• Title/Summary/Keyword: Psychological assessment

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Autonomic, Respiratory and Subjective Effects of Long-term Exposure to Aversive Loud Noise : Tonic Effects in Accumulated Stress Model

  • Sohn, Jin-Hun;Sokhadze, Estate;Choi, Sang-Sup;Lee, Kyung-Hwa
    • Science of Emotion and Sensibility
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    • v.2 no.2
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    • pp.37-42
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    • 1999
  • Long-term exposure to loud noise affects performance since it changes arousal level, distracts attention, and also is able to evoke subjective stress accompanied by negative emotional states. The purpose of the study was to analyze dynamics of subjective and physiological variables during a relatively long-lasting (30 min) exposure to white noise (85 dB[A]). Physiological signals were recorded on 15 college students during 30 min of intense auditory stimulation. Autonomic variables, namely skin conductance level , non-specific SCR number, inter-best intervals in ECG, heart rate variability index (HF/LF ratio of HRV), skin temperature, as well as respiration rate were analyzed on 5 min epoch basis. Psychological assessment (subjective rating of stress level) was also repeated every 5 min. Statistical analysis was employed to trace the time course of the dynamics of subjective and autonomic physiological variables and their relationships. Results showed that the intense noise evoked subjective stress as well as associated autonomic nervous system responses. However it was shown that physiological variables endured specific changes in the process of exposure to the loud white noise. Discussed were probable psychophysiological mechanisms mediating reactivity to long-term auditory stimulation of high intensity, namely short-term activation, followed by transient adaptation (with relatively stable autonomic balance) and then a subsequent wave of arousal due to tonic sympathetic dominance.

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A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19 (COVID-19 완치자의 외상 후 성장 예측모형)

  • An, Soo Young;Choi, Heejung
    • Journal of Korean Academy of Nursing
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    • v.53 no.3
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    • pp.309-323
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    • 2023
  • Purpose: This study aimed to develop and test a model for posttraumatic growth among cured patients with COVID-19. This model was based on Calhoun and Tedeschi's Posttraumatic Growth model and a literature review. Methods: The participants comprised 223 patients cured from COVID-19 who were ≥ 19 years of age. The data were collected through an online questionnaire from March 21 to 24, 2022. The assessment tools included the Impact of Event Scale: Revised Korean version, the Connor-Davidson Resilience Scale, the Distress Disclosure Index, the Multidimensional Scale of Perceived Social Support, the Korean version of the Event-related Rumination Inventory, and the Korean version of the Post-traumatic Growth Inventory. Data were analyzed using the IBM SPSS version 24.0 and IBM AMOS 26.0. Results: The modified model showed appropriate goodness of fit (χ2 = 369.90, χ2 /degree of freedom = 2.09, SRMR = .09, RMESA = .07, CFI = .94, TLI = .93). The post-traumatic growth of cured patients with COVID-19 was explained through distress perception, self-disclosure, and deliberate rumination, with the explanatory power being 70.0%. Conclusion: This study suggests preparing a disaster psychology program involving experts who can activate deliberate rumination is necessary. Further, this study may serve as basic data for developing a program to enhance the post-traumatic growth of patients cured from COVID-19.

Effects of a Winter Training Camp on Physical Fitness, Physical Self Efficacy and Nutrients Intake in Juvenile Taekwondo Players (청소년 태권도 선수들의 동계훈련 캠프 참여가 체력, 신체적 자기효능감 및 영양섭취에 미치는 영향)

  • Cho, Kang-Ok;Jun, Tae-Won;Shin, Hyun-Moo
    • Korean Journal of Exercise Nutrition
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    • v.13 no.1
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    • pp.69-74
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    • 2009
  • The purpose of this study was to investigate the effects of a winter training camp on physical fitness, physical self-efficacy and nutrients intake in juvenile Taekwondo players. Sixty three subjects of male middle school student Taekwondo players participated in this study. Before and after attending Taekwondo winter training camp, Taekwondo related fitness and physical self efficacy and nutrients intake of subjects were measured and compared. The results of this study were as follows: 1) There were significantly improvements (p<0.001) in 1200m run, sit up, push up. 2) There was no significantly change in physical self efficacy. 3) There were significantly increase intakes (p<0.001) in total calorie, protein, fat, fiber, Ca, P, K, vitamin A, vitamin B2, vitamin B6, niacin, vitamin C and vitamin E. However, index of nutritional quality in fiber, Ca, K, vitamin A had not good assessment. These results suggested that a winter training seems necessary to keep psychological management and scientific dietary management as well as physical training in juvenile Taekwondo players.

Design and Implementation of a Career Guidance Program at Gachon University College of Medicine (가천대학교 의과대학 졸업 후 진로지도 프로그램 설계와 운영)

  • Kwi Hwa Park
    • Korean Medical Education Review
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    • v.26 no.1
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    • pp.41-47
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    • 2024
  • The ultimate goal of career guidance is to help medical students develop a career plan that matches their personal characteristics, allows them to train in their desired subspecialty, and helps them to adapt well to medical practice after graduation. Gachon Medical School has designed a longitudinal career guidance program called GLORI (Gachon Longitudinal Orientation and Career Development), which is based on the outcome of each phase. The program consists of regular courses and portfolio-based career guidance from a mentor professor. In phase 2 (basic medical science), the "Career Seminar" course was developed. This course focuses on self-understanding through a psychological inventory, exploration of postgraduate career paths, and interviews with professors in specialties of interest. In phase 3 (the integration of basic and clinical science), the "Exploring Nonclinical Career Options" course was introduced. This course presents perspectives from doctors who have followed various pioneering career trajectories, including biomedical engineering, medical journalism, writing, public health, health care administration, the pharmaceutical and medical device industries, and other areas. All teaching methods were designed to encourage student participation. The assessment methods are assignment-based, including self-reflective reports and presentations. In addition, a portfolio-based career guidance program is implemented in phases 3 and 4 (clinical clerkship). It is expected that this case study will serve as a practical example for developing comprehensive career guidance programs for medical schools.

The Korean Practice Parameter for the Treatment of Attention - Deficit Hyperactivity Disorder(II) - Diagnosis and Assessment - (주의력결핍 과잉행동장애 한국형 치료 권고안(II) - 진단 및 평가 -)

  • Cheon, Keun-Ah;Kim, Ji-Hoon;Kang, Hwa-Yeon;Kim, Bung-Nyun;Shin, Dong-Won;Ahn, Dong-Hyun;Yang, Su-Jin;Yoo, Han-Ik;Yoo, Hee-Jeong;Hong, Hyun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.18 no.1
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    • pp.10-15
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    • 2007
  • Probably the three most important components to a comprehensive evaluation of patients with attention-deficit hyperactivity disorder (ADHD) are the clinical interview, the medical examination, and the completion and scoring or behavior rating scales. Teachers and other school personnel are often the first to recognize that a child or adolescent might have ADHD, and often play an important role in the help-seeking/referral process. A diagnostic evaluation for ADHD should include questions about ADHD symptoms, other problems including alcohol and drug use, family history of ADHD, prior evaluation and treatment for ADHD. Screening interview or rating scales as well as interviews should be used. When it is feasible, clinicians may wish to supplement these components of the evaluation with objective assessments of the ADHD symptoms, such as psychological tests. These tests are not essential to reaching a diagnosis, however, or to treatment planning, but they may yield further information about the presence and severity of cognitive impairments that could be associated with some cases of ADHD. Screening for intellectual ability and academic achievement skills is also important in determining the presence of comorbid developmental delay or loaming disabilities. The number and type of symptoms required for a diagnosis of ADHD vary depending on the specific subtype. To receive a diagnosis of ADHD, the person must be experiencing significant distress or impairment in daily functioning, and must not meet criteria for other mental disorders which might better account for the observed symptoms such as mental retardation, autism or other pervasive developmental disorders, mood disorders, anxiety disorders. This report aims to suggest a practice guideline of assessment and diagnosis for children and adolescents with ADHD in Korea.

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Assessment and Treatment of Depression in the Medically III (신체질환 환자들에서 우울증의 평가 및 치료)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.111-132
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    • 2001
  • Depression in the medically ill is a common clinical problem that primary physicians and psychiatric consultants encounter. Treatment of such patients begins with a careful evaluation of the patient's medical and psychiatric conditions. The assessment of depression in the medical patients requires a multidimensional approach. Psychological instruments are also used as a method of assessment in these patients. First of all, what the therapists have to do is to find and remove organic causes. Psychosoical treatment includes dealing with the patient's resistance and despondency relevant to physical diseases. For biological treatment, it is important to select appropriate antidepressants. Therapists should be familiar with the side effects of the antidepressants as well as the patient's primary depressive symptoms, pharmacokinetics and pharmacodynamics of the available agents. In addition, special attention should be paid to the potential for drug-illness and drug-drug interactions. Tricyclic antidepressants can be still effectively used for patients with pain disorder, although a variety of new antidepressants such as selective serotonin reuptake inhibitors (SSRI), bupropion and venlafaxine could have more benefits in depression of the medically ill. However, electroconvulsive therapy can be recommended for refractory cases of depression in patients with medical illness.

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Development of Emotion Assessment Scale in Evaluation of Television Picture Quality (TV 화질에 대한 감성평가척도 개발)

  • Jang, Eun-Hye;Choi, Sang-Sup;Lee, Kyung-Hwa;Sohn, Jin-Hun
    • Science of Emotion and Sensibility
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    • v.12 no.1
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    • pp.121-128
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    • 2009
  • The article reports findings on: (1) development of emotion assessment scale in evaluating the Television(TV) picture quality; and (2) how psychological and physical factors relate to TV picture quality. A total of 152 adjectives that specifically describe emotional reactions were first selected from a Korean dictionary of adjectives, followed by ratings on their suitability for the evaluation of TV picture quality. The final selection of 19 adjective, based on the reported rating scores greater than 4.1, were used on 126 college students who were asked to perform similarity ratings on the adjectives. Based on factor analyses (i.e., principal component analysis with oblique rotation) on the similarity of scores, the following adjectives were selectively chosen for the development of the new emotion assessment scale: 'neat-messy', 'refreshing-gloomy', 'clean-dirty', 'comfortable-tense', 'smooth-rough', 'bright-dark', 'gorgeous-plain', 'diverse-monotonous', 'satisfying', 'natural', and 'sensuous'. These adjectives composed into two distinct constructs, 'cleanness or smart' factor and 'gorgeousness' factor, which demonstrated sensitivity to changes in brightness, contrast, color, and tint in the TV picture quality, except for changes in sharpness.

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Differential Response Style on the Personality Assessment Inventory according to Compensation-Seeking Status in Patients with Traumatic Brain Injury (외상성 뇌손상 환자에서 보상추구 여부에 따른 성격평가질문지 반응 양식의 차이)

  • Kim, Yeon-Jin;Kweon, Seok-Joon;Rho, Seung-Ho;Paik, Young-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.1
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    • pp.12-19
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    • 2015
  • Objectives : This study examined the characteristics and differences of PAI(Personality Assessment Inventory) profile between compensation-seeking(CS) and treatment-seeking(TS) patients with traumatic brain injury(TBI) and assessed the clinical meaning of the characteristics and differences of profiles between the two groups. Methods : 36 TBI patients who visited the Wonkwang University Hospital were selected. The patients were categorized as compensation-seeking TBI patients(n=22) and treatment-seeking TBI patients(n=14). The PAI scales and subscales were used to compare differences between two groups. t-verification for each variable and comparison analysis were performed. Results:In validity scales, CS group showed significantly higher NIM scores and lower PIM scores than TS groups. In full scales, CS group showed significantly higher SOM, ANX, ARD, DEP, and SCZ scores than TS group. In subscales, CS group showed significantly higher SOM-S, ANX-A, ARD-P, DEP(-C, A, P), (MAN-I), PAR-H, SCZ(-T, P), BOR(-A, N), and ANT-S scores than TS groups. In supplementary scales, CS group showed significantly higher SUI, NON and AGG-P, and lower RXR scores than TS group. Conclusions:There were significant differences in PAI scales with validity scales, some full and subscales according to compensation seeking status in TBI patients. The CS patients tended to exaggerate their symptoms on PAI, and showed higher scores representing somatic preoccupation and emotional distress. These results show the usefulness of PAI in reflecting the significant psychological differences between two groups.

A Cohort Study of Children and Adolescents Victims with Sexual Abuse in Korea and Their Initial Assessment Results (아동청소년 성폭력 피해자들을 위한 코호트 연구 : 코호트 구축과 초기 평가 결과)

  • Kim, Kyung-Yoon;Lee, Na-Hyun;Cheon, Keun-Ah;Song, Dong-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.13-24
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    • 2019
  • Objectives : The goals of the study are how to establish the cohort systems for the children and adolescents victims with sexual abuse in Korea and to identify the risk and protective factors that influence mental health in child sexual abuse (CSA). This is initial assessment data based on the analysis of cohort variables for baseline evaluation of subjects. Methods : We constructed the cohort systems for CSA victims recruited by Seoul Sunflower Children Center, CSA victims protection center. The initial assessment data which consisted of demographic and psychological inventories of CSA victims and their parents/families, psychiatric diagnoses were the results of statistical analysis of 65 subjects under 19 years old for 3 years 7 months. Results : The initial data were followings : female participants, N=56; mean age, 11.6 (SD=4.5); the most sexual assault, molestation 71.8%; victims, family and acquaintance 87.1%; 61.5% of the subjects diagnosed with psychiatric disorder; 29.2% diagnosed with PTSD and 23.1% diagnosed with depression. Mean duration for abuse to report is 1.5 years. Mean score of IES-R-K, TSCYC-avoidant and CBCL-problematic behavior were increased above clinical cut-off. Conclusions : CSA victims tend to have high risks in mental health problem. The cohort study could provide the risk and protective factors of CSA in mental health, and construct the predictive model for mental illness in Korea.

Korean psychopathy: Based on the Korean Psychopathy Assessment Tool Validation Research (한국형 사이코패시: 국내 사이코패시 평가도구 타당화 연구를 바탕으로)

  • Minseong Kang;Dong Gi Seo;Jonghan Sea
    • Korean Journal of Culture and Social Issue
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    • v.30 no.1
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    • pp.55-79
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    • 2024
  • The purpose of this study is to conduct an exploratory investigation into Korean psychopathy by synthesizing the results of prior domestic research on the validation of psychopathy assessment tools. Domestic research on the validation of psychopathy scales has been constrained by limited research methodologies, bias toward male subjects, and the application of inappropriate factor structures. Furthermore, although discrepancies between the original scale and the Korean scale were identified regarding the factor structures through in construct validity research, discussion on the concept of Korean psychopathy has been limited. As a result, this study compared 16 domestic papers on the validation of psychopathy assessment tools along with 9 international foreign papers that addressed the factor structure of each original scale. By comparing the derived factor structures, items assigned to each factor, and omitted items from each study, the characteristics of Korean psychopathy were explored. The findings revealed that Korean psychopathy is recognizable from materialism, machiavellianism, and antisocial behavior and impulsivity. This study holds significance in synthesizing the outcomes of current domestic psychopathy validation research and offers a conceptual foundation to help understand Korean psychopathy.