• Title/Summary/Keyword: depression insomnia

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A Case Report of Improvement in Chronic Migraine Headache and Nausea with Korean Medicine Treatment and FCST (Functional Cerebrospinal Therapy) (FCST(기능적 뇌척주요법)를 병행한 한의 치료로 만성편두통 환자의 두통과 오심을 치료한 증례 보고 1례)

  • Cha, Ji-yun;Jung, Eun-sun;Kim, Chan-young;Kim, Hyun-tae;Lee, Young-jun;Seol, In-chan;Kim, Yoon-sik;Yoo, Ho-ryong;Jo, Hyun-kyung
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.784-793
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    • 2018
  • Objective: Chronic migraine is a headache syndrome accompanied by nausea, dyspepsia, depression, and insomnia and it reduces the quality of life. The present case revealed that Korean medicine treatment and Functional Cerebrospinal Therapy (FCST) can reduce headache and nausea in patients with chronic migraine. Method: A 39-year-old female patient with chronic migraine visited Dunsan Korean Medicine Hospital. She had headache combined with moderate nausea and wanted to reduce her dose of almotriptan. We treated her with Korean medicine, including acupuncture, herbal medicine, and a Chuna treatment based on FCST. We evaluated her symptoms using a Numeric Rating Scale (NRS) for headache and nausea every day. Result: After 22 days of treatment, the NRS of headache and nausea had reduced. Her dose of almotriptan was also reduced and the patient felt improvement of in her quality of life. Conclusion: We suggest that Korean medicine treatment combined with FCST can improve the headache and nausea of chronic migraine patients.

Effects of Emotional Labor and Workplace Violence on Physical and Mental Health Outcomes among Female Workers: The 4th Korean Working Conditions Survey (여성 근로자의 감정노동 및 작업장 폭력 피해 경험이 건강결과에 미치는 영향: 2014년 한국근로환경조사를 이용하여)

  • Kim, Eunjoo;Yoon, Ju Young
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.3
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    • pp.184-196
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    • 2017
  • Purpose: We investigated the effects of emotional labor and workplace violence on various physical and mental health outcomes among female workers. Methods: We obtained data from 24,760 female workers who participated in the 4th Korean Working Conditions Survey (2014). Hierarchical logistic regression analysis was used to analyze the relationships. Results: Female emotional workers were more exposed to workplace violence than were female non-emotional workers. Verbal abuse was the most common type of workplace violence. Logistic regression analyses revealed that (1) emotional labor was significantly associated with higher odds of having musculoskeletal or abdominal pain (physical health outcomes), along with overall fatigue (a mental health outcome), and (2) workplace violence experiences were significantly associated with higher odds of musculoskeletal pain, headache/eye strain, abdominal pain, depression/anxiety disorder, overall fatigue, and insomnia/sleep disturbance, after controlling for covariates. Conclusion: This study demonstrated that both emotional labor and workplace violence have negative effects on physical and mental health. However, workplace violence experience has a stronger negative impact on health outcomes than does emotional labor alone. A management system to eradicate workplace violence and programs aimed at managing emotional labor are urgently needed at the organizational level.

A Survey on Korean Medicine Doctors for Cancer Symptoms Care in Korean Medicine Treatments (한의 암 증상 완화에 대한 한의사 대상 설문 조사)

  • Ryu, Han-Sung;Lee, Jee-Young;Oh, Hye-Kyung;Yoon, Seong-Woo
    • Journal of Korean Traditional Oncology
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    • v.22 no.1
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    • pp.23-35
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    • 2017
  • Backgrounds: The demand of complementary and alternative medicine (CAM) including Korean Medicine (KM) is increasing worldwide. But cancer patients (CP) still have a difficulty in gathering CAM information or communicating with their doctors, and clinical status in cancer care is unclear in the field of KM in Korea especially. The aim of this study is to examine clinical status of KM for cancer symptom care by KM doctors in medical service institutions. Methods: Total forty nine KM doctors completed the site survey questionnaire. The questionnaire items were to list chief symptom complaints of CP treated with KM and effective KM therapies. Results: The majority of the respondents were general physicians without KM specialist board (67.4%) who have 10-20 years clinical experience with CP (55.1%). Primary cancer lesion, diagnostic status, and treatment period were not different in KM clinical service institutions. In chief symptom complaints of CP treated with KM, gastrointestinal (32.9%), musculoskeletal (19.9%), circulatory & respiratory (16.2%), psychiatric (14.1%), urinary (5.8%) symptoms were in turn. In effective KM therapies assessed by KM doctors, xerostomia (45.7%) and cancer-related fatigue (44.8%) were more effective with herbal treatments. Peripheral neuropathy (43.4%), depression, insomnia (38.2%), and cancer pain (31.9%) were preferred to treat using acupuncture. Conclusion: The CP treated with KM used evenly KM medical service institutions regardless of hospital size, and there will be further survey for CP treated KM in the future.

The Effect of Punsimgieumgamibang on Sleep Disorder and Emotionality in Animals (분심기음가미방(分心氣飮加味方)이 타면장애(唾眠障碍)와 정서성(情緖性)에 미치는 영향(影響))

  • Hu Yong-Suk;Kim Jong-Woo;Whang Wei-Wan;Kim Hyun-Taek;Park Soon-Kwon;Kim Hyun-Ju
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.2
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    • pp.43-52
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    • 2000
  • This sudy aimed to evaluate the effect of Punsimgieum-gamibang(分心氣飮加味方) on emotionality and sleep disorder. Punsimgieum(分心氣飮) has been used for insomnia, trembling, emotionality caused by strong mental stimulation and continuous stress in Oriental Medicine. And it was reported that Punsimgieum had anti-stress and anti-depression effect. Animals were devided into two groups : control group and Punsimgieum-gamibang group.Emotionality was tested in open-field with five indexes : walking, rearing, grooming, excretion and start latency. For the study of sleep disorder, after two groups had been given caffeine into abdomen, activity amount in animals was assessed for daytime and then the average percentage of sleep in two groups was calculated.The following results were observed.1. In peripheral and central partition, meditaion group walked more than control group. The difference between two groups was statistically significant.2. In rearing and grooming frequency, there was difference between two groups, but it was not statistically significant. 3. In grooming. excretion and start latency. there was no difference between two groups.4. There was no difference in the average percentage of sleep between two groups.

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A Research on the Epidermic disease of Abdominal Impulse etc. in SangHanMyungRiSokLon (상한명리속론(傷寒明理續論).동기(動氣)외 8증(證)에 대한 연구(硏究))

  • Shin, Je-Sung;Sheen, Yeong-Il
    • Journal of Korean Medical classics
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    • v.19 no.2 s.33
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    • pp.248-265
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    • 2006
  • Impulse of ki refers to palpitation around the navel, it is mostly caused by impairment of yang due to erroneous sweating, deficiency of the spleen yang. Behcet's syndrome caused by prolonged damp-heat and pathogenic germs. Its symptoms are characterized by conjunctival congestion, blue canthus and ulceration of the oral cavity, restlessness all the time, etc. It is advisable to follow the therapeutic principles of clearing away heat and drying damp, detoxicating and sterilizing. Lily disease is one of the emotional disease. It caused by yin deficiency of the heart and lung, found in mental depression or convalescence after a critical disease. Its symptoms are characterized by restlessness, reticence, insomnia, failure to walk, poor appetite, a subjective hot or cold, bitter taste and dark urine. It is advisable to follow the therapeutic principle of nourishing yin to clear away heat. Cholera refers to the disease marked by sudden severe vomiting and diarrhea, and colic of the heart and the abdomen. It is mostly caused by deficiency of the ki in the middle-energizer, emotional stress, etc. It is characterized by such symptoms as sudden severe vomiting and diarrhea, restlessness, etc. It is advisable to follow the therapeutic principles of warming yang and removing toxic substances, and strengthening the spleen and stomach. Heat invasion of blood chamber due to affection of the exterior pathogens, pathogenic heat invading the blood in deficiency and fighting with the blood. Its symptoms are marked by fever, feeling of the fullness, etc. There are deficiency of blood, hot blood and stasis of blood. The different therapeutic treatment should be taken according to different types thereof.

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Effects of the Working Environment on Subjective Health Status (근로환경이 주관적 건강상태에 미치는 영향)

  • Lee, Yong won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.3
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    • pp.210-220
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    • 2017
  • Objectives: This study was conducted to prepare fundamental data and prevention measures on health promotion and occupational disease, and to assess the effects of the working environment on subjective health status and absenteeism among workers using data from the third working environment survey in Korea. Methods: This study's subjects were composed of 29,711 wage workers from the 3rd working environment survey data. The dependent variables were several diseases, subjective health status and absences, and the independent variable was the working environment. The collected data were analyzed by One-Way ANOVA, Pearson's correlation and stepwise multiple analysis using the IBM SPSS(ver. 20.0) statistical package program. Results: The effecting factors for cardiovascular disease were age, working shift and emotional state. The effecting factors for anxiety and depression were years of education, working condition, duties, and emotional state. The effecting factors of insomnia were duty and emotional state. The positive effecting factors for absent days were work standing, working shift, number of night shifts, autonomy, and duties. The positive effecting factors of subjective health status were age, work standing, working years, working shift, appropriateness of working hours, leadership of superiors, duties and emotional state. Conclusions: Based on the above results, the author considers that it is necessary to improve the working environment to reduce absent days, such as by reducing of number of night shifts and giving autonomy regarding duties, and to improve the working environment for subjective health status such as by controlling the appropriateness of working hours and stability of the emotional state. In addition, this study provides fundamental data on health promotion and occupational disease among workers.

The relationship between physical·mental health and life stress in dental hygiene freshman (치위생과 신입생의 신체·정신건강과 대학 생활 스트레스와의 관계)

  • Kang, Hyun-Joo;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.495-502
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    • 2014
  • Objectives : The purpose of this study was to investigate the relationship between psychosocial stress and depression symptoms in dental hygiene freshman. Methods : A self-reported questionnaire of 45 questions was filled out by 207 dental hygiene students in Gyeongnam from December 9 to 11, 2013. Data were analyzed using SPSS WIN 18.0 program for descriptive statistics, t-test, ANOVA. Results : Religion tended to influence on positive effects on academic stress because those having religion had less academic stress. Economic condition also influenced on physical and mental stress in the students($8.52{\pm}5.63$)(p=0.000). Low economic status influenced on academic problems(p=0.022), family problems(p=0.014), rational relationship problems(p=0.002), and interpersonal problems(p=0.007). There was no significant difference between future problems(p=0.125) and self-efficacy(p=0.076). The physical symptoms included digestive disorders($16.73{\pm}5.37$), cardiac symptoms($14.61{\pm}5.51$), headache($9.46{\pm}3.59$), insomnia($8.32{\pm}3.67$) (p=0.000). The mental symptoms included negative emotions($15.07{\pm}3.94$)(p=0.000). Conclusions : In order to reduce the psychosocial stress symptoms in dental hygiene freshman, it is important to develop the stress debriefing program in the future.

An Effect of Infrared Therapy on Acupoints ; Randomized Controlled Trials Review (경피적외선요법의 경혈(經穴) 조사(照射) 치료법에 대한 고찰)

  • Hwang, Eui-Hyoung;Shin, Byung-Cheul;Shin, Mi-Suk;Cho, Hyun-Woo;Jung, Yeo-Leum;Sul, Jae-Uk
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.2
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    • pp.203-210
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    • 2011
  • Objectives : The aim of this study is to establish evidence-based guideline on infrared therapy on acupoints. Methods : We investigated all the articles in websites including Pubmed, China national knowledge Infrastructure(CNKI) and medical journals authorized by national research foundation of Korea. The key words are acupoints and infrared. For the first time, we withdrew some papers no relationship to key words by reading titles and abstracts. In the second, we only selected randomized clinical trials(RCT) published from 2000 to 2010. Results : Out of 62 papers, only 2 RCT were analyzed. One (RCT 1) was about depression patients with insomnia(jadad score: 1). The other(RCT 2) was about urimic pruritus patients(jadad score: 5). In RCT 1, experimental group was significantly better than control group. In RCT 2, there was not statistical signification between two groups. Conclusions : In reality, there were not many papers on infrared therapy applications. Further study just like RCTs may be needed to establish evidenced-based guideline on infrared.

A case of steroid-induced psychosis in a child having nephrotic syndrome with toxic epidermal necrolysis (신증후군 환아에서 발생한 독성표피괴사용해 치료를 위해 사용된 고용량 스테로이드로 인한 정신질환 1례)

  • Kim, Sae Yoon;Lee, Jae Min;Park, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.437-441
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    • 2010
  • Toxic epidermal necrolysis (TEN) and Stevens Johnson syndrome (SJS) are rare, life-threatening mucocutaneous -diseases, usually attributable to drugs and infections. Corticosteroids have been used in the management of TEN for the last 30 years. This remains controversial and is still much debated. TEN can occur despite administration of high doses of systemic corticosteroids. The psychiatric side effects of corticosteroids can include headache, insomnia, depression, and mood disorders with or without psychotic episodes. Steroid-induced psychosis is dealt with by tapering or discontinuing the steroid; antipsychotics are also sometimes used. We report a case of an 11-year-old boy who was admitted with TEN. He had also been diagnosed as having nephrotic syndrome in the past. Remission was achieved through induction therapy and by maintaining the use of steroids. After a full-dose intravenous dexamethasone for TEN, he showed psychotic symptoms. We diagnosed him as having steroid-induced psychosis. We tapered the steroid use and initiated an atypical antipsychotic medication, olazapine and intravenous immunoglobulin (IV-IG). His symptoms dramatically improved and he was discharged.

A Qualitative Study on the Process of the Mental Health Assessment and Intervention after the Sewol Ferry Disaster: Focusing on Survivors among Danwon High School Students

  • Lee, Mi-Sun;Hwang, Jun-Won;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.4
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    • pp.161-171
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    • 2018
  • Objectives: This study aimed to identify the process of psychosocial assessment, the experience of intervention, and the improvement after the disaster that Danwon high school students survived from the sinking of the Motor Vessel (MV) Sewol in South Korea on April 16, 2014. Methods: We conducted in-depth qualitative research using individual interviews from January to February 2017. Twenty-one of 75 Danwon high school students survived by the MV Sewol disaster were studied. Two interviewers participated in the in-depth interview. Interviews were transcribed verbatim, coded, and analyzed through content analysis based on psychosocial assessment and intervention after the disaster. Results: Twenty-one participants were 20 years old, where 10 were male (47.62%), and 11 were female (52.38%). More than 75% of the interviewed students felt that mental health services were needed, and more than 85% required mental health assessments. Regarding psychiatric symptoms, the students reported that they suffered depression and insomnia (19.05%), anxiety (14.29%), nightmares and phobias (9.52%), and difficulties regarding concentration, aggression, and game addiction (4.76%). Conclusion: Despite survivors experiencing the same disaster, there were differences in their responses to mental health assessments and interventions experienced during the three years, and conflicting opinions were reported. In planning future evaluations and interventions, it is necessary for strategies to cope with flexibly to consider the characteristics and symptoms of the survivors while maintaining principles.