• Title/Summary/Keyword: 신체적 장애

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동행+함께하는 마음: 건강체크 리스트 - 우울증보다 자살률이 높은 양극성장애, 조기진단이 가장 중요하다!

  • Choe, Yong-Gyun
    • 건강소식
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    • v.34 no.7
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    • pp.36-37
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    • 2010
  • 현대인에게 있어서 피할 수 없는 스트레스. 이 스트레스로 인해 현대인들은 신체적인 건강뿐만 아니라 우울증 등의 정신건강까지 위협을 받고 있으나 정신과라는 좋지 않은 인식으로 인해 정신건강은 제대로 치료되지 못하고 있는 실정이다. 하지만 양극성 장애(조울증)를 앓고 있다면 이야기가 좀 달라져야 한다.

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The Current Status and Improvement Plan on Informatization Education of the Blind and Hearing-impaired Persons for solutions of Digital Divide (정보격차 해소를 위한 시.청각 장애인 정보화 교육의 문제점 및 개선 방안)

  • Gwon, Mi-Gyeong;Jun, Woo-Chun
    • 한국정보교육학회:학술대회논문집
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    • 2010.01a
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    • pp.181-185
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    • 2010
  • 본 연구는 시 청각 장애인의 정보격차 및 정보 불평등 문제를 해소하기 위해 장애인 정보화 교육의 문제점을 살펴보고 개선 방향을 제시함으로써 향후 장애인 정보화 교육이 보다 효율적으로 시행될 수 있도록 하는데 그 목적이 있다. 시 청각 장애인에게 정보 격차 해소를 위한 교육은 지속적으로 시행되고 있으나 정보화가 진행될수록 신체적 결함으로 인한 정보소외는 존재할 수밖에 없다. 이런 문제점을 극복하기 위해서는 첫째, 시 청각 장애인에게 정보화 교육 기회를 확대해야 한다. 둘째, 장애 특성을 고려하여 개별화 교육을 실현할 수 있도록 정보화 교육과정 및 교수법 개발을 개발해야 한다. 셋째, 교육과정의 정기적인 지도 점검이 요구된다. 넷째, 보조공학 기기 및 S/W에 대한 지원 및 개발을 강화해야 한다. 마지막으로 시 청각 장애인 정보화 교육 과정의 표준화 작업이 매우 시급한 실정이다.

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Study on Factors Influencing the Disabled's Quality of Life: Focusing on Comparison between Employed and Unemployed Disabled People (장애인 삶의 질에 미치는 영향요인에 관한 연구: 취업자와 미취업자의 비교를 중심으로)

  • Jeon, Myeong-Sook
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.210-221
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    • 2018
  • The purpose of this study was to analyze how much demographic and disability-related characteristics influence the quality of life that employed and unemployed disabled people, and determine difference in the influence of those factors between the two disabled groups. For this purpose, the study utilized 1st-year(2016) data from the 2nd wave of the Korean Panel Study on Employment for the Disabled. The findings of this study can be summarized as follows. First, employment is a critical factor that influences the disabled's quality of life. Besides, there are some financial, socio-relational and physical factors on which that quality is heavily dependent. Second, employed disabled people's quality of life is even more influenced by financial factors, socio-relational factors and health state than demographic factors. Third, unemployed disabled people's quality of life is significantly influenced by some demographic factors like gender and age and some physical factors like disability grade and disability period as well as by factors found influencing employed disabled people's quality of life. Thus, the two disabled groups are different from each other in which factors influence their quality of life. Based on these findings, this study made suggestions for the disabled's better quality of life.

Study of Quality of Life and Related Factors in Veterans with Physical Dysfunction (신체적 기능장애를 가진 국가유공자의 삶의 질 수준 및 관련 요인 연구)

  • Kwon, Chun-Suk;Kim, Suhn-Yeop;Jang, Hyun-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.490-497
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    • 2015
  • The aim of this study was to examine the quality of life (QOL) and its related factors in veterans with physical dysfunction. The survey data was collected from 412 patients with physical dysfunction managed at five veterans' hospitals in Seoul, Pusan, Daegu, Gwangju, and Daejeon city. The baseline for the quality of life was measured using the SF-36 (Short-Form 36), activities of daily living was measured using a Modified Barthel Index (MBI), pain level was determined using Quadruple Visual Analogue Scale (QVAS), and the depression level was assessed using Korean version of the Geriatric Depression Scale: Short-Form (SGDS-K). The SF-36 scores showed a significant correlation with age (r=-0.132), self-rated current health status (r=-0.545), active daily living (r=0.514), pain level (r=-0.243), and depression level (r=-0.565) (p<0.05). The most influential variables on the QOL were the depression level (B=-.969, p<0.001), QVAS (B=-0.163, p<0.001), and MBI (B=0.140, p<0.001). The results of this study showed that that depression, pain and activities of daily living are significant predictors of the QOL in veterans with a physical dysfunction. Therefore, healthcare providers need to consider these parameters for interventions to improve the QOL in veterans with a physical dysfunction.

Psychosomatic Integrative Care for Psychosocial Distress of Patients With Breast Cancer (유방암 환자의 정신사회적 디스트레스에 대한 정신신체의학적 통합치료)

  • Yang, Chan-Mo;Jang, Seung-Ho;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.77-85
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    • 2021
  • Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

Effect of Disability Types by Disability Severity Levels on Employment: Based on the Employment Panel Survey for the Disabled (장애 중증도 수준에 따른 장애 유형이 고용에 미치는 영향: 장애인고용패널조사를 중심으로)

  • Choi, Junhyeok;Lee, Jisoo;Chung, Sunwoo;Oh, Sung Soo;Jo, Hoon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.63-76
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    • 2022
  • Objective : The purpose of this study is to examine the relationship with employment of the disabled considering the severity and the type of disability. Methods : Data from the 4th data of the 2nd wave Panel Survey of Employment for the Disabled (PSED) by Korea Employment Agency for Persons with Disabilities (KEAD) were used. The odds ratio of employment in disability types according to severity of disability was calculated by logistic regression analysis. Results : When the related variables were adjusted, the employment of internal disability type was significantly lower than that of external disability type by 0.413(95% CI:0.271-0.629) times in the group with severe disability. On the other hand, in the group with less severe disability, internal disability was 0.475(95% CI:0.327-0.690) times lower than that of external disability (p=<.001). Conclusions : Employment may vary depending on the type of disability, even if the disability severity level is the same. It is necessary to prepare judgment criteria that can reduce the variation in employment by considering both the type and severity of the disability.

The Comparison of ICSD and DSM-Ⅳ Diagnoses in Patients Referred for Sleep Disorders (정신과에 의뢰된 환자 중 수면장애에 대한 ICSD와 DSM-Ⅳ 진단 비교)

  • Lee, Bun-Hee;Kim, Leen;Suh, Kwang-Yoon
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.37-44
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    • 2001
  • Background: Sleep disorders are prevalent in the general population and in medical practice. Three diagnostic classifications for sleep disorders have been developed recently: The International Classification of Sleep Disorders (ICSD), The Diagnostic and Statistical Manual, 4th edition (DSM-IV) and The International Classification of Diseases, 10th edition (ICD-10). Few data have yet been published regarding how the diagnostic systems are related to each other. To address these issues, we evaluated the frequency of sleep disorder diagnoses by DSM-IV and ICSD and compared the DSM-IV with the ICSD diagnoses. Method: Two interviewers assessed 284 inpatients who had been referred for sleep problems in general units of Anam Hospital, holding an unstructured clinical interview with each patient and assigning clinical diagnoses using ICSD and DSM-IV classifications. Results: The most frequent DSM-IV primary diagnoses were "insomnia related to another mental disorder (61.1% of cases)" and "delirium due to general medical condition (26.8%)". "Sleep disorder associated with neurologic disorder (38.4% of cases)" was the most frequent ICSD primary diagnosis, followed by "sleep disorder associated with mental disorder (33.1%)". In comparing the DSM-IV diagnoses with the ICSD diagnoses, sleep disorder unrelated with general medical condition or another mental disorder in DSM-IV categories corresponded with these in ICSD categories. But DSM-IV "primary insomnia" fell into two major categories of ICSD, "psychophysiologic insomni" and "inadequate sleep hygiene". Of 269 subjects, 62 diagnosed with DSM-IV sleep disorder related to general medical condition or another mental disorder disagreed with ICSD diagnoses, which were sleep disorders not associated with general medical condition or mental disorder, i. e., "inadequate sleep hygiene", "environmental sleep disorder", "adjustment sleep disorder" and "insufficient sleep disorder". Conclusion: In this study, we found not only a similar pattern between DSM-IV and ICSD diagnoses but also disagreements, which should not be overlooked by clinicians and resulted from various degrees of understanding of the pathophysiology of the sleep disorders among clinicians. Non-diagnosis or mis-diagnosis leas to inappropriate treatment, therefore the clinicians' understanding of the classification and pathophysiology of sleep disorders is important.

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CLINICAL STUDY OF THE ABUSE IN PSYCHIATRICALLY HOSPITALIZED CHILDREN AND ADOLESCENTS (소아청소년 정신과병동 입원아동의 학대에 대한 임상 연구)

  • Lee, Soo-Kyung;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.145-157
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    • 1999
  • This study was performed by the children and adolescents who were abused or neglected physically, emotionally that were selected in child & adolescents psychiatric ward. We investigated the number of these case in admitted children & adolescents, and also observed characteristics of symptoms, developmental history, characteristics of abuse style, characteristics of abusers, family dynamics and psychopathology. We hypothesized that all kinds of abuse will influnced to emotional, behavioral problems, developmental courses on victims, interactive effects on family dynamics and psychopathology. That subjects were 22 persons of victims who be determined by clinical observation and clinical note. The results of the study were as follows:1) Demographic characteristics of victims:ratio of sex was 1:6.3(male:female), mean age was $11.1{\pm}2.5$. According to birth order, lst was 12(54.5%), 2nd was 5(23%), 3rd was 2(9%) and only child was 3(13.5%). 2) Characteristics of family:According to socioeconomic status, middle to high class was 3(13.5%), middle one was 9(41.% ), middle to low one was 9(41%), low one was 1(0.5%). according to number of family, under the 3 person was 3(13.5%), 4-5 was 17(77.5%), 6-7 was 2(9%). according to marital status of parents, divorce or seperation were 5(23%), remarriage 2(9%), severe marital discord was 19(86.5%). In father, antisocial behavior was 7(32%), alcohol dependence was 10(45.5%). In mother, alcohol abuse was 5(23%), depression was 17(77.3%), history of psychiatric management was 6(27%). 3) Characteristics of abuse:Physical abuse was 18(81.8%), physical and emotional abuse and neglect were 4(18.2%). according to onset of abuse, before 3 years was 15(54.5%), 3-6 years was 5(27.5%), schooler was 1(15%). Only father offender was 2(19%), only mother offender was 8(35.4%), both offender was 8(35.4%), accompaning with spouse abuse was 7(27%), and accompaning with other sibling abuse was 4(18.2%). 4) General characteristics and developmental history of victims:Unwanted baby was 12(54.5%), developmental delay before abuse was9(41%), comorbid developmental disorder was 15(68%). there were 6(27.5%) who didn‘t show definite sign of developmental delay before abuse. 5) Main diagnosis and comorbid diagnosis:According to main diagnosis, conduct disorder 6(27.3%), borderline child 5(23%), depression4(18%), attention deficit hyperactivity disorder(ADHD) 4(18%), pervasive developmental disorder not otherwise specified 2(9%), selective mutism 1(5%). According to comorbid diagnosis, ADHD, borderline intelligence, mental retardation, learning disorder, developmental language disorder, oppositional defiant disorder, chronic tic disorder, functional enuresis and encoporesis, anxiety disorder, dissociative disorder, personality disorder due to medical condition. 5) Course of treatment:A mean duration of admission was $2.4{\pm}1.5$ months. 11(15%) showed improvement of symtoms, however 11(50%) was not changed of symtoms.

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Health-Related Quality of Life by Socioeconomic Factors and Health-related Behaviors of the Elderly in Rural Area (농촌지역 노인들의 사회경제적인 요인 및 건강습관에 따른 건강관련 삶의 질)

  • Choe, Jeong-Sook;Kwon, Sung-Ok;Paik, Hee-Young
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.29-41
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    • 2004
  • Objectives: This study was to identify socioeconomic factors and health-related behaviors influencing on HRQOL(health-related quality of life) for the older adults in rural area. Methods: 483 subjects aged over 65 years responded a direct interview, which covered HRQOL, BMI, socioeconomic characteristics, and health-related behaviors including smoking, drinking, and exercise. Results: Overall, the mean number of healthy days were 15.1 days and not significantly different by sex. Men didn't show a significant difference in HRQOL by age group. But women reported lower levels of healthy days and higher levels of activity limitation and physical unhealthy days with increasing age. Results from ANCOVA showed HRQOL to be significantly associated with education, job, and family type. Men presented no significant difference in HRQOL by health-related behaviors, but women who have been drinking, or have less number of chronic diseases reported higher mean healthy days and lower activity limitation days, physical unhealthy days, and mental unhealthy days. Older adults who reported good to excellent self-rated health were higher healthy days and lower activity limitation, physical unhealthy days, and mental unhealthy days than those who reported fair to poor health status. Conclusions: The HRQOL for the older adults in rural area was related to socioeconomic characteristics, health-related behaviors and self-rated health status. A better understanding of factors related to HRQOL would help to improve the older adults' quality of life.

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A Case with Male Erectile Disorder and Hypoactive Sexual Desire Disorder Treated by Psychotherapy Using Hypnosis (한 미혼남성의 발기 및 성욕감소 장애에 대하여 최면을 사용한 정신치료)

  • Choe, Byeong-Moo
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.98-102
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    • 2000
  • The author treated a case with combined male erectile disorder and hypoactive sexual desire disorder. Treatment consisted of concurrent psychotherapy, sex therapy, and self-hypnosis lasting 9 months. I suggest that psychotherapy is essential for the treatment of sexual desire disorder especially complicated with deep-seated psychological conflicts, in addition, it is necessary to apply various strategies flexibly in according to the patients' need. I have experienced that self-hypnosis is tremendously useful in the enhancing sexual fantasy and for the arousal of psychological pleasure as well as the maintenance of erection in the phase of sexual excitement.

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