• Title/Summary/Keyword: Psychosomatic disorders

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Eating Disorders in Males (남성에 있어 식사 장애)

  • Lee, Young-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.158-173
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    • 1999
  • During the past decade, interest in and knowledge of eating disorders have increased in the medical, social science, and popular literature. Despite this advance in this field, eating disorders in males have received relatively little attention in the literature. However, in recent years, there has been increased awareness that eating disorders occurs in males, as well as females, although research and theoretical discussions concerning this subgroup still remain scare. In this review, the author highlights the clinical characteristics that distinguish male patients with eating disorders from their female counterparts. The identification of such characteristics will improve diagnosis and treatment of eating disorders in males and may increase our understanding of processes that are specific to eating disorders in both sexes.

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Psychological Factors Affecting Medical Conditions: Dermatologic Conditions (피부과 질환에 영향을 미치는 심리적 요인)

  • Han, Jin-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.228-234
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    • 1998
  • The importance of psychological factors in dermatologic disorders has been recognized for several decades. However, there have been few reports on the management of psychodermatologic disorders. Psychodermatologic conditions can be divided into three broad subgroup in the dermatologic point of view ; first, psychiatric disorders manifesting as dermatological symptom, second, dermatoses mainly caused by emotional factors, i.e., stress, or determined by complex psychophysiological mechanism, and third, psychological symptoms secondary to dermatological conditions, i.e., anxiety or depression. This article describes first two major categories of psychodermatologic disorders and attempts to provide brief guideline for each psychodermatologic condition in view of the clinical interface between dermatology and psychiatry.

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Facing Stress Through Mindfulness and Its Clinical Use (마인드풀니스를 통한 스트레스 대처와 임상적 활용)

  • Kim, Kyung-Seung
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.5-16
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    • 2008
  • Several treatment programs putting mindfulness to practical use are being utilized in the various clinical settings as well as educational fields since 1980's. In this article, I studied several books and journals related with mindfulness and tried to show that mindfulness may have its neural circuits in the brain and can be utilized in the form of MBSR, MBCT, ACT, DBT not only to reduce stress and the symptoms of various psychosomatic conditions but to be applied to psychiatric illness such as, anxiety disorders, depressive disorders, and eating disorders, predicting its usefulness as a new psycho-social treatment.

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Antidepressants in the Psychosomatic Disorders (정신신체 질환에서 항우울제)

  • Seo, Jeong-Seok;Moon, Seok-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.7-13
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    • 2007
  • Antidepressants are used by substantial number of physicians as well as psychiatrists. Antidepressants are the mainstay of treatment of depression combined with physical illness, neuropathic pain, and various psychosomatic disorders. Antidepressants, especially TCA and SSRI, are superior to placebo in treating comorbid depression and pain of physical illness. Although it has been controversial whether the influence of depression on the risk and outcome of physical illness is true, antidepressants would provide more favorable prognosis and better quality of life for the patients with physical illness.

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A Study on the Types and the Frequencies of Personality Disorders/Traits in the Patients with Somatoform Disorders (신체형 장애 환자에서 동반되는 인격 장애/성향의 유형 및 빈도에 대한 연구)

  • Kim, Won-Sik;Lee, Chul;Kim, Chang-Yoon;Han, Oh-Su
    • Korean Journal of Psychosomatic Medicine
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    • v.5 no.1
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    • pp.43-51
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    • 1997
  • This study was conducted to identify the relationships between personality disorders/traits and somatoform disorders. After the patients were screened through self-rated SCID-II Questionnaire(Structured Clinical Interview for DSM-III-R, Questionnaire), the researcher got psychiatric history, performed clinician-rated SCID-P(Structured Clinical Interview for DSM-III-R, Patient Edition), classified and diagnosed mental disorders with SCID-P, and evaluated SCID-II(Structured Clinical Interview for DSM-III-R, Personality Disorders) by direct interview. The prevalencies of avoidant, obsessive-compulsive, schizotypal, narcissistic, paranoid, dependent, self-defeating, borderline personality disorders/traits in patients with somatoform disorders were diagnosed as 67.4%, 48.8%, 44.2%, 41.9%, 37.2%, 34.9%, 34.9%, 32.6%, respectively. The frequencies of self-defeating and schizotypal PD/traits were significantly higher than those of other neurotic control group. The results of this study could be regarded as replicating the results of previous studies that had reported most of all patients with somatoform disorder had presented with personality disorders/traits. This study, however, showed that the patients with somatoform disorders accompanied not with any specific types of personality disorders/traits but with various types of personality disorders/traits, which was much different from the previous usual clinical impressions. Thus, it is necessary for clinicians to approach the patients with somatoform disorders through more flexible and more supportive methods and attitude, in order that they should treat them more effectively.

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Pharmacological Treatment of Anxiety Disorders in Medical Illness (내과질환에 동반된 불안증상에 대한 약물치료)

  • Woo, Jong-Min;Lee, Chang-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.3-6
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    • 2007
  • Anxiety disorders are common illness to general physician. The comorbidity between anxiety disorders and medical illness is not only a diagnostic issue, but also has implications of the course of the disease and its outcome. The comorbid condition requires consideration of each individual illness, their psychological and physiological condition. This article aims to review the literature on the prevalence of anxiety disorders in patients prescribing to psychiatrists and to discuss pharmacological treatment options for patients with a comorbid anxiety disorder and medical illness.

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The Past, Present and Future of Korean Research in Psychosmatic Medicine (한국 정신신체의학연구의 과거와 현재 그리고 미래)

  • Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.9-13
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    • 2012
  • Psychosomatic medicine is a part of medicine which is to find the effect of psychological, behavioral, and medical factors on the human body and disease. In the early $20^{th}$ century, the idea of psychogenesis had been developed and resulted in the concept of psychosomatic disease which was believed to be caused by psychological factors. However a multifactorial model of illness developed and it allowed illness to be viewed as a result of biopsychosocial interactions. The following have been highlighted by consultation-liaison psychiatry. Psychosomatic medicine has addressed stress and psychiatric factors which affect the etiology, course, and treatment of medical disorders. Moreover it contributes the growth of other related disciplines such as psychoneuroendocrinology, psychoimmunology, behavioral medicine, health psychology and quality of life research. Nowadays, psychosomatic field becomes enlarged because medical and surgical departments have been developed rapidly, and research methods and tools have brought forth rapid progress and advance in medical science. Therefore the author reviews the past and present psychosomatic researches and suggests the future of psychosomatic research in Korea.

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Concept, Evaluation and Differential Diagnosis of Somatoform Disorder (신체형 장애(Somatoform disorder)의 개념, 평가, 감별진단)

  • Kim, Young-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.254-261
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    • 1996
  • Somatoform disorders are a group of syndromes in which patients focus on and complain of physical symptoms when there is no demonstrable underlying organic pathology or when complaints are in excess of what is expected. The author reviewed concept, sociocultural etiology, differential diagnosis and methods of evaluation of somatoform disorder. The symptoms of Korean culture-specific somatizing cluster, so called Wha-Byung, are discussed.

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Nerveous System Diseases Associated with Psychiatric Disorders (정신과적 장애와 연관되는 신경계 질환들)

  • Lee, Dae-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.286-293
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    • 1996
  • The studying and teaching of behavioral neurology remain in their infancy. As the arena for studying how the brain subserves cognition, emotion and consciousness, behavioral neurology straddles the boundaries of numerous, more established disciplines-extending from the most fundamental explorations of molecular biology to the broadest questions of philosophy. In behavioral neurology, the area of neural dysfunction as well as the pathogenesis must be determined. There are cases in which a more thorough mental status examination must be performed. These are practically the cases with known or suspected brain lesions and acute psychiatric disorders.

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