• 동의신경정신과학회지
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• 제34권2호
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• pp.115-124
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• 2023

Objectives: To report the efficacy of using EFT and Korean medicine treatment for ASD induced by a traffic accident. Methods: We treated ASD symptoms with Korean medicine (acupuncture, cupping, interferential current therapy, herbal acupuncture therapy). To evaluate results of this treatment, Korean version of PTSD Checklist-5 (PCL-5-K), Beck Depression Inventory (BDI), Insomnia Severity Index (ISI), and Numeric rating scale (NRS) at first visit, 5 weeks, and 12 weeks were used. Results: Korean version of PTSD Checklist-5 (PCL-5-K), Beck Depression Inventory (BDI), Insomnia Severity Index (ISI), and Numeric rating scale (NRS) showed improvements after treatments. Conclusions: This study suggests that Korean medicine and EFT treatment might be effective for ASD.

• 동의신경정신과학회지
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• 제26권1호
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• pp.1-10
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• 2015

Objectives: The purpose of this study was to evaluate the effect of breath-counting meditation on anxiety disorder patients with panic attack. Methods: Two anxiety disorder patients with panic attack were treated with Breath-counting Meditation, acupunctures, and herb-medications. The patients have been predicted for anxiety disorder with panic attack through Dignosis and Statistical Manual (DSM-IV), Panic Disorder Severity Scale (PDSS), BDI (Beck Depression Inventory), and BAI (Beck Anxiety Inventory) on their 1st and 6th treatments. Results: After the treatments, both the physical and psychological symptoms have decreased. Conclusions: This study suggests that the breath-counting meditation is an effective way for treating patients who are suffering from anxiety disorder with panic attack.

• 동의신경정신과학회지
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• 제32권1호
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• pp.67-79
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• 2021

Objectives: The purpose of this study was to report the effect of Korean medicine treatment on a patient with somatic symptom disorder hospitalized after a traffic accident. Methods: The subject for this study was a patient diagnosed with somatic symptom disorder that worsened after a traffic accident. During hospitalization, herbal medicine, acupuncture, psychotherapy, and other treatments were performed. Clinical effect was evaluated using Heart Rate Variability (HRV), BDI (Beck Depression Inventory)-II, BAI (Beck Anxiety Inventory), Global assessment (G/A), and Numerical rating scale (NRS). Results: After 36 days of treatment, BDI-II score was reduced from 17 to 5. BAI score was reduced from 23 to 8. Overall somatic symptoms and pain showed decreases. Conclusions: Korean medicine treatment might be effective for somatic symptom disorder that is worsened after a traffic accident.

• Annals of Clinical Neurophysiology
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• 제11권2호
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• pp.48-53
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• 2009

Background: Bell's palsy produces a complex problem that involves not only facial motor weakness, but also psychiatric issues. However, the relationship between facial neuromotor system impairment and psychological adjustment has not been well understood. Methods: We have performed psychological evaluations in patients with acute unilateral Bell's palsy within 2 weeks after onset. Thirty patients with Bell's palsy (10 men, 20 women) were included, who were diagnosed by neurologic examination, electrophysiologic study and/or brain MRI. We measured facial motor scale of impairment (House-Brackmann, HB scale) and psychosocial adjustment [Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI)] at the time of initial presentation and 1 month after diagnosis. Results: The age of the enrolled patients ranged from 16 to 80 years. The mean grade of initial and follow up HB scale were 3.87 (SD: 0.63, range 2~5) and 1.77 (SD: 1.10, range 1~5). The mean score of initial and follow up BAI, BDI were 11.93 (range; 0 to 47, SD: 9.65, very low anxiety), 14.73 (range; 0 to 41, SD: 9.21 minimal depression) and 7.5 (range; 0 to 36, SD: 8.58, very low anxiety), 9.33 (range; 0 to 30, SD: 8.19 minimal depression). There was positive correlation between improvement of HB scale and improvement of BAI and BDI score. Conclusions: Bell's palsy is associated with the psychological problems such as depression and anxiety, and the improvement of motor symptom is associated with the improvement of these psychological problems.

• 대한불안의학회지
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• 제2권1호
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• pp.28-32
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• 2006

Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.

• 대한불안의학회지
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• 제11권1호
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• pp.3-11
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• 2015

Objective : The aim of this study was to find associations between specific symptoms and suicidal behavior by using global severity on depression scales. Methods : Data were obtained from 1,183 patients of CRESCEND study. Factor analysis of the 17-item Hamilton Rating Scale for Depression (HAM-D) and the Beck Depression Inventory-II (BDI-II) was used to compare symptom clusters between the past suicide attempters and the non-suicide attempters, among the patients with depressive disorders. Results : Factor analyses of HAM-D and BDI-II extracted three factors. Suicide attempters had significantly higher scores on core factor of HAM-D, including depressed mood, feeling of guilt, suicide, work, and activities. The higher scores on all factors of BDI-II or scores correlated with a total of 7 suicide attempts and with known risk factors for suicidal behavior. Conclusion : These findings suggest that the suicide attempters complained of more cognitive, affective, somatic symptoms on BDI-II, but the core factor on HAM-D was the only differentiated factor between the two groups. Clinician-rated scales as well as self-reported questionnaires were valid in measuring suicidal attempts, and the clinical profile may help in guiding the studies of biological correlates and the treatments to reduce suicide risk.

• 한국산림과학회지
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• 제85권4호
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• pp.586-595
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• 1996

본 연구는 5일간의 산림내 프로그램 참여 경험이 참여자의 우울증 수준 변화에 어떠한 영향을 끼치는지를 조사하기 위하여 실시되었다. 우울증은 오늘날 주요 정신 장애중 가장 치료에 노출되지 않는 증상의 하나이다. 오늘날 사회 환경에서 우울증은 대단히 큰 비중을 차지하고 있다. 왜냐하면 우울증은 그 빈도가 높고 심리적 변화에서부터 생리적 변화에 이르기까지 다양하게 나타나는 정신 질환이며 가끔 자살, 사회 경제적 손실 등의 심각한 결말을 초래하기도 하기 때문이다. 본 연구는 500여명의 대학생 집단을 대상으로 Beck Depression Inventory(BDI)의 점수에 의하여 선발된 32명의 산림 프로그램 참여자들을 대상자로 선발하였다. 1995년 여름 이들에게 월악산에서 등반, 홀로의 시간, 그룹 토론, 감정 나누기, 상대 안내하기 등의 활동으로 구성된 산림 프로그램을 실시한 후 BDI와 정신과 의사의 상담 및 관찰에 의하여 우울증의 변화가 측정되었다. 자료의 분석 결과 프로그램 참여 이전 이후의 우울증 변화에 있어서 큰 차이를 나타내었고 특히 남자의 경우 큰 폭으로 우울증의 감소가 측정되었다.

• 생물치료정신의학
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• 제24권3호
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• pp.156-162
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• 2018

Objectives : This study aimed to investigate the relationship between the level of ego-resilience and depression, anxiety, conduct problems and self-esteem in a large sample of Korean adolescents. Methods : A total 4508(2036 males and 2472 females) middle and high school students in Gwang-ju metropolitan city were included in this study. Subjects were asked to complete a self-reported questionnaire, including Ego-Resilience(ER) scale, Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI), Self-Esteem Scale(SES), 15 items in Korean-Youth Self Report(K-YSR) to measure conduct problems and demographic variables. Subjects were classified into three high, intermediate and low ER group according to total ER scale scores. Results : Total ER scores was positively correlated with total SES scores and negatively correlated with total BDI, BAI, and conduct problem scores. Using analysis ANOVA(analysis and variance) and post hoc test, significant mean differences in BDI, BAI, SES and conduct problem scores were observed among the three groups. High ER group showed that SES scores were significantly higher and BDI, BAI and conduct problem scores were significantly lower than that observed in middle and lower ER group. Using multiple regression analysis, the results showed that depression, low self-esteem were significant factors affecting ego-resilience in adolescents. Conclusion : Our findings indicate that depression, anxiety, behavioral problem such as conduct problems and low self-esteem are associated with low ego-resilience.

• 재활복지
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• 제21권3호
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• pp.209-226
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• 2017

본 연구는 뇌졸중 환자의 기억신념과 우울, 인지기능과의 관계를 알아보기 위하여 실시하였다. 연구는 G광역시와 전라남도 소재의 병원에서 뇌졸중으로 진단 후 재활치료를 받고 있는 환자 88명을 대상으로 일반적 특성과 기억효능감 질문지, 기억통제감 척도 설문지, Beck Depression Inventory, 한국판 몬트리올 인지평가를 이용하여 정보를 수집한 값을 분석하였다. 연구 결과 기억효능감은 학력, 동거상태, 경제상태, 발병횟수에서, 기억통제감은 경제 상태에서 유의한 차이를 보였다(p<.05). 우울은 발병시기에서, 인지기능은 성별, 연령, 학력, 동거형태, 발병횟수에서 유의한 차이를 보였다(p<.05). 기억효능감은 기억통제감, 인지기능과는 정적 상관을, 우울과는 부적 상관을 보였으며, 기억통제감은 우울과 부적 상관을 보였다(p<.05). 그리고 우울은 인지기능과 부적 상관을 보였다. 인지기능에는 기억효능감과 기억통제감, 우울이 모두 영향을 미치는 것을 알 수 있었다(p<.05). 본 연구의 결과를 기반으로 뇌졸중 환자의 재활치료에 있어 긍정적 기분을 유발하여 우울과 같은 부정적인 정서를 감소시키며 인지기능의 회복에 대한 기억신념을 촉진하기 위한 다각적인 재활치료 프로그램 개발이 이루어져야 할 것으로 생각된다.

• 동의신경정신과학회지
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• 제27권3호
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• pp.131-146
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• 2016

Objectives: This study was performed to determine the correlation between Instrument on Pattern Identification for Depression and Psychological tests by Pearson Correlation Coefficient and Regression analysis.Methods: Two assessors carried out the evaluation using the instrument on pattern identification for depression. They also performed the following psychological tests: Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression Inventory (STAXI), the Temperament and Character Inventory (TCI), Insomnia Severity Index (ISI_Total), Self-disclosure Inventory, subjective well-being Inventory, Health perception Inventory, and Personality Assessment Inventory (PAI). A total of 167 participants who got HAM-D score over 12 were targeted for the evaluation. Our research team carried out Pearson correlation coefficient analyses and regression analysis between pattern identification for depression and Psychological tests. We listed the results by descending order and interpreted the results.Results: Pearson correlation analysis revealed the following results: 1) Stagnation of Liver Gi was associated with BDI (0.60) and STAI (0.55); 2) Dual Deficiency of the Heart and Spleen was associated with BDI (0.60), ISI_Total (0.52), and STAI (0.42); 3) Relieving stagnation of Phlegm-Gi was associated with BDI (0.65), STAI (0.54), and Subjective well-being inventory (−0.52); 4) Gi-deficiency Mingled with sputum was associated with BDI (0.50), ISI_Total (0.40), and STAI (0.395); 5) Stagnant Gi transforming into fire was associated with BDI (0.56), STAI_TR (0.51), and Health perception Inventory (−0.458); 6) Yin-Deficiency with Effulgent Fire was associated with BDI (0.55), ISI_total (0.54), and STAI (0.41).Conclusions: Through correlation analysis between Instrument on Pattern Identification for Depression and Psychological tests, we could suggest a System for Oriental Medical Diagnosis for Depression.