• 제목/요약/키워드: 공황

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공황장애 환자에 대한 복합한의진료 및 M&L 심리치료 적용 경과: 증례보고 (Application of Complex Korean Medicine Therapy and M&L Psychotherapy to Patient with Panic Disorder: A Case Report)

  • 김종환;조희근;신현권
    • 동의신경정신과학회지
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    • 제29권4호
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    • pp.305-314
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    • 2018
  • Objectives: The objective of this study was to report the clinical effectiveness of the complex Korean medicine therapy and M&L (Mindfulness & Loving presence) psychotherapy on the patient with panic disorder. Methods: The subject for this study was the patient diagnosed with panic disorder who complained about intermittent panic attack and accompanying insomnia. During the treatment period, the patient received complex Korean therapy and M&L psychotherapy. The clinical effects were evaluated through Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory (STAI), Panic Disorder Severity Scale (PDSS), and Pittsburgh Sleep Quality Index (PSQI). Results: After the complex Korean medicine therapy and M&L psychotherapy, the overall symptoms of depression, anxiety, panic disorder and insomnia of the patient were lessened in a relatively short period. No specificities or adverse effects were reported during the treatment period. Conclusions: This study established that the complex Korean medicine therapy and M&L psychotherapy was effective in treating patients with panic disorder.

공황장애의 한의학적 치료에 대한 임상연구 동향 분석: 국내 증례보고를 중심으로 (A Literature Review of Clinical Studies on Korean Medicine Treatment on Panic Disorder: Focused on Domestic Case Reports)

  • 서지인;이윤재;정혜인;김경한
    • 대한예방한의학회지
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    • 제25권2호
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    • pp.61-83
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    • 2021
  • Objectives : This study was conducted to analyze the Korean medicine treatment on panic disorder in Korean clinical studies. Methods : The literatures were searched from 4 Korean databases(OASIS, SCIENCEON, KISS, RISS). We analyzed the publication year, study type, type of panic disorder, demographic information of participants, treatment periods, intervention type and details, outcome measurements and treatment results of selected studies. Results : 19 studies have been collected. 'Series of Ondam-tang', acupuncture at 'LI4·PC6', Moxibustion at 'ST36·CV4·CV12', 'Li-Gyeung-Byun-Qi' and 'Breathing Retraining' were most commonly used in treatment on panic disorder. 'Beck Depression Inventory(BDI)' and 'Subjective Investigator's Assessment(IA)' were most commonly used in outcome measurements. Most of the studies showed that Korean medicine treatment could improve the symptoms of panic disorder. Conclusions : We analyzed the research trends of Korean medicine treatment on panic disorder. Further studies are needed to establish the evidence for the treatment.

불안증상을 보이는 환아에서 항우울제 투여로 유발된 조증삽화 (ANTIDEPRESSANT INDUCED-MANIC EPISODE IN ADOLESCENTS WITH PRECEDING ANXIETY SYMPTOMS)

  • 정동선;김정현;하규섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.124-131
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    • 2005
  • 소아, 청소년기에 발생하는 양극성장애는 주의력결핍/과잉행동장애, 행동장애 뿐만 아니라 불안장애도 중복진단 비율이 높다. 불안장애 중 강박장애, 사회공포증, 공황장애, 분리불안장애가 많이 공존한다고 보고 되었지만 불안장애와 양극성장애 발생사이의 시간적 관련성에 관한 전향적이면서 믿을만한 연구는 드물다. 본 저자는 양극성장애에 선행한 불안증상에 대해 항우울제를 투여하였을 때 발생한 조증삽화 2예를 보고하고자 한다. 기분변화의 과거력이나 양극성장애의 가족력이 없어도 선행된 불안증상에 대해 항우울제를 사용할 때는 조증삽화의 가능성을 염두에 두고 조심스럽게 처방해야 될 필요성이 있으며 향후 소아, 청소년 양극성장애와 불안장애 사이의 시간적 연관성과 약물학적 치료 지침에 대해 포괄적이며 전향적인 연구가 필요할 것이다.

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돌발성 재해에 대비한 긴급 피난 지원 시스템의 구현 (Implementation of Emergency Evacuation Support System in Panic-type Disaster)

  • 황준수;최영복
    • 한국정보통신학회논문지
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    • 제20권7호
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    • pp.1269-1276
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    • 2016
  • 세계적으로 지진, 해일, 홍수, 폭설 등의 자연 재해와 화재, 방화, 테러 등의 인위적 재해가 빈번하게 발생하고 있으며, 이러한 다양하고 예측 불가능한 재해로 인해 다수의 사상자가 발생하고 있다. 재해 발생 시 빠른 시간에 재해 발생 여부를 파악하여 재해 발생 위치와 적절한 피난 경로 등의 정보를 피해자에게 제공한다면 신속히 안전한 장소로 대피가 가능하여 피해를 최소화 할 수 있다. 이에 본 논문에서는 실내공간에서 공황상태가 발생 했을 경우 사람들의 움직임을 파악하여 긴급 재해 발생 여부를 신속히 탐지하고 이를 통해 상황에 따라 신속하고 안전하게 대피가 가능하도록 긴급 피난 지원 시스템의 알고리즘을 제안하고 구현하였다. 이동 단말기에서는 실내 보행자의 행동과 위치를 분석하여 서버로 전송하고 서버에서는 전송받은 정보를 토대로 긴급상황 여부를 판단한다. 긴급상황이 발생하면 서버는 이동 단말기에게 이를 통보하고, 실내 보행자는 이동단말기를 이용하여 비상탈출을 실시하게 된다.

공황증(恐慌症) 환자의 발작강도 및 예기불안에 대한 한의학적 임상 연구 (A Clinical Study of Panic attack and Anticipatory anxiety on Panic disorder patients)

  • 김영준;김진형;류희영;홍성수;김태헌;류영수;강형원
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.1-11
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    • 2005
  • Objective : This study was to evaluate the clinical improvement of Panic attack and Anticipatory anxiety on Panic Disorder patients after Oriental medical treatment. Methods : We compared post-treatment with pre-treatment on Panic attack and Anticipatory anxiety with Thirty eight Panic Disorder patientsafter Oriental medical treatment - acupunture, herbal medicine, oriental psychotherapy. Results and Conclusions : 1. Foremost herbal medicines were Siwuanshentang(四物安神揚)(39.47%), Qingxinwendantang(情心溫膽揚)(13.16%). Types of demonstration weredeficiency of the heart blood(心血不足)(39.47%), deficiency of qi and blood in the heart and spleen(心脾兩虛)(28.95%), timidity die to insufficiency of qi and deficiency of blood of the heart(心脫虛法)(15.79%), stagnation of phlegm(痰獨阻滯)(13.16%), deficiency of liver-yin and kidney-yin(肝腎陰虛)(2.63%) in order. 2. The physical constitutions in Thirty eight Panic Disorder patients weretwenty nine of Taiyinren(76.3%),six of Shaoyinren(15.8%), three of Shaoyangren(7.9%) in order. 3. This oriental medical treatment was effective in Panic attack from $7.68{\pm}0.87$ to $2.68{\pm}1.613$ and in Anticipatory anxiety from $7.47{\pm}1.006$ to $2.47{\pm}1.841$ in comparison post-treatment with pre-treatment. 4. A percentage of subjective improvement was 72.6%. There were 18.4% in the same, 15.8% in slight improvement, 18.4% in medium improvement, 47.4% in remarkable improvement.

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인지행동치료 후 약물 중단 예측 요인에 관한 연구 (Predicting Factors of Discontinuation of Medication after Cognitive Behavioral Therapy for Panic Disorder)

  • 최영희;박기환;김한석;하오령
    • 생물정신의학
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    • 제7권2호
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    • pp.186-190
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    • 2000
  • Objective : The authors experienced that cognitive behavioral therapy(CBT) could replace medication for controlling panic attacks and anticipatory anxiety symptoms. The objective of this study was finding out predicting factors of discontinuation of medication after CBT for patients with panic disorder. Method : A hundred forty-eight patients who met DSM-IV criteria for panic disorder with or without agoraphobia for at least 3 months had completed 12 weekly sessions of Panic Control Therapy(PCT ; Barlow et al). Eighty-one patients who could discontinue medication and sixty-seven patients who could not discontinue medication were measured with several scales as the pre- and post-treatment aassessment. The scales were Beck Depression Inventory(BDI), Clinical Global Impression(CGI), Spielberger State Anxiety Inventory(STAI-state), Anxiety Sensitivity Index(ASI), Body Sensation Questionnaire (BSQ), Panic Belief Questionnaire(PBQ), Agoraphobic Cognition Questionnaire(ACQ), Fear Questionnaire(FQ), Toronto Alexithymia Scale(TAS). Results : At the pre-treatment assessment, the scores of BDI, CGI, STAI-state, ACQ, BSQ were higher in the patients who could discontinue medication than in the patients who could not discontinue medication(t=-2.68, t=-4.88, t=-3.07, t=-3.68, t=-3.35, p<0.01). Conclusion : Patients with panic disorder who were less depressed, less anxious, less agoraphobic and who had less negative cognitions for the bodily sensation and who had higher scores in the therapist's assessment could discontinue their medications.

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로버트 플로리의 "B급" 영화에 나타난 실험적 미학 (Experimental Aesthetics of "B" Film in Robert Florey's Works)

  • 김재홍
    • 한국콘텐츠학회논문지
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    • 제18권8호
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    • pp.671-678
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    • 2018
  • B급영화는 A급영화에 대비되는 용어로 경제공황기에 탄생하였다. 할리우드는 관객유치를 위하여 A급영화와 B급영화의 동시상영을 기획했으며, A급영화는 수익창출을 위해, B급영화는 수지균형을 위해 제작되었다. B급영화는 저예산, 저기술영화임에도 불구하고 자신만의 스타일과 미학을 가지고 있었으며, 역설적으로 영화를 창의적이고 혁신적으로 만들었다. 역사적으로 B급 영화는 유럽과 미국의 전위영화와 연계되어있다. 초창기 B급영화 감독 중 주목할 만한 로버트 플로리는 전위영화의 전통과 주류영화의 관습을 결합했으며 B급영화감독이 누리는 자유를 선호하였다. 로버트 플로리는 실험영화의 성공으로 헐리우드에서 를 감독하게 된다. 는 호러영화 장르를 통해, 는 스릴러영화 장르를 통해 아방가르드의 독특한 스타일과 주제를 보여 주고 있다.

R을 이용한 고용노동부 민원·정책 연관분석 (Analysis of the complaints and policy of the Ministry of Employment and Labor using the R program)

  • 성보경;유연우
    • 한국융합학회논문지
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    • 제9권7호
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    • pp.41-46
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    • 2018
  • 본 연구는 대한민국 정부가 운영하는 의견수렴 및 고충처리 전산망인 국민신문고(http://www.people.go.kr)'의 고용노동부 민원 정책 게시판의 의견을 통해 고용노동부에서 시행하는 직업훈련, 노사관계, 산업안전, 임금정책, 근로기준법 등의 민원 정책에 대한 국민적 의견을 수렴하여 분석하였다. 본 연구는 R프로그램 빅데이터 기법을 이용하여 데이터 시각화, 빈도 분석, 연관분석 등을 실시하였으며, 연구결과는 다음과 같다. 첫째, 한국의 복잡한 임금구조와 노사 간에 인식부족 등으로 임금개념의 불일치, 노사갈등 이 많은 민원요소로 발견되었다. 둘째, 최근 최저임금의 파격적 인상으로 인한 자영업자 및 근로자의 경제적 공황상태 등으로 기인한 각종 민원이 발생하고 있다. 셋째, 생산직 등 제조 분야 등의 영세한 사업장의 안전의식의 부재로 인한 산업재해가 끊임없이 발생하고 있으며, 일 가정 병립을 위한 제도적 뒷받침이 많이 부족한 것으로 나타났다.

공황장애의 발병연령에 따른 정신과적 공존질환의 차이 (Difference in Psychiatric Comorbidity of Panic Disorder According to Age of Onset)

  • 김은지;임세원;오강섭
    • 생물정신의학
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    • 제16권1호
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    • pp.37-45
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    • 2009
  • Objectives : It is reported that panic disorder is frequently comorbid with other psychiatric illnesses. The aim of this study was to investigate differences of psychiatric comorbidity according to age of onset of panic disorder. Methods : Three hundred-two patients participated in the study. All the patients were evaluated by clinical instruments for the assessment the presence of other comorbid psychiatric disorders and various clinical features; Korean version of Mini International Neuropsychiatric Interview, Self-report questionnaires(Beck Anxiety Inventory, Beck Depression Inventory, Anxiety Sensitivity Index and State-Trait Anxiety Inventory) and clinical rating scale (Hamilton Anxiety Scale, Hamilton Depression Scale and Global Assessment of Functional score). Chi-square test was used to determine the difference between early onset and late onset panic disorder. Results : Forty percent of panic patients were found to have at least one comorbid psychiatric diagnosis. There were no differences among the groups divided by number of comorbidity in sex, agoraphobia comorbidity, duration of panic disorder, except onset age of panic disorder. Early onset group had more comorbidy with social phobia, agoraphobia, PTSD. We also found that Early onset panic disorder patients were more likely to experience derealization, nausea, parethesia than late onset panic disorder patients. Conclusion : The results of our study are in keeping with previous data from other parts of the world. Our finding suggest that earier onset of panic disorder related to more psychiatric comorbidity.

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한의학 칠정(七情)에 기반을 둔 핵심감정평가척도를 이용한 공황장애 환자의 특성 연구 (A Characteristic Study of Panic Disorder Patients Based on The Core Emotional Assessmental Questionnaire (CEAQ))

  • 유소정;박종민;강형원;유영수
    • 동의신경정신과학회지
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    • 제26권3호
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    • pp.235-250
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    • 2015
  • Objectives: The purpose was to conduct a characteristic study on panic disorder patients through The Core Emotional Assessmental Questionnaire (CEAQ), followed by a correlation analysis with STAI, STAXI and BDI. Methods: We analyzed medical records of 62 patients who had visited ${\bigcirc}{\bigcirc}$ University hospital, oriental neuropsychiatric department and completed the The Core Emotional Assessmental Questionnaire (CEAQ), STAI, STAXI, and BDI. Finally, 20 patients who were diagnosed as Panic Disorder according to DSM-V (2013) were included in the study. Patient data was analyzed by Chi-Square test, frequency analysis, independent t-test, one-sample t-test, and correlation analysis using the SPSS (Statistical Package for the Social S 21.0 Version). Results: 1. Panic disorder patients experienced less Hui, and more Sa (思), Gong (恐), Kyeong (驚), and Bi (悲). 2. Female Panic disorder patients experienced more Hui (喜), as compared to male patients; whereas, male patients experienced more No (怒). 3. U (憂), Bi (悲), Sa (思), Gong (恐), and Kyeong (驚) emotions of Panic disorder patients were correlated to STAI-S, STAI-T, and BDI.