• 대한불안의학회지
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• 제10권1호
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• pp.59-67
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• 2014

Objective : To obtain the incidence rate of anxiety disorders among the active duty Korean military personnel, who visited the military hospitals from 2011 to 2013, this descriptive epidemiological study was performed. Methods : After acquiring the data for the anxiety disorders from Defense Medical Statistics Information System, the annual incidence rates were analyzed by forces, position status, and specific disease entities. Results : One thousand, nine hundred and thirteen (1,913) active duty male military personnel were diagnosed with any kinds of anxiety disorders in their first visit to the psychiatric outpatient department (OPD). The total OPD visit counts were 7,870 during the same period. Anxiety disorder, NOS was the most frequent disorder, followed by panic disorder. While the incidence rate for anxiety disorder, NOS decreased, panic disorder displayed increasing tendency. Stress-related disorders and obsessive-compulsive disorder were positioned third and fourth, respectively, for the number of first visit and they both showed decreasing tendency in annual incidence rates. Social anxiety disorder, specific phobias, generalized anxiety disorder (GAD) and mixed anxiety-depressive disorder followed next. The annual incidence rates for anxiety disorders showed decreasing tendency, particularly evident in army soldiers. However, naval officers showed higher anxiety disorder incidence rate compared to those of the army and the air forces. Conclusion : Comparing to general population, panic disorder was higher while specific phobias and GAD were lower in the Korean military. It is interesting to observe higher incidence rate for anxiety disorder in naval officers and warrants further evaluation.

• 동의신경정신과학회지
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• 제16권1호
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• pp.159-169
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• 2005

Anxiety is essentially a normal emotion with great adaptive significance like pain. to ease human suffering, treatment is sought to quell pain and anxiety only when they are excessive or when they interfere with performance or general health. In oriental medicine, anxiety has been also known as a important factor which is cause of body and mind disease. We obtained some points after studying of bibliographic research about anxiety and anxiety disorder like follows: 1. The signification of anxiety is similar to fear affection(恐情) and anxious feelings are fearful, long for solitary life and afraid of captivity. 2. Mechanism of anxiety disorder is related with kidney(腎) as well as heart(心), liver(肝), gall bladder(膽) and stomach(胃). 3. The prescription of fear affection is tonifying of kidney(益腎) and fixing of kidney's pure substance(固精) that is based on deficiency of kidney(賢氣不足) 4. A representative disorder about anxiety and phobia are Keongke(驚悸) and Cheongchung(정충). 5. Keongke(驚悸) and Cheongchung(정충) may be understood as phobias(恐佈症), general anxiety disorder(凡不安障碍) and panic disorder(恐慌障碍).

• 한국지역사회생활과학회지
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• 제19권2호
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• pp.283-295
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• 2008

The slimness favored trend made students shape up body image by weight control using restrained eating. Many students especially female ones tend to be in eating disorder status. The aim of this study was to find the relation between weight, eating habits and dietary self efficacy in the selected middle school girl students group with high risk eating disorder (7.9%) and the one with low risk eating disorder (24.1%). This study was conducted by EAT-26 questionnaire method and all the data was analyzed by SAS (Statistical Analysis System) program. The results were as follows; The physical condition of eating disorder students (159.5cm height, 50.7kg weight and 97.4% PIBW) was higher and bigger than that of normal students(158.2 cm, 47.2 kg, and 92.6% PIBW). Weight control experience in the high risk group (69.4%) was significantly more frequent than normal group (p<0.001). The gap between actual body weight and desired weight was higher in high risk eating disorder group than in normal group (p<0.001). Dietary self-efficacy score of middle school female students in the high risk eating disorder group was high when they were in temper, in confusion, and after argument. However, when they were in cooking (p<0.01), with friends (p<0.05), in assembling dishes (p<0.01), and with family (p<0.05) the dietary self-efficacy score of high risk group was lower than that of normal group. In the high risk eating disorder group, eating speed was often faster (p<0.05) and overeating rate (p<0.01) was higher than in normal group. In general, EAT-26 score was correlated positively with gap weight, but negatively correlated with dietary self efficacy score(p<0.01). Gap weight and dietary self efficacy were significantly different in normal group. however, there was no relation in high risk eating disorder group. Under the circumstance of high risk eating disorder, as weight and dietary self efficacy did not affect the relation with eating disorder score, when it is determined as eating disorder some other factors besides weight and diet self efficacy seem to affect the eating disorder score. In conclusion, the factors related with eating disorder were gap weight and some items of dietary self efficacy. Thus, correct understanding of healthy weight and dietary self efficacy enhancement require the development of nutrition education contents and the practice of nutrition education.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.653-664
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• 2020

본 연구는 대학생의 인터넷게임장애 실태를 파악하고, 지각된 스트레스, 사회적지지, 생활습관과 인터넷게임장애의 관계, 그리고 지각된 스트레스와 인터넷게임장애의 관계에서 사회적 지지의 매개 효과를 파악하고자 하였다. 경기지역에 위치한 4년제 대학생 1,154명을 설문조사하여 분석한 주요 결과는 다음과 같다. 첫째, 대학생의 인터넷게임장애 비율은 14.0%로 높게 나타났다. 둘째, 지각된 스트레스는 인터넷게임장애와 정적상관을 보여, 대학생들이 스트레스 사건을 부정적으로 지각할수록, 긍정적 지각이 부족할수록 인터넷게임장애 정도가 높은 것으로 나타났다. 셋째, 사회적 지지는 스트레스 및 인터넷게임장애와는 부적 상관을 보였다. 부모, 친구, 주요한 타인의 지지가 각각 높을수록 지각된 스트레스는 낮았으며, 인터넷게임장애도 낮았다. 넷째, 사회적 지지는 지각된 스트레스와 인터넷게임장애의 관계를 부분 매개하였다. 스트레스를 부정적으로 지각하더라도 사회적 지지가 높을 때에는 인터넷게임장애의 정도가 낮았다. 다섯째, 대학생의 생활습관 중에서 알코올중독의심 비율이 인터넷게임장애군에서 비장애군보다 더 높은 경향성을 보였다. 끝으로, 연구결과와 대학생 인터넷게임장애 예방을 위한 방안을 논의하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제16권2호
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• pp.183-191
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• 2005

뚜렛 장애는 음성틱과 운동틱을 특징으로 하는 소아기의 대표적인 신경발달학적 행동장애이다. 소아기 발병 강박장애는 강박장애의 한 아형으로써 틱장애와의 연관성이 알려져 있다. 두 질환은 처음 진단시, $40\~75\%$에서 서로 공존질환으로서 발견되며, 유전학적으로도 관련성이 있으며 신경해부학적으로도 피질-선초체-시상 회로(cortico-striato-thalmic circuit)의 이상이 보고되며 증상적인 면에서도 유사점이 발견되고 있다. 최근 10여년 동안 틱장애와 소아기 발병 강박장애 영역에서는 놀라울 정도로 많은 연구들이 진행되었다. 본 연구는 뚜렛 장애를 포함하는 틱장애와, 소아 청소년 발병 강박 장애에서 1) 임상 양상 2) 유전학 및 역학 연구 3) 뇌영상 연구 4)신경화학 5) 연쇄구균 감염 관련 소아기 자가면역성 신경정신과적 질환(pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection : PANDAS)에 대해 고찰하고자 한다.

• 생물정신의학
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• 제10권1호
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• pp.80-84
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• 2003

Objective : Bipolar disorder is known to have strong genetic background and cellular immune activation. Based on the hypothesis that abnormalities of normal inhibitory control of T cell immunity can contribute to the pathophysiology of bipolar disorder, we investigated the relationship between the first exon at position +49(A/G) polymorphism of cytotoxic T lymphocyte antigen 4(CTLA4) gene and bipolar disorder. Method : Among the Korean patients diagnosed as bipolar disorder according to DSM-IV, 90 patients without serious medical illness, neurologic illness, hormonal disorder, or concomitant mental illness were selected. The normal control group consisted of 149 age-and sex-matched subjects without current or past history of autoimmune diseases or mental disorder. DNA was extracted from whole blood and the exon 1 region of CTLA-4 gene was amplified by polymerase chain reaction. Gene typing was performed using single strand conformation polymorphism. Results : There were no significant differences in genotype frequencies of G/G, G/A, and A/A between the patients with bipolar disorder and the control group(48.9% vs 46.3%, 44.4% vs 39.6%, and 6.7% vs 14.1%, respectively). There were no significant differences in allelic frequencies of G and A between the patients with bipolar disorder and the control group(71.1% vs 66.1%, and 28.9% vs 33.9%, respectively). Conclusion : This study did not show the association of exon 1 polymorphism of CTLA-4 gene with bipolar disorder.

• 동의신경정신과학회지
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• 제26권3호
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• pp.293-306
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• 2015

Objectives: The purpose of this study is to identify predictors of clinical efficacy of oriental medical treatment for patients with panic disorder. Methods: We analyzed medical records of 41 patients who were diagnosed with panic disorder through DSM-IV or ICD-10 by 2 oriental medical neuro-psychiatrists. We performed frequency analysis of demographic characteristics in patients with panic disorder, and assessed the correlation between the psychological scales by Pearson correlation. Repeated measures ANOVA were used to compare the psychological scales during the treatment; and Single regression analysis was used to analyze the factors that have correlation to improvement of panic disorder by oriental medical treatment. Psychological scales used in the study were STAI-X-1/2, STAXI-S/T, BDI2, BAI, BSQ, PAS, ASI, LOT-R, SWLS, LSES and LSMS. Results: Patients' demographic characteristics indicated that there were twice more female than male patients; furthermore, there was a high ratio of patients in their 20s and 30s, with the highest percentage of onset-age in the 20s and average duration of panic disorder from 1~5 years. More than half of the total patient cohort comprised of those who had panic disorder with agoraphobia and major depressive disorder; in addition, major accompanied symptoms were dyspepsia, chest discomfort and headache. After treatment, most scores of psychological scales were significantly reduced, and correlation between the psychological scales was significant. Furthermore, we identified some factors that were significantly correlated to improvement of panic disorder by oriental medical treatment. Conclusions: In conclusion, treatment of panic disorder with oriental medicine was clinically efficient and improved the quality of life.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제19권2호
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• pp.112-119
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• 2008

Objectives : This study was conducted to examine whether there are qualitative differences in attention problem among children with various psychiatric disorders, including attention-deficit hyperactivity disorder (ADHD), depressive disorder, anxiety disorder, and tic disorder using clinical ADHD diagnostic system (ADS) T-scores. Methods : The subjects were 794 outpatient children aged from 5 to 15 years, including 540 children with ADHD, 95 children with depressive disorder, 86 children with anxiety disorder, and 73 children with tic disorder. Clinical T-scores on the ADS were calculated using the mean and standard deviations of four ADS variables for the ADHD group. Results : All four groups had T-scores on the ADS in the abnormal range. However, when comparing the clinical T-scores, the children with depressive and anxiety disorders performed better than the children with ADHD. We also found that although the four groups seemed to be similar in terms of clinical T-scores for omission and commission errors, there were significant differences in clinical T-scores for reaction time and the standard deviation of response time (RT) between the ADHD and other groups. Conclusions : We concluded that inattention and impulsivity might not be specific only to ADHD and that the clinical T-scores of RT and standard deviation of RT on the ADS could be used to discriminate between ADHD and other clinical groups.

• 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.

• 한국직업건강간호학회지
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• 제12권1호
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• pp.39-49
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• 2003

The Purpose of this study is to identify the trends of studies on workers' musculoskeletal disorder and to suggest the direction of future research. 83 research article on workers' musculoskeletal disorder were reviewed. The results are as follows : 1. Studies on workers' musculoskeletal disorder have increased rapidly since 1996, but most of them were done by non-experimental design. 2. The most frequently selected subjects of studies are telephone operators and manufacturing workers. 3. The most frequently used instrument of studies is NIOSH's questionnaire & RULA (ergonomic work posture analysis). 4. The most frequently analysed variables relating to workers' musculoskeletal disorder are working years, hours of work a day, working process, and physical exercises. Therefore, it is needed to develop the management program of workers' musculoskeletal disorder and examine its effects.