• 제목/요약/키워드: Severe anxiety

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강박증 이환기간과 임상 양상 (Clinical Symptoms and the Duration of Illness in Patients with Obsessive-Compulsive Disorder)

  • 이승재;유소영;강도형;권준수
    • 대한불안의학회지
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    • 제2권1호
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    • pp.22-27
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    • 2006
  • Objectives : There is a paucity of data on the long-term course of obsessive-compulsive disorder (OCD) and chronological relationship between OC symptoms and their related symptoms such as anxiety and depression. The purpose of this study was to investigate the longitudinal course of OC symptoms as well as anxiety and depression which are believed to be associated with OC symptoms. Methods : Data for 155 patients with OCD who completed general evaluation for OCD were used. Forty four were excluded to minimize the effect of the different age of onset on the clinical course. One hundred eleven patients finally participated in the analysis. Cross-sectional correlations between each symptom as well as between such symptoms and the duration of illness were analyzed. Further correlation analysis was done within two groups that were divided by 7 years of the duration of illness. Results : There were significant correlations not only between the severity of OC symptoms and anxiety but also between anxiety and depressive symptom, regardless of the duration of illness. These correlations between such symptoms were also found within patients with the duration of illness below 7 years, whereas these were not within the group with the duration of illness above 8 years. Conclusion : Patients with OCD in this study shows the moderate to severe level of OC symptoms irrespective of the duration of illness. Our finding also suggests that the OC symptoms, especially obsessions are closely related to anxiety and depressive symptoms and these relationships might be pronounced in relatively early phase of the OCD after onset.

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코로나19 팬데믹 시대에 한국 청소년의 신체활동과 불안 (Physical Activity and Anxiety of Adolescents during the COVID-19 Pandemic in South Korea)

  • 최혜선;신미아
    • 산업융합연구
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    • 제20권10호
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    • pp.95-101
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    • 2022
  • 본 연구의 목적은 코로나19 팬데믹 이후 한국 청소년의 신체활동과 불안 수준의 연관성을 확인하는 것이다. 연구방법은 2020년 청소년건강행태조사 국가자료를 활용한 이차분석 연구이다. 통계분석은 SPSS 27 프로그램을 사용하여 복합표본 빈도와 백분율, 복합표본 교차분석을 실시하였다. 연구결과, 하루에 60분 이상 신체활동을 하는 청소년은 60.9%, 하지 않는 청소년은 39.1%였다. 청소년의 불안 수준은 경도 불안 22.2%, 중등도 불안 7.6%, 심한 불안 3.6%로 나타났다. 청소년의 신체활동은 불안 수준과 유의한 연관성이 있는 것으로 나타났다(p <.001). 따라서 청소년의 정신건강 증진을 위한 국가 정책에 신체활동을 증가시키기 위한 방안이 마련되어야 한다.

임상간호사의 불안과 감염관리 직무스트레스가 우울에 미치는 영향 (Effects of Anxiety and Infection Control Job Stress on Depression in Nurses)

  • 류경선;이미향;임효남;이경화
    • 가정∙방문간호학회지
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    • 제30권1호
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    • pp.5-14
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    • 2023
  • Purpose: This study aims to identify the degree of anxiety and depression related to infection control and job stress in clinical nurses during the COVID-19 pandemic. Furthermore, it seeks to identify the effects of depression. Finally, it intends to develop intervention measures to prevent depression in clinical nurses during epidemics of new infectious diseases and prepare basic data for developing educational programs. Methods: Data were collected using a self-report questionnaire survey administered to 208 nurses. The data were analyzed using the IBM SPSS (Version 26.0) statistics program. Results: The correlation analysis between participant depression, anxiety, and infection control job stress found that depression had a positive correlation with anxiety (r=.63, p<.001) and infection control work stress (r=.26, p<.001). Anxiety (β=0.60, p<.001) was found to significantly affect participant depression with an explanatory power of 40.2%, confirming that higher anxiety levels induce increased depression. Conclusion: Based on the above results, anxiety is confirmed to be a factor that affects depression. Accordingly, education is required to strengthen individuals' physical and mental capabilities and promote a safe working environment, including providing sufficient personal protective devices and other appropriate gear to defend clinical nurses against outbreaks of emerging infectious diseases at medical institutions and through healthcare policies. Other considerations should include sufficient rest hours and paying additional benefits for nurses caring for patients with severe confirmed COVID-19.

도시지역 일부 고등학생들의 우울과 불안에 관한 조사 연구 (A Study on the Depression and Anxiety of High School Students in an Urban Area)

  • 곽은주;송인순;정용준;조영채
    • 보건교육건강증진학회지
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    • 제20권2호
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    • pp.63-79
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    • 2003
  • This study has examined the degree of depression and anxiety among high school students in an urban area and then explored the factors influencing their depression and/or anxiety status. Self-administered questionnaires were offered to 2,381 students from ten high schools in Daejon Metropolitan City. The items for investigation included such factors as various characteristics of school and family life, daily life style, and the degree of depression and anxiety. Based on the study results, the following conclusions were made; 1. The distribution according to the depression degree has shown that 61.9% of students were normal, 32.9% of students had mild depression, 5.0% moderate depression, and 0.3% severe depression. As for anxiety, 40.2% of students were normal, while 19.1% were classified as having anxiety and 40.7% borderline anxiety. 2. As regards to the degree of depression and anxiety, it was greater in girls than boys, in 3rd graders than 1st and 2nd graders, and in the groups who have recieved lower grades in studies, who had poor relations with their friends and a low feeling of satisfaction with school life. In particular, concerning various characteristics of family life, the scores of depression and anxiety were higher in the groups whose financial conditions were poor, whose parents' interests were lower, whose degree of satisfaction with their family and school life was lower, than their counterparts. 3. According to their life styles higher scores of depression and anxiety were found in the groups whose sleeping time was inappropriate, whose breakfasts were skipped, who ate daily snacks, who didn't take regular exercises, and who had poor health habits, compared to their counterparts, respectively. 4. As for the correlation between the degree of depression and its associated variables, the higher scores of depression were in positive correlation with the groups who had lower grades in studies, poor relation with their friends, low feeling of satisfaction with school and home life, low parents' interest, poor subjective condition of health, breakfast skipping, lack of regular exercises, and lower indices of health habits. 5. As for anxiety, the higher scores of anxiety were in the positive correlation with the groups with poor relation with their friends, low feeling of satisfaction with school and family life, poor subjective condition of health, lack of regular exercises, and poor health habits. 6. The influential factors on the depression of students were selected such as subjective condition of health, sex, feeling of satisfaction with family and school life, grades in studies, relation with their friends, presence of regular exercises, degree of interest of parents, sleeping time, cigarette smoking and eating breakfast. 7. The influential factors on the anxiety state of students were selected such as subjective condition of health, feeling of satisfaction with family and school life, sex, sleeping time, regular exercises, cigarette smoking, snacking and relations with their friends. The present study results suggest that girls rather than boys, higher graders than lower ones are more vulnerable to anxiety and depression state, and besides, various characteristics of school and family life, and daily life style can be influential on students' emotional states. Therefore, better management of psychological status of students is thought to require a wide variety of measures to modify the influencing factors and to encourage social support.

A clinical comparative study between conventional and camouflaged syringes to evaluate behavior and anxiety in 6-11-year-old children during local anesthesia administration-a novel approach

  • Melwani, Anjana M;Srinivasan, Ila;Setty, Jyothsna V;Murali, Krishna D.R.;Pamnani, Sunaina S;Lalitya, Dandamudi
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제18권1호
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    • pp.35-40
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    • 2018
  • Background: The sight of dental injection can bring about severe anxiety in children. Therefore, an alternative method that is convenient, effective, and keeps the needle hidden making it child friendly is necessary. The objective of the study was to compare the efficacy of a camouflaged syringe and conventional syringe on behavior and anxiety in 6-11-year-old children during local anesthesia administration. Methods: The study was a randomized, crossover clinical study including 30 children. Children were separated into two groups. Group 1 consisted of 15 children aged 6-8 years while group 2 consisted of 15 children aged 9-11 years. This study involved two sessions wherein all the children were injected using conventional and camouflaged syringes in separate sessions. Their behavior was assessed using the Faces, Legs, Activity, Cry, Consolability (FLACC) behavior pain scale and anxiety was assessed by measuring changes in pulse rate. Patient and operator preferences were compared. Results: The results showed a lower mean change in pulse rate and FLACC scores in the camouflaged group, suggesting a positive behavior and lesser anxiety with camouflaged syringes than with conventional syringes. Conclusions: The use of camouflaged syringes for anesthesia was demonstrated to be effective in improving the behavior of children and decreasing their anxiety, and is therefore recommended as an alternative to the use of conventional syringes for local anesthesia.

한국인 사회공포증 환자에서 도파민 D2 수용체 TaqI A 유전자 다형성 : 예비적 연구 (Dopamine D2 Receptor Gene TaqI A Polymorphism in Korean Social Phobia Patients : Preliminary Study)

  • 김범조;임세원;신동원;오강섭;이민수
    • 생물정신의학
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    • 제14권2호
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    • pp.106-114
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    • 2007
  • Objective : It is suggested that disturbance of dopaminergic system might be related to the possible mechanism of social phobia. The aim of this study was to investigate the possible association of DRD2 TaqI polymorphism and social phobia. Method : Fifty-one patients with social phobia and 200 comparison subjects were tested for DRD2 TaqI A polymorphism. The severity of social phobic symptoms was measured by self-report version of the Liebowitz Social Anxiety Scale(LSAS-SR) and Hamilton anxiety scale(HAM-A). Results : There was no signigicant difference in the genotype, allele frequency, A1 carrier frequency, and heterozygote frequency DRD2 TaqI A polymorphism between the social phobia patients and the control groups. However, we found significant decrease in somatic anxiety of the HAM-A in the patients having A2A2 homozygotes(p=0.014). In addition, patients having A1A2 heterozygotes showed more anxiety in two subscales (p=0.042 in anxiety, p=0.019 in performance) of the LSAS-SR. Conclusion : These results suggest that DRD2 A2 homozygote might have a protective role against somatic anxiety, and molecular heterosis of DRD2 TaqI A polymorphism might be related with more severe anxiety in social phobia.

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Intranasal administration of dexmedetomidine (DEX) as a premedication for pediatric patients undergoing general anesthesia for dental treatment

  • Lee, Yookyung;Kim, Jongsoo;Kim, Seungoh;Kim, Jongbin
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제16권1호
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    • pp.25-29
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    • 2016
  • Background: The most important reason for pre-operative administration of medication is to reduce anxiety. Alleviation of fear and anxiety about surgery enables patients to remain comfortable during treatment. Dexmedetomidine (DEX) is a fast-acting drug that is used as a premedication in different circumstances because it has sedative and anti-anxiolytic effects, and stable hemodynamics. It also has the advantage of intranasal administration. The aim of this study was to investigate the effects and hemodynamic stability of DEX by retrospectively analyzing cases in which DEX was administered nasally as a premedication. Methods: Ten patients treated at Dankook University Dental Hospital, recruited between February and April 2015, received intranasal delivery of $2{\mu}g/kg$ DEX, 30 minutes prior to general anesthesia. Anesthesia records of anxiety, blood pressure, respiration, pulse, estimated arterial oxygen saturation ($SpO_2$), and partial pressure, or maximum concentration, of carbon dioxide ($ETCO_2$) were analyzed. Results: Administration of DEX prior to a general anesthetic effectively relieved anxiety. Respiratory depression, the most severe adverse effect of other sedatives, was not observed. Hemodynamic stability under general anesthesia was maintained during treatment and a reduction in emergence delirium was observed upon completion of treatment. Conclusions: Premedication administration of DEX is safe for pediatric patients undergoing dental treatment under general anesthesia.

신체증상장애 환자의 복합 한의진료 경과 및 삶의 질 변화: 증례 보고 (Complex Korean Medicine Therapy for Somatic Symptom Disorder: Case Report)

  • 박지원;구지은;배준효;배진수
    • 한방재활의학과학회지
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    • 제31권3호
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    • pp.149-157
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    • 2021
  • This study aims to report the effectiveness of complex Korean medicine (KM) therapy on a somatic symptom disorder (SSD) patient. A 58-year-old woman had severe somatic pain for more than six months and showed accompanying anxiety and depression. KM doctors administered complex KM therapy to control her pain and psychological conditions. Her pain was rated using the numerical rating scale and her anxiety and depression symptoms with beck anxiety inventory and beck depression inventory. The somatic symptoms as well as the anxiety and depression significantly improved after KM treatment. This study suggests that complex KM therapy for SSD may be effective to manage both somatic and psychological symptoms.

심한 치과공포증 환자에서 임플란트 식립을 위한 Propofol과 Remifentanil 진정법 -증례 보고- (Sedation for Implant Surgery using Propofol and Remifentanil in Severe Dental Phobia Patient -A Case Report-)

  • 이정후;서광석;신터전;김현정
    • 대한치과마취과학회지
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    • 제10권2호
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    • pp.209-213
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    • 2010
  • Anxiety and fear is two main factors that keep patients from going to dental clinic. Especially, patients may feel implants operations are more traumatic. Intravenous conscious sedation for dental treatment can make patient comfortable and relaxable. Midazolam is more popular for sedation for dental treatment, but target-controlled infusion (TCI) of propofol and remifentanil is gaining wide popularity. A 54-year-old female patient who had severe dental phobia was referred to our dental hospital. She had past history of 2 times of hyperventilation and syncope during dental treatment. The patient showed a lot of dental anxiety and fear to dental treatments and stress reduction protocol was needed. We administered intravenous conscious sedation using target controlled infusion system with remifentanil and propofol. During sedation, we monitored the status of consciousness with bispectral index and vital signs. Dental treatment could be finished successfully without any problems.

대학생의 스마트폰 중독사용 정도에 따른 상지통증, 불안, 우울 및 대인관계 (Smartphone Overuse and Upper Extremity Pain, Anxiety, Depression, and Interpersonal Relationships among College Students)

  • 황경혜;유양숙;조옥희
    • 한국콘텐츠학회논문지
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    • 제12권10호
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    • pp.365-375
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    • 2012
  • 본 연구는 대학생의 스마트폰 중독사용 정도에 따른 상지통증과 불안, 우울 및 대인관계의 관계를 파악하기 위한 서술적 조사연구이다. 자료 수집은 2012년 5월부터 6월까지 일 대학의 대학생들 중 스마트폰 사용자를 대상으로 스마트폰 중독사용 정도, 상지통증, 불안, 우울 및 대인관계에 대해 구조화된 질문지를 이용하여 조사하였다. 응답내용이 누락되거나 불완전한 경우를 제외한 525명의 자료를 분석하였다. 스마트폰 중독사용 정도에 따른 상지통증, 불안, 우울 및 대인관계의 차이는 $x^2$와 t-test로 분석하였고, 스마트폰 중독사용, 불안, 우울 및 대인관계의 상관관계는 Pearson correlation coefficient로 분석하였다. 본 연구의 결과, 중독사용군은 62명(11.8%)이었다. 여자 대학생의 스마트폰 중독사용 정도는 남자 대학생에 비해 심각했으며, 하루에 스마트폰을 사용하는 시간이 긴 대상자가 스마트폰 중독사용 정도가 높았다. 스마트폰 중독사용군이 정상사용군에 비해 어깨통증 호소가 많았으나 다른 부위의 상지 통증의 차이는 없었다. 상태불안, 특성불안, 우울 모두 중독사용군이 정상사용군보다 높았다. 그리고 스마트폰 중독성향이 강할수록 상태불안, 특성불안 및 우울 정도는 높았고, 상태불안, 특성불안 및 우울 정도가 높을수록 대인관계는 좋지 않았다. 이상의 결과는 스마트폰 중독사용 고위험군을 조기에 선별하고, 이들을 위한 바른 자세, 다양한스트레스 대처방법, 긍정적인 정신건강 및 효율적인 대인관계 향상 등의 중독 예방프로그램 개발의 기초자료로 활용될 것을 기대한다.