• Title/Summary/Keyword: psychological functioning

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Childhood Trauma, Metabolic Syndrome, and Physical Health among Outpatients with Schizophrenia (조현병 외래 환자의 아동기 외상과 대사증후군 및 신체 건강과의 관계)

  • Jung, Tae Hwa;Kim, Dae Ho
    • Korean Journal of Biological Psychiatry
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    • v.24 no.4
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    • pp.196-203
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    • 2017
  • Objectives Childhood trauma increases substantial risks for later developing not only mental health issues including psychotic illnesses such as schizophrenia but also physical illness. In this study, possible associations of childhood trauma with metabolic syndrome and physical heath indices were tested among outpatients with schizophrenia. Methods A final sample of 46 adult outpatients with schizophrenia was recruited from an outpatient psychiatric unit of Hanyang University Guri Hospital. Participants completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), laboratory tests and physical measurement including Body Mass Index (BMI) and Waist to hip ratio (WHR). The Clinical Global Impression (CGI) scale and the Global Assessment of Functioning scale (GAF) were also administered. Results We did not find significant correlations between total scores of childhood trauma and any of these variables, but physical neglect was negatively associated with BMI (r = -0.329, p = 0.026) and waist circumference (r = -0.304, p = 0.040). Conclusions In this preliminary study, we noted that subtypes of childhood trauma could contribute to physical health status separately. Clinicians need to consider the possibility that childhood trauma may affect physical health as well as psychological aspect of schizophrenic illness.

Parenting Experiences of Parents of Children with ADHD : Approaching the Normal (주의력결핍 과잉행동장애(ADHD) 아동 부모의 양육 경험: 정상에 다가가기)

  • Oh, Won-Oak;Park, Eun-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.91-104
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of parenting from the parents of children with ADHD and to develop a grounded theory about their experiences. Method: This study was a qualitative research study that used a grounded theory to understand and discuss the parenting experiences of parents of children with ADHD in a greater depth. Grounded data was collected through an in-depth interview from twelve participants with ADHD children. The data was analyzed using the grounded theory method. Results: 'Approaching the normal' emerged as the core phenomenone. Parenting experiences for parents of children with ADHD referred to a process of bringing the children, back on track of normal growth development, and their functioning in the family at a normal level and establishing a new normalcy. The process of approaching the normal involved a basic social-psychological process, such as 'living a day in hell', 'accepting', 'confronting the conflicts', 'lowering expectations', and 'making a new normalcy'. Conclusion: The outcomes of this study, which observed the parenting process of parents of children with ADHD, could enhance nurses' understanding of ADHD and help nurses become major mental health service providers for the mental health of children with ADHD and their families.

Models of Sexual Response in Humans (인간의 성 반응에 대한 모델)

  • Choi, In Kwang
    • Korean Journal of Biological Psychiatry
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    • v.20 no.3
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    • pp.66-73
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    • 2013
  • Sexual behavior is crucial in life, yet comparatively little is known about the mechanisms in the sexual response in humans. A lot of theories and models have been developed to explain about the process of the sexual response in humans. The first model of sexual function was described by Masters and Johnson, defined the four-phase model (phases of excitation, plateau, orgasm and resolution). Helen Kaplan proposed a slightly different model of human sexual response by adding the conception of the desire phase. Some years later, a new model of circular sexual response pattern was described by Whipple and Brash-McGreer, who acknowledged the cyclic nature of women's sexual response. Basson presented an alternative model of women's normative sexual function, which featured a responsive form of desire in women's sexual response. Bancroft developed a new theoretical model, the Dual Control Model, which postulates sexual response and arousal is ultimately determined by the balance between the sexual activation or excitation system and the sexual inhibition system. The Sexual Tipping Point is a model created by Perelman, suggesting that a sexual response is determined by a balance between excitatory or inhibitory factors that may be psychological, organic, psychosocial, or cultural. A comprehensive understanding of sexual response and function is of paramount importance for the psychiatrist to study sex, offer counseling to the patient on sex, and practice sex therapy. In this literature, models of sexual response would be reviewed to understand the knowledge of the sexual functioning in humans.

Validation of Quality of Life Index-Cancer among Korean Patients with Cancer (Quality of Life Index-Caner의 구성타당도 검증 -국내 암환자를 대상으로-)

  • 소향숙;이원희;이은현;정복례;허혜경;강은실
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.693-701
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    • 2004
  • Purpose: The purpose of this study was to validate Quality of Life Index-Cancer (Q.L.I.-C) developed by Ferrans (1990) among Korean cancer patients. Method: This study design was exploratory factor analysis methodology. Q.L.I.-C was translated into Korean and reverse-translated into English. The subjects were 357 Korean patients with various cancers. Data were collected by questionnaires from May to August, 2000 and was analyzed by descriptive statistics, Principal Component Analysis for construct validity and Cronbach's alpha coefficient for reliability. Result: The range of factor loadings was .446~.841. The explained variance from the 5 extracted factors was 63.7% of the total variance. The first factor 'family' was 35.5%, and 'health & physical functioning', 'psychological', 'spiritual', and 'economic' factors were 11.5%, 6.9%, 5.6%, and 4.2% respectively. Because of cultural difference between Americans and Koreans, certain items such as sexuality, job status, and education were deleted from the extraction of factors in this study. The Cronbach's alpha coefficient was .9253 among the 28 items. Conclusion: Q.L.I.-C could be applied in measuring quality of life of Korean cancer patients. It also recommend to do further studiesfor validation of Q.L.I.-C American and Korean versions relating to cultural differences.

A Short-term Longitudinal Study on Infant Temperament, Parenting Behavior and 2-4 Year Behavioral Inhibition: A Korean sample for 8 cross-cultural studies (영아기 기질 및 부모의 양육행동에 따른 2-4세 아동의 행동억제에 관한 단기종단연구 -8개국 비교문화연구를 위한 기초 연구-)

  • ;Rubin Kenneth
    • Journal of Families and Better Life
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    • v.21 no.3
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    • pp.29-38
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    • 2003
  • A three-year longitudinal design was employed to ascertain whether different types of behavioral inhibition(i.e. traditional, peer-social) were stable from toddler to preschool age(2-4 year), and whether inhibited temperament and/or parenting style would independently and interactively predict children's subsequent social and behavioral outcomes. At time 1, 113 toddlers (55 males, 58 females) and their mothers were observed in the traditional inhibition paradigm. At time 2, 36 4-year-old children were observed with unfamiliar peers in the nontraditional inhibition paradigm. Maternal ratings of psychological functioning of children and maternal behaviors were also obtained for both time 1 and 2. Results showed that behavioral inhibition was not stable from toddler to preschool age. Maternal authoritative behaviors at age 2 were negatively associated with preschooler's social reticence. Toddler's behavioral inhibition was negatively associated with maternal authoritative behaviors at age 4. In a cross-lag correlation analysis, maternal authoritative behaviors appeared to affect child's behavioral inhibition more strongly than the other way around.

Instrument Development for Mathematical Achievement Attribution (수학 학습 성취 귀인에 대한 측정 도구 개발)

  • Kim, Bu-Mi;Kim, Soo-Jin
    • The Mathematical Education
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    • v.49 no.4
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    • pp.501-522
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    • 2010
  • In this study, 'Instruments of the achievement attribution in mathematical learning' was develop to investigate the reasons of mathematical learning achievement by reflecting Korean middle school and high school students' psychological characters and learning context in mathematical learning. To develop the appropriate items for the achievement attribution in mathematical learning, after reviewing attribution literature thoroughly, first version of the instrument was developed and Exploratory Factor Analysis and Confirmatory Factor Analysis were conducted. Then, to reduce the effect of the gender difference and achievement level difference, Differential Item Functioning was performed. Also, using Multiple group Confirmatory Factor Analysis, this instrument was investigated to see whether this can be used for both middle school and high school. The final items for success attribution are 3 items for luck, 3 items for effort, 2 items for ability. The failure attribution were composed of 3 items for luck, 3 items for effort, 2 items for ability, and 2 items for other. The instrument was developed by using large samples and psychometric analysis. Therefore, mathematic teachers can use this instrument efficiently to make a foundation for better learning environment so students' cognitive area and affective area can be harmonized.

An fMRI Study of Cognitive Function during Hyperoxia

  • Chung Soon-Cheol;Kim Ik-Hyeon;Tack Gye-Rae;Lee Soo Yeol;Sohn Jin-Hun
    • Journal of Biomedical Engineering Research
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    • v.26 no.1
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    • pp.1-7
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    • 2005
  • This study aimed to investigate the hypothesis that administration of the air with 30% oxygen compared with normal air (21% oxygen) enhances cognitive functioning through increased activation in the brain. Seventeen college students (right­handed, average age of 24.3) were selected as subjects for this study. An oxygen supply equipment that provides 21% and 30% oxygen at a constant rate of 8L/min was developed. In order to measure the performance level of visuospatial and verbal cognition, two psychological tests were developed. The experiment consisted of two runs, one for cognition task with normal air (21% oxygen) and the other for cognition task with hyperoxic air (30% oxygen). Visuospatial and verbal tasks were presented while brain images were scanned by a 3T fMRI system using the single-shot EPI method. The results showed that there was an improvement in performance and also increased activation in several brain areas in the higher oxygen condition. These results suggest that while performing cognitive tasks, high concentrations of oxygen administration make oxygen administration sufficient, thus making neural network activate more, and the ability to perform cognitive tasks increase.

Korean Medicine Treatment for Dyspepsia and Constipation in a Patient with HIV: A Case Report

  • Ji-Su Ha;Han-Song Park;Hyun-Seo Park;Ka-Hyun Kim;Hae-Won Hong;In-Ae Youn
    • Journal of Acupuncture Research
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    • v.40 no.2
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    • pp.143-149
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    • 2023
  • Functional dyspepsia (FD) is a chronic and recurrent upper gastrointestinal symptom that has no organic cause. A 49-year-old male patient positive for human immunodeficiency virus (HIV) visited the clinic because of FD and constipation. He received complex Korean medicine treatment, including acupuncture and herbal medicines, from April 14 to July 18, 2022 (27 times) in the outpatient department. Gastrointestinal Symptom Rating Scale (GSRS), Nepean Dyspepsia Index (NDI), FD-related quality of life (FD-QoL), Euro QoL visual analog scale (EQ-VAS), and Numerical Rating Scale (NRS) were used as evaluation tools in this study. Symptoms were relieved after 3 months of treatment, and his QoL improved (GSRS, 15-3; NDI, 110-21; FD-QoL, 52-20 [eating status, 10-3; liveliness status, 12-8; psychological, 1-0; role-functioning status, 18-9]; EQ-VAS, 40-65; NRS, 8-4). The results revealed that complex Korean medicine treatment could alleviate FD and constipation in patients with HIV.

Psychosocial Features Affecting Suicidal Ideation Among Human Immunodeficiency Virus-infected Older Adults

  • Kang, Cho Ryok;Yang, Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.136-146
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    • 2023
  • This cross-sectional design study was undertaken to determine the factors associated with suicidal ideation in human immunodeficiency virus (HIV)-infected older adults. Data from a city-wide representative sample collected by the Seoul Metropolitan Government were used. The cross-sectional survey was conducted between February and March 2013. Participants selected and included in the analysis were HIV-infected adults living in Seoul, and aged 50 years and older. The overall adjusted model showed that being unemployed (adjusted odds ratio [aOR], 3.34; 95% confidence interval [CI], 1.16-9.57), a history of depression treatment (aOR, 4.61; 95% CI, 1.02-20.66), perceived belongingness (aOR, 0.63; 95% CI, 0.41-0.99), and psychological functioning (aOR, 0.85; 95% CI, 0.73-0.99) were significantly related to suicidal ideation. Psychosocial features were found to be strongly associated with suicidal ideation among HIV-infected older adults. The findings could be useful for HIV nursing consultants to identify HIV-infected older adults who are vulnerable to suicidal ideation. Comprehensive mental health services should be provided as coping resources for HIV-infected older adults who have suicidal ideation.

Theory of Mind in Old Age: A Review from a Neurocognitive Perspective (노년기의 마음이론: 신경인지적 접근)

  • Park, Min
    • 한국노년학
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    • v.30 no.3
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    • pp.743-757
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    • 2010
  • Theory of mind (ToM) is the ability to infer one's own and other people's mental states such as beliefs, desires, and intentions. Although the majority of research in ToM has focused on young children or autistic individuals, several studies have investigated ToM in normal old age and in the demented elderly. This article provides an overview on existent findings of theory of mind in aging populations and suggests future directions for research including applying neuroimaging techniques and real-life tasks. It is still unclear how ToM in aging is associated with other aspects of cognition. However, it is expected that ToM perspective on aging will increase our understanding of aging of cognition and social functioning.