• Title/Summary/Keyword: 정신과 장애

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A Study on the Quality of Life and Recovery for a Mental Disorder (정신장애인의 삶의 질과 회복에 대한 연구)

  • Lee, Jeong-Sook;Lee, Sun-Young
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.457-465
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    • 2014
  • Purpose: The purpose of this study was to identify degree of quality of life and recovery of mental disorder, to determine the factors affecting the quality of life. Methods: The data were collected from May 20 to 27 2013. Data were collected by questionaire from 310 individuals with mental disorder. The instruments for this study were Happy-Quality of Life Scale(Happy-QoL), Recovery. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, multiple linear regression with the SPSS/WIN 18.0 program. Results: The degree of quality of life and recovery of mental disorder were lower than in the middle. The significant factors influencing quality of life were recovery(${\beta}=.66$, p<.001) and average monthly household income(${\beta}=.09$, p=.039). Conclusion: It is necessary to develop the program that increasing the level of recovery and quality of life.

Non-Pharmacological Interventions for Behavioral and Psychological Symptoms of Neurocognitive Disorder (신경인지장애의 정신행동증상에 대한 비약물학적 개입)

  • Hyun Kim;Kang Joon Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.1
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    • pp.1-9
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    • 2023
  • Patients with neurocognitive disorder show behavioral psychological symptoms such as agitation, aggression, depression, and wandering, as well as cognitive decline, which puts a considerable burden on patients and their families. For the treatment of behavioral psychological symptoms, patient-centered, non-pharmacological treatment should be used as a first line approach. This paper describes non-pharmacological interventions to manage and treat behavioral psychological symptoms in patients with neurocognitive disorder. In order to control behavioral psychological symptoms such as agitation, depression, apathy, insomnia, and wandering, it is important to identify and evaluate factors such as environmental changes and drugs, and then solve such problems. Non-pharmacological interventions include reassurance, encourage, distraction, and environmental change. It is necessary to understand behavior from a patient's point of view and to approach the patient's needs and abilities appropriately. Reminiscence therapy, music therapy, aroma therapy, multisensory stimulation therapy, exercise therapy, light therapy, massage therapy, cognitive intervention therapy, and pet therapy are used as non-pharmacological interventions, and these approaches are known to improve symptoms such as depression, apathy, agitation, aggression, anxiety, wandering, and insomnia. However, the quality of the evidence base for non-pharmacological approaches is generally lower than for pharmacological treatments. Therefore, more extensive and accurate effectiveness verification studies are needed in the future.

소아의 조음장애

  • 김영태
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.7 no.1
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    • pp.106-112
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    • 1996
  • 조음장애(articulation disorders)란 조음기관(예 : 혀, 입술. 치아, 입천장)을 통하여 말소리가 만들어지는 과정에서의 결함을 나타내는데, 이러한 조음장애를 보이는 아동은 '불명료한' 구어를 사용하게 되므로 해서 결국 의사소통의 어려움을 나타내게 된다. 음소를 생략하거나, 다른 음소로 대치하거나, 또는 같은 음소내에서 소리를 왜곡시키는 조음 장애 현상들은 순수 조음 장애 아동들 뿐 아니라, 정신지체, 청각장애, 구개파열, 뇌성마비 등의 장애자들에게서 중복적인 결함으로 나타나기도 한다. 본고에서는 소아의 조음장애를 다루는 임상가가 알아두어야 할 관련 요인들, 조음 오류 평가. 그리고 치료방법에 대하여 고찰하고자 한다.

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Drug Treatment in Psychosomatic Disease (정신 신체의학에서 최신 치료 약물)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.133-142
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    • 2001
  • For treating various conditions of the psychosomatic disease, not only psychotropic drugs but also drugs used in internal medicine or other than psychiatric fields would be applied. So psychiatrists who are interested in psychosomatic medicine should make expanded knowledges of those medicine. And modalities of drug treatment should be modified according to the characteristics of illness behavior and disease concept which the patient have. Some drugs used in complementary medicine could be applied to the psychosomatic illness. For example, herbs and/or aromas which have some effects without serious adverse reactions could be used carefully to the patient. And the mode of action and efficacies of them should be evaluated by doctors.

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Human Sexuality and Sexual Dysfunction (성(性)생활과 성기능장애)

  • Cho, Doo-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.10-25
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    • 1999
  • Children above age of two are able to have sexual excitement, and they actively seek the pleasure actively or passively through touch and masturbation. In late $60_s$ and early $70_s$, Masters, obstetrician, and Johnson, social worker, illustrated four phases of human sexual responses, namely excitement, plateau, orgasmic and resolution phases in both sexes, and multiple orgasms in the female. Their treatment principles of sexual dysfunctions were largely based on behavioral model, introducing the concepts of sensate focus, dual therapy and sex education. Following Masters and Johnson, Kaplan, psychiatrist and psychoanalyst, in the early and mid-$70_s$ introduced new sex therapy which was based on the combination of analytically-oriented psychotherapy and behavior therapy, and classified sexual dysfunctions into three categories such as desire excitement and orgasmic phase disorders. Since $1980_s$ other medical fields joined the stream, putting the concentrated effort on the treatment of the impotence in the male. They have developed penile prosthesis, local injection therapy, and the administration of oral medications. Nowadays Sildenafil(Viagra) seems the best choice for the treatment of the impotence in the male.

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A Study on the Performance of Early Adaptation Support Program for People with Mental Illness Living in Independent Housing : Focused on Comparing Housing Types (독립주거 정신장애인의 초기적응지원 프로그램 성과 연구 : 주거형태별 비교를 중심으로)

  • Choi, Hee-Chul;Bae, Eun-Mi
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.91-101
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    • 2021
  • The purpose of this study is to understand the performance of the initial adaptation support program for people with mental illness living in independent housing. The group of people with mental illness living in independent housing from T mental rehabilitation facilities in Seoul were assigned to the experimental group, and the other group of people with mental illness in living facilities and group home were assigned to the control group. After that, the degree of community performance between groups was compared with pre-post tests. As a result of the study, the pre-post analysis of the total social support of the experimental group showed significant differences. Also, the results were statistically insignificant in all of the control groups, so the initial adaptation support program was found effective in improving the total social support of the independent housing group. Based on the results of this study, the direction of housing support and establishment of a performance system for housing services for stable settlement of discharged people with mental illness into the community was suggested.

Case Report of Intracerebral Hemorrhage with Intraventricular Hemorrhage around Neoplasms and Neoplasms in the Brain in a Patient with Cognitive Impairment, Dysuria, and Gait Disturbance Improved by Korean Medicine (한의치료를 통해 인지 장애, 배뇨 장애, 보행 장애에 개선을 보인 뇌의 신생물 및 신생물 주변의 뇌실내출혈을 동반한 뇌내출혈 환자 한방 치험 1례에 대한 증례 보고)

  • Sang-Beom, Kim;Hyung-Woo, Lee;Ju-Yeon, Cho;Seung-Woo, Song;Ju-Hyun, Lee;Se-Jin, Park
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.453-462
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    • 2022
  • Objectives: The purpose of this clinical case study was to report the effect of Korean medicine treatment on a stroke patient with cognitive impairment, dysuria, and gait disturbance. Methods: The patient was treated with Korean medicine, including herbal medicine, acupuncture, moxibustion, and cupping. We administered the Korean version of the Mini-Mental Status Examination (MMSE-K) Global Deterioration Scale (GDS) and Manual Muscle Test (MMT) and investigated the frequency of nocturia to evaluate the effectiveness of the treatment and improvement in symptoms. Results: After Korean medicine treatment, the patient's symptoms were significantly improved. according to the MMSE-K, frequency of nocturia, and MMT results. Conclusions: This clinical case study suggests that Korean medicine treatment, including Wuchasinkihwan-gagam could be an effective treatment for stroke patients with symptoms of cognitive impairment, dysuria, and gait disturbance.

Factors Influencing Mental Health Status of Persons with Physical Disabilities (지체장애인의 정신적 건강상태 영향요인)

  • Lee, Eun-Won;Song, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.287-295
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    • 2019
  • The purpose of this study was to identify the factors affecting mental health status according to gender of persons with physical disabilities and to try their healthy life. Using the 6th Korean Retirement and Income Study, 333 persons with physical disabilities were included in the study. Descriptive statistics, t-test, and regression analysis were conducted to examine the general characteristics, instrumental activities of daily living, material support, and the effects on mental health status. There was no statistically significant difference in mental health status by gender, but there was a difference in Instrumental Activities of Daily Living and life satisfaction. In the case of males, instrumental daily activities performance, material support, depression, and life satisfaction were found to be influential. In the case of females, spouse, depression, and life satisfaction were factors affecting mental health status. Based on the results of this study, we will be able to understand persons with physical disabilities and use them as a basis for developing mental health promotion programs.

Psychotic Disorder Induced by Appetite Suppressants, Phentermine or Phendimetrazine : A Case Series Study (식욕억제제 Phentermine, Phendimetrazine으로 유발된 정신병적 장애 증례군 연구)

  • Kwak, Sookyoung;Youn, Tak;Lee, Nam Young;Chung, In Won;Kim, Se Hyun
    • Korean Journal of Biological Psychiatry
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    • v.24 no.3
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    • pp.134-141
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    • 2017
  • Objectives A retrospective case series study was conducted to investigate the clinical characteristics of psychotic disorders induced by appetite suppressants, phentermine and phendimetrazine. Methods A retrospective electronic medical record review identified 5 admitted patients who had psychotic symptoms after taking phentermine or phendimetrazine. Clinical information was reviewed and summarized in each case. Results Hallucinations were reported in all cases, including auditory, visual, olfactory and somatic hallucinations. After discontinuation of phentermine or phendimetrazine, the symptoms rapidly improved with low dose of antipsychotics. Patients tended to have less prominent negative symptoms and higher insight into illness, and often showed depressive mood. These clinical characteristics were similar to psychosis induced by amphetamines. Two patients developed stimulant use disorder while using phentermine. Conclusions These findings call for awareness of the risks associated with use of appetite suppressants. Prescription of phentermine or phendimetrazine should be accompanied by close monitoring of mental status, and suspicion for substance/medication-induced psychotic disorder.

Association of Tardive Dyskinesia with Cognitive Deficit in Schizophrenia (정신분열병에서 지연성 운동장애와 인지결함의 연관성)

  • Jang, Tae-Seob;Oh, Byoung-Hoon;Cheon, Jin-Sook
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.89-95
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    • 1999
  • To understand a mechanism of underlying cognitive deficit in schizophrenia, the risk factors, cognitive function, blood dopamine concentrations and glutamate dehydrogenase activities of male schizophrenics with tardive dyskinesia(N=30) were compared with those of schizophrenics without tardive dyskinesia(N=30). The results were as following ; 1) The age, duration of illness and duration of medication were significantly more in schizophrenics with tardive dyskinesia than schizophrenics without tardive dyskinesia(respectively p<0.005, p<0.0001, p<0.0001). 2) The scores of MMSE, TIQ, VIQ and PIQ were significantly lower in schizophrenics with tardive dyskinesia than schizophrenics without tardive dyskinesia (rspectively p<0.0001). 3) Plasma dopamine concentrations were tended to be higher, and serum glutamate dehydrogenase activities were tended to be lower in schiz-ophrenics with tardive dyskinesia than schizophrenics without tardive dyskinesia. 4) The cognitive deficit seemed to be negatively correlated with duration of illness and duration of medication(respectively ${\gamma}$=-0.496, ${\gamma}$=-0.615).

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