• Title/Summary/Keyword: Mental disorder

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Risperdal Sachet and Oral Lorazepam versus Intramuscular Haloperidol and Lorazepam Injection for Acute Psychotic Symptom in the Elderly Patients with Organic Mental Disorder (노인 기질성 정신장애 환자의 급성 정신증상에 대한 리스페달 사셰와 할로페리돌 근주의 효과 비교)

  • Youn, Tak
    • Korean Journal of Biological Psychiatry
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    • v.14 no.2
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    • pp.99-105
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    • 2007
  • Objectives : The purpose of present study was to investigate the effect, safety and tolerability of risperdal sachet(oral solution) with lorazepam tablet versus intramuscular haloperidol and lorazepam injection for management of acute psychotic symptom in the elderly with organic mental disorder. Methods : Total 37 patients who have dementia, medical or physical diseases, associated with acute psychotic symptom were randomly assigned to oral treatment with 1mg of risperdal sachet(oral solution) plus 1mg of lorazepam(N=17) or to intramuscular treatment with 2.5mg of haloperidol plus 2mg of lorazepam (N=20). The change of CGI scores was used for the evaluation of efficacy. Results : Mean score improvements at 15, 30, 60, and 120 minutes after treatment were statistically significant at each time point in both groups(p<0.001) and were similar in both groups(p=0.189). Conclusion : A single oral dose of risperdal sachet(oral solution) plus lorazepam was as effective and tolerable as parenterally administered haloperidol plus lorazepam for the rapid control of acute psychotic symptom in the elderly with organic mental disorder.

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The meaning of Mental Disorder in Chinese Medicine (중의정지병증적내함해석(中医情志病证的内涵解析))

  • Lu, Ming-Yuan
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.39-42
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    • 2009
  • Jeongji(情志) in Chinese medicine refers to a series of psychological activity which is expressed as hui(喜), no(怒), wu(優), sa(思), bi(悲), gong(恐), gyeong(驚), together with emotion, sentiment, and cognition, which are manifested as responses of the human body to environmental changes both inside and outside. Sa(思) is a major cognitive activity, and the other six emotions are main emotional activities. The emphasis on the interrelationship between cognition, sentiment, and emotional activity is a unique characteristic of the Jeongji(情志) concept in China. Jeongji[Mental] disorder refers to a series of diseases that has a close link between the attack, clinical presentation and emotional stimulation. The attack is deeply affected by emotional stimulation, with which physical symptoms are either present or absent. However, emotional changes are clear most of the time, their effect on disease development noticeable as well. To sum up, Jeongji[Mental] disorder is related to a wide range of medical problems in fields such as internal, surgical, gynecology, pediatrics, and various psychiatric disorders, not to mention contemporary psychological disorders, neurosis, and all kinds of mental illnesses of today. Moreover, the mental and physical disorders of today all share a common pathogenesis, clinical manifestation and treatment discipline. All the more reason for deeper professional research.

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Clinical-Case Study on a Patient with Organic Mental Disorder after Head Trauma Caused by Traffic Accident (교통사고로 인한 외상 후 기질성 정신장애 환자 치험 1례)

  • Seo, Sang-Il;Kim, Nam-Yeol;Kim, Dae-Hwan;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.307-318
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    • 2015
  • Objectives: This study evaluated the effect of oriental treatments and rehabilitation on a patient with organic mental disorder after head trauma caused by traffic accident. Methods: We treated the patient with acupuncture, herb-medication, oriental psychotherapy, and rehabilitation. MMSE-K, BDI, K-MBI, FIM were evaluated before and after treatment. Results: The results indicated that MMSE-K was maintained at 27 points; BDI was reduced from 16 points to 5 points; K-MBI was increased from 75 points to 99 points; and FIM was increased from 86 points to 115 points. Furthermore, the treatment resulted in reduced mental symptoms and improved work capacity. Conclusions: Oriental medical treatment has potential validity in improving symptoms of organic mental disorder.

Effects of Assertive Training on Interpersonal Relations, Social Behavior, and Psychiatric Symptoms in Patients with a Mental Disorder (정신질환자의 자기주장훈련이 대인관계, 사회행동 및 정신증상에 미치는 효과)

  • Han, Kuem-Sun;Im, Hee-Su;Yang, Bo-Kyum;Chung, Hae-Kyung;Suh, Yong-Jin
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.896-903
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    • 2005
  • Purpose: This study was designed to exam me the effects of an assertive training program on interpersonal relations, and psychiatric symptoms in patients with a mental disorder. Method: The study employed a quasi experimental design. The subjects included 44 patients with a mental disorder, 20 in the experimental group, and 24 in the control group. Data was collected using structured questionnaires over a 3 month period. Results: There were greater significant increases in scores of interpersonal relations and content of communication in the experimental group than the control group. Also, there was a greater significant decrease in the score of psychiatric symptoms in the experimental group than the control group. Conclusion: Assertive training has an effect on increasing content of communication and decreasing psychiatric symptoms.

Factors Influencing to the Caregiving Satisfaction of Mothers of a Person with Mental Disorder (정신장애인을 돌보는 어머니의 돌봄만족감에 영향을 미치는 요인 연구)

  • Kim, Yoen-Soo
    • Korean Journal of Social Welfare
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    • v.58 no.3
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    • pp.371-398
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    • 2006
  • The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience. A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers, social rehabilitation facilities and day hospitals. Collected data were analysed by t-test, Oneway-ANOVA, hierachical multiple regression analysis, and so on. The results are as follows: 1) The mean of mother's caregiving satisfaction is 3.06 in 5 point scale. Among the total items of the caregiving satisfaction scale, the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others. 2) In the final regression model, statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered', 'perceived social support from family, significant others, and friends', 'marital status of mothers', and 'family income'. Better relationship quality between mothers and the adult children with mental disorder and higher social support from family, significant others, and friends explained higher caregiving satisfaction of mothers. The level of a widow or divorced mother's caregiving satisfaction is higher than married one. The less family income affected to higher caregiving satisfaction. Variables related to mental disorder of adult-children, such as social function, years of mental disorder and frequency of hospitalization were not statistically significant influencing factors to mother's caregiving satisfaction. Through this research, the implications of social work practice were suggested in many ways.

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The Development of a Mental Disorder Recovery Scale (정신장애인의 회복측정도구 개발)

  • Lee, Jeong-Sook;Lee, Sun-Young
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.639-647
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    • 2013
  • This paper is a methodological research aimed at developing a mental disorder recovery scale (MDRS) and testing its validity and reliability. After three sessions of factor analysis, a total of three factors using an Eigen value of 1.0 or more were drawn. The explanatory power was found to be 58.1%. All the items met the criteria for communality and factor loading with no item removed, and, ultimately, 25 items were selected. Criterion-related validity test showed that Pearson's correlation coefficient was significant at .71 (p<.01) with significant correlation with each factor (p<.01). The reliability test showed that Cronbach's ${\alpha}$ coefficient was .95 and that Cronbach's ${\alpha}$ coefficient for each factor ranged from .87 to .93. MDRS, which was developed in this study and possessing 3 factors and 25 items, had both its validity and reliability confirmed; therefore, the developed scale would be useful to evaluate the recovery of individuals with mental disorder.

The Effects of Recovery Oriented Practices on Psychiatric Symptoms of People with Mental Disorder (회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향)

  • Lee, In-Jeong;Kim, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.605-611
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    • 2018
  • This study examines the effects of recovery-oriented practices on psychiatric symptoms of people with mental disorder and further explores the impact of recovery-oriented practices in each subcategories on psychiatric symptoms, thereby demonstrating the intent of restoring the community mental health rehabilitation center. For this, a survey was conducted on 378 people with mental disorder who used community mental health rehabilitation center and correlation and hierarchical regression analysis were conducted. The study found that among the five subcategories of recovery, including age and duration of illness, 'Life Goal,' 'Involvement,' and 'diversity of treatment options' alleviate symptoms of people with mental disorder. Based on these findings, community mental health rehabilitation center has presented the combined significance of psychiatry and social welfare programs to facilitate the recovery of the mentally handicapped by reflecting the value and factors of recovery-oriented practice.

A Study on the Quality of Life and Recovery for a Mental Disorder (정신장애인의 삶의 질과 회복에 대한 연구)

  • Lee, Jeong-Sook;Lee, Sun-Young
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.457-465
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    • 2014
  • Purpose: The purpose of this study was to identify degree of quality of life and recovery of mental disorder, to determine the factors affecting the quality of life. Methods: The data were collected from May 20 to 27 2013. Data were collected by questionaire from 310 individuals with mental disorder. The instruments for this study were Happy-Quality of Life Scale(Happy-QoL), Recovery. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, multiple linear regression with the SPSS/WIN 18.0 program. Results: The degree of quality of life and recovery of mental disorder were lower than in the middle. The significant factors influencing quality of life were recovery(${\beta}=.66$, p<.001) and average monthly household income(${\beta}=.09$, p=.039). Conclusion: It is necessary to develop the program that increasing the level of recovery and quality of life.

Foodservice Systems of Meal Service Programs for Mental Disorder Care Sites in Korea (한국 정신요양시설의 급식 서비스 현황 분석)

  • Lee, Jin-Mi
    • Journal of the Korean Dietetic Association
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    • v.7 no.1
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    • pp.80-86
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    • 2001
  • The purposes of this study were to: a) examine characteristics of foodservice management practices; b) investigate characteristics of recipients; c) analyze foodservice systems; and d) provide feedback for the efficient and effective foodservice management of mental disorder care sites in Korea. A total of 46 sites was analyzed by questionnaire survey. Statistical data analysis was completed using the SPSS package program for descriptive analysis. As results of site recipients' characteristics, 60% of total sites were males and 40% were female recipients. Average 60% of recipients were from 30 to 40 years old. Major diseases of recipients were mental disorder, high pressure, and obesity. According to the result of foodservice system analysis, the average meal cost per day was about 2,921 won and average food cost percentage was 39%. Average number of meals per day was about 600 meals. All sites had on dietitian and 88.3% of sites had one cook as a full-time employees. In the part of procurement, dietitians were major chargers of sites for purchasing foods. Major purchasing method was the order and delivery contract. About a half of sites used cycle menu system and standardized recipies. Most of sites had recipients survey systems for evaluating meal satisfaction. About 60% of sites provided liquid diets to recepients and 22% provided diabetic diets. Dietitians at sites had problems on low meal cost budget, lack of cooking professionals, and lack of information about treatment meals for mental disorders for providing higher quality of foods cure recipients. The results suggested that financial and systematical supports by the government would be very necessary to meet the goal of nutritional balanced meal services.

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Comparison of Sites of Intracranial Injury and the Results of MMPI & K-WAIS in the Patients with Post-Traumatic Organic Mental Disorder (외상후 기질성 정신장애 환자의 뇌손상 부위에 따른 다면적 인성검사, 한국판 웩슬러 지능검사 결과비교)

  • Kim, Tae-Ho;Na, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.37-48
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    • 2001
  • Objectives : The purpose of this study was to evaluate the difference of psychometric analysis among patients with Post-traumatic organic mental disorder according to the lesion of MRI finding of traumatic brain injury. Methods : We divided 35 patients into 4 groups according to the lesion of MRI finding of brain injury. We evaluated the difference of the subscales of MMPI and K-WAIS among 4 groups with Post-traumatic organic mental disorder by ANOVA. Results : We found no significant difference of all subscales of MMPI and K -WAIS among 4 groups by ANOVA. Compared Rt hemispheric injury group with Lt hemispheric injury group by independent t-test, the depression scale in MMPI scored significantly higher in Lt hemispheric injury group, and the block design in K-WAIS scored significantly lower in Rt hemispheric injury group. Conclusion : This study suggests that Lt hemispheric injury be significantly related to depression, and Rt hemispheric injury be significantly related to visuospatial ability.

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