• Title/Summary/Keyword: state anxiety

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Effects of Ego-Resilience, Family Function and Acculturative Stress on Mental Health of the Youth of Multicultural Families (다문화가정 청소년의 자아탄력성과 가족기능, 문화적응 스트레스가 정신건강에 미치는 영향)

  • Song, Soon-Taek;Choi, Hee-Chul
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.116-125
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    • 2020
  • This study examined the effect of ego-resilience, function of family, stress of adapting to a new culture perceived by youth from multi-cultural families at Gyeonggi-do on their mental health. In doing so, the study sought to suggest effective supportive visits to enhance their mental health. For this, the study carried out a descriptive analysis, t-test, one-way anova, hierarchical regression analysis among 304 middle schoolers from multi-cultural families living at Gyeonggi-do. The study found following results. The higher youth from multi-cultural family perceived the procedural stress, sub-variable of stress of adapting to a new culture and the lower they perceived emotional control, sub-variable of ego-resilience, the higher depression and anxiety they experienced, resulting in worsening of their mental health state. Based on these findings, the study, in order to enhance the mental health of youth from multi-cultural family and their ego-resilience, discussed and suggested development of psychological/emotional programs, preparation of supportive measures to overcome their stress in the course of their cultural adaptation as well as systematic supplementation of related laws in support of multi-cultural families.

A Clinical Trial of Light Therapy on Patients with Premenstrual Dysphoric Disorder (월경전 불쾌기분장애 환자의 광치료 임상 시도)

  • Joe, Sook-Haeng;Kim, Jin-Se;Kim, Seung-Hyun;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.6 no.1
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    • pp.46-51
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    • 1999
  • Objectives: Patients with premenstrual dysphoric disorder(or PMDD) have impairments of the social, occupational or academic function due to psychological or somatic symptoms, which have the characteristic pattern of symptom exacerbation in the week before menses begin and remission shortly after the onset of menses. In the chronobiological view, many researchers have assumed that the etiology of PMDD is the advanced circadian rhythm. It has been suggested that light has a therapeutic effect on PMDD, because evening light results in phase delay of circadian rhythm through the biochemical changes including melatonin. Methods: The authors investigated the therapeutic effect of light therapy on four patients with prospectively diagnosed PMDD by DSM-IV criteria using clinical psychiatric interview, Premenstrual Assessment Form(PAF) and Daily Rating Form(or DRF). In the evening(6:30pm-8:00pm), the 2,500 lux light administered for seven consecutive days during the symptomatic late luteal phase of menstrual cycle. Beck Depression Inventory(or BDI), Hamilton Rating Scale for Depression(or HAM-D), Spielberg State Anxiety Inventory(or SA), and DRF were evaluated before and after seven days of light therapy. Results: Premenstrual symptoms of PMDD could be effectively treated with the evening bright light therapy, especially in PMDD patients with atypical symptoms. In addition, the light therapy seemed to more effective on the psychologic symptoms than the somatic symptoms of PMDD. There was no significant side-effect of light therapy, except the transient and mild eye-strain in one case. Conclusions: In spite of the results of limited data from our clinical trial, the authors suggest that the potential use of light therapy as an alternative to the pharmacological management of patients with PMDD.

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Physiological and Psychological Effects of Walking Around and Viewing a Lake in a Forest Environment (산림 내 호수 주변에서의 산책과 경관감상이 인체에 미치는 생리적, 심리적 영향)

  • Song, Chorong;Lee, Juyoung;Ikei, Harumi;Kagawa, Takahide;Miyazaki, Yoshifumi;Park, Bum-Jin
    • Journal of Korean Society of Forest Science
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    • v.104 no.1
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    • pp.140-149
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    • 2015
  • The aim of this study was to clarify the physiological and psychological effects of walking around and viewing a lake in a forest environment. The subjects included 11 male Japanese university students (age: $22.0{\pm}1.2$ years) who were randomly assigned to visit either a forest or an urban (control) setting. They were instructed to walk a predetermined 15-min course and to view the setting from a seated position for 15 min. Heart rate variability, heart rate, blood pressure, pulse rate, and salivary cortisol levels were measured to assess the subject's physiological responses to the environment. Four questionnaires (SD method, reports of "refreshed" feeling, POMS, and STAI) were administered to assess the subjects' psychological responses. It was found that walking around and viewing a lake in a forest environment can suppress sympathetic nerve activity, increase parasympathetic nerve activity, and decrease the heart rate, blood pressure, pulse rate, and cortisol levels. In addition, a forest environment can enhance the "comfortable," "soothing," "natural," and "refreshed" feelings, improve the mood state, and reduce anxiety. These results provide scientific evidence of the physiological and psychological effects of forest therapy.

Standardization and Validation of Big Five Inventory-Korean Version(BFI-K) in Elders (노인에서 한국판 성격 5요인 척도의 표준화 및 타당도)

  • Kim, Seon-Young;Kim, Jae-Min;Yoo, Joon-An;Bae, Kyung-Yeol;Kim, Sung-Wan;Yang, Su-Jin;Shin, Il-Seon;Yoon, Jin-Sang
    • Korean Journal of Biological Psychiatry
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    • v.17 no.1
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    • pp.15-25
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    • 2010
  • Objectives : The Big Five Inventory(BFI) and the Big Five Inventory-10(BFI-10) are widely used instruments for the evaluation of personality in various cultures, while they have not been formally validated in Korea. This study aimed to develop the Korean versions of BFI(BFI-K) and BFI 10(BFI-K-10) with a Korean elderly population. Methods : The study sample consisted of 1,038 community dwelling elders. BFI-K and BFI-K-10 were administered. For the reliability analyses, scores on Guttmans' split half and Cronbach's ${\alpha}$ were estimated. For the validity analyses, the Korean version of Geriatric Depression Scale(KGDS) and the State-Trait Anxiety Inventory(STAI) were investigated. Results : The reliability of the BFI-K was good(Guttmans' split half=0.59-0.78, Cronbach's ${\alpha}$=0.52-0.75). Scores on the BFI-K-10 were significantly correlated with the scores on BFI-K. Scores on the BFI-K and the BFI-K-10 were significantly correlated with the scores on KGDS and STAI. Conclusion : Both BFI-K and BFI-K-10 might be reliable and valid instruments to evaluate the personality in Korean community elders. BFI-K-10 is short and easy to be administered, and therefore it would be very convenient to use.

The Effect of Non-ivasive Baihui($GV_{20}$) Point Stimulus by 'Dong Chu Gold Chim' on Electroencephalogram (동추금침(東樞金鍼)에 의한 비침습적 백회혈(百會穴) 자극이 뇌파에 미치는 영향)

  • Ma, Jeung-Hun;Han, Chang-Hyun;Park, Soo-Jin;Choi, Woo-Suk;Lee, Sang-Nam;Park, Ji-Ha
    • Journal of Acupuncture Research
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    • v.27 no.1
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    • pp.87-100
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    • 2010
  • Background : Recently a discussion about Qi including a study about the effect or the theory of acupuncture is getting prevailing in various angles. In most of studies about acupuncture stimulus, 'Filiform acupuncture'(毫鍼) is used. A study about Nine kinds of acupuncture(九鍼), except 'Filiform acupuncture'(毫鍼) has not been reported yet, and there is no study about using a special acupuncture made for controling Qi either. Objectives : 'Dong Chu Gold Chim(DCG-chim, 東樞金鍼)' can be used for patients who are scared of a pain because it is a medical Qi-gong tool and non-invasive stimulus one. To assess a effect of Qi-gong operation using DCG-chim objectively Methods : The present study was performed to elucidate the effects of DCG-chim stimulation of an acupuncture point Baihui($GV_{20}$) on the Electroencephalogram(EEG). Twenty healthy subject were treated with DCG-chim one time accompanied by the light and vertical pressure and EEG were measured during five minutes for three times (before, during and after treatment). The EEG results of DCG-chim treatment were compared with those of 'Filiform acupuncture(毫鍼)'. Results : EEG power spectra changed significantly after both kind of acupuncture stimulation. Significant increase of $\alpha$ wave and decrease of $\beta$ wave were observed but interestingly, Mid-$\beta$ and SMR of $\beta$ wave which mean the state of concentration were increased with statistically significant. According to these results, DCG-chim stimulation of Baihui($GV_{20}$) seems to lead to relaxation with antianxietic effect and improvement of concentration at the same time. Conclusions : It would be expected that the doctor can apply DCG-chim for treating anxiety, tension, symptom caused by stress and also can use it clinically for patients who have needlphopia or children as a non-invasive procedure. It is suggested that additional studies about the effect of DCG-chim on other acupuncture points and comparison study about the effect of DCG-chim with those of the finger-pressure treatment using other tool should be done in the future.

A study on the causes of the dislikes of elementary school students regarding Practical Arts classes (초등학교 실과수업 기피요인에 대한 연구)

  • Yu, Nan-Sook
    • Journal of Korean Home Economics Education Association
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    • v.24 no.2
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    • pp.1-15
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    • 2012
  • This study investigated the causes of the dislikes of Practical Arts education of elementary school students. This study was to provide the foundation for the proposition of alternative plans to make more students participate pleasantly and actively in Practical Arts classes. Data were collected via an open-ended survey from 273 elementary school students and through telephone interviews with five elementary school teachers. The data were analyzed inductively by NVivo. After the analysis of the student data, the analysis of the teacher data was conducted according to the variables from the student data. The results of this research were as follows: First, with regard to the causes of the students' dislikes of Practical Arts classes, extrinsic factors such as instruction management, instruction content, teaching facilities and equipment, and teacher characteristics were elicited. Intrinsic factors included complaints about failing to meet students' expectation from Practical Arts, negative perception of Practical Arts, the interest, competency, and fear of the students. Secondly, the students who learned Practical Arts from the Practical Arts specialty teachers gave more answers on instruction management, instruction content, and teacher characteristics than the students who learned Practical Arts from their homeroom teachers did. The students who learned Practical Arts from their homeroom teachers answered that they disliked Practical Arts because of lack of lab facilities and practice than their counterparts did. The analyses of teacher data provided the reasons and contexts of the dislikes of the students such as teaching facilities and equipment, and the anxiety of the students.

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Conscious Sedation Protocol with Midazolam in Minor Oral Surgery (구강 내 소수술에 있어 Midazolam을 이용한 의식하진정 치료원칙)

  • Kim, Soung-Min;Kim, Ji-Hyuck;Park, Young-Wook;Jang, Jae-Hyun;Kwon, Kwang-Jun;Kim, Se-Jung;Nam, Dae-Woo;Kwon, Ki-Yeul
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.3 no.1 s.4
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    • pp.19-27
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    • 2003
  • Background: Conscious sedation is a minimally depressed level of consciousness that retains the patient's ability to maintain the airway continuously and to respond appropriately to physical stimulation and verbal command at any time, produced by a pharmacologic or nonpharmacologic method or a combination thereof. In dental anesthesia, a state of sedation in which the conscious patient is rendered free of fear, apprehension, and anxiety through the use of pharmacologic agents. Midazolam is a useful drug of benzodiazepine on minor operation of dentistry. The purpose of this study is to estimate the appropriate dosage protocol of midazolam to the patient receiving intravenous sedation at the department of oral and maxillofacial surgery. Methods: Total subject was fifty-one patients and fifteen patients of this subject were decided to control group (Group I) that they were not received intravenous sedation. The experimental group was randomly subdivided into two groups and each of those groups was administrated to 0.05 mg/kg (Group II) and 0.08 mg/kg (Group III) each other. All patients of the subject were surveyed with postoperative one day questionaire to evaluate the level of sedation. Results: In view of antegrade amnesia, 1. Group II and III were statistically different compared to Group 1, respectively. 2. Group II and III were not statistically different. Conclusions: Apparent antegrade amnesia was found in both groups 0.05 mg/kg and 0.08 mg/kg intravenously administered. So we present the protocol of the department of oval and maxillofacial surgery, Kangnung National University Dental Hospital. But further studies concerning patient's age, body weight, and general condition will be carried out.

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The Effect of Socioeconomic Deprivation Experience on Family Conflict and Family Relationship Satisfaction : A Focus on Low-Income Households (사회경제적 박탈 경험이 가족갈등과 가족관계만족도에 미치는 영향 -저소득 가구를 중심으로)

  • Kim, Hyosun;Park, Jeoungyun
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.2
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    • pp.13-24
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    • 2021
  • The purpose of this study was to prepare basic data to set the support direction for low-income households in a socioeconomic crisis situation. The study examined the effect of socioeconomic deprivation experience on the longitudinal changes in family conflict and family relationship satisfaction of low-income households. Using five-year data from the 10th to 14th sessions of the Korean Welfare Panel, we examined the longitudinal changes in family conflict and family relationship satisfaction, and the effect of socioeconomic deprivation experience from the reponses of 803 low-income households. We found that the family conflict of low-income households decreased to a weak level with the change of time, and the rate of change in family relationship satisfaction was not meaningful. In the case of families who experienced early socioeconomic deprivation, their initial value of family conflict was higher than that of inexperienced households, and the rate of change was not significant. The results of this study show that when low-income households experience socioeconomic deprivation, they feel psychological pressure and an increase in family anxiety, resulting in high family conflict and low family relationship satisfaction. On the basis of the study results, we recommend extending economic and social assistance to low-income households in the current socioeconomic crisis. The state is also encouraged to help families manage conflicts on their own and resolve problems.

A Grounded Theory Approach to Person Centered Communication between People Living with Dementia and Their Caregivers (사람중심 치매커뮤니케이션에 대한 근거 이론적 연구)

  • Kim, Dong Seon;Shin, Soo Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.746-764
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    • 2022
  • Communication breakdown has been mentioned causing a heavy burden for dementia caregivers. This study aims to inspect and structure the process and results of communication between people with dementia and their caregivers. The impeding/facilitating elements of communication are also extracted. Interviews with 21 of dementia care experts about the direct and indirect experiences of communication with people with dementia were analyzed based on the grounded theory. Results show that combination of the cognitive and communication decline of the people with dementia, confusing environment and caregivers' inappropriate attitude and lack of communication skills leads to communication breakdown and relations severance. Minimal contacts and task-oriented conversation results in conflicts and people with dementia's increasing agitation, anxiety and violent behaviors while understanding of individuality and listening with heart lead to recovered lucidity in the state of serious dementia, recovered pleasure and voluntary participation in the daily activities for people with dementia. Core paradigm was defined as 'Person Centered Care through relation formation'. There are 4 types of communication with people with dementia : partnering, patronizing, conflicting, avoiding types. Researchers suggest that Person Centered based communication skills be educated and trained for dementia caregivers.

Safety and efficacy of target controlled infusion administration of propofol and remifentanil for moderate sedation in non-hospital dental practice

  • Douglas Lobb;Masoud MiriMoghaddam;Don Macalister;David Chrisp;Graham Shaw;Hollis Lai
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.1
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    • pp.19-28
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    • 2023
  • Background: Fearful and anxious patients who find dental treatment intolerable without sedative and analgesic support may benefit from moderate sedation. Target controlled infusion (TCI) pumps are superior to bolus injection in maintaining low plasma and effect-site concentration variability, resulting in stable, steady-state drug concentrations. We evaluated the safety and efficacy of moderate sedation with remifentanil and propofol using TCI pumps in non-hospital dental settings. Methods: A prospective chart review was conducted on 101 patients sedated with propofol and remifentanil using TCI pumps. The charts were completed at two oral surgeons and one general dentist's office over 6 months. Hypoxia, hypotension, bradycardia, and over-sedation were considered adverse events and were collected using Tracking and Reporting Outcomes of Procedural Sedation (TROOPS). Furthermore, patient recovery time, sedation length, drug dose, and patient satisfaction questionnaires were used to measure sedation effectiveness. Results: Of the 101 reviewed sedation charts, 54 were of men, and 47 were of women. The mean age of the patients was 40.5 ±18.7 years, and their mean BMI was 25.6 ± 4.4. The patients did not experience hypoxia, bradycardia, and hypotension during the 4694 min of sedation. The average minimum Mean Arterial Pressure (MAP) and heartbeats were 75.1 mmHg and 60.4 bpm, respectively. 98% of patients agreed that the sedation technique met their needs in reducing their anxiety, and 99% agreed that they were satisfied with the sedation 24 hours later. The average sedation time was 46.9 ± 55.6 min, and the average recovery time was 12.4 ± 4.4 min. Remifentanil and propofol had mean initial effect-site concentration doses of 0.96 µ/.ml and 1.0 ng/ml respectively. The overall total amount of drug administered was significantly higher in longer sedation procedures compared to shorter ones, while the infusion rate decreased as the procedural stimulus decreased. Conclusion: According to the results of this study, no patients experienced adverse events during sedation, and all patients were kept at a moderate sedation level for a wide range of sedation times and differing procedures. The results showed that TCI pumps are safe and effective for administering propofol and remifentanil for moderate sedation in dentistry.