• Title/Summary/Keyword: Anxiety Disorder

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THE DEVELOPMENT OF A VIRTUAL REALITY THERAPY SYSTEM FOR THE TREATMENT OF ACROPHOBIA AND THERAPEUTIC

  • Kim, Sun I.;Jeonghun Ku;Dongpyo Jang;Lee, Jaemin;Kim, Hun;Myoungjin Oh;Park, Younghee
    • Proceedings of the Korea Society for Simulation Conference
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    • 2001.10a
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    • pp.231-236
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    • 2001
  • Virtual Reality (VR) is a new technology that enables humans to communicate with a computer, It allows the user to see, hear, fuel and interact in a three-dimensional virtual world created graphically. Virtual Reality Therapy (VRT), based on this sophisticated technology, has been recently used in the treatment of subjects diagnosed with acrophobia. Acrophobia is a disorder that is characterized by marked anxiety upon exposure to heights, avoidance of heights, and a resulting impairment in functioning. Conventional virtual reality systems for the treatment of acrophobia have limitations, such as overly expensive devices or somewhat unrealistic graphic scenes. The goal of this study is to develop an inexpensive and more realistic virtual environment in which to perform an exposure therapy fur acrophobia. It runs on a personal computer, and a virtual scene ova bunge-jump tower in the middle of a large city. The virtual scenario includes an open tin surrounded by props beside a tower, which allows the patient to feel a sense of heights. The effectiveness of the VR environment was evaluated through the clinical treatment of a subject who was suffering from the fear of heights. Based on pre- and post- questionnaires and subjective comments from the subject. This virtual reality environment proved to be an effective and realistic tool fur the treatment of acrophobia.

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Effects of Emotional Labor and Workplace Violence on Physical and Mental Health Outcomes among Female Workers: The 4th Korean Working Conditions Survey (여성 근로자의 감정노동 및 작업장 폭력 피해 경험이 건강결과에 미치는 영향: 2014년 한국근로환경조사를 이용하여)

  • Kim, Eunjoo;Yoon, Ju Young
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.3
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    • pp.184-196
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    • 2017
  • Purpose: We investigated the effects of emotional labor and workplace violence on various physical and mental health outcomes among female workers. Methods: We obtained data from 24,760 female workers who participated in the 4th Korean Working Conditions Survey (2014). Hierarchical logistic regression analysis was used to analyze the relationships. Results: Female emotional workers were more exposed to workplace violence than were female non-emotional workers. Verbal abuse was the most common type of workplace violence. Logistic regression analyses revealed that (1) emotional labor was significantly associated with higher odds of having musculoskeletal or abdominal pain (physical health outcomes), along with overall fatigue (a mental health outcome), and (2) workplace violence experiences were significantly associated with higher odds of musculoskeletal pain, headache/eye strain, abdominal pain, depression/anxiety disorder, overall fatigue, and insomnia/sleep disturbance, after controlling for covariates. Conclusion: This study demonstrated that both emotional labor and workplace violence have negative effects on physical and mental health. However, workplace violence experience has a stronger negative impact on health outcomes than does emotional labor alone. A management system to eradicate workplace violence and programs aimed at managing emotional labor are urgently needed at the organizational level.

A Study on risk factors for senile dementia (노인성치매 발생요인과 돌보는 가족원의 스트레스에 관한 조사 연구)

  • 홍여신;이선자;박현애;조남옥;오진주
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.448-460
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    • 1994
  • This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.

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Factor Analysis on Use Tendency of Digital Product and Generation Division (디지털기기 사용성향 요인분석 및 세대 구분 연구)

  • Yeoun, Myeong-Heum;Shim, Jung-Hee
    • 한국HCI학회:학술대회논문집
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    • 2008.02b
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    • pp.7-12
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    • 2008
  • This study aims to extract the factors which constitute use tendency on digital product, and to devide korean generation. We surveyed to digital product users who are 15 through 49 years old, executed factor analysis, cluster analysis, and so on, The results of factor analysis, we selected 11 factors, named as interest, entertainment, simplicity, anxiety of mal-operation, practicality, personality, consistency, multi-functionality, learning style of how-to-use, responsibility of disorder, and lending degree. The results of cluster analysis, we classified subjects into following three types: positive acceptor, passive follower, and conservative indifference. And, we executed frequency analysis iteratively. We devide korean digital product users to 4 generations -1727G, 2834G, 3538G, 3949G- by means of synthesizing the results. It can be said that generation is strong factor effect to use tendency, but the other factors like sex, occupation, school career, income become weak factor or not matters. Finally, we considered the reason, 3538G takes a crossing point role through comparison the generation division with cohort research on product use experience.

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Psychiatric Characteristics According to Tinnitus Severity (이명 심각도에 따른 정신의학적 특징)

  • Kim, Jae Hong;Kim, Jung Ho;Cho, Sung Il;Park, Sang Hag;Kim, Sang Hoon;Choo, Il Han;Kim, Seung Gon
    • Korean Journal of Biological Psychiatry
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    • v.22 no.1
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    • pp.7-13
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    • 2015
  • Objectives The purpose of this study was to examine the psychiatric characteristics of outpatients with tinnitus. Methods A total of 88 subjects were included in this study. According to Tinnitus Handicap Inventory (THI) scores, the subjects were classified into two group ; a mild tinnitus symptoms (mild-tinnitus) group and a severe tinnitus symptoms (severe-tinnitus) group. A questionnaire was used for an assessment of demographic characteristics, and the THI, the Visual Analogue Scale (VAS) about tinnitus, the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) are applied for evaluation of other clinical psychiatric characteristics. Results Higher THI scores were positively correlated with tinnitus course, the number of accompanying symptoms, and the VAS. BDI total scores, BDI factors, and BAI total scores were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Also suicidal ideation, interpersonal problems, sleep problems, occupational impairment, and fatigue were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Conclusions Tinnitus is a common disorder of hearing which is associated frequently with psychiatric problems. This study suggests that psychiatric interventions should be taken into consideration in the treatment of patients suffering from tinnitus.

An Association Study of the 5-HTTLPR and COMT Genes Polymorphisms and Personality Traits (5-HTTLPR과 COMT 유전자 다형성과 성격 특성에 대한 연합연구)

  • Ha, Jee-Hyun;Ham, Byung-Joo;Ryu, Sung-Gon;Hwang, Tae-Yeon;Lee, Jong-Gook;Lee, Yu-Sang;Lee, Jung-Sik;Kang, Dae Yeob;Choi, Ihn-Geun;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.11 no.2
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    • pp.88-93
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    • 2004
  • Background:Serotonin transporter gene-linked polymorphism region(5-HTTLPR) and catechol-O-methyltransferase( COMT) genes are thought to be important factors in some personality traits and the etiology of anxiety disorder. The goal of this study was to determine the role of these genes in personality traits. Method:The participants included 116 healthy adults with no history of psychiatric disorders and other physical illness for the last 6 months. All participants were tested by Temperament and Character Inventory(TCI). The 5-HTTLPR, COMT val158met gene polymorphisms were analyzed with PCR(Polymerase Chain Reaction). Differences on TCI dimensions and sub-scales among groups were examined with t-test and ANOVA. Result:There were possible relationships of the 5-HTTLPR with self-transcendence(P=0.050) and COMT val158met polymorphism with cooperativeness(P=0.053). Conclusion:We found associations between 5-HTTLPR, COMT polymorphisms and the some TCI character dimensions. Further studies of polymorphisms of other genes and their interactions may clarify the complex relationship between personality and genes.

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A Case of Negative Symptoms of Schizophrenia (전증(癲證) 환자의 치험 1례)

  • Heo, Eun-Jung;Kim, Ji-Hyon;Lyu, Heui-Yeong
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.215-227
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    • 2010
  • Objectives : Jeon-Jeung(癲證) is one of negative symptoms from schizophrenia in Western medecine, which causes flattening of affect, emotional bluntness, and avolition. Compared with positive symptoms of schizophrenia, there is no established treatments that have been proved to be effective for negative symptoms, and since negative symptoms are chronically processed, they finally lead to devastate the mental health. Since Jeon-Jeung(癲證) is usually in set in adolescent period and tends to become chronic through life time, it is important to start getting treatments in early stage by being distinguished from other diseases, such as anxiety disorder. A patient in this case was affective blunting, general weakness, and delusion when sixteen years old. However, he refused to get Western medicine treatment and wanted oriental medicine treatment. Methods : The patient in this case had been suffered from severe stress from his family since he was young and had kept having irregular and unhealthy eating habits. Therefore, he diagnosed stagnant qi transforming into fire(氣鬱化火), heart blood deficiency(心血虛), and spleen-stomach deficiency cold(脾胃虛寒) and since then he had received several treatments including herbal treatment, acupumcture treatment, supportive therapy, and family therapy. These treatments were successful and reduced the level of symptoms. After discharged from the hospital, he had continued receiving outpatient treatment with his family for 8 months and his progress had been still observed after the discharge. Results : The symptoms of patient had been almost reduced and eliminated after he received 29days of admission treatment and the patient got better and better and now lives a normal life 8 months outpatient treatment. Conclusions : This result suggests that our oriental medical treatments and family treatments was effective on schizophrenia.

A Study on Relationship between Smartphone User Pattern and Addiction

  • Lee, Myung-Suk;Lim, Young-Kyu
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.3
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    • pp.101-106
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    • 2018
  • The purpose of this study is to analyze the patterns of unconsciousness smartphone use by using an app and a self-administered survey on smartphone addiction comparatively and examine differences between recognition and behavior about actual smartphone use and examine how smartphone addiction influences learning. With an app installed in smartphones, this author collected and analyzed data about users' unconsciousness using patterns for a month. According to the results, there were significant differences found in users' recognition and actual time for use and also frequency of turning on the display. Also, 22% of the subjects used their smartphone over 8 hours a day, and 76% more than 5 hours. Over 95% turned on the display more than 100 times a day, and in extreme cases, they did more than 300 times. In the meantime, users not only in the smartphone addiction high risk group and the potential risk group but also in the general user group are found to use their smartphone too long and too much and frequently turn on the display. The apps that the general user group is mainly using are entertaining apps, and their school records are rather good, so excessive use does not always lead to addiction or learning disorder. Therefore, if we develop more diverse contents for learning and provide digital literacy education, smartphone use will bring more positive effects instead. In follow-up research, the app should be corrected to collect more accurate information, and as variables in personal areas, this researcher will also measure depression, anxiety, stress, self-esteem, and emotional control, and so on to see how they are associated with smartphone use.

Phenomenological Approach to Stress Experiences in Obese Teenagers (비만 청소년의 스트레스 경험에 관한 현상학적 접근)

  • Kim, Lee-Sun
    • Journal of the Korean Society of School Health
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    • v.12 no.2
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    • pp.243-262
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    • 1999
  • Today, obesity is not recognized as a disease itself but is known to be the indirect cause of much chronic illness. Obesity has an impact on psychological disorders including severe inferiority, damage of body self-image, low self-esteem, personality disorders. The results in an increase of the mortality rate. Therefore, this study attempts to discover and evaluate stressful experience in obese teenagers. For this study, 21 girl students and 19 boy students in Pusan middle or high school located were selected. The data were collected from March to May at 1999. A tape-recorder was used under the permission of the subjects to prevent the loss of spoken information and communication. This study consisted of 563 reponses from girls and 461 responses from boys which were then classified with descriptive expressions and priority classifications. The results generated 72 common elements in girls and 54 common elements in boys. From these elements 24 syntheses of hypothetical definitions and 8 identifications of the structural definitions in both girls and boys were developed. The structural and hypothetical definitions were as follows: The analysis of the data was made through a phenomenological analytic method suggested by Van kamm, which is as follows: 1. Maladjustment to school life; lack of understanding of the teacher, insufficient exercise ability, and a feeling of burden in attending the school obesity program. 2. Conflict in family relationships; lack of understanding from the family, a feeling of alienation. 3. Conflict in friend relationships; lack of understanding among friends, constant comparisons in appearance and body with friends (in girls) and estrangement from friends (in boys). 4. Conflict in acquaintance of the opposite sex; hoping to meet the opposite sex, lack of understanding of boy friends (in girls), feelings of pain, feelings of anxiety (in girls) feelings of burden (in girls) feelings of envy (in boys). 5. Negative body image: shape of body; feelings of pain; feelings of powerlessness; feelings of discomfort, and reception; emotional disorders (in boys), and change of personality (in boys). 6. Health disorder: Physical and psychological discomfort. 7. Feelings of burden in weight control; negative experiences in weight control, interference with family and friends, the difficulty in diet therapy, feelings of burden in exercise (in girls), to be teased by the public through mass media (in boys).

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Antidiuretic Hormone Levels in Men with Burning Mouth Syndrome: A Pilot Study

  • Lee, Yeon-Hee;Hwang, Mi-Jin;Chon, Suk;Auh, Q-Schick
    • Journal of Oral Medicine and Pain
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    • v.42 no.4
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    • pp.116-124
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    • 2017
  • Purpose: Burning mouth syndrome (BMS) is a disabling pain that mostly occurs in elderly women, but rarely in men. It is characterized by an unremitting oral burning sensation and pain without detectable oral mucosal changes. We investigated the clinical and hematologic features of middle-aged men with BMS, and compared the results to those of men with oral mucositis. Methods: Five men with BMS ($48.60{\pm}6.19years$) and five age-matched controls with oral mucositis ($49.80{\pm}15.26years$) underwent clinical and psychological evaluations and blood tests. Psychological status was evaluated using the Symptom Checklist-90-Revised. Cortisol, estradiol, progesterone, testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), and antidiuretic hormone (ADH) levels and erythrocyte sedimentation rate (ESR) were determined from the blood samples. Results: ADH level was significantly lower in men with BMS than in the controls. ADH levels correlated with testosterone (p<0.01), and ACTH levels strongly correlated with ESR (p<0.05). Progesterone level positively correlated with FSH and LH levels. Pain intensity on a visual analogue scale correlated with estradiol level only in men with BMS. Among psychological factors, the obsessive-compulsive disorder, interpersonal-sensitivity, and anxiety scores were higher in men with BMS than in the controls (p<0.05). However, no correlations were observed between the psychological and hematologic factors in both groups. The BMS symptoms presented only on the tongue, with the lateral border being the most prevalent area. Conclusions: Men with BMS may experience dysregulated endocrinologic or psychoneuroendocrinologic interactions, which might affect oral BMS symptoms, aggravating the severity of the burning sensation.