• 정신신체의학
• /
• 제3권1호
• /
• pp.3-10
• /
• 1995

A comparison was made between the effect of subjective stress and that of objective stress on immune function in male medical college students. Interaction between perceived stress, psychopathology and natural killer-cell(NK) activity was assessed during an exam period, non-exam period, and vacation. No significant difference was found in NK activity among these three periods, but scores of perceived stress related to unusual happenings during an exam period and related to interpersonal relationship during vacation were found to have significantly positive correlation with NK activity, respectively. In psychopathology, only scores of anxiety during an exam period had significantly positive correlation with NK activity. These results suggest that immune function is more likely to be affected by subjective stress than objective stress and that subjective stress such as some perceived stress and subclinical level of anxiety may positively affect immune function.

• 정신신체의학
• /
• 제3권1호
• /
• pp.49-57
• /
• 1995

To evaluate body image disturbance in Korea, the Body Image Scale(BIS) was developed and it's reliability and validity was tested. The BIS was administered to 33 subjects of normal controls and 64 patients consisting of mainly neurotic patients. The correlation coefficient, of test-retest reliability with an interval of 2 weeks was 0.88 and internal consistency coefficient Cronbach's alpha, was 0.80. Discriminant validity test indicated that there were significant differences in total BIS score between normal control group and psychiatric patients group after controlling the effects of age, sex, and educational level. Factor analysis showed two distinct dimensions, namely 'physical appearance' and 'physical health and strength'. The BIS appears to be a reliable, internally consistent and valid scale which can be used for assessing body image in Korea pupulations.

• 정신신체의학
• /
• 제2권1호
• /
• pp.107-112
• /
• 1994

The authors tried to look into the process of the individual psychotherapeutic experience of a 18-year-old male diagnosed as somatoform pain disorder or chronic pain syndrome. The patient had showed strong resistance to acceptance of his psychological problems. Some issues such as indications of psychotherapy for chronic pain, changing the mode of the treatment some problems around changing the therapist secondary gain and parents' attitude were discussed considering their relatedness to the outcome. The psychotherapy had lasted about 2 years and the result was estimated as fair.

• 정신신체의학
• /
• 제5권2호
• /
• pp.218-222
• /
• 1997

저자는 화상 환자의 창상 처치 과정에서 동통 조절을 위한 최면적 개입을 성공적으로 경험하였기에 그 중에서 2명의 증례를 기술하고 최면과 동통, 해리 등에 관해 고찰함으로써 이와 관련된 연구에 대한 관심을 도모하고자 하였다.

• 정신신체의학
• /
• 제2권1호
• /
• pp.80-87
• /
• 1994

Objective : Cosmetic surgery, as a psychosocial intervention, is unique in that its foundation rests solely on the individual motivations, internal or external, of the patient We investigated the ego-identity in women who seek double eyelid operation, to understand one aspect of internal motivation for cosmetic surgery. Methods : Subjects of this study were 47 young women, visited to plastic surgery clinics in Kwangju from June 1993 to October 1993, and 58 women who did not want double eyelid operation were chosen as controls. Each subject's ego-identity was scored using Dignan's ego-identity scale. Results : The total and stability subscale's scores of ego-identity of double eyelid operation group were significantly lower than those of control group. Conclusion : More psychosocial research on the ego-identify of patients seeking double eyelid operation is required to understand the psychological motives for requesting surgery.

• 정신신체의학
• /
• 제6권2호
• /
• pp.228-234
• /
• 1998

The importance of psychological factors in dermatologic disorders has been recognized for several decades. However, there have been few reports on the management of psychodermatologic disorders. Psychodermatologic conditions can be divided into three broad subgroup in the dermatologic point of view ; first, psychiatric disorders manifesting as dermatological symptom, second, dermatoses mainly caused by emotional factors, i.e., stress, or determined by complex psychophysiological mechanism, and third, psychological symptoms secondary to dermatological conditions, i.e., anxiety or depression. This article describes first two major categories of psychodermatologic disorders and attempts to provide brief guideline for each psychodermatologic condition in view of the clinical interface between dermatology and psychiatry.

• 정신신체의학
• /
• 제6권2호
• /
• pp.193-209
• /
• 1998

The author conducted a literature review to better characterize the current state of knowledge regarding the relationship between psychological and behavioral factors and cardiovascular disease. This review focus on several problems : Hypertension, coronary artery disease such as myocardial infarction and angina pectoris. We describe model for understanding the relation-ship of psychological factors to the disease, review the results of relevant research studies and provide recommendation for further research.

• 정신신체의학
• /
• 제18권2호
• /
• pp.57-61
• /
• 2010

복합부위 통증증후군은 하나 혹은 그 이상의 사지에 극심한 통증과 장애를 일으키는 질환이다. 하지만 질환의 원인과 경과에 대한 지식이 매우 한정되어 있어, 복합부위 통증증후군의 치료에 대한 최신의 이론들은 다른 신경병증성 통증의 치료에 많은 부분 의존하고 있다. 본문에서는 복합부위 통증증후군의 다양한 치료에 대해 소개하고 있으나, 그 효과에 대해 잘 설계된 논문은 극히 드문 실정이다. 따라서 복합부위 통증증후군에 대한 조기 진단과 다과적인 치료적 접근이 좋은 결과를 얻는데 필수적인 것으로 사료된다.

• 정신신체의학
• /
• 제17권1호
• /
• pp.3-7
• /
• 2009

수술을 앞 둔 환자들에서 이미 정신질환으로 치료 중이거나 수술이라는 상황으로 인한 다양한 정신과 질환들을 흔히 볼 수 있다. 일반적으로 외과계 의사들은 내과계 의사들에 비해 환자의 정신병리를 과소평가하거나 정신과 자문을 꺼리는 경향이 있다. 따라서 수술을 받는 환자의 정신과적 문제들 중 많은 부분이 진단되지 못하거나 잘 못 진단되어 적절하게 치료받지 못 한다. 본 저자는 수술과 관련하여 흔히 발생하는 정신과적 문제 및 상황들에 대해 살펴보려 한다.

• 정신신체의학
• /
• 제1권1호
• /
• pp.25-34
• /
• 1993

The author reviewed the general principle in the use of psychotropics for patients with renal diseases. who have psychiatric problems. Durgs which are dialyzable and metabolized or eliminated by kidney should not be used for patients with renal failure. However, lithium can be effectively used in a single dose$(300{\sim}600 mg/day)$ after each dialysis. though lithium has the double negative components. It is recommended that serum lithium level should be frequently monitored and the dose of lithium should be gradually increased to minimize its side effect Most of other psychotropics such as benzodiazepine anxiolytics tricyclic or tetracyclic antidepressants, and neuroleptics are metabolized in the liver, and they can be used in renal patients. The dose of these drugs should be reduced in two-thirds of the standard dose. In addition. it is necessary for liaison psychiatrists and other physicians to understand the interactions between psychotropics and drugs often used for treatment of renal diseases in order to prescribe psychotropics safely and effectively in renal patients.