• 제목/요약/키워드: Fear and Anxiety

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성인 치과공포증 환자의 치료 (MANAGEMENT OF ADULT DENTAL PHOBIC PATIENTS)

  • 김대업
    • 대한소아치과학회지
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    • 제34권2호
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    • pp.341-348
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    • 2007
  • 치과의사는 진료실에서 불안이나 치과공포증을 가지는 환자들을 자주 만나게 된다. 치과의사들은 환자의 불안과 공포를 해결하기 위하여 여러 가지 비약물적인 방법을 먼저 고려하게 된다. 그러나 약물을 사용하는 다양한 치과 내 진정요법이 치과공포증 환자에게 더 효과적일 수 있다. 저자는 4명의 치료 증례를 통해 가벼운 아산화질소 흡입진정으로부터 전신마취 등의 방법으로 성인 치과공포증 환자에 대처하였던 과정을 소개하고자 한다.

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대학생의 사회공포수준과 치과공포수준의 관련성 (Association between social phobia level and dental fear level of college students)

  • 박보영;조한아;방소영;오민정;이은지;이환희;정재민;윤미숙
    • 대한치과의료관리학회지
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    • 제11권1호
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    • pp.89-95
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    • 2023
  • Social phobia is a mental disorder that triggers physical reactions, such as cold sweats, headaches, and panic attacks, as a result of anxiety about a particular situation. Individuals with social phobia are thought to be more sensitive to dental anxiety and may have difficulty visiting the dentist as a result. This study aimed to determine the relationship between social phobia and dental fear among college students, who are reported to have a high prevalence of social phobia. A total of 120 survey responses were analyzed. To investigate the variation in dental fear levels based on the level of social phobia, the total social phobia score was divided into two groups: 41 points or more, and 40 points or less. The disparity in dental fear scores was then analyzed using a t-test. The study found that the average score for dental fear was statistically significantly higher in the group with a total social phobia score of 41 points or more compared to the group with a total score of 40 points or less (p<0.05). Furthermore, the group that scored 41 points or higher on the social phobia scale reported experiencing symptoms such as feeling nauseous at the dentist (3.29 points), sweating upon entering the dentist (3.13 points), and feeling afraid when looking at the dentist (3.13 points). The score was high (p<0.05). Therefore, dental patients exhibiting anxiety symptoms require a comfortable treatment environment to alleviate dental fear, and safe, pain-free dental treatment techniques must be employed.

치과외래환자에서 공포, 불안, 우울 및 구강안면부 스트레스증상에 관한 연구 (A Study on the Dental Fear, Anxiety, Depresison and the Stress Symptom in Orafacial Region in Dental Outpatients)

  • 박미성;한경수
    • Journal of Oral Medicine and Pain
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    • 제23권4호
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    • pp.387-401
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    • 1998
  • This study was performed to investigate the emotional state related to dental fear, hospital anxiety and depresison, and frequency of stress symproms of orofacial region. For this study, Dnetal Fear Surfey(DFS) scale, the Hospital ANxiety and Depression(HAD) scale, and Stress Symptom Questionnaire(SSQ) designed by the author were used in 549 dental outpatients. Dental Fear Survey scale is composed of avoidance of dentistry(AVOI), physiologic response scale(PRS) and dental stimulus response scale(DSRS). The Hospital anxiety and Depresiosn scale is composed of hospital anxiety(HA) and hospital depressoin (HD). Data were analyzed statistically with SPSS program and the results were as follows : 1. The item of the highest positive response rate in DFS scale was 'feeling drill'(82.0%), and in the HAD scale was ' feel as if I am slowed down'(84.1%). 2. Mean score of AVOI, PRS, DSRS and HD were higher in the older group(>25yr) than the yoiunger group(<25yr) and female patients showed higher score of DSRS, HA than male patients. 3. Mean number of items of stress symptoms in extraoral region were 3.4, and in intraoral region, were 4.7. Tongue wymptoms were increased in the older toup and female patients had more stress symptoms than male patients. 4. Correlation between DFS scale and HAD scale were significantly positive and these scales were also apositively correlated with tongue symptoms. 5. As for treatment types, the patients treated in the department of periodontics,conservative dentistry, and oral surgery showed higher score of DFS scale than the patients with temporomandibular disorders or treatedin the department of orthodontics.

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일개 지역 소상공인들의 코로나 19로 인한 스트레스, 불안이 삶의 질에 미치는 영향 (The Effect of Stress and Anxiety Caused by COVID-19 on the Quality of Life of Small Business Owners in an Area)

  • 김혜옥;김현정;조혜지
    • 지역사회간호학회지
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    • 제33권3호
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    • pp.279-289
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    • 2022
  • Purpose: This is a descriptive correlation study to confirm the effect of stress and anxiety caused by COVID-19 on the quality of life of small business owners in an area under environment of COVID-19. Methods: The participants were 150 small business owners in an area. The collected data were analyzed by descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple regression with the SPSS 25.0 Program. Results: The stress of small business owners averaged 3.67±0.65 out of 4 points, anxiety of COVID-19 was 2.65±0.52, and quality of life was 75.61±20.26 out of 130 points. The quality of life showed a significant negative correlation with 'fear of infection' (r=-.42, p<.001), 'difficulties caused by social distancing' (r=-.49, p<.001) in the stress subdomain, and anxiety (r=-.61, p<.001). On the other hand, stress, 'fear of infection' (r=.50, p<.001), 'difficulties caused by social distancing' (r=.60 p<.001), 'anger against others' (r=.35, p<.001) and anxiety showed positive correlation. Factors affecting the quality of life of the subjects were 'fear of infection' in the stress subdomain (β=-.23, p=.003), anxiety (β=-.45, p<.001), and residential area (J zone) (β=-.16, p=.030). These factors explained 47.0% of the variance. Conclusion: In order to enhance the quality of life of small business owners in an area, it is required to reduce stress and anxiety. In addition, it is necessary to prepare an intervention program that can reduce stress and anxiety of small business owners.

대학생의 삶의 만족에 영향을 주는 변수들 - 사회심리적 변수들과 의복 쇼핑자심감 - (Factors influencing life satisfaction among college students - Social psychological variables and shopping confidence for clothing and accessories -)

  • 박혜정
    • 복식문화연구
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    • 제23권6호
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    • pp.1061-1081
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    • 2015
  • Recently, there has been an increase in wellbeing marketing, which focuses on increasing consumer life satisfaction or consumers' sense of subjective wellbeing. Numerous studies have been conducted to identify which aspects contribute to consumer life satisfaction. In order to provide additional insights into consumer life satisfaction, this study aimed to identify the relationships among social psychological variables (consciousness of social face, social interaction anxiety, and career anxiety), shopping confidence, and life satisfaction. Shopping confidence in this study relates to confidence for clothing/accessories. It was hypothesized that social psychological variables influence life satisfaction not only directly but also indirectly through shopping confidence. Data were gathered by surveying university students in Seoul, using convenience sampling. Two hundred eighty six questionnaires were used in the statistical analysis. Factor analysis of consciousness of social face revealed two factors, 'desire to gain face' and 'fear of losing face'. Factor analysis of social interaction anxiety, shopping confidence, and life satisfaction revealed that these variables were uni-dimensional. Test of the hypothesized path showed that all social psychological variables influenced life satisfaction indirectly through shopping confidence, whereas 'fear of losing face' of consciousness of social face and career anxiety influenced life satisfaction directly. The results give marketers some understanding of their consumers' life satisfaction in relation to consciousness of social face, social interaction anxiety, career anxiety, and shopping confidence.

코로나바이러스 감염증-19에 대한 지식과 두려움이 간호대학생의 취업불안에 미치는 영향 (Influencing Factors the Knowledge and Fear of COVID-19 on Job-Seeking Anxiety of Nursing Students)

  • 이소영;윤소원;박지수;이지영;김나희;문세연;김남영
    • 한국응용과학기술학회지
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    • 제39권3호
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    • pp.407-416
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    • 2022
  • 본 연구는 코로나바이러스 감염증-19(이하 코로나19) 팬데믹 상황에서 간호대학생의 취업불안에 코로나19에 대한 지식과 두려움이 어떠한 영향을 주는지 확인하기 위해 시도되었다. 본 연구대상자는 간호대학에 재학 중인 1학년에서 4학년까지 157명이었으며, 자료수집은 2021년 12월 9일부터 2022년 2월 21일까지 연구에 동의한 간호대학생을 대상으로 시행하였다. 수집된 자료의 일반적 특성에 따른 취업불안 정도의 차이는 Independent t-test, One-way ANOVA로 분석하였고, 변수 간의 상관관계는 Pearson correlation coefficient로, 간호대학생의 취업불안에 영향을 미치는 요인은 단계적 다중회귀 방법을 사용하여 통계적으로 분석하였다. 본 연구결과, 연구대상자들의 취업불안은 코로나19에 대한 두려움(r=.386, p<.001)과 유의한 상관관계가 있었으며, 간호대학생의 취업불안을 예측할 수 있는 주요한 요인은 코로나19에 대한 두려움과 대학 생활 만족도였다. 이상의 결과를 볼 때 코로나19에 의한 간호대학생의 취업불안을 줄이기 위해서 취업을 준비하는 학생들에게 두려움을 줄이고 긍정적 정서를 향상할 수 있는 다양한 프로그램을 마련할 필요가 있다.

Advances in pediatric dentistry: new approaches to pain control and anxiety reduction in children - a narrative review

  • Ravi Vijaya Remi;Athimuthu Anantharaj;Prasanna Praveen;Rani Shankarappa Prathibha;Ramakrishna Sudhir
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권6호
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    • pp.303-315
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    • 2023
  • Painless treatment determines the quality of pediatric dental care. Although local anesthesia has been used to manage pain in dentistry, children often cite traditional aspirating syringes as a symbol of fear and pain. Adequate pain control during dental procedures may help alleviate fear and anxiety and instill positive oral health attitudes in children. Newer approaches such as intranasal spray, centbucridine, jet injectors, buzzy devices, and acupressure have been developed to help dentists provide near-painless injections while reducing dental anxiety. This review aims to summarize newer approaches to alleviate pain and anxiety in children.

국내 치과공포 관련 요인에 대한 설명적 문헌고찰(2004-2012) (Descriptive literature review on dental fear in Korea(2004-2012))

  • 전보혜
    • 한국치위생학회지
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    • 제14권2호
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    • pp.251-259
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    • 2014
  • Objectives : The purpose of the study was to investigate the overall research trend and change in dental fear during 9 years(2004-2012) and to identify the major outcomes and future directions to research. Methods : Descriptive literature review was conducted for dental fear in Korea. The research setting should be elementary, middle, high schools and adults. Results : In this study, the literature review of the most used tools to measure fear was that DFS. The most commonly used instrument was Dental Fear Survey(DFS) in the literature review. The number of dacayed tooth was proportional to subjective fear and anxiety. The indirect experience of dental pain was heard from family and friends. So the fear caused the patients to have negative bias toward dental treatment. The negative reliability towards the dentist increased the dental fear to the patients. Conclusions : Through the literature review, dental hygienists are able to understand the dental fear of the patients.

롤로 메이의 실존주의 심리치료의 철학적 기초 - 키에르케고어의 불안개념과 연관하여 - (A Study on the philosophical foundation of Rollo May's existential psychotherapy - in connection with Kierkegaard's concept of anxiety -)

  • 오신택
    • 철학연구
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    • 제130권
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    • pp.135-159
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    • 2014
  • 이 논문의 목적은 롤로 메이의 실존주의 심리치료가 키에르케고어의 불안개념에 철학적 기초를 두고 있음을 밝히는 것이다. 메이는 자신의 실존주의 심리치료를 정립하는 데 키에르케고어의 불안개념을 사용한다. 키에르케고어의 불안개념과 달리 프로이트의 불안개념은 지나치게 기술적이라고 메이는 비판한다. 억압의 원인이 불안이라는 후기 프로이트 이론은 억압을 야기하는 인간관계의 중요성을 간과한다는 것이다. 주체가 타인과의 관계에 부여하는 가치의 중요성이 주체에게 생성되는 불안의 강도에 결정적이라는 것이다. 메이는 공포와 불안을 구별하는 데서 대상성의 유무를 들고 있다. 이는 키에르케고어나 프로이트에게도 공통적인데 대상이 있는 것은 공포이고 그렇지 않은 것은 불안이다. 메이는 불안을 존재론적으로 해석한다. 무/비존재에 대한 키에르케고어의 언급을 발전시켜서 불안은 비존재에 대항하여 자신을 긍정하는 존재의 경험이라고 주장한다. 메이는 키에르케고어의 자유를 가능성, 잠재성과 유사한 의미로 해석한다. 인간이 잠재성을 성취하는 문제에 직면할 때의 상황이 불안이라는 것이다. 키에르케고어에게 자유는 불안과 관련되면서 동시에 죄와도 관련된다. 메이는 이를 계승하여 죄의식과 불안을 동전의 양면으로 취급한다. 그는 죄의식을 어떤 병적인 것이 아니라 인간의 가능성의 증거로 본다. 키에르케고어는 :불안의 개념"의 부제를 '원죄라는 교의학적 문제에 관한 심리학적 관점에서의 단순한 연구'라고 적고 있다. 그가 불안과 죄의 관계를 분리할 수 없는 문제로 보았음을 드러낸다. 이러한 연구를 통해 메이의 실존주의 심리치료에서 가장 중요한 불안개념은 키에르케고어에게서 연유함을 명확히 하고자 하였다.

불안의 생물학적 근원 (The Neurobiology of Anxiety)

  • 석정호;김세주;김찬형
    • 대한불안의학회지
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    • 제1권1호
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    • pp.7-13
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    • 2005
  • Anxiety is one of the basic emotions which human experiences across different cultures in the world and it can be observed in mammals. Our understanding of the neurobiology of this emotion has made some advances, even though it has not been completed, with the development and advance in the investigation method including neuroimaging, neurochemical, and genetic approaches. In this article, the neuroanatomical and neurochemical basis of anxiety is reviewed. The amygdaloid complex has been known to playa key role in processing of anxiety or fear. It has extensive afferent and/or efferent connections with cortical and subcortical structures. The mesial temporal structures including hippocampus appear to be involved in acquisition of anxiety and related behaviors. The prefrontal cortical structures appear to play important roles in conscious awareness of anxiety and in modulating anxiety and related behavior. The bed nucleus of the stria terminalis (BNST) is known to playa critical role in unconditioned fear response. The central noradrenergic system and hypothalamo-pituitary-adrenal axis are known to play important roles in modulating and expressing anxiety-related responses. Anxiety has been gathering attentions from many investigators and numerous preclinical and clinical investigations of anxiety and anxiety disorders have been done. In particular, neural plasticity in critical period and the psychobiological factors related to resilience to extreme stress and anxiety are important issues in this field.

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