• Title/Summary/Keyword: 정신상태

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Demographic, Living, and Behavioral Differentials of the Elderly's Dementia in Gyeongsan Area in Northern Gyeongsang Province (노인들의 치매 실태와 치매노인들의 인구학적 및 생활습관적 특성- 경상북도 경산지역을 중심으로)

  • Kim, Han-Gon
    • Korea journal of population studies
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    • v.27 no.2
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    • pp.231-255
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    • 2004
  • 본 연구의 목적은 경상북도 경산지역에 거주하는 65세 이상 노인들의 치매실태를 알아보고 치매노인들의 인구학적 특성 및 생활 습관적 특성을 알아보는데 있다. 본 연구에서는 모집단의 약 6%에 해당하는 1,120 명을 표본으로 추출하여 한국형 간이정신상태 검사를 포함한 면담표를 이용하여 2003년 8월 1일부터 2003년 9월 2l일까지 수행되었다. 면담에 응하지 않거나 분석 자료로 활용할 수 없는 160 사례를 제외한 960 사례가 최종분석에 이용되었다. 본 연구에서 밝혀진 내용은 다음과 같다. 한국형 간이정신상태 검사에 따르면 응답자들의 10.6%가 치매에 이환된 것으로 나타났으며 그들 가운데 54.9%는 경증, 31.4%는 중등증, 13.7%는 중증이었다. 치매노인들의 인구학적 및 생활 습관적 특성을 알아보기 위하여 교차분석을 도입하였으며 치매에 영향을 미치는 인구학적 및 생활 습관적 특성들을 경험적으로 규명하기 위하여 로지스틱회귀분석을 사용하였다. 로지스틱회귀분석 결과 정신노동에 관련된 직업에 종사했던, 규칙적인 운동을 하는 응답자, 규칙적 식사를 하는 사람과 적당량의 음식을 섭취하는 응답자들이 치매이환의 대수승산을 감소시키는 것으로 밝혀졌으며 통계적으로 유의미한 것으로 나타났다. 반면 나이가 높을수록 노인들의 치매이환의 대수승산을 증가시키는 것으로 밝혀졌다. 끝으로 노인들의 치매이환을 감소시키기 위한 여러 가지 정책적 대안들을 논의하였다.

Factors affecting the rehabilitation center exit and reentry among homeless persons with mental illness. (정신장애노숙인의 재활시설 퇴소 및 재입소 영향요인에 관한 연구)

  • Min, So-Young;Lee, Byung-Suk
    • Korean Journal of Social Welfare Studies
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    • v.42 no.1
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    • pp.219-242
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    • 2011
  • This study examined the factors associated with exit from and reentry into the rehabilitation center among homeless persons with mental illness. Shelter use of a total of 203 study population was monitored between 2004 and 2008. Cox's proportional hazard model was employed to analyze the factors influencing the rate of the first exit from and the first reentry into the rehabilitation center. Also, competing risk analysis was conducted to examine the factors differently associated with the type of the first exit from the rehabilitation center: a positive exit and a negative exit. This study found that homeless persons with mental illness were less likely to experience the negative exit while their resident registration status not being abolished on the first entry into the rehabilitation center, having more frequent hospitalizations during the rehabilitation center stay, being connected to the family members, having more participations into the basic rehabilitation, mental rehabilitation, and vocational rehabilitation programs during the rehabilitation center stay. Age, the number of hospitalization and of the participations into the mental rehabilitation programs during the rehabilitation center stay were associated with the rate of the first reentry into the rehabilitation center.

The Effects of Guided Imagery Activities Using Music on Mood States, and Physiological Responses of Psychiatric Inpatients (음악을 사용한 지시적 심상이 입원 정신질환자의 기분상태 및 생리적 변화에 미치는 영향)

  • Cho, Hyun-joo;Moon, Ji-young
    • 재활복지
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    • v.20 no.1
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    • pp.113-130
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    • 2016
  • The purpose of this study is to determine the effects of guided imagery activities using music on both mood states and physiological responses of psychiatric inpatients. The experimental group was consisted of 27 psychiatric patients participating in the guided imagery activities using music for 11 minutes. Also, the control group was formed with 27 psychiatric patients with non-musical intervention. Mood states, blood pressure, pulse and skin temperature were checked before and after session. We could see the significant difference in the score of five areas-tension, depression, anger, vigor, fatigue-showed most differences in score. Also, the score of skin temperature of both experimental group and between two groups showed significant differences, too. Therefore, we can conclude that these results were showing that guided imagery activities using music was an effective nursing intervention method for altering mood state of psychiatric patients. Besides, it seemed to have physiological impact to make patients relax tension backed up by change of skin temperature.

A Reliability the Montreal Cognitive Assessment on Cognitive impairment Following Stroke (뇌졸중 환자의 인지손상을 위한 몬트리올인지평가의 신뢰도)

  • Song, Chiang-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1228-1233
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    • 2013
  • The purposes of this study were to assess the reliability of the Korean version of Montreal Cognitive Assessment (MoCA-K) and Korean version of Mini-Mental State Examination (MMSE-K) and correlation between MoCA-K and MMSE-K to detect cognitive impairment following stroke determined by a neuropsychological battery. Fifty-two chronic stroke patients participated in this study. They divided two group, normal cognitive group (20 patients) with stroke and cognitive impairment group with stroke (32 patients), and research period was from October 2th. to November 30th., 2013. The subjects were measured K-MoCA and K-MMSE. Normal cognitive group showed the moderate reliability in K-MoCA and K-MMSE. Cognitive group showed the more moderate relaibility in K-MoCA and K-MMSE. There was positive correlation as the more score of K-MoCA gain, the more score of K-MMSE showed in both group. The results suggest that both clinical measures are moderately sensitive and proper feasibility to chronic post-stroke cognitive impairment. The both clinical tools suggest to use in research and clinical settings by a neuropshchological battery.

Factors Affecting Suicidal Ideation in Psychiatric Inpatients (입원정신질환자의 자살사고에 영향을 미치는 요인)

  • Jo, Myoung-Ju;Jun, Won-Hee
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.308-317
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    • 2014
  • The purpose of this study was to investigate factors affecting suicidal ideation in psychiatric inpatients. A total of 186 psychiatric inpatients participated in the study. Data were analyzed by frequencies, t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression with SPSS WIN 18.0. Suicidal ideation showed significant differences according to marital status, diagnosis, and previous suicide attempt history. There were significant correlations among depression, self-esteem, spirituality and suicidal ideation. Depression and spirituality were identified as predictors affecting suicidal ideation. The regression model explained 52.4% of suicidal ideation. As a result, intervention program for decreasing depression and improving spirituality is essential to decrease suicidal ideation in psychiatric inpatients.

The Influence of SNS Addiction Tendency and Mental Health on Adjustment to College life (SNS 중독경향성과 정신건강이 대학생활 적응에 미치는 영향)

  • Baek, Sun-Sook;Cho, Ju-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.77-85
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    • 2016
  • The present study evaluated the SNS addiction tendency, mental health, and the student's adjustment to college life to identify the correlations between each of these independent variables on the dependent variable, the adjustment to university life of undergraduate students. Data were collected from 197 subjects in K university of G city, using a self-administered questionnaire. Mental health was negatively correlated with the adaptation to university life. A significant influence of gender and mental health on the adjustment to college life was found in this sample. These findings are expected contribute to understanding and improving the adjustment to college life of undergraduate students. Based on these findings, it will be necessary to improve mental health and multidisciplinary interventions will be needed to support the adjustment to college life in undergraduate students. In addition, these findings would contribute to the development of programs for student's adaptation to college life.

Effects of the Relaxing Music Appreciation on Mood State and Autonomic Nervous System in Hospitalized Mental Illnesses (이완음악감상이 입원한 정신질환자의 기분상태 및 자율신경계에 미치는 영향)

  • Seon-Sik, Kim;Kyeong-Yoon, Choi;Mi-Suk, Choi
    • Advanced Industrial SCIence
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    • v.1 no.2
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    • pp.9-16
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    • 2022
  • This study was a randomized before-and-after design of 17 subjects in the experimental group and 17 subjects in the control group to investigate the effects of listening to relaxing music on the mood state and autonomic nervous system, that is, heart rate of hospitalized patients with mental illness. The collected data were analyzed with SPSS V15.0. There was a statistically significant difference between the two groups in mood state and autonomic nervous system, that is heart rate and the effect of listening to relaxation music was objectively verified(<.05). among the subdomains of mood states, tension(<.00), depression (<.00), vitality (<.03), fatigue () <.01), excluding anger (>.39) and confusion (>.33) showed a significant difference, proving that it is an effective intervention method applied to hospitalized mentally ill patients. In the future, we would like to suggest long-term intervention research and development and application, and research on the effect of mood change and heart rate using individual preferred music.

Diabete Care: Pharm story - 당뇨병과 정신건강

  • Lee, Ji-Hyeon
    • The Monthly Diabetes
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    • s.288
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    • pp.51-57
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    • 2013
  • 당뇨병과 정신건강은 어떤 관련성이 있을까? 당뇨병이 스트레스나 우울증과 관련이 있다는 것은 비교적 잘 알려져 있는데 다른 정신건강 문제와도 관련이 있을까? 당뇨병을 꾸준히 관리하는 것만도 수월하지 않은 당뇨병 환자에게 정신건강 관리를 하라는 것은 또 다른 부담을 가중시킬 수 있을 것이다. 그러나 효과적인 당뇨병 관리를 위해서는 정신건강에 관심을 기울이고 함께 관리하지 않을 수 없다. 건강하고 안정적인 정신건강 상태는 당뇨병 관리의 뒷받침이 되므로 당뇨병의 효과적인 관리를 위해 선행되어야 할 요소이다. 종종 정신건강 문제는 당뇨병 관리의 방해요인이 되기 때문에 이를 방지하기 위해서도 정신건강 관리는 당뇨병 관리와 함께 이루어져야 한다. 스트레스, 우울, 불안 등 정신건강 문제들이 어느 정도 해결될 때, 비로소 당뇨병 자가관리를 지속할 수 있으며 그 효과를 거둘 수 있는 것이다. 대부분의 당뇨병 환자는 진단기준을 충족시키지는 않더라도 적어도 가끔은 정신장애 증상을 경험할 수 있다. 일부 환자는 진단기준에 부합하는 장기간의 심각한 정신과적 증상으로 고통을 받기도 한다. 당뇨병 진단 후 당뇨병을 심리적으로 수용하고 관리하는 과정에서 정신장애를 경험하게 될 가능성이 높아진다. 정신장애도 만성질환의 속성을 가지므로 정신장애를 동반한 당뇨병 환자는 만성질환 관리의 부담이 가중될 수 있다. 따라서 정신장애를 최대한 예방하고 적시에 적절한 치료를 통해 심화되지 않도록 하는 것이 중요하다. 이를 위해 당뇨병과 관련 있는 정신장애에 대한 이해와 지식을 갖추는 것이 필요하다.

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Changes in Mental Health Status of Patients in the Community Treatment Center during the Quarantine Period (생활치료센터 환자의 격리 치료 기간 중 정신건강 상태 변화)

  • Jeong-Wook Seo;Jeonga Yoo;Jin-Yong Jun;Jiho Lee
    • Health Policy and Management
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    • v.34 no.3
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    • pp.293-308
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    • 2024
  • Background: Assessing the change in mental health status of quarantined patients in community treatment centers at the time of admission and discharge, and inferring the influencing factors. Methods: The study was conducted on a sample of 1,941 quarantined patients from three community treatment centers. Changes in anxiety, psychological distress, post-traumatic stress, depression, and self-harm ideation between admission and discharge were categorized as either "improved" or "worsened." Inference was performed to determine the probability of worsening in mental health status. Results: The mental health status of quarantined patients, such as anxiety and depression, was relatively higher than that of the general population. Anxiety (84.3% improved) and psychological distress (79.0% improved) were reduced during quarantine treatment. However, some patients continued to experience moderate to severe levels of anxiety (11.2%) and psychological distress (11.0%) at discharge. As for depression, the depression of moderate or higher level was increased at the time of discharge (28.7%→36.7%) compared to admission. The deterioration of anxiety and psychological distress was found to be the most significant factor influencing the worsening of depression at discharge (odds ratio [OR] for anxiety deterioration, 2.04; OR for psychological distress deterioration, 3.56). These effects were also observed similarly in post-traumatic stress and self-injury ideation. Conclusion: Improving anxiety and psychological distress among quarantined patients in community treatment centers can reduce the worsening of post-traumatic stress, depression, and self-injury ideation at the time of discharge. These findings provide evidence for the need for active mental health management from the initial stages of quarantine treatment.