SCL-90-R Profiles in Patients with Sleep-Related Breathing Disorder (수면관련 호흡장애 환자의 MMPI 및 SCL-90-R 반응 특성)

  • Kim, Kyoung-Woo;Yoon, Seok-Joon;Yang, Chang-Kook;Han, Hong-Moo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.37-47
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    • 2002
  • Objective : Previous studies have suggested an association between sleep-related breathing disorder (SRBD) and several psychological problems, and there were increasing recognition of the link. The purpose of this study is to evaluate the characteristic profiles of MMPI and SCL-90-R in patients with SRBD. Methods : This study consisted of 80 SRBD patients(73 men, 7 women) referred from Sleep Disorder Clinic of Dong-A University Hospital, Busan, Korea. Basic informations including demographic findings and physical examination were collected. Subjects completed the Epworth Sleepiness Scale(ESS), Minnesota Multiphasic Personality Inventory(MMPI), and Symptom Check List-90-Revision (SCL-90-R) prior to standard overnight polysomnography that was performed at hospital sleep laboratory. SRBD was divided into two groups of primary snoring(PS) and obstructive sleep apnea(OSA) according to polysomnographic findings. Results : SRBD showed significant elevation rate of Hs, D, and Hy scales of MMPI and SOM scale of SCL-90-R, which exceeded the rate expected in normal individuals(>5%, 2SD). On comparison of clinical scales of SCL-90-R, OSA group had significantly greater mean score than that of PS group in terms of O-C, DEP, PAR, GSI(p<0.05), SOM and PST(p<0.01). OSA group also showed significantly higher elevation rate in Hs scale of MMPI and SOM scale of SCL-90-R than that of PS. Among OSA group, three scales of MMPI(D, Pt, Si) and three scales of SCL-90-R(ANX, PAR, PSDI) had significant correlation with some PSG variables including total sleep time and sleep efficiency. Among PS group, two scales of MMPI(Hy and Pt), elevation rate of MMPI scales and three scales of SCL-90-R(I-S, PAR, PSDI) had significant correlation with some PSG variables including sleep efficiency, sleep latency and REM sleep percent. Conclusion : The above results suggest that SRBD show neurotic profiles in MMPI and SCL-90-R. This study also clearly indicates that PS group are suffered from clinically meaningful psychiatric symptoms, which are quantitatively lessened but qualitatively similar as compared to that of OSA group.

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A Study on the Effect of the Forest Healing Programs on Teachers' Stress and PANAS (산림치유프로그램이 교사의 스트레스와 긍정·부정감정에 미치는 효과)

  • Park, Suk-Hee;Yeon, Poung-Sik;Hong, Chang-Won;Yeo, Eun-Hee;Han, Sang-Mi;Lee, Hye-Young;Lee, Hyo-Jung;Kang, Jae-Woo;Cho, Hyun-Sol;Kim, Youn-Hee
    • Korean Journal of Environment and Ecology
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    • v.31 no.6
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    • pp.606-614
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    • 2017
  • This study analyzed the effect of forest therapy program on reduction of stress of teachers and their positive and negative emotions based on the survey of 221 teachers who participated in the overnight Happiness School Edu-healing Camp held for teachers by the National Center for Forest Healing. For data analysis, a paired sample t-test was conducted using the SPSS 24.0 program to examine the difference in the stress reaction index of teachers and their positive and negative emotions before and after their participation in the forest therapy program. The results indicated that teachers who participated in the program showed a significant decrease in the stress response index and the values of sub-domain such as physical symptoms, depression symptoms, and anger symptoms. Moreover, all teachers exhibited a significant decrease in stress. This result verifies that the forest therapy program is effective in reducing the stress of teachers and their negative emotions. These results are expected to be used to promote more active forest therapy programs for teachers exposed to a high level of stress.