• 제목/요약/키워드: Self-harm

검색결과 139건 처리시간 0.029초

중독으로 응급의료센터에 내원한 환자의 일반적 특성 연구 및 코로나바이러스감염증-19 유행 기간의 시계열 분석 연구 (Demographic characteristics of patients admitted to the emergency department for intoxication and a time series analysis during the COVID-19 period)

  • 손봉민;강나윤;한은아;유지나;조준호;고재욱;공태영;정성필;좌민홍
    • 대한임상독성학회지
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    • 제21권2호
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    • pp.92-107
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    • 2023
  • Purpose: This study investigated the characteristics and treatment outcomes of patients who visited the emergency department due to intoxication and analyzed the impact of the coronavirus disease 2019 (COVID-19) pandemic on their visits. Methods: A retrospective study was conducted using data from the National Emergency Department Information System (NEDIS) on patients who visited the emergency department due to intoxication between January 2014 and December 2020. In total, 277,791 patients were included in the study, and their demographic and clinical data were analyzed. A model was created from 2014 to 2019 and applied to 2020 (i.e., during the COVID-19 pandemic) to conduct a time series analysis distinguishing between unexpected accidents and suicide/self-harm among patients who visited the emergency department. Results: The most common reason for visiting the emergency department was unintentional accidents (48.5%), followed by self-harm/suicide attempts (43.8%). Unexpected accident patients and self-harm/suicide patients showed statistically significant differences in terms of sex, age group, hospitalization rate, and mortality rate. The time series analysis showed a decrease in patients with unexpected accidents during the COVID-19 pandemic, but no change in patients with suicide/self-harm. Conclusion: Depending on the intentionality of the intoxication, significant differences were found in the age group, the substance of intoxication, and the mortality rate. Therefore, future analyses of patients with intoxication should be stratified according to intentionality. In addition, the time series analysis of intentional self-harm/suicide did not show a decrease in 2010 in the number of patients, whereas a decrease was found for unintentional accidents.

교통사고 염좌 환자에서 기질 및 성격에 따른 불안 우울 수준의 차이 (The Correlation between TCI and BDI, STAI in Traffic Accident Patients)

  • 김지영;김지훤;정시영;명성민
    • 동의신경정신과학회지
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    • 제21권4호
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    • pp.1-11
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    • 2010
  • Objectives : The purpose of this study was investigated that correlation between Temperament and Character Inventory(TCI) and Beck Depression Inventory (EDI). State-Trait Anxiety Inventory(STAI) in traffic accident patients. Methods: We investigated 30 cases of traffic accident patients. The patients answered that questionnaire about temperament. character and depression. anxiety. TCI and BDI. STAI were used to get to know that answers. Results: Depression is positive correlated with novelty seeking and harm avoidance in temperament. In character. depression is negative correlated with self directedness, and positive correlated with self-transcendence. Anxiety is positive correlated with harm avoidance in temperament. and negative correlated with self directedness. Conclusions : The results of correlation between TCI and BD I. STAI in traffic accident patients were consistent with previous studies in general person.

대학생의 기질 및 성격발달에 감각처리가 미치는 영향 (Effect of Sensory Processing Patterns on Temperament and Character Traits in Undergraduate Students)

  • 김슬기;강찬미;권진하;김민규;김성현;조유정;김은영
    • 대한감각통합치료학회지
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    • 제20권3호
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    • pp.38-47
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    • 2022
  • 목적 : 본 연구는 대학생의 감각처리가 기질과 성격 특성에 어떻게 영향을 주는지 알아보고자 하였다. 연구방법 : 대학생 참가자 107명이 편의표본 추출방법으로 2022년 9월에 모집되어 청소년/성인 감각프로파일(Adolescent/Adult Sensory Profile; AASP)과 기질 및 성격 검사(Temperament and Character Inventory; TCI)를 작성하였다. 다중회귀모형을 사용하여 기질 척도(자극추구, 위험회피, 사회적 민감성, 인내력) 및 성격 척도(자율성, 연대감, 자기초월)의 각 준거 변인에 대한 감각처리 사분면(저등록, 감각추구, 감각민감, 감각회피) 예언 변인의 영향을 분석하였다. 결과 : 감각추구 행동이 빈번할수록 자극추구, 사회적 민감성, 인내력 기질 및 자율성, 자기초월 성격이 높게 나타났고 위험회피 기질은 낮게 나타났다. 저등록 행동이 빈번할수록 위험회피 기질이 높은 반면, 사회적 민감성과 인내력 기질 및 자율성 성격은 낮게 나타났다. 감각민감 행동이 빈번할수록 사회적 민감성 기질이 높았지만 감각회피 행동이 빈번할수록 사회적 민감성 기질이 낮았다. 결론 : 본 연구는 초기 성인기의 감각처리 패턴이 자극추구, 위험회피, 사회적 민감성, 인내력 기질 및 자율성, 자기초월 성격에 영향을 미침을 제시한다.

젊은 성인에서 일주기유형과 기질 및 성격의 관련성 (Relationships between Chronotypes and Temperament and Character Dimensions in Healthy Young Adults)

  • 박천일;강지인;남궁기;김세주
    • 생물정신의학
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    • 제21권3호
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    • pp.93-98
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    • 2014
  • Objectives Circadian rhythms have been known to have associations with psychiatric disorders and personality traits. The present study investigated the relationships between circadian typology and temperaments/characters in a non-clinical Korean population. Methods Two hundred six healthy Korean college students (male 109, female 97) participated in this study. The subjects completed the Composite Scale of Morningness for circadian typology and 140-item Temperament and Character Inventory-Revised-Short version (TCI-RS). Results Multivariate analyses of covariance showed a significant association between chronotypes and temperamental dimensions of the TCI-RS. Morning types were significantly associated with lower harm avoidance and higher persistence and self-directedness dimensions, compared to evening types and intermediate types. No interaction effects between sex and chronotypes were shown for temperamental dimensions. Conclusions The present findings suggest that high persistence and self-directedness characters are related to morning types and high harm avoidance temperament is more related to evening types.

지역별 고의적 자해에 의한 사망수준에 관한 연구 (Regional Suicide Mortality Rate in Korea)

  • 박상화;김영배;임달오
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.287-296
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    • 2013
  • The aim of this study was to compare the regional difference of death from intentional self-harm. The analysis was based on data of intentional self-harm deaths (31,450) from the 2010-2011 vital statistics of Korea. The suicide rate (per 100,000 population) was 46.2 in male and 22.3 in female. Gender ratio (male / female) of suicide rate was 2.07, and Jeju province had the lowest gender ratio (1.82), and Chungbuk province had the highest gender ratio (2.42). In the age-gender standardized death rate (per 100,000) of self-harm by region, the highest suicide rate was observed in Gangwon province (44.8) and Chungnam province (44.3), and the lowest in Seoul metropolitan city (28.9) and Ulsan metropolitan city (29.2). There was a significant increase in the rate of suicide in city areas (odds ratio: 1.11, 95% CI: 1.08-1.13), county areas (1.62, 1.56-1.67) as compared with the rate of suicide in metropolitan areas. The commonest methods of suicide were hanging (53.7 percent), self-poisoning by pesticides (16.8 percent) and jumping from a height (14.3 percent). The methods used for suicide differed between rural (county) and urban areas (metropolitan city and city). In county areas, 43 percent of suicides used pesticides as compared to only 7-18 percent of those in urban areas. In urban areas, jumping was more common (13-17 percent vs. 6 percent). There were no difference in hanging between urban and rural areas. The odds ratio of death by pesticides was 9.86 in rural areas compared with death rate of metropolitan areas. The odds ratio of death by jumping was 0.59 in rural compared with death rate of metropolitan areas.

클로닌저의 생리심리사회 모델에서 위험회피-자율성 프로파일에 따른 다면적 정신건강 특성 (Multi-Phasic Mental Health Characteristics according to Harm-Avoidance and Self-Directedness Profile of Cloninger's Biopsychosocial Model)

  • 채한;이수진
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.259-266
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    • 2022
  • Objectives: The combination of Harm-Avoidance (HA) and Self-Directedness (SD) of Temperament and Character Inventory (TCI) has been reported pivotal for mental health; however its clinical usefulness in integrative medicine has not sufficiently reported. The purpose of this study was to illustrate multi-phasic mental health of subjective satisfaction with life, emotional well-being, and psychopathology, following the HA-SD profile groups. Methods: A total of 527 Korean university students reported HA and SD scores as to render their HA-SD profile, and multi-phasic mental health characteristics using Satisfaction with Life Scale (SWLS), Positive Affect and Negative Affect Schedule (PANAS), and Beck Depression Inventory (BDI) with composite well-being scales of SC (Sum of Self-Directedness and Cooperativeness score) and HI (Happiness Index, subtraction of Negative Affect (NA) score from Positive Affect (PA) score) as standardized. Pearson's correlation was used to report correlation coefficient, and the ANCOVA with age and sex as covariates, to show significant differences in mental health and well-being between the HA-SD profile groups. Results: The HA-SD profile groups showed distinctive multi-phasic mental health characteristics; health related scores of SWLS, PA, SC and HI decreased following the order of hS (low HA and high SD), HS (high HA and high SD), hs (low HA and low SD) and Hs (high HA and low SD) profile groups; however the non-health related scores of NA and BDI showed contrasting order. Conclusions: The HA-SD profile was found to be clinically useful for examining multi-phasic mental health and well-being status, and the TCI may be an imperative personality inventory for integrative medicine.

자의식적 부정정서가 비자살적 자해에 미치는 영향: 정서조절전략의 매개효과를 중심으로 (The Influence of Self-conscious Negative Emotions on the Non-suicidal Self-injury: Focused on the Mediating Effects of Emotion Regulation Strategies)

  • 백보겸;김지인;권호인
    • 한국콘텐츠학회논문지
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    • 제19권3호
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    • pp.385-395
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    • 2019
  • 본 연구에서는 죄책감, 수치심, 수줍음, 내부 적대감을 포함하는 자의식적 부정정서와 비자살적 자해의 관계에서 정서조절기제의 매개효과를 규명하고자 하였다. 본 연구의 대상은 J지역 3개 대학교에 재학 중인 대학생 652명으로, 이들에게 비자살적 자해, 자의식적 부정정서, 정서조절에 대한 자기보고식 설문지를 실시하였다. Process macro의 model 4를 사용한 매개분석 결과, 자의식적 부정정서는 자해행동과 유의한 관련성을 보였으며, 부정적 반추의 정서조절이 그 관련성을 매개하는 것으로 나타났다. 이러한 결과는 자의식적 부정정서가 높을수록 비자살적 자해 행동이 증가하며, 부정적 반추가 부정정서를 더욱 강화시켜 자해 행동을 증폭시킴을 확인할 수 있었다.

SPAQ에 의한 계절성과 TCI에 의해 평가된 기질과 성격과의 관련성 - 한국 고등학생을 대상으로 - (The Seasonal Pattern Assessment Questionnaire in Relation to the Temperament and Character Inventory of Personality in Korean High School Students)

  • 홍준근;이문수;김승현;조숙행;정인과
    • 정신신체의학
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    • 제15권1호
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    • pp.35-43
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    • 2007
  • 연구목적: 고등학생을 대상으로 계절성 평가 도구인 계절성 양상 평가 설문지(Seasonal Pattern Assessment Questionnaire, SPAQ)와 인격 성향을 평가하는 기질과 성격 검사(Temperament and Character Inventory, TCI)와의 상관관계에 대해 조사하여 계절성과 인격 구조와의 유전적 요인과의 관계에 대해 알아보고자 하였다. 방법: 서울에 거주하는 600명의 고등학생을 대상으로 Rosenthal의 SPAQ와 Cloninger의 TCI 한국어판을 사용하였다. 결과 : 여학생은 harm avoidance, reward dependence, cooperativeness에서 높은 점수가 나온 반면 남학생에서는 persistence, self-transcendence에서 높은 점수가 나왔다. 총계절성 점수(Global seasonality score)와 TCI의 하부척도를 비교한 결과 harm avoidance, self-transcendence와는 정적 상관관계가 나타났으며, self-directedness, cooperativeness와는 부적 상관관계가 나타났다. 로지스틱 회귀분석 결과, SAD의 경우 회귀계수는 self-directedness와 유의한 부적 상관관계가 나타났으며 self-transcendence와는 정적 상관관계가 나타났다. S-SAD의 경우에는 cooperativeness와 부적 상관관계를 보였으며 self-transcendence와는 정적 상관관계를 보였다. GSS가 11점 이상일 경우에는 그렇지 않은 경우에 비해 self-transcendence 점수가 높게 나타났으며, 겨울에 가장 기분이 저하되는 경우에는 그렇지 않은 경우에 비해 더 낮은 cooperativeness 점수를 보였다. 계절성 변동이 중등도 이상의 문제를 일으키는 경우에는 높은 harm avoidance, self-transcendence 점수를 보였다. 결론: 계절성과 성격 및 기질적인 부분이 서로 연관성을 보였다. 이 연구가 우리나라에서 고등학생을 대상으로 한 최초의 연구로서 여기에서 보인 결과들은 임상적 적용에 도움을 줄 수 있을 것으로 보인다.

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전산화단층촬영검사실 방사선사의 방사선피폭 방어행위에 영향을 미치는 요인 분석 (Factors Influencing Protective Behavior against Radiation Exposure of Radiological Technologist in Computed Tomography Examination Room)

  • 김기정;정홍량;홍동희
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권6호
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    • pp.581-586
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    • 2018
  • This study was conducted to analyze factors Influencing Protective Behavior against Radiation Exposure using questionnaires for 231 radiological technologists working in Computed Tomography(CT) examination room with high radiation dose in diagnostic radiology field. Statistical analysis of the collected data revealed that the reasons for partially shielding the examination part in the CT scan were the lack of protective equipment, securing of radiation justification, being annoying and maybe not being harm to adults in order. It was also revealed that the variables influencing the protective behavior were protective behavior against radiation harm, self-efficacy, protective environment, organization culture, protective knowledge and protective instrument in order. The higher the radiological protective environment(${\beta}=0.245$) and the lower the radiological protective knowledge(${\beta}=-0.034$), the more influential the protective behavior against radiation harm was. In this study, it was shown that non examination parts were not shielded in the CT scan. Therefore, it is necessary to improve the level of protective environment, to cultivate knowledge to improve the protective behavior against radiation harm and to have an intervention strategy for concrete action.

기질 및 성격에 따른 기공기반 스트레스완화 프로그램의 효과 (The Correlation between the Effectiveness of Brief Qigong-based Stress Reduction Program(BQSRP) and Personality)

  • 황은영;정선용;황의완;김종우
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.45-60
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    • 2010
  • Objectives : The aim of this study was to investigate the correlation between the effectiveness of Brief Qigong-based Stress Reduction Program(BQSRP) and personality. Methods : Twenty nine women and nine men from the community with symptoms of distress(mean age 39.4 years, SD=11.4) were randomized into a group receiving a 4-week intervention of BQSRP(n=19) or a waiting-list control group. All subjects completed the temperament and character inventory (TCI) before the intervention. Before and after the intervention period, questionnaires were completed on perceived stress scale(PSS), anxiety, and quality of life. Results : 1. Those who have higher temperament of harm avoidance or lower character of self-directedness showed higher PSS, Hwa-Byung character, Hwa-Byung symptom, STAI and lower WHOQOL-BREF scores. 2. In the BQSRP training group, a correlation analysis demonstrated an association between higher temperament of harm avoidance and greater improvement of perceived stress and an association between lower character of self-directedness and greater improvement of perceived stress. 3. Those who have high Hwa-Byung symptom scores prefer the breathing meditation and there were no differences in effects of BQSRP group by the preference Brief Qigong-based Meditation(BQM) component. Conclusions : These results suggest that a BQSRP training may be effective for those with higher harm avoidance trait and low self-directedness.