• Journal of Oral Medicine and Pain
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• 제40권1호
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• pp.35-40
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• 2015

Purpose: This study aims to assess the psychological characteristics of patients with iatrogenic damage of the trigeminal nerve using Symptom Checklist-90-Revised (SCL-90-R). Methods: A total of 22 patients who visited the clinic of Department of Oral Medicine, School of Dentistry, Chosun University were evaluated in the months from December 2012 to December 2014. Patients were included in the study if they presented with reported sensory changes due to iatrogenic trigeminal nerve injury. A total of 37 control group who has no symptoms of pain and sensory change were included in the study. All participants filled out the SCL-90-R instrument to assess psychosocial symptoms. Results: The T-scores of most of the SCL-90-R symptom dimensions were within normal range (less than 55) in the patients and the control group. The patients group showed higher T-scores of SCL-90-R than those of the control group, with statistically significance of somatization, anxiety, psychoticism, and positive symptoms distress. Female patients group had higher Tscores of SCL-90-R than those of male patients group, but there was no statistical difference, except for the positive symptom global index. The chronic patients group showed higher Tscores of SCL-90-R than those of the acute patients group, but there was no statistical difference, except for the Positive symptom global index. Conclusions: According to the psychological assessment of iatrogenic trigeminal nerve injury patients using SCL-90-R, the patients group, as compared to the control group shows a significantly higher score for somatization, anxiety, and psychoticism. Therefore, assessment of psychological state would be considered to treat patients with iatrogenic trigeminal nerve injury.

• 대한불안의학회지
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• 제18권2호
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• pp.72-79
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• 2022

Objective : Any traumatic event can be a risk factor, for subsequent mental disorder. However, childhood trauma, especially in interpersonal nature, is associated with later development of complex symptom patterns. This study examined the role of dissociation as a mediator between childhood trauma and symptom complexity. Methods : A pooled data of 369 psychiatric outpatients at a university-affiliated hospital was analyzed for descriptive statistics, group differences, and bivariate correlation analysis to verify a structural model. The questionnaires included the Symptom Checklist-90-Revised, the Trauma History Screen, the Dissociative Experiences Scale-Taxon, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : When other trauma variables were controlled, childhood interpersonal trauma had significant correlation with symptom complexity (r=0.155, p=0.003). Among the paths analyzed, that of childhood interpersonal trauma and dissociation showed the greatest impact on symptom complexity (b=9.34, t=5.75, p<0.001). Based on the significance of the indirect impact, the results suggest a complete mediation impact of dissociation on symptom complexity. Conclusion : This study validated that childhood interpersonal trauma impacts symptom complexity, through the sequential mediating impact of dissociation. Thus, clinicians should understand childhood interpersonal trauma, dissociation, and symptom patterns in a complex and interacting mode, and develop effective pertinent treatment strategies.

• 정신신체의학
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• 제13권1호
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• pp.32-40
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• 2005

연구목적 : 이 연구는 정신분열병 입원환자를 대상으로 감정표현 불능증과 임상변인 및 정신분열병의 연관 관계를 조사하고자 시행되었다. 방법: 두 대학병원 정신과 입원 시설에서 1년간 연속적인 수집을 통해 58명의 성인 정신분열병 환자가 이 연구에 참여하였다. 환자들에게 감정표현 불능증 척도(Toronto Alexithymia Scale, TAS), 양성 및 음성 증상척도(Positive and Negative Symptom Scale, PANSS), 간이정신진단검사(Symptom Checklist-90-Revised, SCL-90-R)를 시행하였다. 결과: 그 결과 TAS 총점은 SCL-90-R의 모든 하위 척도와 정적 상관 관계를 보였으며, 기존의 연구 결과와는 달리 PANSS의 양성증상, 음성증상, 일반 정신병리 척도 점수와는 유의한 상관이 없었다. 또한 '주관적 감각과 감정 경험의 혼동' 요인과 '감정 표현의 곤란' 요인은 SCL의 증상 척도와 유의하게 정적 상관하였으나, '공상의 빈곤'은 일부 하위척도와 부정 상관, '외부 지향적 사고'는 상관관계가 없었다. 다중회귀분석 결과는 SCL-90-R의 전체심도지수(GSI)가 감정표현 불능증의 28.2%를 설명하는 것으로 나타났다. 결론: 이 결과 및 객관적, 주관적 검사의 소견의 차이는 정신분열병의 감정표현 불능증이 두 가지 구성체, 즉 '감정 표현과 소통의 장애(상태적 요인)'과 '외부 지향적 사고(특성적 요인)'로 구성됨을 시사한다. 향후 정신분열병 환자를 대상으로 한 TAS의 구성 타당도 연구가 필요하다.

• 정신신체의학
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• 제7권2호
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• pp.233-240
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• 1999

본 연구는 청소년 여성에서 월경전기, 월경기, 월경후기간 스트레스인자 지각 및 정신병리를 비교하기 위해 시행되었다. 여자 고등학생 341명(인문계 164명, 예능계 177명)을 대상으로 하였고, 평가도구는 스트레스인자 지각 및 정신병리를 평가하기 위해 global assessment of recent stress(GARS) scale과 symptom checklist-90-revised(SCL-90R)를 이용하였다. 월경기보다 월경전기 및 월경후기 중에 관계의 변화에 관련된 스트레스인자 지각점수가 각각 유의하게 더 높았다. 그러나 세 기간 중 정신병리는 유의한 차이를 보이지 않았다. 한편 인문계 학생들이 예능계 학생들보다 일상생활의 변화유무에 관한 스트레스인자 지각점수는 물론 강박증 척도접수와 positive symptom total(PST) 점수가 유의하게 더 높았다. 결론적으로 일부 스트레스인자지각이 월경기보다 월경전기 및 월경후기 중에 더 현저할 가능성이 높으나 정신병리는 월경주기와 관계가 없는 것으로 나타났다. 이 결과는 청소년 여성들의 정신병리가 월경주기 이외의 다른 변수들의 영향을 받을 가능성이 있음을 시사하였다.

• 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.

• 대한한방내과학회지
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• 제37권2호
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• pp.189-195
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• 2016

Objective: This study evaluates the effects of traditional Korean medicine (including Guibi-tang) on a psychogenic urinary incontinence patient with hypersomnia disorder.Method: Herbal medicine, acupuncture, and moxibustion were carried out. The effect of the treatments was then evaluated via the Beck depression inventory (BDI), the Beck anxiety inventory (BAI), the symptom checklist-90-revised (SCL 90-R), the Epworth sleepiness scale (ESS), and the revised urinary incontinence scale (RUIS), as well as the number of urinations, incontinence levels, and sleeping times during the day.Results: After the treatments, both the urinary incontinence and hypersomnia symptoms showed improvement.Conclusion: This study suggests that traditional Korean medicine treatments are effective in caring for patients who suffer from psychogenic urinary incontinence with hypersomnia disorder.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권4호
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• pp.178-184
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• 2019

Objectives: The aim of this study was to measure the effect of a group-based parent education program on parenting stress and attitude and comparing the same according to adult attachment styles. Methods: Twenty-two mothers who enrolled in the parent education program participated in our study. The participants filled in the Korean version of the Experience in Close Relationship Revised (ECR-R), Korean-Parenting Stress Index-Short Form (K-PSI-SF), Maternal Behavior Research Instrument (MBRI), and Symptom Checklist-90-Revised (SCL-90-R) before and after the program. We compared the pre - and post-scores of the groups and compared the differences in effect according to adult attachment styles. Results: For all study participants, the Parent Distress (p=0.023) and Total Parenting Stress (p=0.018) significantly declined after the parent education program. There were no differences in other variables. Within the secure attachment group, the Total Parenting Stress (p=0.008), Parent Distress (p=0.015), and Difficult Child (p=0.011) scores in the K-PSI-SF significantly decreased after participating in the program. The Difficult Child scores (p=0.040) significantly dropped in the K-PSI-SF post program within the secure attachment group, compared to the insecure attachment group. Conclusion: The group-based parent education program impacted parenting stress. Depending on the adult attachment styles, the effect of the program varied.

• 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.

• 대한불안의학회지
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• 제4권1호
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• pp.55-61
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• 2008

Objective : Eye movement desensitization and reprocessing (EMDR) has been established as an effective treatment for patients with posttraumatic stress disorder (PTSD). However, the literature is unclear as to whether EMDR is effective in the treatment of other psychiatric disorders. The purpose of this study was to evaluate the potential use of EMDR in the treatment of psychiatric disorders other than PTSD by using a clinician's impression of patient response and a subjective symptom evaluation. Methods : Seventeen diagnostically heterogenous patients without PTSD underwent an average of 4.3 sessions of EMDR. Symptom severity was assessed by the Clinical Global Impression-Change Scale (CGIC), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Symptom Checklist-90- Revised (SCL-90-R) before and after EMDR. Those whose CGI-C scores were 'very much improved' and 'much improved' after EMDR were classified as 'responders.' The patients' before and after treatment scores of symptom severity and group differences were compared. Results : Twelve of the 17 participants (12/17, 71%) were classified as 'responders.' The patients' scores on all of the scales, with the exception of the trait anxiety scale and obsession-compulsion scale of the SCL- 90-R, significantly decreased after treatment. There was no difference in sociodemographic and clinical variables between the responders and non-responders. Conclusion : The results of our study suggest that EMDR can be a promising candidate for the treatment of patients with psychiatric disorders other than PTSD, and thus further controlled studies are needed to determine whether EMDR can be applied to various psychiatric populations.