• 동의신경정신과학회지
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• 제34권4호
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• pp.349-358
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• 2023

Objectives: We used the 2019 Korea Health Panel Annual Data to analyze factors related to visits to Korean medicine (KM) outpatient clinics among patients with mood disorders in Korea. Methods: Individuals aged 19 years or older, with depressive or bipolar disorders, and with a record of using Western medicine (WM) and/or the KM medical service were included. The 266 subjects were classified into the WM group or the integrative medicine (IM) group. The Andersen healthcare utilization model was used to analyze factors that potentially influenced the subjects' healthcare utilization. Binomial logistic regression analysis was used to analyze factors influencing the use of IM medical services. Results: Among the subjects, 75.56% (n=201) were in the WM group, and 24.44% (n=65) were in the IM group. Statistically significant differences were observed in residential areas, total annual income, the presence of disability, and the level of pain/discomfort between the two groups. Regression analysis found that residential areas and pain/discomfort were factors related to the use of IM services. Specifically, reporting "a lot" of pain/discomfort compared to "no" pain/discomfort showed a significant positive relationship with the use of IM (odds ratio=4.57, 95% confidence interval=1.79 to 11.70). Conclusions: This study was the first to analyze the status of KM medical service use and related factors among patients with mood disorders in Korea. The finding that the presence of pain/discomfort was positively correlated with the use of KM services is potentially related to medically unexplained physical symptoms or somatization phenomena.

• 한국의류학회지
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• 제36권12호
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• pp.1297-1309
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• 2012

This study examined the effects of "me-model" body-size discrepancy on consumer's shopping mood, store satisfaction, and intention to revisit two types of online apparel stores (one featuring thin models and one featuring average-sized models). A convenience sample of women (n = 528) participated. Structural equation modeling was used to analyze the data. Participants who were thinner or similar to the models indicated positive shopping moods, a high level of online store satisfaction, and intended to revisit the stores when compared to participants who were larger than the models. Participants preferred the 'average-sized' model. This preference was attributed to the familiarity of the model and ability to effectively evaluate merchandise. The results revealed how models can influence apparel consumers in an online context.

• 한국환경과학회지
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• 제30권1호
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• pp.1-10
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• 2021

The purpose of this study is to verify the physiological and psychological benefits of indoor garden to humans and to analyze the comparison according to Type A behavior pattern. The subjects included 18 male university students. Heart rate variation was used as a parameter of physiological assessment, and Semantic Differential (SD), Profile of Mood States-Brief (POMS), and State-Trait Anxiety Inventory (STAI) were used as tools for psychological evaluation. The participants were subjected to a psychological evaluation when they were present in a garden. As a result, the parasympathetic nervous activity was increased in the indoor garden. In the analysis of psychological evaluation, indoor garden improved the positive mood states and decreased negative feelings with significant changes only in Type A group. This study supported that indoor garden can have physiological and psychological relaxing effects, which could be more significant in Type A group than Type B.

• 대한불안의학회지
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• 제19권2호
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• pp.94-99
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• 2023

Objective : We assessed the effectiveness of a mindfulness-based intervention in improving positive psychological resources in older people who were affected by the Jeju 4·3 incident. Methods : This study included 25 older people recruited from the Jeju 4·3 Trauma Center. The intervention was conducted on a once-a-week basis for six weeks. All participants completed self-report questionnaires, including the Five Facet Mindfulness Questionnaire Short Form (FFMQ) and Positive Resources Test (POREST). Results : This intervention significantly improved the total score and the nonreactivity, observing, acting with awareness, describing, and nonjudging of inner experience FFMQ scores. The interventions also significantly improved the POREST subscale scores. Conclusion : The mindfulness-based intervention significantly improved positive psychological resources in older people exposed to the Jeju 4·3 incident.

• 대한불안의학회지
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• 제11권2호
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• pp.155-161
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• 2015

Objective : The purpose of this study was to verify the effect of a single-session, positive psychology-based, strength-enhancing workshop for psychiatrists. The program is composed of lecture about positive psychology and workshop activities for identifying and utilizing character strengths. Methods : A total of 42 psychiatrists participated in this study. The program consisted of a lecture about positive psychology and workshop activities for identifying and utilizing character strengths. Results of a positive resources test, given before and after the session, were used to assess changes in the personal positive resources of the participants as a result of the program. Results : We noted significant increases in participants' satisfaction with life, positive affect, gratitude, acceptance, positive and cognitive emotion regulation, orientation of life, growth, spirit, autonomy, social support, and care factors after completion of the program. On additional analysis, spirit and care scores of female participants's were significantly increased than male participants's. Conclusion : The findings are meaningful in verifying the efficacy of a short-term intervention to improve psychiatrists's positive resources.

• 한국노년학
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• 제37권1호
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• pp.201-219
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• 2017

나이가 들면서 남은 인생이 제한적임을 느끼게 됨에 따라 부정정서 경험을 최소화하고 긍정정서 경험을 극대화하는 방향으로 정서조절하게 된다는 사회정서적 선택이론을 한국 성인을 대상으로 검증하였다. 긍정적인 정서의 부정적 측면과 부정적인 정서의 긍정적 측면이 존재함을 인정하는 동양의 변증법적 정서개념에서는 부정정서를 최소화하고 긍정정서를 극대화할 필요성이 크지 않을 수 있다. 따라서 변증법적 정서개념에 기초한 동양문화권의 한국 노인은 긍정정서를 극대화하고 부정정서를 최소화하기보다는 각성을 줄여서 편안한 상태를 유지하는 방향으로 정서 조절할 가능성이 있다. 166명의 청년, 중년, 노인을 대상으로 PANAS 척도를 사용하여 각성수준이 다양한 긍정, 부정 정서경험의 빈도를 평가하였으며, 정서경험 상황에서 정서를 약화/순응/극대화 하는 지에 대해 질문하였다. 노인이 청년보다 부정정서 뿐만 아니라 긍정정서도 덜 빈번하게 경험하였다. 또 정서문항을 각성수준에 따라 분류하여 분석한 결과, 청년들은 고각성 정서를 저각성 정서보다 더 자주 경험하였으나, 노인들은 고각성 정서를 덜 경험하였다. 또 노인은 청년보다 부정정서를 약화시킨다는 반응과 긍정정서를 약화시킨다는 반응을 더 많이 하였다. 이에 반해 긍정정서를 극대화한다는 반응은 청년이 가장 많았다. 이러한 결과는 한국 노인은 각성수준이 높은 긍정정서와 부정정서를 모두 약화시켜서 정서적 안정을 유지함을 시사한다.

• 대한불안의학회지
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• 제10권1호
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• pp.52-58
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• 2014

Objective : The purpose of this study is to develop the one-session positive psychology based strength enhancing workshop and verify effect of this program. This program is composed of lecture based on positive psychology and activities for identifying and utilizing personal character strengths. Methods : Total 81 participants were participated in this study. Positive Resources Test was assessed the change of personal positive resources at pre-, post program and subjective satisfaction for the workshop was measured at the post program. Repeated-t test was performed to identify the effect of this program. Results : Among the positive resources, satisfaction with life, positive affect, gratitude, acceptance, personal growth, efficacy, flow, resilience, hope, spirituality are significantly increased after program. Conclusion : Although this study is a single-session program without control group for comparison, it is meaningful to try a short-term intervention concise the program consisting of more than 8 sessions. This study will be based on the future development a variety of positive interventions.

• 대한불안의학회지
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• 제4권2호
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• pp.157-159
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• 2008

저자들은 심한 수면 무호흡증을 가진 성인 남자에서,CPAP 치료 후 조증 및 경조증 삽화가 유발된 증례를 보고하였다. 본 증례는 정신과적 병력 및 가족력이 없던 환자에게서 CPAP 치료 후 조증 삽화와 경조증 삽화가 연속해서 유발된 첫 번째 보고이다. 환자는 CPAP 치료 시작 직후부터 약 한달 동안 기분 고양감과 목적지향 활동의 증가를 보이다가 2~3일만에 정신병적 증상이 동반된 조증 삽화를 보였다. 또한 퇴원 후 투약을 지속하면서 다시 CPAP치료를 한 직후 경조증 삽화로 추정되는 일련의 기분 및행동 변화가 나타났다. 따라서 이 환자의 조증 삽화와 경조증 삽화로 추정되는 기분 변화는 CPAP 치료로 유발되었을 가능성이 있다고 판단되었다. 폐쇄성 무호흡증이 심하여 CPAP 치료가 처방되는 경우에 임상의들은 정신과적 질환의 기왕력이나 위험 인자가 없는 환자에서도 조증상태가 발생할 수 있는 가능성에 대해 유의하여야 하고, 주기적으로 객관적인 척도를 사용하여 기분 변화 정도를 점검할 필요가 있다. 특히 CPAP 사용 후 특별한 이유 없이 행동 변화나 기분 고양의 정도가 심해질 때는 조증 가능성을 의심해 보아야 할 것으로 사료된다.

• Journal of Sleep Medicine
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• 제15권2호
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• pp.55-61
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• 2018

Objectives: Despite the accumulating evidence of the effectiveness of positive airway pressure (PAP) therapy in obstructive sleep apnea (OSA) syndrome, adherence to PAP therapy is not high. Several factors reportedly affect PAP adherence; however, it remains unclear whether patients' symptoms were detrimental to adherence rate. This study is aimed at investigating the relationship between insomnia symptoms and adherence. Methods: Retrospective analyses were performed in 359 patients with OSA (mean age $58.4{\pm}13.2$ years; females, n=80). Logistic regression analyses were performed between PAP adherence with clinical factors and questionnaires, such as Epworth Sleepiness Scale, Insomnia Severity Index, and Beck Depression Inventory (BDI). Results: PAP adherence was defined as the use of PAP for ${\geq}4h$ per night on 70% of nights during 30 consecutive days. The median follow-up time was 55 days (interquartile range, 30-119 days), and 54.3% showed poor adherence. Non-adherent patients showed more severe sleep onset insomnia, higher BDI, and higher nadir oxygen saturation ($SaO_2$). Patients with good adherence had higher apnea-hypopnea index, oxygen desaturation index, and respiratory arousal to total arousal ratio. Sleep onset insomnia [odds ratio (OR)=1.792, p=0.012], BDI (OR = 1.055, p=0.026), and nadir $SaO_2$ (OR=1.043, p=0.040) were independently associated with PAP non-adherence. Conclusions: Not the severity of insomnia but sleep onset insomnia was associated with PAP adherence, as well as depressive mood. It suggests that different interventions for reducing insomnia and depressive mood are needed to increase PAP adherence in patients with OSA.

• 우울조울병
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• 제15권2호
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• pp.67-72
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• 2017

Objectives : Mindfulness meditation has recently become a major component in mainstream modern cognitive behavioral therapy. The purpose of this study was to examine effects of a mindfulness meditation program on positive resources of outpatients with depressive disorder and anxiety disorder. Methods : Participants were 55 psychiatric clinic outpatients. Participants received eight weekly sessions in a mindfulness meditation training program, that was approximately 90 minutes each. Measures included the Positive Resources Test (POREST), Acceptance and Action Questionnaire-16 (AAQ-16), Life Satisfaction Expectancy Scales (LSES), and Subjective Happiness Scale (SHS). Variables were measured at two time points : pre- and post-implementation (eight weeks later). Results : Paired t-test results of participants before and after the mindfulness meditation program revealed statistically significant improvement in positive resources (t=-5.847, p<.001), acceptance (t=-4.090, p<.001), life satisfaction expectancy (t=-3.892, p<.001), but not in subjective happiness. Conclusion : Results suggest mindfulness meditation may be effective to enhance positive resources, acceptance, and life satisfaction in outpatients with depressive disorder and anxiety disorder. Mindfulness meditation may be a factor in improving psychological well-being and positive psychological features in outpatients with depressive disorder and anxiety disorder.