• Title/Summary/Keyword: 정신화

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Behavioral Variant Frontotemporal Dementia Phenocopy Syndrome (행동증상 아형 전측두엽 치매 표현형모사 증후군)

  • Cheon, Jin Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.3-11
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    • 2017
  • Objectives : The aim of this study was to draw attention toward so called 'behavioral variant frontotemporal dementia(bvFTD) phenocopy syndrome', which is difficult to discriminate with the primary psychiatric disorders, showing poor response to conventional therapeutic drugs, leading to higher risk to misdiagnoses and legal problems. Furthermore, the author insisted that our interest and study on them must be continued. Methods : English articles published during 2000 thru 2016 had been searched by internet with the combination of words such as 'frontotemporal', 'phenocopy' and 'behavioral', and reviewed. Besides, two clinical vignettes were described. Results : Precise diagnosis is important because patients' behavioral symptoms can influence on their families and community. However, disease-modifying treatment for bvFTD are not developed until now, and recent therapeutic drugs are only good for specific symptoms, while deterioration progresses in spite of proper psychiatric management. The possible bvFTD patients are not progressed into probable bvFTD clinically, showing no decline of cogntive and social function, no decrease of activity function, longer survival time, and normal neuroimaging for several years. Conclusions : Rather than expected, there are much more patients having clinical symptoms, course and diagnostic findings including neuroimaging, which are atypical to classical frontotemporal dementia and primary psychiatric disorders. If our knowledge and discriminating ability is improved, discovery rate of that cases will be increased. However, the identity of these atypical features are not clarified until now, it must be further actively investigated.

Study on Mental Health of Students of the Department of Optometry at a University by Gender (성별에 따른 일개 대학교 안경광학과 학생들의 정신건강에 관한 연구)

  • Ye, Ki Hun;Cho, Seon Ahr
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.483-495
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    • 2018
  • Purpose : The purpose of this study is to analyze the factors affecting the mental health of students in the department of optometry by the gender and to provide differentiated help to student life and career guidance. Methods : Questionnaire for 132 students in the department of optometry in Chungcheong region was analyzed and mental health was compared and analyzed by the gender. In this study, a questionnaire by SCL-90-R was used, and all statistical information was statistically processed with a significance level of p<0.05 using SPSS 18.0 (SPSS 18.0 was used for processing statistical information with a significance level of p<0.05). Results : Students of the department of optometry presented mental health problems; somatization was 22.7%, psychasthenia was 28.3% and hostility was 12.8%. Depression and paranoia were 27.7% and 10.2% respectively, followed by interpersonal sensitivity, psychosis, phobia, and anxiety disorder with 14.7%, 10.4%, 5.9% and 17.4% respectively. Conclusion : About 28.7% of the students of the department of optometry students experienced somatization, psychasthenia or hostility due to negative mental health and female students ranked relatively higher in all variables than males. Therefore, it is judged that differentiated counseling and guidance in life will be needed for students based on their gender differences.

Stress Perception and Psychopathology in Workers Exposed to Mixtures of Organic Solvents (복합유기용제에 노출된 근로자들의 스트레스지각 및 정신병리)

  • Kim, Chan-Hyung;Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.59-66
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    • 1993
  • A comparison was made between workers exposed to organic solvents and those not exposed to them regarding stress perception and psychopathology, using GARS scale and SCL-90-R. The exposed group scored significantly higher than the non-exposed group in stress perception relevant to job-wort changes in relationship, sickness or injury, financial, and overall global area. The exposed group was significantly higher in somatization scale than the non-exposed group. However, there was no significant correlation between duration of exposure and psychopathology. In each of the groups. female workers showed more psychopathology than male ones. Age showed significantly nagative correlation with psychopathology. These results suggest that the exposed group shows higher stress perception and more psychopathology than the non-exposed group. Thus. it is emphasized that health policy makers as well as employers should pay more attention to health. espcially mental health for the workers exposed to organic solvents.

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Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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Domestic and Foreign Case Studies on ICT Convergence for Mental Heath Improvement and Suicide Prevention (정신건강 증진과 자살예방을 위한 ICT 융합 국내외 사례 연구)

  • Kim, Ho-Kyung;Shin, Dong-Hee
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.592-606
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    • 2015
  • Depression and mental illness across all age groups, and steady increasing in suicide rate are our major social problems which cause dramatically decreasing government competitiveness. While Korean government has implemented various policies to improve mental health and prevent suicide, it faces revealing issues in progress on implementation and referral management systems. The current research examined domestic and foreign cases to understand the actual status and directivity of ICT convergence plan in terms of mental health. The United States and the United Kingdom have provided convergent ICT service, telepsychiatric care to senior citizens in rural areas, children and adolescents, socially disadvantaged class, etc. In Korea, emergency-notice devices are installed to prevent suicide for single elderly people, and diverse mobile health devices are developing to cure depression and Alzheimer's disease. ICT convergent mental health care service is needed to save socioeconomic costs and realize universal welfare for an aging society. Social consensus on sharply conflict issues, medical law and medical devices about telepsychiatry service, effectiveness studies on users' unique psychiatric characteristics by life cycle, and region-specialized strategies for the least densely populated rural regions with lower access to medical care should be considered.

Clinical Utility of the MMPI-A-RF's Internalization and Externalization Higher-Order Scales: Comparison With the K-CBCL's Internalization and Externalization Scales (MMPI-A-RF의 내재화 및 외현화 상위 척도의 임상적 유용성: K-CBCL의 내재화 및 외현화 척도와의 비교)

  • Eun-Bin, Shin;Eun-Hee, Park;Hyun-Joo, Hong
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.119-126
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    • 2022
  • Objectives : The purpose of this study was to examine the clinical utility of the internalization and externalization higher-order scales of the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form (MMPI-A-RF), compared with those scales of the Korean Child Behavior Checklist (K-CBCL). Methods : 43 adolescents with internalizing disorders and 44 adolescents with externalizing disorders and their parents were administered the MMPI-A-RF and K-CBCL each. To verify the difference between the internalization and externalization scales of the MMPI-A-RF and K-CBCL for each group, independent-sample t test was performed. To compare the agreement between the MMPI-A-RF and K-CBCL, correlation analysis was also conducted. Lastly, to identify which scales significantly best predict each of the internalizing and externalizing disorder, logistic regression analysis was conducted. Results : Internalization scales of the MMPI-A-RF and K-CBCL were significantly higher in the internalizing disorder group, and the externalization scales were significantly higher in the externalizing disorder group. The positive correlation was significant only for internalization problems between the two evaluation measures in both groups (each r=0.360, p<0.05, r=0.572, p<0.05). In addition, the scales significantly predicted internalizing and externalizing disorders were the internalization and externalization scales of the MMPI-A-RF, followed by the externalization scale of the K-CBCL (R2=0.407, p<0.05). Conclusions : The internalization and externalization higher-order scales of the MMPI-A-RF were found to reliably reflect the characteristics of each disorder in adolescents and be useful evaluative scales to differentiate disorders. Moreover, if adolescents show externalization problems, additional information from the K-CBCL can be more useful to differentiate disorders.

MICA: Mind Care Dataset on Korean Anonymous Mental Health Platform (MICA: 한국 익명 심리건강 플랫폼 기반 심리상담 데이터셋)

  • Seungmoo Yang;Seonghyun Kim;Chanhee Jeong;Jeehye Koo;Seunghyeok Hong
    • Annual Conference on Human and Language Technology
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    • 2022.10a
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    • pp.210-215
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    • 2022
  • 최근 전 세계적으로 불안감, 우울증 등을 비롯한 정신 건강 관리에 어려움을 겪고 있다. 특히 COVID-19 팬데믹 사태로 인해 경제적, 사회적으로 고립되는 시간이 길어지면서 정신 건강이 악화되고 있다. 한국의 경우도 심리상담을 받는 비율이 증가하는 등 정신 건강 관리의 수요가 높아지고 있다. 정신 건강 관리를 위한 여러 진입 장벽들을 극복하기 위해 개발된 비대면 심리상담들이 인기를 얻고 있다. 특히, 인공지능 기술과 정신 건강 관리를 결합하려는 시도가 많아지고 있으며, 미국, 중국 등 해외에서는 이미 워봇(Woebot), 유퍼(Youper) 같은 심리상담 챗봇이 상용화되어 서비스 중이다. 그러나 한국에서의 심리상담 챗봇은 아직까지 해외만큼 상용화 단계에 이르지 못했다. 또한, 이러한 챗봇을 구축하기 위한 데이터셋 연구가 부족한 실정이다. 본 논문에서는 익명 심리 플랫폼을 통하여, 심리전문가가 비식별화한 고민과 해당 고민에 대한 전문가 답변을 활용하여 구축한 MICA를 소개한다. 또한, 본 데이터셋을 활용해 딥러닝 기반의 언어 모델을 학습하고 정량적, 정성적 성능 평가를 통해 챗봇의 가능성을 확인하였다.

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Neural Circuit and Mechanism of Fear Conditioning (공포 조건화 학습의 신경회로와 기전)

  • Choi, Kwang-Yeon
    • Korean Journal of Biological Psychiatry
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    • v.18 no.2
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    • pp.80-89
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    • 2011
  • Pavlovian fear conditioning has been extensively studied for the understanding of neurobiological basis of memory and emotion. Pavlovian fear conditioning is an associative memory which forms when conditioned stimulus (CS) is paired with unconditioned stimulus (US) once or repeatedly. This behavioral model is also important for the understanding of anxiety disorders such as posttraumatic stress disorder. Here we describe the neural circuitry involved in fear conditioning and the molecular mechanisms underlying fear memory formation. During consolidation some memories fade out but other memories become stable and concrete. Emotion plays an important role in determining which memories will survive. Memory becomes unstable and editable again immediately after retrieval. It opens the possibility for us of modulating the established fear memory. It provides us with very efficient tools to improve the efficacy of cognitive-behavior therapy and other exposure-based therapy treating anxiety disorders.

소림역근경(少林易筋經)의 의료기공학적(醫療氣功學的) 접근(接近);관우$\ll$소림역근경(少林易筋經)$\gg$ 의료기공학적접근(醫療氣功學的接近)

  • Sa, Hui-Su;Song, Eun-Mi;Jeon, Hak-Su;Lee, Jun-Geun
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.13 no.1
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    • pp.14-25
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    • 2007
  • 기공시유구역사전통적문화(氣功是悠久歷史傳統的文化), 해탈생로병사고통적수련법(解脫生老病死苦痛的修練法), 거병건신(祛病健身), 심신단련(心身鍛鍊), 수명장수적양생법(壽命長壽的養生法). "기공"("氣功") 취시행기공부(就是行氣功夫), 이수련수행(以修練修行), 예방정신화육체질병(豫防精神和肉體疾病), 건강신체(健康身體), 연년익수(延年益壽), 기공적수련방법(氣功的修練方法), 유수형태(有數形態), 육체화정신적건강(肉體和精神的健康), 시의료기공(是醫療氣功), 의료기공시검토점(醫療氣功是檢討點), 통과고대의서적정리(通過古代醫書的定理). 의료기공시다개형태변화(醫療氣功是多個形態變化), 불교전파화일기(佛敎傳播和一起), 불가기공취재일개문파불가수련활동중형성(佛家氣功就在一個門派佛家修練活動中形成). 불가기공시(佛家氣功是), 수행자소추구적(修行者所追究的), 유지건강육체적기공법(維持健康肉體的氣功法). 의료기공적모습화구도적모습(醫療氣功的模襲和求道的模襲), 시혼합형태(是混合形態). 현재(現在) 불가기공지원류(佛家氣功之原流) 가이설시소림역근경(可以說是少林易筋經). 저본논고취시이의료기공적관점래접근소림역근경(這本論考就是以醫療氣功的觀點來接近少林易筋經).

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Dimensional Structure of Emotion in Schizophrenic Patients (정신분열병 환자의 정서구조 분석: 2차원 모형을 중심으로)

  • 오경자;문혜신;김영아;박수경;김진관
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1999.11a
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    • pp.362-367
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    • 1999
  • 본 연구에서는 정신분열증 환자들이 정서상태를 개념화하고 얼굴표정을 통하여 타인의 정서 상태를 판단하는 과정을 정상인과 비교하였다. 연구1에서는 만 19세-46세의 정신분열병 환자 19명에게 정서 관련 형용사 15개로 구성된 105개의 형용사 쌍에 대하여 유사성을 평정하도록 하여 MDS로 분석한 결과, 쾌/불쾌와 각성의 두 차원이 일관되게 보고되고 있는 정상집단과는 달리 정신분열병 집단의 자료에서는 쾌/불쾌 차원만이 뚜렷하게 나타나고 각성 차원은 얻어지지 않았다. 연구 2에서는 다양한 정서를 표현한 얼굴 사진 28개를 정신분열병 환자 30명과 대학생 31명에게 제시하고 각 사진의 인물이 경험하고 있는 내적 상태를 쾌/불쾌와 각성의 두 차원에 대하여 각각 7점 척도로 평정하도록 한 결과 정신분열병 집단은 대학생 집단에 비하여 쾌/불쾌 차원에서는 보다 긍정적으로 평정하는 경향이, 각성 차원에서는 상대적으로 낮게 평가하는 경향을 나타냈다. 특히 부정적이고 각성 수준이 높은 내적 상태를 표현하는 사진 자극에 대하여 정신분열병 환자 집단이 각성수준을 과소평가하는 경향이 두드러지게 나타났다. 이와 같은 결과를 종합하여 볼 때, 정신분열병 환자들은 정서상태의 개념화 과정에서 각성 차원에 대하여 상대적으로 낮은 민감도를 보이고 있으며, 특히 부정적인 정서상태를 표현하는 얼굴들에 대란 판단에서는 각성 차원을 과소평가하여 높은 각성수준을 나타내는 표정과 낮은 각성수준을 변별하는데 어려움을 보이는 것으로 해석될 수 있다. 본 연구의 결과는 정신분열병 환자들은 자율신경계의 높은 각성 수준으로 인하여 각성 수준을 더 높일 가능성이 있는 자극을 회피하는 경향이 있다는 Mednick의 가설과 일관되는 결과로 이들의 각성 수준에 대한 낮은 민감도는 방어적인 회피성향의 지속에 따른 둔감화의 결과로 해석될 수 있다. 효과는 GSR를 비롯한 자율신경계지표에서 잘 반영되었다.^2$=.792가 되었다. 설명되는 누적분산값은 67.18%였다.주관적 평가의 결과와 객관적 평가 결과를 이용해 마직물의 태를 평가하는 산출식을 제시하였다. 태 평가치의 경우 16가지 특성치를 모두 넣는 방법과 stepwise 방법, 또 Kawabatark 사용한 순차적 군 회귀법의 세가지 방법의 회귀식 중 16가지 특성치를 모두 넣는 방법의 결정계수가 가장 높았다.tosterone농도는 107.7$\pm$12.0 pmol/l이었고, 남성의 타액내 농도는 274.2$\pm$22.1 pmol/l이었다. 이상의 결과로 보아 본 연구에서 정립된 EIA 방법은 RIA를 대신하여 소규모의 실험실에서도 활용할 수 있을 것으로 사려된다.또한 상실기 이후 배아에서 합성되며, 발생시기에 따라 그 영향이 다르고 팽창과 부화에 관여하는 것으로 사료된다. 더욱이, 조선의 ${\ulcorner}$구성교육${\lrcorner}$이 조선총독부의 관리하에서 실행되었다는 것을, 당시의 사범학교를 중심으로 한 교육조직을 기술한 문헌에 의해 규명시켰다.nd of letter design which represents -natural objects and was popular at the time of Yukjo Dynasty, and there are some documents of that period left both in Japan and Korea. "Hyojedo" in Korea is supposed to have been influenced by the letter design. Asite- is also considered to have been "Japanese Lett

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