• 정신신체의학
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• 제28권1호
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• pp.89-97
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• 2020

Objectives : We investigated heart rate variability (HRV) patterns in patients with somatic symptom disorder (SSD) and the relationships of these patterns with alexithymia. Methods : In total, 42 patients with SSD and 33 healthy controls were enrolled in this study. Demographic, psychological, and HRV data were assessed at baseline, and 24 patients with SSD were reassessed after 6 months of treatment. The psychological data included somatic symptoms and levels of depression, anxiety, and alexithymia as indicated by the somatic symptom subscale of the Symptom Checklist 90-Revision (SCL-12), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and the Toronto Alexithymia Scale 20 (TAS-20), respectively. Results : Patients with SSD had a lower standard deviation of normal-to-normal R-R intervals (SDNN) and lower proportions of adjacent R-R intervals greater than 50 milliseconds (pNN50) compared with controls. These HRV parameters were negatively correlated with alexithymia severity. After treatment, patients exhibited significantly decreased levels of somatic symptoms and reduced anxiety and depression, but there were no significant differences in the HRV parameters. In patients with alexithymia, a high baseline SDNN and pNN50 were associated with a decrease in somatic symptoms. Conclusions : Patients with SSD have different HRV patterns, and several HRV parameters are associated with alexithymia severity. These findings suggest that ANS regulation is involved in the pathophysiology of SSD, mediated by alexithymia. Furthermore, these results suggest that certain HRV parameters may be associated with clinical outcomes of SSD.

• 정신신체의학
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• 제7권2호
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• pp.196-202
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• 1999

본 연구의 목적은 비타민 B복합제가 스트레스에 의해 유도된 변역변화에 대한 효과를 알아보기 위해 조사되었다. 대상은 의과대학 학생들로 시험 4주전, 시험 2주전, 시험기간 세 차례를 모두 완료한 21 명으로 하였다. 이들 중 10명은 비타민 투여군으로, 11명은 비투여군으로 구분하였다. 스트레스지각 및 정신병리를 평가하기 위해 global assessment of recent stress(GARS) 척도와 symptom checklist-90-revised(SCL-90-R)를 사용하였다. 세포성 면역기능은 phytohemagglutinin(PHA)에 대한 임파구 증식반응 및 interleukin-2(IL-2)생성능을 측정하여 평가하였다. 비타민투여군이 비투여군에 비해 SCL-90-R상 불안척도의 점수가 유의하게 낮았다. 그러나 비타민 B 투여유무에 따른 임파구증식반응 및 IL-2생성능은 유의한 차이를 보이지 않았다, 시간경과에 따른 임파구증식반응은 유의하게 증가되었다. 시간 경과 및 비타민 투여유무에 따른 임파구증식반응 및 IL-2생성능의 변화량은 각각 유의한 차이를 보이지 않았다. 결론적으로 비타민 B복합제는 불안을 경감시키나 세포성 면역기능에는 유의한 영향을 미치지 않음을 시사한다. 한편 시험스트레스는 비타민 B 투여에 관계없이 임파구증식반응을 증가시킬 가능성이 시사되었다.

• 보건교육건강증진학회지
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• 제29권3호
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• pp.103-114
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• 2012

Objectives: The purpose of this study was to investigate the relationship between mental health status, stress, coping ability, and coping strategies of college students. Methods: The questionnaires were handed out to 162 college students in the Gyeonggi province. Data was collected using the Symptom Checklist-90-Revised (SCL-90-R) scale of the 90 items, the 'Person in the Rain' drawing test, and the 20-item coping strategies questions. Results: 17.3% of the respondents were belonged to the groups of abnormal or abnormal tendency in the mental health status according to the Global Severity Index (GSI) scores. The clinical/border groups were more commonly used in the 'emotion-focused' coping strategies compared to the normal group. This difference was also statistically significant. Both coping resource and coping ability were significantly associated with the mental health status. Conclusions: These findings suggest that future intervention for effective coping strategies should be carefully designed to promote better mental health among college students. It is also important to detect problematic and weak student's behaviors in the early stages.

• Journal of Oral Medicine and Pain
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• 제41권3호
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• pp.99-109
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• 2016

Purpose: This study investigated factors influencing the xerostomia symptoms in the patients with temporomandibular disorders (TMDs). Methods: Eighty-six participants over the age of twenty were randomly enrolled from patients with TMDs. The patients were diagnosed by Diagnostic Criteria-TMD (DC-TMD). Intensity of the pain and level of stress of the patients were recorded using TMD pain visual analogue scale (VAS) and stress VAS, respectively. The Symptom Checklist-90-Revised (SCL-90R), dry mouth symptom questionnaire, unstimulated salivary flow rate (USFR) and oral moisture were measured. Results: The patients who had above the mean of the TMD pain VAS had significantly higher scores on the stress VAS, subjective dry mouth symptoms and T-score of somatization. The patients who suffered from pain more than three months had significantly higher TMD pain VAS, subjective dry mouth symptoms and T-score of somatization. There were no significant differences in xerostomic symptoms according to the diagnosis of TMDs. Moreover, TMD pain VAS and the stress VAS did not correlated to USFR and oral moisture. Conclusions: The level of individuals' TMD pain and stress significantly affect their subjective dry mouth symptoms, however, it did not affect USFR and oral moisture.

• Journal of Ginseng Research
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• 제33권3호
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• pp.219-222
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• 2009

본 연구는 신체 증상을 호소하는 정상인들을 대상으로 3주간 홍삼 또는 위약을 투여하였고, 홍삼 복용군에서 위약 복용군에 비해 신체 증상 감소 정도가 더 큼을 보여주었다.

• Journal of Oral Medicine and Pain
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• 제23권4호
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• pp.361-368
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• 1998

In order to evaluate the clinical features of the rcurred patients with temporomandibular disorders, 52 patients were subjected at the Dept. of Oral Medicine, PNUH from 1985 through 1996. As related to gender, duraton and diagnosis, Ll the relate factors-multiple diagnosis, emotinal problem, history of treatment, parafunctional habit, life distrubance, and trauma were analyzed. The obtained results were as follows : 1. The patients with multiple diagnosis were 83 percent and more often seen in women, chronic group and muscle-joint disorder group. 2. Duration of retreatment in chronic group and muscle-joint disorder was longer. 3. The patients with oral parafunctional habits were 89 percent and more often seen in women, chronic gorup, muscle-joint disorder group. 4. the Recurred patients showed 46 percent in history treatment, 42 percent in life distrubances, 39 percent in macrotrauma and 12 percent in emotional problem.

• 한국환경과학회지
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• 제31권11호
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• pp.959-965
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• 2022

Through psychological evaluation, this study attempted to verify the effect of quality of life improvements from gardening activities in apartment landscaping spaces. The study was conducted on 32 mothers raising children. Psychological valuation was conducted using world Health Organization Quality of Life questionnaire(WHOQOL-Bref), the Satisfaction with Life Scale(SWLS), the Life Satisfaction Experience Scale(LSES), and the Symptom Checklist-90-Revised(SCL-90-R). The psychological analysis results showed that, engaging in gardening activities for two weeks had, a positive effect on mothers' environmental of quality of life evaluation. The LSES indicates that satisfaction with oneself significantly increased after starting the gardening activities. The activity resulted in a positive change in attitude toward life. The SCL-90-R results showed changes in the mother's psychological state. There was a significant amelioration of obesessive-compulsive behaviors, hostility, and phobic anxiety. In conclusion, this study was found that, for mothers in apartments, outdoor gardening activities can significantly affect their quality of life. Moreover, it can help prevent mental health deterioration, Further study should be conducted on the beneficial effects of gardening on the variety of age groups and activities.

• 한국콘텐츠학회논문지
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• 제13권5호
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• pp.286-294
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• 2013

본 연구는 D 유형 성격에 따른 관상동맥질환자의 정신건강과 삶의 질 수준을 파악하기 위한 서술적 조사연구이다. 연구 대상자는 2012년 3월부터 5월까지 경기도 소재 일 대학병원의 심장내과에 입원한 관상동맥질환자 111명이었다. D 유형 성격 분류는 Type D Personality Scale (DS14)를 이용하였으며, 정신건강은 간이정신진단검사(Symptom Checklist-90-Revision, SCL-90R), 삶의 질은 세계보건기구 삶의 질 척도(World Health Quality Of Life assessment instrument, WHOQOL-BREF)를 이용하여 측정하였다. 연구결과 대상자 중 D 유형 성격은 36.1%이었다. 정신건강은 D 유형 성격 군과 D 유형 성격이 아닌 군 간에 신체화, 강박증, 대인 예민성, 우울, 불안, 적대감, 공포불안, 편집증, 정신증 영역 모두에서 유의한 차이가 있었다(p<.001). 삶의 질은 D 유형 성격 군이 49.69점으로 D 유형 성격이 아닌 군의 58.21점에 비해 낮았다(p<.001). 이상의 결과를 토대로 관상동맥질환자의 정신건강과 삶의 질 향상을 위한 간호중재프로그램의 개발을 시도하는 경우 D 유형 성격에 대한 고려가 필요하며, 부정적 정서가 강하고 사회적 제한이 심한 D 유형 성격 환자의 경우 신체적, 정신적 기능회복은 물론 사회적 적응력 향상을 위한 노력이 필요하다.

• 정신신체의학
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• 제11권2호
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• pp.159-169
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• 2003

연구목적: 본 연구의 목적은 소아암 환아 부모와 일반 부모 사이의 스트레스와 삶의 질을 비교하는 데 있다. 방 법: 스트레스 인자지각는 전반적인 스트레스평가 척도(global assessment of recent stress)를, 스트레스 반응(정신병리)은 간이정신진단척도(Symptom checklist-90-revised)를 이용하였다. 대응전략은 대응척도를 이용하였으며, 삶의 질은 스미스클라인비참 삶의 질 척도를 이용하였다. 결 과: 소아암 환아 부모군은 대인관계, 관계의 변화, 질병 및 상해, 경제적 문제, 비일상적인 사건 등과 관련한 스트레스인자 지각점수가 대조군보다 각각 유의하게 더 높았다. 대응전략에서는 소아암 환아 부모군이 대조군보다 자기 통제, 긍정적 재평가 점수가 각각 유의하게 더 높았다. 정신병리에서는 소아암 환아 부모군이 대조군보다 불안, 우울, 신체화, 공격성 점수가 각각 유의하게 더 높았다. 삶의 질 척도 점수는 소아암 환아 부모군이 대조군보다 유의하게 더 낮았다. 급성 백혈병 환아 부모 사이의 비교에서 대응전략에서는 ANLL 환아 부모가 ALL 환아 부모보다 거리감두기, 책임수용 점수가 각각 유의하게 더 높았다. 정신병리에서 ANLL 환아부모가 ALL 환아 부모보다 우울 점수가 유의하게 더 높았다. 결 론: 소아암 환아 부모들이 높은 스트레스 지각과 낮은 삶의 질을 보고하고 있으므로 이에 대한 스트레스 관리프로그램 등 정신사회적 개입이 필요하다.

• 한국치위생학회지
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• 제12권1호
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• pp.37-46
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• 2012

Objectives : This research was investigated to evaluate the psychological characteristics and changes of psychological state among dental orthodontic patients. Methods : This cross-sectional questionnaire research was conducted with 230 dental orthodontic patients in Busan from December 23, 2009 to March 6, 2010. The psychological analysis of dental orthodontic treatment patients was performed with Symptom checklist-90-revision(SCL-90-R) considering 5 general characteristics and 2 treatment period related characteristics. Estimated psychological results were changed T-score. Data analysis was performed with descriptive analysis, t-test and ANOVA using SAS(ver 9.1) program. Results : The levels of T-score of SCL-90-R were $43.88{\pm}7.50$ in hostility(HOS), $43.38{\pm}4.64$ in phobic anxiety(PHOB), $43.20{\pm}6.24$ in somatization(SOM), $42.13{\pm}6.71$ in paranoid ideation(PAR), $41.39{\pm}8.16$ in interpersonal sensitive(I-S), $41.01{\pm}7.90$ in obsessive-compulsive(O-C), $40.96{\pm}5.37$ in psychoticism(PSY), $40.96{\pm}5.19$ in anxiety(ANX) and $39.81{\pm}6.80$ in depression(DEP), respectively. The T-score of phobic anxiety in before treatment group was higher than that of treatment groups. The T-score of interpersonal sensitive and paranoid ideation in over 36 months treatment period group were higher than that of other treatment period groups. Conclusions : Phobic anxiety(PHOB), interpersonal sensitive(I-S) and paranoid ideation(PAR) were affected in pre-treatment and long-term treatment dental orthodontic patients. Psychological management methods considering treatment period are needed to improve mental health of dental orthodontic patients.