• Title/Summary/Keyword: 정신질환

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PSYCHOPHARMACOLOGY OF ADHD WITH COMORBID DISORDERS (주의력결핍 과잉행동장애와 공존질환의 약물치료)

  • Cho, In-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.36-52
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    • 2003
  • Attention deficit/hyperactivity disorder is one of the most comminly treated conditions in the child psychiatric units and results in substantial impairment in peer, family and academoc functioning. For 70% to 80% of children with a diagnosis of ADHD, stimulant tratment results in successful improvement of the core ADHD symptoms. However, children with ADHD have high level of comorbidity and may respond differently from children with ADHD without comorbidity. Therefore they may need specific treatment plan. We reviewed efficacy and safety of prescribed medication for treating children with ADHD, the relationship between ADHD and the comorbid conditions and treatment algorithm projects of ADHD with/without comorbid conditions performed Korean and American child psychiatrists. Our main objective is to increase the uniformity of treatment and improve the clinical outcomes of children with comorbid ADHD.

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Type of Service Setting and Drinking Behavior in Persons with Major Mental Illnesses (정신보건서비스 환경에 따른 이용자들의 음주 행태)

  • Lee, Sun-Hae
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.265-288
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    • 2002
  • The use of alcohol is recognized as having negative consequences on clinical and psychosocial outcomes in service users with major mental illnesses. This necessitates an introduction of intervention measures in domestic mental health service in Korea. Since research basis on which such measures are developed lacks, this paper aims at exploring drinking patterns of Korean service users and suggesting directions and strategies for intervention. The data came from 151 service users recruited at 14 service settings in Seoul Metropolitan area. The quantitative part of the data includes their recent drinking experiences in terms of patterns and severity; the qualitative part includes information on the drinking context. The data were compared among three types of service settings, each of which differs in physical availability of alcohol by their users. Each group revealed distinctive features in drinking patterns, the author thus suggested directions and strategies of intervention specific to type of service setting.

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Survey of Work Experiences and Practices of Occupational Therapists in the Mental Health Field: A Focus on Physical Function Enhancement Interventions (정신건강 분야에서 근무하는 작업치료사의 업무 경험 및 실태조사: 신체기능 향상 중재를 중심으로)

  • Kim, Min-Jee;Kim, Young-wook;Kim, Jun-hyeok;Kim, Ga-hee;Choi, Hong-seok;Moon, Kwangtae
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.53-65
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    • 2023
  • Objective : This study aimed to identify the experiences and practices of occupational therapists in mental health and provide interventions for improving body function in individuals with mental illness. Methods : Data were collected from mental health therapists between November 7 and November 14, 2022. A survey was distributed via email and 46 responses were analyzed using descriptive statistics and correlations. Results : The majority were female (58.7%), aged 20-30 years (84.8%), working in mental health centers (41.3%), and undergoing mental health occupational therapy training (91.3%). They had 1-3 years of mental health experience (65.2%) and were commonly involved in programs (71.1%), case management (62.2%), and administration (57.8%). Interventions for physical functioning were common (73.9%), including group interventions (41.2%), such as stretching, aerobic exercise, and walk training, and individual interventions (38.1%), such as walking, stretching, and aerobic exercise. Conclusion : Occupational therapists play a crucial role in enabling individuals with mental illness to engage in daily life activities. However, relevant studies in this field are lacking. This study emphasizes the importance of mental health occupational therapy and the need for evidence-based services for physical function improvement interventions to provide more effective treatments for mental illnesses.

From A to Z of Thyroid Disease with Which the Psychiatrist should be Familiar (정신과의사가 알아야 할 갑상선질환의 A부터 Z까지)

  • Chung, Jae-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.2
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    • pp.73-80
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    • 2006
  • Thyroid disease is highly Prevalent, and many Physicians encounter the Patients with thyroid disease on many occasions. However, many doctors may make an erroneous diagnosis because of its variable clinical manifestation. Thyroid tumor is the most common disease which is detected in more than 30% of general population. Recently, the incidence of thyroid cancer is increasing to be a leading position in female cancer. Therefore, clinical physicians should be familiar with thyroid disease due to its high prevalence and heterogeneous clinical features.

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Psychosocial Factors Influence the Functional Gastrointestinal Disorder among Psychiatric Patients (정신질환자들에 동반된 기능성 위장질환에 영향을 미치는 정신사회적 요인에 관한 연구)

  • Kang, Deung-Hyun;Jang, Seung-Ho;Ryu, Han-Seung;Choi, Suck-Chei;Rho, Seung-Ho;Paik, Young-Suk;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.1-8
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    • 2018
  • Objectives : This study aimed to investigate the psychosocial characteristics of functional gastrointestinal disorder (FGID) in patients with psychiatric disorders. Methods : This study was conducted with 144 outpatients visiting the psychiatric clinic at a university hospital. FGIDs were screened according to the Rome III questionnaire-Korean version. Demographic factors were investigated, and psychosocial factors were evaluated using the Hospital Anxiety Depression Scale, Patient Health Questionnaire-15, Childhood Trauma Questionnaire-Korean, and State-Trait Anger Expression Inventory. Chisquared test and student's t-test were used as statistical analysis methods. Results : There were differences in education level between two groups divided according to FGID status (${\chi}^2=10.139$, p=0.017). Comparing the psychiatric disorder by FGID group, irritable bowel syndrome (IBS) group showed significant differences (${\chi}^2=11.408$, p=0.022). According to FGID status, IBS group showed significant differences for anxiety (t=-3.106, p=0.002), depressive symptom (t=-2.105, p=0.037), somatic symptom (t=-3.565, p<0.001), trait anger (t=-3.683, p<0.001), anger-in (t=-2.463, p=0.015), and anger-out (t=-2.355, p=0.020). Functional dyspepsia group showed significant differences for anxiety (t=-4.893, p<0.001), depressive symptom (t=-3.459, p<0.001), somatic symptom (t=-7.906, p<0.001), trait-anger (t=-4.148, p<0.001), state-anger (t=-2.181, p=0.031), anger-in (t=-2.684, p=0.008), and anger-out (t=-3.005, p=0.003). Nonerosive reflux disease group showed significant differences for anxiety (t=-4.286, p<0.001), depressive symptom (t=-3.402, p<0.001), somatic symptom (t=-7.162, p<0.001), trait anger (t=-2.994, p=0.003), state anger (t=-2.259, p=0.025), anger-in (t=-2.772, p=0.006), and anger-out (t=-2.958, p=0.004). Conclusions : Patients with psychiatric disorders had a high prevalence of FGID, and various psychosocial factors contributed to such differences. Therefore, the psychiatric approach can offer better understandings and treatments to patients with FGID.

The influence of Case Management Implementation Factors on Quality of Life for the mentally Ill -Based on Mental Health Total Care voucher agencies- (사례관리수행요소가 정신질환자의 삶의 질에 미치는 영향 -정신건강 토탈케어 바우처 기관을 중심으로-)

  • Min, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.270-282
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    • 2014
  • This study examined the influence of case management implementation factors on mentally ill person's quality of life based on case managers and clients who are from Mental Health Total Care voucher agencies. Hierarchical Lineral Model was used to verify client factors, case manager factors, agency factors and service providing factors. For the first time in our nation, major findings were found that case manager's career and intervention range have influence on mentally ill persons's quality of life, and that there is no influence for the caseload below 20 cases per one person. The practical implication was suggested about usefulness of case manager's career, caseload and intervention range within local social community system.

A case of steroid-induced psychosis in a child having nephrotic syndrome with toxic epidermal necrolysis (신증후군 환아에서 발생한 독성표피괴사용해 치료를 위해 사용된 고용량 스테로이드로 인한 정신질환 1례)

  • Kim, Sae Yoon;Lee, Jae Min;Park, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.437-441
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    • 2010
  • Toxic epidermal necrolysis (TEN) and Stevens Johnson syndrome (SJS) are rare, life-threatening mucocutaneous -diseases, usually attributable to drugs and infections. Corticosteroids have been used in the management of TEN for the last 30 years. This remains controversial and is still much debated. TEN can occur despite administration of high doses of systemic corticosteroids. The psychiatric side effects of corticosteroids can include headache, insomnia, depression, and mood disorders with or without psychotic episodes. Steroid-induced psychosis is dealt with by tapering or discontinuing the steroid; antipsychotics are also sometimes used. We report a case of an 11-year-old boy who was admitted with TEN. He had also been diagnosed as having nephrotic syndrome in the past. Remission was achieved through induction therapy and by maintaining the use of steroids. After a full-dose intravenous dexamethasone for TEN, he showed psychotic symptoms. We diagnosed him as having steroid-induced psychosis. We tapered the steroid use and initiated an atypical antipsychotic medication, olazapine and intravenous immunoglobulin (IV-IG). His symptoms dramatically improved and he was discharged.

The Effect of Psychobiographical Information on Attitude Change toward Mentally Ill People (심리전기적 정보(Psychobiographical Information)가 정신질환자에 대한 태도변화에 미치는 효과)

  • Kang, Sang-Hyun;Son, ChongNak
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.451-457
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    • 2017
  • The purpose of this study was to investigate the effect of psychobiographical information on the attitude change toward mentally ill people. For this, 30 college students were randomly assigned to one group that received a psychobiographical information(PBI) and the other group a psycho-pathological information(PPI). Measures of attitude change were favorability, reliability, and social distance. The results were significantly different only in social distance between the two groups. Within each group, there was a significant change in favorability only in the psycho-pathological information group, and there was a significant change in the favorability, reliability and social distance in the psychobiographical information group. These results are significant in that they have empirically confirmed that a psychobiographical approach can be effective in changing attitudes toward mentally ill people.

Influencing Factors on Mental Health Help-Seeking Behavior in Korean and Immigrant Married Women (한국 기혼여성과 이민 기혼여성의 정신건강 도움추구행동 영향요인)

  • Gang, Moonhee;Lee, Jihye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.344-353
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    • 2017
  • The purpose of this study was to identify and compare the factors that influence the mental health help-seeking behavior in Korean and immigrant married women. A cross-sectional descriptive study design was used. Participants were 110 Koreans and 91 immigrants in D metropolitan city. Collected data were analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression with SPSS 21.0 program. Mental health help-seeking behavior was significantly correlated with depression, belief toward mental illness, and perceived need for mental health service in Korean women, and with Korean fluency, belief toward mental illness, and social support in immigrant women. In the regression analysis results, the predictors of mental health help-seeking behavior were belief toward mental illness in Korean married women (10.5%), and Korean fluency, nationality, belief toward mental illness, and social support in immigrant women (59.0%). These findings should be considered when developing strategies for enhancing the mental health help-seeking behavior in married women.

천연소재 활성 검토를 위한 간장해 동물모델에서의 장내세균 분석 요구

  • 김동구;송영재;소주련;강사행;박정향;고세웅;김동근;김태현;명제훈;진종식
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2022.09a
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    • pp.120-120
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    • 2022
  • 장내세균의 구성과 각종 질환의 상관관계에 대한 연구가 활발히 수행되고 있다. 대장관련 질환 뿐 아니라, 당뇨, 비만 등 대사성 질환, 심지어 정신질환에까지 장내세균 구성의 영향이 미치는 것으로 밝혀졌다. 이에 다양한 천연 소재를 활용하여 각종 동물질환모델에서 생리활성을 검토할 때, 장내세균의 구성을 분석하여 그 상관관계를 밝힐 필요가 있다. 장내세균의 구성에 따라 질환의 양상이 달라질 수 있으며, 치료에 영향을 줄 수 있다. 동물실험을 수행할 때에도 실험동물 간 장내세균의 구성이 다르면 질환의 유도 또는 천연소재에 의한 치료 패턴이 달라질 수 있음을 가정하여 본 연구를 수행하였다. 본 연구에서는 EtOH와 LPS를 이용하여 간장해 동물모델을 구축하고, 장내세균 구성을 T-RFLP법으로 분석하여 그 상관관계를 검토하였고, tracheloside 등의 천연물을 투여함으로써 성분의 대사 패턴을 확인하였다. 이 결과는 천연소재의 간장해 개선 연구를 수행하기 위한 기초 결과로 활용될 수 있다.

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