• Title/Summary/Keyword: central depression

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Effectiveness of Acupuncture for Pain and Depressive Symptoms in Fibromyalgia: Systematic Review and Meta-Analysis (섬유근통의 통증 및 우울증상에 대한 침치료의 효과성: 체계적 문헌고찰 및 메타분석)

  • Hyunwoo Lee;Chan Park;Tae Hoon Bang;Hyung Min Ji;Jong-Woo Kim;Sun-Yong Chung
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.2
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    • pp.95-113
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    • 2023
  • Objectives: To review studies evaluating effects of acupuncture on pain and depressive symptoms in fibromyalgia. Methods: Quantitative evidences (RCTs) were systematically reviewed. Literature were searched for a combination of fibromyalgia and depression (The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, medline (via PubMed), Kmbase, KISS, ScienceON, OASIS, CiNii, CNKI). Quantitative research findings were critically appraised by Cochrane risk of bias (RoB) tool and pooled. Meta-analysis was then conducted using Review Manager (RevMan) 5.4. Results: Eighteen studies were selected. American College of Rheumatology (ACR) classification criteria for Fibromyalgia Syndrome was most frequently used as diagnostic criteria for fibromyalgia. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD), Visual Analog Scale (VAS), and Total Effective Rate (TER) were used most commonly. Meta-analysis of ten studies revealed that both Depression and VAS scores of the Acupuncture+Western Medicine group were significantly lower than those of Western Medicine group (Depression: SMD, -0.94, 95% CI, -1.17 to -0.70; VAS: MD, -1.51, 95% CI, -1.83 to -1.19). Also, TERs of both Acupuncture group and Acupuncture+Western Acupuncture+Western Medicine group were significantly higher than those of the Western Medicine group (OR: 2.38, 95% CI: 1.29 to 4.41; and OR: 7.40, 95% CI: 3.41 to 16.07). There was no significant difference in Depression or VAS score between the Acupuncture Group and the Western Medicine Group. Conclusions: Acupuncture might be an effective option for pain and depressive symptoms of fibromyalgia when it is combined with Western Medicine treatment. For more accurate results, more types of Korean medicine treatment should be conducted.

Network Analysis of Depressive and Anxiety Symptom in Young Adult of an Urban City (일 도시 청년 인구의 불안 우울 공존 증상 네트워크 분석)

  • Jong wan Park;Hyochul Lee;Jae Eun Hong;Seok Bum Lee;Jung Jae Lee;Kyoung Min Kim;Hyu Seok Jeong;Dohyun Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.118-124
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    • 2023
  • Objectives : Depressive disorder and anxiety disorder frequently co-occur, even at sub-threshold level. This study aims to identify network structure of co-morbid depression and anxiety at symptom level in nonclinical population and to reveal the central symptoms and bridge symptoms of the co-morbidity. Methods : This study was based on 2022 Asan Youth Mental Health Screening. Patient health questionnaire (PHQ-9) and Generalized anxiety disorder scale (GAD-7) were used to assess depressive and anxiety symptoms of 810 young adult participants from community sample. Network structure of co-morbid depressive and anxiety symptoms was estimated by Isingfit model. Results : Depressed mood, Restlessness and Nervousness were the most central symptoms in the network. Bridge symptoms between anxiety and depression were Restlessness and Irritability. Conclusions : This study revealed key central symptoms and bridge symptoms of co-morbid depression and anxiety in nonclinical population and provided potential insight for treatment targets to reduce co-morbidity.

Tectonic features along the South Scotia Ridge, Antarctica (남극해 남스코시아 해령 주변의 지체구조)

  • Hong, Jong-Kuk;Jin, Young-Keun;Lee, Joo-Han;Nam, Sang-Heon;Park, Min-Kyu
    • 한국지구물리탐사학회:학술대회논문집
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    • 2005.05a
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    • pp.139-144
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    • 2005
  • Multichannel seismic survey has conducied along the South Scotia Ridge which is located in the northern part of Weddell sea, Antarctic sea, The South Scotia Ridge is part of continental crust extended from Antarctic Peninsula. It borders on Oceanic plates, the Scotia sea plate and Powell basin. Transtensional tectonics along the sinistral transform fault plate boundary led to the creation of the present tectonic geomorphology of the South Scotia Ridge. The fan-shaped deposits with angular unconformities in the central depression is interpreted as a divergent tectonic movement along the ridge.

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Tectonic Features along the South Scotia Ridge, Antarctica (남극해 남스코시아 해령 주변의 지체구조)

  • Hong, Jong-Kuk;Jin, Young-Keun;Lee, Joo-Han;Nam, Sang-Heon;Park, Min-Kyu
    • Journal of the Korean Geophysical Society
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    • v.8 no.4
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    • pp.215-219
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    • 2005
  • Multichannel seismic survey has conducted along the South Scotia Ridge which is located in the northern part of Weddell sea, Antarctic sea. The South Scotia Ridge is part of continental crust extended from Antarctic Peninsula. It borders on Oceanic plates, the Scotia sea plate and Powell basin. Transtensional tectonics along the sinistral transform fault plate boundary led to the creation of the present tectonic geomorphology of the South Scotia Ridge. The fan-shaped deposits with angular unconformities in the central depression is interpreted as a divergent tectonic movement along the ridge.

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Effects of Inbreeding on Lamb Survival in a Flock of Muzaffarnagari Sheep

  • Mandal, Ajoy;Pant, K.P.;Rout, P.K.;Roy, R.
    • Asian-Australasian Journal of Animal Sciences
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    • v.17 no.5
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    • pp.594-597
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    • 2004
  • A pedigree file of 4,628 records of Muzaffarnagari sheep, maintained at Central Institute for Research on Goats (CIRG), Makhdoom, was used to calculate the inbreeding coefficient of the flock. The flock had been closed for about 25 years (1978 to 2002). The investigation was aimed to study the effects of inbreeding on survivability of lambs. The cumulative survivability of lambs i.e., lambs survived up to 3, 7 and 15 days, 1, 2, 3, 6, 9 and 12 months after birth was considered for the study. The average level of inbreeding of lambs was 1.60%, ranging from 0 to 26.4%. The average inbreeding coefficient of dam over the periods was 1.00% and it ranged from 0 to 25.0%. Significant (p<0.05) adverse effect of lamb's inbreeding was observed on survivability of lambs at all ages except up to 3 and 7 days after birth. On an average, 1% increase in individual inbreeding coefficient should reduce the 0.31, 0.34, 0.32, 0.31, 0.33, 0.44 and 0.49 percent lamb survival up to the age of 15 day and 1, 2, 3, 6, 9 and 12 months, respectively. Ewes inbreeding had non-significant effects on lamb survival at all ages.

Effect of Ginsenoside Re on Depression- and Anxiety-Like Behaviors and Cognition Memory Deficit Induced by Repeated Immobilization in Rats

  • Lee, Bom-Bi;Shim, In-Sop;Lee, Hye-Jung;Hahm, Dae-Hyun
    • Journal of Microbiology and Biotechnology
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    • v.22 no.5
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    • pp.708-720
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    • 2012
  • In this study, we assessed the effects of ginsenoside Re (GRe) administration on repeated immobilization stress-induced behavioral alterations using the forced swimming test (FST), the elevated plus maze (EPM), and the active avoidance conditioning test (AAT). Additionally, we examined the effect of GRe on the central adrenergic system by observing changes in neuronal tyrosine hydroxylase (TH) immunoreactivity and brain-derived neurotrophic factor (BDNF) mRNA expression in the rat brain. Male rats received 10, 20, or 50 mg/kg GRe (i.p.) 30 min before daily exposures to repeated immobilization stress (2 h/day) for 10 days. Activation of the hypothalamic-pituitary-adrenal (HPA) axis in response to repeated immobilization was confirmed by measuring serum levels of corticosterone (CORT) and the expression of corticotrophin-releasing factor (CRF) in the hypothalamus. Repeated immobilization stress increased immobility in the FST and reduced open-arm exploration in the EPM test. It also increased the probability of escape failures in the AAT test, indicating a reduced avoidance response. Daily administration of GRe during the repeated immobilization stress period significantly inhibited the stress-induced behavioral deficits in these behavioral tests. Administration of GRe also significantly blocked the increase in TH expression in the locus coeruleus (LC) and the decrease in BDNF mRNA expression in the hippocampus. Taken together, these findings indicate that administration of GRe prior to immobilization stress significantly improved helpless behaviors and cognitive impairment, possibly through modulating the central noradrenergic system in rats. These findings suggest that GRe may be a useful agent for treating complex symptoms of depression, anxiety, and cognitive impairment.

Comparison of treatment outcomes in lumbar central stenosis patients treated with epidural steroid injections: interlaminar versus bilateral transforaminal approach

  • Sencan, Savas;Edipoglu, Ipek Saadet;Celenlioglu, Alp Eren;Yolcu, Gunay;Gunduz, Osman Hakan
    • The Korean Journal of Pain
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    • v.33 no.3
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    • pp.226-233
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    • 2020
  • Background: We aimed to compare interlaminar epidural steroid injections (ILESI) and bilateral transforaminal epidural steroid injections (TFESI) on pain intensity, functional status, depression, walking distance, and the neuropathic component in patients with lumbar central spinal stenosis (LCSS). Methods: The patients were divided into either the ILESI or the bilateral TFESI groups. Prime outcome measures include the numerical rating scale (NRS), Oswestry disability index (ODI), Beck depression inventory (BDI), and pain-free walking distance. The douleur neuropathique en 4 questions score was used as a secondary outcome measure. Results: A total of 72 patients were finally included. NRS, ODI, and BDI scores showed a significant decline in both groups in all follow-ups. Third-month NRS scores were significantly lower in the ILESI group (P = 0.047). The percentages of decrease in the ODI and BDI scores between the baseline and the third week and third month were significantly higher in the ILESI group (P = 0.017, P = 0.001 and P = 0.048, P = 0.030, respectively). Pain-free walking distance percentages from the baseline to the third week and third month were significantly higher in the ILESI group (P = 0.036, P < 0.001). The proportion of patients with neuropathic pain in the bilateral TFESI group significantly decreased in the third week compared to the baseline (P = 0.020). Conclusions: Both ILESI and TFESI are reliable treatment options for LCSS. ILESI might be preferred because of easier application and more effectiveness. However, TFESI might be a better option in patients with more prominent neuropathic pain.

The Effects of Community Ambulation Training on Gait, Depression and Self-efficacy in Chronic Stroke Patients (지역사회 보행훈련이 만성 뇌졸중 환자의 보행 및 우울증, 자기효능감에 미치는 영향)

  • Kim, Ju-hyung;Shim, Jae-Hun;Oh, Duck-Won;Yu, Kyung-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.137-146
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    • 2018
  • PURPOSE: This study examine the effect of community ambulation training on gait, depression and self - efficacy of stroke patients in order to develop more effective training methods of community rehabilitation. METHODS: In the experimental group, community ambulation training combined with indoor and outdoor walking was performed for 30 minutes three times a week for six weeks. In the control group, general indoor walking training was performed. The physical factors were assessed by a 10-meter walking test, six-minute walking test and community gait test. Psychological factors were assessed by the Korean version of the Epidemiology Center Depression Scale and Activity-Specific Balance Confidence Scale. RESULTS: In the 10-meter walking test, the normal walking speed was significantly improved after the intervention in both the experimental group and the control group (p<.05). However, the fast walking speed was significantly improved only in the experimental group (p <.05). ln the community gait test, the experimental group showed significant improvement (p<.05), but the control group did not. Depression and self-efficacy were significantly improved in the experimental group (p<.05) but not in the control group. CONCLUSION: Community ambulation training may improve the gait ability of stroke patients and reduce their depression and improve self-efficacy.

The Effect of Forest Healing Program on Resilience and Depression of Baby Boomer Retirees (베이비 부머 은퇴자들을 위한 산림치유 프로그램이 회복 탄력성과 우울에 미치는 영향)

  • Sim, Nam-Seob;Shin, Chang-Seob;Shin, Min-ja
    • Korean Journal of Environment and Ecology
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    • v.35 no.4
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    • pp.424-434
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    • 2021
  • People who face retirement in aging society experience changes in resilience and psychological depression. As the baby boomer generation, which has played a central role in Korea's economic and social sectors, begins retiring, interest in their post-retirement lives has also increased. Thus, this study investigates the effects of a forest healing program using forest healing factors of ecological forests on the resilience and depression of baby-boomer retirees. This experiment divided 58 subjects in the baby boomer generation into three groups and examined differences among the groups. The result showed that the subjects in the forest healing program group (FHPG) had a very significant increase in resilience and a statistically significant decrease in depression compared to those in the forest healing program non-participation group (FHNG) and the daily life group (DLG). Therefore, it can be said participating in the forest healing program is more effective for retirees than voluntary forest activities. The results of this study can be used as basic data for research on the resilience and depression of retirees.

Pharmacological Studies of Zizyphus Seed Extract on Central Nervous System and Blood Pressure (산조인의 중추신경 및 심혈관계에 대한 약리작용)

  • Ahn, Y.S.;Kim, K.H.;Cho, T.S.;Kim, W.J.;Hong, S.S.
    • The Korean Journal of Pharmacology
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    • v.18 no.1
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    • pp.17-22
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    • 1982
  • Zizyphus seed(Zizyphus vulgaris Lamark var. Spinosus Bunge) has long been used as hypnotics and sedatives in oriental medicine, and it is reported that the Zizyphus seed elicited a variety of pharmacologic actions besides CNS depression. Present study was undertaken to investigate the effects of Zizyphus seed on the central nervous system and on the blood pressure. The effect of Zizyphus seed on the central nervous system was measured by the influence of thiopental sleeping time and by inhibition of chemical convulsion (strychnine and pentylenetetrazol induced). Blood pressure changes by Zizyphus extract and its mode of action were investigated. The ground Zizyphus seed was extracted with hexane and methanol, consecutively and the supernatants were discarded. The precipitate was re-extracted with distilled water and the supernatant was evaporated to a dark-brownish sticky liquid, which was used as Zizyphus seed extract in this study after dissolving in saline prior to experiment. The results are as follows. 1) Zizyphus seed extract caused marked prolongation of the thiopental sleeping time in mice. 2) The chemical convulsion by strychnine and pentylenetetrazol, and the mortality by them in chicks were not affected by pretreatment of Zizyphus seed extract. 3) Zizyphus seed extract produced transient fall of blood pressure in the cat, and this hypotentive effect was blocked partially by atropine but not affected by bilateral vagotomy and/or hexamethonium, nor propranolol and, chlorpheniramine and/or cimetidine. With the above results, it may be suggested that the water extract of Zizyphus seeds contains components producing CNS depression and hypotension. Furthermore it is felt that the cholinergic effect, but not the adrenergic or histaminergic, is partly responsible for the hypotensive effect of Zizyphus seed extract.

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