• Anxiety and mood
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• v.3 no.1
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• pp.41-45
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• 2007

Objective : The present study investigates patterns of consumption of alcohol, cigarettes, and over the counter drugs (OTC) in Korean patients with PTSD and psychiatric patient controls and healthy controls from multicenter hospital samples. Method : Data were collected from 18 hospitals nationwide. Patients with PTSD were compared with nonpsychotic psychiatric disorders control and healthy control subjects on psychometric measures of consumption of alcohol, cigarettes, and OTC drugs. Result : Ninety-three patients with PTSD, 73 patients with psychiatric disorders control, and 88 healthy control subjects were enrolled. There were significant differences in the frequency of alcohol drinking among the three groups ($X^2$=12.93, df=6, p=0.044). Only 3.2% of healthy control subjects drank alcohol more than 4 times a week, but 43.9% of PTSD group and 46.5% of mental disorder controls drank alcohol more than 4 times a week, respectively. Regarding cigarette smoking, there were no differences among the three groups. There were significant differences in uses of OTC drugs among the three groups; 16.7 % in the PTSD group, 14.9% in the psychiatric control group and 1.3% in the heath control group, respectively ($X^2$=11.31, df=2, p=0.004). Conclusion : In this study, patients with PTSD showed significant differences in the frequency of consumption of alcohol and OTC drugs, as compared with healthy controls. However, there were no differences between the PTSD and psychiatric patient control groups. Since all subjects were enrolled from hospital based sample, results may differ in the community samples. Further studies will be needed for the evaluation of substance uses in these groups.

• Korean Journal of Psychosomatic Medicine
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• v.6 no.2
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• pp.176-187
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• 1998

This study was performed to identify the significant variables affecting Follow-up after psychiatric consultation in General medical units and the trends of psychiatric consultation at the Hallym University hospital in Chunchon. Subjects of this study were 107 patients from April 1, 1998 to August 31, 1998, who were referred for psychiatric consultation during hospitalization. The results were as follows ; 1) Referral rate of General medical units was 7.5% and ordered Gastroenterology, Cardiology, nephrology, Other part. 2) The rate of total follow-up was 58% and the rate of No-follow-up was 42%. 3) In the cases of referral timing over admission 8th days, the days hospitalized after consultation performed were lengthened, significantly. 4) Common reasons for no follow-up of consultation were 'early- discharge' and 'patient's unwillingness to psychiatric reconsult. 5) Significant variables affecting follow-up were 'treatment recommendation', 'concordance with psychiatric drug recommendation', 'concordance with laboratory recommendation', 'total days hospitalized', 'Days hospitalization after consult was performed' and 'referral reason'.

• 재활복지
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• v.20 no.1
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• pp.113-130
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• 2016

The purpose of this study is to determine the effects of guided imagery activities using music on both mood states and physiological responses of psychiatric inpatients. The experimental group was consisted of 27 psychiatric patients participating in the guided imagery activities using music for 11 minutes. Also, the control group was formed with 27 psychiatric patients with non-musical intervention. Mood states, blood pressure, pulse and skin temperature were checked before and after session. We could see the significant difference in the score of five areas-tension, depression, anger, vigor, fatigue-showed most differences in score. Also, the score of skin temperature of both experimental group and between two groups showed significant differences, too. Therefore, we can conclude that these results were showing that guided imagery activities using music was an effective nursing intervention method for altering mood state of psychiatric patients. Besides, it seemed to have physiological impact to make patients relax tension backed up by change of skin temperature.

• Korean Journal of Psychosomatic Medicine
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• v.1 no.1
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• pp.92-97
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• 1993

Successful management of mental symptoms requires proper diagnostic tools and comprehensive treatment including psychotherapy, physical therapy and psychopharmacotherapy. For this purpose. valid and reliable diagnostic instruments need to be developed. and the data regarding various treatment methods in medical and psychiatric comorbid conditions should be available. Because mental symptoms originate from various aspects of biological, psychological and social factors. each aspect may have slightly different therapeutic goal. Alterations in pharmacokinetics and pharmacodynamics of medically ill and/or old patients may complicate the treatment outcomes. Best psychopharmacological treatment needs to be elaborated in various states. Mental symptoms of the medically ill patients may be treated more effectively with an eclectic approach.

• Journal of the Korea Convergence Society
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• v.11 no.4
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• pp.265-275
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• 2020

This narrative inquiry examines the experience of mentally ill patients who used the psychiatric day hospital care service. The researchers in this inquiry conducted in-depth interviews three times with four patients who used day hospital care and data was also collected from additional conversations when patients were on outpatient visit after being discharged from the day hospital. The inquiry uses the narrative research method to describe the experience of using day hospital services as follows; a springboard to reconnect to the world, a place to be empowered and set the mind at ease, and a guide to direction in life. This inquiry is meaningful in that it deals with the in-depth stories of the mentally ill patients who experienced the day hospital care. Based on the results of the inquiry, the following policy suggestions are made; institutional support for reducing social isolation of psychiatric patients, activation of various support systems and further program development.

• Korean Journal of Psychosomatic Medicine
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• v.8 no.2
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• pp.149-164
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• 2000

Somatization is regarded as a process rather than a diagnostic entity. It should be emphasized to identify psychopathology rather than to make a choice regarding diagnosis in assessing somatizing patients. Psychiatrists should be aware of the psychosocial cues underlying the patients' physical symptoms. Special skills and strategies are required by nonpsychiatric physicians to facilitate the patients' acceptance of psychiatric treatment. The goal of treatment for somatization is management but not cure. The approach should be flexible, depending on the patients' responses and need. The difficulty in diagnosing and treating somatization is likely to be related to abnormal illness behavior such as the patients' denial of their psychosocial problems and resistance to psychiatric approach. In conclusion, biopsychosocial approach is needed to treat these patients effectively. Psychiatrists should also teach other physicians the interview skill that they could identify these patients as early as possible and facilitate their acceptance of psychiatric treatment.

• Journal of Korean Academy of Nursing
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• v.3 no.3
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• pp.62-72
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• 1973

THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

• Journal of agricultural medicine and community health
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• v.33 no.3
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• pp.269-278
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• 2008

= ABSTRACT = Objectives: This study was carried out to identify the relationships of family burden and mental health service needs of chronic mental patients in community. Methods: Objects of the study were 153 chronic mental patients in community of P. city in korea. Data were collected from December, 2007 to February, 2008 using structured questionnaire. Research tools of this study were family burden tool developed by Pai & Kapur (1981) and mental health service needs tool developed by Kim (2003). Results: The average grades for family burden was 1.62 points. And the biggest part of family burden was economic burden(1.74), followed by interrupt of daily life(1.67), interrupt of family relationship(1.64), interrupt of family leisure (1.57), effects of mental health(1.50), and effects of physical health(1.43). The average grades for mental health service needs was 2.72 points. And the biggest part of mental health service needs was rehabilitation service(3.09), followed by social service(2.87), and Psychiatric medical service(2.21). Positive correlation showed between all parts of family burden. And, positive correlation showed between psychiatric medical service and interrupt of daily life(r=.281, p<.01), psychiatric medical service and effects of physical health(r=.355,p<.01), social service and effects of mental health(r=.213,p<.01). Conclusion: The family burden for care giver of mental patients was related with all parts of family burden and mental health service needs of family. Thus, these results should be considered to reduce family burden for care giver of mental patients in community.

• The Journal of the Korea Contents Association
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• v.14 no.10
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• pp.628-638
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• 2014

The aim of this study was to explore the reliability and validity of the Korean version of the Recovery Assessment Scale in psychiatric patients. The original RAS was translated into Korean and the content was verified through back-translation procedures. This study included 142 patients who had chronic mental illness and were aged 18 or older. The subjects were assessed by using RAS-K, the 12-item Dispositional Hope Scale(DHS), the 28-item Mental Health Recovery Measure(MHRM), the 32-item Behavior and Symptom Identification Scale (BASIS-32). In the reliability test, Crobach's a coefficient and test-retest reliabilities were 0.92 and 0.79, respectively, indicating that the RAS-K has good internal consistency. In the analysis of the concurrent validity of the RAS-K, there were significant correlations between the RAS-K and DHS(r=.675, p<0.01), and between the RAS-K and MHRM(r=.816, p<0.01), but lower correlations with symptoms and clinician-related measures of psychiatric functioning. Factor analysis resulted in a five factor solution accounting for 62.476% of the common variance. Our study indicates that the RAS-K is an appropriate instrument to assess recovery in Korean psychiatric patients.

• Journal of Yeungnam Medical Science
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• v.27 no.1
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• pp.27-36
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• 2010

Purpose : The purpose of this study was to find out cognitive function of the patients with subjective memory complaint. Material and Methods : From March 1st 2005 to May 31st 2009, 155 normal individuals without any medical illness who visited Yeungnam University Hospital to undergo medical checkup with neurocognitive test was enrolled, and checked by using Cognitive Assessment & Reference Diagnostic System. Results : 107 of the patients had normal cognitive function, 21 patients (about 15%) were diagnosed with dementia, and 10 patients (about 7%) were diagnosed with considerable psychiatric illness, such as depression, anxiety disorder, adjustment disorder. In amnesia, agnosia, aphasia, attention, calculation, dysexecution, Dementia group and Psychiatric illness group has worse score than Normal individuals group. But, in apraxia, Dementia group has worse score than Psychiatric illness group and Normal individual group. Conclusion : Because the patients with subjective memory complaint can be diagnosed as any psychiatric illness as well as dementia, sensitive screening test and early psychiatric approach is needed.