• Title/Summary/Keyword: Psychosomatic Medicine

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Polysomnographic Assessment of Nocturnal Enuresis in Adults: A Case Study of Parasomnia Overlap Syndrome With Obstructive Sleep Apnea

  • Jiyeon Moon;Wooyoung Im;Hyeyun Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.173-175
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    • 2023
  • Enuresis nocturia is more prevalent in children than in adults. Using polysomnography (PSG), we investigated the causes of adult enuresis nocturia in a 20-year-old female patient with nighttime bedwetting. In spite of normal urological examinations, her detailed medical history disclosed frequent sleep paralysis and urination during dreams. During PSG, two electromyograms were attached to her anus to assess the tone of her bladder's sphincter while she slept. During REM sleep, the EMG tone of the mandible decreased, but the anal and bladder sphincter tones did not. The polysomnogram revealed moderate obstructive sleep apnea. Consequently, she was diagnosed with adult parasomnia (nocturnal enuresis) overlap syndrome with OSA. This study demonstrates the value of PSG with simultaneous anal tone EMG for diagnosing NREM parasomnia and nocturnal enuresis.

Psychosomatic Symptoms Following COVID-19 Infection (코로나19 감염과 그 이후의 정신신체증상)

  • Sunyoung Park;Shinhye Ryu;Woo Young Im
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.72-78
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    • 2023
  • Objectives : This study aims to identify various psychiatric symptoms and psychosomatic symptoms caused by COVID-19 infection and investigate their long-term impact. Methods : A systematic literature review was conducted, selecting papers from domestic and international databases using keywords such as "COVID-19" and "psychosomatic." A total of 16 papers, including those using structured measurement tools for psychosomatic symptoms, were included in the final analysis. Results : Psychiatric symptoms such as anxiety, depression, and somatic symptoms have been reported in acute COVID-19 infection, while long-term post-COVID symptoms include chest pain and fatigue. The frequency of long-term psychosomatic symptoms has been estimated to be 10%-20%. Factors contributing to these symptoms include psychological and social stress related to infectious diseases, gender, elderly age, a history of psychiatric disorders, and comorbid mental illnesses. It is suggested that systemic inflammation, autoimmune responses, and dysregulation of the autonomic nervous system may be involved. Conclusions : Psychosomatic symptoms arising after COVID-19 infection have a negative impact on quality of life and psychosocial functioning. Understanding and addressing psychiatric aspects are crucial for symptom prevention and treatment.

The Factors Influencing on the Severity of Psychiatric Symptoms of the Sampoong Accident Survivors (삼풍 사고 생존자들에서 정신과적 증상의 심각도에 영향을 미치는 요인)

  • Lee, Min-Soo;Cha, Ji-Hyun;Kwak, Dong-Il;Lee, Joon-Sang
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.215-225
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    • 1996
  • We studied the factors that would affect the severity of psychiatric symptoms of the Sampoong accident survivors. In this study, the analyzed factors are sex, age, marital status, educational level, loss of consciousness, witness of death, death of related person, duration until the rescue, duration of hospitalization, and psychiatric treatment after the accident. Although our study has some limitations, we found some factors that affect the severity of psychiatric symptoms after the severe traumatic accident.

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A Study of Stress-Control by Qigong Program (기공프로그램이 스트레스완화에 미치는 영향)

  • Shin, Yong-Cheol
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.133-139
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    • 2007
  • In the study of Stress-Control by Qigong Program, the results were as follows : In modern society, many stress factors affect the human organism, altering and chipping away at our nervous, endocrine, locomotor, reproductive, digestive, respiratory, circulatory and immune systems. The beneficial effects of Qigong can help us to restore our equilibrium and enhance our quality of life. This study was performed to investigate the effect of Qigong on stress and psychological symptoms. Twenty-two subjects were trained Qigong Program a week for 8 weeks. The stress index of subjects and psychosomatic symptoms was compared before and after Qigong Program and was significantly decreased after Qigong training. It means that the stress index and psychosomatic symptoms were improved by Qigong training.

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Ego-Identity of Women Seeking Double Eyelid Operation (쌍꺼풀성형술을 원하는 여성의 자아주체성)

  • Choi, Young;Lee, Mi-Suk;Lee, Moo-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.80-87
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    • 1994
  • Objective : Cosmetic surgery, as a psychosocial intervention, is unique in that its foundation rests solely on the individual motivations, internal or external, of the patient We investigated the ego-identity in women who seek double eyelid operation, to understand one aspect of internal motivation for cosmetic surgery. Methods : Subjects of this study were 47 young women, visited to plastic surgery clinics in Kwangju from June 1993 to October 1993, and 58 women who did not want double eyelid operation were chosen as controls. Each subject's ego-identity was scored using Dignan's ego-identity scale. Results : The total and stability subscale's scores of ego-identity of double eyelid operation group were significantly lower than those of control group. Conclusion : More psychosocial research on the ego-identify of patients seeking double eyelid operation is required to understand the psychological motives for requesting surgery.

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Alexithymia : Concept and Implications for Treatment (감정표현불능증 : 그 개념과 치료적 함의)

  • Ham, Byung-Joo;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.18-23
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    • 2002
  • Alexithymia represents deficits in the cognitive processing and regulation of emotions. It is observed in many cases of psychosomatic disease, anorexia nervosa, panic disorder, depression etc. Many studies have shown that alexithymia is associated with maladaptive styles of emotion regulation, low emotional intelligence, interhemispheric transfer deficit, and reduced rapid eye movement density. Psychotherapies that enhance emotional awareness may be effective in alleviating the difficulties of alexithymic individuals. Aexithymia is useful for constructing the role of personality and emotions in the pathogenesis of psychiatric disorders. It may serve as a bridge between neurobiology and psychology. We review recent alexithymia theory and research and their implications for treatment of psychosomatic disorders.

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Relation of Sasang Constitution diseases and Mind-Body Medicine (Sasang Constitutinal Medicine from the psychiatry point of view) (사상인(四象人) 병증(病證)과 심신의학(心身醫學)과의 관계 (정신의학(精神醫學)의 관점으로 본 사상의학(四象醫學)))

  • Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.13 no.2
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    • pp.11-19
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    • 2002
  • Objectives : This study aimed investigation of mutual relation to a psychosomatic disorder and Sasang Constitutinal Medicine. Results : 1. A view of the body and mind, Sasang Constitutinal Medicine is similar to Mind-Body Medicine that a thought of the mind is the central idea. But a viewpoint of the mind to Sasang Constitutinal Medicine is based on Confucianism idea 2. The Nature and Emotion(性情)-a symbol of Happiness, Anger, Sorrow joy(喜怒哀樂) show a characteristic of man relate to an attack of a disease also take a disease itself. But Mind-Body Medicine recognize an attack of a disease caused only by the mind. 3. Sasang Constitutinal Medicine emphasize the care of health by respective The Nature and Emotion(性情) to the treatment and prevention of disease and drug therapy is an assistant. This is similar to an important meaning at psycho therapy-suggestive therapy, autogenic training, relaxation training etc in Mind-Body Medicine. Conclusions : Therefore, Sasang Constitutinal Medicine's clinical use in aspect of psychiatry, must to study human nature regard to korean traditional thought-Confucianism idea

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A Stress Management Strategy -Psychodynamic Approach- (스트레스 대응전략 -정신역동적 접근-)

  • Hwang, Ik-Keun
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.58-63
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    • 1995
  • The author introduced 12 session short term dynamic psychotherapy for the intervention of stress related disorders. An examplary case was introduced to suggest the clinal usefulness of time limitted short term dynamic psychotherapy for stress related disorders. It was suggested that the term "stress" should be limitted to certain natural and man-made catastrophies and disasters whose consequences rep quire a total reorganization of the person. Common defensive manuvers and psychological responses in the stress disorders were also reviewed.

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Therapeutic Approaches to the Patients Who Were Referred for Psychiatric Consultation from Medical Departments - Focused on Evaluation and Understanding - (정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 -환자에 대한 평가와 이해 -)

  • Lee, Jung-Ho;Lee, Gi-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.75-80
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    • 1993
  • To understand and evaluate the patients who were referred for psychiatric consultation from medical departments, the authors reviewed the concept of disease, psychological reaction to disease, problems on psychiatric diagnosis and evaluation which were encountered at the medical ward. In addition, we reviewed what psychiatrists should do during consultation.

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Psychosomatic Approach to Plastic Surgery (성형수술의 정신신체의학적 접근)

  • Hwang, Kun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.3-9
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    • 1999
  • Abnormal external appearance may cause psychiatric trauma or problem in social adaption. The plastic surgeons should consider the patient's quality of life, and their roles are correcting psychiatric and emotional trauma as well as external appearance which help the patient adapting social life. Because the patients in plastic surgery have higher level of expectation for the result of their operation, it is necessary for the surgeons to explain precisely the procedure and possible complications precisely at preoperative meeting and to maintain the good doctor-patient relationship at postoperative follow-up period. In case if the patient dissatisfy the postoperative result, it is recommended to listen the second opinion from another plastic surgeon. If the patient still dissatisfy, then the patient should be consulted to psychiatrist.

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