• Title/Summary/Keyword: 정신병원

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Psychiatric Symptoms Among Female Adult Victims of Sexual Molestation : Comparison with Rape Victims (성인 여성 성추행 피해자들의 정신적 증상 : 강간 피해자들과의 비교)

  • Kim, Yeon-Sue;Kim, Sung-Jin;Kong, Bo-Geum;Kang, Je-Wook;Moon, Jung-Joon;Jeon, Dong-Wook;Lee, Sang-Min;Ju, Hyun-Bin;Jung, Do-Un
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.208-216
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    • 2016
  • Objectives : According to the recent Korean National Police Agency report, rape victims were 17.1%, but sexual molestation victims were more than the rape victims by 78.0%. Despite many international reports about the occurrence of severe psychiatric symptoms in sexual molestation victims, there is no domestic research. Therefore in this study, we investigated psychiatric symptoms of sexual molestation victims, and we also compared it with psychiatric symptoms in rape victims. Methods : 58 women who visited Busan Smile Center within 3months after sexual violence were the study subjects. Questionnaire about sociodemographic and sexual violence related characteristics were retrospectively investigated. Of the psychiatric symptoms, Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI) for severity of depression and anxiety, and Impact of Event Scale-Revised(IES-R) to check the presence of posttraumatic stress disorder(PTSD) symptoms were used. Results : Of 58 sexual violence victims, sexual molestation victims were 36(62.1%) and rape victims were 22(37.9%). In sexual molestation victims, 80.6% had more than moderate severity of depression, 83.3% had more than moderate severity of anxiety, and 94.4% had significant scores at PTSD screening test. Compared with rape victims' psychiatric symptoms(each 95.5%, 95.5%, 95.5%) there were no significant difference. Conclusions : The majority of sexual molestation victims were also accompanied by depression, anxiety and PTSD symptoms as rape victims. There results suggest that appropriate assessment and early treatment for psychiatric symptom must be made in the early stage of injury in sexual molestation victims.

Influence of the Emotional Intelligence, Communication Competence and Stress coping on Turnover Intention in Psychiatric Nurses (정신전문병원 간호사의 감성지능, 의사소통능력, 스트레스 대처가 이직의도에 미치는 영향)

  • Kang, Hye-Seung;Kim, Yoon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.141-151
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    • 2016
  • This study examined the influence of the turnover intention and emotional intelligence, communication competence and stress coping of psychiatric nurses. A self-reported questionnaire was filled out by 160 Korean Psychiatric nurses from February 2 to February 27, 2015. The data were analyzed using the frequencies, t-test, ANOVA, Pearson's correlation, stepwise multiple regression using IBM SPSS 20.0. The turnover intention showed a close correlation with the emotional intelligence (r=-.638 p<.001), stress coping (r=-.649, p<.001), and communication competence(r=-.694, p<.001) in psychiatric nurses. The turnover intention and emotional intelligence, stress coping, communication competence explained 54.5% of the total variance of clinical competence in psychiatric nurses. Therefore, it is necessary to develop and implement a curriculum and program to improve the turnover intention and emotional intelligence, stress coping, communication competence of psychiatric nurses.

Psychosocial Factor Influencing Suicidal thoughts in Community Dwelling Elderly in Jeonnam Province (지역사회 노인의 자살사고에 영향을 미치는 심리사회적 요인 : 전남지역을 대상으로)

  • Cha, Yong-Ho;Kim, Kyung-Min;Yoon, Bo-Hyun;Kang, Hangoeunbi;Sea, Young-Hwa;Park, Su Hee
    • Mood & Emotion
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    • v.16 no.3
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    • pp.152-157
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    • 2018
  • Objectives : The purpose of this study was to examine psychosocial factors influencing suicidal ideation of community dwelling elderly, using the senior community center in Jeonnam Province. Methods : A total of 2,202 subjects (369 males, 1,833 females) were recruited. We evaluated sociodemographic factors, using a self-reporting questionnaire. Subjects completed the Geriatric Depression Scale-Short Form Korean Version (SGDS), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean version of the General Health Questionale-12 (GHQ-12) and Satisfaction with Life scale (SWLS), to assess psychosocial factors affecting suicidal ideation. Results : Among 2,202 subjects, 179 (8.1%) reported recent suicidal ideation. Self-perceptive health status (p<0.001) and physical disease (p=0.002) revealed differences between two groups. The scores of four scales in the suicidal group were significantly different from the control group: SGDS (p<0.001) and GHQ-12 (p<0.001) were higher, while MSPSS (p<0.001) and SWLS (p<0.001) were lower, in the suicidal ideation group than the control group. Multivariate logistic regression analysis revealed that physical disease (OR 2.575, 95%CI 1.022-6.492), SGDS (OR 1.181, 95%CI 1.120-1.246) and GHQ-12 (OR 1.192, 95%CI 1.108-1.283), were significantly associated with suicidal ideation. Conclusion : Findings support that physical disease, depression, and general mental health may correlate to suicidal ideation in the elderly.

Comparison of Effectiveness of Psychotherapies for Relieving Depressive Symptoms in Anxiety Disorders : A Systematic Review (불안장애에 동반된 우울증상에 대한 Psychotherapies의 효과비교 : 체계적 문헌고찰)

  • Kim, Sun-Young;Kim, Eun-Jin;Jeon, Sang-Won;Shin, Dong-Won;Shin, Young-Chul;Oh, Kang-Seob
    • Anxiety and mood
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    • v.15 no.1
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    • pp.20-28
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    • 2019
  • Objective : The purpose of this study was to compare and analyze effectiveness of various psychotherapies of depressive symptoms in patients with anxiety disorders by means of a systemic review. Methods : A systematic search using key words was conducted using EMBASE, MEDLINE and CENTRAL. Results : Five studies were included in this systematic review. The Scottish Intercollegiate Guidelines Network (SIGN) was used for quality assessment. Diagnostic-specific cognitive behavioral therapies for various anxiety disorders (ds CBT) were also effective in reducing comorbid depression. Transdiagnostic cognitive behavioral therapies targeting anxiety and depression (tCBT-AD) were not superior than ds CBT for anxiety disorders. Mindfulness-based stress reduction (MBSR) was more effective than traditional cognitive behavioral therapy. Conclusion : ds CBT relieves anxiety symptoms as well as depressive symptoms comorbid with anxiety disorders effectively. In addition, MBSR is more successful for anxiety disorders with co-occurring depression by focusing broadly on the shifting relationship to internal experience rather than focusing narrowly on specific symptoms.

Mask-Wearing Behavior After Deregulation of COVID-19 Quarantine Guidelines (COVID-19 방역 지침의 규제 완화 이후 마스크 착용 행위에 대한 심리사회적 요인)

  • Jun-Young Ko;Tae-Won Park;Jong-Chul Yang;Jong-Il Park;Joo-Han Kwon;SangKeun Chung
    • Anxiety and mood
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    • v.19 no.2
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    • pp.61-68
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    • 2023
  • Objective : The purpose of this study was to investigate the associations between psychosocial factors and the mask-wearing behavior after deregulation of COVID-19 quarantine guidelines among adults in Korea. Methods : We collected data (345 subjects) from online questionnaire survey. The questionnaire included the Korean version of the Patient Health Questionnaire-9, the Korean version of fear of COVID-19 Scale, the Korean version of the Patient Health Questionnaire-15, Korean versions of the Perceived Stress Scale, and measurement tools adapted from previous studies for COVID-19 risk perception, social stigma, and appearance interest of subjects. We analysed data using SPSS version 23.0 for descriptive statistics, chi-square test, and logistic regression analysis. Results : People with cohabitant or mask-wearing tendency before COVID-19 pandemic had a higher rate of mask-wearing than those who were not. Subjects reporting higher level of social stigma (OR=1.154, 95% CI 1.049-1.270) and COVID-19 anxiety (OR=1.072, 95% CI 1.007-1.141) were more likely to report maskwearing behavior. Conclusion : From the results, appropriate intervention to those who fear social stigma and are anxious to the infectious diseases will be needed. Additionally, providing policies and guidelines that consider cohabitants and offering continuous education with information of disease to the public are also expected to helpful for recovery of daily life from infectious diseases.

Depression in Schizophrenia Patients with Tardive Dyskinesia (지연성 이상운동이 있는 조현병 환자의 우울증)

  • Cha, Seongjae;Oh, Keun;Kim, Misuk;Park, Seon-Cheol;Kim, Young Hoon
    • Korean Journal of Biological Psychiatry
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    • v.25 no.4
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    • pp.110-117
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    • 2018
  • Objectives This study aimed to investigate the relationship between depressive and anxiety symptoms and tardive dyskinesia (TD) and reveal the association of cognitive function and TD in patients with schizophrenia. Methods We recruited 30 schizophrenia patients with TD and 31 without TD from a national mental hospital in South Korea. To assess depressive and anxiety symptoms, the Beck Depression Inventory-II (BDI-II) and the Beck Anxiety Inventory (BAI) were conducted. Using the five-factor structure of the BDI-II and BAI, somatic anxiety, cognitive depression, somatic depression, subjective anxiety, and autonomic anxiety were assessed. Computerized neurocognitive function test (CNT) was performed to assess levels of cognitive functions. We compared the clinical characteristics, levels of cognitive functions, and depressive and anxiety symptoms between schizophrenia patients with TD and without TD. Chi-square test, Fisher's exact test, independent t-test and Mann Whitney U test were conducted to compare two groups. Pearson correlation analysis was conducted to evaluate relationships among the abnormal involuntary movement scale (AIMS), BDI-II, BAI, somatic anxiety, cognitive depression, somatic depression, subjective anxiety, and autonomic anxiety. Results The subjects with TD had significantly lower score on the cognitive depression than those without TD (t = -2.087, p = 0.041). There were significant correlations between the AIMS score and the BDI-II score (r = -0.386, p = 0.035) and between the AIMS score and cognitive depression score (r = - 0.385, p = 0.035). Conclusions Our findings suggest the inverse relationship between severities in TD and depression and support the assumption that there is an inverse relationship between the pathophysiology of TD and depression.

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Longitudinal Trajectories of Mental Health Among North Korean Defectors: A Four-Year Follow-Up Study of Loneliness, Depression, and Life Satisfaction (북한이탈주민 정신건강의 종단적 추세: 외로움, 우울, 삶의 만족도에 대한 4년 추적 연구)

  • Park, So Hee;Hong, Jin Pyo;An, Ji Hyun;Lee, Hye Rin;Kim, Myung Hyun;Chang, Hyein
    • Anxiety and mood
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    • v.17 no.2
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    • pp.49-58
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    • 2021
  • Objective : The purpose of this study was to investigate the longitudinal trajectories of life satisfaction, loneliness, and depression and to identify the factors that influence these trajectories in North Korean Defectors (NKD). Methods : NKD (n=300) who registered in the multi-regional adaptation center (Hana Center), within three years of settling in South Korea, were recruited into this study. Life satisfaction, loneliness, and depression were assessed with self-report questionnaires over a period of 4 years (7 waves of data). Latent growth modeling was conducted to assess the changes in life satisfaction, loneliness, and depression. Results : Findings from both unconditional and conditional models (with gender, South Korea settlement age, household income, marital status, and PTSD at wave 1) indicated a linear increase in loneliness and depression, and a linear decrease in life satisfaction over the 4-year period. In the conditional model, gender predicted the intercept of life satisfaction and depression. In addition, PTSD predicted the intercept of life satisfaction, loneliness, and depression and slope of depression. Conclusion : Our finding suggests that the mental health of NKD tends to deteriorate over time after settling in South Korea. Therefore, continuous support is necessary for their successful adaptation to the South Korean Society.