• 제목/요약/키워드: Mental Distress

검색결과 106건 처리시간 0.02초

Sexual Intercourse and Its Correlates Among School-aged Adolescents in Indonesia: Analysis of the 2015 Global School-based Health Survey

  • Rizkianti, Anissa;Maisya, Iram Barida;Kusumawardani, Nunik;Linhart, Christine;Pardosi, Jerico Franciscus
    • Journal of Preventive Medicine and Public Health
    • /
    • 제53권5호
    • /
    • pp.323-331
    • /
    • 2020
  • Objectives: This study aimed to determine the prevalence and correlates of sexual intercourse among junior secondary and high school students in Indonesia from the 2015 Global School-based Health Survey (GSHS). Methods: The survey was conducted among 11 110 students from 75 schools in Indonesia using a self-administered questionnaire. Univariate and multivariate analyses were conducted to explore associations between sexual intercourse and socio-demographic variables, substance use, mental distress, and protective factors. Results: Overall, 5.3% of students reported having ever had sex (6.9% of boys and 3.8% of girls). Of students who engaged in sexual intercourse, 72.7% of boys and 90.3% of girls had an early sexual debut (before reaching the age of 15) and around 60% had multiple sex partners. Sexual intercourse was associated with gender, school grade, smoking, alcohol consumption, drug use, suicidal ideation, truancy, peer support, and parental supervision. Conclusions: These findings indicate a pressing need to develop more comprehensive sexual health education in the national curriculum. An effective strategy should also address other risky behaviours.

일부 보건계열 대학생들의 구강건강관련 삶의 질에 영향을 미치는 요인 (Factors influencing oral health-related quality of life in health allied college students)

  • 박희정;이준협
    • 한국학교ㆍ지역보건교육학회지
    • /
    • 제14권3호
    • /
    • pp.1-14
    • /
    • 2013
  • Objectives: The purpose of this study was to investigate the possible impact factors(oral health level, oral health promotion behaviors, health level, health behaviors, and mental health) on oral health related quality of life using OHIP-14 of health allied college students. Methods: A total of 363 self-administered questionnaires were collected from university student in Seoul. To investigate the casual relationship between each variable presented in the research model, descriptive statistics, t-test, one-way ANOVA(Scheffe's test), man-whitney, kruskal wallis, multiple regression analysis were carried out by using SPSS ver. 21.0 Results: The study shows that the students reported mean score of OHIP-14 ($8.32{\pm}7.51$), of which physical pain was the highest score($1.88{\pm}1.45$) and social disability was the lowest score($0.69{\pm}1.13$). Multiple regression revealed that the score of OHIP-14 was shown to be significantly higher for the following people: who were get more self-reported symptom of periodontitis, halitosis, negative self-perceived general health and oral health, no received dental scaling treatment, and participants who had no experience awareness of distress in two weeks. The explanatory power was 18.2%. The most powerful factor regarding to self-reported symptom of periodontitis was shown to be negatively relations oral health-related quality of life. Conclusions: In order to enhance the students' life quality, there need to be considered for a comprehensive oral health-related quality of life program for the students through health education policy.

  • PDF

BQ-788 (ENDOTHELIN-B RECEPTOR ANTAGONIST) BLOCKS KERATINOCYTE-INDUCED DENDRICITY 01 CULTURED IHELANOCYTES

  • Cho, Joon-Hwan;Lee, Ki-Moo;Kim, Nam-Soo;Seonghyang Sohn;Kang, Won-Hyoung
    • 대한화장품학회지
    • /
    • 제24권3호
    • /
    • pp.134-145
    • /
    • 1998
  • Facial hyperpigmentation in women, which is considered to be a serious cosmetic disability and a cause of mental distress, requires proper management. Melanocyte dendricity is a crucial factor affecting epidermal pigmentation. We found that BQ-788, the endothelin-B (ETB) receptor antagonist, blocks the formation of multi-dendricity which is induced by cocultured keratinocytes. Melanocytes in vivo show numerous dendrites which are in close contact with multiple keratinocytes, forming the epidermal-melanin unit. While melanocytes transfer their melanosomes into the neighboring keratinocytes via dendrites, keratinocytes secrete many growth factors and cytokines that influence viability, morphology, and melanin formation of melanocytes. Endothelin-1 (ET-1), prostaglandin E2(PGE2), and leukotriene-C4 (LT-C4) have been suggested as the candidates for increasing dendricity. Other reports suggested that ET-1 has stimulatory effects on proliferation and melanin formation of melanocytes in vitro. In the present study, using type-specific ET receptor antagonists, we observed how the morphology of melanocytes could be modulated in a coculture system. In addition, the roles of ET-1 for morphology and proliferation on melanocytes were evaluated in different culture media. We suggest that ET-1 increases dendricity and proliferation of melanocytes, and that its dendrite-inducing effect and mitogenic effect are regulated independently.

  • PDF

Glyphosate 음독의 임상양상 (Atypical Clinical Course of after Glyphosate Herbicide Intoxication)

  • 김용원;김현;차경철;신형진;차용성;이강현;황성오
    • 대한임상독성학회지
    • /
    • 제9권1호
    • /
    • pp.8-13
    • /
    • 2011
  • Purpose: Although glyphosate-surfactant herbicide intoxication is relatively mild toxic in humans, we encountered an atypical clinical presentation. We performed this study to understand the atypical clinical course and factors associated with severe intoxication after glyphosate ingestion. Methods: We conducted a retrospective study of 61 patients (male 43, mean age $54{\pm}18.8$ years) who were presented with glyphosate ingestion between March 1997 and March 2011. The severe intoxication group was defined as patients with systolic blood pressure less than 90 mmHg, respiratory distress needing intubation, or altered mental state. Results: Of the 61 patients, 22 patients (36.1%) had a severe clinical course, 1 patient (1.6%) had died and 1 patient (1.6%) had moribund discharge. The most common symptoms were nausea with or without vomiting which occurred in 30 patients (49.2%). Twenty-seven patients had metabolic acidosis that was the second most common medical complication. Advanced age, pH, base excess, $HCO_3$, Sat, creatinine, X-ray abnormalities and ECG abnormalities were significant factors. Hemoglobin, platelet, $pO_2$, $pCO_2$, BUN, sodium, potassium and AST levels were not different comparing the laboratory characteristics between the severe and mild intoxication groups. Conclusion: The results of this study showed that severe intoxication occurred in 22 patients (36.1%) after glyphosate intoxication. Advanced age, pH, base excess, $HCO_3$, Sat, creatinine, X-ray abnormality and ECG abnormalities were significant predictive factors for severe intoxication in patients with glyphosate surfactant herbicide poisoning.

  • PDF

여대생의 월경전증후군과 월경에 대한 태도에 관한 연구 (A Study on Premenstrual syndrome and Menstrual Attitude)

  • 박경은;이성은
    • 여성건강간호학회지
    • /
    • 제7권3호
    • /
    • pp.359-372
    • /
    • 2001
  • The study was intended to investigate the bothersome level of premenstrual symptoms, their pattern and to examine the relationships between menstrual attitude and the premenstrual symptoms. Two hundred sixty eight female students were recruited from a college located in Kyungido from March 1, 2001 to July 1, 2001. A general characteristics questionnaires, the premenstrual assessment form(PAF) and the menstrual distress questionnaire(MDQ) were used to measure the bothersome level of the premenstrual symptoms and the menstrual attitude. The data were analyzed by SPSS-PC+ program. The results of this study were as follows ; 1. All subject who were participated in the research reported more than one symptom in premenstrual period and the mean score of total categories in PAF was low(1.89). The subject had more symptoms of fatigue, abdominal bloating and discomfort, backache and muscle stiffness and among the 21 categories fatigue feature, hysteroid feature, water retention feature and miscellaneous mood/behavior change feature were prevalent. On the other hand organic mental feature and increased well-being feature were rare that premenstrual symptom has negative aspect than positive. 2. Degree of discomfort in premenstrual symptom was related with dysmenorrhea but other general characteristics. 3. In Menstruation attitude, the student in college recognized menstruation as natural but bothersome and causes negatives effects on body and emotion. 4. There were significant correlation(r=.395, p<0.000) between premenstrual symptom and level of Menstrual attitude. 5. Menstrual attitude explained 15.3% variance of PMS and five categories of menstrual attitude, especially factor 1(menstruation is a phenomena that weakens women physically and psychologically) was most highly correlated with PMS and explained 21.1% variance of PMS.

  • PDF

응급구조원, 지하철 승무원, 아동보호전문기관 사회복지사의 대리 외상과 외상 후 성장 (Vicarious Trauma and Posttraumatic Growth in Emergency Workers, Subway Operators, and Child Protective Service Workers)

  • 이영선;이소래;주성아;고영빈;김예진;한인영
    • 사회복지연구
    • /
    • 제43권1호
    • /
    • pp.249-273
    • /
    • 2012
  • 본 연구는 응급구조원, 사상 사고를 경험한 지하철승무원, 아동보호전문기관 사회복지사를 대상으로 직종, 심리적 고통, 대리 외상, 일반적 특성에 따른 외상 후 성장을 비교 분석한 연구이다. 분석 결과 첫째, 대리 외상은 세 집단 모두 위험 수준으로 높게 나타났고 특히 지하철승무원의 대리 외상이 높았으며, 외상 후 성장은 사회복지사가 가장 높고 지하철승무원이 가장 낮았다. 둘째, 대리 외상과 외상 후 성장은 상관관계가 유의한 것으로 나타났으며 특히 침습과 회피의 하위항목이 외상 후 성장과 상관관계가 높았다. 셋째, 외상 후 성장에 영향을 미치는 요인은 직종, 침습, 회피, 종교, 성별의 순서로 크게 나타났다. 본 연구에서는 이 결과를 바탕으로 대리 외상 위험 직종에 대한 정신건강서비스 제공과 외상 후 성장의 치료적 적용을 제언하였다.

Dysfunctional Social Reinforcement Processing in Disruptive Behavior Disorders: An Functional Magnetic Resonance Imaging Study

  • Hwang, Soonjo;Meffert, Harma;VanTieghem, Michelle R.;Sinclair, Stephen;Bookheimer, Susan Y.;Vaughan, Brigette;Blair, R.J.R.
    • Clinical Psychopharmacology and Neuroscience
    • /
    • 제16권4호
    • /
    • pp.449-460
    • /
    • 2018
  • Objective: Prior functional magnetic resonance imaging (fMRI) work has revealed that children/adolescents with disruptive behavior disorders (DBDs) show dysfunctional reward/non-reward processing of non-social reinforcements in the context of instrumental learning tasks. Neural responsiveness to social reinforcements during instrumental learning, despite the importance of this for socialization, has not yet been previously investigated. Methods: Twenty-nine healthy children/adolescents and 19 children/adolescents with DBDs performed the fMRI social/non-social reinforcement learning task. Participants responded to random fractal image stimuli and received social and non-social rewards/non-rewards according to their accuracy. Results: Children/adolescents with DBDs showed significantly reduced responses within the caudate and posterior cingulate cortex (PCC) to non-social (financial) rewards and social non-rewards (the distress of others). Connectivity analyses revealed that children/adolescents with DBDs have decreased positive functional connectivity between the ventral striatum (VST) and the ventromedial prefrontal cortex (vmPFC) seeds and the lateral frontal cortex in response to reward relative to non-reward, irrespective of its sociality. In addition, they showed decreased positive connectivity between the vmPFC seed and the amygdala in response to non-reward relative to reward. Conclusion: These data indicate compromised reinforcement processing of both non-social rewards and social non-rewards in children/adolescents with DBDs within core regions for instrumental learning and reinforcement-based decision-making (caudate and PCC). In addition, children/adolescents with DBDs show dysfunctional interactions between the VST, vmPFC, and lateral frontal cortex in response to rewarded instrumental actions potentially reflecting disruptions in attention to rewarded stimuli.

30-40대 여성의 미병상태에 따른 월경양상 비교연구 (A Study on comparison of menstrual pattern according to Mibyeong Index of Korean women in their thirties and forties)

  • 박민영;오현주;황민우
    • 대한예방한의학회지
    • /
    • 제23권1호
    • /
    • pp.61-72
    • /
    • 2019
  • Introduction : The aim of this study was to investigate menstrual pattern according to Mibyeong Index(MBI) and compare Mibyeong symptom score according to severity of menstrual pain. Mibyeong Index was designed to measure inconvenience and resilience of subject's complains including four physical symptoms(fatigue, pain, low sleep quality, indigestion) and mental distress including anxiety, anger, depression. Method : We used the clinical data of Korean medicine Date Center(KDC) for subjects who participated in the study of 'Clinical research for collecting of clinical cases based on the personal type of Mibyeng' conducted in Seoul, from June 26, 2015 to June 26, 2017. A total of 566 fertile women aged 30 to 50 who completed the questionnaires were included in this study. In this study, we used items of Mibyeong Index and the menstrual pattern by self-report questionnaires. The date were analyzed through Kruskal Wallis test, Pearson's chi-square test, and one-way ANOVA using SPSS statistics 19.0. Results : Mibyeong status was significantly associated with severity of menstrual pain(p<0.001), worst day of menstrual pain(p<0.05), and type of menstrual pain(low back pain, nausea, depression, and none (respectively, p<0.05)). In addition, The 7-subtype score (fatigue (p<0.001), pain(p<0.001), low sleep quality(p<0.001), indigestion(p<0.001), anxiety(p<0.05), anger(p<0.05) and depression(p<0.05)) of Mibyeong index and total score of Mibyeong Index (p<0.001) showed significant difference for severity of menstrual pain. Conclusion : This result indicates that a close relationship between Mibyeong status and severity of menstrual pain. Further studies are needed but, we hope that this results will be used as the basic data to improve mibyeong status through health care to alleviate dysmenorrhea.

COVID-19 유행 기간 동안 한국인의 우울한 기분과 부정적인 건강 행동 사이의 연관성 (Associations between depressed mood with negative health behaviors of Koreans during the COVID-19 pandemic)

  • 정수연;이지영;김희진
    • 한국융합학회논문지
    • /
    • 제13권4호
    • /
    • pp.79-88
    • /
    • 2022
  • 본 연구의 목적은 한국에서 COVID-19 유행 기간 동안 건강 행동 변화와 우울한 기분의 연관성을 평가하는 것이다. 한국 성인의 비례표본을 이용하여 인터넷 기반 단면 설문조사를 실시하였고, 로지스틱 회귀모형을 이용하여 연관성을 평가하였다. 그 결과, COVID-19 유행 기간 동안 앉거나 눕는 시간, 걷는 시간, 흡연 및 음주의 부정적인 변화는 우울한 기분으로의 변화와 관련이 있었다 [교차비(OR): 2.23(95% CI=1.77-2.81), 2.04(95% CI=1.63-2.56), 2.84(95% CI=1.51-5.36) 및 1.82(95% CI=1.26-2.63)]. COVID-19 유행기간 동안 긍정적인 건강 변화(활동 증가, 흡연 및 알코올 감소)를 증진시키기 위한 전략은 정신적 스트레스 경감에 도움이 될 수 있다.

Effects of Physical Environmental Design Attributes on Psychological Well-being of College Students in University Dormitory During the Covid-19 Pandemic Period

  • Saba Sadeghpour, Faraj;Wonpil, Kim
    • Architectural research
    • /
    • 제24권4호
    • /
    • pp.105-111
    • /
    • 2022
  • During pandemic period, college students lost lots of such academic opportunities as extra-curriculum social activities, contact classes, and friendly socializing in university campus area, etc. Previous many studies have shown that physical environment has certain relevance on the well-being of human-beings. Recent public statistics on mental health had shown an increase in psychological distress and a decrease in college students and people's well-being during the lockdown in response to the Covid-19 pandemic. However, there were little evidence on what the college students in dormitory suffered from COVID-19 incident in relation with their physical environment. The purpose of this study is to investigate the relationship between environmental factors and psychological well-being of dormitory students in university campus. In order to explore the impact of physical environment on students' psychological well-being, survey instrumentation consisted of 25 indices were employed to measure the level of awareness to each index. A Chi-square analysis on individual characteristics of 200 students found that number of students living in single dwelling unit was statistically significant to maintain their psychological well-being, except for number of students living in each dwelling unit (χ2 =128.92, p= .004). Pearson correlation analysis also found that there exists statistically significant relationship between psychological well-being of students and environmental factors. Further, stepwise multiple regression analysis revealed that the most prime predictor for psychological well-being of students residing in dorm was "use of furniture" (β= .281), implying careful design, lay-out and easy-access to interior furniture by facility planner. The study also demonstrated that as the level of positive perception of physical environmental features rose, overall psychological well-being of students also responded positively at specified rate. Finally, the findings reinforce a solid evidence that carefully well-coordinated physical environments play an important role in maintaining emotional stability of college students in dorm even in pandemic period.