• Journal of Yeungnam Medical Science
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• 제39권3호
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• pp.216-222
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• 2022

Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19-related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19-related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19-related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19-related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

• 대한불안의학회지
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• 제15권2호
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• pp.101-108
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• 2019

Objective : This study aimed to investigate the associations of anxiety symptoms with behavior and attention in elementary school children with attention-deficit/hyperactivity disorder (ADHD). Methods : A total of 195 elementary school children with ADHD participated in the study. The Korean Version of ADHD Rating Scale (K-ARS) and Behavior Assessment System for Children(BASC-2) were used to measure the children's behavior. Anxiety and attention was assessed with State-Trait Anxiety Inventory for Children (STAIC) and ADHD Diagnostic System (ADS), respectively. Children with ADHD were categorized to two groups of ADHD with low anxiety (ADHD-LA) and ADHD with high anxiety (ADHD-HA) according to the total STAIC scores. Scores on K-ARS, BASC-2 and ADS were compared between two groups of ADHD-LA and ADHD-HA. Results : The Scores on K-ARS total and both subscales in ADHD-HA group were significantly higher than ADHD-LA group. Scores on the BASC-2 subscales including hyperactivity, aggression, conduct problem, anxiety, depression, somatization, withdrawal, attention problems were also significantly higher in ADHD-HA group compared to ADHD-LA group. In contrary, scores on ADS subscales were not significantly different between the both groups. Conclusion : Our study identified that the anxiety accompanied with ADHD was associated with the negative behavioral aspect in children with ADHD. However, the performances on attention task were not affected by the anxiety comorbid with ADHD. Future studies to reveal underlying mechanism are needed for further understanding the association with anxiety and ADHD.

• 대한소아치과학회지
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• 제30권3호
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• pp.354-362
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• 2003

아동의 그림을 통해 치과 치료시 불안을 측정 할 수 있는가를 알아보기 위해 만 4세 이상 9세 미만의 아동 중 3회 이상의 진료가 필요한 35명을 대상으로 내원시마다 1장씩 그림을 받아 Sheskin의 치과불안도를 수정한 6개의 분석항목으로 불안도를 측정하였다. 그 후 치과불안도(Dental Anxiety Scale, DAS)가 아동들의 불안을 정확하게 측정할 수 있는지 알아보기 위해 자가기록 방법인 Faces Pain Scale(FPS)을 이용하여 비교연구를 시행하였으며 치과불안도에 영향을 미칠 수 있는 여려 요인들을 분석하여 다음과 같은 결론을 얻었다. 1. DAS는 최저치 0점과 최고치 6점 사이에서 2점과 3점이 각각 32.6%(42/129)와 31.8%(41/129)로 가장 많은 분포를 보였으며 평균 2.50점을 기록하였다. 2. DAS에서 불안을 나타내는 항목 중 많이 표현된 것은 '치료상황의 생략', '치과의사의 크기를 줄이거나 비슷하게 그림', '신체 부위의 생략이나 왜곡', '미소나 입이 없음'의 순이었으며 불안을 나타내지 않는 항목 중 많이 표현된 것은 '치과 의사의 존재', '치과기구를 그리지 않음', '미소가 있음', '신체 모든 부위의 정상적 묘사'의 순이었다. 3. FPS는 최저치 0점과 최고치 6점 사이에서 0점과 1점이 각각 65.12%(84/129)와 23.26%(30/129)로 가장 많았으며 평균 0.64점을 기록하였다. 4. FPS에서 높은 불안도를 나타내는 4-6점 사이가 5.4%(7/129)로 나타났으며, 0-3점 사이의 군보다 DAS가 높게 나타났다(p<0.05). 5. DAS와 FPS는 양의 상관관계를 보여 DAS로 아동의 불안을 측정할 수 있음을 보여주었다(r=0.2610, p<0.05). 6. '만 8세이상 9세 미만의 군', '남자아동'에서 높은 불안도가 나왔으며 '모르겠다'라고 응답한 군에서 낮은 불안도를 보여 나이, 성별, 과거 치 의과적 반응 등의 항목이 DAS에 영향을 미침을 알 수 있었고, 반면 내원횟수, 치료종류 등의 항목은 DAS에 영향을 미치지 않았다.

• 대한불안의학회지
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• 제9권1호
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• pp.25-30
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• 2013

공황장애 환자에서 12주간의 escitalopram 약물치료 결과, 공황장애 증상은 관해 상태에 이르렀고, 높은 불안민감도와 삶의 질 저하 및 기능장애가 모두 유의하게 호전되었다. 하지만 공황장애 환자들은 약물치료 후에도 여전히 상대적으로 높은 불안민감도와 삶의 질 저하 및 기능장애를 보여서 이의 회복을 위해서는 장기간의 약물치료가 필요할 수 있겠다.

• 대한한방내과학회지
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• 제28권1호
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• pp.106-114
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• 2007

Background : Mahuang (Ephedrae Herba, Ephedra sinica $S_{TAPE}$) has been widely used to treat respiratory disease in Asian over the past thousand years. The main ingredient of Mahuang is ephedrine, whose affects on the autonomic nervous system induce some adverse effects like vasoconstriction, hypertension, tachycardia, miosis, insomnia, dizziness, headache, etc. Although there were lots of reports about adverse effects of Mahuang, there were no clinical studies which evaluated the adverse effects of Mahuang on the autonomic nervous system by objective numerical value in the past decade. Objectives : The purpose of this report was to provide an objective assessment of state-trait anxiety that is caused by Mahuang, and to identify anxiety of Mahuang according to different Sasang constitution classifications. Methods : The study design was a double-blind randomized placebo-controlled trial. The subjects of this study were 79 adults aged between 20 to 40 who agreed to participate. Because 8 adults dropped out, a total of 71 subjects entered the study. They were allocated through randomization to a Mahuang group (N=50) and placebo group (N=21). Each group took three opaque capsules (every opaque capsule containing 2g of Mahuang or none) twice a day. To compare the state and trait anxiety before and after taking Mahuang, we checked the anxiety by using STAI-KYZ. Results : The following results were obtained. Short-term administration of Mahuang significantly increased state-anxiety, but in the placebo group, there were no significant changes in state-anxiety. In the Mahuang group except females, there was more significant increase in state-anxiety of Soeumin than Soyangin and Taeumin in the 2nd measurement. Conclusion : It is suggested that the ingestion of Mahuang can increase sympathetic activity and induce anxiety. There was a significant difference among Sasang constitution classification. Especially, the response is stronger in Soeumin than other constitutions. If we use Mahuang according to the Sasang constitution classification in clinic, we could not only minimize the anxiety but maximize the potential curative value.

• 한국노년학
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• 제28권4호
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• pp.953-968
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• 2008

본 연구는 노인들을 대상으로 노후불안 수준이 어떠한지 알아보며, 규칙적인 체육활동을 실시하기 전과 후의 노후불안 수준을 파악할 것이며, 구체적으로 노후불안 수준이 체육활동을 통해 얼마큼 감소되는지 밝혀내는데 본 연구의 목적이 있다. 본 연구의 대상은 서울, 경기 지역에 위치한 L노인대학, S노인대학, J노인대학, Y(a)노인대학, Y(b) 노인대학, D노인대학에 체육활동 강좌(건강체조, 게이트볼, 스포츠댄스) 수강생을 모집단으로 선정하였으며, 비확률표집방법(nonprobability)의 편의표본추출법(convenience sampling)을 이용하여 총 200명을 연구대상자로 선정하였다. 조사대상자의 연령을 고려하여, 직접 기입방법과 일대일 면접법을 병행하여 총 200부의 자료를 수집하였다. 자료처리는 SPSS 12.0 Version통계 패키지를 이용하였으며, 모든 통계치의 유의 수준은 .05로 정하였다. 분석방법은 빈도분석(Frequency Analysis), 대응표본 t-test (Paired t-test), 독립표본 t-test(Independent t-test)를 실시하였다. 노인들이 규칙적인 체육활동을 실시하기 전과 후의 노후불안 인식수준의 차이를 분석한 결과, 노후불안은 4가지 요인으로 구분된다. 첫째, 체육활동 실시 전 상실에 대한 두려움은 (M=3.756), 실시 후에는 (M=1.942)으로 나타났다. 둘째, 노인에 대한 두려움은 체육활동 실시 전 (M=3.443), 실시 후 (M=2.243)으로 나타났다. 셋째, 신체적 외모에 대한 걱정에서는 체육활동 실시 전 (M=3.253), 실시 후 (M=2.310)으로 나타났다. 마지막 요인인 심리적 불안정 요인에서는 체육활동 실시 전 (M=3.060), 실시 후 (M=1.666)으로 나타났으며, 모든 요인이 유의수준 .001에서 통계적으로 유의한 차이가 나타났으며, 전체적인 요인 모두 사전테스트 전 보다 노후불안점수가 낮게 나타나 체육활동이 노인의 불안수준을 낮추는 것으로 나타났다.

• 대한간호학회지
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• 제39권3호
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• pp.433-445
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• 2009

Purpose: The purpose of this study was to assess changes in pain, fatigue, anorexia, anxiety and quality of life(QOL) in patients with cancer who were on chemotherapy. Methods: Symptoms and QOL were examined both before chemotherapy and after 2 cycles of chemotherapy. The participants were 76 cancer patients receiving chemotherapy in one of 7 hospitals. Results: The patients experienced a mean of 2.22-2.23 symptoms out of 4 symptoms. Patients who were female, or suffered from breast or colorectal cancer experienced more symptoms. Fatigue at present, and most severe fatigue and anorexia in the previous 3 weeks increased significantly. Anxiety and QOL decreased significantly after 2 cycles of chemotherapy. Number of symptoms, anorexia at present, most severe anorexia in past 3 weeks, and anxiety had negative correlations. QOL before chemotherapy showed a positive correlation with QOL after 2 cycles of chemotherapy. In a regression analysis, anxiety, QOL at baseline, income, and the most severe pain in the past 3 weeks were significant predictors of QOL. Conclusion: Physical and psychological factors were significant predictors of both QOL and each subscale, and these factors correlated with each other. These results demonstrate the needs for early assessment and intervention from the start of chemotherapy to decrease symptoms and improve QOL.

• 대한의용생체공학회:의공학회지
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• 제12권4호
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• pp.235-242
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• 1991

This research has reported that the selection and assessment of treatment in anxiety disorders depend to a large extend on patient reports of somatic symptomatology. However, the correspondence between such reports and actual physiological data Is unknown as the physiological measures used were taken in laboratory. The purpose of the ambulatory momboring device is, therefore, to present for analysis physiological data derived from the sub jects during their daily activities. The physiological parameters of interest are heart rate, respiratory rate, skin conductance level/response, skin temperature, and activity level. This device had an microcomputer based data acquisition unit, Interfaced to it for the purpose of data collection. The data is collected usually over a period of 12 hours. The data from the ambulatory monitoring device can be used to assess the psychophysiology of anxiety in the field. The data from the device will also reveal if patients who report different sets of symptoms differ physiologically too. Thls will help physicians for the right kind of treatment and also solve the many uncertainties that have existed thus far in quantizing anxiety.

• 기본간호학회지
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• 제25권4호
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• pp.250-258
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• 2018

Purpose: This study was done to assess the influence of application time of Lidocaine patch on pain intensity following venipuncture in hospital. Methods: The participants were 31 adult patients admitted to J hospital in G city. Patients' anxiety, blood pressure and pulse were measured when no patch was applied and when a patch was applied. To evaluate the pain intensity and physiological index caused by venipuncture, blood pressure, pulse and pain intensity were checked for patients in the no patch group, and for a 5 minutes of application and 30 minutes application patch. Pain was evaluated using a visual analogue scale, anxiety using the Profile of Mood states developed McNair et al. and modified by Lee. Data were analyzed using one-way repeated measures ANOVA with the SPSS 21.0 program. Results: Anxiety and pain were significantly reduced when a lidocaine patch was applied following venipuncture. There was no significant difference in pain intensity whether the lidocaine patch application is for 30 minutes or application for 5 minutes. Conclusion: Results of this study show that application of lidocaine patch can be used as a nursing intervention for pain reduction by showing that there is no need to wait a long time for pain to be reduced.

• 대한간호학회지
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• 제45권4호
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• pp.604-612
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• 2015

Purpose: The purpose of this study was to investigate the levels of physical symptoms, anxiety, depression, and quality of life (QOL) during chemotherapy for colorectal cancer patients in South Korea and to identify factors influencing their QOL. Methods: Data were collected from 144 colorectal cancer patients receiving chemotherapy during 2012 at one general hospital located in Seoul. Physical symptoms were measured by the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, and anxiety and depression were measured by the Hospital Anxiety Depression Scale. QOL was measured by the Functional Assessment of Cancer Therapy-Colorectal. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ post hoc test, Pearson correlation and stepwise multiple regression. Results: Mean age of the participants was 56.6 and most of them were not employed. In terms of cancer stage, 38.2% were in stage 3, followed by stage 4 (34.7%). The most frequent symptom was lack of appetite, followed by sleep disturbance and fatigue. The mean score for anxiety was 5.40 with a prevalence of 23% and that of depression 8.85 with a prevalence of 64.6%. The mean score for quality of life was 81.93 out of 136 and 75.3% of the variance in QOL was explained by depression, symptoms, anxiety, treatment place, and occupational status. Depression was the strongest predictive factor. Conclusion: Oncology professionals need to pay special attention to relieving depression as well as physical symptoms to improve QOL during chemotherapy for colorectal cancer patients.