• 대한불안의학회지
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• 제3권2호
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• pp.128-133
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• 2007

Objective : Obesity has been considered to be associated with numerous physical, mental and psychological diseases. Depression, which is a major psychological factor affecting occurrence and treatment of obesity, can be a cause of obesity as well as can be triggered by obesity. This study aimed to find out the need of positive consideration to the existence of depressive mood in the management of obesity. Methods : A total of 101 subjects were enrolled among those who were 60 years old and over at one local clinic. Obese group (n=49) was defined as BMI${\geqq}$25 and normal weight group (n=52) as 20$5.2{\pm}2.5$) was significantly higher than that of the normal weight group ($3.8{\pm}1.7$)(p<0.05). In male subjects, there was no significant difference in the mean GDSSF-K score between both groups, but in female subjects, the mean GDSSF-K score of the obese group, $6.4{\pm}2.6$ was significantly higher than that of the normal weight group ($4.0{\pm}1.8$)(p<0.05). Conclusion : The elderly obese group showed higher depressive scale score than elderly normal weight group, especially in female elderly. Since the elderly obese female group had a depressive predisposition, comprehensive management including mental and psychological approach is required in obesity control programs.

• 대한불안의학회지
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• 제11권1호
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• pp.3-11
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• 2015

Objective : The aim of this study was to find associations between specific symptoms and suicidal behavior by using global severity on depression scales. Methods : Data were obtained from 1,183 patients of CRESCEND study. Factor analysis of the 17-item Hamilton Rating Scale for Depression (HAM-D) and the Beck Depression Inventory-II (BDI-II) was used to compare symptom clusters between the past suicide attempters and the non-suicide attempters, among the patients with depressive disorders. Results : Factor analyses of HAM-D and BDI-II extracted three factors. Suicide attempters had significantly higher scores on core factor of HAM-D, including depressed mood, feeling of guilt, suicide, work, and activities. The higher scores on all factors of BDI-II or scores correlated with a total of 7 suicide attempts and with known risk factors for suicidal behavior. Conclusion : These findings suggest that the suicide attempters complained of more cognitive, affective, somatic symptoms on BDI-II, but the core factor on HAM-D was the only differentiated factor between the two groups. Clinician-rated scales as well as self-reported questionnaires were valid in measuring suicidal attempts, and the clinical profile may help in guiding the studies of biological correlates and the treatments to reduce suicide risk.

• 감성과학
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• 제9권4호
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• pp.307-319
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• 2006

본 연구에서는 정서능력과 뇌반구 기능이 문제행동에 미치는 영향을 밝히는 것이 주된 목적이었다. 남자 중학생 1,050명을 연구의 대상으로 하여 정서능력척도검사(Trait Meta-Mood Scale), 뇌 정보처리 특성 검사(Brain Preference Indicator Test), 그리고 공격성과 비행은 한국판 아동자기보고 검사(Korea Youth Self Report-Child Behavior Check List)를 사용하여 조사 연구하였다 연구 대상은 초기청소년기에 해당하는 남녀 중학생 1,479명을 표집하였다. 연구결과 문제행동을 많이 가진 집단은 보통 아동들에 비해 정서능력 요인중 정서의 명확성이 유의미하게 낮았으며, 자신에 대한 정서 주의는 많이 기울이는 것으로 나타났다. 뇌정보 처리에서는 주로 우반구 우세적 정보처리를 많이 하는 것으로 나타났다 뇌정보처리 특성과 정서 명확성 그리고 정서주의가 문제행동의 하위 요인인 공격성향과 비행성향 모두 유의미하게 설명하는 것으로 나타났다. 반면, 성별과 정서개선, 성별과 정서명료의 상호작용효과가 나타나, 이 두 요인이 공격성과 비행에 영향을 주는 효과가 남자와 여자학생 간에 다르게 나타났다.

• 동서간호학연구지
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• 제14권1호
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• pp.87-97
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• 2008

Purpose: The purpose of this study was to analyze the factors affecting those commitment to a plan for exercise among Korean with chronic diseases by Pender's health promotion model. Methods: The participants in this study were 315 Korean adults over 18 years of age with chronic diseases who were recruited in hospitals or public health centers in Korea. The instruments used in this study were individual characteristics instrument, Rosenberg's self-esteem scale, Ware's perceived health status, Profile of Mood States and Pender's commitment to a plan for exercises scale. Results: The results of analysis showed that Korean adults with chronic diseases were perceived with relatively low commitment to a plan for exercise while they were perceived with moderate self-esteem, health status, and mood. There were significant differences in the commitment to a plan for exercise according to education level and economic level. The positive relationship between self esteem, perceived health status, and commitment to a plan for exercise were significantly correlated. The experience for exercise was the most influential variable on commitment to a plan for exercise accounting for 40.3% among Korean with chronic diseases. Conclusion: For planning a targeted strategy to increase regular exercise among Korean adults with chronic diseases, nurses have to assess the prior experience of exercise of them. These nursing activities lead to improve their quality of life and encourage to control their symptoms.

• 대한불안의학회지
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• 제12권2호
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• pp.86-96
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• 2016

Paraphilia and paraphilic disorder is one of mental disorders making it difficult to assess and treat. Recently, a number of methods for assessing the paraphilia are being developed gradually outside south Korea. And the reliability and validity of various assessment tools are being reported. The standardization of the assessments and questionnaires was not made yet. For assessment of paraphilia that has been reported from abroad, the author comprehensively organized clinical interview, physical examination, psycho-physiological methods, self-reporting scale of sexual thoughts, fantasies and attitudes and multiple self-reporting scale of sexual interests and described the clinical significance of the assessment tools. The national standardization of both self-reported questionnaire and physical evaluations is expected to be completed later.

• 한국관광식음료학회지:관광식음료경영연구
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• 제7권
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• pp.41-59
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• 1997

After the industrial revolution, we have changed whole life-styles. This trend has brought a change in our eating style. Nowadays, the great number of people go out to eat-even three meals a day. As a result, the growth rate of food service industry increases day by day. Some restaurants are managed by the large scale company and others by the small scale ownership. Though developed countries are in the maturity step of the product life cycle in this field, we are in the growth step. We will hold the in 2002. A lot of tourists and the press will rush to Korea. They must have their meals at the restuarant. Therefore, we need more practice to satisfy them and to lead to successful management in this field. Also, we need an evaluation to qualify each business so that our food service industry does not decline compared to other country's. This study is trying to find how to evaluate and qualify each business in the various areas: service, the quality of food, the mood of the restaurant and so on. In addition, it includes the restaurant rating form.

• 대한불안의학회지
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• 제9권1호
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• pp.45-53
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• 2013

본 연구는 한국인에게 맞는 강점 척도의 개발과 타당화를 목적으로 한다. 연구 참여자는 남녀 성인 355명이었으며, 측정도구는 HEXACO 성격 검사, 삶의 만족도 척도, 긍정적 부정적 정서 척도, 행복추구경향 척도를 사용하였다. 탐색적 요인 분석 결과, 25개의 하위 영역은 4개의 상위 요인 구조를 보였다. 한국인 강점 척도는 높은 내적일치 신뢰도를 보였고, 각각의 하위영역와 개념적으로 유사하기 때문에 높은 상관을 나타내리라고 기대하였던 관련 측정치들과 예상대로 높은 상관을 보였다. 본 연구에서 개발된 한국인 강점 척도는 신뢰롭고 타당한 측정 도구로 평가되었으며, 개인의 대표강점의 발견과 활용에 관한 임상적 실제, 연구 및 교육에 효과적으로 이용 가능할 것이다.

• 정신신체의학
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• 제18권1호
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• pp.40-47
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• 2010

연구목적 : 자기신체상은 자아존중감과 체중조절행위와 밀접한 연관이 있고 특히 여자 청소년에서는 중요한 관련이 있다고 알려져있다. 이 연구는 체질량지수로 측정한 신체이미지와 식이장애와 연관된 비정상식이행동이 우울증과 자살사고에 미치는 영향을 알아보고자 한다. 방 법 : 서울 한 지역의 고등학교 여학생 239명을 대상으로 체질량지수를 측정하고, 청소년을 위한 식이태도검사(Eating Attitude Test for Korean Adolescents), 자아존중감척도, 충동성척도, 벡 우울척도, 벡 자살사고 척도를 시행하였다. 결 과 : 연구대상에서 식이장애 위험군은 총 10%(24명)이었다. 대조군에 비해 우울증상을 강하게 경험하고 있었고 현재 체질량지수와 이상적 체질량지수의 차이가 클수록 우울감, 자살사고, 비정상적 식이행동의 정도가 커지고 자아존중감은 낮아졌다. 그중에서 체질량지수의 차이가 통계적으로 가장 의미있는 예측인자였다. 결 론 : 연구대상군이 전체적으로 정상체중 범위임에도 불구하고, 현재의 체형과 이상적 체형사이의 괴리가 클수록 우울과 자살사고가 컸다. 여자 청소년의 식이장애 발생과 우울, 자살사고의 예방을 위해 체중조절, 정상식이습관에 대한 교육적 접근이 필요하다는 것을 알 수 있었다.

• 한국자연치유학회지
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• 제9권2호
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• pp.37-45
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• 2020

목적 : 특발성파킨슨병(PD)은 운동증상(떨림, 운동 완서, 경직)과 비운동증상(통찰력과 인지 장애, 기분의 불편함, 우울증, 불안증, 후각 기능장애)이 있다. 이 연구는 호흡, 명상 및 기공 치유로 PD 비운동증상의 개선 효과를 탐색하는 것이 목적이다. 방법 : PD가 있는 대상자(11명)에게 An's-4444힐링호흡, An's관정힐링명상, An's힐링기공치유의 3단계를 1회에 80분 동안 12회 수행하고 치유 전후, 1개월 경과 후 3회 측정하여 측정치를 비교 평가하였다. 결과 : 12회 치유 후 통찰력과 인지장애에 대한 통합 파킨슨병 등급척도(UPDRSI) 수치는 69%, 우울증척도(HAMD)는 61%, 불안증(HAMA)은 64%, 후각 기능장애 냄새식별 테스트(TSI)는 82%로 각각 개선되었다. 치유 1개월 경과 후의 수치는 4개 척도 모두 차이가 없었다. 이는 치유 후 1개월 경과 후까지 효과가 유지됨을 의미한다. 결론 : An's 호흡, 명상 및 기공요법으로 PD비운동증상이 유의성 있게 개선되었다. 특히 후각기능장애 개선으로, 향기를 맡게 되어 삶의 만족도가 향상되었다. 결과는 호흡, 명상 및 기공요법이 PD의 비운동성 증상을 개선 및 치유하는 자연요법으로 가치가 있다고 판단하며, 의생명과학적 추가 연구가 필요하다.

• 우울조울병
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• 제16권3호
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• pp.140-151
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• 2018

Objectives : The purpose of this study was to examine effects of adjunctive aripiprazole versus bupropion, on depressive symptoms of female depression. Methods : Sixty six female patients with major depressive disorders were enrolled from a six-week, randomized prospective open-label multi-center study. Participants were randomized to receive aripiprazole (2.5-10 mg/day) or bupropion (150-300 mg/day). Montgomery Asberg Depression Rating Scale, 17-item Hamilton Depression Rating scale (HAM-D17), Iowa Fatigue Scale, Drug-Induced Extrapyramidal Symptoms Scale, Psychotropic-Related Sexual Dysfunction Questionnaire scores, and Clinical Global Impression-Severity (CGI-S) were obtained at baseline and after one, two, four, and six weeks. Changes on individual items of HAM-D17 were assessed as well as on composite scales (anxiety, insomnia and drive), and on four core subscales that capture core depression symptoms. Results : Overall, both treatments improved depressive symptoms, without causing serious adverse events. There were significant differences in the HAM-D17 total score (p=0.046) and CGI-S (p=0.004), between aripiprazole and bupropion augmentation, favoring aripiprazole over bupropion. Aripiprazole revealed significantly greater effect size in depressed mood (p=0.006), retardation (p=0.005), anxiety psychic (p=0.032), and general somatic symptom (p=0.01). Conclusion : While both treatments were effective, results of this study suggested that aripiprazole may be preferable, in treating general and core symptoms of female depression.