• Title/Summary/Keyword: 우울불안

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The Effects of Group Occupational Therapy Including Education Programs on Depression, Anxiety, and Participation of Activities in People With Dementia (교육 프로그램을 포함한 집단작업치료가 치매환자의 우울, 불안, 활동참여에 미치는 영향: 무작위 대조군 사전-사후 설계)

  • Ham, Min-Joo;Kim, Hee
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.97-109
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    • 2018
  • Objective : The purpose of this study was to examine the effect of group occupational therapy including education regarding depression, anxiety, and activity participation in people with dementia. Methods : Nineteen people with dementia were randomly assigned to experimental(n=10) and control group(n=9). The participants in experimental group conducted occupational therapy including education, whereas the control group occupational therapy only. Pre- and post- assessments were applied using Korean form of Geriatric Depression Scale(K-GDS), Hamilton Anxiety Scale(HAM-A), State Trait Anxiety Inventory(STAI-X-1), and Korean Activity Card Sort (K-ACS). Results : When comparing the differences between pre- and post- of the intervention, the depression and anxiety of occupational therapy group including the educational program decreased statistically(p<.05). Conclusion : This study has shown that occupational therapy including education has significant effects on reducing depression and anxiety in people with dementia. In the future, it will be necessary to develop an intervention program to strengthen the psychological and emotional aspects of people with dementia, and various studies in the field of occupational therapy focusing on care giver education should be conducted.

Mediating Effects of the Distress Tolerance on the Relationship between Negative Emotions and Subjective Well-Being (부정적 정서와 주관적 안녕감의 관계에서 고통 감내력의 매개효과 연구)

  • Choi, Soon-Mi;Jeong, Moon-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.145-154
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    • 2019
  • As the interest in the positive quality of life is increasing throughout the world, the number of people who are suffering from negative sentiments, such as depression, anxiety, or stress, is increasing, as well. Especially, the adolescence period is the period of transition from childhood to adulthood and accompanies significant changes in terms of the body and mind alike. The purpose of this study is to examine the negative sentiment of the juveniles, caused by the stress they experience in their social and personal domains and the distress tolerance that can protect the inner feelings of them at the same time, to understand how they are related to the subjective well-being of the juveniles. For this study, the researcher employed the data from 362 high school students from the high schools located in Seoul and Gyeonggi area, which were analyzed using the statistics suites SPSS 22.0 and AMOS 22.0. According to the findings of this study, first, the depression and anxiety of the adolescent population showed a significant relationship for each variable with regard to the distress tolerance and the subjective well-being. Especially, the negative correlation with the subjective well-being was highly significant. Second, the depression and anxiety of the juveniles turned out to influence the distress tolerance and subjective well-being of them in a negative manner. In both distress tolerance and subjective well-being, the influence of anxiety was higher than that of depression. Third, in the relationship between depression, anxiety, and subjective well-being, the distress tolerance turned out to have a mediating effect. Such results of this study provided the basic data for suggesting the strategies to promote the perceived psychological well-being and help the juveniles who are under stress.

에이즈 포비아의 TAF

  • Jeong, Hyeong-Su
    • RED RIBBON
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    • s.83
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    • pp.18-19
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    • 2009
  • 강박증은 우리나라 전체 인구의 $2{\sim}3%$가 앓을 정도로 드물지 않은 정신과 질환이다. 일상생활에서 평범한 많은 사람들은 마음속에 불안과 걱정을 가지고 있다. 사람마다 불안과 우울의 대상은 다양하겠지만, 에이즈라는 특정대상과 결부되어 있는 두려운 공포, 에이즈 포비아와 강박증에 대해 사례를 통해 살펴보고자 한다.

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IMPACT OF PARENTAL PSYCHIATRIC DISORDER ON OFFSPRING'S DEPRESSION, ANXIETY, SELF CONCEPT AND PERCEPTION OF FAMILIAL RELATIONSHIP (정신과 환자 자녀의 우울, 불안, 자기 개념 그리고 가정환경의 특성에 대한 연구)

  • Lee, Jung-Bum;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.54-66
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    • 1998
  • Objectives:This study was to investigate the impact of parental psychiatric disorder on offspring's depression, anxiety, self concept, perception of familial relationship compared with offspring of normal control. In offsprings of parents with psychiatric disorder, this study explored whether their psychopathology, self concept, and perception of familial relationship were influenced by parent’s sex, onset time of parent’s psychiatric disorder and parent’s psychiatric diagnosis. Methods:52 offsprings aged 10-18 years of 39 psychiatric outpatient were surveyed from June, 1997 to April, 1998 and completed several questionnaaire, including Korean from of the Family Environment Scale, Korean form of the State-Trait Anxiety Inventory for Children, Korean form of Kovac’s Children’s Depression Inventory, and Korean form of Piers-Harris Children’s Self-Concept Scale. Their score was compared with offsprings’ of normals. In offsprings of parents with psychiatric disorder, they were compared according to parent’s sex, onset time of parent's psychiatric disorder and parent’s psychiatric diagnosis. Results:The results were as follows:1) Offsprings of parents with psychiatric disorder reported higher level of state anxiety and lower level of the FES expressive subscale than offsprings of normals(p<0.05). But they reported higher level of PHCSCS intellectual & school status subscale and popularity subscale than normals(p<0.05). 2) There were no differences in anxiety, depression, self concept, and perception of familial relationship between patient’s sex. 3) Offsprings less than 3 years old when parent’s psychiatric disorder had developed showed higher level of trait anxiety and lower level of FES control subscale than offsprings more than 3 years old (p<0.05). 4) There were no diferences in anxiety, depression, self concept, and perception of familial relationship between patient’ diagnostic groups(schizophrenia spectrum disorder-mood disoderneurosis). Conclusion:The finding indicated that self reported scale of anxiety and depression showed no significant difference between offsprings of psychiatric patients and offsprings of normals. In offsprings of parents with psychiatric disorder, parent’s sex and psychiatiric diagnosis had no influence on offspring’s psychopathology. But the offspring’s age(before 3 years old) when the parent’s psychiatriric disorder developed had influence on higher level of offspring’s trait anxiety. For further high risk group study, direct interview and evaluation of parent-child agreement or teacher-child agreement will be needed in longitudinal study.

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Clinical Characteristics of NSSI and Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents (일 대학병원에 방문한 우울한 청소년에서 비자살성 자해행동의 임상적 특성과 자살 시도 예측요인)

  • Kim, Gyung-Mee
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.69-76
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    • 2019
  • Objectives : The purpose of this study was to examine the prevalence and clinical characteristics of nonsuicidal self-injury (NSSI), and its association with suicide attempts among clinically depressed adolescents in Korea. Methods : In total, 113 depressed adolescents aged 12-18 years in South Korea were enrolled in this study. We assessed sociodemographic and clinical characteristics including suicidality and non-suicidal self-injury (NSSI) using various self-reported scales and semi-structured interview for diagnosis of psychiatric disorders. Demographic and clinical characteristics of the subjects were compared between NSSI and non-NSSI groups. We examined significant predictors of suicide attempts using logistic regression analysis. Results : Among 113 depressed participants, 48 (42.1%) adolescents were classified into the NSSI group. In the NSSI group, there were significantly more females, showed higher depression, higher state-anxiety, and more suicide ideation. The most predictive factors of suicide attempts were history of NSSI, observed suicide/NSSI behaviors of their family or friends, and total state anxiety score. Conclusions : NSSI is more common problem among clinically depressed adolescents and history of NSSI is a significant predictor of present suicide attempts. To include the assessment of NSSI for clinically depressed adolescent may be crucial for intervention programs for high risk adolescents of suicide in Korea.

The Effects of Saccharomyces Cerevisiae Yeast Extract SCP-20 on Stress Response, Anxiety and Depression : A Double-Blind Placebo-Controlled Trial (Saccharomyces Cerevisiae 효모 추출물 SCP-20의 스트레스 반응, 불안 및 우울에 대한 효과 : 이중 맹검 위약 통제 연구)

  • Lee, Ha-Min;Jung, Young-Eun;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.5 no.1
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    • pp.8-13
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    • 2009
  • Objective : SCP-20, a yeast hydrolysate from Saccharomyces cerevisiae, has exhibited anti-stress, anti-anxiety, and antidepressant effects in animal studies. The objective of this study was to test the effects of SCP-20 on healthy controls and to assess its effects on stress response, depression and, anxiety. Methods : Sixty-one healthy volunteers (30 male, 31 female) were recruited and screened for significant psychiatric and medical conditions. Baseline measures of stress, anxiety, and depression were taken using questionnaires such as the Stress Response Inventory (SRI), Beck's Anxiety Inventory (BAI), Beck's Depression Inventory (BDI), and the physiological measure of heart rate variability (HRV). Each subject was assigned randomly to a group taking capsules containing either 70% SCP-20 (i.e. the SCP70 group), 99.5% SCP-20 (i.e. the SCP99.5 group), or a placebo. Follow up measures were taken at week 4. Results : Subjects taking SCP-20 showed significant improvement in SRI and BAI scores compared to those taking placebo. For BDI scores, there was no significant difference between groups. No significant adverse effects were reported. Conclusions : This study suggests that SCP-20 is effective in alleviating stress and anxiety symptoms in healthy individuals, and has little or no side effects. However, the role of of SCP-20 in alleviating depression needs further clarification. Studiess examining its effects in psychiatric populations are needed to establish its role in alternative medicine.

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Longitudinal Study of Depression·Anxiety and Aggression in Children with Specific Profiles of Child Maltreatment (아동기 학대경험 유형과 우울불안 및 공격성 발달 간 관계에 대한 연구)

  • Kim, Se-Won
    • Korean Journal of Child Studies
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    • v.36 no.5
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    • pp.115-134
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    • 2015
  • The main purpose of this study is to explore the relationship between latent classes of childhood maltreatment and depression anxiety and aggression from childhood to adolescence. 1,785 participants in a sample form Seoul Panel Study of Children were used in this study. Using latent class analysis, three classes of child maltreatment were identified: 'low maltreatment'(89.2%), 'physical+emotional abuse+neglect'(1.9%), 'physical+emotional abuse'(8.9%). Three developmental trajectories of depression anxiety were classified: 'low depression anxiety'(72.3%), 'moderate depression anxiety'(23.3%), 'high depression anxiety'(4.4%). Two developmental trajectories of aggression were revealed: 'low aggression'(89.3%), 'high aggression'(10.7%). As estimated by latent transition probability, the multiple maltreatment classes were more likely to have higher levels of depression anxiety or aggression than the no maltreatment class. There appeared to be distinct profiles of maltreatment among adolescents that had differential associations to measures of internal and external problems. The implications for both practice and policy implications are also discussed.

The Effect of Mindfulness Meditation on Positive Resources and Positive Affects in Outpatients with Depressive Disorder and Anxiety Disorder (정신건강의학과 외래에서 시행한 마음챙김 명상 프로그램이 우울 및 불안장애 환자들의 긍정자원과 긍정정서에 미치는 영향)

  • Park, Yena;Chae, Jeong-Ho
    • Mood & Emotion
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    • v.15 no.2
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    • pp.67-72
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    • 2017
  • Objectives : Mindfulness meditation has recently become a major component in mainstream modern cognitive behavioral therapy. The purpose of this study was to examine effects of a mindfulness meditation program on positive resources of outpatients with depressive disorder and anxiety disorder. Methods : Participants were 55 psychiatric clinic outpatients. Participants received eight weekly sessions in a mindfulness meditation training program, that was approximately 90 minutes each. Measures included the Positive Resources Test (POREST), Acceptance and Action Questionnaire-16 (AAQ-16), Life Satisfaction Expectancy Scales (LSES), and Subjective Happiness Scale (SHS). Variables were measured at two time points : pre- and post-implementation (eight weeks later). Results : Paired t-test results of participants before and after the mindfulness meditation program revealed statistically significant improvement in positive resources (t=-5.847, p<.001), acceptance (t=-4.090, p<.001), life satisfaction expectancy (t=-3.892, p<.001), but not in subjective happiness. Conclusion : Results suggest mindfulness meditation may be effective to enhance positive resources, acceptance, and life satisfaction in outpatients with depressive disorder and anxiety disorder. Mindfulness meditation may be a factor in improving psychological well-being and positive psychological features in outpatients with depressive disorder and anxiety disorder.

Comparison of Suicide-Related Behaviors between Depressive Disorder Patients and Anxiety Disorder Patients (우울장애와 불안장애 환자들에서 자살관련 행동의 비교)

  • Shin, Ho-Chul;Lim, Se-Won;Oh, Kang-Seob
    • Anxiety and mood
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    • v.3 no.1
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    • pp.46-51
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    • 2007
  • Objectives : By comparing the prevalence rates of suicide-related behaviors (suicide ideation, plan and attempt) between depressive disorder and anxiety disorder patients, we tried to find the characteristics of suicide-related behaviors in these patients. Methods : Four hundred-three patients participated in the study and the prevalence rates of suicide-related behaviors were investigated using Korean version of Mini International Neuropsychiatric Interview plus. Pearson Chi-Square test was used to find the association between depressive or anxiety disorders and suiciderelated behaviors. Results : Statistically significant differences were found between depressive disorder group and anxiety disorder group in terms of suicide ideation ($X^2$=6.173, df=1, p=0.013) and suicide attempt ($X^2$=8.008, df=1, p=0.005). We also found that patients in depressive disorder group were more likely to have suicide ideation (Odds Ratio=2.049, 95% Confidence Interval=1.155-3.635), and attempt suicide (Odds Ratio=4.970, 95% Confidence Interval=1.466-16.845) than patients in anxiety disorder group. Conclusion : These findings suggest that suicide ideation and suicide attempt rates are higher in depressive disorders than in anxiety disorders.

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불안 장애 환자와 우울 장애 환자의 감정표현불능증

  • Kim, Pu Yong;Ryu, Seuk Hwan
    • Anxiety and mood
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    • v.11 no.2
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    • pp.149-154
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    • 2015
  • Objective : The aim of the study was to investigate the difference in alexithymia between anxiety disorder and depressive disorder. The second was to evaluate the effect of alexithymia on quality of life in patients with anxiety disorder and depressive disorder. Methods : A total of 175 patients with diagnoses of anxiety disorder or depressive disorder were recruited. Demographic, psychosocial, and clinical data were analyzed, as well as results on the 20-item Toronto alexithymia Scale (TAS-20K), the Symptom Checklist-90-Re-vised (SCL-90-R), a quality of life scale, the Beck Depression scale, and Beck Anxiety Inventory. Results : As compared with the patients with anxiety disorder, patients with depressive disorder showed significantly higher total score on the TAS-20K and for factor 1 (difficulties identifying feelings) and factor 2 (difficulties describing feeling) scales of the TAS-20K and showed significantly lower scores of psychosocial well-being on the quality of life scale. Total scores on the TAS-20K correlated significantly with scores for some subscale on the quality of life scale. Conclusion : This study suggest that patients with depressive disorder had more alexithymic symptoms and worse quality of life compared with those with anxiety disorder. Also, alexithymic symptoms are found to be associated with quality of life. Therefore, clinicians should try to focus on relieving symptoms to help patients restore their psychological well-being and improve their quality of life.