• 제목/요약/키워드: Psychological evaluation

검색결과 711건 처리시간 0.022초

The Long-Term Safety and Efficacy of Intrathecal Therapy Using Sufentanil in Chronic Intractable Non-Malignant Pain

  • Monsivais, Jose Jesus;Monsivais, Diane Burn
    • The Korean Journal of Pain
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    • 제27권3호
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    • pp.297-300
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    • 2014
  • This report describes the long term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain in 12 chronic pain patients. Standardized psychological screening was used to determine treatment suitability. Evaluation data included the Visual Analog Scale (VAS), Wong-Baker Faces Scale, Brief Pain Inventory (BPI), Disability of Arm, Shoulder, and Hand (DASH), McGill Quality of Life Questionnaire, and complications (granulomas, toxicity, withdrawal, or deaths). SPSS version 18 was used for data analysis. Pre- and post- treatment BPI measures and pain scale scores showed a statistically significant difference. There were no complications directly related to drug toxicity, nor drug withdrawals, granulomas, or deaths. Intrathecal therapy with Sufentanil therapy offers a good treatment alternative for those cases that have failed both surgery and standard pain treatment. Strict patient selection based on psychological screening, control of co-morbidities, a proper pain management may contribute to successful outcome.

VDT 증후군 자각증상에 영향을 미치는 요인 (A study on the factors affecting the subjective symptoms of VDT syndrome)

  • 강점덕
    • 대한정형도수물리치료학회지
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    • 제10권2호
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    • pp.73-82
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    • 2004
  • Objectives : In order to develop the measuring tool of visual display terminal (VDT) syndrome and investigate the variables affecting the development of VDT syndrome. Methods : A questionnaire study accompanied with the evaluation of working environment was performed with 42 VDT users from banking operations. Results : As a results of analysis with data colleted by newly developed questionnaire, VDT syndrome included five factors named as eye-related component, and psychological component. general body discomfort component. musculoskeletal component, and skin-related component. The scores of eye-related symptoms was 15.17, scores of psychological symptoms was 7.36, scores of general body discomfort symptoms was 10.52, scores of musculoskeletal symptoms was 9.38, scores of skin-related symptoms was 3.67, and total scores was 46.10. Scores of 2.05 eye fatigue in the level of eye-related symptoms were higher significantly. Scores 50.52 of female was statistically higher than scores 41.67 of male. Conclusions : The subjective symptoms of VDT syndrome scores was significantly associated with gender and age.

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실직자 가족의 문제와 대처, 우울감 및 심리문제 해결지원요구도 -실직자 아내를 중심으로- (Problem Coping Strategies Depression and the Social Support Needs for Psychological Adjustment of Unemployed Husband's Wives)

  • 최규련
    • 가정과삶의질연구
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    • 제17권3호
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    • pp.47-62
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    • 1999
  • The purpose of this study was to investigate the problem coping strategies and depression of unemployed husband's wives and to analysis the social support(education and counseling program) needs for their psychological adjustment. The subjects were 139 unemployed husband's wives living in Seoul city and Kyungi-do province. The questionnaire method was used for data gathering. The major findings were as follows" 1) Wives perceived the most negative change of unemployed husband. Wives' depression was influenced by self-esteem evaluation of husband's coping behavior weak health passive coping strategies and negative change of husband and marital relation. 2) Wives needed education and counseling support the most in the area stress & mental health problem marital conflict and marital communication. The result of this study were discussed in the relation with the contents of education and counseling program for unemployed husbands' wives.

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소화기암 환자의 디스트레스 관리 (Distress Management in Patients with Digestive Cancer)

  • 나의현
    • Journal of Digestive Cancer Research
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    • 제11권1호
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    • pp.35-40
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    • 2023
  • Distress in patients with digestive cancers can considerably impact not only their treatment adherence but also their health-related quality of life. Early distress recognition in patients, appropriate interventions by the oncology team, or referral to mental health professionals, can enhance the treatment efficiency. This review aims to provide an overview of distress evaluation and its management in patients with cancer, specifically digestive cancers, and to address the psychological responses and distress that occur in those patients during treatment. Furthermore, the review will introduce possible psychological interventions for patients with digestive cancers who experience significant distress, depending on the duration and planning of the treatment.

시각디자인에 나타난 인간의 사회화과정의 심리요인에 관한 연구 - 1994-2003년의 인쇄매체광고를 중심으로 - (Study on the Psychological Factors of Human Socialization in Visual Design - Focused on the printed media advertisements from 1994 to 2003 -)

  • 오근재
    • 디자인학연구
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    • 제18권2호
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    • pp.79-90
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    • 2005
  • 본 연구는 인간의 상호관계성 혹은 인간의 사회화과정이 오늘날의 시각디자인에 어떻게 관여되고 있는가를 사회학적, 심리학적인 이론을 바탕으로 규명할 목적으로 작성되었다. 먼저 인간의 사회화에 대한 생리학과 철학, 그리고 심리학적인 근거를 고찰하였고 이들이 시각디자인에 구체적으로 어떻게 작용하는가를 사례연구를 통하여 분석하였으며, 분석된 결과를 결론으로 도출하였다. 문헌연구를 통하여 얻어낸 인간의 사회화과정의 심리요인은 성적쾌락추구를 비롯하여 11개로 정리되었고, 이를 도구 삼아 1994년부터 2003년까지 대한민국광고대상 수상작 40편의 인쇄매체광고디자인을 분석하였다. 분석된 결과는 생물학적인 기초로서의 적응가치와 문화적 각인항에 사례의 대부분이 반응하고 있었음이 발견되었고, 광고가 지니고 있는 기본적인 존립근거로는 사회적 불안심리로서의 상호불신과 대가행렬에 바탕을 두고 있었음이 발견되었다. 이는 앞으로의 광고 역시 오늘날과 같은 존재이유를 지니는 한, 적응가치, 문화적 각인, 사회학습, 모방학습 등에 기초할 수밖에 없음을 시사하는 것이다.

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위식도역류질환과 관련 없는 비심인성 흉통 환자의 우울 및 불안 (GERD-unrelated Non-cardiac Chest Pain may be Associated with Depression and Anxiety)

  • 박주언;류한욱;이풍렬;유범희
    • 대한불안의학회지
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    • 제2권1호
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    • pp.28-32
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    • 2006
  • Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.

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학습 스타일 심리검사를 이용한 부진아 학습 지원 시스템의 개발 및 효과 분석 (Development and Effect Analysis of a Learning Support System for Underachievers Using Psychological Learning Style Tests)

  • 이종숙;장은실;이용규
    • 정보교육학회논문지
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    • 제11권3호
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    • pp.299-306
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    • 2007
  • 정부교육기관의 조사에 따르면 학습부진아에 대한 학습 지원이 절실한 상황이다. 이에 본 논문에서는 학습 스타일 심리검사를 이용하여 부진아에게 맞는 학습방법으로 학습을 지원하는 부진아 학습 지원 시스템을 구축하였다. 제안한 시스템은 첫째, 부진아의 특성으로 구성된 의사결정트리와 사전평가가 점수를 통하여 부진아를 진단한다. 둘째, 부진아로 판단된 학생은 학습 스타일 심리검사를 실시하여 강의형 학습(청각형), 멀티미디어형 학습(시각형), 게임형 학습(촉각형) 방법 중에 한 형태의 학습방법으로 학습을 지원한다. 셋째, 사후평가를 통하여 학업성취도를 학인하고 학업성취도가 낮은 학생에 대해서는 교수자와의 일대일 개별지도를 지원한다. 제안한 시스템을 사용하여 학습부진아를 실험집단과 비교집단으로 나누어 학습을 검증한 결과 학습 스타일 심리검사를 실시하여 학습을 했을 경우의 학습성취도가 평균 10% 향상되었다.

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실내 계류형 수경시설이 대학생의 생리·심리에 미치는 영향 (Physiological and Psychological Effects of an Interior Falling Waterscape Facility on University Students)

  • 박순남;조현주
    • 한국조경학회지
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    • 제44권5호
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    • pp.38-46
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    • 2016
  • 본 연구의 목적은 실내조경공간에서의 수경시설의 도입이 이용자의 심리 및 생리에 미치는 효과를 정량적으로 분석하는 것이었다. 실험을 위해 실내에 식물로 구성된 조경공간과 수경시설이 추가된 조경공간을 조성하였다. 피험자에게 스트레스를 부여하고, 각각의 공간에서 휴식을 취하게 한 뒤 생리 및 심리적 변화를 비교한 결과, 수경시설이 설치된 조경공간에서 휴식을 취했을 때가 수축기 확장기 혈압이 유의하게 낮아졌다. SD법에 의한 의미평가에서도 수경시설이 설치된 공간이 '활기'와 '동적임', '생명력'과 '유쾌함' 등과 같은 긍정적인 의미를 주는 것으로 나타났으며, POMS(Profile of Mood States)에서는 수경요소가 심리적으로 피로 감소 및 활력 증강에 기여하였다. 이를 통해 실내조경에서 수경시설의 도입은 혈압 감소라는 생리적 변화에 기여하며, 심리 및 기분변화에도 긍정적인 효과를 보임으로써 건강에 편익을 주는 것으로 나타났다.

Comparison of Clinical Symptoms and Psychological Profiles of Temporomandibular Joint Osteoarthritis between Juveniles and Adults

  • Kim, Hyoung-Jun;Jang, Ji-Hee;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • 제41권2호
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    • pp.48-53
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    • 2016
  • Purpose: The purpose of this study was to compare the differences in clinical signs and symptoms, and psychological profiles of temporomandibular joint osteoarthritis (TMJ OA) between juvenile and adult patients. Methods: Two-hundred eighty-three TMJ OA patients who visited the Orofacial Pain Clinic of Seoul National University Dental Hospital were classified by juvenile (153 patients; mean age $14.2{\pm}1.7$ years, range 9-16 years) and adult (130 patients; mean age $34.0{\pm}2.8$ years, range 30-40 years) groups, and compared the clinical symptoms based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis I guidelines including Graded Chronic Pain (GCP) scale, mandibular range of motion, and the associated symptoms. Psychological profiles were also evaluated using the Symptom Checklist 90-Revision (SCL-90-R). Results: Juvenile patients reported lower pain intensity and a lower prevalence of headache and clenching than adult patients. Their mandibular range of motion was also higher than adult patients. Juvenile patients showed a lower percentage of patients with T-score above 50 in somatization (SOM), obsessive-compulsive (O-C), interpersonal sensitivity (I-S), and paranoid ideation (PAR) than adults. Based on the GCP scale, the percentage of the high disability group was lower in juveniles. Conclusions: Juvenile TMJ OA patients generally showed milder clinical symptoms than adults. Adult patients showed higher prevalence of psychological problems and higher disability than juvenile patients. Age should be considered in evaluation and treatment of TMJ OA patients to achieve better treatment results and understanding its pathophysiology.

실직 가구주 가정의 경제적 부담감이 가구주의 심리상태에 미치는 영향 : 가족 지지의 완충효과에 관한 실증적 분석 (Effects of Economic Pressure among Unemployed Heads of Households : An Empirical Analysis of Moderating Effects by Family Support)

  • 유성렬;정기원
    • 한국사회복지학
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    • 제42권
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    • pp.397-422
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    • 2000
  • Since 1998 when economic assistance from IMF started, the empirical research on the effects of unemployment and drastic income loss on psychological functioning among the unemployed as well as their family members has increased. These studies have found that unemployment and drastic income loss following unemployment have significant negative influence on the psychological outcomes such as anxiety and depression of the unemployed and their family members. Studies have also focused on the role of social support in this process, and reported that depending on the levels of received social support, unemployment and income loss have differential effects on the psychological aspects of the unemployed. However, these studies have several weaknesses. First, most of the related studies employed the data which were collected from limited regions of the country, which imposes limitations on the scope of the generalizability of research findings. Second, the main independent variables used in these studies were mainly unemployment or income loss, which ignore the psychological evaluation by the employed of their family financial situations. Third, in analyzing the moderating effects of social support, most studies have focused mainly on showing the existence of moderating effects by social support. Consequently, the nature and role of social support remained unanalyzed and left to speculations. The purpose, of this study is to examine the effects of economic pressure experienced by family heads who were unemployed and to analyze the moderating role of social support based on a nationally representative sample. The findings showed that economic pressure has negative influence on anxiety and depressive feelings among the unemployed, and that the effect of economic pressure on depressive feelings were substantially higher among those who have received lower levels of social support from family members than that among those with higher levels of family support.

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