• Title, Summary, Keyword: 정신장애

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Movement Disorders that Psychiatrists Should Know (정신과의사가 알아야할 운동장애)

  • Cheon, Jin Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.99-105
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    • 2013
  • The movement disorders in psychiatry have been neglected, though it is an important psychiatric dimension to exert unfavorable influence on patients'quality of life. The etiologies of movement disorders in psychiatry can be classified as primary neurological disorders, psychiatric comorbidities of neurological disorders, manifestations of primary psychiatric disorders, drug-induced movement disorders and psychogenic movement disorders. For the rapid and proper treatment for movement symptoms and signs easily observed from psychiatric patients, psychiatrists' ability toward precise disgnosis and differential diagnosis of movement disorders should be preceded.

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Diabete Care: Pharm story - 당뇨병과 정신건강

  • Lee, Ji-Hyeon
    • The Monthly Diabetes
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    • pp.51-57
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    • 2013
  • 당뇨병과 정신건강은 어떤 관련성이 있을까? 당뇨병이 스트레스나 우울증과 관련이 있다는 것은 비교적 잘 알려져 있는데 다른 정신건강 문제와도 관련이 있을까? 당뇨병을 꾸준히 관리하는 것만도 수월하지 않은 당뇨병 환자에게 정신건강 관리를 하라는 것은 또 다른 부담을 가중시킬 수 있을 것이다. 그러나 효과적인 당뇨병 관리를 위해서는 정신건강에 관심을 기울이고 함께 관리하지 않을 수 없다. 건강하고 안정적인 정신건강 상태는 당뇨병 관리의 뒷받침이 되므로 당뇨병의 효과적인 관리를 위해 선행되어야 할 요소이다. 종종 정신건강 문제는 당뇨병 관리의 방해요인이 되기 때문에 이를 방지하기 위해서도 정신건강 관리는 당뇨병 관리와 함께 이루어져야 한다. 스트레스, 우울, 불안 등 정신건강 문제들이 어느 정도 해결될 때, 비로소 당뇨병 자가관리를 지속할 수 있으며 그 효과를 거둘 수 있는 것이다. 대부분의 당뇨병 환자는 진단기준을 충족시키지는 않더라도 적어도 가끔은 정신장애 증상을 경험할 수 있다. 일부 환자는 진단기준에 부합하는 장기간의 심각한 정신과적 증상으로 고통을 받기도 한다. 당뇨병 진단 후 당뇨병을 심리적으로 수용하고 관리하는 과정에서 정신장애를 경험하게 될 가능성이 높아진다. 정신장애도 만성질환의 속성을 가지므로 정신장애를 동반한 당뇨병 환자는 만성질환 관리의 부담이 가중될 수 있다. 따라서 정신장애를 최대한 예방하고 적시에 적절한 치료를 통해 심화되지 않도록 하는 것이 중요하다. 이를 위해 당뇨병과 관련 있는 정신장애에 대한 이해와 지식을 갖추는 것이 필요하다.

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Meaning of Work for Individuals with Mental Illness - Focused on Cultural Differences Between Asians and white Americans - (정신장애인의 직업의 의미 - 아시아인과 미국인의 문화적 차이를 중심으로 -)

  • Kim, Min;Millner, Uma
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.227-249
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    • 2015
  • The purpose of this study was to explore the meaning of work between Asian Americans and white Americans living with mental illness. Employment is important for recovery of Asian Americans with mental illness. However, little is known about reasons of low participation and completion rates on recovery and employment services for Asian Americans with mental illness. Although few studies have suggested that exploring cultural difference is a key to understand these issues, no study have explored how their culture influences a viewpoint on work. Therefore, a study to explore the meaning of work and influences of culture on work is required. This study used both quantitative and qualitative methods. An Internet version of world of work survey was developed based on results of study by Millner(2015) and cognitive interview. The survey was conducted from May to August 2015 and 91 people living with mental illness completed the survey. T-test was used for analyzing qualitative data and researchers analyzed qualitative data. Asian Americans showed higher preference for employment and have more difficulty at workplace and in receiving recovery and vocational services. The findings from this study can inform the development of recovery-oriented employment for people living with mental illness from diverse ethnic groups.

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Employment Needs of People with Mental Disabilities - Centering on Income and occupational ability Variables (정신적 장애인의 소득수준과 직업능력에 따른 취업욕구)

  • Park, Hyo-Eun;Choi, Man-kyu;Lee, Hyun-Kyung
    • Proceedings of the Korea Contents Association Conference
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    • pp.387-388
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    • 2013
  • 본 연구는 정신적 장애인의 소득수준과 직업능력에 따른 취업욕구를 살펴보고 그에 따른 취업 활성화를 방안을 제안하고자 하였다. 이를 위해 '2008년~2010년 장애인 고용패널조사'에 3년간 참여한 정신적 장애인 298명(가중빈도적용:154,348명)을 연구하였다. 연구결과, 직업교육을 희망하는 정신적 장애인이 남성, 중졸 이상, 자격증 소지자, 그리고 정신적 장애인 유형중 지적장애일때 교육참여 희망률이 높았다. 한편, 취업의사를 가진 정신적 장애인은 남성, 가구주, 중졸이상, 자격증 소지자, 육체활동 능력이 높아질 때, 그리고 정신적 장애인 유형 중 자폐장애일 때 취업의사가 높았다. 이러한 결과를 토대로 정신적 장애인의 경제활동참여를 높이기 위하여 정신적 장애인의 의사를 반영한 직업재활서비스제공, 사업주 주도적 직업활동을 제안하였다

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Comparison of Alexithymia among Patients with Psychosomatic Disorders, Anxiety Disorders and Depressive Disorders (정신신체장애, 불안장애 및 우울장애 환자들 간의 Alexithymia의 비교)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.59-68
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    • 1994
  • A comparison was made regarding the degree of alexithymia among patients with psychosomatic disorders, anxiety disorders and depressive disorders. The author examined the degree of alexithymia in three groups : 100 psychosomatic patients(including 47 patients with tension headache), 52 outpatients with anxiety disorden, and 50 outpatients with depressive disorders. Alexithymia was assessed by Alexithymia provoked Response Questionnaires(APRQ) developed as a semi-structured interview form. No significant difference was found in the degree of alexithymia among Patients with Psychosomatic disorders, anxiety disorders, and depressive disorders. On the other hand, patients with tension headache were significantly more alexithymic than patients with anxiety disorders and depressive disorders, respectively. However, there was no significant difference in degree of alexithymia between patients with anxiety disorders and those with depressive disorders. Multiple regression analysis revealed that demographic variables such as set age, education level, and marital status did not make a significant influence on alexithymia scores. These results suggest a greater degree of alexithymia in patients with a specific group of psychosomiatic disorders such as tension headache than in patients with emotional disorders, unlike the previous report that in general, psychosomatic patients are alexithymic. Thus, it is necessary to develop special forms of interview which can induce and encourage expression of emotion as a therapeutic strategy for patients with tension headache.

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Latent Means Analysis of Parenting Competency, Parenting stress, Resilience, Social support according to the disability types among disabled women (여성장애인의 장애유형별 자녀양육역량, 양육스트레스, 회복탄력성, 사회적 지지에 대한 잠재평균분석)

  • Lee, Yuri
    • Journal of the Korea Convergence Society
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    • v.10 no.1
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    • pp.291-298
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    • 2019
  • This study aimed to examine disabled women to determine whether differences existed in parenting stress, resilience, social support, and parenting competency based on the disability type using an latent means analysis. The research data was sampled from 167 mentally disabled women and 132 physically disabled women. Parenting stress and social support had higher latent means in the mentally disabled women. Parenting competence and resilience had higher latent means in the physically disabled women. The results of this study suggested that differentiated, practical intervention approaches should be implemented for each disability type.

Hypnotherapy in Cases with Psychosomatic Disorders (정신신체장애의 최면치료)

  • Choe, Byeong-Moo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.176-180
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    • 2002
  • Hypnosis as a traditional healing method, in its recent development, has generated a multitude of techniques. These serve as practical tools which can be combined with other therapy techniques for the treatment of a variety of psychiatric and medical conditions. The empirical evidence for the effectiveness of hypnosis is considerable and proves its clinical impact in various areas of application. This case review describes the integration of hypnotherapeutic methods into the continuum of psychiatric encounters in a general practice. Guidelines for the application of hypnosis in approaching and treating each patients with headache, sexual dysfunction and bronchial asthma were illustrated. As hypotheses mechanism of effectiveness in psychosomatic disorders has been formulated. Training in hypnotherapy provides the psychiatrist with skills needed to address psychophysiological disorders. Emphasis is placed on the necessity and opportunity for research on the efficacy and specific technique of hypnosis in the psychosomatic disorders.

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A Case of Atrophy of Bilateral Frontal lobe Which Showed Negative Symptoms of Schizophrenia (정신분열증의 음성증상소견을 보인 양측 전두엽 위축환자 1례)

  • Rho, Tae-Yong;Kim, Jin-Sung
    • Yeungnam University Journal of Medicine
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    • v.10 no.2
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    • pp.544-549
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    • 1993
  • The authors have experienced a case of organic mental disorder with bilateral frontal lobe atrophy in a 36-year-old man. He showed negative symptoms of schizophrenia such as anhedonia, social withdrawal, flat affect, poverty of thought.

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Judgment on the Criminal Responsibility of Perpetrators with Mental Disorders and Their Mental Examination (정신장애 범죄인의 책임능력 판단과 정신감정)

  • Choi, Min-Young
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.83-107
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    • 2019
  • This article focuses on §10 of Criminal Act of the Republic of Korea to discuss how to determine criminal responsibility of a perpetrator suffering from mental disorders, while reviewing existing process and standards of mental examination at each stage of the criminal procedure as well as exploring suggestions regarding how they should be complied. The determination of the sanity or criminal responsibility of the mentally ill as defined in the §10 of Criminal Act, by its nature, cannot be approached with a traditional, clear-cut dichotomy of biology by medical practitioner and psychology·normative science by lawyer. Looking into the actual procedure of determining mental and physical disorder with special consideration of mental illness reveals the inevitability of collaboration between lawyers and psychiatrists. In the meantime, the process and standards of mental examination at each stage of the criminal procedure must be definitive and clear. First of all, during the investigation stage, examination prior to prosecution should be more actively encouraged, considering that judging sanity of the perpetrator at the time of committing a criminal act is important. During the trial stage, the mandatory examination must be conducted depending on the sensitivity and gravity of the case. Next, medical examination to determine criminal responsibility and the one to order treatment and custody must be separately conducted in order to properly execute medical treatment and custody. Obligatory mental examination could be considered both during the stage of request for and execution of the treatment and custody. Lastly, the procedure of examination and format of examination documents need to be standardized for better objectivity and reliability.

A study on the factors of convergent caring competency for promotion of caregivers' wellness of disabled children (장애자녀 돌봄제공자의 웰니스 증진을 위한 융복합 돌봄역량 요인 연구)

  • Lee, Yu-Ri;Kim, Nam-Jung
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.479-487
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    • 2016
  • This study aimed to investigate the difference of the disabilities type of caring competency, caring appraisal(caring burden, caring satisfaction), self-help group support for parents who have children with disabilities. The data were collected by a self-reported questionnaire from 301 parents who have disabled children(180 mental disabilities & 121 physical disabilities). Given the three types of invariance satisfied, latent means analysis(LMA) is performed to test mean differences on the four factors across the two groups. According to LMA where the parents who have children with physical disabilities are used as the reference group, the parents who have children with mental disabilities showed higher latent mean values on the self-help group support and caring burden. However, the parents who have children with physical disabilities showed higher latent mean values on the caring satisfaction and caring competency.