• Korean Journal of Psychosomatic Medicine
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• v.27 no.1
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• pp.25-34
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• 2019

Objectives : This study aimed to compare the psychosocial characteristics among patients with functional gastrointestinal disorder (FGID), adults with functional gastrointestinal symptoms, and normal control group and investigate factors related to quality of life (QoL) of FGID patients. Methods : 65 patients diagnosed with FGID were selected. 79 adults were selected as normal control group based on the Rome III diagnostic criteria, and 88 adults who showed functional gastrointestinal symptoms were selected as "FGID positive group". Demographic factors were investigated. Psychosocial factors were evaluated using the Korean-Beck Depression Inventory-II, Korean-Beck Anxiety Inventory, Korean-Childhood Trauma Questionnaire, Multi-dimensional Scale of Perceived Social Support, Connor-Davidson Resilience Scale and WHO Quality of Life Assessment Instrument Brief Form. A one-way ANOVA was used to compare differences among groups. Pearson correlation test was used to analyze correlations between QoL and psychosocial factors in patients with FGID. Results : There were group differences in the education level. Depression (F=29.012, p<0.001), anxiety (F=27.954, p<0.001) and Childhood trauma (F=7.748, p<0.001) were significantly higher in FGID patient group than in both FGID-positive and normal control group. Social support (F=5,123, p<0.001), Resilience (F=9.623, p<0.001) and QoL (F=35.991, p<0.001) were significantly lower in the FGID patient group than in others. QoL of FGID patients showed a positive correlation with resilience (r=0.475, p<0.01), and showed a negative correlation with depression (r=-0.641, p<0.01), anxiety (r=-0.641, p<0.01), and childhood trauma (r=-0.278, p<0.05). Conclusions : FGID patients have distinctive psychosocial factors compared to the both FGID-positive and normal control group. Therefore, the active interventions for psychosocial factors are required in the treatment of patients with FGID.

• Journal of Oriental Neuropsychiatry
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• v.4 no.1
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• pp.19-26
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• 1993

1. Stressor 는 한의학에서의 발병원인인 내인, 외인, 불내외인을 모두 지칭하고, 특히 심인적 stressor는 칠정으로 설명 될 수 있다. 2. 질병의 발생은 병인작용이 과도하거나 생체자체의 저항력이 약해졌거나 혹은 이들의 복합적인 원인으로 말미암아 발생하는 데, 한의학에서는 이를 정기와 사기의 관계로 설명하였다. 3. 칠정은 오장과 연관된 정신상태가 감정의 형태로 밖으로 표출되는 것인데, 칠정이 지나치면 정신상 과도한 자극이 되어 질병을 발생하게 된다. 4. Stress로 유발되는 질환은 직접 오장을 상하거나 또는 장부기기의 이상을 초래 하여 발생하는데 전. 광. 간, 탈영. 실정, 중기증, 심풍증,기울증, 기통증등의 질환이 언급되었음을 볼 수 있다. 5. Stress에 대처함에 있어서는 자연환경에의 조화, 허심합도, 정의 보존, 음식유절, 기기조절법 등으로 심신의 균형을 이룸이 필요하다.

• Korean Journal of Psychosomatic Medicine
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• v.6 no.2
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• pp.193-209
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• 1998

The author conducted a literature review to better characterize the current state of knowledge regarding the relationship between psychological and behavioral factors and cardiovascular disease. This review focus on several problems : Hypertension, coronary artery disease such as myocardial infarction and angina pectoris. We describe model for understanding the relation-ship of psychological factors to the disease, review the results of relevant research studies and provide recommendation for further research.

• Sleep Medicine and Psychophysiology
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• v.12 no.1
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• pp.11-16
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• 2005

Sleep can be easily disrupted by variety of conditions. Most of medical illnesses could be a primary condition causing secondary insomnia. The common underlying mechanism of secondary insomnia is presumed to be stress effects on sleep. The assessment and treatment of secondary insomnia are often complicated. Establishing an causal inference between primary condition and insomnia is the key to assessment. However, it can be difficult even for experienced clinicians due to diagnostic ambiguity of secondary insomnia. Therefore, through medical evaluation and integrative understanding of primary condition is essential to manage secondary insomnia properly. Although treatment have been usually focused on the primary medical illnesses per se, nonpharmacologic interventions, such as sleep hygiene, might be effective in many cases.

• Proceedings of the Korea Information Processing Society Conference
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• 2020.05a
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• pp.464-467
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• 2020

조현병(정신분열증)은 사고, 감정, 지각, 행동 등 인격의 여러 측면에 걸쳐 광범위한 임상적 이상 증상을 일으키는 정신 질환이다. 심각한 정신 질환임에도 불구하고 여전히 과학적 진단 체계가 갖춰져 있지 않아 진단의 많은 부분을 환자의 진술에 의존하고 있으며, 이로 인해 조현병이라는 진단을 받고 치료방법을 찾는데 까지 오랜 시간이 걸린다. 이에 본 연구는 EEG, MRI 데이터와 조현병의 상관관계를 이용한 조현병 진단 시스템을 제안하고자 한다. 본 시스템은 MRI 데이터와 머신러닝 알고리즘을 통한 조현병의 확률적 진단과 함께, EEG 데이터의 시각화 기능을 제공하는 소프트웨어를 개발함으로써 조현병 진단의 과학적 근거를 의사에게 제공하여 정확한 병의 진단을 목표로 한다. 진단 후에는 환자 데이터의 체계적 관리를 통해 머신러닝 알고리즘의 학습 데이터 확보 및 환자의 상태를 지속적으로 관리·관찰 할 수 있도록 하여 의료 소프트웨어로서 조현병의 체계적 진단 및 관리 시스템을 구축한다.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.99-107
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• 2020

Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.38-45
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• 2022

Objectives : The purpose of this study is to analyze Mental health literacy in General population. Methods : We analyze the National Mental Health Literacy and Attitude Survey Data in 2021. We investigate 2016 general population and evaluate sociodemographic characteristics, Mental health literacy and stigma. We utilize 4 Case vignette which consist of Major Depressive Disorder, Schizophrenia, Alcohol Use Disorder and Suicidal Ideation. Results : Schizophrenia (27.6%) have the lower disease recognition compare to Major Depressive Disorder (43.8%) and Alcohol Use Disorder (61.7%) (p<0.001). The stigma of Alcohol use disorder (52.8%) is highest and the stigma of Schizophrenia (47.2%) is the second highest (p<0.001). Conclusions : The education and overcoming the stigma in Mental health is needed in Schizophrenia and Alcohol Use Disorder.

• Sleep Medicine and Psychophysiology
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• v.8 no.1
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• pp.37-44
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• 2001

Background: Sleep disorders are prevalent in the general population and in medical practice. Three diagnostic classifications for sleep disorders have been developed recently: The International Classification of Sleep Disorders (ICSD), The Diagnostic and Statistical Manual, 4th edition (DSM-IV) and The International Classification of Diseases, 10th edition (ICD-10). Few data have yet been published regarding how the diagnostic systems are related to each other. To address these issues, we evaluated the frequency of sleep disorder diagnoses by DSM-IV and ICSD and compared the DSM-IV with the ICSD diagnoses. Method: Two interviewers assessed 284 inpatients who had been referred for sleep problems in general units of Anam Hospital, holding an unstructured clinical interview with each patient and assigning clinical diagnoses using ICSD and DSM-IV classifications. Results: The most frequent DSM-IV primary diagnoses were "insomnia related to another mental disorder (61.1% of cases)" and "delirium due to general medical condition (26.8%)". "Sleep disorder associated with neurologic disorder (38.4% of cases)" was the most frequent ICSD primary diagnosis, followed by "sleep disorder associated with mental disorder (33.1%)". In comparing the DSM-IV diagnoses with the ICSD diagnoses, sleep disorder unrelated with general medical condition or another mental disorder in DSM-IV categories corresponded with these in ICSD categories. But DSM-IV "primary insomnia" fell into two major categories of ICSD, "psychophysiologic insomni" and "inadequate sleep hygiene". Of 269 subjects, 62 diagnosed with DSM-IV sleep disorder related to general medical condition or another mental disorder disagreed with ICSD diagnoses, which were sleep disorders not associated with general medical condition or mental disorder, i. e., "inadequate sleep hygiene", "environmental sleep disorder", "adjustment sleep disorder" and "insufficient sleep disorder". Conclusion: In this study, we found not only a similar pattern between DSM-IV and ICSD diagnoses but also disagreements, which should not be overlooked by clinicians and resulted from various degrees of understanding of the pathophysiology of the sleep disorders among clinicians. Non-diagnosis or mis-diagnosis leas to inappropriate treatment, therefore the clinicians' understanding of the classification and pathophysiology of sleep disorders is important.

• Proceedings of the Korean Association for Survey Research Conference
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• 2007.06a
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• pp.109-122
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• 2007

o 비정규직근로에 영향을 미치는 요인 - 남성의 경우 낮은 사회계급(육체노동근로자, 낮은 소득수준, 낮은 교육수준, 낮은 주관적인 생활수준) - 여자의 경우 낮은 사회계급(육체노동근로자, 낮은 소득수준), 특히 연령이 높을수록, 교육수준이 높을수록 비정규직화 될 가능성이 남성보다 월등하게 높음. o 비정규근로가 건강지표에 미치는 영향 - 남자 : 자가건강수준, 근골격계질환, 간질환 - 여자 : 자가건강수준, 호흡기 질환, 정신질환, 사회, 심리적 건강(우울증, 자살사고) o 고용불평등 추이(1995년${\sim}$2003년) IMF 이후 - 남자육체직에서 유의하게 증가 - 여자비육체직에서 증가 양상

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.18.2-18
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• 1983

Children constitute a large majority of patients with foreign bodies in the nose. Adults with foreign bodies in the nose are usually mentally disturbed, and may be the victims of penetrating injuries or of operation on the nose. Foreign bodies enter the nose through the anterior naris, posterior naris, penetrating wound, $.$$.$$.$$.$ etc. Authors experienced a case of the broken pencil, 3.5cm in length, which entered the nose through the cheek and stayed there for 4 days.