• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권3호
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• pp.67-72
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• 2022

Objectives: This study investigated the reliability and validity of the Korean version of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Level 2 Cross-Cutting Symptom Measure-Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression and the Irritability for parents of children aged 6-17 years. Methods: Participants were 190 children diagnosed with depressive disorder (n=14), anxiety disorder (n=21), attention-deficit/hyperactivity disorder (ADHD; n=111), ADHD with anxious depression (n=13), and tic disorder with somatic symptoms (n=31). Patients were 8-15 years of age. The participants' mothers completed the Korean versions of the DSM-5 Level 2 Cross-Cutting Symptom Measure-PROMIS Depression and Irritability (Affective Reactivity Index, ARI), and the Korean Child Behavior Checklist (K-CBCL). Using these data, we calculated the reliability coefficient and examined the concurrent and discriminant validity of the PROMIS Depression and the Irritability (ARI) scales for assessing depression and irritability in children. Results: The reliability coefficient of the PROMIS Depression scale (Cronbach's α) was 0.93. The correlation coefficient with the K-CBCL DSM emotional problem score was 0.71. The PROMIS Depression scale significantly discriminated children with depressive disorders from those with other conditions. The reliability coefficient of the Irritability (ARI) scale was 0.91, suggesting its high reliability. Conclusion: Our results suggest that the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure for Depression and Irritability Scales for parents of children aged 6-17 years is reliable and valid and may be an efficient alternative to the K-CBCL.

• 동의신경정신과학회지
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• 제23권3호
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• pp.77-88
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• 2012

Objectives : This study was founded to identify the differences of stress responses, according to Sasang Constitutions (the Taeyangin, Taeumin, Soyangin and Soumin) of highly stressed oriental medicine college students. Methods : The subjects were 76 students who majored in oriental medicine. We processed 'University students Stress Scale', and 'Medical Stress Scale'. We selected 30 students who stressed higher than average. We then processed 'QSCC II (Questionnare for the Sasang Constitution Classification II)' and 'Scale for the Stress Response'. Collected data was analyzed with the SPSS 19.0 for windows statistical program. Results : The university students stress score of oriental medicine students was 1.97 that was higher than the other college students. The medical stress score was 2.77, which was similar with other medical college students. The symptoms of stress score was 2.53, which was higher than the others. Particularly, the depressive syndrome and rage syndrome were highly ranked. The frequently appearing symptoms of each type of Sasang Constitutions (the Taeyangin, Taeumin, Soyangin and Soumin) showed as follows. The Soyangin's symptoms of stress showed in order of Anxiety, Depression, and Emotional irritability. The Soumin's symptoms of stress showed in order of Depression, Emotional irritability, and cognitive disorganization. The Taeumin's symptoms of stress showed in order of Anxiety, Depression, and Emotional irritability. However, there was were no significant differences among the results of each constitution. Conclusions : The results show that oriental medicine students have as much stress as other medical college students and there was tendency of showing different patterns of stress response, according to Sasang Constitution, but it's not significantly different.

• 대한예방한의학회지
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• 제12권3호
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• pp.175-183
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• 2008

This study was founded to identify the differences of the stress responses according to Sasang Constitutions(the Taeyangin, Taeumin, Soyangin and Soumin) of female college students. The subject were 226 the regular female students who majored in nursing in Kyungbuk, Kimcheon. Tools used in this study were the Questionnare for the Sasang Constitution Discrimination and the Scale for the Stress Response which were revised in some parts. The values of Cronbach's alpha for the Questionnare for the Sasang Constitution Discrimination and the Scale for the Stress Response were $0.45{\sim}0.73$ and $0.66{\sim}0.85$ respectively. The collected data was anaylyzed with the SPSS 10.0 windows statistical program. The results of this study were as follows; 1. The constitutions were shown in the order of Taeumin(45%), Soyangin(28%), Soumin(18%) and Taeyangin(9%). 2. There were significant difference in the stress response for Depression(p<.05), Anxiety(p<.05), Emotional irritability(p<.01) and the Total stress response(p<.05) according to the Sasang Constitutions (the Taeyangin, Taeumin, Soyangin and Soumin). In conclusion, it is needed to find out an effective ways of treating stress individually to apply Sasang Constitutions to a new esthetic treatment.

• 대한간호학회지
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• 제22권2호
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• pp.238-247
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• 1992

Immigration of Koreans to the United States has increased since the 1960's. Adjusting to life in the United States produces a great deal of stress for immigrants. Despite better economic opportunites, many see the U.S. culture as threatening to their family and cultural values. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstanding can leaf to frustration on the part of each. The ultimate result of this is that often Korean-immigrants do not get their health care needs met and stress response symptoms can lead to disease if there is no appropriate care. To determine the health care needs and concerns of Korean-Americans, a health needs assessment is needed. Appropriate and adequate information about the health care needs of these individuals is important as it relates to American policy changes allowing greater numbers of immigrants to enter the U.S. The purpose of this prospective study was to describe Korean-American stress response. This study focused on the primary presenting problems for which subjects reported having sought care. These included a variety of stress-related symptoms, including peripheral manifestations, cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. Of the 300 subjects who entered the study, 80% (N＝223) completed the questionnaire in full. Demographically, the percentage of females and males was 50% each and they ranged in age from 20 to 69 years. Ninety percent of the subjects were highly educated, 25% owners of business, 25% white collar professionals, 15% employed in sales or as skilled /unskilled labor, 30% had no occupation : and 5% were housewives or students. The SOS inventory is designed to quantify self-perception of behavioral, cognitive, and physiological components of the stress response. It consisted of 94 items divided into 10 subscales. The result of this study are as follows : The total mean 505 of all subjects (N＝223 was .8129 ; the mean 505 for male(N＝114) was .7665 and for females, (N＝108) .8594. The level of symptoms for central-neurologic and muscle tension was higher for than for males. The highest stress response of all subjects was emotional irritability symptoms(1.0644) : the lowest stress response of all subjects was peripheral manifestation symptoms.

• 동의신경정신과학회지
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• 제8권1호
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• pp.141-150
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• 1997

A clinic study was carried out on 83 neuropsychiatric outpatients who visited 'Hwabyung Clinic' in Oriental Hospital of Kyung Hee University from July 1 in 1996, in order to study clinical research and the aspect of 'Hwa'. 1. Onset of stress that causes of Hwabyung was 14.23 years ago and onset of symptoms were 6.39 years ago. Hwabyung patients were maintaining their marital state and were under the same stress that was thought to be the chief causes of the Hwabyung..3. Familiar troubles including their spouse were the main cause of the Hwabyung, which suggested that prolonged trobles were more important rather than sudden emotional shock, and it was obvious that the patients were recognizing the predisposing factors of Hwabyung.5. The emotional state which led to Hwabyung and the present state caused by Heabyung were complicated very much. Feeling being mortified, anger and resentment were gradually changed into anxiety, irritability, depression and loss of interest.6. The somatic symptoms of Hwabyung were flushing, insomnia, hradache, dizziness, and oppressed.7. The feeling of flushing were whole body, front of the body and upper of the body.

• Journal of Preventive Medicine and Public Health
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• 제55권3호
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• pp.226-233
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• 2022

Objectives: The aim of this study was to evaluate the subjective level of health-related quality of life of Korean healthcare workers using various quality-of-life instruments. Methods: This study included 992 participants, who were doctors and nurses. A survey was conducted between November 28 and December 4, 2019. Data from 954 participants divided into 3 groups (physicians, residents, and nurses) were analyzed. Four measurement tools (29 questions) were used in the survey to evaluate subjective health status and well-being. Results: In the Mayo Well-being Index, burnout during work (88.5%) and emotional difficulties caused by work (84.0%) were frequently cited by the respondents. Regarding questions on burnout and emotional difficulties, residents and nurses had the highest scores (91.0 and 89.6%, respectively). Emotional problems, such as anxiety, depression, and irritability, accounted for a high percentage (73.1%) of the total, while 82.2% of respondents reported that their work schedules interfered with their leisure and family time. There was no significant difference among the groups in subjective health status. However, 10.1% of the residents experienced very low quality of life, which was a higher proportion than that of physicians (2.7%) and nurses (5.2%). Conclusions: The level of well-being that Korean medical workers experienced in relation to work was lower than the results of the United States healthcare workers surveyed using the same tool. This study was unique in that it conducted a subjective quality-of-life survey on Korean healthcare workers.

• 대한간호학회지
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• 제24권3호
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• pp.432-447
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• 1994

Koreans are one of the fastest growing immigrant groups in America. Adjsting to life in foreign country produces a great deal of stress. Differences in culture, language, expectation and social behavior can lead to misunderstandings. The pregnancy and delivery event is one of maturational crisis in life cycle. The purpose of this research was to understand the structure of the lived experience of pregnant women and postpartum mothers who had immigrated to the United States. The research question was "What is the structure of the experience of pregnant women and postpartal mothers?" The sample consisted of 16 women registrated at the Obstetrics and Gynecology Department of one local clinic in Hawaii. The unstructured interviews were carried out from Jnuary 5, through January, 30, 1994. They were audio-recorded and analyzed using Van Kaam's method. There are different views on the causative factors of stress. Maladjustement to the immigrant life, spousal conflicts, anxiety related to bringing up the bay and conflicts between mother-in-law and daughter-in-law are considered to be related factors. The experiences of pregnant women over the period of the pregnancy can be varied and can include change of body image, emotional and physical change. The experiences of postpartum mothers over the postpartum period can be varied and can include postpartum depression emotional irritability, fear related to bringing up the baby and disappointment with husband. Positive experiences over the period of pregnancy and postpartum were the strengthen-ing beliefs. Sources of support were, first, spouse then mother and faith. Support was also received from the physician in charge and through self-control. The nurse, by providing empathetic support, should be a person with whom they can express their feelings and share their experiences.

• 대한한방내과학회지
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• 제21권5호
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• pp.863-867
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• 2000

Byun-jo(煩躁) is the word that including in irritability, restlessness, delirium, chest discomfort, insomnia in oriental medicine. Byun-jo is one of symptom in Soyangin(少陽人)(one of human type in Sasang constitutional medicine(四象醫學)) Interior-overheated-disease(裏熱證). In the book 'dongyi soose bowon(東醫壽世保元)', Soyangin Gihwangbeakho-tang(地黃白虎湯) is used at Soyangin Interior-overheated-disease. One post-stroke patient developed new syptom named Byun-jo for 2 months. the patient was classified as Soyangin by somatotype, the emotional patterns. the patient treated with Soyangin Gihwangbeakho-tang for 7days, and the symptom Byun-jo was disappeared. This result revealed that Soyangin Gihwangbeakho-tang was effect on reducing the symtom Byun-jo in Soyangin patient.

• 식품보건융합연구
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• 제6권3호
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• pp.31-41
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• 2020

The caregivers of elderly people with dementia suffer an affectation in the psychological and social order due to the low probability of total rehabilitation of the elderly and the progressive course of this pathology. In the municipality of Guisa, Granma Province there is a health problem regarding this problem since family caregivers of the elderly with dementia constantly go to the Psychology and Psychiatry consultations, in search of specialized help because they report feeling depressed. For this reason, this research was carried out with the objective of determining the main manifestations of depression in these caregivers. The results emanating from the triangulation of methods (scientific observation) and techniques (questionnaire, interviews and inventory Beck), employees at three stages of work where it was found that the main manifestations of depression of these caregivers are: poss of interest or the ability to enjoy activities that were previously pleasurable, loss of emotional reactivity to pleasant environmental events and circumstances, sleep disturbances, marked loss of appetite, weight loss, irritability, muscular tension, feelings of sadness unmotivated that produces discomfort and sufferings, ansiety, entities of handicap, blame, loss of self-confidence and feelings of inferiority, gloomy perspective of the future.

• 디지털콘텐츠학회 논문지
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• 제19권1호
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• pp.103-112
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• 2018

본 논문에서는 감정에 따라 변화하는 혈류량을 측정하는 PPG 센서를 사용하여 감정을 인식하는 방법을 제안한다. 기존의 PPG 신호로부터 전력스펙트럼밀도(PSD; Power Spectrum Density)를 통해 주파수 영역에서 긍정적인 감정과 부정적인 감정을 판단하는 방법을 활용한다. 제임스 러셀의 이차원 원형 모델에 기반을 두어 감정을 기쁨, 슬픔, 짜증, 평온으로 분류하여 주파수 영역에 따른 에너지의 크기와의 연관성을 살펴본다. 본 연구는 웨어러블 디바이스에서 사용되는 동일한 PPG 센서를 사용하여 상위 네 종류의 감정을 영상 실험을 통해 주파수 영역에서 측정하였다는 것에 의의가 있다. 설문 조사를 통해 정확도와 개인에 따른 몰입 정도와 감정 변화 및 영상에 대한 바이오피드백을 수집하였다. 제안하는 방법은 앞으로 PPG 센서를 사용하는 상용화된 웨어러블 디바이스와 기존에 사용하는 스마트폰의 상황정보와 융합되어 모바일 어플리케이션 예측 서비스 등 다양한 개발이 될 것으로 기대된다.