• 제목/요약/키워드: somatization

검색결과 221건 처리시간 0.022초

불안장애로 진단된 환자의 심(心) 대소(大小) 관련성에 관한 연구 (The Study about Correlations of Heart Sizes in Patients with Anxiety Disorder)

  • 정찬수;국윤재;최성열;강형원;류영수;김태헌
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.35-42
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    • 2005
  • Objective : The relations of the heart size and seven emotions were described in Dong Yi Bo Gam, and we aimed to identify the correlations of the patients with anxiety disorder and their heart sizes. Methods : The subjects were 15 patients with anxiety disorder and 20 control groups. Chest radiography were performed. We measured patients' heart sizes and compared with control groups. Results : 1. The signigicant difference of somatization, anxiety, depression scale and Panic anxiety scale in SCL-90-R in patients with anxiety disorder from controls was confirmed. 2. The difference of thoracic sizes in patients with anxiety disorder and controls had no correlations. 3. The difference of heart sizes in patients with anxiety disorder and controls had no correlations. 4. The difference of cardiothoracic ratio in patients with anxiety disorder and controls had negative correlations. Conclusions : Based on these results, the patients with anxiety disorders and their heart sizes had no correlations. But in cardiothoracic ratio had negative correlations. So heart size and seven emotions have significant correlation.

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Perioperative Comprehensive Supportive Care Interventions for Chinese Patients with Esophageal Carcinoma: a Prospective Study

  • Zhang, Xiao-Dan;Zhao, Qing-Yu;Fang, Yi;Chen, Guan-Xuan;Zhang, Hui-Fang;Zhang, Wen-Xiao;Yang, Xiao-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7359-7366
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    • 2013
  • Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

복합유기용제에 노출된 근로자들의 스트레스지각 및 정신병리 (Stress Perception and Psychopathology in Workers Exposed to Mixtures of Organic Solvents)

  • 김찬형;고경봉
    • 정신신체의학
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    • 제1권1호
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    • pp.59-66
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    • 1993
  • 저자들은 GARS(Global Assessment of Recent Stress)척도와 SCL-90-R(Symptom Checklist-90-Revision)을 사용하여 동일한 산업장에서 유기용제에 노출된 근로자들과 노출되지 않은 근로자들 간의 스트레스지각과 정신병리를 비교하였다. 유기용제 노출군은 비노출군보다 일-직장, 대인관계의 변화, 질병 및 상해, 경제적 문제, 그리고 전체적인 스트레스지각점수에 있어서 유의하게 더 높았다. 정신병리에 있어서는 유기용제노출군이 비노출군보다 신체화척도점수에 있어서만 유의하게 더 높았다. 그러나 유기용제에 노출된 기간과 정신병리 간에는 유의한 차이가 없었다. 양군 모두에서 여자는 남자보다 정신병 리가 유의하게 더 현저하였고, 연령은 정신병리와 유의하게 음 상관성을 보였다. 이상의 결과들은 유기용제노출군이 비노출군보다 스트레스지각 및 정신병리가 더 현저함을 시사해 준다. 따라서 기업주는 물론 보건정책 수립자들이 유기용제에 노출되는 근로자들의 건강 특히 정신건강에 대해 관심을 기울여야 할 것이다.

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The Psychopathological Influence of Adolescent Idiopathic Scoliosis in Korean Male : An Analysis of Multiphasic Personal Inventory Test Results

  • Oh, Chang Hyun;Shim, Yu Shik;Yoon, Seung Hwan;Park, Hyeong-Chun;Park, Chong Oon;Lee, Myoung Seok
    • Journal of Korean Neurosurgical Society
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    • 제53권1호
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    • pp.13-18
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    • 2013
  • Objective : There are few published studies which have documented psychopathological abnormalities in patients with of adolescent idiopathic scoliosis (AIS) The aim of this study was to evaluate the psychopathological influence of AIS in Korean 19-year-old males. Methods : The authors compared the Korean military multiphasic personal inventory (KMPI) military profiles of 105 AIS cases (more than 10 degrees of Cobb's angle without surgical treatment) with the KMPI profiles of 108 normal controls. The AIS group was split depending on Cobb's angle to further evaluate this relation by the severity of AIS. Results : A significantly decreased result on the faking-good response scale and an significantly increased result on the faking-bad response were observed in the AIS group compared to the control (p<0.012). The neurosis scale results, including anxiety, depression and somatization symptoms, were significantly increased in the AIS group compared to the control (p<0.010). The severity level of personality disorder and schizophrenia were also significantly increased in the AIS group (p<0.010). Differences in KMPI scale scores were not related to the severity of AIS. Conclusion : Young males with AIS tend to have abnormal results on the multiphasic personal inventory test compared to normal volunteers, suggesting that AIS may be related to psychopathology in the young male group in Korea. Although these psychopathology in AIS were differently observed compared to normal controls, but not interfered with military life. Clinicians are recommended to pay attention the psychopathological traits of patients with AIS.

노년기 부부의 결혼적응과 정신건강간의 관계에서 성인자녀관계의 매개효과 : 자기상대방효과 상호의존모형 적용(APIM) (Mediating Effects of Adult-Child Relationship and the Association between Marital Adjustment and Mental Health of Elderly Couples : An Application of the Actor-Partner Interdependence Model)

  • 이주연;정혜정
    • 가정과삶의질연구
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    • 제31권1호
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    • pp.129-147
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    • 2013
  • The primary focus of the study assesses how individual spouses' and their partners' marital adjustment influence their own and their mental health. The study also examines whether this influence was mediated by the relationship with their adult-children. Data were collected from 271 dyads of elderly couples by using a self-report questionnaire. Marital adjustment was measured in terms of intimacy and comparison level of marriage. Mental health was measured in terms of depressive mood, anxiety, and somatization. The Actor-Partner Interdependence Model (APIM) analysis revealed that marital adjustment was positively associated with one's own mental health and with one's own relationship with their adult-children, but not with their partner's. On the other hand, the relationship with adult-children was positively associated with one's own and with their partner's mental health. Furthermore, analysis of the mediating model using APIM indicated that marital adjustment through one's own adult-children relationship had direct and indirect effects on one's own mental health. It is interesting to note that the wives' mental health were directly influenced by their partners' relationship with adult-children. However, the effect of the husbands' mental health was not significant. These findings highlight dyadic interdependence among spouses' perceptions of marital and adult-children relationship with their mental health. The results suggest implications for educators and clinicians working with elderly couples to improve their psychological and relational health.

콜센터 근로자의 감정노동, 스트레스반응 및 이직의도에 관한 융합적인 연구 (Convergence Study on Emotional Labor, Stress Response and Turnover Intention of Call-center Worker)

  • 김정임;최보람
    • 한국융합학회논문지
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    • 제6권6호
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    • pp.139-146
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    • 2015
  • 본 연구의 목적은 콜센터 근로자들의 일반적특성 및 업무관련특성을 파악하고 대상자의 감정노동 수준, 스트레스반응 수준 및 이직의도와의 관계를 알아보기 위함이다. 한국의 정보통신업체인 K사의 콜센터 근로자 300명을 대상으로 2015년 7월15일부터 8월31일까지 이루어졌다. 분석방법은 Independent Samples t-test, One Way ANOVA, 사후검정으로 Tukey 분석법 및 Pearson's correlation coefficient를 하였다. 분석결과 대상자의 감정노동수준이 높아질수록 스트레스반응의 하부요인들인 신체화, 우울, 분노는 높아지고 이는 이직의도를 높이는 것으로 나타났다. 따라서 콜센터 근로자의 이직의도를 줄이기 위하여 감정노동 수준을 줄여주고 스트레스 반응을 완화시켜줄 수 있는 대책마련이 필요하다.

대학생의 성별에 따른 스트레스 및 성격특성 비교 - Lim's Character Style Inventory를 중심으로 (Gender Differences of Perceived Stress Type, Stress Response and Personality Characteristics of Lim's Character Style Inventory and Vulnerability of Personality in College Students)

  • 박영숙
    • 한국간호교육학회지
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    • 제20권1호
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    • pp.118-128
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    • 2014
  • Purpose: The purpose of this study was to investigate perceived stressor, the characteristics of personality and stress responses of college students and to compare their gender differences. Method: This study was cross-sectional survey and participants were 146 college students. Data was collected by Perceived Daily Life Stressor Scale of college students, Lim's Character Style Inventory, Vulnerability of Personality, and Stress Response Index, demographic questionnaire from May to September, 2012 in two cities. Results: Friend relationship stressor(p=.024) and professor relationship stressor(p=.032) among daily life stressors of female students were significantly higher than male students. Fatigue(p=.009), anger(p=.046), somatization(p<.001) and total stress response(p=.049) of female students were significantly higher than male student. Challenge(p=.034) of LCSI of female students was significantly higher than male student and stability(p=.018) of male students was significantly higher than female students. Regression model of stress response in male college students was significant(F=35.18, p<.001) and influencing factors were vulnerability of personality and challenge($R^2$=.544). Regression model of stress response in female college students was significant(F=39.38, p<.001) and influencing factors were vulnerability of personality, perceived stress type, and sociability($R^2$=.612). Conclusion: These findings need to be reflected to develop stress management programs and mental health promotion programs for college students.

우울증성 장애 및 신체형 장애 환자에 대한 MMPI분석과 임상고찰 (The Analysis of MMPI and Clinical Study for Somatization Disorder and Depressive Disorder Patients)

  • 최병만;정인철;이상룡;박지운
    • 동의신경정신과학회지
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    • 제13권2호
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    • pp.41-56
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    • 2002
  • The Analysis of MMPI and Clinical Study was carried out the 28 patients with somatoform disorder and depressive disorder who were treated in Daejeon University Oriental Hospital from 19 June 2001 to 17 April 2002. The results were summarized as follows. 1. The ratio of female was higher, especially in the depressive disorder, the ratio of female was higher and in the age distribution, the 40 aged were higher frequence. 2. In the somatoform disorder, symptoms appeared to be busy in physical symptoms, and they were in descending order the digestive organs system, head and face portion and musculoskeletal system symptoms, in the depressive disorder, appeared to be busy in psychosomatic system symptoms and in the prescription drugs, soyosan(逍遙散), punsimkiyyin(分心氣飮) were used to be busy. 3. In the scales of L, F, K, somatoform disorder showed ${\wedge}$ typed graph, and depressive disorder showed ${\vee}$ typed graph. 4. In the somatoform disorder, scales of Hs, Hy, D, Pa were higher, and in the depressive disorder, scales of Hy, Hs, Pd, D were higher. 5. In the scales of Hs, D, Hy, somatoform disorder showed ${\vee}$ typed graph, and depressive disorder showed/typed graph. 6. the average of T-scores and the ratio over 65 score and 70 score showed common distribution.

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불안 장애 환자에서 바이오피드백 훈련과 약물치료의 병합 효과 분석 - 임상 특성을 중심으로 - (An Analysis of Therapeutic Effect of Combined Biofeedback Training with Pharmacotherapy for Patients with Anxiety Disorder-Focused on Clinical Characteristics)

  • 이준석;오동열;엄수형;소윤섭;전진용
    • 대한불안의학회지
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    • 제2권2호
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    • pp.136-141
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    • 2006
  • Objectives : This study aimed to investigate the therapeutic effect of combined biofeedback training with pharmacotherapy for patients with anxiety disorder. Methods : 12 patients with panic disorder and generalized anxiety disorder were enrolled this study. They were tested for State Trait Anxiety Inventory-State (STAI-S), State Trait Anxiety Inventory-Trait (STAI-T), Beck's Depression Inventory (BDI) and Symptom CheckList-90-Revision Somatization (SCL-90-R-SOM) before and after the biofeedback training program. Results : The score of STAI-T (p=0.023) and BDI (p=0.0018) were the significantly decreased after the biofeedback training program. In Female group, the score of STAI-T (p=0.028), STAI-S (p=0.028) and BDI (p=0.009) were significantly decreased after the biofeedback training program. In the group which age is lower than 40 years old, the score of BDI (p=0.046) were significantly decreased after the biofeedback training program. In Panic disorder group, the score of STAI-S (p=0.046) were significantly decreased after the biofeedback training program. Conclusion : The result of this study is useful for the treating the anxiety disorder patients using the biofeedback training program.

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Pain Catastrophizing for Patients with Temporomandibular Disorders

  • Park, Jin-Ho;Kim, Hye-Kyoung;Kim, Ki-Suk;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • 제40권2호
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    • pp.47-54
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    • 2015
  • Purpose: Besides depression and anxiety, recently pain catastrophizing has been emphasized for an important psychological factor explaining pain response in various pain conditions including temporomandibular disorders (TMDs). The aims of this study were to evaluate pain catastrophizing of TMD patients and to investigate how the level of pain catastrophizing related with clinical variables and psychometric morbidity. Methods: Inclusion criterion was all new TMD patients ${\geq}18$ years old attending the Department of Orofacial Pain and Oral Medicine of Dankook University Dental Hospital (Cheonan, Korea) over three-month period in 2014, who completed questionnaires. The questionnaires included the Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), and Symptom Check List- 90-Revised (SCL-90-R). All of them were examined clinically and diagnosed. Results: One hundred fifty five patients diagnosed as TMDs were participated in this study (mean age of $38.7{\pm}15.2$ years, male:female=1:2.5). Mean PCS score of the patients was 17.3 with standard deviation of 12.6. By the median of the PCS score (i.e., 15), the subjects were categorized into the high (${\geq}15$) and low catastrophizers (<15). Increased pain severity and interference and increased score of psychological features of SCL-90-R were found in the TMD patients with higher level of catastrophizing (p<0.001) and there was weak to moderate correlation between those factors (p<0.05). Difference in catastrophizing level was not found for other variables such as age, gender, duration of pain, education level and types of TMDs. Conclusions: Conclusively, pain catastrophizing of TMD patients relates positively to pain severity and pain interference. In addition to depression and anxiety, pain catastrophizing is positively correlated with variable other psychological morbidity such as somatization, obsessive- compulsive, interpersonal sensitivity, paranoid ideation and psychoticism. Types of TMD diagnosis do not seem to affect catastrophizing level. The results of this study suggest that pain catastrophizing should be emphasized and assessed in the TMD patients.