• Title/Summary/Keyword: psychological disorder

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공황장애의 한의학적 치료 효과 및 예측 인자 연구 (Predictors of Clinical Efficacy of Oriental Medical Treatment in Patients with Panic Disorder)

  • 유종호;허은정;김남열;이유진;김근우
    • 동의신경정신과학회지
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    • 제26권3호
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    • pp.293-306
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    • 2015
  • Objectives: The purpose of this study is to identify predictors of clinical efficacy of oriental medical treatment for patients with panic disorder. Methods: We analyzed medical records of 41 patients who were diagnosed with panic disorder through DSM-IV or ICD-10 by 2 oriental medical neuro-psychiatrists. We performed frequency analysis of demographic characteristics in patients with panic disorder, and assessed the correlation between the psychological scales by Pearson correlation. Repeated measures ANOVA were used to compare the psychological scales during the treatment; and Single regression analysis was used to analyze the factors that have correlation to improvement of panic disorder by oriental medical treatment. Psychological scales used in the study were STAI-X-1/2, STAXI-S/T, BDI2, BAI, BSQ, PAS, ASI, LOT-R, SWLS, LSES and LSMS. Results: Patients' demographic characteristics indicated that there were twice more female than male patients; furthermore, there was a high ratio of patients in their 20s and 30s, with the highest percentage of onset-age in the 20s and average duration of panic disorder from 1~5 years. More than half of the total patient cohort comprised of those who had panic disorder with agoraphobia and major depressive disorder; in addition, major accompanied symptoms were dyspepsia, chest discomfort and headache. After treatment, most scores of psychological scales were significantly reduced, and correlation between the psychological scales was significant. Furthermore, we identified some factors that were significantly correlated to improvement of panic disorder by oriental medical treatment. Conclusions: In conclusion, treatment of panic disorder with oriental medicine was clinically efficient and improved the quality of life.

Association between Childhood Attention Deficit Hyperactivity Disorder Features and Adulthood Psychological Resilience in Patients with Mood Disorders

  • Cho, Sang Hyun;Kim, Eui-Joong;Lee, Kyu Young;Bhang, Soo-Young;Choi, Jae-Won;Lee, Yunah;Joo, Eun-Jeong
    • 생물정신의학
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    • 제27권2호
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    • pp.74-83
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    • 2020
  • Objectives Psychological resilience plays a significant role in many aspects of mental health. The aim of this study was to find an association between childhood attention deficit hyperactivity disorder (ADHD) features and adulthood psychological resilience in patients with mood disorders. Methods A total of 213 patients with mood disorders including major depressive disorder or bipolar I, II disorder and 909 healthy controls were included. We assessed childhood ADHD features using the Wender Utah Rating Scale (WURS), adulthood psychological resilience using the Connor-Davidson Resilience Scale (CD-RISC), and current depressive mood using the Beck Depression Inventory (BDI). Pearson's correlation, multiple linear regression and a mediation analyses were performed to examine the relationships between three WURS factor (impulsivity, inattention, and mood instability) scores, the BDI score, and the CD-RISC score. Results The CD-RISC score was negatively correlated with the WURS childhood inattention factor score and current BDI score in patients with mood disorders. BDI score mediated the influence of the inattention factor score on CD-RISC score among patients with mood disorders. The CD-RISC score was significantly lower in patients with mood disorders than in controls even after controlling for age, WURS scores, and the BDI score. Conclusions An evaluation of psychological resilience is important for enhancing recovery and quality of life in patients with mood disorders. When assessing psychological resilience, current depression and ADHD features in childhood, particularly inattention, should be considered.

성심리(性心理)와 연관(聯關)된 질환(疾患)에 대(對)한 문헌적(文獻的) 고찰(考察) (A bibliographic study of disease in relation to sexual psychology)

  • 문성수;이상룡
    • 혜화의학회지
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    • 제8권2호
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    • pp.329-339
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    • 2000
  • I got the following result from the bibliographic study of disease in relation to sexual psychology. The results are follows. 1. Sexual disorder is divided sexual disfunction, paraphilias, gender identity disorder, homosexuality and that is subdivided fetishism, transvestic fetishism, pedophilia, exhibitionism, voyerism, sexual masochism, sexual sadism, frotteurism, gender identity disorder of childhood, gender identity disorder of youth and adult, intersexual disorders. 2. In korean oriental medicine mainly refer to sexual disfunction, and sexual psychological disorder include Hwajeon(花癲), Buinmongio(婦人夢交), Guabusani disease(寡婦師尼病). 3. Social psychologic cause and, oedipus complex, sexual hormone induce sexual psychological disorder but in korean oriental medicine, recognized sexual psychological disorder place under the category of sexual disfunction. 4. The latest medicine has various medical treatment in sexual disorder as avoidence conditioning, medication, role playing, behavior modification, psychoanalysis theraphy but in korean oriental medicine has only medication theraphy, so need more introduction of medical treatment.

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척수손상환자의 심리변화와 적응과정 (Psychological Change and Adaptation Process in Patients with Spinal Cord Injury)

  • 윤홍일
    • 대한물리치료과학회지
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    • 제4권4호
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    • pp.529-538
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    • 1997
  • Rehabilitation after spinal cord injury(SCI) is complex process involving an array of adaptation to change in both physical and psychological function. It is generally accepted that psychological disorder and change are sificant psychological problem among the patients with spinal cord injury. The psychological problems that they have are depressor, anxiety, and fear etc. This study was designed to know of psychological state of patients with SCI after injury, such as psychological change and adaptation process, and change of needs.

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간호대학생의 사회적 고립감, 심리적 수용, 수면장애가 우울에 미치는 영향 (The Impacts of Social Isolation, Psychological Acceptance, and Sleep Disorder of Nursing College Students on Depression)

  • 조옥희;황경혜
    • 디지털융복합연구
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    • 제15권11호
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    • pp.329-338
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    • 2017
  • 본 연구의 목적은 간호대학생의 사회적 고립감, 심리적 수용, 수면장애가 우울에 미치는 영향을 파악하기 위함이다. 연구대상은 경기도 소재의 일개 간호대학생 383명으로 구조화된 설문지를 이용하여 2015년 6월부터 7월까지 자료수집하였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficients, 다중회귀분석을 통해 분석하였다. 연구결과, 학년, 학업스트레스, 간호학 전공만족도에 따라 우울 정도에 차이가 있었다. 우울 정도는 사회적 고립감(r=.47, p<.001), 수면장애(r=.43, p<.001)와 정상관관계가 있었고, 심리적 수용(r=-.41, p<.001)과는 역상관관계가 있었다. 우울에 영향을 미치는 요인으로 학업스트레스, 전공만족도, 수면장애. 사회적 고립감, 심리적 수용이 확인되었다. 본 연구결과를 바탕으로 간호대학생의 우울을 감소시키는 스트레스 증재 프로그램을 계획할 때는 학업스트레스, 전공만족도, 사회적 고립감, 심리적 수용과 수면장애의 변수를 고려한 복합적 중재 프로그램 개발과 적용이 필요하다고 생각된다.

원주지역 여대생들의 이상식이습관과 식행동 및 정신건강의 관계에 관한 연구 (A Study for the Relationships between the Psychological Soundness, the Eating Attitude and the Eating Disorder among Female college students in Wonju Province)

  • 원향례
    • 한국식생활문화학회지
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    • 제10권4호
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    • pp.339-343
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    • 1995
  • This study was made in order to find out the relationship between the psychological soundness and the eating attitude influenced by eating disorder, and the summary of the results are as follows; 1. Almost all of the surveyed girls were in the criteria of standard weight, however they regard themselves more obese than what their actual body shape normally shows. It shows that they want a further slimmer body shape than the standard one (p=0.0000). 2. Tangable relationship was observed between such variables as her own acknowledged body type, eating attitude influenced by eating disorder and the psychological soundness. The more the girls think themselves slim the higher the score of eating attitude becomes (p=0.0000) and the lower the anxiety score becomes (p=0.0044). 3. Significant relationships was found between the obesity and the eating attitude influenced by eating disorder (p=0.0001). For the underweighted girls the high score of eating attitude influenced by eating disorder was observed, and it shows the increasing degree of eating disorder risk for them.

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한국 성인의 심리적 요인과 측두하악관절 장애와의 관련성 : 제4기 3차년도(2009) 국민건강영양조사 (Association between psychological factors and temporomandibular disorders in Korean adults : The fouth Korean national health and nutritional examination survey(2009))

  • 심수현;하미나
    • 한국치위생학회지
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    • 제13권5호
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    • pp.739-747
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    • 2013
  • Objectives : This study aimed to investigate relationship between the psychological factors, the prevalence, and perception of temporomandibular disorder in Korean adults. Methods : A total of 7203 data were derived from Korean national health and nutritional examination survey. All data were analyzed using R-COMMANDER(12.2 SDI) program. Results : The prevalence of temporomandibular disorder in Korean adults was 3.1% and 10.5% of adults with temporomandibular disorder (TMD) had more than one TMD related symptom. Women had higher prevalence rate of TMD related symptom than men. Prevalence rate in TMD was low in the younger age, the higher education level, higher income, and the professionals. Psychological factors including cognition of stress and depression was shown to be closely related with suicidal ideation and TMD prevalence. Conclusions : To prevent TMD, it is necessary to provide the systematic oral health education and to develop the combined psychological counseling with treatment program.

Psychological Intervention for Post-traumatic Stress Disorder among Witnesses of a Fatal Industrial Accident in a Workers' Health Center

  • Kang, Dong-Mug;Kim, Se-Yeong;Kim, Yoon-Ji;Kim, Jung-Ann
    • Safety and Health at Work
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    • 제8권4호
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    • pp.410-412
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    • 2017
  • Post-traumatic stress disorder (PTSD) is a serious problem not only among workers who experience industrial accidents but also among workers who witness such accidents. Early intervention is needed to prevent prolonged psychological problems. There has been no study conducted regarding the psychological problems of and interventions for bystander workers in Korea. This study introduces the experience of intervention on psychological problems at the Busan Workers' Health Center workers who witnessed their colleagues' death. An investigation and an intervention were conducted according to the Korean Occupational Safety and Health Agency (KOSHA) Guide. In total, 21 individuals including indirect observers showed statistical differences on scores of the Impact Event Scale Revised and the Patient Health Questionnaire 9 after the intervention. Future interventions and research involving a larger sample size over a longer period are needed. The KOSHA Guide could be a useful tool for urgent psychological intervention in the event of major workplace disasters.

전환장애의 물리치료 - 증례보고 - (Physical Therapy of Conversion Disorder - Case Report -)

  • 오덕원;정낙수
    • 한국전문물리치료학회지
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    • 제5권1호
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    • pp.51-62
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    • 1998
  • Conversion disorder is defined as a specific and enduring sensorimotor dysfunction that contradicts known neurological or musculoskeletal pathology or physical findings. The patient with conversion symptoms unconsciously adopts these symptoms to convert their psychological stress to a physical phenomenon. Conversion disorder often involves the mimicry of organic symptoms similar to those experienced by a relative or an acquaintance. Because conversion symptoms are produced by psychological stress, specific treatment strategy and reinforcement program are needed for treatment. Treatment comprises avoiding unnecessary medical tests and removing symptoms by using graded exercises given by physical therapists. Clinical therapists must maintain a continuous and detailed follow-up to completely recover from conversion symptoms. The goal of treatment is to emphasize health rather than disease, to resolve physical symptoms, and to prevent recurrence. This study looks into the case reports of 4 patients diagnosed with conversion disorder.

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외상 후 스트레스 장애 증상을 보이는 대학생의 모래놀이치료 사례연구 (A Case Study of Sandplay Therapy in a College Student with Symptoms of Post-Traumatic Stress Disorder)

  • 우희정
    • 대한가정학회지
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    • 제48권3호
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    • pp.55-69
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    • 2010
  • A college student who exhibited several post traumatic stress disorder (PTSD) symptoms was used as a case study in order to investigate the therapeutic effects of sandplay therapy for PTSD sufferers. In total, 27 sessions of the sandplay treatment program were used to conduct psychological tests before and after the sessions. Any changes in the manner of expressions on the sand box during the treatment, and the results of pre and post psychological tests on aspects of depression, anxiety and interrelationships were analyzed. Overall results showed that the subject exhibited progressive behavioral improvement and signs of recovery. Psychological tests revealed reduced levels of depression and anxiety, and improved interrelationship scores. In conclusion, sandplay therapy does exhibit positive benefits as an effective treatment modality for PTSD in adolescents and young adults.