• Title/Summary/Keyword: somatization

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음악요법이 신경증 환자의 불안에 미치는 영향 (The Effect of Music Therapy on Anxiety in Neurotic Patients)

  • 김소야자;한금선
    • 대한간호학회지
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    • 제26권4호
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    • pp.889-902
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    • 1996
  • The purpose of this study was to identify the effects of music therapy on anxiety in neurotic patients. The subjects of the study were 41 patients that had been diagnosed as having anxiety disorder, neurotic depression, or somatization disorder and were admitted to one general hospital in Seoul. The 41 research subjects were assigned to an experimental (22 clients) and a control (19clients) group. Data were gathered from September. 25, 1995 to December. 15, 1995 using a questionnaire and physiological measurement tool. Data were analyzed with the SAS package using frequency, t-test, paired t-test and Pearson correlation coefficients. The results of this study are as follows ; 1. There were significant differences between two groups on systolic and diastolic blood pressure, and pulse rate after treatment. In the experimental group, Systolic and diastolic blood pressure, and pulse rate decreased significantly after Music Therapy. 2. There were no significant differences between the two groups on the pre and post psychological anxiety score. But, after music therapy, experimental group had a lower psychological anxiety score than the control group. From these results, it is concluded that the music therapy can be effective in decreasing anxiety in neurotic patients.

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일개 지역사회 재해 주민의 외상 후 스트레스 장애 정도와 관련요인 분석 (A Field Study of Posttraumatic Stress Disorder in a Community after Typhoon Rusa)

  • 이인숙;하양숙;김기정;김정희;권용희;박진경;이나윤
    • 대한간호학회지
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    • 제33권6호
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    • pp.829-838
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    • 2003
  • Purpose: In South Korea, as growing the need of psychological support in disaster situation psychological assessment on stress after disaster is important to find out the factors affecting coping, and to plan intervention in the community. Method: The volunteers of Korea Redcross who live around K city, and the research team visited all homes at Jirye town, one of the high-impact area, 4 month after the typhoon. One of the family members who is over 18 years old, answered the self-report questionnaire composed of disaster experience, damage, exposure to traumatic event, and posttraumatic stress with IES-K (Impact of Event Scale-korea) He also, described his family members symptom related to re-experiencing, hyper-arousal, and avoidance. Six hundreds households were surveyed. Result: The prevalence of moderate to severe PTSD symptom was 36% of the subjects. The severity of PTSD was affected by gender, economic status and affected by damaged property, physical injury, worsening existing disease, getting infectious disease, amount of experienced traumatic event before disaster, warning, taking shelter, and subjects revealed differences in somatization as severity of PTSD. According to the description, community members had re-experiencing, hyper-arousal and avoidance. Conclusion: At a rural area, South Korea, community members have suffered from psychological distress after disaster. So psychological interventions are required as affecting factors and also to plan for warning and shelter in disaster situation is needed for preventing PTSD.

지역사회 노인의 성별에 따른 낙상 예측모형 (Fall Prediction Model for Community-dwelling Elders based on Gender)

  • 윤은숙
    • 대한간호학회지
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    • 제42권6호
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    • pp.810-818
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    • 2012
  • Purpose: This study was done to explore factors relating to number of falls among community-dwelling elders, based on gender. Methods: Participants were 403 older community dwellers (male=206, female=197) aged 60 or above. In this study, 8 variables were identified as predictive factors that can result in an elderly person falling and as such, supports previous studies. The 8 variables were categorized as, exogenous variables; perceived health status, somatization, depression, physical performance, and cognitive state, and endogenous variables; fear of falling, ADL & IADL and frequency of falls. Results: For men, ability to perform ADL & IADL (${\beta}_{32}$=1.84, p<.001) accounted for 16% of the variance in the number of falls. For women, fear of falling (${\beta}_{31}$=0.14, p<.05) and ability to perform ADL & IADL (${\beta}_{32}$=1.01, p<.001) significantly contributed to the number of falls, accounting for 15% of the variance in the number of falls. Conclusion: The findings from this study confirm the gender-based fall prediction model as comprehensive in relation to community-dwelling elders. The fall prediction model can effectively contribute to future studies in developing fall prediction and intervention programs.

주요우울증에서 Fluoxetine과 Amitriptyline의 치료효과에 대한 이중맹검법 비교연구 (Double-blind Comparative Trial of Fluoxetine and Amitriptyline in Major Depression)

  • 정희연;배재남;권준수;조두영
    • 정신신체의학
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    • 제3권1호
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    • pp.11-18
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    • 1995
  • The efficacy of fluoxetine was evaluated in 32 patients with major depression in double-blind amitriptyline-controlled clinical trials. Patients were randomly assigned to 6 weeks of treatment with 20mg/day of fluoxetine and 25-100mg/day of amitriptyline. We used the Hamilton rating scale for depression(HAM-D) and the Clinical Global Improvement(CGI) to evaluate the improvement of depression. In addition, we also used the Covi Anxiety Scale and the Anxiety/Somatization subscale of HAM-D to investigate the relieving effect of anxiety. The improvement by fluoxetine in mean total score of HAM-D and CGI was comparable to amitriptyline. Fluoxetine also reduced anxiety significantly, but there was no difference between fluoxetine and amitriptyline in relieving anxiety symptoms. Fluoxetine showed considerably less adverse effects, especially anticholinergic effect and weight gain than amitriptyline. In conclusion, 20mg/day of fluoxetine was sufficiently effective in the treatment of depressive patients and was better tolerated than amitriptyline.

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간호사의 정서지능과 직무스트레스 - 지방공립의료원을 중심으로 - (Emotional Intelligence and Job Stress of Clinical Nurses in Local Public Hospitals)

  • 이숙
    • 간호행정학회지
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    • 제16권4호
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    • pp.466-474
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    • 2010
  • Purpose: This study was done to identify the relationship between emotional intelligence (EI) and job stress of clinical nurses in small to medium-sized hospitals. Methods: Data were collected from a convenience sample of 152 nurses working in 4 local public hospitals in one district. EI was measured with the scale developed by Law, Wong, & Song (2004), and job stress with the scale by Choi, Kang, & Woo (2006). Data were analyzed with PASW (SPSS) 18.0, using descriptive statistics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficients, and multiple regression. Results: There were significant differences in EI according to work time, in self-emotional appraisal according to salary, in regulation of emotion according to marital status, age, work time, and salary. There were also significant differences in job stress including somatization, depression and anger according to marital status, work time, and salary. Correlation between EI and job stress was negative. EI explained 17.3% of variance in job stress. Conclusion: The findings indicate that to decrease job stress, nursing managers need to develop EI, especially self-emotional appraisal and regulation of emotion for nurses in their twenties and for unmarried nurses.

아동의 신체화 증상 경험과 관련 부모 및 아동 변인 (Children's Somatic Symptoms and Related Parent and Child Variables)

  • 차지량;유미숙
    • 가정과삶의질연구
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    • 제28권2호
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    • pp.193-202
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    • 2010
  • The purpose of this study is to investigate the prevalence of children's somatic symptoms and the relationships among parent and child variables such as parenting attitude, children's anxiety, emotional expressiveness and somatic symptoms. The subjects were 523 6th grade students in four elementary schools located in Seoul, Busan and Daejeon. All subjects were tested with the Korean version of Children's Somatization Inventory (K-CSI), Parental Rearing Attitude Inventory, State-Trait Anxiety for Children (STAIC), and The Emotional Expressiveness Questionnaire. The collected data were analyzed by the frequency and percentage of somatic symptoms the children had experienced during the last 2 weeks; Pearson's correlation and multiple regression were used for the selected data of 10 somatic symptoms which were experienced by over 10% of the children. The results are summarized as follows: First, abdominal pain, headache, dizziness, and memory failure, in that order, were experienced in over 20% of the children. Second, children's somatic symptoms had significant relations with mothers' and fathers' loving-denial attitudes and their anxiety and emotional expressiveness. Third, children's somatic symptoms were influenced by their anxiety and emotional expressiveness, but not by parenting attitude.

뇌졸중 환자의 홧병에 대한 임상적 연구 (A Clinical Study of Hwabyung in Stroke Patients)

  • 배형섭;김종우;조기호;고창남;정우상;김보균
    • 대한한방내과학회지
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    • 제19권2호
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    • pp.81-87
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    • 1998
  • BACKGROUND : Hwabyung is a culturally-related syndrome of Korea diagnostically confounded with somatization, depressive and generalized anxiety disorders, representing typical clinical manifestations of wide range in their severity. METHODS : This clinical study was carried out on 200 inward stroke patients who had stable vital signs and had stayed at least for 10 days after admission. The patients were devided into two groups, hwabyung and non hwabyung group after an interview with an oriental neuropychiatrist. Than we compared the two groups with general characteristics, past history, stroke type, clinical manifestations and serum lipid levels. Also we investigated recent stressors in hwabyung group. RESULTS : The results showed that the incidence of hwabyung was about 28.5% in stroke patients. The greater number of subjects with hwabyung were women in lower educational level. Aphagia were observed more frequently in hwabyung group and verbal disturbance in non-hwabyung group. The most recent stressor of male in hwabyung group was finantial difficulties due to dishonor, unemployment, cheated and so on. As to female, the conflicts with husband or his family were the most recent stressor. As a whole, finantial difficulties were highly ranked as a recent stress in hwabyung group.

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일반인에서 홍삼이 신체증상에 미치는 효과 (Effect of Korean Red Ginseng on Somatic Symptoms in a General Population in Korea)

  • 강은호;신우용;송윤재;유범희
    • Journal of Ginseng Research
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    • 제33권3호
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    • pp.219-222
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    • 2009
  • 본 연구는 신체 증상을 호소하는 정상인들을 대상으로 3주간 홍삼 또는 위약을 투여하였고, 홍삼 복용군에서 위약 복용군에 비해 신체 증상 감소 정도가 더 큼을 보여주었다.

청소년의 가족환경지각과 정신건강과의 관계 (A Study on the Correlation between Perception of Family Environment and Mental Health of Boy's High School Students)

  • 오화선;김미예
    • 모자간호학회지
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    • 제3권1호
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    • pp.25-37
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    • 1993
  • The purpose of this study was to investigate the relation between perception of family environment and mental health of boy's high school students. In order to obtain the appropriate data, a questionnaire was administered to 240 boy's high school 2nd-grade students in Pohang city from March 19 to March 28, 1992. The instruments used for this study were Moos's Family Environment Scale Form R and Kim's Symptom Check List-90. The conclusions were as follows : The level of perception of family environment was lower than mean score. Cohesion, achievement orientation, independence, organization, expressiveness were percepted high but active-recreational orientation, intellectual-cultural orientation were percepted low. Mental health of most respondents was well. The scores of obsessive-compulsive reaction and interpersonal sensitivity were high, the scores of somatization and phobia were low. General characteristic variables significantly related to the level of perception about family environment were father's occupation and mother's education level. There were no significant differences between general characteristic variables and mental health. There were mostly negative correlations between perception of family environment and mental health. Cohesion, expressiveness, independence, intellectual-cultural orientation, active-recerational orientation, moral-religious emphasis, organization were negatively correlated but conflict, achivement orientation, control were positively correlated. Cohesion, expressiveness, conflict, achivement orientation, active-recretional orientation, organization, control were significantly related, but independence intellectual-cultural orientation, moral-religious emphasis were no significant correlation.

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도시거주 결혼이민여성의 정신건강 현황과 영향 요인 (Mental Health and its Correlates of Marriage-Migrant Women in a City)

  • 박수빈;용효중;홍진표
    • 대한불안의학회지
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    • 제11권1호
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    • pp.26-32
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    • 2015
  • Objective : The objective of this study was to examine the mental health status and its correlates of the marriage-migrant women in Seoul, Korea. Methods : One hundred and seventy marriage-migrant women and one hundred and sixteen married Korean women were recruited from community to complete Symptom Check List-90-Revision (SCL-90-R). Marriage-migrant women were also asked for their socio-demographic factors, acculturative stress, family-relationship stress, and social support. The scores on the SCL-90-R were compared between marriage-migrant women and married Korean women, and the correlates of marriage-migrant women's mental health were investigated. Results : Compared to married Korean women, marriage-migrant women showed lower levels of mental health problems including somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, paranoid ideation, and psychoticism. Longer length of residence in Korea, lower family income, social support, higher acculturation stress, and family relationship stress were all associated with mental health problems of marriage-migrant women Results : Our results suggest that mental health of marriage-migrant women is not necessarily bad, and several factors may affect their mental health. However, further studies are required in a larger representative sample to confirm the study findings.