• Korean Journal of Psychosomatic Medicine
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• v.25 no.1
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• pp.46-55
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• 2017

Objectives : Outpatient treatment orders refer to a mandatory social program in which mentally ill persons are ordered by the court to participate in specified outpatient treatment programs. This study aimed to investigate the factors that affect outpatient treatment orders and adherence to outpatient treatment in mental health patients. Methods : A survey on outpatient treatment orders and adherence to outpatient treatment was conducted on 60 psychiatrists between October and November 2016. The questionnaire items were drafted based on a literature review, and they were then evaluated by 3 psychiatrists and 1 law school professor before being finalized. Answers from the respondents were analyzed using descriptive statistics, and the median, maximum, and minimum values of the effectiveness scores of outpatient treatment orders were calculated. Results : Among the 60 psychiatrists, 45(75.0%) were aware of outpatient treatment orders; however, only 2 out of the 45(4.0%) had actually used the program in the last 12 months. The subjective effectiveness was very low, with only 40 points out of 100. Furthermore, of the readmitted patients, 37.7% had received continued outpatient treatment, whereas 53.1% chose to quit the outpatient treatment programs, meaning that the number of dropouts was higher. Among the discharged patients, approximately two-thirds were receiving continued treatment. With regard to follow-up for dropouts, majority of the responses were either "Not taking any action"(n=27) or "Not following up"(n=15). Only two respondents answered "Contact the community mental health promotion center," meaning that this response was very rare. Meanwhile, when asked about efficient measures to be implemented for dropouts, a vast majority of the respondents(n=30) selected the answer "Work with the community mental health promotion center." Conclusions : The outpatient treatment orders currently being administered were found to be ineffective, and the associated adherence to outpatient treatment was also found to be extremely poor. Hence, the effectiveness of the therapeutic interventions could benefit from institutional as well as administrative improvements. Community mental health promotion centers are expected to have an important role in the future.

• Journal of Korean Academy of Nursing
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• v.5 no.1
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• pp.48-58
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• 1975

대부분의 정신과적 위기 (자살시도.도주 공격적 파괴적행동.싸움 등)는 노여움이 원인이 되는데 심한 불안. 초초나 또는 규칙등을 위반하였을 때에. 고지식한 병원직원들의 마구 다툼에 의해서 자신의 권리나 존엄성을 모욕 받았다고 생각될 때 그것에 대한 반응으로 일어나게 된다. 이러한 환자들의 흥분및 공격적 파괴적 행동들에 대해서 우리 간호원들은 과연 겁내야 하며 곧 진정제를 투여하거나 강박의를 입혀야 하는가 하는 것이 이 연구의 촛점이다. 본인은 이러한 환자들의 위기상황에 성급한 행동들이 주어지기에 앞서 과학적이고 체계적인 간호적 이해가 따른다면 환자들의 태도는 휠씬 달라질 수 있을 것이라는 가정하에 국립정신 병원에서 1973년 6월 1일부터 9월30일까지 실험군 10명. 통제군 10명의 환자에게 관찰기 (5일). 간호기(5일). 후반기 (5일)로 나누어 실험군에는 간호기에 유효적절한 과학적 체계적 간호를 실시하고. 통제군에는 실시하지 않음으로써 그 효과도를 검증하였다. 환자의 치료에는 간호적 치료이외에도 약물요법, 정신치료. 충격요법 등 관계 요인이 많으므로. 이러한 기간동안의 환자의 행동변화가 간호적 치료 (Nursing Therapy)에 의해 변화된 것인가를 확인하기 위해 검증하였다. 그 결과는 다음과 같다. (P<.01) 표6. 7에서 관찰기. 간호기. 후반기 동안의 정신과 응급 행동의 빈도는, 실험군에서는 15.4. 7.0. 2.9 로 감소되어 p <.01의 수준에서 의미 있는 변화임이 밝혀졌고, 통제군에서는 10.6. 6.9. 6.6으로 행동빈도가 감소되었으나 p >.05의 수준에서 의미 있는 변화가 아님을 보이고 있다. 위의 결과들로 미루어 본 연구는 다음과 같은 결론을 내릴 수 있을 것이라고 생각한다. \circled1환자의 위기 행동에 관한 사전의 이해없이 무조건의 안정제 투여와 강박의 사용은 금해야 할 것이다. \circled2유효 적절한 자학적 체계적 간호치료 (Scientific & Systematic Nursing Therapy 로서 정신과적 위기는 해 결될 수 있을 것이다. \circled3간호원은 치료적 요원의 역할을 담당할 수 있을 것이다. 본 논문을 시종 지도하여 주신 이부영선생님과 조언을 주신 이은옥 선생님. 이귀향 선생님. 그리고 국립정신병원의 김종해선생님, 보건대학원의 이영환 선생님께 진심으로 감사를 드리며. 아울러, 실험에 협력하여 주신 모든 분들께도 감사를 드립니다.

• Anxiety and mood
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• v.15 no.1
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• pp.13-19
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• 2019

Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018. Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals. Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder. Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.

• Korean Journal of Psychosomatic Medicine
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• v.6 no.2
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• pp.188-192
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• 1998

Brief hypnotherapy with daily self-hypnosis was used to a 20-year-old male patient who had severe warts on the fingers of both hands for 6 years. He had had several dermatological treatments, including attempts to remove the warts with topical chemotherapy, but the warts had always recurred. During the hypnotic session, it was suggested that the warts would begin to feel cool and disappear with imaginary laser. He responded well to ideosensory suggestions and was free of the warts within 5 sessions. Inquiry after 7 months revealed that no recurrence had taken place. Finally, it is stimulating to think that harmony between mind and body involving cell-mediated immunity can intervene in conditioning the course of the skin diseases.

• Korean Journal of Social Welfare
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• v.12
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• pp.93-115
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• 1988

• The Science & Technology
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• s.474
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• pp.46-49
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• 2008

• Journal of Korean Library and Information Science Society
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• v.38 no.1
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• pp.277-298
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• 2007

Adolescence is a critical period of mental disorder. A teacher, as a significant other, is an important social supporter for adolescents. The purpose of this study is to develop bibliotherapy programs for teachers as a school-based prevention program which helps improve the mental health of adolescents. Two programs are designed for teachers. One is for a teacher as an ordinary person in his/her daily life and the other is for a teacher as a significant other of adolescents.

• Journal of Digital Convergence
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• v.11 no.11
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• pp.455-462
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• 2013

This study was to examine the recognition and guarantee for psychiatric patients' rights of mental health care workers. The participants of this study were 231 mental health care workers from 10 mental health care institutions located in J city, Korea. Data was collected using questionnaires consisting of one instrument measuring participants' recognition and guarantee for psychiatric patients' rights, and participants' characteristics. Collected data were analyzed using descriptive analysis, t-test, one-way ANOVA with SPSS 12.0. The results of this study showed the mental healthcare workers' recognition and guarantee were significantly different in every subscales. Besides, the difference between recognition and guarantee toward psychiatric patients' rights was significantly associated with participants' occupations. Based on the findings, guiding where nursing education efforts should be focused to help putting in place the psychiatric patients' rights.

• Korean Journal of Psychosomatic Medicine
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• v.16 no.1
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• pp.17-24
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• 2008

Psychosomatic medicine is also known as consultation-liaison psychiatry. Pediatric consultation-liaison psychiatry is composed of all consultation, liaison, diagnostic, therapeutic support and research activities carried out by psychiatrists and other mental professionals in pediatric ward to provide mental health services to physically ill pediatric patients. As the differences in the basic concepts of disease models between psychiatry (psychosocial model) and pediatrics(biomedical model) exist, active communication between the child psychiatrist and pediatric medical staffs is required. Although the general guidelines are similar, there are specific considerations for consultation in children and adolescents. Much work is still needed to identify empirically supported treatments which are effective for managing a board range of psychosocial difficulties in children and adolescents.

• Korean Journal of Psychosomatic Medicine
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• v.21 no.2
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• pp.81-92
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• 2013

Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.