• 제목/요약/키워드: Psychological problems

검색결과 974건 처리시간 0.025초

한의원 내원 환아 및 보호자의 정신건강 특성 연구 (Psychological Characteristics of Infant Outpatients and their Parents in Korean Traditional Clinic)

  • 이수진;변순임;김경선;김혜진;양유진;강기림;김명근;최현;채한
    • 대한한의학회지
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    • 제30권5호
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    • pp.88-101
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    • 2009
  • Objectives: Since Korean traditional medicine has an integrative perspective by its nature, the patients' psychological and physical problems in a Korean traditional clinic may be resolved through a more integrative approach. The purpose of this study was to describe the latent characteristics of psychological health of child outpatients and their parents visiting Korean traditional clinic with physical complaints and was to propose an alternative curriculum to meet their needs based on their psychological and physical aspects. Methods: Subjects studied consisted of 100 outpatients (59 boys, 41 girls, mean age 55 months, age range 18 to 83 months) and their parents. Behavior characteristics for children were measured by Korean version of Child Behavior Checklist for Ages 1.5-5 (CBCL1.5-5) while parenting stress, depression, and anxiety for parent were measured by Korean-Parenting Stress Index-Short Form (K-PSI-SF), Center for Epidemiologic Studies Depression Scale (CES-D) and State-Trait Anxiety Inventory (STAI), respectively. The data of subjects were compared to those of standardized groups and then were compared according to child's gender within sample. Results: Child participants were reported to have significantly higher scores of all CBCL 1.5-5 subscales than the standardized group. When compared, no differences of K-PSI-SF, CES-D, and STAI was found between parents of participants and the standardized groups. However, parents of child participants with at-risk psychological problems showed significantly higher scores of all parenting stress subscales than those of all child participants. In addition, the mothers of boy participants demonstrated significantly higher anxiety, depression and parenting stress than those of girl participants irrespective of psychological severity. Conclusions: We discussed the implication of these results in clinical situation and make recommendations for curriculum of psychiatry and pediatrics with the aim of improving proper diagnosis, consulting and treatment.

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Quality of Life and Psychological Well-Being of Breast Cancer Survivors in Jordan

  • Abu-Helalah, Munir;Al-Hanaqta, Motasem;Alshraideh, Hussam;Abdulbaqi, Nada;Hijazeen, Jameel
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5927-5936
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    • 2014
  • Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

심리적 부검을 통한 전북지역 자살 실태에 관한 연구 (Suicide in Jeonbuk region: Psychological autopsy study)

  • 이만석;김명식;권호인
    • 한국심리학회지 : 문화 및 사회문제
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    • 제21권2호
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    • pp.119-130
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    • 2015
  • 본 연구의 목적은 심리부검을 통해 전북지역의 자살실태를 파악하는 것이었다. 연구대상은 2013년 5월부터 2014년 4월까지 1년간 전북지역에서 발생한 자살사망자 중 심리적 부검에 동의한 42건의 사례로, 사망자의 직계가족을 대상으로 반구조화된 심리면담을 실시하였다. 그 결과 자살 사망자중 71%가 과거의 자살시도 경험이 있었으며, 50%에서 자살가족력이 보고되었다. 자살의 추정원인으로는 정신 질환(38%)이 가장 빈번하였으며, 그 다음으로는 대인관계 문제(31%), 가정 문제(11%)순이었다. 사망자가 진단받은 정신 질환은 우울증이 가장 빈번하였는데, 대부분이 과거에 치료를 받았지만 사망 당시에는 치료를 받지 않았던 것으로 나타났다. 이러한 결과는 자살이 정신 질환과 정신질환에 대한 적절한 개입 실패와 연관되어 있음을 시사한다. 또한 과거 자살시도나 자살 가족력이 있는 대상에 대한 집중적 자살예방개입의 중요성을 시사한다. 끝으로 본 연구의 의의, 제한점에 대해 논의하였다.

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여성살인범의 심리적 특성에 관한 연구 -분노특성을 중심으로- (A Study on Psychological Characteristics of Female Murderers -FOCUS ON ANGER STYLE-)

  • 김상균
    • 시큐리티연구
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    • 제4호
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    • pp.47-64
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    • 2001
  • The aim of this study is to investigate the anger characteristics and the social psychological characteristics of Homicide by Female. With SPSS win program I analyzed 80 female murderers caught in the correction facility. The analysis results are as follows : Firstly, the age bracket of the female murderers is very high in their thirties(47.5%), they didn't almost graduate from the middle-school(65%). Secondly, they almost married(92.5%) and their job was the housekeeper(52.5%). Thirdly, the female murderers almost killed their husbands(45%) and other victims was people who was familiar with the female murderer. Fourth, the offenders were afraid that the victims had the responsibility for murder(87.5%). Fifthly, according to above analysis, the character type female murderers was almost anger-in type. Finally, My analysis shows us that the anger characteristics between offenders and victims was very similar. With the above research results, I can understand the socio-psychological characteristics of the female murderer. However, this paper has some problems which is the limit of the sampling range and the generalization of research results. In addition, we need to study the comparison with male murderers and female murderers.

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Quantitative and Qualitative Gradient of Pain Experience, Sleep Quality and Psychological Distress in Patients with Different Phenotypes of Temporomandibular Disorders

  • Choi, Hee Hun;Kim, Hye-Kyoung;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • 제45권3호
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    • pp.56-64
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    • 2020
  • Purpose: Temporomandibular disorders (TMD) is a mosaic of clinical signs and symptoms that can be regarded as a set of phenotypes that are affected by various factors including pain sensitivity, pain disability, sleep and psychological functioning. The aims of this study were to evaluate association of pain experience, sleep quality and psychological distress with different phenotypes of TMD patients. Methods: This retrospective study included a cohort (n=1,858; 63.8% for female, mean age=34.9±15.9 years) of patients with TMD. A set of self-administered questionnaires concerning pain interference (Brief Pain Inventory), pain disability (Graded Chronic Pain Scale), sleep quality (Pittsburg Sleep Questionnaire Index), psychological distress (Symptom Checklist-90 revised), and pain catastrophizing (Pain Catastrophizing Scale) were administered to all participants at the first consultation. All TMD patients were classified into four groups including TMD with internal derangement without pain (TMD_ID, n=370), TMD with joint pain (TMD_J, n=571), TMD with muscle pain (TMD_M, n=541) and TMD with muscle-joint combined pain (TMD_MJ, n=376). Results: The female ratio was particularly high in the group with TMD_MJ (p=0.001). The patients with muscle pain and both muscle and joint pain had longer symptom duration (p=0.004) and presented significantly higher scores in pain experience (p<0.001), subjective sleep quality (p<0.001), pain catastrophizing (p<0.001) and psychological distress (p<0.05) except for paranoid-ideation than the groups with only joint problems. Conclusions: The results of this study highlight the importance of multi-dimensional approach that consider pain disability, sleep quality, and psychological functioning in the management of TMD with muscle component. This study would contribute to a better understanding of interaction between heterogeneous TMD and multiple risk factors in order to build tailored treatment based on different phenotypes.

어린이, 청소년 게임 이용자의 심리적 특성이 게임 과몰입에 미치는 영향에 대한 연구 (Exploring the Links between Psychological Traits and Game Immersion in a Children and Adolescent Sample)

  • 박조원;정헌일
    • 한국콘텐츠학회논문지
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    • 제13권11호
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    • pp.665-676
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    • 2013
  • 이 연구에서는 한국콘텐츠진흥원에서 실시한 "게임과몰입 종합 실태조사" 원자료의 2차 분석을 통해 심리 특성이 게임 과몰입에 미치는 영향을 파악하였다. 심리 특성은 정서안정, 자존감, 의지력, 행복감이라는 4개 유형으로 구분되며 연령, 성별, 경제수준, 여가활동 다양성, 친구/가족 관계, 게임이용시간과 함께 독립변인으로 하여 심리불안, 대인관계지장, 일상생활지장, 게임시간 및 욕구통제력 상실이라는 4개의 과몰입 유형에 미치는 영향을 분석하였다. 그 결과 심리 유형과 인구학적 변인, 게임 이용시간, 친구/가족 관계, 여가활동의 다양성 등이 게임 과몰입에 상당히 영향을 미치는 것으로 나타났다. 심리 유형 중 정서적 안정과 자존감 순으로 부(-)의 영향을 미친 것으로 분석되었는데 이는 정서적 안정과 자존감 제고가 게임 과몰입의 위험성을 줄이는데 중요한 요소가 됨을 의미한다. 이를 토대로 어린이, 청소년의 게임 과몰입 문제 해소를 위한 방안들이 논의되었으며 후속 연구 아이디어가 제시되었다.

노인의 일상적 스트레스 및 사회적 지지와 심리적 복지감과의 관계 연구 (A Study on the Relationship of Daily Stress and Social Support to Psychological Wellbeing in the Elderly)

  • 하경분;송선희
    • 한국콘텐츠학회논문지
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    • 제13권7호
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    • pp.278-289
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    • 2013
  • 본 연구는 노인들의 일상스트레스와 사회적 지지가 심리적 복지감에 미치는 영향을 살펴봄으로써 노인들의 심리적 복지감 증진에 필요한 기초자료를 제공하고자 하였다. 본 연구의 주요연구결과는 다음과 같다. 노인의 심리적 복지감에는 일상적 스트레스 중에 가족관계와 건강문제, 그리고 상실감이 통계적으로 유의미한 부(-)의 영향을 미쳤고, 사회적 지지 중에는 정서적 지지와 친구지지가 유의미한 정(+)의 영향을 미쳤다. 이러한 결과를 볼 때, 노인들의 심리적 복지감 향상을 위해서는 노인들이 일상생활 속에서 겪게 되는 다양한 스트레스에 대처하고, 노인들의 심리적 안정을 위한 다양한 프로그램이 개발 보급되어야 한다. 또한 노인들이 지역사회에서 친구와 함께 할 수 있는 프로그램 개발과 정서적 지지 강화 방안이 마련될 것이다.

방해성 및 도전성 스트레서, 긍정심리자본이 프리젠티즘에 미치는 영향: 직무열의와 직무탈진의 매개효과 (The Impacts of Hindrance·Challenge Stressor and Psychological Capital on Presenteeism: The Mediation Effects of Job Engagement and Job Burnout)

  • 성유경;한영석
    • 한국산학기술학회논문지
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    • 제20권6호
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    • pp.48-54
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    • 2019
  • 본 연구는 직무요구-자원 모형을 기반으로 두어 건강상의 문제가 있음에도 불구하고 일을 하여 생산성이 감소되는 프리젠티즘의 심리적 원인에 대해 파악하고자 하였다. 프리젠티즘의 심리적 원인에 대해 알아보고자 직무자원을 개인적 차원의 심리적 자원인 긍정심리자본으로 재해석 하였으며, 직무요구를 도전성 및 방해성 스트레서로 구분하여 직무요구의 긍정적인 측면과 부정적인 측면에 대해 확인해보고자 하였다. 이를 위해 국내 다양한 직종에 종사하고 있는 직장인 329명을 대상으로 온라인 설문조사를 실시하였다. 자료분석은 SPSS 21.0과 AMOS 20.0을 사용하여 분석하였다. 연구결과, 도전성 스트레서는 직무열의와 정적으로 유의한 상관을 보였고, 방해성 스트레서는 직무열의와는 부적으로 유의한 상관을 직무탈진과는 정적으로 유의한 상관을 보였으며, 긍정심리자본은 직무열의와 정적상관을 직무탈진과는 부적으로 유의한 상관을 보였다. 마지막으로 프리젠티즘은 직무탈진과 부적으로 유의한 상관을 보였다. 마지막으로 이들 변인을 종합한 매개분석결과, 수용할 만한 부합도 지수를 보였다.

불면장애 환자의 한의치료 효과 및 심리척도 변화간 상관성 분석: 후향적 관찰 연구 (Effect of Korean Medical Treatment on Patients with Insomnia and Analysis of Correlation among Psychological Scale Changes: A Retrospective Chart Review)

  • 서상일;김근우;유종호
    • 동의신경정신과학회지
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    • 제34권3호
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    • pp.151-161
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    • 2023
  • Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment. Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed. Results: After eight weeks of treatment, ISI, BDI-II, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment. Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on the mechanisms by which various psychological problems (depression, anxiety, anger, etc) cause and worsen insomnia and the psychological symptoms secondary to insomnia.

절식요법에 참가한 여성들의 섭식태도와 우울에 대한 연구 (A Study on Eating Attitude and Depression of the Females who Participated in a Fasting Therapy)

  • 김수연;장인수;권보형;김락형
    • 동의신경정신과학회지
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    • 제12권2호
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    • pp.17-25
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    • 2001
  • Objectives: Obesity is related to psychological problems as well as physical problems. This study was designed to investigate the eating attitude and depression of females who participated in a fasting therapy. They were considered to have many eating attitude and psychological problems. Methods: 59 females were selected, they were admitted in Woosuk university hospital of oriental medicine(from August 1st, 2000 to July 31th, 2001) and 42 females were selected, they were college students of Woosuk university, Jeonju, Korea. We checked height, weight and administerd the Korean Eating Attitudes Test-26(KEAT-26), Beck Depression Inventory(BDI) and questions about binge-eating, smoking, drinking, exercise and body weight-wanted to females in two groups. Results: In fasting women group, 2(3.39%) were underweight, 24(40.68%) were average. The average of KEAT-26 in fasting women group$(13.33{\pm}7.65)$ was higher than that in college women group$(4.76{\pm}5.54)$(p<0.001). In fasting women group, 5(8.47%) had mild eating problem, 4(6.78%) had moderate eating problem, and 5(8.47%) had severe eating problem. In fasting women group, 47(79.66%) said 'yes' at the question(A-1, DSM-IV bulimia nervosa diagnosis), 33(55.93%) said 'yes' at the question(A-2, DSM-IV bulimia nervosa diagnosis) about binge eating. In fasting women group, 14(23.73%) had used vomiting, 13(22.03%) enemas, 27(45.76%) laxatives, 7(11.86%) diuretics, 6(10.17%) other drugs, 38(64.41%) fasting, 15(25.42%) severe exercise, and others 2(3.39%) to reduce their weight. The average of BDI in fasting women group$(12.44{\pm}6.70)$ was higher than that in college women group$(7.47{\pm}5.48)$(p<0.001). In fasting women group, 10(16.95%) had mild depression problem, 4(6.78%) had moderate depression problem, and 3(5.08%) had severe depression problem. In fasting women group, 41(64.49%) had under 5Kg-gap, and 18(30.51%) has over 5Kg-gap between weight-reasonable and weight-wanted. In 26 fasting women who were underweight or average-weight, 14 had over 5Kg-gap. Conclusions: These results suggest that the females who participated in a fasting therapy had many depression and eating problems, and we should pay attention to the eating disorders and psychological problems including depression as well as the physical problems when we treat obesity.

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