• Title/Summary/Keyword: Fear and anxiety

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

  • Jun, Bo-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.2
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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.

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

  • Oh, Shin-taek
    • Journal of Korean Philosophical Society
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    • v.130
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    • pp.135-159
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    • 2014
  • This article has the purpose of clarifying that Rollo May's existential psychotherapy is based on Kierkegaard's concept of anxiety in philosophical aspects. May makes use of Kierkegaard's concept of anxiety to establish his own existential psychotherapy. May points out that Freud's concept of anxiety is too technical in comparison with Kierkegaard's concept of anxiety. Freudian theory accepting anxiety as the cause of repression overlooks the importance of human relationship which brings about repression. May mentions the presence or absence of object to distinguish fear and anxiety. Kierkegaard and Freud also mention that the presence of object is called fear and the absence of object is anxiety. May interprets anxiety ontologically. Succeeding Kierkegaard's comment on nothing/non-being, May insists that anxiety is the experience of Being affirming itself against Nonbeing. May interprets Kierkegaard's concept of freedom as the possibility or potentiality in terms of similar meaning. May argues that Anxiety is the situation when faced with the problem which human being will achieve his potentiality. Kierkegaard's concept of freedom is also associated with sin at the same time as the freedom associated with anxiety. Succeeding this, May discusses the relation of guilt feeling and anxiety is the flipside of the coin. He understands that guilt feeling is not a pathological symptom but an evidence of the human being's possibility. Kierkegaard's The Concept of Anxiety has a sub-title which is 'a simple psychologically orienting deliberation on the dogmatic issue of hereditary sin'. This shows that he understood the relationship between anxiety and guilt as dilemma that can not be separated. Through this study, I want to clarify that May's concept of anxiety which is the most important concept in his existential psychotherapy, is derived from Kierkegaard's concept of anxiety.

Factors Affecting Social Interaction Anxiety of Nursing Students (간호대학생의 사회적 상호작용 불안에 영향을 미치는 요인)

  • Kim, Kyoung-Nam
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.417-424
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    • 2020
  • There is increasing tension and anxiety about being evaluated by others such as anxiety, which is felt when others' evaluation is expected or actual, and this is called social interaction anxiety. The purpose of this study was to develop a nursing intervention program that can reduce social interaction anxiety among nursing college students by analyzing factors affecting social interaction anxiety in nursing college students. The subjects of this study were four nursing college students in B city and C city. The survey data were analyzed using frequencies, percentages, means, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with the SPSS WIN 21.0 program. The results of this study show that social interaction anxiety was positively correlated with fear of negative evaluation (r=.67, p<.001), fear of positive evaluation (r=.56, p<.001), and intolerance of uncertainty (r=.44, p<.001). Factors affecting ambivalence over emotional expressiveness in terms of social interaction anxiety was interpersonal relationship (β=.19, p<.001), fear of negative evaluation (β=.43, p<.001), and fear of positive evaluation (β=.34, p<.001). The explanatory power of these variables was 58.1%. Therefore, it is thought that nursing college students need to provide a support system to maintain good interpersonal relationships, to reduce sensitivity to positive and negative evaluation, and to accept and positively evaluate their own ability.

The Neurobiology of Anxiety (불안의 생물학적 근원)

  • Seok Jeong-Ho;Kim Se-Joo;Kim Chan-Hyung
    • Anxiety and mood
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    • v.1 no.1
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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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The Influence of Elderly Contact, Attitudes Toward Elderly and Death Anxiety on Aging Anxiety of College Students (노인접촉, 노인에 대한 태도 및 죽음불안이 대학생의 노화불안에 미치는 영향)

  • Min Hee Kim
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.435-456
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    • 2013
  • This study examined the factors influencing aging anxiety among college students. 336 college students from universities in Seoul and Gyeonggi-Do were participated in the survey. Regression analyses confirmed that variables influencing 4 dimensions of aging anxiety are different. Quality of contact and attitude toward elderly predicted 'Fear of Old People' dimension. As for 'Psychological Concerns', death anxiety, attitude toward elderly and Quality of contact were influencing factors. Death anxiety, Quality of contact and sex was significant factors predicting. 'Physical/Appearance anxiety'. As for Fear of Losses, Death anxiety and attitude toward elderly affect. On the whole college students' aging anxiety tended to increase as having lower death anxiety, positive quality of contact, positive attitude towards elderly. And female has higher Physical/ Appearance anxiety than male. whereas results have not found a correlation between either knowledge of aging and frequency of contact with aging anxiety. Discussion focuses on the importance of the findings, limitations and future directions.

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Factors Affecting Fear of Dementia of Aged in the Community (지역사회 거주 노인의 치매두려움에 미치는 영향 요인)

  • Kim, Min Suk;Kim, Jeong Sun
    • 한국노년학
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    • v.40 no.1
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    • pp.179-196
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    • 2020
  • The purpose of this study was to identify the factors impacting fear of dementia, targeting the aged in the community. The study targeted 258 seniors aged 65 or older attending the senior college or using the senior citizen community center in areas of Jeollannam-do. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and a stepwise multiple linear regression. Fear of dementia of the aged showed significant positive correlations with dementia anxiety, and aged anxiety. dementia anxiety, aged anxiety, dementia experience, use of a hearing aid, religion, level of dementia interest were significant predictors influencing fear of dementia of aged in the community, and these variables accounted for 37.2% of the variance. Therefore, this study suggests that in order to p revent fear of dementia of aged people in the primary health care setting, it is necessary to have a nurse's assessment on the factors affecting dementia as well as a multi-faceted education strategy for proper recognition of dementia.

Influence of the Senior Simulation Program on Aging Anxiety in Nursing Students (간호대학생이 경험한 노인유사체험이 노화불안에 미치는 영향)

  • Jeong, Hye-Sun;Han, Jong-Sook;Kim, Jung-Hee
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.832-843
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    • 2011
  • This quasi-experimental study examined the effect of the a senior simulation program and following group discussion on the anxiety about aging. The senior simulation program did not raise the level of four factors of the anxiety about aging. The item of fear of losing friends when becoming old was the only significant one with increased level of anxiety. Discussion session for sharing the simulation experience revealed a positive effect of decreasing anxiety level in the factor score of fear of old people, the item of liking getting together with elders, and the item of liking to do something for elders. With the help of information technology.

Minimal sedation using oral sedatives for multi-visit dental treatment in an adult patient with dental phobia

  • Song, Seung-Rye;You, Tae Min
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.4
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    • pp.369-376
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    • 2021
  • In adult patients with dental phobia, dental treatment may be difficult, or may not be possible. Depending on the level of fear or anxiety, non-pharmacological or pharmacological behavior management techniques are used in the dental treatment of such patients. Among the pharmacological behavior management techniques, minimal sedation, that is, the lowest depth of sedation, can be easily obtained in adult patients using oral sedatives, does not require special equipment or tools, and does not affect ventilatory and cardiovascular function. Diazepam is an anxiolytic drug belonging to the benzodiazepine family that, in addition to relieving anxiety, produces muscle relaxation, and is a representative drug used in adult patients with fear of dental treatment. Herein, we report the case of a 50-year-old woman with severe dental fear who successfully underwent long-term dental treatment in approximately 20 visits with minimal sedation using oral diazepam. In addition, we reviewed the considerations for the use of benzodiazepines for minimal sedation.

Tetramethylpyrazine reverses anxiety-like behaviors in a rat model of post-traumatic stress disorder

  • Lee, Bombi;Shim, Insop;Lee, Hyejung;Hahm, Dae-Hyun
    • The Korean Journal of Physiology and Pharmacology
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    • v.22 no.5
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    • pp.525-538
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    • 2018
  • Post-traumatic stress disorder (PTSD) is a trauma-induced psychiatric disorder characterized by impaired fear extermination, hyperarousal, and anxiety that may involve the release of monoamines in the fear circuit. The reported pharmacological properties of tetramethylpyrazine (TMP) include anti-cancer, anti-diabetic, anti-atherosclerotic, and neuropsychiatric activities. However, the anxiolytic-like effects of TMP and its mechanism of action in PTSD are unclear. This study measured several anxiety-related behavioral responses to examine the effects of TMP on symptoms of anxiety in rats after single prolonged stress (SPS) exposure by reversing the serotonin (5-HT) and hypothalamic-pituitary-adrenal (HPA) axis dysfunction. Rats were given TMP (10, 20, or 40 mg/kg, i.p.) for 14 days after SPS exposure. Administration of TMP significantly reduced grooming behavior, increased the time spent and number of visits to the open arm in the elevated plus maze test, and significantly increased the number of central zone crossings in the open field test. TMP administration significantly reduced the freezing response to contextual fear conditioning and significantly restored the neurochemical abnormalities and the SPS-induced decrease in 5-HT tissue levels in the prefrontal cortex and hippocampus. The increased 5-HT concentration during TMP treatment might be partially attribute to the tryptophan and 5-hydroxyindoleacetic acid mRNA level expression in the hippocampus of rats with PTSD. These findings support a role for reducing the altered serotonergic transmission in rats with PTSD. TMP simultaneously attenuated the HPA axis dysfunction. Therefore, TMP may be useful for developing an agent for treating psychiatric disorders, such those observed in patients with PTSD.

Evaluation of the Usefulness of Refraction Glasses to Reduce Claustrophobia During Magnetic Resonance Imaging (자기공명영상검사 시 폐쇄공포증 완화를 위한 굴절안경의 유용성 평가)

  • Jeon, Byeong-cheon;Jeong, Seong-Hun;Lee, Sang-hyeon;Son, Ji-hye
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.421-426
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    • 2018
  • Unlike the traditional Radiological examinations, Magnetic Resonance Imaging (MRI) does not cause any harm and high levels of Radiation to the human body. Furthermore, MRI is widely used owing to its ability to adapt to different situations. However, the MRI equipment creates noises from its mechanical parts, and its magnetic bore structure can cause anxiety and claustrophobia in patients. To relieve claustrophobia, commercial refraction glasses were provided to the participants in this study, and the changes in anxiety and claustrophobia were measured. The participants were 30 volunteers with claustrophobia. To measure anxiety, the participants were asked to answer a Visual Analogue Scale (VAS) questionnaire. The physical markers of discomfort included perspiration on the forehead or hands (46.7%), mild frowning (30.3%), and leg shaking (40.1%). The subjective markers of discomfort included dizziness (2.85% in the men and 1.75% in the women). Although fear and anxiety levels were observed to be higher in the men, the difference was not significant. Hence, it was determined that both men and women felt discomfort (p >0.5). The fear coefficient was observed to decrease from 7.67 prior to wearing refraction glasses to 2.42 after wearing refraction glasses (p<0.000). In addition, use of refraction glass decreased MRI aversion from 1.97 to 1.03 (p<0.000). It can be inferred that refraction glasses are beneficial to patients undergoing MRI.