• 생물정신의학
• /
• 제3권1호
• /
• pp.57-65
• /
• 1996

The Evaluation of patients complaining of psychiatric symptoms following head injury is much affected by the results of various tests. The objecive of this paper is to investigate the effectiveness of each lest by comparing the structual and fuctional brain studies. The subjects were 93 organic menial disorder in and out patients at the Dept. of Neuropsychiatry of the Kyung Hee University Hospital. After carrying out MRI, CT, SPECT, EEG, the results of each were analysed for the sesitivity and ability to detect focal lesion. The degree of inter-test correlations of lest results were also investigated. Furthermore, the characteristic features of psychological tests were studied and the relationship between each of above mentioned tests and psychological test was examined. As for the test sensitivity to diagnosis, the SPECT was the most superior followed by MRI, CT, EEG in thai order. In the case of abnormality, SPECT ranked 1st in detection of focal lesion, followed by MRI, CT in that order. In the inter-test result correlation, the correlation of SPECT-MRI was statistically significant. When mare than moderate abnormality EEG finding was reported, it correlated significantly with that of MRI findings. In the MMPI, the average scores on F, Hs, D, Hy, Pa, Pt, Sc subscales were above 60. Abnormal SPECT group scored significantly high on the F, Pd, Pa, Sc, Ma scales and therefore in comparison ot the SPECT normal group, displayed more psychotic features. In K-WAIS, the mean full scale IQ was down to 77. 23(Verbal IQ : 78.76, Performance IQ : 77.44) but there was no characterogic significant relationship between the lowered to and abnormal SPECT, MRI, CT and EEG results. In conclusion, 1) The SPECT was mast superior in sensitivity and detection of focal lesions. In comparision with other tests, the results of SPECT correlated well with MRI had thus is thought to be very usefull testing method in the evaluation of organic mental disorder patients. 2) The MRI had relatively high sensitivity, ability to detect focal lesion and superior correlation with other test. 3) Although EEG fared less an sensitivity in comparison to other tests, the results of above moderate abnormal grade group and that of MRI correlated significantly. 4) In the MMPI highly scored in F, Hs, D, Hy, Pa, Pt, Sc subscales and abnormal SPECT patients were shown to display more sever psychotic features. There was no significant character relationship between the lowered IQ(in K-WAIS) and abnormal findings on MRI, CT, SPECT, EEG.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제3권1호
• /
• pp.97-105
• /
• 1992

본 연구에서는 여러 소아정신과 장애를 보이는 아동들의 모(母)의 MMPI 프로파일 유형을 비교, 분석함으로써 모(母)의 성격 특성이나 심리적 문제와 아동의 정신과적인 장애간의 관계를 알아보고자 하였다. 서울대학 병원 소아정신과를 방문한 아동들을 그들이 보이는 문제 행동의 유형에 따라 내면화중상 집단(n=35), 외현화증상 집단(n=35), 발달 장애 집단(n=21)으로 분류한 후, 이러한 임상 집단의 모(母)들과 정상 아동 집단의 모(母)들(n=20)이 본 연구의 피험자로 사용되었다. 4집단의 모(母)들의 MMPI결과를 5가지 프로파일 유형(정상, 우울증, 불안 장애, 신체화 장애, 성격장애)으로 분류하여 아동의 진단과 틀의 MMPI 프로파일 유형간의 관계를 알아본 결과, 아동의 진단과 모(母)의 MMPI프로파일 유형간에 유의미한 관계가 있었다. 정상 아동들의 모(母)는 대부분 정상 프로파일을 보인 반면, 임상 집단의 모(母)들은 아동의 진단과는 관계없이 통계적으로 유의미한 수준에서 우울증을 시사하는 프로파일을 많이 보였고, 외현화증상 집단의 모(母)들이 내면화 증상 집단의 모(母)보다 더 불안 장애 프로파일을 많이 보였다. 이러한 결과는 아동의 정신과적인 문제와 모(母)의 심리적 장애간에 관련이 있음을 시사하는 것으로, 아동과 모(母)의 부정적인 상호작용이 서로의 심리적인 적응에 해로운 영항을 주었을 가능성이 논의되었고, 정신병리에 대한 연구에서 부모가 아동의 적응에 미치는 영향뿐만 아니라 아동의 문제가 모(母)의 심리적 적응에 미치는 특별한 영향도 살펴볼 필요가 있음이 시사되었다.

• Psychiatry investigation
• /
• 제15권11호
• /
• pp.1046-1052
• /
• 2018

Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311-5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061- -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211-0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273- -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.

• 동의신경정신과학회지
• /
• 제20권3호
• /
• pp.273-282
• /
• 2009

Objectives : The symptoms of Sleepwalking disorder include getting up, walking, talking, and even eating in one's sleep or sleep-like state. The patients do not realize what they have done. It is accepted that there is no specific treatment for this disorder. Some medications and psychotherapies including hypnotherapy have been used in various situations. In this study, the hypnotherapy was used on a 46-year-old female patient. Method : She had been suffering from insomnia, nightmares, and sleepwalking for over a year. Through hypnotherapy, she was able to express her anger towards people who had hurt her in the past. Also, through regression and trance logic, she was able to reconcile with her mother who had passed away. Result and Conclusion : As a result, her sleepwalking disappeared and other psychological problems such as depression and anxiety were reduced effectively.

• 동의신경정신과학회지
• /
• 제9권2호
• /
• pp.161-169
• /
• 1998

A clinical analysis was carried out for 19 patients who was treated in Dept. of Neuropsychiatry of Taejon Oriental Medicine Hospital from I aug. 1997 to 31 Jul. 1998 and was ruled out as anxiety disorder. The results were summarized as follows. 1. In the distribution of the sex, ratio between female and male was 1:2.8, distribution of the age was even each age, and the primary motive of the onset were psychological trauma, question of money, discord of a household. 2. As for the duration in disease, the duration from a week to a month had a majority of all, and the most duration of the addmission-treatment was a week. 3. The most common symptom were palpitation ·anxiety, headache·dizziness, chest discomfort, the cases of generalized anxiety disorder and atypical anxiety disorder was a large number. 4. In the aromatherapy of absorptive method, the sort of many used essential oil were Lavenda and Rosewood, in the massage, that were Peppermint and Rosemary. 5. The most used recipes were BUNSIMKIYEM(分心氣飮) HACHULBOSIMTANG(夏朮補心湯), CHUNGGANSOYOSAN(淸肝逍遙散), BANHABAEKCHUCHUNMATANG(半夏白朮天麻湯), CUIBIONDAMTANG(歸脾溫膽湯) etc. 6. In the judgement of efficacy, 9 cases showed good efficacy, 9 cases showed no change, 1 case showed excellent efficacy.

• 대한한방내과학회지
• /
• 제37권5호
• /
• pp.876-884
• /
• 2016

Objective: To report a case of a patient with a psychosomatic disorder who complained of hyperventilation and was treated with oriental medical treatments and emotional freedom techniques (EFTs). Methods: The patient was diagnosed as having a psychosomatic disorder through an interview and several psychological tests, such as the house-tree-person (HTP) and the person in the rain (PITR) tests. We treated the patient with oriental medical treatments that included herbal medications, western medications, moxibustion, cupping, and EFT. Results: After the treatments, the clinical symptoms of the patient were improved. Conclusions: Oriental medical treatments and EFT may be effective treatments for psychosomatic disorders.

• 대한불안의학회지
• /
• 제5권2호
• /
• pp.75-79
• /
• 2009

In this article, we review the efficacy of early interventions after traumatic incidents and during acute stress disorder (ASD). There are some evidences that psychopharmacological medications such as propronolol, morphine, and hydrocortisone are effective in the prevention of posttraumatic stress disorder (PTSD). Considering the role of selective serotonin reuptake inhibitors in hippocampal neurogenesis and an animal model of PTSD, early administration of selective serotonin reuptake inhibitors is also fairly promising. Other pharmacological treatments including benzodiazepines did not treat ASD nor prevent PTSD. There are good evidences that cognitive behavioral therapy including cognitive therapy and prolonged exposure is a valuable intervention for ASD and the most effective prevention for PTSD. No contolled researches on eye movement desensitization&reprocessing, psychodynamic psychotherapy and hypnotherapy have performed. Recent randomized controlled studies using psychological debriefing did not prove as a useful intervention for the prevention of PTSD until now, although the efficacy of debriefing has been at the centre of controversy.

• 대한한의학원전학회지
• /
• 제23권1호
• /
• pp.1-10
• /
• 2010

Wi Syndrome(痿證) mainly occurs from fluid damages[津液損傷] caused by heat in Gi(氣) phase of the Five viscera, while it sometimes come from the outside. Although the symptoms are presented in the limbs, the disorder roots in the Five viscera, most deeply located in the human body, Therefore, to approach the disorder, we must apply differentiation of the Five viscera in diagnosis. The Lungs, as the head of the Five viscera control the production and distribution of bodily fluids in the body. Functional disorder of the Lungs bring about Wi Syndrome regardless of it being in the Gi phase. Also, psychological depression leads to Wi Syndrome, In other words, depression and uneasiness easily results in the state of Gi blocking and fluid exhaustion in this modern society where there is less manual labor and excessive use of the brain. Besides Gi blockage, the top muscle[宗筋] theory is another important mechanism in the occurrence of Wi Syndrome. Moreover, the disorder is related to Yangmyeong(陽明), which is the sea of food, Chungmaek(衝脈) which is the sea of meridian, in addition to Immaek(任脈), Dokmeak (督脈) and Deameak(帶脈) which are all involved in Wi Syndrome. In conclusion, the Wi Syndrome happens when various factors involved lose balance and harmony with each other.

• 대한정형도수물리치료학회지
• /
• 제23권2호
• /
• pp.75-81
• /
• 2017

Background: The purpose of this study is to examine the effects of myofascial release technique (MFR) on psychological and physical symptom in somatization with post traumatic stress disorder (PTSD). Based on this, proceed to present an effective physical treatments. Methods: In this study, three subjects were applied ABA design for a total of 12 weeks. Intervention was performed three times per week, and only MFR for 6 weeks was applied to the patient for 60 minutes. General physical therapy consisted of a total of 60 minutes including hot pack, electric therapy, and ultrasound. In this study, we measured three times in the second baseline stage at the initial evaluation before the commencement of intervention, somatization, depression, anxiety, sleep disorder, and pain after 6 weeks and 12 weeks. Results: In this study, the application of MFR showed significant differences in somatization symptoms, sleep disturbance, and headache. There was no significant difference in depression and anxiety. Conclusions: As a result, the application of MFR in PTSD patients with somatization can be suggested as a useful intervention to resolve the psychosomatic problem.

• 정보처리학회 논문지
• /
• 제13권7호
• /
• pp.319-325
• /
• 2024

본 연구는 공황장애 케어를 위한 모바일 어플리케이션을 개발하여 공황 발작 예방 및 증상 관리를 돕는 것을 목적으로 한다. 공황장애란 지속적인 두려움과 불안, 공황발작 등의 증상을 가지는 심리적 장애로 적절한 치료 및 관리를 필요로 하는 정신질환 중 하나이다. 이에 시공간적 제약 없이 사용할 수 있는 어플리케이션을 통해 사용자가 케어를 받을 수 있는 디지털 치료제의 필요성이 증대되고 있는 추세이다. 연구를 통해 개발된 어플리케이션은 공황장애에 대한 기본적인 정보를 제공하고 자가진단을 통해 상태를 점검할 수 있으며, 다양한 치료법을 제공하여 공황장애 케어를 효과적으로 돕는다. 또한, 사용자 실시간 위치를 기반으로 하여 공황을 일으킨 경험이 있는 장소에 도달할 시 알림을 제공함으로써 개인맞춤형 지원을 제공한다. 본 연구에서 개발된 디지털 치료제를 통해 전통적 치료법에서 벗어난 새로운 도구와 치료법을 제시하고자 한다. 더 나아가 공황장애 뿐만 아니라 정신건강 전 분야에서 디지털 치료제 활용을 도모하며, 사용자들의 삶의 질 향상에 기여할 것으로 기대된다.