• 제목/요약/키워드: psychological discomfort

검색결과 146건 처리시간 0.028초

SCL-90-R을 이용한 화병과 주요우울장애의 비교 (Comparison between Major Depressive Disorder & Hwabyung (Culture Bound Syndrome) using the SCL-90-R)

  • 정선용;박종훈;김상호;황의완;권정혜;김종우
    • 동의신경정신과학회지
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    • 제15권2호
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    • pp.45-51
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    • 2004
  • Hwabyung is a Korean culture bound syndrome and translated as anger syndrome at DSM-IV. And it is caused by the suppression of anger and has characteristics of chest discomfort, burning up as physical symptoms, and mortification, chagrin as psychological symptoms. It is very common in the field of psychiatry in Korea with Major Depressive Disorder (MDD). * Objective : 95 patients with MDD or Hwabyung, who visited the department of psychiatry in Korea University Medical Center or oriental medical hospital of Kyunghee Medical Center from May 2003 to August 2003, were selected for the study to compare between Major Depressive Disorder and Hwabyung. * Methods : The Structured Clinical Interview Schedule for DSM-IV (SCID) and Hwa-Byung Diagnostic Interview Schedule (HBDIS) were conducted for diagnosis. And Symptom Check List-90-Revised (SCL-90-R) was carried out for comparison between MDD and Hwabyung. * Result : Among the 95 patients, MDD group was 23 persons, Hwabyung group was 36 persons, and MDD plus Hwabyung group was 36 persons and it occupied 37.9%. MDD plus Hwabyung group had higher scores than any other groups in the whole dimensions of SCL-90-R. Hwabyung group had higher scores than MDD group in somatization, anxiety, hostility, Global Severity Index(GSI) and positive symptom total (p<.05) of SCL-90-R, but two groups had no difference in obsessive-compulsive, interpersonal-sensitivity, depression, phobic anxiety, paranoid ideation, psychoticism, positive symptom distress index of SCL-90-R. * Conclusion : These result showed that Hwabyung is similar to MDD at the point of depression and psychoticism but more severe at somatization, anxiety and anger than MDD.

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Randomized controlled clinical trial of oral health-related quality of life in patients wearing conventional and self-ligating brackets

  • Othman, Siti Adibah;Mansor, Noorhanizar;Saub, Roslan
    • 대한치과교정학회지
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    • 제44권4호
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    • pp.168-176
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    • 2014
  • Objective: The aim of this randomized controlled clinical trial was to compare oral health-related quality of life (OHRQoL) of patients treated with conventional, active self-ligating (ASL), and passive self-ligating (PSL) brackets in different therapeutic phases. Methods: Sixty patients (mean age 18.3 years; 29 males and 31 females) requiring orthodontic treatment were randomly and equally assigned to receive conventional (Victory Series), ASL (In-Ovation R), or PSL (Damon 3MX) brackets. OHRQoL was measured with a self-administered modified 16-item Malaysian version of the Oral Health Impact Profile for immediate (soon after the visit) and late (just before the subsequent visit) assessments of the bonding and activation phases. Data were analyzed with the Kruskal-Wallis and chi-square tests. Results: The PSL and ASL groups showed more immediate and late impacts in the bonding phase, respectively; the conventional group was affected in both the assessments. The first activation phase had similar impacts in the groups. After the second activation, the conventional group showed more immediate impacts, whereas the PSL and ASL groups had more late impacts. The commonly affected domains were "physical disability," "functional limitation," "physical pain," and "psychological discomfort." No significant differences in the prevalence and severity of immediate and late impacts on OHRQoL of the patients were noted in any therapeutic phase. Conclusions: No bracket system seems to ensure superior OHRQoL. This information could be useful for explaining the therapeutic phases, especially the initial one, and selecting the optimal bracket system based on the patient's preference.

일측 중도시각장애인과 가족의 체험연구 (Blindness Experience of Family of Persons with Unilateral Acquired Blindness)

  • 김경란
    • 부모자녀건강학회지
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    • 제18권2호
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    • pp.47-57
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    • 2015
  • Purpose: The purpose of this study is to discover the nature from the life experience of a person with unilateral acquired blindness and his/her family after losing the eyesight and adapting in the environment and to find the meaning of life and how to solve the problem in psychosocial aspect. Methods: This study uses one of the qualitative research methods which explains how families with the unilateral acquired blind perceive blindness after experiencing it and observes how they signify it. starts with interest in lifestyles of individuals and their families and tries to understand the subjective existences of participants in accessible ways and draw the experiences after becoming one-side blind. It cyclically uses deductive verification process through inductive method and establishing hypothesis using materials. Results: According to the results of this study, unilateral acquired blindness studies, due to shattered life, they did not know what to do. Also, discomfort from struggling in a big tunnel and even will to live were found. trying to go out to the world, seeing the new world, and trying to encourage myself, strong attachment to life was shown to by saying, appeared. Each includes sub-topics such as feeling abandoned after confirmed the blindness, feeling disappointed to doctors, family, and friends, trying to live with hope, struggling in a tunnel with thinking how to live, closing the mind from the world, seeing outside the world in the midst of struggling, trying to forget the past with the will of life, having hope to live with care of family, and trying to keep the rest vision. Conclusion: Firstly, in nursing aspect for their adaptation, programs for disable people and nursing intervention focused on their families should be developed. Secondly, since it can be economic and psychological burden for their families and acquaintances, it is necessary to support the blind so that they can find fitted rehabilitation programs and come back to society. Thirdly, active participation of health care providers may influence social interest the improvement of national welfare policy for the unilateral acquired blind.

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소셜커머스의 이용동기와 혜택 및 손실요인이 제품 구매만족도에 미치는 영향 (The Effect of motives and benefits and loss factors of social commerce on the product purchase satisfaction)

  • 이상민
    • 디지털융복합연구
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    • 제14권9호
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    • pp.149-158
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    • 2016
  • 최근 전자상거래의 이슈가 되고 있는 소셜커머스를 이용하는 쇼핑에 대한 소비자의 만족도를 높이려는 방안을 모색하고자 하는 목적에서 이루어졌다. 이를 위해 소셜커머스 이용동기와 혜택 및 손실요인이 구매만족도에 미치는 영향을 중다회귀분석을 통해 알아보았다. 연구결과 첫째, 소셜커머스 사이트를 이용하는 동기요인중 경제적동기와 쾌락적동기 및 편의적 동기요인이 구매만족도에 영향을 미치는 것으로 나타났다. 둘째, 소셜커머스 쇼핑이용을 통해 얻은 혜택요인 중 심리적혜택과 가격혜택요인이 구매만족도에 영향을 미치는 것으로 나타났다. 셋째, 소셜커머스 이용 시 경제적 손실감을 적게 느낄수록, 이용불편감이 적게 느낄수록 구매만족도가 높은 것으로 나타났다. 끝으로, 혜택요인이 손실요인에 비해 상대적 영향력이 크다는 것을 확인하였다. 본 연구는 소셜커머스 사이트를 이용하는 소비자 관점에서 의미있는 자료를 제공했다는 점에 의의가 있다.

인공수태(人共受胎)의 합병증(合倂症)과 난점(難點)에 관(關)한 연구(硏究) (Complications and Difficulties in Alternative Methods of Conception)

  • 구병삼
    • Clinical and Experimental Reproductive Medicine
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    • 제14권1호
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    • pp.29-35
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    • 1987
  • Alternative methods were used in the field of infertility as the latest means for the treatment of misconception. Artificial insemination, which has been commonly used already, IVF-ET and GIFT are also used as artificicial method for conception presently. Appling such methods to the patient, following three categories should be considered; first, there should be an understanding and an agreement from the patient, second, if possible, reduce the cost of hospital expense and relieve physical and emotional problems of the patient, and third, increcrsing the pregnancy rate. Under these considerations, complication and pitfalls of artifical inseminations are a big burden to the physian and the patient. Though the conicicental complications are relatively very rare, detailed laboratoy tests, carefull examinations, and follow-up studies are necessary. In the distribution of the age groups, 40.3% was in the 25 to 29 years group, 30 to 34 years was 45%. 35 to 39 years was 8% and only 3.2% was above the 40 age groups. The range of infertile periods were from 1 to 17 years, and half of the patients were over 5 years, the other group 20% in 3 years and 2 to 4 years were 10%. Among 159 cycles of artificial insemination, there were complications such as infection(1.9%) and discomfort(5%) and abnormal bleeding (0.6%). During pregnancy, clinical abortion (1.9%) and toxemia (2.5%) were shown. Sex of new born infants were, male (68%) and female (31%). Fortunately, there were no cases of psychological complication and genetic abnormality. Indications of artificial insemination for male factors were aspermia (2.5%), azoospermia (28.8%), oligospermia (26.4%) and asthenozoospermia (1.8%), for female factors were irregular cycle (11.7%) and dysmucorrhea.

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일상활동구강영향지수(OIDP)를 이용한 교정환자의 구강건강관련 삶의 질과 만족도 평가 (Assessment of dental health related quality of life and satisfaction level in patients with orthodontic treatments using Oral Impact on Daily Performances (OIDP))

  • 김수경;기은정;김성준;문선호;장민지;정은서
    • 한국치위생학회지
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    • 제18권4호
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    • pp.535-546
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    • 2018
  • Objectives: This study is to assess the correlation of the changes in dental health-related quality of life before, during, and after orthodontic treatments in the patients. Methods: The self-administered survey was conducted in the patients who completed orthodontic treatments living in Seoul and metropolitan areas using Oral Impact on Daily Performances (OIDP) to identify the relevant factors. Data were analyzed with descriptive statistics of variables, independent t-test, one way ANOVA, and multiple regression analysis. Results: From observations of OIDP before, during, and after orthodontic treatment, discomfort associated with three factors including physical, psychological and social ones showed the statistically significant increases during orthodontic treatment than before the treatment; whereas, it was dramatically dropped afterward. Multiple regression analysis to find the influential factors of satisfaction level on orthodontic treatment by setting before, during, and after OIDP as independent variables and satisfaction on orthodontic treatment as a dependent variable revealed that OIDP before orthodontic treatment and after orthodontic treatment significantly affected satisfaction on orthodontic treatment. Conclusions: The above analysis on the change in patients' dental health-related quality of life showed that the quality of life improved after the orthodontic treatment. Accordingly, patients' quality of life and satisfaction level on orthodontic treatment are expected to improve if they strive to maintain healthy dental health through orthodontic treatment.

기능성 소화불량증 환자의 한방치료후 삶의 질 변화에 대한 임상적 평가 (Oriental Medical Treatment Can Improve Quality of Life in Patients with Functuonal Dyspepsia)

  • 박재우;김진석;홍종희;홍상선;박석규;김진성;윤상협;류봉하;류기원;전우현
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.361-366
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    • 2001
  • Objectives: Patients with functional dyspepsia frequently complain the discomfort of daily life, so their quality of life shows a tendency to decrease. This study was aimed to investigate the usefulness of oriental medical treatment for quality of life in patients with functional dyspepsia Methods: Quality of life in 15 patients was assesed by two times questionnaire based on Korean health related Quality of Life(KQOLS) Results: The mean of KQOLS score was 122.87 before oriental medical treatment, and after treatment, the mean of score was significantly reduced to 101.60(p=0.003). The score of each domains in KQOLS was also reduced significantly in psychological health, role limitation, pain, vitality respectively(p<0.05). Conclusions: We suggest that oriental medical treatment can improve quality of life in patients with functional dyspepsia.

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구강작열감 증후군에 대한 논문 고찰 (A literature review on burning mouth syndrome)

  • 최성현;이빈나;임회순;오원만;김재형
    • 구강회복응용과학지
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    • 제35권3호
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    • pp.123-131
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    • 2019
  • 구강작열감 증후군은 점막 이상 등의 임상소견이 없는 상태에서 혀 및 구강점막의 작열감과 구강건조감, 미각이상 등의 불편감을 호소하는 증상으로, 남녀 모두에서 나타날 수 있으나 중년의 폐경기 여성에서 빈발한다. 임상에서 진단이 쉽지 않고 명확한 원인을 밝히기 어려워 증상 경감을 치료목표로 해왔다. 병인은 국소적, 전신적 및 심리적 요인으로 나뉘고 치료는 ${\alpha}$-lipoic acid, clonazepam, 영양보충 등의 약물요법과 인지행동치료 등이 있으며 최근에는 단일 치료법보다는 복합요법의 높은 효과에 대해 관심이 모아지고 있다. 다각적인 면에서 원인요소를 고려하여 약물적 접근과 인지행동요법을 포함한 심리치료 병행으로 환자들의 증상을 경감해주는 것이 필요하다.

일개한의의료기관에서 시행한 침도치료 시술 후 이상반응에 대한 설문조사 (A Survey on the Complications Associated with Acupotomy in a Single Korean Medicine Clinic)

  • 정세훈;우종원;채효청;오기창;최소연;이주현;강경호;추홍민;유명석
    • Korean Journal of Acupuncture
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    • 제37권4호
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    • pp.253-261
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    • 2020
  • Objectives : This study aimed to evaluate adverse outcome associated with acupotomy and compare it with that of acupuncture. Methods : We retrospectively analyzed the chart records of 71 patients who received acupotomy at Daemyung Korean medical clinic from January 7, 2020 to March 6, 2020. We divided the acupotomy treatment area into 10, including the head, hand, chest, knees, shoulders, low back, neck, upper extremities, thighs, and feet. Furthermore, we investigated the adverse effect of acupotomy on those areas after treatment. Data were analyzed using descriptive statistics, and frequency analysis. Results : 'Bruise of specific region' accounted for the largest portion with 29 cases, followed by 24 cases of 'feeling tired and sleepy' and 17 cases of 'itch'. There were 16 cases of 'sustained pain' at the area of treatment, 11 cases of 'fatigue', 5 cases of 'swelling', 5 cases of 'dizziness', 4 cases of 'hematoma'. There were 3 cases of 'vertigo' and 2 cases of 'parathesia' and 'wide bruises', 'headache', 'gastric discomfort', 'bleeding', and 'skin rash' each. There was one case each that experienced 'unclear pronunciation', 'nausea', 'abnormal sweating', 'vomiting' and 'emotional/psychological reactions'. Conclusions : Adverse outcomes associated with acupotomy were mostly 'bruise of specific region', 'feeling tired and sleepy', 'itch', 'sustatained pain', and 'fatigue'. However, no adverse outcome or irreversible damage that have a serious effect on the body were observed.

수면의 질과 심박변이도, 설진 및 한의학적 문진 결과의 상관성 (Correlations between Sleep Quality and Heart Rate Variability, Tongue Diagnosis, and Korean Medical Questionnaires)

  • 심혜윤;박정환;이상훈;김호준
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.73-87
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    • 2022
  • Objectives We aimed to characterize the results obtained from Korean medical examinations and questionnaires on the quality of sleep. Methods The quality of sleep was measured using the Pittsburgh sleep quality index in 400 subjects. Afterwards, heart rate variability (HRV) measurements were done, along with the analyses for tongue color, teeth marks, and tongue coating through the tongue diagnosis system. A questionnaire about body's heat, cold and sweating conditions, and the perceived stress scale (PSS) were performed. Finally, correlations between all these indicators and the sleep quality were analyzed. Results As the quality of sleep decreased, the sympathetic nervous system was stimulated. The subjects who had the blue-purple colored tongue experienced decreased quality of sleep. The quality of sleep was also deteriorated in the subjects who usually feel cold and hot easily, sweat a lot, and feel a lot of discomfort. According to the PSS questionnaire, the higher the stress level is, the lower was the quality of sleep. Conclusions We obtained meaningful results by comprehensively analyzing the sleep quality, HRV, tongue diagnosis, heat and cold conditions, sweating, and stress conditions. In particular, the sleep quality had a significant correlation with the rest of the indicators.