• Title/Summary/Keyword: Health Disorder

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Risk factors of alcohol use disorder in Korean adults based on the decision tree analysis (의사결정나무분석을 이용한 성인의 알코올사용장애 위험요인)

  • Mi Young Kwon;Ji In Kim
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.1
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    • pp.47-59
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    • 2023
  • Objectives: The aim of this study was to identify risk factors of alcohol use disorder among Korean adults. Methods: Cross-sectional exploratory study based on data collected from Data from the 6th Korea National Health and Nutrition Examination Survey in 2015 were performed in this study. There were 3,248 participants who were 2,558 normal drinkers while 690 had alcohol use disorder. Decision tree analysis were used to exam socio-demographic and health-related factors to predict alcohol use disorder. Results: As a result of decision tree analysis, the predictive model for factors related to alcohol use disorder in Korean adults presented with 8 pathways. The significant predictors of alcohol use disorder were age, gender, smoking, marital status, and house income. Male smokers whose household income is 'high' or 'low' are most vulnerable to alcohol use disorders. Conclusions: This study indicates that need to consider health behavior and house income when we practice prevention policies and health education of alcohol use disorder.

A Validation Study of the Abbreviated Self-Rated Korean Version of MINI (MINI Patient Health Survey) (한국판 단축된 자기보고형 MINI (MINI 정신건강 평가)의 타당도 연구)

  • Lim, Se-Won;Song, Han-Soo;Oh, Yun-Hee;Shin, Ho-Chul;Cho, Kwang-Hyun;Chung, Sang-Keun;Oh, Kang-Seob
    • Anxiety and mood
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    • v.3 no.1
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    • pp.32-40
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    • 2007
  • Objectives : To investigate the validity of an abbreviated self-rated Korean version of MINI (Mini International Neuropsychiatric Interview) patient health survey which screening social anxiety disorder, panic disorder, generalized anxiety disorder, and major depressive disorder. Methods : 115 subjects completed MINI and MINI patient health survey. The validity of MINI patient health survey was assessed by whether the results from MINI patient health survey were compatible with the results from MINI or not. The Cohen's kappa value, specificity, sensitivity, positive predictive value, and negative predictive value was calculated for this purpose. Results : The Kappa values of social anxiety disorder (0.60), panic disorder (0.49), generalized anxiety disorder (0.60) and major depressive disorder without other co-morbid disorder (0.59) were at least moderate in strength of agreement. Conclusion : The abbreviated self-rated Korean version of MINI patient health survey has the moderate to good validity in social anxiety disorder, panic disorder, generalized anxiety disorder, and major depressive disorder without other co-morbid disorders. Our result suggests that this instrument might be useful for screening above 4 disorders if it is used under careful supervision of experienced clinicians.

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Influences of Alcoholic Use Disorder, Family Cohesion and Self-esteem on Mental Health among University Students (대학생의 알코올 사용장애, 가족응집력, 자아존중감이 정신건강에 미치는 영향)

  • Lee, Young-Mee
    • Journal of the Korean Society of School Health
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    • v.24 no.2
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    • pp.155-163
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    • 2011
  • Purpose: The purpose of this study was to investigate the Influences of Alcoholic Use Disorder, Family cohesion and Self-esteem on Mental health among University Students. Methods: Data were collected through questionnaires from 468 students and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and Stepwise multiple regression analysis with SPSS/WIN 19.0 program. Results: As defined by alcoholic use disorder, the proportion of dependent group was 3.6%, disorder group was 16.9%, and genral group was 79.5%. The levels of alcoholic use disorder depended on gender and residence type. The levels of mental health depended on gender, family income and academic achievement. The mental health was significantly correlated with family cohesion and self-esteem. The influential factors affecting mental health were self-esteem, academic achievement, gender, which explained about 44.8% of the variance. Conclusion: The results of this study indicate that nursing intervention are needed to improve mental health and alcohol use disorder and that such variables should be carefully considered in intervention for university students.

Evaluation of the qualite of life related to oral health among elderly people in some elderly care facilities by OHIP-14 (OHIP-14를 이용한 일부 요양기관 노인들의 구강건강관련 삶의 질)

  • Jang, Sun-Hee;Choi, Mi-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.475-487
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    • 2011
  • Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.

Association of Mental Health Recovery to Internalized Stigma and Meaning in Life of Community-Dwelling People with Mental Disorder (재가 정신질환자의 내재화된 낙인, 삶의 의미와 정신건강회복과의 관계)

  • Kim, Ju Yeon;Jun, Won Hee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.2
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    • pp.189-198
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    • 2019
  • Purpose: The purpose of this study was to investigate the associations of mental health recovery to internalized stigma and meaning in life of community-dwelling people with mental disorder. Methods: Participants were 150 people with mental disorder who were enrolled at one of the community mental health institutions in D, S, and U cities, South Korea. Data analyses included a descriptive analysis, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS 25.0 software. Results: There were significant mean differences in mental health recovery according to education, religion, residential status, diagnosis, and day program use status of people with mental disorder living in the community. The significant predictors of mental health recovery included presence of meaning, stigma resistance, diagnosis (Major depressive disorder), and search for meaning. The regression model explained 58.7% of mental health recovery. Conclusion: Improving meaning in life and stigma resistance will increase the chances of mental health recovery among community- dwelling people with mental disorder.

Relationship between Comorbid Health Problems and Musculoskeletal Disorders Resulting in Musculoskeletal Complaints and Musculoskeletal Sickness Absence among Employees in Korea

  • Baek, Ji Hye;Kim, Young Sun;Yi, Kwan Hyung
    • Safety and Health at Work
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    • v.6 no.2
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    • pp.128-133
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    • 2015
  • Background: To investigate the relationship between musculoskeletal disorders and comorbid health problems, including depression/anxiety disorder, insomnia/sleep disorder, fatigue, and injury by accident, and to determine whether certain physical and psychological factors reduce comorbid health problems. Methods: In total, 29,711 employees were selected from respondents of the Third Korean Working Conditions Survey and categorized into two groups: Musculoskeletal Complaints or Musculoskeletal Sickness Absence. Four self-reported health indicators (overall fatigue, depression/anxiety, insomnia/sleep disorder, and injury by accident) were selected as outcomes, based on their high prevalence in Korea. We used multiple logistic regression analysis to determine the relationship between comorbid health problems, musculoskeletal complaints, and sickness absence. Results: The prevalence of musculoskeletal complaints and musculoskeletal sickness absence due to muscular pain was 32.26% and 0.59%, respectively. Compared to the reference group, depression/anxiety disorder and overall fatigue were 5.2-6.1 times more prevalent in the Musculoskeletal Complaints Group and insomnia/sleep disorder and injury by accident were 7.6-11.0 times more prevalent in the Sickness Absence Group. When adjusted for individual and work-related physical factors, prevalence of all four comorbid health problems were slightly decreased in both groups. Conclusion: Increases in overall fatigue and depression/anxiety disorder were observed in the Musculoskeletal Complaints Group, while increases in insomnia/sleep disorder and injury by accident were observed in the Sickness Absence Group. For management of musculoskeletal complaints and sickness absence in the workplace, differences in health problems between employees with musculoskeletal complaints and those with sickness absence as well as the physical and psychological risk factors should be considered.

Panic Disorder Intelligent Health System based on IoT and Context-aware

  • Huan, Meng;Kang, Yun-Jeong;Lee, Sang-won;Choi, Dong-Oun
    • International journal of advanced smart convergence
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    • v.10 no.2
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    • pp.21-30
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    • 2021
  • With the rapid development of artificial intelligence and big data, a lot of medical data is effectively used, and the diagnosis and analysis of diseases has entered the era of intelligence. With the increasing public health awareness, ordinary citizens have also put forward new demands for panic disorder health services. Specifically, people hope to predict the risk of panic disorder as soon as possible and grasp their own condition without leaving home. Against this backdrop, the smart health industry comes into being. In the Internet age, a lot of panic disorder health data has been accumulated, such as diagnostic records, medical record information and electronic files. At the same time, various health monitoring devices emerge one after another, enabling the collection and storage of personal daily health information at any time. How to use the above data to provide people with convenient panic disorder self-assessment services and reduce the incidence of panic disorder in China has become an urgent problem to be solved. In order to solve this problem, this research applies the context awareness to the automatic diagnosis of human diseases. While helping patients find diseases early and get treatment timely, it can effectively assist doctors in making correct diagnosis of diseases and reduce the probability of misdiagnosis and missed diagnosis.

Comparisons of HRV Parameters Among Anxiety Disorder, Depressive Disorder and Trauma·Stressor Related Disorder (불안장애, 우울장애, 외상 및 스트레스 관련 장애의 심박변이지표 비교 연구)

  • Kim, Ji-eun;Park, Do-won;Han, Ji-yeon;Lee, Jung Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.81-88
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    • 2020
  • Objectives : This study aimed to compare autonomic nervous system (ANS) dysregulation and differential relationships with clinical severities between anxiety disorder, depressive disorder, and trauma·stressor related disorder using heart rate variability (HRV) parameters. Methods : We conducted a retrospective chart review of outpatients from 2017 to 2018 in Stress Clinic of National Center for Mental Health. Total 473 patients were included; 166 anxiety disorder; 184 depressive disorder ; 123 trauma·stressor related disorder. Parameters of 5-min analysis of HRV were compared in three groups. Additionally, we investigated the differential association of each parameters with Clinical Global Impression-Severity Scale (CGI-S) across each group. Results : No significant differences were found in all HRV parameters between the three groups. However, significant group interactions by CGI-S were found in standard deviation of all RR intervals (SDNN) and the square root of the mean squared differences of successive normal-to-normal intervals (RMSSD) (SDNN, p=0.017 ; RMSSD, p=0.034). A negative relationship between CGI-S and SDNN, RMSSD has been found in anxiety disorder and depressive disorder. However, a positive relationship between CGI-S and SDNN, RMSSD has been found in trauma·stressor related disorder. Conclusions : Despite of no significant differences of each HRV parameter, our findings suggested the differential associations of HRV parameters with clinical severity among anxiety disorder, depressive disorder and trauma·stressor related disorder. In trauma·stressor related disorder, the clinical severity and degree of ANS dysregulation may differ, so more aggressive treatment is suggested.

An Analysis of Studies on Workers' Musculoskeletal Disorder (근로자의 근골격계 장애에 대한 국내논문분석)

  • Kim, Souk-Young;Yoon, Soon-Nyung;Kim, Hee-Jeong
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.1
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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.

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Beliefs about Tic Disorders and Tourette's Syndrome in South Korea: An Online Panel Survey

  • Lee, Minji;Park, Subin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.3
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    • pp.109-115
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    • 2019
  • Objectives: This study investigates lay beliefs about the etiology and treatments of tic disorder and Tourette's syndrome, as well as identifying sociodemographic and personality variables affecting these beliefs among South Koreans. Methods: In total, 673 participants (mean age $41.77{\pm}12.03$ years) completed an online survey regarding their beliefs about tic disorder and Tourette's syndrome. The factors related to their lay beliefs about the disorders were analyzed, and the correlates were investigated. Results: Results indicated that lay people in South Korea held strong beliefs that the causes of tic disorder and Tourette's syndrome lie within the parenting/psychological and neurological/biological categories, compared to the dietary/environmental one. Among the sociodemographic variables, sex, age, and levels of subjective mental health knowledge were primarily associated with the aforementioned beliefs. Familiarity with tic disorder and Tourette's syndrome was also associated with these beliefs. Among the personality traits investigated, extraversion and conscientiousness had significant influences on the beliefs people had about tic disorder and Tourette's syndrome. Conclusion: The results suggest that both policy makers and mental health service providers should adopt a strategic approach for developing and implementing health education interventions about tic disorder and Tourette's syndrome because individual sociodemographic variables, familiarity with the disorders, and personality traits are all associated with the beliefs about these disorders.