• Title/Summary/Keyword: 정신병리

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Psychiatric Preparation of Surgery (수술전 환자들의 정신과적 문제)

  • Chang, Sung-Man;Lee, Sang-Won
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.1
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    • pp.3-7
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    • 2009
  • Psychiatric disorders are quite common in surgical patients. However, surgeons are less likely to refer patients to psychiatrists than other physicians, who also have a tendency to under-recognize psychiatric disorders among their patients. Therefore, a large proportion of psychopathology in surgical patients is either undiagnosed or misdiagnosed and not optimally treated, if treated at all. This column focuses on common psychiatric issues that generally arise in surgical patients and reviews psychiatric issues specific to specialized surgical settings and patients (eg, burn units, obesity surgery).

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DENTAL CARE FOR PEOPLE WITH A MENTAL HANDICAPS (정신지체인의 치과관리)

  • Lee, Keung-Ho
    • 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.

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Exploring Interventions and Treatments for the Children of Alcoholics: Focusing on Psychological Aspects (알코올 중독자 자녀에 대한 개입 방안 고찰: 심리적 문제를 중심으로)

  • Park, Mi-Sook
    • Science of Emotion and Sensibility
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    • v.25 no.2
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    • pp.101-110
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    • 2022
  • Alcohol abuse negatively affects the individual alcoholics and their families, including children. This paper investigates interventions that help children of alcoholics psychosocially and psychopathologically. We investigated domestic and international literature by searching the related databases and reviewing articles. Inclusion criteria were studies on psychological interventions for children of alcoholics (CoAs) or both CoAs and parents. Results suggest that the interventions help CoAs reduce their emotional and behavioral problems. After the review, the research results were discussed, and suggested further effective interventions. The study is valuable because it reviewed the studies that improved CoAs' psychological problems and suggested future directions

The emotional intelligence of psychiatric patients on ability model : A convergent using of performance test and self-report test (능력모델에 근거한 정신건강의학과 환자의 정서 지능 : 수행기반 검사와 자기보고식 검사의 융합적 사용)

  • Kim, Keun-Hyang;Park, Ju-Ri
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.35-42
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    • 2017
  • The purpose of the present study was to explore the features of Emotional Intelligence(EI) in psychiatric patients in terms of the ability model. EI scores of patients, measured by performance-based test and self-report inventory, was compared. The scores of performance-based test(Emotional Literacy Test) and self-report inventory(Trait Meta-Mmood Scale) of patients(30 with psychotic symptoms, 32 without psychotic symptoms) who had a appropriate literacy were analyzed by means of independent t-test. There was a no significant difference of IQ between two groups. Our results indicated that psychotic group had significantly lower EI in performance-based test than non-psychotic group. In contrast, non-psychotic group showed lower EI in self-report inventory than psychotic group. This inconsistent results might be attributable to the differences in method of measurement. Thus, these results suggested that it may be important to adopt a convergent using of both performance-based test and self-report inventory while assessing EI of patients with psychopathology.

Relationships among Mental Health, Self-forgiveness, and Psychological Well-being in University Students (대학생들의 정신건강과 자기용서 및 심리적 웰빙 간의 관계)

  • Jeong, Goo-Churl
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.360-372
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    • 2016
  • South Korea has become richer economically than the past, but still level of happiness is low. This research was conducted to verify the relationships among mental health, self-forgiveness, and psychological well-being. Participants were 232 college students in an university in Seoul. Methods of data analysis were ANOVA, regression analysis, and path analysis. As a result of analyses, first, MMPI-2 clinical scales which showed significant correlation with psychological well-being were as follows: Hs, D, Pd, Pa, Pt, Sc, Si. Second, PSY-5 scales which showed significant correlation with psychological well-being were as follows: PSYC, NEGE, INTR. Third, stepwise regression analysis revealed that Sc, Si and Pd among clinical scales of MMPI-2 were associated with psychological well-being. Fourth, PSYC, NEGE and INTR among clinical scales of PSY-5 scales were associated with psychological well-being. Fifth, self-forgiveness had a significant mediating effect in the relationship between mental health and psychological well-being. Based on the results, implications related to importances of mental health and self-forgiveness were discussed for increasing psychological well-being of college students.

CHILDREN WITH CHRONIC CONVULSIVE DISORDER AND THEIR FAMILIES (경련성 질환 환아와 가족)

  • Cho, Soo-Churl;Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.67-75
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    • 2002
  • Objectives:This study was conducted to investigate the degree of psychopathologies of the family members of children with chronic convulsive disorder and evaluate the structures and dynamics of those families. Methods:The participant patients and family members were recruited from the population attending the outpatient clinic of department of pediatric neurology in Seoul National University Hospital in Korea. All the patients had idiopathic chronic convulsive disorder. Any patient with mental retardation, pervasive developmental disorder and gross brain pathology was excluded. As controls, normal students were chosen and their sex, age, achievement, socioeconomic status were matched to patients. The author interviewed the children and their family members twice and obtained informations about patient-parent relationship, patient-sibling relationship and others. For in-depth evaluation, we used family environment scales(FES), symptom Checklist-90-revised(SCL-90-R), self administered dependency questionnaire for mother(SADQ). Results:After interviewing with the parents of epileptic children, overprotection of parents, hostile feeling of siblings toward index children were higher than controls. The parental conflict was also more expressed than control families. According to results from FES, the scores of the subscales of expression, achievement-orientation, intelligence-orientation and active recreation were significantly lower than control group. The epileptic children showed higher dependency to parents especially in affection, communication and traveling areas of SADQ than control group. Maternal psychopathologies evaluated by SCL-90-R were much higher than the mothers of controls. According to T scores of SCL-90-R, about 40% of mothers with epileptic children had the risk of clinically significant depressive or anxiety disorders. Conclusion:These results suggested that the family members of epileptic children had more relationship problems and psychopathologies than control group and some mothers might have clinically significant depressive or anxiety disorders. so, effective psychiatric family interventions are needed for resolution of conflict and psychopathologies of family members.

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Self-Differentiation and Family Function in Parents of Children with Psychopathology (정신병리아동 부모의 자아분화, 가족기능 관한 연구)

  • Hwang, Kyu Sun;Choi, Youn Shil
    • Korean Journal of Child Studies
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    • v.23 no.6
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    • pp.65-79
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    • 2002
  • The present study surveyed both the parents of 130 children with psychopathology and the parents of 240 normal children. children were between 2 and 12 years of age. No differences were found between parents in self-differentiation or in family function by type of disorder. Parents of children with psychopathology were lower than parents of normal children in self-differentiation; this was particularly evident in cognitive function-emotional function, and emotional cut-off. Patents of children with psychopathology were lower than parents of normal children in terms of family function. Multiple regression analyses indicated that parent's self-differentiation, children's psychopathology, and parent's education level had a significant influence on family function. The regression model explained 52% of the variance.

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Perceived Stress and Quality of Life in the Parents of Children with Cancer (소아암 환아 부모의 스트레스와 삶의 질)

  • Lee, Sang-Hyuk;Kim, Ji-Eun;Lyu, Chuhl-Joo;Byen, Kyoung-Min;Choi, Tae-Kyou
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.2
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    • pp.159-169
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    • 2003
  • Objectives: The object of this study was to compare between perceived stress, coping strategies and quality of life between parents of childhood cancer and normal controls. Methods: Global assessment of recent stress(GARS) scale and symptom checklist-90-revised (SCL-90-R) were used to measure perception for stressors and stress responses(psychopathology). Coping scale and Smithklein Beecham quality of life scale were used to measure coping strategies and quality of life. Results: Scores of perceived stress related to interpersonal, changes in relationship, sickness or illness, financial, unusual happenings on the GARS scale were significantly higher in parents of childhood cancer than normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility subscale were also significantly higher in parents of childhood cancer than normal controls. Scores of self control and positive reappraisal were significantly higher in parents of childhood cancer than normal controls. Parents of childhood cancer scored significantly lower in quality of life than normal controls. Scores of depression were also significantly higher in parents of children diagnosed as acute lymphocytic leukemia(ALL) than those as acute nonlymphocytic leukemia(ANLL). Conclusions: The results suggest that patients with parents of childhood cancer were likely to have higher levels of perceived stressor and psychopathology and lower quality of life than normal controls.

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마음챙김이 정신건강에 미치는 효과

  • Choe, Yeon-Hui;Byeon, Sang-Hae
    • 한국벤처창업학회:학술대회논문집
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    • 2016.04a
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    • pp.239-241
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    • 2016
  • 본 연구는 마음챙김(Mindfulness)의 심리치료적 과정을 기술해 보고 현대인의 정신적 질병인 우울증에 대한 마음챙김의 치료효과를 검증하는데 있다. 마음챙김은 최근 미국을 중심으로 심리학과 정신의학 분야에서 크게 주목을 받고 있는 심리치료 프로그램이다. 마음챙김은 일상생활에서 well-being을 추구하는 정신건강에 효과가 있으며, 정신적 스트레스 감소와 임상치료에서 우울, 불안, 강박, 중독, PTSD, ADHD 등 각종 정신병리의 증상완화에도 치료에 효과가 있다고 밝혀졌다. 본 연구는 신경정신과에서 의뢰받은 3명의 내담자들을 대상으로 마음챙김 심리치료를 실시하고 그 결과를 분석하여 우울증에 대한 치료효과를 알아보았다. 내담자의 특성은 장기간 우울증을 겪고 있으며 약물을 복용하고 있는 50대 여성을 대상으로 하였고, 그 결과 마음챙김은 우울증으로 인한 우울감과 불안감, 반추적 성향, 정서조절 곤란 정도에서 감소되는 효과가 있었으며, 정신건강의 긍정적인 지표인 마음챙김 기술 척도는 증가하는 것으로 나타났다. 이러한 연구 결과는 마음챙김이 인지행동치료 뿐만 아니라 약물치료를 대체하는 정신적 치료법으로도 효과가 있다는 시사점이 있다.

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Culture and Somatization (문화와 신체화)

  • Kim, Kwang-Iel
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.1
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    • pp.3-14
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    • 2003
  • In this review article, the meanings of the somatization phenomena were reviewed and discussed in terms of cultural psychiatric view point. The somatization is an universal psychopathology. But frequency, pattern of symptoms and it's cultural factors in the conversion of emotional distress to the somatization are much different from culture to culture. Conventional impression and monotonous interpretation that somatization is prevalent in the non-Western or traditional society and it is due to poor differentiation of the psyche is seriously criticized. Cultural metaphors of expressing emotional pain, traditional disease concepts, conventional way of adopting a given culture and society, and medical delivery system and milieu could be regarded as important cultural factors of the somatization. Cultural meanings of somatization in Korea were summarized and discussed. Finally, clinical guide line for transcultural practice were summarized.

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