• Title/Summary/Keyword: 정신성

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Neuroimaging of Traumatic Brain Injury (외상성 뇌손상의 영상진단)

  • Choi, Woo Suk
    • Korean Journal of Biological Psychiatry
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    • v.2 no.2
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    • pp.169-176
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    • 1995
  • 두부 외상은 많은 발생율과 사망율을 차지하고 있으며, 건강한 생활을 위해 큰 관심을 갖게 되었다. 신경방사선영상은 외상성 뇌손상 환자들의 진단과 치료에 필수적인 방법이다. 뇌손상의 기본 기전, 병리, 그리고 영상 소견을 이해 하는 것은 매우 중요하다. 1970년대에 Glasgow coma scale의 형상과 전산화단층촬영(CT)의 발달은 임상의사들이 두부외상에 대한 평가와 환자들의 경과를 예상하는데 극적인 변화를 주었다. 최근 자기공명영상(MRI)의 발달로 외상성 뇌손상의 형태를 더욱 이해 하게 되었고, 두부 외상의 발견율이 높아지게 되었다.

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Comparison of Sites of Intracranial Injury and the Results of MMPI & K-WAIS in the Patients with Post-Traumatic Organic Mental Disorder (외상후 기질성 정신장애 환자의 뇌손상 부위에 따른 다면적 인성검사, 한국판 웩슬러 지능검사 결과비교)

  • Kim, Tae-Ho;Na, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.37-48
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    • 2001
  • Objectives : The purpose of this study was to evaluate the difference of psychometric analysis among patients with Post-traumatic organic mental disorder according to the lesion of MRI finding of traumatic brain injury. Methods : We divided 35 patients into 4 groups according to the lesion of MRI finding of brain injury. We evaluated the difference of the subscales of MMPI and K-WAIS among 4 groups with Post-traumatic organic mental disorder by ANOVA. Results : We found no significant difference of all subscales of MMPI and K -WAIS among 4 groups by ANOVA. Compared Rt hemispheric injury group with Lt hemispheric injury group by independent t-test, the depression scale in MMPI scored significantly higher in Lt hemispheric injury group, and the block design in K-WAIS scored significantly lower in Rt hemispheric injury group. Conclusion : This study suggests that Lt hemispheric injury be significantly related to depression, and Rt hemispheric injury be significantly related to visuospatial ability.

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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 Disturbed's Healing Games of Green Contents Concept (그린콘텐츠 개념을 적용한 정신장애 치료게임 연구)

  • Lee, Yeon-Sook
    • Journal of Korea Game Society
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    • v.7 no.1
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    • pp.11-20
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    • 2007
  • Functional Games, which have developed in Korea until now, is only for the healthy people's education. There are less functional games for neglected people, specially for the disturbed's healing. I define 'Green Contents' as contents which is helpful to both of nature and human, especially to the week, and also they are not developed only for the commercial aim. Functional Games for the disturbed's healing should be developed as' Green Contents.' If functional games for the disturbed's healing will be developed as aspects of technology and contents development, they will have more effects to people, and also people will need them more. For this study, I analyze art therapy, which is a normal treatment to give a social nature and self respect to the disturbed. Also I developed a functional game program for the disturbed's healing as based on psychoanalyst's theories and suggest it's Road-map. This study will be useful for the developer who want to develop this kinds of games afterwards, and various functional games for the disturbed's healing as Green Contents should be more developed in the near future.

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Gender Differences in Entrepreneurship: The Impact of Social Context (기업가정신의 성별 차이: 사회적 맥락의 영향)

  • Choo, Seungyoup
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.119-132
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    • 2021
  • This study focused on examining the impact of the social context that causes gender differences in entrepreneurship, not the phenomenon itself. Specifically, this study verified the moderating effect of the social context on the relationship between gender and entrepreneurship using data from 20 countries in the Global Entrepreneurship Trend Report (GETR). In order to test hypotheses involving social context implications, Hofstede's cultural dimension factors such as power distance, individualism, masculinity, and uncertainty avoidance variables, and institutional factors such as gender equality and social security are used as specific variables reflecting the social context. Empirical analysis through GLM found that gender did not independently influence entrepreneurship, and gender had a significant effect by interacting with power distance, individualism, uncertainty avoidance, gender equality, and social security variables, respectively. Such empirical results show that the gender difference in entrepreneurship is not due to the unique characteristics inherent in each gender but on the level of the country's social context to which the individual belongs.

Convergence Study on the Relationship between Mental Health and Oral Health Problems in Korean Elderly (한국 노인의 정신 건강과 구강 건강 문제의 연관성에 관한 융합 요인)

  • Choi, Jeong-Hee;Lee, Sung-Lim
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.121-128
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    • 2021
  • To investigate the relationship between mental health and oral health problems in the elderly, this study was conducted using raw data from the 7th 3rd(2018) National Health and Nutrition Examination Survey, targeting 753 elderly people aged 65 and over. For data analysis, complex sample analysis was performed using IBM SPSS 22.0 program. In the case of chewing problem, the odds ratio increased in the group with high stress perception and depression(p<0.05). In the case of speaking problem, the odds ratio increased in the group that received mental health counseling(p<0.05). As a result of this study, it was found that there is a relationship between mental health and oral health problems in the elderly. Therefore, it is thought that it is necessary to improve the quality of life through the development of programs to improve the mental health of the elderly and oral health problems.

Change of Temperament and Personality in Post-traumatic Stress Disorders (외상후 스트레스장애에서 기질 및 성격의 변화)

  • Choi, Hyosun;Kim, Daeho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.155-160
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    • 2020
  • Objectives : This study investigate to identify the stability of temperament and personality characteristics of patients including Posttraumatic Stress Disorder (PTSD) patients. Methods : The number of subjects was 102, of which 33 were PTSD patients and 69 were non-PTSD patients. To demonstrate the change in individual temperament and personality characteristics, Temperament and Character Inventory (TCI) were administered repeatedly on the subjects. Repeated measures ANOVA and simple main effects analysis were conducted. Results : When analysed by dividing the subjects into PTSD groups and non-PTSD groups, the differences between the primary and secondary tests did not appear in the non-PTSD groups, but the differences between the primary and secondary tests were significant in Harm Avoidance (HA), Reward Dependence (RD), Self-Directedness (SD), Cooperativeness (C). In addition, it was noted that the time and group interaction effects of HA, RD, SD and C were significant, and that the main effects of time of HA, RD, SD and C were significant. Conclusions : This study is meaningful in that in the course of experience and recovery of traumatic events, we have clinically confirmed that changes in the temperament, known as stable variables, are possible.

The Impacts of Entrepreneurship on Organizational Culture and Job Satisfaction and Moderating Effect of Organizational Culture -Focusing on Automobile Manufacturing Enterprises- (기업가정신이 조직문화와 직무만족에 미치는 영향 및 조직문화의 조절효과 -자동차 제조기업을 중심으로-)

  • Jeong, Soo-Cheol;Cho, Young-Bohk
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.171-182
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    • 2020
  • This study was intended to analyze the effects of Entrepreneurship on manufacturing(G-automobile) employees' Organizational Culture and Job satisfaction. A proposed model based on previous research was empirically tested via SPSS 25.0 using 349 valid samples collected from current employees of G-automobile Enterprises in Chang Won. The results of the empirical analysis are summarized as follows. First, Entrepreneurship(Innovativeness, Proactiveness, Risk-taking) had direct effects on Job satisfaction. Second, Entrepreneurship(Innovative, Enterprising, Risk-sensitive) had direct effects on Organizational Culture. Third, as a result of analyzing the effect of Organizational Culture on Job satisfaction, it was found that Organizational Culture(Development Culture, Rational Culture) had a significant positive(+) effect on Job satisfaction. The results of this empirical analysis are considered to be related to the rigid organizational culture of automobile manufacturing companies with many male-oriented field workers. In the future, research involving other automobile manufacturers is expected to be needed.

Predictors of Continuity of Care after Inpatient Discharge of Patients with Bipolar Disorder : A Retrospective Chart Review Study in a University Hospital (양극성 장애 환자에서 퇴원 이후 외래 치료 유지에 영향을 미치는 예측인자 : 일 대학병원 후향적 의무기록 조사연구)

  • Wang, Hee Ryung;Jung, Young-Eun;Song, Hoo Rim;Jun, Tae-Youn;Kim, Kwang-Su;Bahk, Won-Myong
    • Mood & Emotion
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    • v.9 no.2
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    • pp.126-132
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    • 2011
  • Background and Objectives : This study aims to identify sociodemographic and disease-related variables which predicts continuity of outpatient treatment after discharge among bipolar patients. Materials and Method : The medical records of patients who discharged with the diagnosis of bipolar disorder from Department of Psychiatry, St. Mary's hospital from 2005 to 2009 were reviewed. Data on sociodemographic and disease-related variables were analyzed. Results : It showed older age, higher rate of male and higher rate of being married in 1-year follow-up group than in non-follow-up group. And it showed longer duration of index hospitalization, higher rate of previous psychiatric outpatient treatment within 3 months before index hospitalization, higher rate of involuntary admission in 1-year follow-up group than in non-follow-up group. The univariate logistic regression analysis revealed that older age, being male, previous psychiatric treatment and longer duration of index hospitalization were significantly related to an increased likelihood of 1-year follow-up visits. Conclusion : Age, sex, history of previous psychiatric treatment, and duration of hospitalization seems to have influence on continuity of outpatient treatment after discharge.

Clinical Efficacy of Clozapine in Refractory Schizophrenia (불응성 정신분열증환자의 Clozapine 치료효과)

  • Lee, Min-Soo;Jung, In-Kwa;Kwak, Dong-Il
    • Korean Journal of Biological Psychiatry
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    • v.2 no.1
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    • pp.131-139
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    • 1995
  • Clozapine, on atypical antipsychotic drug, has been estimated to be a major improvement in the treatment-refractory schizophrenic patients. We evaluated the clozapine efficacy in the treatment of schizophrenic patients who are refractory to classic neuroleptics. The patients were assigned in a prospective, open, comparative trial for 12 weeks. Following an dose titration, 33 inpatients with treatment-refractory schizophrenia diagnosed according to DSM-III-R were given a clozapine(N=17, approximate 300-600mg/day) or haloperidol(N=16, approximate 20-30 mg/day) for 12 weeks. The clinical state was assessed before treatment, and 1st, 4th, 8th and 12th week during treatment using Brief Psychiatric Rating Scale(BPRS) and Positive and Negative Syndrome Scale(PANSS). Assessment of side effects were mode weekly using Simpson-Angus Scale for Extrapyramidal Side Effects and Adverse Events-Somatic Symptoms. Clozapine produces significant improvement than haloperidol on the BPRS and PANSS scores. 77% (13/17) of the clozapine-treated patients were categorized as responders, who showed at least 20% decrease in total BPRS scores, compared with 31% (5/16) of haloperidol-treated patients. Extrapyramidal side effects occurred in only one patient in clozapine group, but nine patients in haloperidol group. Salivation, sleepiness, constipation and hypotension were most frequent adverse effects observed in clozapine group. There was no significant changes in total WBC and neutrophil during clozapine treatment. These findings suggest that clozapine is on effective antipsychotic drug for the Korean treatment-refractory schizophrenic patients, who are nonresponsive to or unable to tolerate classcal antipsychotic drugs due to extrapyramidal side effects.

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