• 제목/요약/키워드: Obsessive-compulsion

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섭식장애 환자의 섭식장애 증상, 우울, 강박성이 자해행동에 미치는 영향 (Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders)

  • 공성숙
    • 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.

부부클리닉 방문부부의 심리적 요인이 결혼만족도 및 이혼가능성에 미치는 영향 (Impact of Psychological Factors on Marital Satisfaction and Divorce Proneness in Clinical Couples)

  • 공성숙
    • 대한간호학회지
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    • 제38권4호
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    • pp.550-560
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    • 2008
  • Purpose: The purpose of the study was to investigate the psychological factors that affect marital satisfaction or divorce likelihood in clinical couples. Methods: Clinical couples (n=57) who visited "M" couple clinic participated in the study. Data was collected from September 2005 to June 2006 using a Marital Satisfaction Scale, a Marital Status Inventory, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Minnesota Multiphasic Personality Inventory. Results: The couples showed high scores on depression, obsessive-compulsion, personality factors and divorce probability and a low score on marital satisfaction. The wife's obsessive-compulsion was a predictor of her marital satisfaction, and the wife's social introversion and depression, and husband's obsessive-compulsion were predictors of the wife's prospect of divorce. The husband's hypomania and depression were predictors of his marital satisfaction, and there were no predictors of the husband's prospect of divorce. Conclusion: Obsessive-compulsion is a significant factor in a couple's relationship, although previous studies have not been interested in obsessive-compulsion. Divorce likelihood should be evaluated for clinical couples as well as marital satisfaction, because it is more important for divorce prevention. Each spouse who has a psycho logical problem such as depression, obsessive-compulsion, and deviated personality needs individual therapy as well as couple therapy.

강박장애 환자에서의 성격 5요인 모델 분석 (Analysis of the Five-Factor Model of Personality in Obsessive-Compulsive Disorder)

  • 허민정;변민수;김성년;김의태;장준환;권준수
    • 대한불안의학회지
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    • 제8권2호
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    • pp.99-105
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    • 2012
  • Objective : The aim of this study is to evaluate the five-factor model of personality in patients with obsessive-compulsive disorder (OCD) related to obsessive-compulsive symptom severity and the distinct symptom subgroups. Methods : We recruited 95 patients with OCD and 116 normal controls in the study. We used the short version of Revised NEO Personality Inventory and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) for the assessment. Results : Patients with OCD showed significantly higher scores in neuroticism than normal controls. On multiple linear regression analysis, we found that agreeableness and conscientiousness were associated with the total Y-BOCS scores. On subscale analysis, agreeableness and neuroticism were associated with the obsession subscale scores and only conscientiousness was associated with the compulsion subscale scores. Furthermore, we found that patients who have contamination/cleaning or symmetry/ordering/counting/arranging as a main symptom presentation had significantly higher mean scores in conscientiousness than patients who have harm due to injury/violence/aggression as a main symptom presentation. Conclusion : In this study, we found that specific personality factors are associated with the obsessive-compulsive symptom severity. In addition, this is the first study to investigate the relationship between the personality factors in the five-factor model and the distinct symptom subgroups in OCD.

중학생이 지각한 부모의 학대와 자녀의 부적응 (Parental Abuse and Maladjustment Perceived by Middle School Student)

  • 강경아;류점숙;신효식
    • 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.

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일부 치위생학과 학생들의 구취실태와 스트레스 및 강박증과의 관계 연구 (A Study on Relationship between Halitosis and Stress & Compulsion in Some of the Dental Hygiene Students)

  • 지민경;이미라
    • 한국전자통신학회논문지
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    • 제7권5호
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    • pp.1221-1228
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    • 2012
  • 본 연구는 치위생학과 학생들을 대상으로 본인자각구취의 관련요인과 스트레스 및 강박증과의 관계를 파악하여 구취예방을 위한 기초자료를 제공하고자 실시되었다. 연구결과 전체 대상자의 스트레스 평균은 1.76점, 강박증의 평균은 1.62점, 본인자각구취도의 평균은 1.84점으로 나타났다. 혀에 흰 막이 가끔 끼는 군에서 스트레스 1.79점(p=0.003), 강박증 1.64점(p=0.042), 본인자각구취 1.89점(p=0.001), 본인의 구강 내 증상에서는 혀가 하얗고, 입안이 끈적인다고 느끼는 군에서 스트레스 2.02점(p=0.000), 본인자각구취 2.00점(p=0.000)으로 나타났다. 구강건조감에서는 자주 느끼는 군이 스트레스 2.23점(p=0.000), 강박증 1.95점(p=0.000), 본인자각구취 1.89점으로 나타났다(p=0.046). 본인자각구취는 강박증과 r=0.133으로 약한 양의 상관관계를 나타냈고, 스트레스와 강박증은 r=0.425로 높은 양의 상관관계를 나타냈다. 이에 구취의 다양한 원인을 파악함과 더불어 정서적 요인에 대해 관심을 가지며, 미래의 환자 구취 관리를 담당할 치과위생사로서 꾸준한 교육을 통한 인식의 고취가 필요하다.

Treatment of Morsicatio Buccarum by Oral Appliance: Case Report

  • Chang, Min;Kim, Jiyeon;Park, YounJung;Kwon, Jeong-Seung;Kim, Seong-Taek;Choi, Jong-Hoon;Ahn, Hyung-Joon
    • 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.

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

  • 유정인;정주혁
    • 한국엔터테인먼트산업학회논문지
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    • 제13권6호
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    • pp.297-306
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    • 2019
  • 본 연구는 체육수업 참여 학생들을 라이프케어증진을 위한 체육수업 강박을 측정하기 위한 척도를 개발하고 구조적 타당성을 검증하는 데 목적을 두고 수행되었다. 이러한 연구의 목적을 달성하기 위한 절차로는 먼저 개방형 설문을 통하여 문항탐색과 적절성 평정을 실시한 후 예비판에 기초하여 확정판의 신뢰도를 분석하고, 구성개념 타당도를 점검하는 절차로 수행되었다. 예비판에 대한 요인분석을 거쳐 2차로 387명을 대상으로 자료를 수집한 후 문항분석과 요인분석을 수행하여 사회적 강박(4문항), 심리적 강박(3문항), 신체적 강박(3문항)으로 총 3개 요인 10문항의 최종 확정판을 완성하였다. 확정된 척도에 대하여 성별 및 수업만족에 따른 다변량 분석을 수행하여 외적 관계검토를 확인하였다. 본 연구에서 개발된 척도의 신뢰도는 .856에서 .907까지 높은 신뢰수준을 보였을 뿐 아니라, 타당성이 확보되어 라이프케어증진을 위한 체육수업 강박 척도로 입증되었으며, 이러한 척도를 활용하여 학교 체육현장에서 학생들의 체육수업 강박 측정을 위한 자료로 활용할 수 있을 것이다.

청소년 자녀가 경험하는 부모의 학대 유형과 부적응 행동 (The Types of Parental Abuse and Maladjustmental Behaviors Experienced by Adolescents)

  • 이경주;신효식
    • 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.

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아동용 휴대전화 중독 도구 개발 및 타당화 연구 (Development and Validation Study of a Cell Phone Addiction Scale for Korean Children)

  • 구현영;유명숙
    • Child Health Nursing Research
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    • 제18권2호
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    • pp.76-84
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    • 2012
  • Purpose: This study was done to develop a cell phone addiction scale for Korean children. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 268 children from grades 4 to 6 in two urban elementary schools. Construct validity, internal consistence reliability, and split-half reliability were used to analyze the data. Results: Nine items were categorized into 2 factors explaining 61.29% of total variance. The factors were labeled as obsessive compulsion (6 items) and dependency (3 items). Cronbach's alpha coefficient for the 9 items was .87, and Spearman-Brown coefficient was .83. Scale scores identified children as high risk users, at risk users, or average users by standard scores. Conclusion: The above findings indicate that the cell phone addiction scale for children has good validity and reliability when used with Korean children.

한국판 아동용 예일-브라운 강박 척도 ; 신뢰도와 타당도 연구 (DEVELOPMENT OF KOREAN FORM OF CHILDREN'S YALE-BROWN OBSESSIVE-COMPULSIVE SCALE(CY-BOCS):A RELIABILITY AND VALIDITY STUDY)

  • 이정섭;강윤형;조성진;서동혁;홍강의;정선주
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제11권1호
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    • pp.60-69
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    • 2000
  • 목 적:본 연구는 소아, 청소년의 강박 증상을 평가하기 위한 도구인 아동용 예일-브라운 강박척도 (Children's Yale-Brown Obsessive Compulsive Scale:Y-BOCS)의 한국판을 제작하여 그 신뢰도와 타당도를 검증하고자 시행되었다. 방 법:강박장애로 진단된 42명의 아동과 청소년들을 대상으로 CY-BOCS를 시행하였다. 평가자간 신뢰도를 측정하기 위하여 20명의 환자를 2명의 평가자가 동시에 면담하였다. 수렴타당도와 변별타당도의 검증을 위해 총괄적인 임상 인상척도-강박장애(Clinical Global Impression-Obsessive Compulsive Disorder:CGI-OCD), 아동용 Leyton 강박 척도(Leyton Obsessional Inventory-Child Version:LOI-CV), 소아우울척도(Child Depression Inventory:CDI), 소아 상태-특성 불안척도(State-Trait Anxiety Inventory for Children:STAI-C)를 시행하였다. 결 과:Cronbach's ${\alpha}$값으로 평가한 내적 일치도는 0.86으로 높게 나타났다. CY-BOCS 전체 점수, 강박사고, 강박행동 소척도 점수에 대한 군내 내적일치도는 각각 0.94, 0.94, 0.84로 우수한 평가자간 일치도를 보였다. CY-BOCS 전체 점수와 CGI-OCD 점수간의 상관관계는 매우 높게 나타났고(r=0.88), LOICV 총점과도 통계적으로 유의한 상관관계(r=0.51)가 관찰되었다. CY-BOCS 전체 점수와 STAI-C의 상태불안 점수간에는 상관관계가 나타나지 않았고(r=0.25), 특성불안 점수(r=0.43) 및 CDI 점수(r=0.49) 와는 유의한 상관관계를 나타냈다. 결 론:본 연구결과, 한국판 CY-BOCS의 높은 타당도 및 신뢰도가 입증되었으며, 향후 강박 증상의 객관적인 평가 및 정량화를 위해 유용하게 사용될 수 있을 것이다.

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