• Title/Summary/Keyword: Mental Health Improvement

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Korean Medical Study on Male Infertility - Focusing on Cause, Reproductive Health Improvement, Sexual Tips to Improve Pregnancy Success Rate and Major Formulas - (남성 난임에 대한 한의학적 연구 - 원인, 생식 건강 증진법, 임신 성공률 제고를 위한 성생활법 및 대표처방을 중심으로 -)

  • Kim Yeon-Tae
    • Journal of Korean Medical classics
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    • v.36 no.4
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    • pp.55-67
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    • 2023
  • Objectives : Contents on causes of male infertility, reproductive health improvement, sexual tips were studied in classical texts of Korean Medicine, followed by representative formulas for male infertility treatment. Methods : Related texts from the Qiusimen chapters of the Yixuerumen, Yixuexinwu, Donguibogam, Nukejinglun, Jiaozhufurenliangfang, Jiyingandmu were collected, and their medical meaning discussed. Results : As immoderate libido and excessive mental consumption leads to sexual dysfunction causing male infertility, 'moderating sexual desire and accumulating Jing' should be the principle for improving reproductive health. Also, sufficient foreplay is recommended. In terms of formula, the Wuziyanzongwan with sufficient therapeutic evidence in both classical texts and contemporary Korean Medicine can be applied in cases of male infertility. Conclusions : Excessive sensual stimulation and immoderate sexual desire consumes the mind and results in decline in male reproductive health. While moderating sexual desire and accumulating Jing through controlling desire, not overworking, moderating anger, drinking in moderation, balanced eating should be the principle for improving reproductive health, having sexual intercourse 2~3 times per week rather than long-term abstinence is recommended. To improve the success rate in pregnancy, sufficient foreplay and time should be done and taken for intercourse. Wuziyanzongwan should be taken for at least three months or longer.

Retrospective Analyses of Long-Term Use of SSRI in Children and Adolescents with Autism Spectrum Disorder (소아청소년 자폐성 스펙트럼 장애에서 SSRI 장기 사용에 대한 후향적 분석)

  • Goo, Ae-Jin;Park, Jin-Park;Lee, Jong-Il;Jhin, Hye-Kyung;Kim, Yeni
    • Korean Journal of Biological Psychiatry
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    • v.19 no.4
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    • pp.205-210
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    • 2012
  • Objectives The purpose of this study was to investigate clinical profile, efficacy, and safety of long-term treatment with selective serotonin reuptake inhibitors (SSRIs) in Korean autism spectrum disorders (ASDs) patients. Methods Effectiveness was assessed through a retrospective review of self-reported target symptom improvement at the last follow-up visit. Changes in illness severity and improvement were measured using the Clinical Global Impression-Severity (CGI-S) of illness and Clinical Global Impression-Improvement (CGI-I) Scales. Tolerability was assessed through a review of the reason for discontinuation of SSRI and documented adverse events. Results A total of 21 ASDs patients (aged 9 to 19 years) treated with SSRI during July 2010 to July 2011 in department of child and adolescent psychiatry of Seoul National Hospital were identified. The mean duration of SSRI treatment was 47.9 (standard deviation = 36.9) months (range 0.7-114.5), and the mean fluoxetine equivalent dosage of SSRIs was $27.1{\pm}10.8$ mg. Nineteen (90.5%) patients were using concomitant medication. We found that SSRIs were prescribed for symptoms of agitation, stereotyped behavior, aggression, depression, impulsivity and self-injury in ASDs. Ten patients (47.6%) reported improvement in their target symptom after SSRI treatment based on CGI-I scores (CGI-I ${\leq}$ 2). The side effects were reported in 5 patients (23.8%) ; vomiting (n = 2, 9.5%), excessive mood elevation (n = 1, 4.8%), insomnia (n = 1, 4.8%), somnolence (n = 1, 4.8%) and decreased appetite (n = 1, 4.8%). Self-injurious behavior was reported in one patient (4.8%). Conclusions The results of this study suggest that SSRIs may be used effectively in children and adolescents diagnosed with ASDs. However, safety issues need to be considered carefully when choosing SSRIs for treatment. Future controlled trials are needed to confirm these findings.

A Systematic Review on the Clinical Efficacy of Digital Therapeutics for Sleep Disorders: Subgroup Analysis by Control Groups (수면 장애가 있는 환자에게 적용한 디지털 치료기기의 임상적 유효성에 대한 체계적 문헌고찰: 대조군분류에 따른 하위 분석)

  • Hyosun Jeon;Eunjee Kang;Soojung Yoo
    • Korean Journal of Clinical Pharmacy
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    • v.33 no.4
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    • pp.221-241
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    • 2023
  • Background: The purpose of this systematic review was to investigate the effects of digital therapeutics for insomnia on sleep disorders and mental health improvement compared to the control group. Methods: Following the guidelines on systematic review(PRISMA, NECA), a literature search was conducted through PubMed, Cochrane Library, EMBASE, RISS, KISS, and KoreaMed using keywords. The Cochrane Risk of Bias Tool and Review Manager version 5.3 were used for risk of bias and effect size assessment. Results: Thirty eight RCT met criteria for inclusion. When compared against three control conditions, the digital therapeutics for insomnia was an effective intervention for improvement sleep disorders and mental health in comparison to waiting list and Patient-directed care with some intervention by medical staff. However, digital therapeutics for insomnia were no more effective than face-to-face CBT-I control group. Conclusion: The efficacy of digital therapeutics for insomnia was evaluated differently depending on the control group. Therefore, in phase 3 clinical trials for efficacy evaluation, it is necessary to review whether the control group has been properly established.

Predictors of Anxiety and PTSD in Battered Women (가정폭력 경험 여성의 불안 및 외상 후 스트레스 장애 예측요인에 대한 연구)

  • Sohn, Jung Nam;Cha, Bo Kyoung
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.564-572
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    • 2006
  • Purpose: The purpose of this study is to examine predictors of anxiety and PTSD in battered women. Method: The data were collected from 555 women who were stratified samples according to 15,000:1 from a target population in Korea from November 18, 2004 to February 18, 2005. The data was analysed using the SPSS program. Results: Predictors of anxiety were self esteem, stress, state anger, social support, trait anger, negotiation, and psychological violence. These variables explained 55.8% of anxiety. Predictors of PTSD were self esteem, state anger, trait anger, psychological violence, stress, and anger-in. These variables explained 43.2% of PTSD. Conclusion: It is considered that the importance of separating the effects of the different types of violence when taking into account its effects on women's mental health. To promote women's mental health, it is needed to develop self esteem improvement programs, and anger and stress management programs.

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Stress and Psychological Status between a Stroke and a Fracture Patient's Caregivers (뇌졸중환자와 골절환자 보호자의 스트레스 및 심리상태)

  • Jung, Jaehun
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.213-222
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    • 2019
  • Purpose : The purpose of this study was to compare stress and psychological status between a stroke and a fracture patient's caregivers. Methods : Data was collected from September to December 2018 and participants of this study were 60 stroke and 61 fracture patient's caregivers. Stress was evaluated with the Global Assessment of Recent Stress scale-Korean Version and psychological status was measured with the Symptom check List-90-Revision. Results : The stroke patient's caregivers scored significantly higher than the fracture patient's caregivers in stress relevant to interpersonal, change in relationship, sickness or injury, financial, change/no change in routine (p<.05). The stroke patient's caregivers scored significantly higher in somatization, interpersonal sensitivity, depression, anxiety, paranoid ideation, and psychoticism than the fracture patient's caregivers (p<.05). Conclusion : It was found that the severity of mental health in the stroke patient's caregivers is necessary to develop a customized mental health improvement program for stroke patient's caregivers.

The Effect of Active Aging on the Life Satisfaction in Elderly People (고령자의 활동적 노화가 삶의 만족도에 미치는 영향요인)

  • Yu, Chae-nam
    • 한국노년학
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    • v.36 no.4
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    • pp.1075-1088
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    • 2016
  • This study aimed to identify the effect of the active aging on life satisfaction and present an improvement strategies to increase life satisfaction in elderly people. Active aging is divide into three aspects; health, participation and security. The subjects were people older than 55 years who were enrolled in Korean Retirement and Income Study. The influencing effect was analyzed by a hierarchial regression. Key factors associated with active aging influencing life satisfaction were subjective health, mental health, participation in the labor market, income, and housing while subjective health was a determinant factor that best describes the effect of the active aging on life satisfaction. On the basis of above result, this study suggests that there needs to be an effort in improvement of physical and mental health, participation in the labor market, and housing at national and regional levels.

A qualitative study on the case managers' experiences of implementing Assertive Community Treatment model in Korea (한국에서의 ACT(Assertive Community Treatment) 적용에 대한 사례관리자의 경험에 관한 연구)

  • Ha, kyung-hee
    • Korean Journal of Social Welfare Studies
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    • v.41 no.3
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    • pp.107-133
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    • 2010
  • The attention of case management currently has been highlighted and its importance has been highly emphasized in mental heath field. At this point, We conducted a qualitative study on the experience of case managers from the Suwon Community Mental Health Center where it has implemented the ACT model. Through the result of this study, we verified feasibility of ACT model into Korea. and it has shown that assertive service and team approach has been a critical ingredients of ACT and it extended case manager's ability and brought improvement in relationship between clients and them. the clients has brought a positive changes. However case managers have experienced the dilemma between experts initiatives and clients dependency, and they empathised the importance of the familism and mental health system in Korea. In order to implement ACT extensively, we suggested several implications.

Development and Analysis of a Walking Game 'Paldokangsan3' Using Kinect (키넥트를 이용한 걷기게임 '팔도강산3' 개발 및 효과성 연구)

  • Kim, KyungSik;Lee, YoonJung;Oh, SeongSuk
    • Journal of Korea Game Society
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    • v.14 no.1
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    • pp.49-58
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    • 2014
  • We have developed a serious game for the elderly named 'Paldokangsan3' as a next version of 'Paldokangsan2' which was a walking game with memorization in shopping streets using controllers of hand buttons and foot boards with PC developed in 2012. The interface of had buttons and food boards were changed into the interface of motion capture with the aid of Kinect. The expected effects are improvement of memorization, improvement of concentration ability to find out items in the vision, improvement of vitality through physical walking actions, as well as improvement of mental health through entertainment activities of game play. We have tested 25 volunteers of more than 65 years old in Cheonan city community center for the elderly for 2 weeks. We got the result that the game play was showing positive effectiveness on memorization, physical exercise and self-esteem in mental health area of the elderly.

Factors Influencing Quality of life in Adult Cancer Patients: The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2), 2014 (성인 암환자 삶의 질 영향요인 -국민건강영양조사 제6기 2차년도(2014))

  • Park, Jin-Ah;Hong, Ji-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.382-390
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    • 2017
  • This study was conducted to identify the factors affecting the quality of life of cancer patients based on demographic characteristics, health status, and mental health using the results of the 6th National Health and Nutrition Survey. The research tool used the demographic characteristics, health status, mental health, and quality of life of the KNHANES VI-2. Data analysis was conducted using SAS 9.3 version. There were significant differences in the quality of life in the study results by age, gender, economic activity, individual income quartile, subjective health status, mental health status, activity limitation, stress perception, and experience of depression symptoms. Factors influencing the quality of life of cancer patients included age, sex, income quintiles(individual), subjective health status, activity limitation, and experience of depression symptoms, which together explained 39.1% of the quality of life. To improve the quality of life of cancer patients, comprehensive management is required from diagnosis to treatment to return to society. It is also necessary to develop and apply long-term programs including multidimensional approaches and improvement of quality of life, early screening of cancer and cancer prevention education, management of depression symptoms, and social support.

Beneficial effects of oral antioxidant supplementation on semen quality parameters, reproductive hormones, and sperm DNA integrity in men with idiopathic oligoasthenoteratozoospermia

  • Chaymae Rochdi;Meriem Ouadrhiri;Larbi Allai;Ibtissam Bellajdel;Samira Mamri;Hafsa Taheri;Hanane Saadi;Ahmed Mimouni;Mohammed Choukri
    • Clinical and Experimental Reproductive Medicine
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    • v.51 no.2
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    • pp.135-141
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    • 2024
  • Objective: Recently, oral antioxidants in combined forms have been used to treat men with idiopathic infertility. This study aimed to evaluate the effects of treatment with vitamin C, vitamin E, selenium, zinc, arginine, L-carnitine, and coenzyme Q10 on sperm quality parameters, DNA integrity, reproductive hormones, and pregnancy rates in men with infertility and idiopathic oligoasthenoteratozoospermia (OAT). Methods: A prospective study was conducted on 420 men with infertility and idiopathic OAT who took an oral supplement of antioxidant SP-Power tablets twice daily for 6 months. Semen quality, reproductive hormones, and the DNA fragmentation index (DFI) were evaluated at baseline and at 3 and 6 months after supplementation, using the World Health Organization 2021 guidelines. Results: No significant difference was observed in volume or the percentage of typical morphology during treatment. A significant improvement in sperm concentration was observed after supplementation (8.67±1.41, 12.17±1.91, and 19.01±0.86 at baseline, 3, and 6 months respectively, p<0.01). The total motility, progressive motility, and total motile sperm count also increased significantly (p<0.01), whereas the DFI decreased after 6 months. There was an increase in normal FSH levels and testosterone levels after 6 months of supplementation of antioxidant SP-Power but these differences were not statistically significant (p=not significant and p=0.06, respectively). Conclusion: Supplementation with SP-Power tablets improved sperm quality parameters, sperm DFI, some reproductive hormones, and pregnancy rates in men with infertility and idiopathic OAT, which could be attributed to the supplement's synergistic antioxidant action. Further studies are needed to determine the effects of supplementation on oxidative stress markers.