• Title/Summary/Keyword: Psychiatric

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Factors Affecting Suicidal Ideation in Psychiatric Inpatients (입원정신질환자의 자살사고에 영향을 미치는 요인)

  • Jo, Myoung-Ju;Jun, Won-Hee
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.308-317
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    • 2014
  • The purpose of this study was to investigate factors affecting suicidal ideation in psychiatric inpatients. A total of 186 psychiatric inpatients participated in the study. Data were analyzed by frequencies, t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression with SPSS WIN 18.0. Suicidal ideation showed significant differences according to marital status, diagnosis, and previous suicide attempt history. There were significant correlations among depression, self-esteem, spirituality and suicidal ideation. Depression and spirituality were identified as predictors affecting suicidal ideation. The regression model explained 52.4% of suicidal ideation. As a result, intervention program for decreasing depression and improving spirituality is essential to decrease suicidal ideation in psychiatric inpatients.

Frequency of Cigarette Smoking Among Psychiatric Inpatients Evaluated by the Fagerstrom Test for Nicotine Dependence

  • Tanriover, Ozlem;Karamustafalioglu, Nesrin;Tezvaran, Zehra;Kaplan, Asli;Tomruk, Nesrin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.579-582
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    • 2013
  • Background: In this study our aim was to determine the rate of smoking in a sample of psychiatric in-patients with diagnoses of schizophrenia, bipolar disorder and major depression and to examine factors related to smoking status and the level of dependence in this population. Materials and Methods: A total of 160 people were included in this descriptive study. 80 were inpatients with schizophrenia, bipolar disorder and major depression and 80 people without any psychiatric diagnoses were included as a control group. The participants were interviewed face-to face using a semi-structured questionnaire and Fagerstrom Test for Nicotine Dependence was used to define smoking habits. Results: The mean age of the participants was $37.24{\pm}12.19$ years ranging from 18 to 81 years, 54.4% of the participants were (n=87) female, and 45.6% cases (n=73) were male. 70% (n=56) of the patients and 55% of the control group were smoking and the difference was statistically significant (p<0.01). Total score of Fagerstrom Test for Nicotine Dependence in the patient group was statistically significantly higher than in the control group (p<0.01). Conclusions: In our sample, the frequency of cigarette smoking and nicotine dependence among psychiatric inpatients was high, posing a high risk for smoking related diseases including cancers; therefore there should be counseling on tobacco control and smoking cessation programming targeting this population.

The Relationship between Neurocognitive Functioning and Emotional Recognition in Chronic Schizophrenic Patients (만성 정신분열병 환자들의 인지 기능과 정서 인식 능력의 관련성)

  • Hwang, Hye-Li;Hwang, Tae-Yeon;Lee, Woo-Kyung;Han, Eun-Sun
    • Korean Journal of Biological Psychiatry
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    • v.11 no.2
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    • pp.155-164
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    • 2004
  • Objective:The present study examined the association between basic neurocognitive functions and emotional recognition in chronic schizophrenia. Furthermore, to Investigate cognitive variable related to emotion recognition in Schizophrenia. Methods:Forty eight patients from the Yongin Psychiatric Rehabilitation Center were evaluated for neurocognitive function, and Emotional Recognition Test which has four subscales finding emotional clue, discriminating emotions, understanding emotional context and emotional capacity. Measures of neurocognitive functioning were selected based on hypothesized relationships to perception of emotion. These measures included:1) Letter Number Sequencing Test, a measure of working memory;2) Word Fluency and Block Design, a measure of executive function;3) Hopkins Verbal Learning Test-Korean version, a measure of verbal memory;4) Digit Span, a measure of immediate memory;5) Span of Apprehension Task, a measure of early visual processing, visual scanning;6) Continuous Performance Test, a measure of sustained attention functioning. Correlation analyses between specific neurocognitive measures and emotional recognition test were made. To examine the degree to which neurocognitive performance predicting emotional recognition, hierarchical regression analyses were also made. Results:Working memory, and verbal memory were closely related with emotional discrimination. Working memory, Span of Apprehension and Digit Span were closely related with contextual recognition. Among cognitive measures, Span of Apprehension, Working memory, Digit Span were most important variables in predicting emotional capacity. Conclusion:These results are relevant considering that emotional information processing depends, in part, on the abilities to scan the context and to use immediate working memory. These results indicated that mul- tifaceted cognitive training program added with Emotional Recognition Task(Cognitive Behavioral Rehabilitation Therapy added with Emotional Management Program) are promising.

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Self-evaluative Awareness of Problem Solving Ability In Psychiatric Nurse Practitioners (정신보건간호사의 문제해결능력에 대한 인식정도)

  • Yang Soo;Lee Gyung Joo;Yu Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.378-387
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    • 2002
  • This study was conducted to investigate the degree of PSI (self-evaluative awareness of problem solving ability) in PMHNP (psychiatric mental health nurse practitioners) and to identified the factors predicting problem solving ability of them, in order to provide basic data for the development of the specific education programs to improve problem solving ability. Data was collected from 355 subjects who have the certificates of PMHNP working in hospitals and public centers. Chun Seok Kyun's instruments (1993) based on the Heppner and Petersen's Problem Solving Inventory (1982) was used to determine PMHNPs' PSI. The results were as follows; 1. The average score of PSI of PMHNP was $2.81\pm0.23$. Of the three factors. there marked the lowest score in the factor 3. personal control $(2.56\pm0.43)$, and the highest score was in the factor 1. problem-solving confidence $(2.95\pm0.34)$. 2. The differences in PSI were significant for degree of education and career in psychiatric settings (p=0.000l, p=0.0187). 3. Job satisfaction was the highest factor predicting PSI of PMHNP$(17.9\%)$. When degree of education, career in psychiatric setting and marital status were added, the total predictors explained $24.3\%$. As a result, it is necessary to conduct further research in relation to the problem-solving process, the development of education program. skill acquisition and measurement of problem solving in nursing practice.

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Psychiatric Characteristics of Wounded Persons of Daegu Subway Fire Accident after Six Years (대구시 지하철 화재사고 부상자들의 6년후 정신과적 특성)

  • Ha, Sook-Sin;Suh, Soon-Rin;Kim, Jung-Bum;Lee, Eun-Jeong
    • Anxiety and mood
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    • v.5 no.2
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    • pp.125-132
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    • 2009
  • Objective : This study examined psychiatric characteristics of wounded persons of Daegu subway fire accident occurring in February 2003 after six years. Methods : 103 wounded persons completed psychometric measures at 2 months and 6 years after the accident. Changes of psychiatric symptoms were compared and factors affecting post-traumatic stress disorder (PTSD) seriousness were examined. Results : In Minnesota Multiphasic Personality Inventory, the scores of Psychopathic Deviate (Pd), Masculinity/ Femininity (Mf), Social Introversion (Si) scales were significantly changed over time. The scores of Symptoms Checklist-90-Revision subscales were mostly decreased over time, however, paranoid ideation (PAR) subsclae scores were not significantly changed over time. In all of the State-Trait Anxiety Inventory (STAI)-State, Beck Depression Inventory, Impact of Event Scale, and PTSD Checklist-Civilian, mean scores at 6 years after the accident were significantly lower than those at 2 months after the accident. However, STAI-Trait score was not significantly changed over time. Total seriousness of PTSD was found to be affected by quality of sleep. Conclusions : Psychiatric symptoms of subjects were largely improved over time, but distrust and doubt of others were continued. In addition, the wounded persons suffered from sleep problems. Therefore, early and continuous interventions of public institutions and public health specialists are needed for the wounded persons with chronic psychiatric disorders.

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Right Caudate Volumetric Differences in Young Healthy Adults with Different Dopamine DRD2/ANKK1 Taq 1a Polymorphisms (정상 젊은 성인에서 도파민 DRD2/ANKK1 Taq 1a 유전자다형성에 따른 우측 미상핵 용적의 차이)

  • Jeon, Yu-Jin;Choi, Ye-Ra;Kim, Ji-Hyun H.;Jung, Ji-Young J.;Kim, Da-Jung J.;Yu, Suk-Gyeong;Im, Joo-Yeon Jamie;Lee, Jung-Hyun H.
    • Korean Journal of Biological Psychiatry
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    • v.18 no.4
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    • pp.254-259
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    • 2011
  • Objectives The aim of this study was to assess variations in caudate volume according to dopamin receptor D2/ankyin repeat and kinase domain containing 1 (DRD2/ANKK1) Taq 1a polymorphisms in young healthy adults and to evaluate the relationship between caudate volumes and psychiatric symptoms as measured by the Brief Psychiatric Rating Scale. Methods Genetic information regarding DRD2/ANKK1 Taq 1a and T1-weighted brain magnetic resonance images were acquired from 30 young healthy adults. Automatic segmentation of caudate was performed using the FreeSurfer program. Results Individuals with A2 homozygotes of DRD2/ANKK1 Taq 1a polymorphisms (n = 10) had greater right caudate volumes compared to those with A1 allele (s)(18.4% greater ; p = 0.019). Right caudate volumes were negatively associated with total scores of the Brief Psychiatric Rating Scale (${\beta}$=-0.50 ; p = 0.016). Conclusions Our findings suggest the possibility that DRD2/ANKK1 Taq 1a polymorphisms may underlie the psychiatric symptoms by influencing the structure of the right caudate.

The Lived Experiences of Supported Housing among People with Psychiatric Disabilities (정신장애인의 체험홈 이용경험에 관한 연구)

  • Koo, Chun Young;Kim, Mi Young;Koo, Jin Hee
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.1-11
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    • 2019
  • The purpose of this study is to investigate in depth the lived experiences of utilizing supported housing among people with psychiatric disabilities. Phenomenological approach was used for this study. A total of 9 people with psychiatric disabilities were recruited as research participants. Data was collected through in-depth interviews from September, 2016 to March, 2018. Transcribed data from audio recordings on interviews were analyzed using the Colaizzi method. 6 clustered themes consisting of 17 sub-themes emerged through the qualitative data analysis and they include the following: 1) Confusion at site daily residence; 2) Feeling relaxed in supported housing site; 3) Development in self-perception; 4) Undertaking a leading role; 5) Growing capacity for independent living; and 6) Integration into normal life. Study findings suggest that expanding supported housing and improving its quality for people with psychiatric disabilities are needed. Additionally, the field of mental health needs an increase in the number of case managers with expertise in dealing with people suffering from psychiatric disabilities and their recovery.

Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome (정신질환자를 위한 대사증후군 통합건강관리 프로그램 개발 및 평가)

  • Kwak, Yun Bock;Kim, Ji Young
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.261-277
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    • 2022
  • Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods: A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann-Whitney U test, ANCOVA, and Ranked ANCOVA. Results: The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, ηp2 = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group. Conclusion: The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.

The influence of Psychiatric Nurse's Awareness of Medical Institution Certification and Job Satisfaction on Nursing Performance (정신간호사의 의료기관인증제 인식과 직무만족도가 간호업무성과에 미치는 영향)

  • Yoo, Hyun Jin;Cho, Young-Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.381-387
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    • 2022
  • This study was to identify the influence of awareness of medical institution certification, job satisfaction, nursing performance of psychiatric nurses. The participants were 140 psychiatric nurses and data was collected with questionnaire during Aug, 2018 to Oct, 2018. The result of this study, awareness of medical institution certification was 3.35 points, job satisfaction was 3.32 points, nursing performance was 3.74 points. The factors affecting the nursing performance were job satisfaction and current work experience, these variables explained 40.2% of the variance. The results of this study, it can be used as basic data for improving nursing performance of psychiatric nurses.

Comparative Analysis of Overseas Guidelines for Seclusion Room of Psychiatric Facilities (정신의료기관 보호실 대상 해외 가이드라인 비교분석 연구)

  • Lee, Seungji;Yoon, Sunyoung;Yeo, Soyeon;Park, Dohee;Baek, Jinhee;Kim, Sunghyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.2
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    • pp.7-16
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    • 2023
  • Purpose: Seclusion room in a psychiatric facility limit the body and space for treatment or protection, so controversy over human rights violations arises despite their necessity. The seclusion room should be created as an environment that can promote the recovery and healing of patients, not the purpose of managing patients. while ensuring the safety of medical staff. Therefore, the purpose of this study is to compare and analyze the standards of overseas guidelines for the seclusion room in psychiatric facility, and through this, it is intended to contribute to the improvement of facility standards for seclusion rooms in Korea, which are at a very insufficient level. Method: This study takes the method of comparative analysis through literature review. We analyze the facility standards of seclusion room in Korea, and compare and analyze guidelines for seclusion rooms in Australia, US, UK, and Canada. Result: As a result, the elements of the guideline for seclusion room were classified into size, space, opening, furniture and equipment, and etc. The results of comparative analysis of details are presented. Implications: Korea should also prepare guidelines for psychiatric institutions, and among them, the standards for seclusion room, which are at the center of controversy over human rights violations, should be reviewed in depth.