• Title/Summary/Keyword: Psychiatric diagnosis

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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.

Frontotemporal Dementia (전두측두엽 치매)

  • Jun, Byoung Sun;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.23 no.3
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    • pp.69-79
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    • 2016
  • Frontotemporal dementia (FTD) is a degenerative disease characterized by the selective frontal and temporal lobe atrophy, and progressive deficits in behavior, executive function, or language. The prevalence and incidence of FTD are 15-22/100000 and 2.7-4.1/100000, respectively, in midlife. Hereditary is an important risk factor for FTD. Although there is some controversy regarding the further syndromatic subdivision of the different types of FTD, FTD is clinically classified into behavioral variant of frontotemporal dementia, semantic dementia and progressive nonfluent aphasia. FTD can be misdiagnosed as many psychiatric disorders because of similarity of the prominent behavioral features. Advances in clinical, imaging, and molecular characterization have increased the accuracy of FTD diagnosis, thus developing for the accurate differentiation of these syndromes from psychiatric disorders. We also discuss about therapeutic strategies for symptom management of FTD. Medications such as serotonin reuptake inhibitors, antipsychotics, and other novel treatments have been used in FTD with various rates of success. Further advanced research should be directed at understanding and developing new diagnostic and therapeutic modalities to improve the FTD patients' prognosis and quality of life.

Associations of Spiritual Well-being, Attitude toward Death and Quality of Life among Alcoholics Anonymous (익명의 알코올 중독자의 영적 안녕, 죽음에 대한 태도와 삶의 질의 관련성)

  • Lee, Sangmin;Gang, Moonhee
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.28 no.2
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    • pp.114-123
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    • 2019
  • Purpose: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). Methods: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. Results: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=-.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. Conclusion: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.

The sexual knowledge, sexual attitude and sexual behavior of psychiatric patients (정신질환자의 성지식, 성태도 및 성행동)

  • Park, Seung-Mi;Kim, Ji-Young;Ko, Sung-Hee
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.261-271
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    • 2017
  • This study was conducted to identify sexual knowledge, sexual attitude, and sexual behavior that are perceived by psychiatric patients, and analyzes their differences and relations. Participants were 222 adult psychiatric patients hospitalized in two psychiatric hospitals located at K city of J province. Data were collected from March 11 to April 15, 2016 by using structured questionnaires. Collected data were analyzed through independent t-test, One-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's Correlation Coefficients using SPSS/WIN 20.0 program. The mean score of sexual knowledge was 2.60, sexual attitude was 2.74, and sexual behavior was 0.49. The sexual knowledge of patients differed significantly according to parent attitude(${\rho}$<.01), and sexual behavior showed the difference according to diagnosis(${\rho}$<.05). Sexual knowledge had a significant positive correlation with sexual attitude(r=.75, ${\rho}$<.001) and sexual behavior(r=.15, ${\rho}$<.05). There were also positive correlation between the sexual attitude and active sexual behaviour(r=.20, ${\rho}$<.01), the subcategory of sexual behaviour. These results of study suggest that psychiatric nurses should appropriately assess sexual problems of psychiatric patients and include them in nursing interventions.

A Clinical Study and an analysis of Symptom Check List-90-Revision on Psychiatric Patients Visiting the Emergency Room in an Oriental Medicine Hospital (한방병원 응급실에 내원한 신경정신과 환자의 임상고찰 및 SCL-90-R에 의한 특성)

  • Park, Ji-Un;Jung, In-Chul;Lee, Sang-Ryong;Choi, Bo-Yun
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.155-167
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    • 2003
  • Objective : The aims of this study were to show the clinical aspects and to investigate psychiatric traits by SCL-90-R in patients who visited Oriental Medicine Hospital Emergency Room. Method : We studied twenty patients who visited Daejeon University Oriental Medicine Hospital from May, 2003 to September, 2003. Results : 1. The ratio of male to female patients was 1:3 and age distribution was most frequent in 30s&40s. 2. The most frequent cause of illness was stress in occupation and overwork. The greater part of patients came to hospital in 12hours after an attack. 3. In chief problem, somatic symptoms such as headache, dizziness, numbness and chest discomfort were most frequent. In diagnosis, somatization disorder was most frequent. 4. After treatment, most of symptoms were improved. 5. Psychiatric traits by SCL-90-R correlated with somatization and anxiety.

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A Case of Rapunzel Syndrome

  • Kim, Joon Sung;Nam, Chang Woo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.2
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    • pp.127-130
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    • 2013
  • Rapunzel syndrome refers to a very rare condition in which swallowed hair forms a gastric trichobezoar that has a long tail extending into the small bowel. We describe a case of Rapunzel syndrome in an 8-year-old girl who presented with abdominal mass, epigastric pain and vomiting. Abdominal computed tomography scan showed a markedly dilated stomach filled with coarse heterogeneous materials. Upper gastrointestinal endoscopy revealed a huge hairy ball with a tail extending through the pylorus. We performed a surgical laparotomy and successfully removed a huge trichobezoar with a long tail extending into the middle portion of jejunum. Psychiatric consultation with review showed her past history of trichotillomania and trichophagia 4 years ago. But her parents denied further psychiatric therapy and she was lost to the follow-up. Rapunzel syndrome should be included in the differential diagnosis in children with chronic abdominal pain and trichophagia.

Virtual Reality in Current and Future Psychiatry (가상현실 기술의 정신의학적 이용)

  • Cha, Kyung Ryeol;Kim, Chan-Hyung
    • Korean Journal of Biological Psychiatry
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    • v.14 no.1
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    • pp.28-41
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    • 2007
  • Virtual reality technology is now being used in neuropsychological assessment and real-world applications of many psychiatric disorders, including anxiety disorders, schizophrenia, child psychiatric disorders, dementia, and substance related disorders. These applications are growing rapidly due to recent evolution in both hardware and software of virtual reality. In this paper, we review these current applications and discuss the future work of clinical, ethical, and technological aspects needed to refine and expand these applications to psychiatry.

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Attention in Child Psychiatry (소아정신과 장애에서 주의력의 문제)

  • Shin, Min-Sup
    • Sleep Medicine and Psychophysiology
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    • v.5 no.2
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    • pp.134-154
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    • 1998
  • This paper first reviewed the definition, criteria, and neurological theories concerning the etiology of AD/HD, and the empirical studies dealing with the comorbidity of AD/HD with other psychiatric disorders. Secondly, results of studies using various neuropsychological tests for assessing the cognitive and behavioral problems in AD/HD children were examined, which suggest the possibility that dysfunction may exist in neural pathways involving many areas of the brain in AD/HD. However, because most of neuropsychological test used in Korea for ADHD children had been developed abroad, further study involving AD/HD, normal control, and other psychiatric control groups is needed to obtain developmental norms for interpreting the results, and to make more accurate diagnosis, and to clarify comorbidity of AD/HD with other disorders.

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Development of Computerized Polysomnographic System (전산화 수면다원검사 시스템 개발)

  • Park, H.J.;Sohn, C.H.;Jeong, D.U.;Park, K.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.33-36
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    • 1996
  • In this paper, we present the Computerized Polysomnographic System, which we developed for aiding manual polysomnographic diagnonis. This system is composed of four sub parts: patient information management tool, polysomno-graphic signal acquisition tool, signal analysis tool, and result-reporting tool. We calculated the parameters of sleep diagnosis, both on the sleep stage hypnogram and event lists. We developed this system on the Windows NT 4.0 and Pentium Pro 200Mhz. We are testing this system on the clinical site.

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A Study of Psychiatric Problems of North Korean Refugees Who Visited a Psychiatric Clinic (한 정신건강의학과에 내원한 북한이탈주민의 정신의학적 문제 고찰)

  • Kang, Hee-Young;Byeon, Seong-Hye;Shin, Sang-Ho;Kim, Hyun-Chung;Lee, So-Hee;Yoo, So-Young
    • Sleep Medicine and Psychophysiology
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    • v.19 no.1
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    • pp.35-41
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    • 2012
  • Purpose: According to the statistics announced by the Ministry of Unification, the number of North Korean refugees living in South Korea has increased by 200 on average monthly in 2010. The number of refugees increased only by 300 annually until 2000. The total number of refugees as of February 2012 was 20,956. This study aims to investigate the psychobiology of the North Korean refugees who consulted psychiatric clinics among those living daily life in South Korea. Methods: The subjects of this study were 85 North Korean refugees that consulted psychiatric clinics from January 1, 2005 to July 2011. This study obtained demographic and psychiatric information in a retrospective approach. Results: Among the 85 North Korean refugees, 75 (88.2%) were females and their average age was 48 years of age. A total of 16 (18.8%) were admitted to a clinic and among the inpatients, 4 were admitted twice and two were admitted three times. As for the claimed symptoms of outpatients, insomnia was shown in 47 (55.3%) patients, headaches in 37 (43.5%), anxiety in 20 (23.5%), depression in 19 (22.4%), etc. The major symptoms represented by inpatients were insomnia in 14 (87.5%) patients, depression in 12 (75%), and headaches in 8 (50%), etc. Conclusion: The most frequent psychiatric symptoms of North Korean refugees living in South Korea were insomnia and headaches. It suggests that when performing psychiatric diagnosis and treatment of North Korean refugees, we have to take into consideration the fact that they claimed the physical symptoms more than the emotional ones. Also, from the aspect that most symptoms of North Korean refugees were insomnia, more profound research on sleep is required in the future.