• Title/Summary/Keyword: Psychiatric characteristics

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The Reappraisal and Appropriate Use of Benzodiazepine (Benzodiazepine의 재평가 및 적절한 사용)

  • Park Sung-Hyouk;Kim Chan-Hyung
    • Anxiety and mood
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    • v.1 no.1
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    • pp.31-36
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    • 2005
  • Benzodiazepine (BDZ) has the possibilities of development of tolerance, withdrawal symptoms, and abuse/addiction, as well as chronically adverse effects. Although many guidelines have proposed the restricted prescription of them, their uses in many psychiatric areas as well as primary practice are still wide spread. So we tried to reappraise the clinical characteristics of BDZ and then to consider the appropriate use. Firstly, meta-analyses on long-term use of BDZ indicated the cognitive impairment, which could be improved after discontinuation of BDZ. Next, there have been some evidences that the long-term use of BDZ does not develop tolerance, contrary to our concern, and maintains good anxiolytic effects. Also, physiological dependence should be discriminated from abuse/addiction, assuming the reality that the risk of BDZ abuse/addiction is surely overestimated. These issues are discussed in detail.

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Emergence of the Metaverse and Psychiatric Concerns in Children and Adolescents

  • Soyeon Kim;Eunjoo Kim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.4
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    • pp.215-221
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    • 2023
  • Advancements in digital technology have led to increased usage of digital devices among teenagers. The coronavirus disease 2019 pandemic and the subsequent implementation of social distancing policies have further accelerated this change. Consequently, a new concept called the metaverse has emerged. The metaverse is a combination of a virtual reality universe that allows individuals to meet, socialize, work, play, entertain, and create. This review provides an overview of the concept and main features of the metaverse and examples of its utilization in the real world. It also explains the unique developmental characteristics of childhood and adolescence, as well as the possible negative influences of the metaverse on them, including addiction, antisocial behavior, cyberbullying, and identity confusion. This review summarizes several suggestions for future research because the metaverse is a relatively new concept.

Insurance Claims Review and Assessment Task Effects on the Insurance Claims Reviewer and Evaluator in Hospitals (병원 급 보험심사자의 업무 특성에 따른 효과 분석)

  • Lee, Ko-Eun;Kim, Kyung-Hwa
    • The Korean Journal of Health Service Management
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    • v.11 no.1
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    • pp.27-42
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    • 2017
  • Objectives : This study analyzes the characteristics of hospital organization structures, insurance claims reviews and assessment tasks and their effects on hospitals in Pusan. Methods : The data for this study were collected through interview and self-administered surveys in 109 hospitals. The study included only - hospitals with a minimum of 50beds and excluded those providing only dental, psychiatric, or long-term care. Results : The findings of this study state that the number of beds has an influence on the organizitional structure. Conclusions : Hospital managements should seek human resources management(the insurance claims reviewer and evaluator) schemes that take into account the characteristics of the medical institution. In addition, insurance claims review and assessment tasks in hospitals require considerable knowledge and experience, and hospitals should be equipped with staff that have the relevant expertise. Therefore, to further deepen knowledge, comprehensive training should be continuously carried out in order to produce specialists in claims review and assessment.

A Study on Visiting Nursing Service in Primary Health Care Units (일차보건의료조직에서의 방문간호사업 실태조사연구)

  • Lim, Young-Ok;So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.480-493
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    • 1999
  • The visiting nursing service is an essential part of public health. The purpose of this study was to analyze the visiting nursing service in primary health service centers. The data were collected from visiting nurse records in Wonju City Health Center, Myun Health Center and Community Health Subcenters. The period of data collection was from April 6 to July 15, 1998. The major findings were as follows: 1. Characteristics of 36 service providers. 1) Age : Over 40 years old - 66.7% 2) Educational level: The proportion of registered nurses was 47.2% and nurse aids 52.8% 3) Career: The proportion of providers who worked over 11 years in Public Health Service was 7.8% 2. Characteristics of Subjects 1) The major health problems were cerebro vascular attack, hypertension, D. M., arthritis, gastrointestinal problems and psychiatric problems. The prevalence of chronic health problems increased with age, except for mental illness. 2) The prevalence of cancer was 4.3/1000. 3. Contents of Home Visiting Nursing Services. 1) The major service was education and counseling. 2) The other services were Direct Care(ROM exercise, wound care, physical therapy, basic nursing care etc,) as 56.5%, of the work involved Indirect Care(teaching, counseling, emotional support, etc,) 30.3%, medication - 11.7%, and referral to hospitals - 1.5%.

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A Study on Self-Efficacy and Quality of Life in Schizophrenic Patients (정신분열병 환자의 자기효능과 삶의 질에 관한 연구)

  • 노은선;권혜진;류은정
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.912-920
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    • 2001
  • The purpose of this study is to identify the correlation that exists between quality of life and self-efficacy of schizophrenic patients, focusing on the influence of related factors on these varables. Method: The subjects of this study were 151 schizophrenic patients. The data were collected using questionnaires. The instruments used for this study were the general self-efficacy scale developed by Sherer & Maddex(1982), the specific self-efficacy scale modified and complemented by these co-researchers on the basis of the past studies and modified SIP by Voruganti(1996). The period of data collection was from July. 2000 to Jan. 2001. Data analysis was done by SPSS, t-test, ANOVA and the Pearson Correlation Coefficient. Result: 1. The level of self-efficacy showed a mean score of 60.0 and the level of quality of life, a mean score of 47.0. 2. The general characteristics affecting the self-efficacy of schizophrenic patients were staying with family (p=0.05) and employment (p=0.00). 3. The general characteristics affecting the quality of life of schizophrenic patients were staying with family (p=0.04), employment (p=0.05) and duration of illness (0.03). 4. A positive correlation was identified between self-efficacy and quality of life (r=-0.469, p=0.000). Conclusion: The study suggests that nursing intervention strategy should be worked out to develop a psychiatric rehabilitation program that can promote self-efficacy and thus enhance the quality of life of schizophrenic patients.

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Effects of Maternal Sociodemographic Characteristics and Parenting Stress on a Child's Self-Concept: Parenting Style as a Mediating Factor (어머니의 인구사회학적 특성과 양육스트레스가 자녀의 자아개념에 미치는 영향 : 양육 태도의 매개적 역할을 고려하여)

  • Chung, Soo-Jin;Choi, Jeong-Yoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.19 no.2
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    • pp.120-127
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    • 2008
  • Objectives : The aim of this study was to examine the effects of maternal sociodemographic characteristics, especially education and employment, and parenting stress on the child's self-concept. Attention was also paid to the mediating impact of parenting style on the relationship between the maternal variables and a child's self-concept. Methods : A questionnaire and three scales were completed by fifth graders and their mothers, and 270 sets of paired data were analyzed. Results : The results showed that mothers with higher education experienced less child-related parenting stress, were perceived to be more achievement-oriented and rational by their children, and also had children with more positive self-concept. The relationship between maternal education and child's self-concept was mediated by the rationality dimension of parenting style. Maternal employment was not related to parenting stress, parenting style and most aspects of the child's self-concept. Lastly, child-related parenting stress had a negative effect on the child's self-concept, and this effect was mediated by the warmth and rationality dimensions of parenting style. Conclusion : Parenting style had a mediating effect on the relationships between the child's self-concept and maternal education and child-related parenting stress.

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Characteristics of Mind-Body Medicine Revealed in the Sa-Sang Constitutional Medicine of Lee Je-ma (동마(東武) 이제마(李濟馬)의 사상의학(四象醫學)에 드러난 심신의학(心身醫學)적 특징)

  • Joon-mo Jun;Byung-Soo Koo
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.1
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    • pp.23-31
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    • 2023
  • Objectives: The purpose of this study was to identify the characteristics of mind-body medicine revealed in the Sa-sang constitutional medicin. Methods: This study examined the psychosomatic aspects of "DongUiSuSeBoWon" that Lee Je-ma wrote about the Sa-sang constitutional medicine, comparing them to Neo-Confucianism and Oriental medicine. Results: Sa-sang constitutions contain much content that can be applied to mind-body medicine. Conclusions: First, the principle of disease caused by mental and physical connections was clearly suggested, as it was considered that when emotions of joy, sorrow, and pleasure reach their peak, they cause fatal damage to the body. Second, it was encouraged to prevent diseases by giving specific examples to prevent the prejudice of the methodology of looking back when it hasn't happened yet and the feeling of anger and joy before the emotions of joy and sorrow are revealed. Third, it suggested the treatment of mental and physical diseases using drugs for diseases that have already occurred and psychiatric methods.

Comparison of Clinical Characteristics between Patients with Early-Onset and Adult-Onset Schizophrenia : A Retrospective Study (조기 발병 조현병과 성인기 발병 조현병의 임상적 특성의 비교 : 후향적 연구)

  • Kim, Pyung-Soon;Shin, Jae-Ho;Lee, Chang-Hwa
    • Korean Journal of Biological Psychiatry
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    • v.20 no.4
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    • pp.179-186
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    • 2013
  • Objectives This study is designed to compare the clinical characteristics of patients with early onset schizophrenia to those of adult onset schizophrenia patients in first episode. Methods Authors reviewed medical records of 16 early-onset schizophrenia patients and 22 adult-onset schizophrenia patients who had been admitted in the psychiatric ward and diagnosed as schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, fourth Edition (DSM-IV) at Eulji University Hospital during 2004-2008. Socio-demographic data and clinical characteristics such as duration between onset and active phase, number of significant positive and negative symptoms, positive and negative symptom scores of Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S) scores, duration from onset to admission, duration of admission, and equivalent dose of antipsychotics were reviewed. These clinical characteristics of early-onset group were compared to those of adult-onset group. Correlation between age of onset and other clinical characteristics was also analyzed. Results Early-onset group showed more insidious onset pattern and had longer duration of hospitalization than adult-onset group. Early onset group also exhibited more negative symptoms, higher negative symptom scores, and higher CGI-S scores than adult-onset group after treatment. However, there were no significant differences in family history of psychosis, positive symptom frequency at discharge and equivalent dose of antipsychotics between two groups. Conclusions This study revealed that patients with early-onset schizophrenia exhibited more insidious onset, more negative symptoms, and more severe symptoms than those with adult-onset schizophrenia after treatment.

Characteristics of Impulsive and Premeditated Aggression Subtypes in Patients with Schizophrenia in South Korea Who Committed a Crime (범죄로 수감중인 국내 조현병 환자의 충동적 공격성과 계획적 공격성의 특성 비교)

  • Kim, Minah;Jo, Yongwoo;Lee, Tae Young;Lim, Kyung-Ok;Kwon, Jun Soo
    • Korean Journal of Schizophrenia Research
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    • v.24 no.1
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    • pp.8-16
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    • 2021
  • Objectives: Although the characteristics of different aggression subtypes provide important information in establishing treatment and prevention strategies in schizophrenia patients, limited information is available about the characteristics of the aggressive subtype in schizophrenia patients in South Korea. The present study was designed to compare the demographic and psychological characteristics across the impulsive and premeditated aggression subtypes in schizophrenia patients in South Korea who had committed a crime. Methods: We enrolled 116 schizophrenia spectrum disorder patients who were admitted to the National Forensic Psychiatric Hospital. Using the criminal and interview records, the study subjects were divided into 83 impulsive and 33 premeditated aggression groups. The subjects' demographic and psychological characteristics were summarized and compared across aggression subtypes. Results: Compared to the premeditated aggression group, the impulsive aggression group had a higher intelligent quotient and a lower rate of physical and sexual abuse experience. Conclusion: To our knowledge, this is the first study to describe the characteristics of aggression subtypes in schizophrenia patients in South Korea who had committed a crime. Our results suggest that different treatment and prevention strategies should be considered for each aggression subtype.

Drug use and Reuse Relating Characteristics in Illegal Drug Users (불법약물 사용자의 약물사용 및 재사용 관련특성)

  • Lee So Young
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.400-411
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    • 2002
  • This study was performed to identify the drug use and reuse relating characteristics and reuse relating factors in illegal drug users. Subjects consisted of 88 illegal drug users. Some of them were confined in a mental hospital or National Forensic Psychiatric Hospital located in Chung-nam province, others on attending a drug abuse prevention program in Seoul Probational Institute. Data were collected during the period from February 1, 2002 to February 25, 2002, and analyzed by SAS program. version 6.12. for Wilcoxon rank sum test, Pearson Correlation, Multiple regression. Results were as follows; 1. Drug use characteristics were as follows. $19.3\%$ was has drug family history and $20.7\%$ was has alcohol family history. Main drug was Phillopon$44.3\%$, inhalants $35.2\%$, LSD et al $22.7\%$. Drug use rate of months was everyday $31.2\%$, every other day $24.4\%$. 2. $100\%$ has experienced abstinence and reuse. Abstinence period was less than 12 months in $49.4\%$ and reuse period was less than 6 months in $58.6\%$. 3. Drug use and reuse characteristics related to general characteristics was identified as below. Abstinence period of male was longer than that of female. Person who have drug family history experienced more drugs and person who have family alcohol history started earlier. 4. Reuse periods was correlated with abstinence periods, age. And abstinence period was correlated with age and outcome that following reuse. 5. The multiple regression was used to identify the relating factors that influence reuse period and abstinence period. At the state of controlling abstinence period. inhalants users have 10.07 days shorter reuse period than others. And abstinence period had lengthened age, bad health status, early initiate age, and long reuse period.

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