• 제목/요약/키워드: Anxiety sensitivity

검색결과 135건 처리시간 0.024초

발병연령에 따른 공황장애 임상 양상의 차이 (Comparison of the Clinical Features According to the Age of Onset in Panic Disorder)

  • 신은숙;하주원;김형태;임세원;신동원;신영철;오강섭
    • 대한불안의학회지
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    • 제10권2호
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    • pp.108-114
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    • 2014
  • Objective : The correlation between age of onset and symptoms/severity of panic disorder has not yet been determined. The aim of this research is to determine the different clinical features of panic disorder according to the age of onset. Methods : Patients diagnosed with panic disorder were placed into two groups according to onset of age. The subjects were checked for 13 different panic symptoms presented in the DSM-IV. The investigation was also executed by severity, the anxiety sensitivity index, the scale for depression and anxiety. Results : The early onset group had significantly higher frequencies than the late onset group in the areas of "choking feeling" and "derealization or paresthesia". It was found that only "choking feeling" was statically significant as a risk factor of early onset panic disorder. Among the objective anxiety scale, the subscale of psychological anxiety was higher in the early onset group compared to the late onset group. Conclusion : "Choking feeling" was the only panic symptom that showed a significant difference in accordance with onset age. Earlier onset patients tend to experience a more frequent "choking feeling," which is related to respiratory symptoms. This could mean that earlier onset patients are more likely to have higher psychological anxiety.

한국인 공황장애 환자에서 단기간 약물치료 후 관해 예측인자 연구 (Factors to Predict a Remission after Short-Term Pharmacotherapy in Korean Panic Disorder Patients)

  • 심현보;강은호;유범희
    • 대한불안의학회지
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    • 제3권2호
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    • pp.110-115
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    • 2007
  • Objective : The authors examined the treatment response and remission rates in patients with panic disorder after short-term pharmacotherapy in an effort to determine the factors that can be used to predict remission in Korean patients with panic disorder. Methods : Sixty-one patients with panic disorder were recruited for participation in this study. The psychological symptoms of the patients were measured using the HAMA, HAMD, STAIS, STAIT, ASI and API at baseline and after 3 months of pharmacotherapy. Results : Patients with panic disorder showed significantly lower scores on all psychological measures after 3 months of pharmacotherapy with paroxetine. The remission rate was 44.3%, and the response rate was 54.1%. The remitters showed significantly lower HAMD, HAMA, STAIS, STAIT, and ASI scores than the non-remitters. Linear regression analysis revealed that the baseline HAMA, HAMD, and ASI scores could be used to predict the remission rate after controlling for age, sex and agoraphobia. Conclusion : Compared with previous reports, our study showed a similar remission rate in Korean patients with panic disorder. Lower baseline levels of anxiety, depression, and anxiety sensitivity were found to be predictors of treatment remission in panic disorder.

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시험불안척도, 상태-특성불안 척도, 간이정신진단검사를 이용한 한의학과 대학생의 시험불안 특성 (Test Anxiety Investigation of Students in Oriental Medicine College by Using Korea's version-Test Anxiey Inventory, State-Trait Anxiety Inventory, Symptom Check List-90-Revision)

  • 양동호;오영진;천영호;조윤송;오경민;김보경
    • 동의신경정신과학회지
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    • 제19권1호
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    • pp.55-70
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    • 2008
  • Objective : The aim of this study is to investigate and measure the Test-anxiety of college students in OO Oriental Medicine by using Korea's version-Test Anxiey Inventory(K-TAI-K), State-Trait Anxiety Inventory(STAI), Symptom Check List-90-Revision(SCL-90-R), etc. Methods : We studied 181 students who being at OO College of Oriental Medicine in second semester, 2007 We used some questionaries like K-TAI-K, STAI, SCL-90-R , College Life Satisfacaion, Life Event Questionnaire. Results and Conclusions : 1.141 persons(83,43%) of students feel the largest test anxiety before test. 18 persons(9.94%) of students feel the largest test anxiety after test. 2.The 1st grade students of preparatory course and 4th grade students of regular course have the lowest score in State Anxiety Inventory and obsessive-compulsive of SCL-90-R. The 2nd grade students of regular course have the lowest score in State Anxiety Inventory and obsessive-compulsive of SCL-90-R 3. Students who failed in test one time have the lowest score , and who failed in test more than two times have the highest score in K-TAl-K Students who failed one time in grade promotion more than two times showed high score in second K-TAI-K. 4. The higher grade, the lower score in College Life Satisfaction. The scores of College Life Satisfaction have negative correlations with those of K-TAI-K, STAI SCL-90-R except phobic anxiety, 5. The scores of Life Event Questionnaire have positive correlations with those of K-TAI-K, STAI and SCL-90-R except phobic anxiety. 6. The scores of K-TAl-K have positive correlations with those of STAI, SCL-90-R, College Life Satisfaction and Life Event Questionnaire. A correlation coefficient of obsessive-compulsive scale is highest, anxiety scale is second, interpersonal sensitivity scale is third, depression scale is fourth high among the scales of SCL-90-R.

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스트레스하에서 구강안면동통 경험이 심리적 증상에 미치는 영향에 관한 연구 (Effects of Orofacial Pain Experience on Psychological Symptoms under Emotional Stress)

  • 서봉직
    • Journal of Oral Medicine and Pain
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    • 제24권2호
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    • pp.107-115
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    • 1999
  • The author studied the prevalence and sites of orofacial pain during the latest 6 months, and psychologic symptoms under the emotional stress through SCL-90-R in thirty-five dental students(nineteen men and sixteen women) of school of Dentistry, Chonbuk National University. 26 students(74.3%), 12 men and 14 women, experienced the orofacial pain; headache, toothache, facial & buccal pain, TMJ pain and intraoral pain were occurred in 51.4%, 37.1%, 25.7%, 17.1% and 17.1% respectively. In psychological scores in before-, during- and after examination, there was no significant difference between men and women. On the other hand, when these scores were compared each other in one group with orofacial pain experience and the other group without pain experience, the former showed significantly higher values in somatization, depression, hostility, and paranoid ideation dimension before examination, interpersonal sensitivity and anxiety dimension during examination, and somatization dimension after examination than those of the later group(P<0.05). The changes of psychologic symptoms in before-, during-, and after examination were observed in one group with pain experience and the other group without pain experience, respectively; in the former group the significantly higher values of anxiety dimension in during examination than after examination, and the significantly higher values of interpersonal sensitivity dimension in before examination than after examination(P<0.05) were evaluated.

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정상인에서 스트레스와 불안에 대한 돌외추출물의 효과와 안전성에 관한 무작위 배정 이중 맹검 임상시험 (Randomized, Double-Blind Study of Efficacy and Safety of Gynostemma pentaphyllum Ethanol Extract in a Normal Population)

  • 정성해;이명구;박미숙;김재문
    • 한국임상약학회지
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    • 제21권2호
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    • pp.131-137
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    • 2011
  • The purpose of this study was to evaluate the clinical efficacy of a standardized special ethanol extract from Gynostemma pentaphyllum as a management for anxiety and stress of normal population. This is a two-arm, parallelgroup, randomized, double blind clinical trial comparing Gynostemma pentaphyllum extract 200 mg bid (GP-EX, n=48) or placebo bid (n=54). The main outcome measures were the decrease in anxiety sensitivity index (ASI), the State version (S-STAI) of the Stait-Trait Anxiety Inventory (STAI) and the Trait version (T-STAT) of the STAI from baseline over a 6 weeks treatment period. In more anxious group (S-STAI50 or ASI19), the anxiety in group with GP-EX was decreased significantly than one in normal population with placebo [S-STAI50: T-STAI = from $57.7{\pm}6.5$ ($mean{\pm}S.D.$) to $46.8{\pm}11.2$ in normal population with GP-EX, p=0.002 vs. from $54.1{\pm}9.9$ to $49.0{\pm}9.6$ in normal population with placebo, p>0.05; ASI19: T-STAI = from $47.2{\pm}12.0$ to $42.4{\pm}11.1$ in normal population with GP-EX, p=0.022 vs. from $48.7{\pm}11.5$ to $46.0{\pm}10.4$ in normal population with placebo, p>0.05]. The most frequently reported adverse reactions considered possibly related to treatment were mild gastrointestinal events. GP-EX is more effective than placebo and is well tolerated as a therapy for anxiety and stress of normal population.

골격성 III급 부정교합자의 임상적 특성에 따른 심리상태 (Psychological state of the patients according to skeletal class III malocclusion symptoms)

  • 김선옥;진미영;유병철
    • 한국치위생학회지
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    • 제15권2호
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    • pp.205-216
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    • 2015
  • Objectives: The purpose of the study is to investigate the psychological state of the patients according to skeletal class III malocclusion symptoms. Methods: The subjects were 200 skeletal class III malocclusion patients. The questionnaire consisted of general characteristics, clinical manifestation, and T score of Korean version of self-rated Symptom Checklist-90-Revision modified by Jae-hwan Kim. The data were analyzed using SAS version 9.2 and t-test, ANOVA, and ANCOVA were used. Clinical manifestation included subjective recognition and radiological analysis. The subjective recognition of the patients consisted of self-satisfaction of the appearance, phonation, mastication, and temporomandibular joint pain. T score consisted of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. Results: The most serious factor in 9 scales was the severe TMJ pain by ANCOVA. Male patients had a higher T score in phobic anxiety, psyochoticism, somatization and depression than female patients. Those having low appearance satisfaction had the problem in interpersonal sensitivity. Obsessive-compulsive symptoms were conspicuous in phonation difficulty and temporomandibular pain. Conclusions: The patients with skeletal class III malocclusion have more satisfaction with appearance, pronunciation, and phonation than those with skeletal class III malocclusion and overjet. Proper dental treatment will improve the communication and quality of life.

Doing More by Seeing Less: Gritty Applicants are Less Sensitive to Facial Threat Cues

  • Shin, Ji-eun;Lee, Hyeonju
    • 감성과학
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    • 제25권1호
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    • pp.21-28
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    • 2022
  • People differ greatly in their capacity to persist in the face of challenges. Despite significant research, relatively little is known about cognitive factors that might be involved in perseverance. Building upon human threat-management mechanism, we predicted that perseverant people would be characterized by reduced sensitivity (i.e., longer detection latency) to threat cues. Our data from 5,898 job applicants showed that highly perseverant individuals required more time to correctly identify anger in faces, regardless of stimulus type (dynamic or static computer-morphed faces). Such individual differences were not observed in response to other facial expressions (happiness, sadness), and the effect was independent of gender, dispositional anxiety, or conscientiousness. Discussions were centered on the potential role of threat sensitivity in effortful pursuit of goals.

지역사회 정신보건 서비스를 이용하는 불면증을 동반한 만성 조현병 환자의 수면의 특징 (The Sleep Characteristics of Chronic Schizophrenia Patients with Insomnia in Community-based Mental Health Services)

  • 황동기;남민;이유진
    • 수면정신생리
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    • 제24권2호
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    • pp.97-105
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    • 2017
  • 목 적 : 본 연구의 목적은 불면증과 정신병적 증상이 지속되는 조현병 환자의 수면 장애와 연관된 요인과 수면의 특징을 평가하는 것이다. 방 법 : 지역사회 정신보건 시설에 거주 중이며 불면증과 정신병적 증상이 동반된 조현병 환자들이 참여하였다(n = 63). The Korean version of Insomnia Severity Index (ISIK)와 the Korean Version of Pittsburgh Sleep Quality Index (PSQI-K)와 같은 수면 척도가 평가되었고, ISI-K 점수가 15점 이상인 대상자들이 연구에 참여하였다. 정신병적, 불안, 우울 증상은 각각 Brief Psychotic Rating Scale (BPRS), the Korean Version of Anxiety Sensitivity Index (K-ASI) 그리고 the Korean Version of Beck Depression Inventory-I(K-BDI)로 평가하였다. 사회인구학적 자료와 ISI-K 그리고 PSQI-K 사이의 상관관계를 확인하기 위해 Pearson correlation analysis를 시행하였다. ISI-K와 PSQI-K에 영향을 미치는 각각의 요인을 확인하기 위하여 다중회귀분석으로 분석하였다. 결 과 : ISI-K와 PSQI-K의 평균 점수는 각각 $18.1{\pm}2.6$점과 $12.0{\pm}2.2$점이었다. Pearson correlation analysis 결과에서 발병 연령과 ISI-K사이의 음의 상관관계와 BPRS와 PSQI-K 사이, K-ASI와 모든 수면 척도 사이의 양의 상관관계를 확인하였다. ISI-K와 PSQI-K에 대해 K-ASI와 발병연령, K-ASI와 BPRS를 각각 단계적으로 입력한 모든 다중회귀분석에서 K-ASI만이 유의한 요인으로 남았다. 결 론 : 본 연구는 조현병 환자의 불면 증상이 우울 또는 정신병적 증상과 무관한 반면, 불안 증상과 관련이 있다는 점을 제안한다.

대학생에서 감각처리유형과 우울, 불안과의 상관관계 (Sensory Processing Pattern and its Relation to Depression and Anxiety of University Students)

  • 홍은경;박영주
    • 대한감각통합치료학회지
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    • 제14권2호
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    • pp.22-32
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    • 2016
  • 목적 : 본 연구는 대학생에서 감각처리유형과 우울, 불안과의 상관관계를 알아보고자 하였다. 연구방법 : 연구기간은 2016년 10월 10일부터 10월 29일까지로 174명의 대학생에게 설문조사를 실시하였다. 설문조사의 내용은 개인적 특징, 청소년/성인감각프로파일, Beck 우울척도 2판, Beck 불안척도로 구성하였다. 통계처리는 SPSS version 22.0을 사용하여 기술통계, 교차분석, Pearson상관분석을 하였다. 결과 : 감각처리유형 중 낮은등록, 감각민감, 감각회피는 우울과 양의 상관관계를 보였다. 불안은 모든 감각처리유형과 관련성이 있었다. 결론 : 본 연구 결과를 바탕으로 대학생과 함께 생활하는 부모, 교수, 그리고 보건의료분야의 전문가들은 감각처리와 감정과의 관련성을 고려하여 지도 및 교육, 치료프로그램을 계획할 필요가 있다.

간호대학생의 사회적 상호작용 불안에 영향을 미치는 요인 (Factors Affecting Social Interaction Anxiety of Nursing Students)

  • 김경남
    • 한국산학기술학회논문지
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    • 제21권6호
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    • pp.417-424
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    • 2020
  • 자신에 대한 타인의 평가에 대해서 긴장이나 불안감을 느끼게 되는데, 이처럼 타인의 평가가 예상되거나 실재할 때 느끼는 불안을 사회적 상호작용 불안이라고 한다. 간호 대학생의 사회적 상호작용 불안에 영향을 미치는 요인들을 분석하여 간호 대학생의 사회적 상호작용 불안을 감소시킬 수 있는 간호중재 방안의 기초자료를 제공하고자 본 연구를 시도하였다. 본 연구의 대상자는 본 연구의 목적을 이해하고 연구 참여에 동의한 B시와 C시에 소재한 4곳의 간호 대학생 196명을 대상으로 하였다. 본 연구의 자료는 SPSS WIN 20.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, ANOVA, Pearson's correlation coefficient, multiple regression을 이용하여 분석하였다. 본 연구의 결과 사회적 상호작용 불안은 부정적 평가에 대한 두려움(r=.67, p<.001), 긍정적 평가에 대한 두려움(r=.56, p<.001), 불확실성에 대한 인내력 부족(r=.44, p<.001)과 양의 상관관계가 있었다. 대상자의 사회적 상호작용 불안에 영향을 미치는 요인은 대인관계(β=.19, p<.001), 부정적 평가에 대한 두려움(β=.43, p<.001), 긍정적 평가에 대한 두려움(β=.34, p<.001)으로 나타났으며, 불확실성에 대한 인내력 부족은 통계적으로 유의한 영향요인이 아니었다. 이들 변수가 대상자의 사회적 상호작용 불안을 설명하는 설명력은 58.1%로 나타났다. 따라서 본 연구의 결과를 바탕으로 간호 대학생들이 원만한 대인 관계를 유지할 수 있는 지지체계 제공과 긍정적, 부정적 평가에 대한 민감성을 줄이고 자기 자신의 능력을 긍정적으로 받아들이고 평가할 수 있도록 하는 교육 중재가 필요할 것으로 생각된다.