• Title/Summary/Keyword: psychosomatic

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From A to Z of Thyroid Disease with Which the Psychiatrist should be Familiar (정신과의사가 알아야 할 갑상선질환의 A부터 Z까지)

  • Chung, Jae-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.2
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    • pp.73-80
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    • 2006
  • Thyroid disease is highly Prevalent, and many Physicians encounter the Patients with thyroid disease on many occasions. However, many doctors may make an erroneous diagnosis because of its variable clinical manifestation. Thyroid tumor is the most common disease which is detected in more than 30% of general population. Recently, the incidence of thyroid cancer is increasing to be a leading position in female cancer. Therefore, clinical physicians should be familiar with thyroid disease due to its high prevalence and heterogeneous clinical features.

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A Case of Cognitive-Behavioral Therapy for a Patient with Panic Disorder (공황 장애 환자의 인지-행동 치료 1례)

  • Kang, Dong-Woo;Choi, Young-Hee;Lee, Jung-Hum;Chung, Young-Cho
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.245-253
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    • 1996
  • In spite of its prominent effects on reduction of panic attacks and preveniton of relapse, cognitive-behavioral therapy(CBT) for panic disorder is seldomly utilized and studied in this country. for the past year, authors have modified CBT program for panic disorder that was based on PCT(panic control program) designed by Dr. Barlow and Dr. Craske. Our program is composed of informational component, somatic management skills, cognitive restructuring, interoceptive exposure and in vivo exposure. One patient has significantly improved by this program and satisfied with the treatment result. The aim of this article is to present our experience of treating a panic patient with CBT.

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The Factors Influencing on the Severity of Psychiatric Symptoms of the Sampoong Accident Survivors (삼풍 사고 생존자들에서 정신과적 증상의 심각도에 영향을 미치는 요인)

  • Lee, Min-Soo;Cha, Ji-Hyun;Kwak, Dong-Il;Lee, Joon-Sang
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.215-225
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    • 1996
  • We studied the factors that would affect the severity of psychiatric symptoms of the Sampoong accident survivors. In this study, the analyzed factors are sex, age, marital status, educational level, loss of consciousness, witness of death, death of related person, duration until the rescue, duration of hospitalization, and psychiatric treatment after the accident. Although our study has some limitations, we found some factors that affect the severity of psychiatric symptoms after the severe traumatic accident.

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The Mechanisms of Somatization (신체화의 기전)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.262-268
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    • 1996
  • It is important not only understanding the underlying psychodynamic mechanism of the somatization but also understanding the somatization as a process where biological and sociocultural factors are acting as maintaining and exaggerating the primary vague somatic symptoms. Recently, among mechanisms of the somatization biological and cognitive aspect became more important than psychodynamics. When the doctors see patients complain physical discomforts without organic foundation, they should give attention to the mechanism of symptom amplification, misinterpretation, individual cognitive characteristics and learned behavior. Psychiatric disorders which show somatic symptoms should be also evaluated. Autonomic dysfunctions linked with stress would give some clues of the mystery of the mind-body relationship.

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Nerveous System Diseases Associated with Psychiatric Disorders (정신과적 장애와 연관되는 신경계 질환들)

  • Lee, Dae-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.286-293
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    • 1996
  • The studying and teaching of behavioral neurology remain in their infancy. As the arena for studying how the brain subserves cognition, emotion and consciousness, behavioral neurology straddles the boundaries of numerous, more established disciplines-extending from the most fundamental explorations of molecular biology to the broadest questions of philosophy. In behavioral neurology, the area of neural dysfunction as well as the pathogenesis must be determined. There are cases in which a more thorough mental status examination must be performed. These are practically the cases with known or suspected brain lesions and acute psychiatric disorders.

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Somatoform Disorders of Children and Adolescents (소아 및 청소년의 신체형장애)

  • Kim, Seung-Tai P.
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.277-285
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    • 1996
  • Somatoform disorders do occur among children and adolescents. Among the seven disorders under the grouping of somatoform disorders of DSM-IV, three disorders, namely somatization disorder, pain disorder and conversion disorder are seen relatively more often than one can expect in childhood and adolescence. Pain disorders are more prevalent among children before adolescence, whereas conversion disorder and somatoform disorder are seen more often during adolescence and early adulthood. Diagnoses of somatofram disorders should not be made by the process of exclusion, but based on positive findings that positive evidence that normal functioning is possible and that a positive history of psychosocial stress and or intrapsychic conflict exists. Treatment strategy should be mindful of including collaboration with primary care health professionals and family therapy staff in addition to all the basic treatment modalities essential for the treatment of children and adolescents.

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A Study of Stress-Control by Qigong Program (기공프로그램이 스트레스완화에 미치는 영향)

  • Shin, Yong-Cheol
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.133-139
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    • 2007
  • In the study of Stress-Control by Qigong Program, the results were as follows : In modern society, many stress factors affect the human organism, altering and chipping away at our nervous, endocrine, locomotor, reproductive, digestive, respiratory, circulatory and immune systems. The beneficial effects of Qigong can help us to restore our equilibrium and enhance our quality of life. This study was performed to investigate the effect of Qigong on stress and psychological symptoms. Twenty-two subjects were trained Qigong Program a week for 8 weeks. The stress index of subjects and psychosomatic symptoms was compared before and after Qigong Program and was significantly decreased after Qigong training. It means that the stress index and psychosomatic symptoms were improved by Qigong training.

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Coping Strategy Against the Stress -It's Biological Approaches- (스트레스 대응전략 -생물학적 접근-)

  • Chung, Young-Cho
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.72-80
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    • 1995
  • Because the origins of stress are various, complex, and often indirectly-causing, reactions to stress are also various according to it's psychopathologies and mechanisms. For a proper management of stress, first of all accurate evaluation and diagnosis must be done. Then, treatment against the stress also can be considered, if necessary. In case of extreme stress, psychotropic drugs such as short-term anxiolytics or antidepressants can be used according to it's specific target symtoms. But long-term treatment of stress must be directed by increasing the individual's usual coping strategy or decreasing the externally causing stresses. Reactions to stress and drug interactions. which are not the whole of the biologic treatment strategy, are very important As a results, in our discussions, we ought to describe the issues by focusing the interactions between the drug and it's reaction to stress rather than the reaction to stress or drug itself and aimed at helping the proper treatment against the stress.

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The Cause and Mechanism of Chronic Pain (만성 동통의 원인과 기전)

  • Na, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.81-90
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    • 1995
  • It is essential in evaluating the chronic pain patients that the physician obtain a multiple causative factors including organic, psychological, and socioenvironmental factors. Though these multiple factors are involved in the development of chronic pain syndrome, chronic pain syndrome is not only the sum of the interaction of all of these factors, but is also influenced by the sequelae of chronic pain, which again are organic, psychological, and socioenvironmental in nature. Therefore a systemic approach is probably the best way to asses the role of all of these factors. Furthermore, this approach can provide a framework for understanding chronic pain syndrome, for assessing chronic pain syndrome, for the rational management of chronic pain syndrome, and for the development and testing of hypotheses.

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Irrational Belief and Psychopathology of Highschool Students (고등학교(高等學校) 재학생(在學生)들의 비합리적(非合理的) 신념(信念)과 정신병리(精神病理))

  • Kim, Sang-Hoon;Choi, Hoon-Dong;Kim, Hack-Ryul
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.28-38
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    • 1995
  • The purpose of this study is to investigate the relationship between irrational belief and psychopathology. The Korean version of Symptom Check List-90-R and Irrational Belief Test were administered to 621 high school students in group. The author used Pearson correlation coefficiency and multiple regression analysis to seek the regression patterns of the irrational belief. The results were as follows. 1) Most of the subscales of the SCL-90-R and Irrational Belief Test were correlated significantly. 2) In multiple regression analysis, the irrational belief associated with anxious overconcern was the most predictable variable for psychopathology.

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