• 동의생리병리학회지
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• 제25권6호
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• pp.1102-1107
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• 2011

This study was case report to show the good effects of korean traditional medical treatment and breathing meditation. The methods were applied to lung cancer patients. We treated one patient who scored 27 point at Beck's depression inventory(BDI) and 28 point at Hamilton rating scale for depression(HRSD) and 22 point at Beck's anxiety inventory(BAI) and 20 point at Anxiety status inventory(ASI) by korean traditional medical treatment and breathing meditation. After treatment, the clinical symptoms were improved and the score of BDI, HRSD, BAI, ASI were decreased. According to this study korean traditional medical treatment is effective for the cure of depression and anxiety disorder and breathing meditation forifies the korean traditional medical treatment.

• 동의신경정신과학회지
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• 제27권3호
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• pp.185-196
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• 2016

Objectives: This study was undertaken by the department of Korean neuropsychiatry, to evaluate the effects of M&L psychotherapy and Korean Medical Treatments on hospitalized North Korean defectors.Methods: We treated two patients with indigenous Korean medical therapies (acupuncture and herb-medicine) and M&L psychotherapy. Beck's Depression Inventory (BDI), Insomnia Severity Index (ISI), Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS) were used to evaluate the patients.Results: Following observations were made after treatments. Case 1: the patient had significant improvement in Beck's Depression Inventory (BDI), Insomnia Severity Index (ISI), and Visual Analogue Scale (VAS). Case 2: similar improvements were observed. Here, the patient had undergone Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS). In addition, noticeable improvement was observed in other accompanying symptoms.Conclusions: These results suggest that M&L Psychotherapy and Korean medical treatments might be effective for treating the psychiatric and physical symptoms of hospitalized North Korean Defectors.

• 동의신경정신과학회지
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• 제27권2호
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• pp.67-76
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• 2016

Objectives The purpose of this study is to report that a patient with obsessive-compulsive disorder (OCD) significantly responds to Korean medical treatments and psychotherapy.Methods We treated the patient with Korean medical treatments (acupuncture and herbal medication) and Melonis Calyx Vomiting Therapy. We also used psychotherapy including Li-Gyeung-Byun-Qi therapy. The patient was diagnosed by DSM-IV diagnostic criteria for OCD. We used Obsessive-Compulsive Inventory-Revised-Korean (OCI-R-K), Visual Analogue Scale (VAS), Beck’s Depression Inventory (BDI), and Beck’s Anxiety Inventory (BAI) to evaluate the patient.Results OCI-R-K score was decreased from 39 points to 9 points. BDI score was decreased from 14 points to 6 points. BAI score was decreased from 25 points to 13 points.Conclusions This study suggests that Korean medical treatment is an effective way to treat patients who suffer from OCD.

• 지역사회간호학회지
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• 제27권1호
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• pp.43-50
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• 2016

Purpose: The purpose of this study was to investigate the relationship of depression and smartphone dependency with female college students' career decision-making self efficacy. Methods: This was a descriptive study. The survey participants were 497 female college students in M City and S City. Data were collected from November 16 to December 4, 2015 using self-report questionnaires including BDI (Beck Depression Inventory), Smartphone Dependency Scale, and CDMSES-SF (Career Decision-Making Self Efficacy Scale-Short Form). Data were analyzed through descriptive statistics, independent-samples t-test, ANOVA, and stepwise multiple regression. Results: Career decision-making self efficacy showed significant differences according to religion. Smartphone dependency was found to have a statistically significant negative correlation with career decision-making self efficacy and a positive correlation with depression. Depression was found to have a statistically significant negative correlation with career decision-making self efficacy. Stepwise multiple regression analysis revealed that the predictors of career decision-making self efficacy were depression (7.1%), religion (1.8%), and smartphone dependency (1.3%), accounting for a total of 10.6% of the variance. Conclusion: This study suggests that interventions to promote female college students' career decision-making self efficacy should consider their depression, religion, and smartphone dependency.

• 생물정신의학
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• 제24권3호
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• pp.149-154
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• 2017

Objectives This study investigated associations between symptom severity and neurocognitive functions in patients with major depressive disorder using comprehensive neuropsychological tests. Methods Ten patients with low depression (LD) and 22 patients with high depression (HD) participated. Symptom severity was determined by both the Beck Depression Inventory and the Hamilton Depression Rating Scale. Additionally, anxiety was measured by the Korean version of the State-Trait Anxiety Inventory (STAI-KYZ). Ten subtests of the Korean-Wechsler Adult Intelligence scale (K-WAIS), Stroop test, the word/design fluency tests were administered to assess cognition. Results The LD and HD groups did not differ in any of cognitive measures but anxiety level. Namely, the HD group obtained significantly higher scores on the state (U = 29.50, p < 0.01) and trait (U = 28.50, p < 0.001) anxiety scales than the LD group. A significant interaction effect between trait anxiety and depression severity was observed on the picture arrangement subtest of the K-WAIS [F (1, 27) = 5.09, p < 0.05]. Conclusions Cognitive deficits observed in patients with major depressive disorder may be related to other factors rather than current symptom severity. Trait anxiety possibly moderates the effect of current symptom severity on social judgment in these patients.

• 성인간호학회지
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• 제27권3호
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• pp.283-293
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• 2015

Purpose: Depression is a common sign of suffering among the patients with Parkinson's disease (PD). Frequent and severe neuropsychiatric symptoms lead to high levels of distress in patients and their caregivers, which results in the high levels of caregiver burden. The aim of this study was to determine the predictors of caregiver burden in caregivers of the patients with Parkinson's disease (PD). Methods: The study included 183 consecutive PD patients and their caregivers. Patients were assessed using the Hoehn and Yahr scale, Mini Mental State Examination (MMSE), Beck Depression Inventory (BDI), and Schwab and England Activities of Daily Living Scale. Caregivers' depressive symptoms were evaluated using the Caregiver Burden Inventor (CBI), BDI, and World Health Organization Quality of Life Scale. Results: All of the patients reported one or more neuropsychiatric symptoms. Patients' and caregivers' depressive symptoms, caregivers' age and education, time for caregiving, and quality of life were significantly associated with the increased caregiver burden. After controlling the level of education as a potential confounding variable, depression in both patients and caregivers, time for caregiving, and quality of life explained 45.6% of the variance in caregiver burden. Conclusion: Substantial attention needs to be given to the early identification of depression in PD patients and their caregivers to improve caregivers' quality of life and burden.

• 정신신체의학
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• 제16권2호
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• pp.95-102
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• 2008

연구목적 : 당뇨병 환자들은 질환 자체에 대한 부담감과 혈당 관리를 위한 약물 및 식이요법과 운동 요법 등의 유지에 대한 부담감이 스트레스로 작용하고 있으며, 이러한 심리적 스트레스가 혈당조절에 악영향을 줄 수 있다. 당뇨병 환자들은 일반 인구에 비해 우울증 및 불안장애의 유병율이 높으며, 이러한 우울증과 불안장애의 증상은 또 다시 혈당조절에 부정적인 영향을 주게 된다. 이에 본 연구는 우울과 불안증상이 혈당조절에 어떤 영향을 미치는가를 알아보고자 하였다. 방법 : 단국대학교병원 내분비내과에서 외래통원치료 중인 30세 이상의 당뇨병 환자 65명을 대상으로 하여, 정맥 혈액채취로 당화혈색소(Hemoglobin A1c；이하 HbA1c) 수치를 얻었으며, 자가보고식 설문지인 Beck의 우울척도(Beck's Depression Inventory;이하 BDI) 및 Beck의 불안척도(Beck's Anxiety Inventory;이하 BAI)를 시행하여 통계분석을 하였다. 결과 : 65명의 당뇨병 환자 중 경한 우울증상을 보인 환자는 27명(41.5%), 중등도 이상의 우울증상을 보인 환자는 6명으로(9.23%) 일반 인구에 비해 높은 빈도를 보였다. HbA1c와 BDI간에는 유의한 상관관계를 보이지 않았으나 HbA1c와 BAI간에 유의한 상관관계를 보였으며(R=0.567, P<0.001), 다중회귀분석에서 BAI는 혈당조절에 영향을 미치고 있었으나($\beta=0.551$, T=4.912, P<0.001) BDI와 체질량지수, 당뇨병 합병증의 수 및 유병기간은 HbA1c에 유의한 영향을 미치지 않았다. 결론 : 본 연구에서는 일반 인구에 비해 우울증상을 보이는 당뇨병 환자의 빈도가 높았으며, 불안증상을 보이는 당뇨병 환자의 빈도는 높지 않았다. 당뇨병 환자에서 우울증상과 혈당조절간의 유의한 연관성을 보이지 않았으나 불안증상과 혈당조절 간에는 유의한 연관성을 보였다. 결론적으로 우울증상은 혈당조절에 별 영향을 미치지 않으나 불안증상은 혈당조절에 영향을 미치는 것으로 나타났다.

• 대한지역사회작업치료학회지
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• 제1권2호
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• pp.31-43
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• 2011

목적 : 지역사회에 거주하는 뇌졸중 환자를 대상으로 사례연구를 통해 지역사회중심재활서비스에 대한 소개와 중재 결과를 제시하고자 하였다. 연구방법 : 지난 2009년 7월 처음 내소한 63세 여성 뇌졸중 환자 1명을 대상으로 지역사회중심 재활서비스를 제공하였다. 대상자의 일상생활동작수준을 평가하기 위해 수정바델지수(Modified Barthel Index; MBI)를 이용하였고, 우울정도를 측정하기 위해 Beck 우울척도(Beck Depression Inventory; BDI)를 사용하였다. 중재 기간은 2011년 4월 27일부터 2011년 11월 30일까지로 세계보건기구에서 제안한 지역사회중심재활서비스와 일반적 작업치료를 제공하였다. 결과 : 환자의 MBI는 35점에서 55점으로 일상생활수행능력이 증가하였고, BDI는 26점에서 14점으로 우울증세가 큰 폭으로 감소한 것을 확인하였다. 초기 5~10분이던 서기 훈련이 30분 이상으로 늘어난 것으로 보아 근력 및 근지구력도 증가하였다. 치료시간에 환자의 기분변화가 심했던 이전과 달리 안정되고 웃는 모습을 자주 볼 수 있었다. 보호자 역시 환자가 심리적으로 안정된 상태를 체감할 수 있었다. 결론 : 지역사회로 복귀한 만성 뇌졸중 환자에게 지역사회중심재활서비스를 적용하여 기능수준 및 삶의 만족도가 향상된 것을 알 수 있었다.

• 정신신체의학
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• 제19권2호
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• pp.92-100
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• 2011

연구목적: 본 연구에서는 한국어판 간이걱정척도(Brief Measure of Worry Severity, BMWS)를 개발하고, 척도의 신뢰도와 타당도 및 요인 구성을 평가하였다. 또한 병적인 걱정이 우울 및 불안과 관련되어 있는지를 알아보았다. 방 법: 지역사회 일반인 및 대학생 352명이 간이걱정척도를 시행하였으며, 이 중 27명은 3주 후 척도를 재시행하였다. Cronbach's ${\alpha}$ 계수와 검사-재검사 일치도를 통해 척도의 신뢰도를 평가하였다. 외적 타당도는 간이걱정척도의 점수와 Beck 우울척도(Beck Depression Inventory, BDI), Patient Health questionnaire-2(PHQ-2), 상태 불안척도(State Anxiety Inventory, SAI), 특성 불안척도(Trait Anxiety Inventory, TAI) 각각의 점수와의 상관도를 확인함으로써 평가하였다. 또한 구성 타당도를 평가하기 위해 주성분 분석을 시행하였다. 병적인 걱정이 우울 및 불안과 관련되어 있는지 여부는 간이걱정척도의 점수와 BDI 및 TAI 점수를 편상관 분석하여 알아보았다. 결 과: 척도의 Cronbach's ${\alpha}$ 계수는 0.904였으며, 검사-재검사 상관도는 0.56(P<0.01)이었다. 간이걱정척도 점수와 BDI, PHQ-2, SAI, 그리고 TAI 점수의 상관도는 각각 0.60(P<0.01), 0.42(P<0.01), 0.36(P<0.01), 0.59(P<0.01)이었다. 주성분 분석상 척도는 하나의 요인으로 구성되어 있었다. TAI 점수를 통제한 상태에서 간이걱정척도 점수와 BDI 점수의 상관 계수는 0.357(P<0.01)이었으며, BDI 점수를 통제한 상태에서 간이걱정척도 점수와 TAI 점수의 상관 계수는 0.446(P<0.01)이었다. 결 론: 본 연구에서는 한국어판 간이걱정척도가 병적인 걱정을 측정하는데 있어 신뢰할 수 있고 타당한 도구임을 밝힐 수 있었다. 또한 병적인 걱정이 불안뿐만 아니라 우울과도 관련되어 있음을 확인할 수 있었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권1호
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• pp.20-27
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• 2014

Objectives : The aim of this study was to determine whether intervention using a multidisciplinary approach affects maternal mental health, parenting stress, and sense of parenting competence in children with feeding disorder and failure to thrive (FTT). Methods : Children with feeding disorder and FTT were randomized to the intervention group (N=11) or control group (N=8). We administered the Korean standardization of Parent Temperament Questionnaire for Children (K-PTQ) in both groups before intervention, and the Korean version of the Parenting Stress Index-Short Form (K-PSI-SF), Korean version of the Parenting Sense of Competence (K-PSOC), Korean version of the Beck's Depression Inventory (K-BDI), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Mood Disorder Questionnaire (K-MDQ) in both groups before and after the intervention. Results : In the intervention group, the K-BDI (p=.068), K-BAI (p=.068), and K-MDQ (p=.066) scores tended to show a decline, the K-PSI-SF scores for stress related to child learning showed a significant decline, and the K-PSOC scores for sense of parenting competence showed significant improvement. However, no significant changes were observed in the control group. Conclusion : Use of a multidisciplinary approach improved maternal mental health, parenting stress, and sense of competence. Comparison of these results with those of normal control will be necessary in a future study.