• 제목/요약/키워드: trait anxiety

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주요우울장애 환자에서 불안 증상이 뇌파의 알파 비대칭에 미치는 영향/예비 연구 (Influence of Comorbid Anxiety Disorder on Electroencephalographic Asymmetries in Major Depressive Patients : A Preliminary Study)

  • 소윤섭;이준석;엄수형;전진용;오동열
    • 대한불안의학회지
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    • 제4권2호
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    • pp.127-134
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    • 2008
  • Objective : This study examined whether major depressive disorder patients with anxiety traits displayed abnormal electroencephalographic (EEG) alpha asymmetries. Methods : Resting EEG was recorded in 11 outpatients with major depressive disorder (6 of whom had a high anxiety trait while 5 exhibited a low anxiety trait) and 6 controls. Results : In contrast to the controls, within the major depressive disorder patient group, comorbid anxiety disorder showed alpha asymmetry indicative of less activation over right than over left temporal sites. Patients diagnosed with major depressive disorder but no anxiety disorder showed a reduced temporal alpha asymmetry, supporting the potential importance of evaluating anxiety in studies of regional brain activation, in depressed patients. Conclusion : These findings suggest that anxiety is associated with brain hypoactivation, especially with right temporal hypoactivation.

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농부중의 정신적 원인에 대한 연구 (Psychiatric Factors Associated with Farmers' Syndrome)

  • 박태진;이가영
    • 농촌의학ㆍ지역보건
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    • 제22권1호
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    • pp.49-59
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    • 1997
  • Backgrounds : There has been many studies investigating the causes of farmers' syndrome. In some studies, psychologic stress is related to farmer's syndrome. And the diagnostic criteria of farmer's syndrome is similar to those of generalized anxiety disorder. So we carried out this study to investigate the psychiatric causes of farmers' syndrome. Methods : This study was done in some rural and urban areas of Kyoungsangnam Province, July, August, October and November of 1996. Those who came to free medical service and completed interview, medical examination and laboratory examination and 20-59 years old were 150 persons. And those who came to health center for health examination and completed only interview and 20-59 years old were 94 persons. The questionnaire was composed of sociodemographic factors, health risk factors, farmer's syndrome, work load, BEPSI(inventory to measure stress), Spielberger's state-trait anxiety inventory, self-rating depression scale. To examine statistical significance, we used X2-test, Mantel-Haenszel test for linear association, t-test, ANCOVA, correlation, multiple regression, logistic regression. Results : The prevalence of farmer's syndrome, adjusted for age and sex with population of Kyungsangnam Province of 1993 was 208 per 1,000(90 per 1,000 in men and 329 per 1,000 in women). In bivariate analysis, farmer's syndrome was significantly related to age, sex, job, income, smoking, alcohol drinking, work load, BEPSI, state anxiety, trait anxiety, depression, body mass index, Hwa-Byung, hypertension, anemia. However, when age and sex were adjusted, job was not significantly related to farmer's syndrome. The score of farmer's syndrome was significantly related to age, sex, work load, BEPSI, trait anxiety by multiple regression. Farmer's syndrome was significantly related to increasing age(odd ratio 1.079, 95% C.I. 1.060 - 1.099), sex(odds ratio of male 0.434, 95% C.I. 0.349 - 0.540), and BEPSI(odds ratio 1.231, 95% C.I. 1.148 - 1.320) by logistic regression. Results of logistic regression analysis of the component symptoms of farmer's syndrome were as follows. Shoulder stiffness was significantly related to increasing age, female sex and BEPSI. Lumbago was significantly related to increasing age, female sex and trait anxiety. Numb limbs and nocturia was significantly related to increasing age and female sex. Breathlessness was significantly related to work load, sleeplessness was significantly related to depression, dizziness was significantly related to job and state anxiety, and abdominal fullness was significantly related to female sex. Conclusion : Farmers' syndrome was related to work load, but was more related to psychiatric factors such as BEPSI and trait anxiety. And the occupation was not risk factor of farmers' syndrome in this study, so further study is needed to investigate the cause of farmers' syndrome.

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우울 및 불안장애 환자에서 아동기 학대와 정서증상 및 리질리언스와의 관계 (Relationship of Affective Symptoms and Resilience with Childhood Abuse in Patients with Depressive or Anxiety Disorders)

  • 경미하;민정아;채정호
    • 대한불안의학회지
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    • 제9권1호
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    • pp.68-73
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    • 2013
  • Objective : The aim of this study is to identify the relationship between childhood abuse and affective symptom including resilience in patients with depression or anxiety. Methods : A total 256 outpatients diagnosed with depressive disorder or anxiety disorder according to DSM IV-TR, were evaluated with Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Parent-Child Conflict Tactics Scale (PCCTS), Connor-Davidson Resilience Scale (CD-RISC). Independent t-test, Chi-square analysis and analysis of covariance (ANCOVA) were performed to identify the demographics of patients and the relationship between affective symptoms including resilience and childhood abuse. Results : Among demographic and clinical variables, patients with childhood abuse history were significantly higher rate in patients who were living alone and unemployed. In affective symptoms, patients with childhood abuse history were significant more severe in depressive symptoms, and state anxiety score than patients without history of childhood abuse. Patients with childhood abuse history had higher score for trait anxiety and lower score for resilience than patients who had no history of childhood abuse. Conclusion : These finding suggest that history of childhood abuse might be risk factor on depressive and anxiety symptoms severity. And this might be a predictable factor of poor treatment outcome.

가정폭력 경험 여성의 불안 및 외상 후 스트레스 장애 예측요인에 대한 연구 (Predictors of Anxiety and PTSD in Battered Women)

  • 손정남;차보경
    • 성인간호학회지
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    • 제18권4호
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    • pp.564-572
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    • 2006
  • Purpose: The purpose of this study is to examine predictors of anxiety and PTSD in battered women. Method: The data were collected from 555 women who were stratified samples according to 15,000:1 from a target population in Korea from November 18, 2004 to February 18, 2005. The data was analysed using the SPSS program. Results: Predictors of anxiety were self esteem, stress, state anger, social support, trait anger, negotiation, and psychological violence. These variables explained 55.8% of anxiety. Predictors of PTSD were self esteem, state anger, trait anger, psychological violence, stress, and anger-in. These variables explained 43.2% of PTSD. Conclusion: It is considered that the importance of separating the effects of the different types of violence when taking into account its effects on women's mental health. To promote women's mental health, it is needed to develop self esteem improvement programs, and anger and stress management programs.

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대학생의 스마트폰 중독사용 정도에 따른 상지통증, 불안, 우울 및 대인관계 (Smartphone Overuse and Upper Extremity Pain, Anxiety, Depression, and Interpersonal Relationships among College Students)

  • 황경혜;유양숙;조옥희
    • 한국콘텐츠학회논문지
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    • 제12권10호
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    • pp.365-375
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    • 2012
  • 본 연구는 대학생의 스마트폰 중독사용 정도에 따른 상지통증과 불안, 우울 및 대인관계의 관계를 파악하기 위한 서술적 조사연구이다. 자료 수집은 2012년 5월부터 6월까지 일 대학의 대학생들 중 스마트폰 사용자를 대상으로 스마트폰 중독사용 정도, 상지통증, 불안, 우울 및 대인관계에 대해 구조화된 질문지를 이용하여 조사하였다. 응답내용이 누락되거나 불완전한 경우를 제외한 525명의 자료를 분석하였다. 스마트폰 중독사용 정도에 따른 상지통증, 불안, 우울 및 대인관계의 차이는 $x^2$와 t-test로 분석하였고, 스마트폰 중독사용, 불안, 우울 및 대인관계의 상관관계는 Pearson correlation coefficient로 분석하였다. 본 연구의 결과, 중독사용군은 62명(11.8%)이었다. 여자 대학생의 스마트폰 중독사용 정도는 남자 대학생에 비해 심각했으며, 하루에 스마트폰을 사용하는 시간이 긴 대상자가 스마트폰 중독사용 정도가 높았다. 스마트폰 중독사용군이 정상사용군에 비해 어깨통증 호소가 많았으나 다른 부위의 상지 통증의 차이는 없었다. 상태불안, 특성불안, 우울 모두 중독사용군이 정상사용군보다 높았다. 그리고 스마트폰 중독성향이 강할수록 상태불안, 특성불안 및 우울 정도는 높았고, 상태불안, 특성불안 및 우울 정도가 높을수록 대인관계는 좋지 않았다. 이상의 결과는 스마트폰 중독사용 고위험군을 조기에 선별하고, 이들을 위한 바른 자세, 다양한스트레스 대처방법, 긍정적인 정신건강 및 효율적인 대인관계 향상 등의 중독 예방프로그램 개발의 기초자료로 활용될 것을 기대한다.

마황 단기복용이 사상체질인의 불안에 미치는 영향 : 이중맹검 임상시험 (Short-Term Effects of Mahuang on State-Trait Anxiety According to Sasang Constitution Classification : A Double-Blind Randomized Controlled Trial)

  • 형례창;양창섭;이태호;김락형;곽민정;서의석;장인수
    • 대한한방내과학회지
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    • 제28권1호
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    • pp.106-114
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    • 2007
  • Background : Mahuang (Ephedrae Herba, Ephedra sinica $S_{TAPE}$) has been widely used to treat respiratory disease in Asian over the past thousand years. The main ingredient of Mahuang is ephedrine, whose affects on the autonomic nervous system induce some adverse effects like vasoconstriction, hypertension, tachycardia, miosis, insomnia, dizziness, headache, etc. Although there were lots of reports about adverse effects of Mahuang, there were no clinical studies which evaluated the adverse effects of Mahuang on the autonomic nervous system by objective numerical value in the past decade. Objectives : The purpose of this report was to provide an objective assessment of state-trait anxiety that is caused by Mahuang, and to identify anxiety of Mahuang according to different Sasang constitution classifications. Methods : The study design was a double-blind randomized placebo-controlled trial. The subjects of this study were 79 adults aged between 20 to 40 who agreed to participate. Because 8 adults dropped out, a total of 71 subjects entered the study. They were allocated through randomization to a Mahuang group (N=50) and placebo group (N=21). Each group took three opaque capsules (every opaque capsule containing 2g of Mahuang or none) twice a day. To compare the state and trait anxiety before and after taking Mahuang, we checked the anxiety by using STAI-KYZ. Results : The following results were obtained. Short-term administration of Mahuang significantly increased state-anxiety, but in the placebo group, there were no significant changes in state-anxiety. In the Mahuang group except females, there was more significant increase in state-anxiety of Soeumin than Soyangin and Taeumin in the 2nd measurement. Conclusion : It is suggested that the ingestion of Mahuang can increase sympathetic activity and induce anxiety. There was a significant difference among Sasang constitution classification. Especially, the response is stronger in Soeumin than other constitutions. If we use Mahuang according to the Sasang constitution classification in clinic, we could not only minimize the anxiety but maximize the potential curative value.

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분노유발에 따른 특성불안자의 자율신경계 반응 특성 (Characteristics of Autonomic Nervous System Responses Induced by Anger in Individuals with High Trait Anxiety)

  • 음영지;장은혜;손진훈
    • 감성과학
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    • 제20권3호
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    • pp.169-180
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    • 2017
  • 특성불안이 높은 자들은 분노 표현을 억제하려하기 때문에 주관적인 행동평가로는 특성불안자의 분노 경험을 측정하는데 한계가 있다. 보다 객관적으로 특성불안자의 분노 경험을 측정하기 위하여 본 연구에서는 분노에 의해 유발된 자율신경계 반응이 특성불안 수준에 따라 차이가 있는지를 확인하고자 한다. 실험참가자들을 불안집단과 통제집단으로 구분하였으며, 분노자극을 제시하기 전과 후에 심전도(ECG), 호흡(RESP), 피부전기활동(EDA), 그리고 피부온도(SKT)를 측정하였다. ECG에서 심박률(HR), NN 간격의 표준편차(SDNN), 심박주기 제곱의 평균제곱근(RMSSD), 심박변이도의 저주파성분(LF), 심박변이도의 고주파성분(HF), 저주파성분과 고주파성분의 비율(LF/HF ratio), RESP에서 호흡주기(RR)를, EDA에서 피부전도수준(SCL)을, SKT에서 최대피부온도(maxSKT)를 산출하였다. 두 집단 간 분노자극에서 유발된 분노정서 강도의 차이를 검증한 결과, 집단 간 차이는 유의하였다. 자율신경계 반응 차이를 확인한 결과, 불안집단에서 유의미한 SDNN와 LF의 증가, HF, LF/HF ratio, 그리고 RR의 감소가 나타났다. 본 연구 결과는 특성불안이 높은 이들의 분노 경험을 측정하는데 자율신경계 반응이 객관적인 지표로 활용이 가능함을 시사한다.

마황복용이 성인여성의 상태-특성 불안에 미치는 영향: 무작위배정 이중맹검 임상연구 (Effects of Ephedra on the State-Trait Anxiety in Female Adults: A Double-Blind Randomized Controlled Study)

  • 양창섭;형례창;정현숙;김락형;곽민정;서의석;장인수
    • 대한한방내과학회지
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    • 제28권2호
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    • pp.346-353
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    • 2007
  • Background : Over a thousand years of clinical preparation of Ephedrain traditional Korean medicine has confirmed effectiveness and security. Recently. Ephedra-containing herbal preparations to treat obesity are common. The aim of this study is to identify effects of Ephedra on psychological anxiety. Objectives : To determine effects of Ephedraon psychoactivity and autonomic nervous system. Methods : The study design was a double-blind randomized controlled trial. The subjects of this study were healthy adults. They were allocated to either the Ephedragroup (N =66) or the placebo group (N =32), Ephedra(8 g) or a placebo in similar opaque capsules was given twice a day for 2 weeks. Anxiety score was estimated with State-Trait Anxiety Inventory before first and after last medication. 36 of the Ephedragroup and 24 of the placebo group finished the trial and were analyzed. Paired samples T-test and independent samples T-test were applied to statistical analysis. Results : The following result was obtained: After taking Ephedra. state anxiety increased significantly. In the placebo group. both state and trait anxiety increased although significance was not reached. Conclusions : It is concluded that the intake of Ephedraplays a significant role in the increase of anxiety in healthy adults. It is suggested that anxiety level change should be considered when using Ephedra in clinics.

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생태체험장 봉사활동이 영재학생들의 환경민감도 및 상태-특성불안에 미치는 효과 (The Effect of Volunteer Work at the Place of Ecology Experience on the Environmental Sensitivity & State-Trait Anxiety of the Gifted Students)

  • 김순식
    • 한국환경과학회지
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    • 제19권5호
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    • pp.655-663
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    • 2010
  • Today, the importance of environmental education is a matter we are all concerned about. The environment surrounding us, such as the air we breathe, the water we drink, and the soil plants grow in, is critical for our survival. Currently there is a lot of interest in environmental education at the elementary, middle, and high school levels. This is a result of the deep recognition of the importance of the environment. However the environmental education being conducted in schools is not yet at a satisfactory level. The practical issues, including an entrance exam-oriented atmosphere, student' and parents' lack of understanding, and teachers' lack of expertise in environmental education, interfere with the stability of environmental curriculum in the schools. Accordingly, we need to devise an alternative environmental curriculum due to the fact that it hasn't been included as a regular subject in the curriculum of many national schools. This study, carried out from April to December 2009, was an examination of the effect of volunteer work at the place of ecology experience on the environmental sensitivity & state-trait anxiety of the 61 Gifted Students. The students were divided into two groups. The test group consisted of 30 gifted students who did volunteer work at the place of ecology experience run by Ulsan Science High School, in Ulsan Metropolitan City. The control group consisted of the rest of the students. The following are the study results: First, the volunteer work at the place of ecology experience was influential in increasing the environmental sensitivity of the gifted students. Second, the volunteer work at the place of ecology experience was influential in decreasing the state anxiety of in gifted students. Third, the volunteer work at the place of ecology experience was influential in decreasing the trait anxiety of in gifted students. Fourth, the volunteer work at the place of ecology experience positively influenced not only the gifted students' view of environmental education, but also their overall character.

기공체조프로그램이 초산부의 불안 및 분만통증 완화에 미치는 효과 (Effects of A Qigong Training Program on the Anxiety and Labor Pain of Primipara)

  • 정순옥;고효정;이은주
    • 여성건강간호학회지
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    • 제12권2호
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    • pp.97-105
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    • 2006
  • Purpose: The purpose of this study is to verify the effects of the Qigong training program on the anxiety and labor pains of primipara. Method: The research subjects were a total of 60 primipara who consulted a doctor regularly concerning their antenatal care. Among them, 30 people were the experimental group, and the other 30 people were the control group, and were selected as homogeneous with the experimental group. The degree of anxiety and labor pains were measured by State-Trait Anxiety Inventory(STAI) and Graphic Rating Scale(GRS). SPSS WIN 11.0 was used for data analysis. Obstetric and general characteristics between experimental and control groups, and a homogeneity test of state and trait anxiety were done by both $X^2$ test and t-test. The hypothesis testing was analyzed by ANCOVA with a covariate of pretest value. Result: The first hypothesis, 'Primipara who join the Qigong training program have lower anxiety than those who do not join' was supported (F=28.8, p<.000). The second hypothesis, 'Primipara who join the Qigong training program have lower labor pain than those who do not join' was unsupported. Conclusion: It was verified that the Qigong training program was effective in alleviating anxiety; however it did not have any effect on relieving labor pain, so more in-depth research is needed later on.

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