• Title/Summary/Keyword: 정신적 건강

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Psychosomatic Integrative Care for Psychosocial Distress of Patients With Breast Cancer (유방암 환자의 정신사회적 디스트레스에 대한 정신신체의학적 통합치료)

  • Yang, Chan-Mo;Jang, Seung-Ho;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.77-85
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    • 2021
  • Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

Physical and Mental Health Status and Its Related Factors among Centenarians in Korea (100세 이상 고령자의 신체적·정신적 건강수준 및 관련 요인)

  • Song, Young-Su;Kim, Tae-Baek;Bae, Nam-Kyou;Kim, Ki-Hyang;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.268-277
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    • 2017
  • This study was performed to determine the level of physical health(ADL, IADL) and mental health (cognitive impairment, dementia) among centenarians and to find the related factors. The study subjects were 268 centenarians who received medical check-ups from the National Health Insurance Corporation during 2011-2014. From the results, the factors that significantly influenced the ADL of the study subjects were gender, residential area, IADL, cognitive impairment and dementia. ADL and cognitive impairment were selected as the influencing factors of IADL, smoking status, ADL and IADL were selected as the influencing factors of cognitive impairment, and gender and ADL were selected as the influencing factors of dementia. These results suggested that the levels of physical and mental health of the centenarians were significantly affected by socio-demographic characteristics and health-related variables. Especially, the levels of physical and mental health were decreased with the poor group of health-related variables such as smoking, alcohol drinking and regular exercise.

The impact of depression and anxiety on life satisfaction in psychiatric patients : Moderating effect of humor style (정신건강의학과 환자들의 우울 및 불안이 삶의 만족도에 미치는 영향 : 유머양식의 조절효과)

  • Kim, Keun-Hyang;Cho, Young Eun
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.125-132
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    • 2016
  • Conventionally, humor has been regarded as an indicator of mental health, but several researchers has proposed that the effects of humor in mental health may be different depending on humor styles. Therefore, further studies about humor style and the effect of humor are worthwhile. In the present study, we shall pay attention to buffering effect of humor on a decline in mental health. we attempted to identify weather the buffering effect of humor is different depending on humor styles in psychiatric patients. For this purpose correlation analysis on humor style, depression, anxiety and life satisfaction were carried out, and hierarchical regression analysis were applied to analyse moderating effect of humor style. Consequently, self-enhancing humor has a significant moderating effect on both depression and anxiety. Whereas, affiliative humor has a significant interactive effect with only depression. The conclusion which can be drawn from this study is that positive humor can work as a protective factor on a decline in mental health, and using self-enhancing humor is effective to increase life satisfaction. It might have a convergent meaning on adaptation that psychiatric patients could have a good adaptation(by using positive humor) in real world.

A Study on Psychological and Physical Health of Families of Victims One Year after the Sewol Ferry Disaster (세월호 재난 1년 후 유가족의 심리적, 신체적 건강에 대한 연구)

  • Ko, Jeong-Kyung;Han, Eunjin;Shin, Cheolmin;Lee, Seung-Hoon;Park, Sol A;An, Sora;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.179-187
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    • 2018
  • Objectives : The purpose of this study was to assess physical illnesses, psychological difficulties, and daily life function of victims' family members one year after the Sewol ferry disaster, in order to establish a basis of strategies to promote their mental health and resilience. Methods : We statistically analyzed self-reported data collected from a survey conducted between March 22 and 28, 2015 with 139 family members of victims. Results : All respondents complained about one or more psychological difficulties, and 95.4% of them had newly diagnosed or exacerbated physical illnesses. An increased number of psychological difficulties was associated with a greater tendency to present physical illnesses including chronic headache, gastrointestinal, musculoskeletal, obstetrico-gynecological, genitourinary, and cardiovascular disease. In addition, the majority of respondents reported a decrease in life functioning. Specifically, 71.9% reported interpersonal avoidance and 63.9% reported difficulty in returning to work. Conclusions : Not only psychological trauma but also physical illness and daily functioning should be evaluated in detail and actively addressed in the bereaved family members after a catastrophe.

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.

Factors Affecting Mental Health of School Violence Experience in Korean Multicultural Youth (우리나라 다문화청소년들의 폭력경험이 정신건강에 미치는 영향)

  • Park, Jeeyeon
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.51-59
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    • 2020
  • The purpose of this study is to find out the relationship between violence damage experience and mental health of multicultural youths in Korea, and to use it as a basic data in developing mental health promotion interventions for multicultural youths. This study is a secondary data analysis based on the 2018 Youth Health Behavior Survey. Data analysis is based on IBM 25 ver. SPSS was used and logistic regression analysis was performed using complex samples. As a result of this study, factors affecting the mental health characteristics of multicultural youths in general are violent damage experience, gender, and subjective health. Suicide plans and suicide attempts were high. Although this study is a secondary data analysis study, it is difficult to grasp the school violence damage and mental health causality.

An Exploratory Analyses on Factors related to Mental Health Confidence among Individuals in Long-term Care Facilities: Focusing on the Differences by the Length of Hospitalization (정신요양시설 입소 정신장애인의 정신건강자신감 관련요인에 대한 탐색적 연구: 입소기간에 따른 차이를 중심으로)

  • Jeon, Hae Sook
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.563-574
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    • 2016
  • This study aimed to examine the predictors of mental health confidence(MHC) among individuals in psychiatric long-term care facilities(PLCF). It further examined whether the predictors and underlying mechanisms differed by the length of hospitalization. Sample consisted of 1,742 individuals residing in PLCF who participated in the Survey on PLCF. Structural equational modeling was used to examine the predictors of MHC. Multi-group Structural Equation Modeling(SEM) was used to examine whether the predictors and mechanisms differed by the length of hospitalization between those of 10 years or less (n=962) and 10 years and more (n=780). Major findings were as follows. (1) Education, duration of mental illness, and psychiatric symptoms were significantly related to MHC. (2) Duration of mental illness presented significant indirect effects on MHC via its effects on perceived stigma. (3) The predictors and underlying mechanisms differed by the length of hospitalization. Based on the findings, implications and limitations of the research were discussed.

Factors Influencing Health-related Quality of Life in Patients with Coronary Artery Bypass Graft (관상동맥우회술 대상자의 건강관련 삶의 질 영향요인)

  • Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.164-172
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    • 2016
  • The purpose of this study was to determine the relationships among the social support, depression, and health-related quality of life and the factors affecting the health-related quality of life in patients with coronary artery bypass graft (CABG). The subjects consisted of 134 patients who had received CABG from S general hospitals in Seoul, Korea, and the results were analyzed using the SPSS Win 21.0 program. The physical component summary (PCS) was significantly different depending on the age (F=4.616, p=.004), gender (t=3.657, p<.001), education (F=7.688, p=.001), current job (t=-4.363, p<.001), spouse (t=-3.065, p=.003), and underlying disease (F=3.078, p=.030) of the subjects. There were differences in the scores for the mental component summary (MCS) according to their gender (t=2.243, p=.027) and monthly income (F=2.821, p=.041). A significant negative correlation was found between social support and depression (r=-.415, p<.001). Social support had a statistically significant positive correlation with the MCS (r=.261, p=.002). Significant negative correlations were found between depression and the PCS (r=-.459, p<.001) and MCS (r=-.554, p<.001). The depression and underlying disease accounted for 36.7% of the variance in the PCS. The depression accounted for 34.1% of the variance in the MCS. Based on these results, nurses should develop nursing intervention programs for patients who have undergone CABG which take into consideration their depression.

동행+함께하는 마음: 건강체크 리스트 - 우울증보다 자살률이 높은 양극성장애, 조기진단이 가장 중요하다!

  • Choe, Yong-Gyun
    • 건강소식
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    • v.34 no.7
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    • pp.36-37
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    • 2010
  • 현대인에게 있어서 피할 수 없는 스트레스. 이 스트레스로 인해 현대인들은 신체적인 건강뿐만 아니라 우울증 등의 정신건강까지 위협을 받고 있으나 정신과라는 좋지 않은 인식으로 인해 정신건강은 제대로 치료되지 못하고 있는 실정이다. 하지만 양극성 장애(조울증)를 앓고 있다면 이야기가 좀 달라져야 한다.

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피로가 선박승무원 건강에 미치는 영향에 대한 고찰

  • Yang, Won-Jae
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2013.10a
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    • pp.233-234
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    • 2013
  • IMO에서는 피로(Fatigue)를 정신력, 체력, 신속성, 반응시간, 기능의 조화, 의사결정, 마음의 안정 등을 포함한 모든 육체적, 정신적 또는 감정적인 소모의 결과로 인하여 인간의 육체적 또는 정신적 능력이 저하되는 것 즉, 인간의 효율성의 감소라고 정의하고 있다. 선박승무원의 피로는 선박안전운항과 해양환경보호를 위한 업무수행능력(Performance)에 영향을 미칠 뿐만 아니라 승선중인 선박승무원의 건강(Health)과도 밀접한 관계가 있으며 또한 많은 영향을 미치게 된다. 본 연구에서는 선박승무원의 피로에 영향을 미치는 다양한 요인과 그로 인한 효과들을 살펴보고 피로와 선박승무원의 건강과의 관련성 및 그 영향 등에 대하여 고찰을 하고자 한다.

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