• 제목/요약/키워드: somatization

검색결과 221건 처리시간 0.026초

HIV감염자와 폐결핵환자 간의 스트레스지각과 삶의 질의 비교 (The Comparison of Perceived Stress, Quality of Life between Patients with HIV Positive and Patients with Pulmonary Tuberculosis)

  • 이상혁;고경봉;김준명;박성혁
    • 정신신체의학
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    • 제11권1호
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    • pp.15-24
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    • 2003
  • 본 연구의 목적은 HIV감염자, 폐결핵환자, 정상인간에 스트레스지각과 삶의 질을 비교하는데 있다. 스트레스 지각 및 정신병리는 각각 스트레스 반응 척도(Stress Response Inventory)와 간이정신진단검사(SCL-90-R)를, 삶의 질은 스미스클라인비참 삶의 질 척도(SmithKline Beecham Quality of Life Scale)를 이용하여 평가하였다. HIV감염자들이 폐결핵환자, 정상인들보다 스트레스반응 점수에 있어서는 긴장, 분노, 우울, 피로, 좌절 점수가 각각 유의하게 더 높았다. 정신병리에서는 HIV감염자들이 폐결핵환자, 정상인들보다 신체화, 우울, 불안, 적대감, 공포불안, 편집증, 정신증 하위척도 점수에서 각각 유의하게 더 높았다. 삶의 질의 비교에서는 HIV감염자군이 폐결핵환자군보다 삶의 질이 유의하게 더 낮았다. HIV감염자들은 연령이 낮을수록, 교육기간이 길수록 신체화, 강박증, 대인민감성, 공포불안, 편집증, 정신증 등 정신병리 점수가 더 높았다. 이상의 결과들은 HIV감염자들이 폐결핵환자들과 정상인들에 비해 스트레스지각이 더 높고 더 많은 정신병리를 가지고 있으며 삶의 질이 저하되어 있음을 시사한다.

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HIV감염자와 폐결핵환자 간의 스트레스지각과 삶의 질의 비교 (The Comparison of Perceived Stress, Quality of Life between Patients with HIV Positive and Patients with Pulmonary Tuberculosis)

  • 이상혁;고경봉;김준명;박성혁
    • 정신신체의학
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    • 제10권2호
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    • pp.120-129
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    • 2002
  • 연구목적: 본 연구의 목적은 HIV감염자, 폐결핵환자, 정상인간에 스트레스지각과 삶의 질을 비교하는데 있다. 방법: 스트레스 지각 및 정신병리는 각각 스트레스 반응 척도 (Stress Response Inventory) 와 간이정신진단검사 (SCL-90-R)를, 삶의 철은 스미스클라인비챰 삶의 질 척도 (SmithKline Beecham Quality of Life Scale)를 이용하여 평가하였다. 결과: HIV감염자들이 폐결핵환자, 정상인들보다 스트레스반응 정수에 있어서는 긴장, 분노 우울, 피로, 좌절 점수가 각각 유의하게 더 높았다. 정신병리에서는 HIV감염자들이 폐결핵환자 정상인들보다 신체화, 우울, 불안, 적대감, 공포불안, 편집중, 정신증 하위척도 점수에서 각각 유의하게 더 높았다. 삶의 질의 비교에서는 HIV 감염자군이 폐결핵환자군보다 삶의 질이 유의하게 더 낮았다. 연령이 낮을수록, 교육기간이 길수록 신체화, 강박증, 대인민감성, 공포불안, 편집증, 정신증 등 정신병리 점수가 더 높았다. 결론: 이상의 결과들은 HIV감염자들이 폐결핵환자들과 정상인들에 비해 스트레스지각이 더 높고 더 많은 정신 병리를 가지고 있으며 삶의 질이 저하되어 있음을 시사한다.

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고등학생의 정신건강 상태에 관한 연구 -SCL-90을 이용, 서울시 인문계 1 . 3학년을 중심으로- (A STUDY ON MENTAL HEALTH STATE OF HIGH SCHOOL STUDENTS)

  • 김은주
    • 보건교육건강증진학회지
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    • 제5권2호
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    • pp.110-141
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    • 1988
  • This study was conducted to find out the mental health state of high school students. First-year students and third-year students af liberal high schools is Seoul were subject to this study. Questionnaire of Symptom Checklist-90 and various factors was adopted for the survey. A total of 916 questionnaires was sellected for the analysis, and the results are obtained as follows; 1) The characteristics in responses to mental health scale showed that obsessive-compulsive scale score was the highest, followed by interpersonal-sensitivity, depression, hostility, and anxiety. The subject group of the students showed higher scores in nine symptom dimensions except somatization than other normal group. 2) Girl-students showed higher scores than boy-students in somatization, depression, and anxiety, whereas the opposite was true in hostility. 3) Third-year students got high scores, in somatization, anxiety and Depression. 4) Parental marriage state of the repondents showed significant differences in nine symptom dimensions of mental health. Scores of the students with parents was the lowest, followed by those of students with only mother, only father and the rest(no parents, divorced, sepaerated, step-parent) in increasing order. 5) Smoking students showed high score in obsessive-compulsive, depression, hostility, paranoid ideation, and psychoticism. Especially in hostility, they got much higher score. 6) Students with poor record at school got higher scores in every symptom dimension than those with good record at school, especially in obsessive-compulsive and depression scale. 7) Parents' attitude toward student showed significant effect on every scale. Students under over-expectation or indifference from parents were in bad mental health state. 8) Students who have advisor proved to be in better mental health state than those who never consult their personal problems with others. 9) He who has family history got higher scores in some scales. 10) Respondents who looked upon what they have learned in high school as being rather an obstacle to sound social life got high scores in all the symptom dimensions and next came those of the students who answered that there were a lot of unnecessary things in their learning. 11) Those for whom it would not quite necessary to enter college if there were little formal schooling discrimination in society got high scores in obsessive-compulsive, interpersonal sensitivity, depression, hostility, and in psychoticism, especially higher in obsessive-compulsive scale. 12) Mental health state of the students who are influenced by the social surroundings, mass media, and the home environments showed high score in 8 symptom dimensions. 13) Abnormal response frequency of this sample is as follows; 24.0% of boys, 23.8% of girls, 22.5% of the first-year students, and 26.9% of the third-year students. There were significant difference among the grades. 14) The factors of distinctive correlation between the dimensions of SCL-90 and 16 factors were the father's negative attitude and depression, negative responses on teaching contents and anxiety, and smoking and hostility. In conclusion, mental health state of liberal highschool students on the whole showed worse than other normal groups. It had close terms with relation with their parents, schoolwork, smoking, teaching contents, the social surrounding, mass media, and the home environments. Thus I believe there need not only mental health education of students, training of teachers, counceling of parents, but also changes in teaching contents, and the improvement of educational system and the social surroundings under the national support.

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CBCL을 통해 살펴본 아동 사상체질별 문제행동의 차이 분석 (Analysis of Child Behavior Checklist (CBCL) Problem Behaviors of Sasang Types in a Child Clinical Sample)

  • 이수진;심윤민;김현진;김현정;김명근;김경선;채한
    • 대한한방소아과학회지
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    • 제27권1호
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    • pp.7-14
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    • 2013
  • Objectives The goal of the present study was to elucidate the characteristics of behavior problems in Sasang typology with child patients. Methods Subjects consisted of 176 (95 boys, 81 girls) children from 36 months to 83 months were diagnosed by two clinical experts in pediatrics and Sasang medicine. There were 22 So-Yang types, 141 Tae-Eum types, and 13 So-Eum types. The behavior problems were measured with Child Behavior Checklist (CBCL) and ANOVA (analysis of variance) was used for the analysis. Results There were no significant differences between Sasang types among subject's age (F(2, 173)=.190, p=.827) and sex (${\chi}^2$(2, N=176)=1.639, p=.441) as well as their mother's age (F(2, 169)=.060, p=.942) and education level (${\chi}^2$(4, N=172)=.394, p=.983) and their father's age (F(2, 168)=1.184, p=.309) and education level (${\chi}^2$(4, N=172)=5.664, p=.226). So-Yang types ($50.14{\pm}22.35$; $17.27{\pm}8.60$) had higher scores than Tae-Eum types ($38.74{\pm}21.32$; $12.62{\pm}7.98$) in total problems and internalizing problems score of the CBCL, respectively. More specifically, So-Yang types ($5.90{\pm}2.81$; $3.77{\pm}1.90$) had significantly higher depression/anxiety and somatization subscale score than Tae-Eum types ($4.04{\pm}2.73$; $2.30{\pm}2.12$). Scores of So-Yang types were significantly higher than those of CBCL clinical group in depression/anxiety and somatization subscales. Conclusions There were significant differences between child outpatients with different Sasang types, which would be taken into consideration concerning development of Sasang type diagnosis in addition to parenting, treatment, and prevention for children.

신체증상장애와 관련된 분노정서특질과 아동기 역경 경험 (Anger-Related Characteristics and Childhood Adversity in Somatic Symptom Disorder)

  • 강성혁;박천일;김혜원;김세주;강지인
    • 대한불안의학회지
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    • 제16권2호
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    • pp.49-56
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    • 2020
  • Objective : The present study aims to investigate differences in anger-related features in patients with somatic symptom disorder (SSD) compared to healthy controls, and to examine whether anger trait and anger regulation strategy are associated with clinical characteristics in patients with SSD. In addition, we examined the relationship between childhood adversity and SSD. Methods : 26 patients with SSD and 28 healthy controls were included. Anger-related features were assessed with State-Trait Anger Expression Inventory (STAXI). Clinical somatic symptoms were assessed using the somatization subscale of the Symptom Checklist-90-Revised and the Somatosensory Amplification Scale. Childhood adversity was assessed by the Childhood Traumatic Events Scale. Multivariate analysis of covariance was performed. Results : Disease status of SSD had a significant overall effect on anger-related features (Wilks λ=0.725, F(5, 44)=3.332, p=0.012). Patients with SSD showed a significantly high Trait-Anger (p=0.017) and they had a high score in both Anger-Out (p=0.013) and Anger-In (p=0.001) of anger expression styles. In particular, a directed inward style of anger expression was significantly associated with somatization symptom severity (p=0.003). Regarding childhood adversity, more childhood extreme illness was experienced by the SSD group than the control group (p=0.012). Within the SSD group, childhood extreme illness was associated with higher Trait-Anger (p=0.027) and Anger-Out (p=0.001). Conclusion : The present findings suggest that trait anger, anger expression styles, and childhood adversity of extreme illness may be involved in SSD. Further studies are needed to explore the role of anger-related features and its relationship with childhood adversity in the pathophysiology of SSD.

결혼이주여성의 배우자지지, 가족지지가 정신건강에 미치는 영향 (Effects of Support from Spouse and Family on the Mental Health of Marriage Immigrant Women)

  • 김순옥;임현숙;정구철
    • 한국콘텐츠학회논문지
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    • 제13권11호
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    • pp.221-235
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    • 2013
  • 본 연구의 목적은 결혼이주여성의 배우자지지와 가족지지가 정신건강에 미치는 영향을 파악하여, 정신건강증진을 위한 중재프로그램의 기초자료로 활용하고자 실시하였다. 본 연구는 결혼이주여성 129명을 대상으로 실시한 서술적 상관관계 연구이다. 연구결과로 상태불안은 출신국가, 결혼기간, 가족형태, 결혼형태, 모국에 방문경험, 한국어 능력, 우울은 배우자학력, 친정에 경제적 지원, 한국어 능력, 신체화 장애는 배우자 학력, 거주 지역, 직업에서 차이가 있었다. 또 상태불안과 우울은 가족지지 및 배우자지지, 신체화 장애는 가족지지와 부적 상관관계가 있었다. 정신건강에 영향을 미치는 주요 변수는 가족지지였으며, 상태불안에는 출신국가, 결혼기간, 결혼형태, 한국어 능력, 신체화 장애에는 배우자학력과 거주 지역, 직업이었다. 본 연구 결과를 근거로 이주여성의 다면적이고 복합적인 이질문화생활에 적응을 도울 수 있는 다양한 정신건강교육 프로그램과 함께 가족지지 향상을 위한 간호학적 중재개발이 이루어져야 한다.

투로(套路)(기무요법(氣舞療法) : TuRo)가 여중생들의 정신건강에 미치는 효과 (The Effect of TuRo (Qi dance therapy) on the psychological health in adolescent female students)

  • 이화진;채윤병;안경애;함대현;박히준;이혜정
    • Korean Journal of Acupuncture
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    • 제23권2호
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    • pp.69-78
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    • 2006
  • Objectives: TuRo, defined as a dance therapy applying the meridian Qi system into the dancing movements, may have effects on ameliorating the psychological symptoms that often appear in adolescent students in a stressful situation. The Objective of the present study was to examine whether TuRo training relieves the psychological symptoms in adolescent female students. Methods: Symptom Check List-90-Revision (SCL-90-R), a 5 point Likert scale, consisted of 90 items that represent psychological symptoms, were used to measure the psychological health status in healthy adolescent female. Twenty two adolescent female students were trained TuRo dancing for two months while 29 in control group were trained mimicked movements without the concept of Qi for the same period. Changes in Somatization, Obsessive-Compulsive behaviors, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic Anxiety, Parinoid Ideation and Psychotic symptoms by the two months of training were compared between TuRo and control groups using SCL-9Q-R. Results: Among the nine-categorized psychological symptoms, the somatization and hostility were significantly reduced in TuRo group (p

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성별에 따른 일개 대학교 안경광학과 학생들의 정신건강에 관한 연구 (Study on Mental Health of Students of the Department of Optometry at a University by Gender)

  • 예기훈;조선아
    • 대한시과학회지
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    • 제20권4호
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    • pp.483-495
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    • 2018
  • 목적 : 본 연구는 안경광학과 학생들의 정신건강에 미치는 요인을 성별에 따라 분석하여 학생 생활지도 및 진로지도에 좀 더 차별화된 도움을 주고자한다. 방법 : 충청지역 안경광학과 학생 132명을 대상으로 한 설문지를 분석하였으며, 성별에 따라 정신건강을 비교 분석하였다. 본 연구는 SCL-90-R의 설문지를 사용하였으며, 모든 통계는 SPSS 18.0을 사용하여 유의수준은 p<0.05로 통계 처리하였다. 결과 : 안경광학과 학생들은 신체화 22.7%, 강박증 28.3%, 적대감 12.8%로 정신건강에 문제가 있는 것으로 나타났다. 우울증과 편집증의 경우 27.7%와 10.2%, 대인 예민증, 정신증, 공포증, 불안증은 각각 14.7%, 10.4%, 5.9%, 17.4%로 높은 수치를 나타내었다. 결론 : 안경광학과의 학생들의 약 28.7%에서 부정적인 정신건강으로 신체화, 강박증, 적대감을 느끼고 있었으며, 모든 변수에서 여학생이 남학생보다 상대적으로 높은 수치를 나타내었다. 이에 차별화된 성별에 따른 학생 상담과 생활 지도가 필요할 것으로 사료된다.

역류증상지수와 정신과적 질환과의 상관관계 분석 (Analysis of Relationship between Reflux Symptom Index and Psychiatric Problems)

  • 박인준;강준명;서재현;황세환;윤호영;진호준;강하람;주영훈
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제61권12호
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    • pp.692-696
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    • 2018
  • Background and Objectives This study investigated the relationship between reflux symptom index (RSI) and psychiatric problems such as depression, somatization, and anxiety. Subjects and Method We prospectively analyzed 231 patients with symptoms with laryngopharyngeal reflux (LPR) using the RSI and the reflux finding score. Results Seventy nine patients (34.2%) were diagnosed with LPR. A significant correlation was detected between the RSI and depression ($18.4{\pm}8.3$ vs. $12.3{\pm}7.0$, p<0.001), anxiety ($19.5{\pm}8.5$ vs. $13.0{\pm}7.3$, p<0.001), and somatization ($19.2{\pm}9.1$ vs. $13.6{\pm}7.5$, p<0.001). A multivariate analysis confirmed a significant association between heartburn and depression [odds ratio (OR): 1.241, 95% confidence interval (CI): 1.003-1.537, p=0.047], choking and anxiety (OR: 1.747, 95% CI: 1.297-2.352, p<0.001), and choking and somatization (OR: 1.707, 95% CI: 1.248-2.336, p=0.001). Conclusion Our preliminary results suggest that patients with high RSI may need to be carefully evaluated for psychiatric problems.

일과 삶의 균형과 정신건강의 관계에서 부정적 정서신념과 정서명료성의 조절효과: 성차를 중심으로 (Psychological Symptom to Work-Life Balance: An Examination of Negative Belief in Emotional Expression and Emotional Clarity among Working Men and Women)

  • 손영미 ;박정열 ;양은주
    • 한국심리학회지 : 문화 및 사회문제
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    • 제23권3호
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    • pp.333-359
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    • 2017
  • 본 연구는 일과 삶의 균형이 우울, 불안, 신체화증상 등 정신건강에 미치는 영향을 확인하고, 정서표현에 대한 부정적 신념과 정서명료성이 이들 관계를 조절하는지를 확인하고자 하였다. 그리고 성별에 따라 조절효과에 차이가 있는지를 살펴보고자 하였다. 이를 위해 30대~50대의 기혼직장인 869명(남: 424명, 여: 445명)을 대상으로 설문조사를 실시하였다. 그 결과, 일과 삶의 균형이 높을수록, 부정적 정서신념이 낮을수록, 정서명료성이 높을수록 우울, 불안, 신체화증상이 유의하게 낮아지는 경향을 보였다. 일과 삶의 균형과 우울 및 불안 간의 관계에서 부정적 정서신념의 조절효과는 유의한 반면 정서명료성은 유의한 조절효과를 보이지 않았다. 부정적 정서신념과 정서명료성의 조절효과에 있어 성차가 있는지 확인한 결과, 일과 삶의 균형과 우울, 불안, 신체화증상 간 관계에서 부정적 정서신념의 조절효과는 여성의 경우에만 유의하게 나타났다. 반면 일과 삶의 균형과 우울 및 불안과의 관계에서 정서명료성의 조절효과는 남성의 경우에만 유의하게 나타났다. 마지막으로, 이상의 결과가 갖는 함의를 논의하였다.