• 제목/요약/키워드: Stress, Psychological

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한의치료와 '마음의 방 그리기'를 활용한 공황장애 치험 1례 보고 (A Case Report on Panic Disorder Patient Using the 'MRM (Mentalizing the Rooms of Mind)' and Korean Medicine Therapy)

  • 김지수;정문주;이가원;유영수;강형원
    • 동의신경정신과학회지
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    • 제31권3호
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    • pp.197-211
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    • 2020
  • Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder. Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55). Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment. Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

Testosterone 면역측정법의 정립 특성과 응용 (Charaeteristics and Applications of the Established Testosterone Immunoassays)

  • 이창주;이준영;윤용달
    • 한국발생생물학회지:발생과생식
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    • 제5권1호
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    • pp.59-71
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    • 2001
  • Testosterone의 radioimmunoassay (RIA) 가 1970년대 개발된 이래, 경제적이고, 측정 한계가 낮고, 감도가 높은 호르몬의 측정방법을 개발하여 왔다. 방사면역측정법 (RIA와 IRMA)은 비방사면역측정법 (NIA)로 대체되어 정밀도, 정확도, 특이도와 실용성 등이 크게 발전되었다. 최근 혈액, 타액, 분뇨 등에서 호르몬을 측정하여 남성과 여성의 성기능장애, 심리적스트레스나 기분의 변화, 폐경 및 남성호르몬 결핍증 등의 노화 현상, 자연 및 소 실험동물의 연구 등에서 적은 시료에서 여러가지 호르몬의 변화를 측정하기 위해, femtogram의 초감도 측정법의 개발이 요구되고 있다. 본 논문은 저자들이 지난 20여년간 Testosterone의 측정법을 개발하고 응용하던 결과를 토대로, 스테로이드의 측정법을 개발 정립하거나, 기존 방법을 연구에 변형할 때,측정의 신빙성을 높히려 할 때, 실험을 계획할 때 등에서 고려할 사항을 요약하고자 하였다. 또한 초감도 측정법을 정릴하고 측정의 질을 높힐 수 있는 방향을 제시하고자 하였다. 국내에서 대부분의 연구자가 선진 제국의 학자에게 의존하거나, 상업적 kit를 사용하여, 측정의 일관성이 없고, 비교가 어려우며, 외화를 낭비하고 있다. 표준화된 호르몬, 질이 좋은 항체를 생산 공급하고, 측정방법을 국내 실정에 맞추어 표준화하고, 정립하여 평가하고, 실험실간, 연구자간에 서로 신뢰할 수 있는 정보를 교환할 수 있는 정도 관리 계획이 만들어져야 한다. 또한 선진국처럼 후학들을 위하여 매년 학회에서 지원하는 Training programe 매년 실시되어야 하며, 국가적 차원의 자원이 필요하다고 판단된다.

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한국 청소년의 성희롱실태 및 유형에 관한 조사연구 (A Study on Actual Conditions and Patterns of Sexual Harassment in the Korean Adolescents)

  • 김영혜;이화자;정은순;김이순;문선화;정인경
    • 한국간호교육학회지
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    • 제7권2호
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    • pp.196-206
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    • 2001
  • The purpose of this study was to identify Korean adolescents' sexual harassment conditions and patterns in schools as well as their psychological reactions when they are under sexual harassments or they committed sexual harassments. The subjects were 475 middle and high schoolers in Pusan and Gyeong Sang Nam-Do. The survey was executed from July 1 through Dec. 31, 2000. The collected data was analyzed by SPSS WIN 8.0 using percentage, mean. The results of this study were as follows: 1. the linguistic sexual harassment such as 'lewd jokes or dirty talks' was the major pattern(35.4%), The body touching such as 'kiss or embracing', 'internet transmission of pornography', 'sexual harassing of body characteristics', touching breast', 'grasping of hands or body touching', 'body touching in secret place', 'urging to sit in touch or on knees', 'exposing of special body areas', and 'showing pornography' followed in a row. 2. The eighteen point three percents of subjects had the experience to commit sexual harassment. The forty four point seven percent of above subjects committed it against their classmates. The first time to commit sexual harassment was their middle school period (38.4%). Their motives to commit it were as under: 'killing time'(48.8%), 'annoying', 'attracting attention from the other sex', 'expressing lovely emotions', 'urging of their friends', 'misunderstanding that the other partners felt good when they experienced sexual harassment, 'showing their strength' etc. their with committing harassments they felt as under ; 'joyful'(61.6%), 'funny,' 'desirous to try again', 'thrilling', 'breaking stress', very pleasant', 'exciting', 'regretful', 'guilty', and 'feeling fear' etc. 3. Twenty four point two percents of the population exposed to sexual harassments. The sexual harassers were almost their classmates (42.7%). And then unknown people', 'boy or girl friends and school staffs' followed in a row. The places where harassments happened were 'inside classroom'(69.8%), 'school bus and subway', 'outside school', etc. The feelings when experienced harassments were 'anger' (51.3%), 'hurting self-respect', 'embarrassing', 'rejection', 'insulting', 'shame', 'fear', 'dislike', 'anxiety', 'melancholy' etc. The reasons not to have consultations after sexual harassments were 'worrying to be well-known'(49.6%), 'believing not helpful enough', 'regarding simple mischief', 'trying to revenge directly', 'understanding their mistakes', 'worrying retaliation' etc.

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중년여성의 관절염 발생 영향요인 분석 (Risk Factors of Arthritis in Middle-aged Women in Korea)

  • 양경미;이종은;정혜선;김숙인;이소영;이윤정;김순례
    • 지역사회간호학회지
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    • 제17권4호
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    • pp.512-520
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    • 2006
  • Purpose: To investigate the risk factors of arthritis, this study was carried out with 1,829 Korean women aged between 40-64 who responded to a health behavior survey. Methods: Data were extracted from the results of the 2001 National Survey on Health and Nutrition conducted by the Ministry of Health and Welfare. Results: 1 Financial difficulty and continuous anxiety about health were directly associated with arthritis. The odd ratios of these two factors of arthritis were 1.43 and 1.82 respectively. 2. With regard to the presence or absence of arthritis according to demographic characteristic, the incidence of arthritis was higher in the age between 50-64, in the group whose education level was middle school or lower, and in those who experienced the death of spouse, divorce or separation. Nevertheless, it was not significantly different according to financial status and employment status. 3. Concerning the presence or absence of arthritis according to psychological characteristic, the incidence of arthritis was found to be higher in those who were not healthy by subjective health assessment, in those who were always anxious about their health, in those who were always depressed and sad, and in those who felt heavy stress. 4. With regard to the presence or absence of arthritis according to the health behavior, the incidence of arthritis was higher in postmenopausal cases and cases who were having hormone therapy, and the incidence of arthritis was higher in those who did not drink alcohol, those with BMI higher than 25, and those who slept shorter than 7 hours a day. Conclusion: Based on the above results, it is required to provide a means applicable to communities by developing preventive education that can prevent the incidence of arthritis in middle-aged women as well as intervention programs.

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알레르기성 비염 동물 모델에서 截敏蜜梅湯이 비염치료에 미치는 영향 (Therapeutic Effects of Jeulminmilmae-tang on an Animal Model with Allergic Rhinitis)

  • 황학수;최인화
    • 한방안이비인후피부과학회지
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    • 제16권3호
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    • pp.116-128
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    • 2003
  • Objectives : The incidence of allergic rhinitis has increased but treatment in most cases has only dealt with the symptoms. Medicine has been developed that shows fewer side effects. However, some side effects and the psychological stress over taking medicine has remained. There have been no studies so far performed on the effect of this Jeulminmilmae-tang's use, only. The purpose of this study was find out the therapeutic effects of its exclusive use on an Animal Model with Allergic Rhinitis. Methods : Thirty Sprague-Dawley rats were divided into three group : normal group, control group and sample group. To induce the allergic rhinitis in control group and sample group, rats were sensitized intraperitoneally with 0.1$\%$ ovalumin solution 3 times at intervals of 1 week. Then intranasal sensitization was performed by diffusing 0.1$\%$ ovalumin solution 3 times at intervals of 2 days. After that time, rats in the sample group were oral administration treated by Jeulminmilmae-tang for 28 days. Compared with the sample group, rats in the control group were oral administration treated by normal saline for 28 days. We observed changes in nasal mucosa and submucosa; also changes in the segment of neutrophil, eosinophil, Iympocyte and monocyte in blood. We used the statistical methods of student t-test(p 〈0.05). And we observed the changes of AST, ALT of three groups and used anova test statistically. Results : The segment of eosinophil was significantly decreased in treated group when compared with the control group(p 〈0.05). The segment of neutrophil. in blood were decreased in the treated group when compared with the control group but. that was not significant statistically(p 〈0.05). There were some regrowth of the cilium in the treated group. Histologic changes showed edema congestion and expantion of grandular cells in nasal submucosa and hypertrophy of epithelium ill nasal mucosa were decreased in treated group when compared with control group. Effects of Jeulminmilmae-tang on the liver function were also studies in rats. Treatment of Jeulminmilmae-tang did not affected on AST and ALT. Conclusions : The results may suggest that oral administration treatment using Jeulminmilmae-tang decreases the inflammatory response on an Animal Model with Allergic Rhinitis.

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혈액투석시 EMLA크림 처치와 Lidocaine 피내주사에 따른 통증정도의 비교 (A Comparison of Pain Reducing Effects of Topical EMLA Cream and Subcutaneous Lidocaine in Hemodialysis Patients)

  • 신미옥;박혜자;장은정;서연희;허미연;김미경;최미리;이명자;김영주
    • 기본간호학회지
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    • 제2권1호
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    • pp.37-43
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    • 1995
  • This study was conducted to compare the severity of cannulation pain in hemodialysis patients after topical application of EMLA cream and local injection of lidocaine and evaluated side effects and problems accompanied by the former. Twenty patients, who were on hemodialysis from September 1 to October 15, 1994 at the Kangnam St. Mary's Hospital, Catholic University Medical College, were divided into two groups of ten. To conduct a cross over study, two groups were placed on four repeated methods with lidocaine followed by four repeated methods with EMLA cream and vice versa, respectively, while the severity of cannulation pain was being measured according to a Visual Analogue Scale with each methods. The results are follows : 1) The scale of pain was recorded as $4.56{\pm}1.38$ and $2.05{\pm}1.36$ points for methods with lidocaine and EMLA cream, respectively, indicating the less severe pain with EMLA cream. 2) Local side effects such as itching(4 cases, 5.0%)and pallor (5 cases, 6.3%)were observed with methods with EMLA cream but disappeared before the completion of hemodialysis. 3) Problems associated with local lidocaine were pain at the injection of anesthetic (27cases, 16.9%)and fear for needle insertion(6 cases, 3.8%). The most frequent problems with EMLA cream application were an inconvenience in use (11 cases, 6.9%)and tedious long pretreatment time(11 cases, 6.9%), those associated with inconvenience in cream applying procedures. 4) Twelve out of twenty patients(60.0%) responded with yes to a continued use of EMLA cream in spite of problems with cream application and economical difficulties in purchasing. These results indicate that 5% EMLA cream used as a local anesthetic in hemodialysis significantly reduces cannulation pain and lacks side effects, thus serving as a suitable method for the alleviation of cannulation pain and inconvenience in hemodialysis and the relief of psychological stress of nurses.

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급성기 정신분열병의 치료로서 단기적인 안구운동 민감소실 및 재처리요법에 대한 예비연구 (A Pilot Study of Brief Eye Movement Desensitization and Reprocessing(EMDR) for Treatment of Acute Phase Schizophrenia)

  • 김대호;최준호;김석현;오동훈;박선철;이선혜
    • 생물정신의학
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    • 제17권2호
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    • pp.94-102
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    • 2010
  • Objectives : Eye movement desensitization and reprocessing(EMDR) is a novel, time-limited psychotherapy originally developed for treatment of psychological trauma. The effectiveness of this therapy has been validated only for posttraumatic stress disorder ; however, EMDR is often applied to other psychiatric illnesses, including other anxiety disorders and depression. This pilot study tested the efficacy of EMDR added to the routine treatment for individuals with acute stage schizophrenia. Methods : This study was conducted in the acute psychiatric care unit of a university-affiliated training hospital. Inpatients diagnosed with schizophrenia were randomly assigned to either three sessions of EMDR, three sessions of progressive muscle relaxation(PMR) therapy, or only treatment as usual(TAU). All the participants received concurrent typical treatments(TAU), including psychotropic medication, individual supportive psychotherapy and group activities in the psychiatric ward. The Positive and Negative Syndrome Scale(PANSS), the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were administered by a clinical psychologist who was blinded to the patients' group assignment. Results : Forty-five patients enrolled and forty patients(89%) completed the post-treatment evaluation. There were no between-group differences in the withdrawal rates of patients during the treatment or at the three-month follow-up session. All three groups improved significantly across each of the symptomatic domains including schizophrenia, anxiety, and depressive symptoms. However, a repeated measures ANOVA revealed no significant differences among the groups over time. Effect size for change in total PANSS scores was also similar across treatment conditions, but effect size for negative symptoms was large for EMDR(0.60 for EMDR, 0.39 for PMR and 0.21 for TAU only). Conclusion : These findings supported the use of EMDR in treating the acute stage of schizophrenia but the results failed to confirm the effectiveness of the treatment over the two control conditions in three sessions. Further studies with longer courses of treatment, more focused target dimensions of treatment, and a sample of outpatients are necessary.

한국 여성의 피부 부위 및 연령에 따른 피부 측정 인자와 생물 인자 연구 (A Study of Skin Biophysical Parameters and Biomarkers related to the Anatomical Site and Age in Korean Women)

  • 조석철;남개원
    • 대한화장품학회지
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    • 제41권4호
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    • pp.413-420
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    • 2015
  • 피부는 신체에서 가장 크고 육중한 기관 중 하나로 인간의 생리 및 병리 과정에 참여한다. 피부는 자기 유지 및 치유, 기계적 및 화학적 손상 방어, 자외선 과 외부 병원성 미생물로부터의 방어, 비타민 D 합성 그리고 사회 심리적 기능을 한다고 알려져 있다. 이 연구의 목적은 한국 여성의 부위와 연령에 따라 피부 생물학 인자와 연관된 생물리학 인자의 변화를 평가하는 데 있다. 20 ~ 49세의 약 70명의 건강한 성인 여성이 이 실험에 참여하였다. 측정부위는 하박 내측과 뺨으로 진행하였다. 인체 피부의 생물리학 인자를 측정하기 위하여 여러 가지 비침습적인 방법으로 진행하였다. 피부의 생물학 인자를 분석하기 위하여 코티졸, 파이브로넥틴, 케라틴-1, 10, 11, 인보루크린, 케라틴 6를 인체의 얼굴과 하박내측으로 비교하였다. 또한 비침습적 방법으로 피부 생물리학 인자는 피부 부위와 연령에 따른 차이를 측정하였다. 측정 부위에 따른 결과, 각질층 수분량, 경피수분손실량과 피부색(L과 a값)은 유의적인 차이가 나타났다. 연령에 따른 결과, 오직 피부색에서만 연령에 따른 차이가 유의적으로 나타났다. 코티졸, 케라틴-6, 파이브로넥틴, 케라틴-1, 10, 11 은 연령과 부위간 유의적 차이가 없지만 인볼루크린은 30 ~ 39세 연령대에서 다른 연령대보다 유의적으로 가장 높았다. 이러한 결과는 개인의 피부 환경에 대한 상세한 피부 상태 변화로 설명할 수 있을 것이다.

드론 영상기반 잔디밭 내 클로버의 퇴치 범위에 대한 시계열 분석 (Drone Image based Time Series Analysis for the Range of Eradication of Clover in Lawn)

  • 이용창;강준오;오성종
    • 한국측량학회지
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    • 제39권4호
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    • pp.211-221
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    • 2021
  • 클로버는 잔디의 대표적 유해 식물로 양지식물인 잔디보다 일찍 생육활동을 시작하여 잔디의 상부에 수관을 형성하고 잔디의 광합성과 성장을 방해한다. 이로 인해 두 식생종 간 경쟁에서 대부분, 클로버 영역은 확산되고 잔디의 경우는 훼손과 고사가 진행되게 된다. 훼손된 부분은 장마 및 생장 휴면 기간 중, 토양표출 확산으로 전개되어 잔디 복구에 심리적 스트레스 및 많은 경제적 부담을 초래하고 있다. 본 연구의 목적은 잔디의 대표적 유해식물인 클로버를 구분하고 클로버의 확산에 따른 훼손지역 분포, 퇴치 전·후의 식생변화 추이를 고찰하는 것이다. 이를 위해 RGB, BG-NIR 센서를 탑재한 융·복합 드론기반 영상을 활용, 3가지 식생지수의 시계열 분석을 통해 선별적 퇴치를 위한 식생구분, 복구전략 수립을 위한 잔디 훼손 분포 등을 고찰하였다. 특히, 인력 및 기기에 의한 선별적 제초 및 예초 전·후, 클로버의 생태변화 추이를 시계열로 분석하였다. 또한, 잔디와 클로버의 성장 중반기 기간 중, 식생 종간 구분 방안도 모색하였다. 연구결과, 잔디와 클로버 생육 특성에 따른 RGB 및 BGNIR 드론영상의 MGRVI 및 NDVI, MSAVI 지수의 시계열 분석을 통해 잔디 훼손과 클로버 퇴치 후 변화 추이 분석의 활용성을 확인하여 잔디 유해 잡초에 대한 효율적 관리의 활용 가능성을 입증할 수 있었다.

연령에 따른 음주자 우울의 융합적 영향요인 (Convergent Factors Affecting Depression of Drinkers by Age)

  • 권명진;김지현;정선경
    • 한국융합학회논문지
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    • 제10권3호
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    • pp.383-393
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    • 2019
  • 본 연구는 음주자의 우울증에 영향을 미치는 융합적 요인을 연령별로 분석하고자 시행되었다. 본 연구는 2014년과 2016년에 실시된 국민건강영양조사에서 얻은 데이터를 이용한 횡단적 2차 데이터분석연구이다. 본 연구 대상자는 중년 음주자 4,446명으로 일반적 특성, 신체적 및 정신적 요인과 관련된 변수를 분석하였다. IBM SPSS 23.0 프로그램을 사용하여 샘플링 계획 복합 파일을 작성한 후 가중치를 부여한 후 분석하였다. 우울은 성별(30대, 50-60대), 소득(30-40대, 60대), 교육(30-40대), 가족 수(30-60대), 직업(30-60대), 식사 수준(30-40대, 60대), 고혈압(40대), 당뇨(30-40대), BMI(30-40대), 흡연(30대, 50대), 운동(30대), 체중조절(60대), 폭음빈도(30-60대), 주관적 건강(30-60대), 주관적 체형인식(30-50대), 스트레스(30-60대), 삶의 질(30-60대)에 영향 받았다. 우울을 예방하기 위한 개입과 관리계획을 설계하여야 하며, 이러한 요소들을 종합적으로 고려해야 한다.