• Title/Summary/Keyword: Obsessive

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Clinical Symptoms and the Duration of Illness in Patients with Obsessive-Compulsive Disorder (강박증 이환기간과 임상 양상)

  • Lee, Seung-Jae;Yoo, So-Young;Kang, Do-Hyung;Kwon, Jun-Soo
    • Anxiety and mood
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    • v.2 no.1
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    • pp.22-27
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    • 2006
  • Objectives : There is a paucity of data on the long-term course of obsessive-compulsive disorder (OCD) and chronological relationship between OC symptoms and their related symptoms such as anxiety and depression. The purpose of this study was to investigate the longitudinal course of OC symptoms as well as anxiety and depression which are believed to be associated with OC symptoms. Methods : Data for 155 patients with OCD who completed general evaluation for OCD were used. Forty four were excluded to minimize the effect of the different age of onset on the clinical course. One hundred eleven patients finally participated in the analysis. Cross-sectional correlations between each symptom as well as between such symptoms and the duration of illness were analyzed. Further correlation analysis was done within two groups that were divided by 7 years of the duration of illness. Results : There were significant correlations not only between the severity of OC symptoms and anxiety but also between anxiety and depressive symptom, regardless of the duration of illness. These correlations between such symptoms were also found within patients with the duration of illness below 7 years, whereas these were not within the group with the duration of illness above 8 years. Conclusion : Patients with OCD in this study shows the moderate to severe level of OC symptoms irrespective of the duration of illness. Our finding also suggests that the OC symptoms, especially obsessions are closely related to anxiety and depressive symptoms and these relationships might be pronounced in relatively early phase of the OCD after onset.

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2 Year Follow-Up Study of Orbitofrontal Cortex Volume in Obsessive Compulsive Disorder (강박장애 환자에서의 안와전두피질 용적의 2년 추적 연구)

  • Kim, Sung-Nyun;Kang, Do-Hyung;Yoo, So-Young;Roh, Kyu-Sik;Chang, Joon-Hwan;Choi, Jung-Seok;Ha, Tae-Hyon;Kwon, Jun-Soo
    • Anxiety and mood
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    • v.2 no.2
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    • pp.94-100
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    • 2006
  • Objective : This study was designed to examine the volumetric abnormality of orbitofrontal cortex (OFC) and its change after 2 years of pharmacotherapy in obsessive compulsive disorder (OCD) patients. Method : Volumetric magnetic resonance imaging studies were conducted in 15 OCD patients and 13 normal volunteers. For 2 years, all patients took at least one serotonin reuptake inhibitor and atypical antipsychotics were used as an augmentation therapy in most patients. The follow-up MRI studies were conducted after the pharmacotherapy and OFC volumes were measured by the manual region of interest method. Results : Bilateral OFC volumes of 15 OCD patients were significantly greater than those of the normal volunteers before the treatment. After 2 years of the treatment, significant decrease was observed in bilateral OFC volumes of OCD patients to the extent that left OFC volume of OCD patients was not different from that of the normal volunteers. Conclusion : This finding suggests that OFC is directly related to the pathophysiology of obsessive compulsive disorder.

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A study on factors relevant to the self-perception of halitosis and the correlation between halitosis and obsessive-compulsive disorders (구취의 자각요인과 강박증에 관한 연구)

  • Lee, Mi-Ra;Kim, Nam-Song;Shim, Jae-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.231-237
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    • 2013
  • Objectives : The purpose of this study to provide preliminary data to effective halitosis control. Methods : A survey was carried out the self-perception of causative factors of halitosis in 98 female college students in Chungnam province. In addition, the levels of oral gas and breath gas were measured by use of the B&B checker, and an analysis was made of the correlation between halitosis and obsessive-compulsive disorder (OCD). Results : 1. Subjective halitosis awareness degree different degree of dryness, 'None', 'some', 'little' people who feel as the 'little fly' (68%), 78.3%, 70% was higher (p<0.05), halitosis interest 'very worried', 'worry', 'normal' person with a' not at all 'to 58.3% higher (p<0.01). 2. In regard to OCD severity, 49.0%, 34.7% and 16.3% were found to be mild, moderate and severe respectively. Halitosis tended to be severe in proportion to OCD severity, which was statistically significant (p<0.05). 3. Oral gas had a positively correlation with breath gas (r=0.329, p<0.01), but had a negative one with OCD severity (r=0.204, p<0.05). Conclusions : Symptoms of oral dryness and halitosis interest were associated with self-perception of halitosis. The levels of oral gas and breath gas were in inverse proportion to OCD severity. Hereat, it needs to analyze psychogenic factors properly as regards the diagnosis or treatment of halitosis.

Long-term Results of Stereotactic Psychosurgery (뇌정위적 정신수술의 장기 추적 결과)

  • Son, Byung-Chul;Kim, Moon-Chan;Lee, Chul;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
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    • v.29 no.4
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    • pp.514-520
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    • 2000
  • Objective : Stereotactic psychosurgery is known as one of effective means of treating in some medically intractable psychiatric illness. However, it is unfamiliar and it's long-term clinical result has not reported in our country. The authors evaluated its long-term results of pscychosurgery and discussed its neuroanatomical basis. Methods : Since 1993, eight patients underwent stereotactic psychosurgery for medically intractable psychiatric illnesses. All were referred from psychiatrist of these disorders, one was aggressive behavior, five were obsessive-compulsive disorders(OCD), and two were depression with anxiety disorders. Bilateral amygdalotomy and subcaudate tractotomy were done for aggressive behavior, and limbic leukotomy was done for OCD and depression with anxiety. The results of OCD were evaluated with with YBOCS(Yale-Brown obsessive compulsive scale) and VAS (visual analogue scale), CGI(clinical global impairment) in OCD, and OAS(overt aggression scale), MMS, WAIS were checked for the evaluation of aggressive behavior. Hamilton depression scale(HAMD) was used for evaluation of depression. Ventriculography was used in the first five patients and MR-guided stereotaxy was used in recent three cases for localization of target. The lesions were made with radiofrequency lesion generator. Results : With long-term follow up(mean 45 months) in five OCDs, mean YBOCS declined from 34 to 3(n=5). All returned to previous social life. In OAS scores of aggressive behavior during six-year follow up, scores declined from 8 to 2 with clinical improvement. In two patients with depression with anxiety, HAMD declined from 28.5 to 16.5(n=2). There was no operative mortality and no significant morbidity except one case of mild transient urinary incontinence. Conclusion : With these long-term results, authors assumed that stereotactic psychosurgery could be one of safe and effective mtherapeutic methods in several medically intractable psychiatric illness.

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Character Analysis of the Movie "THE HANDMAIDEN" (영화 [아가씨]의 악인형 분석)

  • Jeong, Moun-Kwon
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.413-420
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    • 2019
  • The purpose of this study is to analyze the main character characters of the movie [THE HANDMAIDEN]. All four characters in the movie [THE HANDMAIDEN] have in common is that they all have seen 'the Existence' and have the factors behind the villainous figure. Kozuki and Hideko had clear and typical symptoms, have been diagnosed as a structural layer of perversion and neurosis by Lacan's psychoanalysis Methodology. On the other hand, since Sook-hee and Ko-pandol have the nature of being a criminal, they have long been faced up to the existence. It was difficult to approach to the structural layer of psychoanlysis Methodology. Therefore, the PCL-R diagnosis used to analyze the personality type of Sook-hee and Ko-pandol and add structural analysis again. As a result, Kouzuki had an Sadist, Hideko had an obsessive compulsive and Sook-hee had an anti-social lifestyle, but she was in a normal emotional category. It was noted that the Ko-pandol was a potential Sadist and part of a sociopath.

Structural Relationship among Health Concern, Leisure Sports Passion and Psychological Happiness for Simulation Golf Participants (시뮬레이션골프 참여자의 건강관심도와 여가스포츠열정 및 심리적 행복감의 간의 구조적 관계)

  • Seol, Su-Hwang;Ahn, Byoung-Wook
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.7
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    • pp.317-326
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    • 2019
  • The study aimed to verity the relationship of between health concern, leisure sports passion, and psychological happiness on screen golf participants. The subject of study who adults were recruited from Seoul, Gyeonggi-do. I conducted frequency, reliability, confirmatory factor, correction, and structure equaling modeling analyses. The results were as follows: (1) health concern of screen golf participants had a positive influence on leisure sports passion(harmonious passion); (2) health concern of screen golf participants had a positive influence on leisure sports passion(obsessive passion); (3) health concern of screen golf participants had a positive influence on psychological happiness; (4) leisure sports passion(harmonious passion) of screen golf participants had a positive influence on psychological happiness; (5) leisure sports passion(obsessive passion) of screen golf participants had no influence on psychological happiness. The result is meaningful in that modern people who value health have sought ways to lead a healthy life by raising their athletic passion through the fun of simulation golf.

Working Memory Impairment in a Delayed Matching-to-Sample Task Among Young Male Patients With Obsessive-Compulsive Disorder (지연 표본 대응 과제에서 나타나는 젊은 남성 강박장애 환자의 작업기억 결손)

  • Boo, Young Jun;Park, Jin Young;Kim, Chan-Hyung;Kim, Se Joo
    • Anxiety and mood
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    • v.18 no.1
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    • pp.32-37
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    • 2022
  • Objective : Impaired working memory has been known to play an important role in the pathophysiology of obsessive-compulsive disorder (OCD) with growing evidence. Delayed matching-to-sample task (DMST) is a working memory task which have an advantage in analyzing several different working memory processes in one task. However, most of the studies have failed to reveal the working memory impairment with the DMST. The aim of this study was to identify whether working memory deficit in OCD can be evaluated with the DMST. Methods : The participants included 20 OCD patients and 20 healthy volunteers. Working memory was evaluated with the DMST with two different working memory loads. Accuracy of response and mean response time were measured. Results : OCD patients showed a significantly longer reaction time and lower accuracy in DMST compared to healthy controls in the task with high working memory loads. Moreover, the difference in accuracy showed interaction with the working memory load. Conclusion : The present results indicate that working memory deficit in patients with OCD can be evaluated with the DMST. The findings also suggest that previous negative behavioral results using the DMST were from low working memory load of the task.

Scale Development and Validity on Obsessive Compulsive in Physical Education Class to Enhance Life Care (라이프케어증진을 위한 체육수업 강박척도 개발과 타당화)

  • Yoo, Jung-In;Jung, Joo-Hyug
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.297-306
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    • 2019
  • The purpose of this study was to develop a scale for measuring obsessive compulsive and to verify structural validity from students participating in physical education class. The procedure for this purpose was firstly conducted through an open questionnaire, followed by item search and appropriateness assessment, then analyzing the reliability of the final version based on the preliminary criterion and checking the construct validity. After analyzing the factors of the criticism, We collected the data and analyzed the items and the factors from 387 respondents. The subjects were social obsession (4 items), psychological obsession (3 items) and physical obsession (3 items) The final determinant of the 10 factors was completed. We conducted A multivariate analysis on the determinants of gender and class satisfaction to confirm the external relationship review. The reliability of the scale developed in this study showed not only a high level of confidence from .856 to .907, but also reasonized and proved to be an obsessional scale for physical education for the promotion of life care. These measures can be used as a data for measuring physical education compulsion in class.

The psychological factors of creation of virtue women based on the relationship between Mrs. Park in and Samganghaengsildo's the virtuous women volume (<열녀함양박씨전>의 박씨와 『삼강행실도: 열녀편』의 관계를 통해 본 열녀제작의 심리적 요인)

  • Seo, Eun-A
    • Journal of Korean Classical Literature and Education
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    • no.16
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    • pp.273-296
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    • 2008
  • The author analyzed the psychological factors which affected on the way of Mrs. Park in the became a virtuous woman and compared these psychological factors with a virtuous women in Samganghaengsildo based on the relationship between Mrs. Park in and Samganghaengsildo's the virtuous women volume. First of all, it's about the power of authority on women. The volume of Samganghaengsildo's virtuous women was about the group of women who were recognized as virtuous women by the king who had absolute power at the time period. The volume of Samganghaengsildo's virtuous women was very well known for women. This book had a huge impact on women since the government authority educated the women using this book. In addition, the incredible events which were written in Samganghaengsildo indicated that the behavior of virtue was the right thing to follow since even super power recognized it as a good thing to do and the woman might be punished when she didn't follow the behavior of virtue. Second, it was based on the similarity of circumstance and uncertainty for the future. Mrs. Park in showed similar behavioral patterns with a virtuous woman in Samganghaengsildo since she took her role model from the virtuous woman. When Mrs. Park lost her husband, she was not sure about her future and the volume of Samganghaengsildo pointed out that there was another world after the death and she would meet her husband again after the death. In addition, the incorrect information that she would feel better psychologically when she followed her dead husband instead of living herself. Third, it is about the resemblance of obsessive mind and self internalization. The examination of the record of Mrs. Park showed that Mrs. Park tried to internalize integrity, loyalty, and virtue of virtuous women in Samganghaengsildo and became herself like virtuous women. In addition, the woman's obsessive mindset remarkly reflected in Samganghaengsildo. For instance, Mrs. Park in held to the time of death of her husband and the writer who wrote about the behavior of Mrs. Park also emphasized that the time of death of Mrs. Park was closed to the time of the death of her husband. This explained that the obsessive mindset of women in the epic of virtue women could have influence on the women's mind who tried to show the similar behavior with a virtue woman and internalize it. Finally, the people of the day also were not free from it.

A Study of the Characteristic of Korean Grit: Examining Multidimensional Clustering of Grit (한국형 그릿(Grit) 특성에 대한 고찰: 높은 그릿집단의 다차원적 유형 연구)

  • Jungeu Kim;Suran Lee;Sujin Yang
    • Korean Journal of Culture and Social Issue
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    • v.24 no.2
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    • pp.131-151
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    • 2018
  • The purpose of this research was to examine the characteristics of typical Korean grit as opposed to Western conceptualizations. We conducted cluster analysis to identify subgroups based on three related but distinct constructs-passion(harmonious vs. obsessive) and meaning in life. Basic needs satisfaction, life satisfaction, and ego-resilience were further assessed to explore potential group-specific differences in psychological attributes. Highly gritty individuals(n=139; M=22.51 yrs) were selected by using the median. According to our results, gritty individuals were subdivided into 3 groups: the initiative who possesses highly adaptive harmonious passion and meaning in life(35.8%), the obsessive who are high in maladaptive obsessive passion(26.1%), and the passive who are the lowest in all(38.1%). The initiative grit scored the highest in all three attributes while the two other subgroups showed culturally unique patterns. Our results suggest that culture specific factors may mold differently the unfolding and psychological outcomes of grit in Korea.