• 건강소식
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• v.7 no.9 s.58
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• pp.20-23
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• 1983

‘가르쳐 주세요’는 정신과 의사인 정동철 박사가 계속 집필해 주시고 계십시다. 정박사는 어린 아들 · 딸들에게 말하기 어려운 여러 가지 성문제에 대해서 부모님들이 어떻게 교육을 시켜야 하나? 를 알기 쉽게 풀이해 드리고 있습니다.

• Korean Journal of Psychosomatic Medicine
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• v.21 no.2
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• pp.81-92
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• 2013

Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

• Proceedings of the KAIS Fall Conference
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• 2012.05a
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• pp.332-335
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• 2012

본 연구는 대학생들의 의사소통 매체 사용이 정신건강에 미치는 영향을 규명하고자 시도하였다. 이를 위해 2012년 3월 12일부터 2012년 4월 12일까지 대학생들을 대상으로 설문조사하였다. 연구결과는 첫째, 의사소통 매체 사용시간의 경우 3시간이 중독군은 39.2%, 비중독군은 3.3%로 중독군이 유의하게 높게 나타났다($X^2$=7.19, p=.00). 둘째 우울정도는 51점 이상인 경우 중독군이 비중독군보다 4.9배 유의하게 높았다(OR=4.9, 95% Cl=2.5-38.1)있었다. 이러한 결과를 토대도 볼 때 의사소통 매체 사용의 중독성을 해소하기 위해 체계적이고 주기적인 교육과 긍정적인 측면의 다양한 환경을 조성하는 것이 필요하다고 본다.

• Korean Journal of Psychosomatic Medicine
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• v.20 no.1
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• pp.32-39
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• 2012

Objective : Psychiatry in North Korea is believed to seem very different from psychiatry in South Korea. However, there is nearly no information regarding psychiatry in North Korea until now. Our study aimed to get information about North Korean psychiatry. Methods : Three North Korean defectors in South Korea, whose clinical experience as medical doctors in North Korea was over 10 years, were recruited. They underwent the semi-structured interview, content of which included the clinical experience with psychiatric patients, the details of psychiatry, the treatment of psychiatric patients, the stigma of mental illness, and the suicide, in North Korea. Results : In North Korea, psychiatric department was called as 49th(pronounced as Sahsip-gu-ho in Korean). Only patients with vivid psychotic symptoms came to psychiatric department. Non-psychotic depression or anxiety disorders usually were not dealt in psychiatry. The etiology of mental illness seemed to be confined to biological factors including genetic predisposition. Psychosocial or psychodynamic factors as etiology of mental illness appeared to be ignored. Psychiatry was apparently separated from political or ideological issues. The mainstay of psychiatric treatment is the inpatient admission and out-of-date therapy such as insulin coma therapy. Stigma over mental illness was common in North Korea. Suicide is considered as a betrayal to his/her nation, and has been reported to be very rare. Conclusion : The situation of psychiatry in North Korea is largely different from that of South Korea. Although some aspects of North Korean psychiatry are similar to psychiatry in former socialist countries, North Korean psychiatry is considered to have also its unique characteristics.

• The Journal of the Korean dental association
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• v.8 no.7
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• pp.477-480
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• 1970

• The Korean Nurse
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• v.16 no.1 s.87
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• pp.54-59
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• 1977

간호 현장에서의 면담은 가장 효과적인 간호 방법을 결정하기 위한 간호활동인 것이다. 그러므로 환자와 면담자와의 관계는 반드시 개방적이고 친밀한 관계이어야 한다. 특히 모든 인간은 독특하며 여러 가지 통합된 기전을 지니고 있기 때문에 면접자는 저항(resistance), 전이(transference), 역전이(counter transference), 감정의 현상을 잘 이해해야 할 것이다. 또한 면담목적을 성취시키기 위해 성실하고 진지하게 임해야 하며 면담시 의사소통 도구 사용에 능숙할 뿐만 아니라 성공적인 자료 수집에 공헌 할 수 있는 분위기를 유지해야 한다.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.1
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• pp.149-159
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• 2006

과거 정신지체는 사회의 불가사의한 것이었으나 현재는 이들의 원인과 병리현상의 이해로 예방과 의학적 관리에 괄목할 만한 발전이 이루어져 왔다. 그러나 이들 정신지체인의 치과관리는 과거와 별다른 변화를 이루지 못한 것이 우리의 현실이다 이들에 관심을 갖고 치료하기 원하는 치과의사들도 아직 진단이나 치료방법에 이용이 제한되어있다 정신지체인 들에게도 정상화 개념을 도입해 보다 나은 건강관리 환경을 이루도록 시대가 바뀌어 가고 있다. 환자의 권리를 보장키 위해 수용시설 입소화. 물리적인 강제치료 등 기존의 일반적인 행위에서 탈피하여 이제는 행동조절의 차원에서 약물이용과 치과적용에 필요한 모든 지식의 습득이 필수적인 것으로 변화되고 있다.

• Journal of the Korean Applied Science and Technology
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• v.38 no.2
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• pp.378-388
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• 2021

This study investigated the effect of Ego-resilience, Marital communication, and Mental health on Happiness among middle-aged women Methods: A descriptive correlation study design was used with a convenience sample consisting of 239 women. SPSS Win21.0 program was used for the descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient analysis, and multiple-regression analysis. The mean score for ego-resilience was 3.46±.527(range: 1-5), marital communication was 2.44±.52(range: 1-5), mental health 1.82±.66(range: 0-4) and happiness was 3.21±56(ranse: 1-5). Happiness was found to have a significant positive correlation with ego-resilience(r=.393, p<.001) and negative correlation with somatization(r=-.134 p=.039), depression(r=-.356, p<.001), anxiety(r=-.269, p<.001). The predictive factors on the Happiness were depression(β=-.437, p<.001), ego-resilience(β=.350, p<.001), Somatization(β=.239, p=.009) and subjective health status: average (β=-.150, p=.009), unhealthy(β=-.147, p=.015). The explanatory power was 30.4% (F=14.02, p <.001). Based on the findings of this study, it is important to provide services to ego-resilience and mental health among middle aged women.

• Journal of Industrial Convergence
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• v.20 no.2
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• pp.61-70
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• 2022

The study developed a psychiatric and mental health nursing practice program based on blended learning as nursing students' field practice in psychiatric and mental nursing practice was limited due to the prolonged COVID-19 pandemic. This is a study to evaluate the effect on communication competency, self-efficacy for group work, and learning transfer motivation through a psychiatric and mental health nursing practice program based on blended learning. From October 18, 2021 to December 11, 2021, 64 nursing students participated in the study using a structured Google questionnaire. The collected data was analyzed by descriptive statistics and paired t-test using the SPSS 25.0 program. As a result of the study, based on blended learning, the subjects' communication competency, self-efficacy for group work, and learning transfer motivation were significantly increased after compared to before psychiatric and mental health nursing practice education. Through the results of this study, it was possible to confirm the effect of the psychiatric and mental health nursing practice program based on blended learning.

• Journal of Oriental Neuropsychiatry
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• v.5 no.1
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• pp.9-15
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• 1994

Hwabyung is a culture-related disease generally know among people in Korea, and various studies have been done by the Psychiatrists and by the Oriental Medical Doctors. While the Psychiatrists explain the Hwabyung as a disease having a unique patholoical process, the Oriental Medical Doctors explain it as a symptoms having the character of fire. When interpreted in Oriental Medical point of view, this can be concluded as 1)the cause of the disease is the depression of liver-energy(肝氣鬱結) induced by emotional suppression, 2)the reason why the disease occurs mostly to female is that they usually fail overcoming stresses and have physical and visceral weaknesses, 3)the symptoms are associated with the dynamics of fire, because the disease originates from the rising character of fire and from the inadequit supression of extreme heart-fire(心火) by the kidney-wter(腎水), 4)the reason why the disease goes through chronic process is because of the complexed emotions, converted fire caused by prolonged emotional disorder and inapropreate supression of fire with grow older. This results suggest thst the cooperative study of the clinical examination of the Psychiatrsis and the study on the fire by the Oriental Medical Doctors is necessary to establish the process of the disease, the pathological procedure, the prognosis and the method of treatment.