• 대한간호학회지
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• 제39권4호
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• pp.459-468
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• 2009

Purpose: The purpose of the study was to investigate psychological factors such as eating psychopathology, depression, and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders. Methods: Patients with eating disorders (n=135) who visited "M" clinic for eating disorders participated in the study. Data were collected from March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Self-Harm Inventory (SHI). Results: The participants scored high on self-harm as well as on depression and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as 'torturing self with self-defeating thoughts', 'abused alcohol', 'hit self', and 'suicide attempt' were found for the participants. There were significant correlations between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. 'Interoceptive awareness' (eating psychopathology), depression, and 'checking' (obsessive-compulsion) were significant predictors of self-harm behavior. Conclusion: Future interventions for patients with eating disorders should focus on assessing the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology, depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to preventing self-harm and suicide in patients with eating disorders.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.368-378
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• 2018

본 연구를 통하여 적대성과 강박증상의 관계를 알아보고, 특히 외현적 적대성과 내현적 적대성이 강박증상에 대해 차별적인 영향을 갖는지 밝히고자 하였다. 아울러 적대성이 강박증상에 대해 끼치는 영향에 있어서 충동성이 조절효과를 갖는지도 검증하고자 했다. 150명의 온라인 학생을 대상으로 Buss Durkee Hostility 척도, 강박증상 척도 개정판, 바렛 충동성 척도를 실시하여 적대성, 강박증상, 충동성을 각각 측정하였다. 150명의 온라인 대학생의 자료를 수집하여 이 자료에 대해 상관과 조절다중회귀 모형을 분석하였다. 그 결과 외현적 적대성과 강박행동간의 상관이 유의미하였고 강박사고는 외현적 적대성 및 내현적 적대성과 모두 유의미한 상관을 나타냈다. 회귀분석을 한 결과 내현적 적대성이 강박사고와 강박행동을 증진시키는 효과가 있었다. 내현적 적대성이 강박증상에 영향을 끼치는 관계에 있어서 충동성이 조절 변수로서 기여하는 역할을 확인한 분석 결과, 충동성은 내현적 적대성이 강박 사고에 미치는 영향에 있어서만 조절역할을 하였고 외현적 적대성의 영향에서는 유의미한 조절역할을 하지 않는 것으로 나타났다. 이러한 결과를 바탕으로 하여 연구의 함의와 제한점에 대해 논하였다.

• 정신신체의학
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• 제22권2호
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• pp.130-137
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• 2014

Objectives : Obsessive-compulsive(OC) symptoms have yet to be directly studied in neurodegenerative conditions involving behavioral changes. To examine regional abnormalities in the brains of dementia patients with OC symptoms, we assessed the gray matter density using voxel-based morphometry(VBM). Methods : We performed brain magnetic resonance imaging(MRI) with VBM analysis in 106 dementia patients with OC behaviors. In this study, OC behaviors were investigated in patients with neurodegenerative disease using the modified Manchester Behavior Questionnaire. Results : The OC behavior scores were correlated with structural brain volume using VBM. The total OC symptom score correlated negatively with the volume of both putamens, the right middle orbitofrontal gyrus, both anterior cingulate cortices, and the left insula(p<0.001, uncorrected). No gray matter reductions were associated specifically with the OC symptom sub-categories. Conclusions : Our results suggest that abnormalities in these brain regions may play an important role in the pathophysiology of OCD in neurodegenerative disease. This is the first lesion study to investigate the neural basis of OCD behaviors in neurodegenerative disease.

• Journal of Korean Neurosurgical Society
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• 제29권4호
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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.

• 생물정신의학
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• 제8권2호
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• pp.271-275
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• 2001

60세 남자 환자로 좌측 정중 전두엽과 양측 기저절 경색 후 발생한 과잉성욕 증상과 강박 증상을 주소로 내원하였다. 환자는 뇌졸중 후에 발생한 운동 기능 장애는 시간이 경과하면서 호전되어 발병 1개월 이내에 거의 정상화된 반면 과잉성욕 증상과 강박 증상은 호전되지 않았다. 환자에게 과잉성욕 증상과 강박 증상을 목표로 fluvoxamine과 perphenazine을 처방하였으며 치료 시작 후 2개월이 경과하면서 환자의 과잉성욕 증상과 강박 증상은 서서히 사라졌다. 이 증례는 기저절-시상전두엽 회로가 성적 행동과 강박 증상의 조절에 있어 중요한 역할을 하고 있음을 시사한다고 할 수 있다. 과잉성욕 증상은 임상에서 간과하기 쉽고 또한 일반적으로 성적 활동에 대한 변화는 환자들 스스로 보고하지 않는 경향이 많다. 따라서 뇌졸중 환자, 특히 정중 전두엽이나 기저절 병변을 동반한 환자들의 경우에는 비록 그 병변이 측두엽 침범이 없거나 Kluver-Bucy syndrome의 전형적인 증상을 보이지 않는다 할 지라도 성욕등 성적 활동에 대한 체계적인 조사가 필요할 것으로 생각된다. 또한 과잉성욕 증상과 강박 증상을 함께 가지고 있는 경우 선택적인 세로토닌 재흡수 억제제의 사용이 두 증상 모두를 효과적으로 치료하는 데에 도움이 될 수 있을 것이다.

• 고전문학과교육
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• 제16호
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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.

• 한국가정과교육학회지
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• 제10권2호
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• pp.43-55
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• 1998

This study investigated the relationship between parental abuse and maladjustment per ceived by middle school student. The subjects were 448 middle school students in Kwangju. The main results of this study were as follows ; 1. There were found significant differences according to background variables in parental abuse and maladjustment. Physical abuse was found significantly different according to gender of the child and unreasonable rearing behavior of the parents, but emotional abuse was found significantly different according to job of the father and unreasonable rearing behavior of the parents. And, neglect was found significantly different according to educational level of the father and unreasonable rearing behavior of the parents. Social withdrawal was found significantly cliff erent according to gender of the child, family income and unreasonable rearing behavior of the parents, but hyperactivity was found significantly different according to gender of the child and unreasonable rearing behavior of the parents. Agression and retreat were found significantly different according to gender of the child and unreasonable rearing behavior of the parents. Obsessive-compulsion was found significantly different according to unreasonable_ rearing behavior of the parents. 2.There were significantly positive correlation between parental abuse and maladjustment. 3. The findings of multiple regression analysis demonstrated that neglect, physical abuse, family income, gender of child were found to be important variables in predicting social with drawal. Neglect, unreasonable rearing behavior of the parents, phsical abuse, gender of child were found to be important variables in predicting hyperactivity. Neglect, emotional abuse, and unreasonable rearing behavior of the parents were found to be important varialbes in predicting aggression. Gender of the child. emotional abuse, and unreasonable reanng behavior. of the parents were found to be important variables in predicting retreat. And, unreasonable rearlng behavior of the parents. neglect. and physical abuse were f ouod to be Importan variabJes in predicting obsessive-compulsion.lsion.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제4권1호
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• pp.164-172
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• 1993

저자는 한 청소년 강박장애 환자의 정신치료에서, 무의식을 다루는 전통적 정신치료보다는 역동적 이해를 바탕으로 의식의 영역을 다루는 비특이적 정신치료와 가족치료를 병행하여 좋은 치료 결과를 경험하여 이를 보고하였고, 특히 환자 자신이 이러한 것을 치료 과정에서 스스로 찾아내었고 또 치유되었다는 것을 환자의 표현을 통해서 제시하고자 하였다. 또 이러한 복합적인 치료 과정이 의식의 영역을 다루는 것이라는 점에서 행동요법이나 인지치료 등 기존 치료 경험과 일치함을 문헌 고찰을 통해 밝히고 있다.

• 대한가정학회지
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• 제36권8호
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• pp.39-50
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• 1998

This study investigated the relationship between the types of parental abuse and maladjustmental behaviors of adolescents. The subjects were 448 junior and senior middle school students. Statistics were frequencies, percentile, Pearson's r-coefficient, and regression analysis. The main results of this study were as follows ; 1. There were significantly positive correlation between the types of parental abuse and maladjustmental behaviors. 2. The variables, neglect, unreasonable rearing behavior of the parents, and physical abuse were found to be the important variables in predicting social withdrawal. Neglect, unreasonable rearing behavior of the parents, and sex of the child were found to be the important variables in predicting hyperactivity. Neglect, emotional abuse, and unreasonable rearing behavior of the parents were found to be the important variables in predicting aggression. Sex of the child, emotional abuse, and unreasonable rearing behavior of the parents were found to be the important variables in predicting retreat. And, neglect and unreasonable rearing behavior of the parents were found to be important variables in predicting obsessive-compulsion.

• Journal of Oral Medicine and Pain
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• 제46권3호
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• pp.84-87
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• 2021

Morsicatio buccarum is a condition caused by chronic cheek biting. It means frictional hyperkeratosis by repetitive cheek biting, which may be associated with obsessive compulsion. Clinically it presents as rough, shaggy, whitish, often peeling surface. We report a 9-year-old female patient who complained oral ulceration on both buccal mucosa. The initial diagnosis was oral candidiasis because of whitish plaques which were peeled off. Topical antifungal agent was ineffective and the symptom did not disappear. By incisional biopsy, she was diagnosed with morsicatio buccarum. A soft oral appliance was placed in the patient's oral cavity. Although morsicatio buccarum improved significantly when the appliance was used, the oral lesion had a tendency to recur, when the patient stopped using the appliance. In case of recurrence, cognitive behavioral therapy for obsessive-compulsive disorder is needed for the fundamental treatment.