• 제목/요약/키워드: order-disorder

검색결과 720건 처리시간 0.025초

주의력결핍 과잉행동장애 치료에서 MTA의 주요 교훈 (Major Lessons from the MTA in Treatment of Attention-Deficit Hyperactivity Disorder)

  • 황준원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제21권1호
    • /
    • pp.3-10
    • /
    • 2010
  • Objectives : The current review aimed to describe the major findings of the NIMH Collaborative Multisite Multimodal Treatment Study of Children with Attention-Deficit Hyperactivity Disorder (MTA) with regard to the treatment of children with attention-deficit hyperactivity disorder (ADHD). Methods : We performed a general review of the literature regarding the efficacy of the MTA's proposed treatments. Results : There is a large and still increasing body of evidence regarding the MTA's treatment outcomes. We present and discuss details of the findings at each follow-up point. Conclusion : Currently, findings regarding the MTA's treatments suggest children with combined-type ADHD exhibit significant impairment in adolescence, despite their initial symptom improvement. Further studies, using innovative treatment approaches and targeting specific areas of adolescent impairment, are needed in order to enhance ADHD treatment outcomes.

소방공무원의 외상 후 스트레스 장애 중재 프로그램 효과에 관한 메타분석 (A meta-analysis of the effects of post-traumatic stress disorder intervention programs on firefighters)

  • 강민주
    • 한국응급구조학회지
    • /
    • 제23권2호
    • /
    • pp.33-42
    • /
    • 2019
  • Purpose: This study aimed to identify the effects of post-traumatic stress disorder intervention programs on firefighters through a meta-analysis. Methods: Seven studies were selected for meta-analysis. The overall average effect size, effect sizes for each intervention variables, and publication bias were analyzed using Comprehensive Meta-Analysis(CMA) version 2.0 (Biostat, Englewood, NJ, USA). Results: Post-traumatic stress disorder intervention programs were found to have a very low, not statistically significant effect (effect size=-.171, confidence interval=-0.361~0.019, Z=-1.768, p>.05). However, these programs was less than 50 (effect size=-.622). Conclusion: The results of this study suggest that further research on the effects of post-traumatic stress disorder intervention among firefighters is needed in order to develop more effective programs.

공황증(恐慌症) 환자의 발작강도 및 예기불안에 대한 한의학적 임상 연구 (A Clinical Study of Panic attack and Anticipatory anxiety on Panic disorder patients)

  • 김영준;김진형;류희영;홍성수;김태헌;류영수;강형원
    • 동의신경정신과학회지
    • /
    • 제16권2호
    • /
    • pp.1-11
    • /
    • 2005
  • Objective : This study was to evaluate the clinical improvement of Panic attack and Anticipatory anxiety on Panic Disorder patients after Oriental medical treatment. Methods : We compared post-treatment with pre-treatment on Panic attack and Anticipatory anxiety with Thirty eight Panic Disorder patientsafter Oriental medical treatment - acupunture, herbal medicine, oriental psychotherapy. Results and Conclusions : 1. Foremost herbal medicines were Siwuanshentang(四物安神揚)(39.47%), Qingxinwendantang(情心溫膽揚)(13.16%). Types of demonstration weredeficiency of the heart blood(心血不足)(39.47%), deficiency of qi and blood in the heart and spleen(心脾兩虛)(28.95%), timidity die to insufficiency of qi and deficiency of blood of the heart(心脫虛法)(15.79%), stagnation of phlegm(痰獨阻滯)(13.16%), deficiency of liver-yin and kidney-yin(肝腎陰虛)(2.63%) in order. 2. The physical constitutions in Thirty eight Panic Disorder patients weretwenty nine of Taiyinren(76.3%),six of Shaoyinren(15.8%), three of Shaoyangren(7.9%) in order. 3. This oriental medical treatment was effective in Panic attack from $7.68{\pm}0.87$ to $2.68{\pm}1.613$ and in Anticipatory anxiety from $7.47{\pm}1.006$ to $2.47{\pm}1.841$ in comparison post-treatment with pre-treatment. 4. A percentage of subjective improvement was 72.6%. There were 18.4% in the same, 15.8% in slight improvement, 18.4% in medium improvement, 47.4% in remarkable improvement.

  • PDF

통합건강관리 프로그램이 지역사회 정신장애인의 신체적, 정신사회적, 영적 건강에 미치는 효과 (The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community)

  • 정광하;진영란
    • 지역사회간호학회지
    • /
    • 제26권2호
    • /
    • pp.69-78
    • /
    • 2015
  • Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

전화번호안내원의 단순반복작업에 의한 상지의 작업관련성 근골격계장애 영향 요인 (Affecting Factors of Upper Extremity Work-Related Musculoskeletal Disorder Among the Directory Assistance Operator)

  • 김영민
    • 대한정형도수물리치료학회지
    • /
    • 제13권2호
    • /
    • pp.85-95
    • /
    • 2007
  • Purpose: The purpose of this study was to investigate the prevalence and affecting factors of work-related musculoskeletal disorder (WRMSD) among the directory assistance operators. Methods: One hundred eighty-five female subjects who worked more than one year as directory assistance operators in a telecommunication company were surveyed with self-administered questionnaires. Subjects were divided into disorder and control group by the NIOSH criterion about WRMSD, and then analyzed. Results: One hundred seventy two subjects (93%) had upper extremity symptoms and seventy subjects (37.8%) were WRMSD. the frequency order of the disorder area was the shoulder 60(32.4%), the neck 37(20.0%), the wrist 20(10.8%), the finger 20(10.8%) and the elbow 5(2.7%). It was found that the difference factors of the WRMSD group were education level (p<0.01), stress from the customers (p<0.01), satisfaction about monitor (p<0.05), temperature (p<0.05), noise (p<0.01), ventilation (p<0.001), working time (p<0.05), and recess (p<0.001). Conclusion: Improving working condition and education for the workers to control the stress are necessary to decrease the WRMSD for the directory assistance operators.

  • PDF

Recent update of autism spectrum disorders

  • Kim, Sung Koo
    • Clinical and Experimental Pediatrics
    • /
    • 제58권1호
    • /
    • pp.8-14
    • /
    • 2015
  • In patients with a language developmental delay, it is necessary to make a differential diagnosis for autism spectrum disorders (ASDs), specific language impairment, and mental retardation. It is important that pediatricians recognize the signs and symptoms of ASDs, as many patients with language developmental delays are ultimately diagnosed with ASDs. Pediatricians play an important role in the early recognition of ASDs, because they are usually the first point of contact for children with ASDs. A revision of the diagnostic criteria of ASDs was proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that was released in May 2013. The autism spectrum describes a range of conditions classified as neurodevelopmental disorders in the fifth edition of the DSM. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder-not otherwise specified. An additional change to the DSM includes synthesizing the section on social and communication deficits into one domain. In ASD patients, the appropriate behavioral therapies and rehabilitation treatments significantly affect the prognosis. Therefore, this makes early diagnosis and treatment very important. In conclusion, pediatricians need to be able to recognize the signs and symptoms of ASDs and be attentive to them in order to make an early diagnosis and provide treatment.

매개 모형을 통하여 고찰한 우울과 주의력결핍 과잉행동장애, 인터넷 게임장애 사이의 관계 (The Relationship between Depression, Attention Deficit/Hyperactivity Disorder, and Internet Gaming Disorder Through Mediation Model)

  • 이선규;김대진;조현
    • 생물정신의학
    • /
    • 제26권2호
    • /
    • pp.59-64
    • /
    • 2019
  • Objectives Internet gaming disorder (IGD) is associated with attention deficit/hyperactivity disorder (ADHD) or depression etc. We tried to examine the mediating effects of depression in the relationship between ADHD and IGD. Methods This study was conducted on 2000 people who participated in on-line survey among 14-39 year-old men and women in 2017. And we clarified the relationship among IGD, ADHD, and depression and tested the mediation model. The mean and standard deviation of the main variables were calculated and correlation analysis was performed to confirm the relationship among the main variables. In order to test the mediating effect of depression on the relationship between ADHD and IGD, the structural equation model was implemented using AMOS 21 (IBM). Results There were significant correlations among the variables; IGD, ADHD and depression. Depression had a mediating effect 0.23 (95% confidence interval : 0.17-0.28) in the relationship between IGD and ADHD. Conclusions This study showed that depression can mediate ADHD and IGD. Therefore, the evaluation and management of depression and ADHD should be included in the diagnosis and treatment of IGD.

프랙탈 기하학의 원리를 통한 현대 복식의 다의적 표현성에 대한 연구 (A Study on Diverse Expression in Modern Fashion through the Principle of Fractal Geometry)

  • 엄소희
    • 복식문화연구
    • /
    • 제18권4호
    • /
    • pp.703-716
    • /
    • 2010
  • The objective of the study is to analyze expressions of modern fashion in relation to design principle of a science theory, fractal geometry, in order to identify various and multi-layered expressions of fashion. As for methodology, the study interprets principle and characteristics of fractal geometry based on literature review in areas of linguistic, philosophy, sociology and science. The research identifies expressive characteristics of fractal through empirical studies, and applies them to fashion in order to analyze how fractal design principles are reflected in modern fashion in terms of form and significance. Fractal aesthetics pursue order, balance, diversity and openness among disorder and insecurity. They are closely related to the function of modern fashion that works as a multi-layered code, instead of being confined to conventional idea about fashion that "functions" as "wear."

공황장애에서 단기약물치료가 불안민감도와 삶의 질 및 기능장애에 미치는 영향 (Effect of Short-Term Pharmacotherapy on Anxiety Sensitivity, Quality of Life and Functional Disability in Panic Disorder Patients)

  • 오윤혜;최관우;김보라;허정윤;유범희
    • 대한불안의학회지
    • /
    • 제9권1호
    • /
    • pp.25-30
    • /
    • 2013
  • 공황장애 환자에서 12주간의 escitalopram 약물치료 결과, 공황장애 증상은 관해 상태에 이르렀고, 높은 불안민감도와 삶의 질 저하 및 기능장애가 모두 유의하게 호전되었다. 하지만 공황장애 환자들은 약물치료 후에도 여전히 상대적으로 높은 불안민감도와 삶의 질 저하 및 기능장애를 보여서 이의 회복을 위해서는 장기간의 약물치료가 필요할 수 있겠다.