• Title/Summary/Keyword: 신체적 장애

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Psychological Factors Affecting Gastrointestinal Disorders : Functional GI Disorders (위장관장애에 영향을 미치는 심리적 요인)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.210-220
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    • 1998
  • The relationships between emotion, stress and gastro-intestinal dysfunction were briefly reviewed. Until now, several kinds of theories on about pathophysiology, such as motility dysfunction, changes of pain perception on the lumen, dysregulations on the central nervous system associated with psychosocial factors were reported. However, none of those factors could'nt give any clues for the causes of the functional bowel disorders. For understanding the meaning of the symptoms and for the treatment approach, clinicians should give attention to the comprehensive point of view, i.e., not only biological but also psychological aspects of the patients with non-organic bowel dysfunctions. Giving warm and kind explanations to the patient about symptom formation and progression and understanding the patient's illness behaviors, and good and strong doctor-patient relationship is essentials for the treatment.

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Relationship between Physical Disability, Cognitive Disorder and Body Image in Stroke Patients (뇌졸중 환자의 신체적 장애, 인지장애 및 신체상간의 관계)

  • Hong, Mi-Soon;Nam, Mee-Ra;Lee, Jin-Hee;Jeong, Kyung-In
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.34-41
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    • 2006
  • Purpose: This study was to analyze the relationship the physical disability, cognitive disorder and body image. Method: The research was a descriptive relationship study. A sample is composed of 101 hospitalized stroke patients. Data were collected from November, 2005 to December, 2005. The survey instruments used in the study Sharon and Glen's physical disability scale, Lim's cognitive disorder scale and Osgood's body image scale. The collected data were analyzed frequency, percentage, mean, standard deviation, ANOVA, Duncan test, Pearsons' correlation coefficients. Result: The level of physical disability the score was 2.26, cognitive disorder 1.84 and body image 3.54. and they were relation to significant correlation. The body image showed significant negative correlation with physical disability, cognitive disorder. Physical disability showed significant positive correlation with cognitive disorder(r=.639, p=.000), and significant negative correlation with body image(r=-.420, p=.000). Cognitive disorder showed significant negative correlation with body image(r=-.620, p=.000). There were significant differences of body image by general characteristics as follows: age(p=.000), occupation(p=.004), education(p=.008), disease(p=.007). monthly income(p=.006), burden of medical expenses(p=.001), duration of stroke(p=.008). Conclusion: There was a significant correlation between physical disability, cognitive disorder and body image. there will be considered useful nursing intervention effect to physical disability, cognitive disorder and body image of stroke patients.

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Relationship between Severity of Physical Trauma and Subsequent the Severity of PTSD Symptoms in Traffic Accident Related PTSD Patients (교통사고 관련 외상후 스트레스 장애 환자에서 신체적 외상의 정도와 외상후 스트레스 장애 증상의 심각도 사이의 관계)

  • Lee, Ji-Youn;Na, Chul;Cho, Ju-Yeon
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.28-34
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    • 1998
  • Objective: This study was designed to evaluate the etiological factors of the PTSD(post traumatic stress disorder) by examining the relationship between severity of physical trauma and subsequent the severity of PTSD symptom in traffic accident related PTSD patients. Method: Subjects were 21 psychiatric inpatients with history of traffic accident related PTSD(DSM-IV criteria), the purpose of evaluation of mental disability and no evidence of organic brain leisons. The severity of physical trauma was assessed by McBride number of nonpsychiatric department and the presence / absence of loss of conciousness. The severity of PTSD symptom was assessed by Hovens' self rating inventory for PTSD. And then we evaluated the correlation between these two factors. And we also evaluated relationship between severity of PTSD symtom and clinical variables. Results : There were no significant relationship between McBride number of nonpsychiatric department severity and symptomatic severity(r= 0.17, p<0.05), the presence / absence of loss of conciousness and symptomatic severity(p>0.05). And significant relationship between symptomatic severity and clinical varibles such as sex, education level, marital status(p<0.05). Conclusions : These data did not support data of previous studies that traumatic severity was correlated with symptom severity but, suggested that other variables affecting the severity of PTSD symptom is more important indirectly. And that the 'trauma' in PTSD is psychological meaning rather than physical meaning is also suggested.

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Quality of Life and Related Factors in Caregivers of Attention Deficit Hyperactivity Disorder Patients (주의력결핍 과잉행동장애 환아 보호자의 삶의 질과 관련요인)

  • Jeong, Jong-Hyun;Hong, Seung-Chul;Han, Jin-Hee;Lee, Sung-Pil
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.2
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    • pp.102-111
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    • 2005
  • Objective : The purpose of this study was to investigate the quality of life and it's related factors in caregivers of attention deficit hyperactivity disorder patients. Methods : The subjects were 38 attention deficit hyperactivity disorder patients' caregivers(mean age : $37.5{\pm}6.5$, 38 women). Patients were diagnosed with DSM-IV-TR ADHD criteria. Korean version of WHOQOL-BREF(World Health Organization Quality of Life assessment instrument Abbreviated Version) was used for assessment. Results : 1) No significant differences were found in the score of WHOQOL-BREF, overall QOL, physical health domain, psychological domain, social relationships domain and environmental domain between caregiver and control group. 2) The score of Activity of daily living facet$(3.0{\pm}0.7\;vs.\;3.6{\pm}0.7)(p=0.008)$ and self-esteem facet $(2.8{\pm}0.7\;vs.\;3.3{\pm}0.7)(p=0.049)$ were significantly decreased in caregivers of ADHD. 3) Total score of WHOQOL-BREF(r=0.437, p=0.007) and physical health domain(r=0.370, p=0.024) were correlated with caregiver's educational age. 4) In the psychological domain, the score of self-esteem facet(r=-0.337, p=0.039) and thinking, learning, memory & concentration facet(r=-.341, p=0.036) were decreased with caregiver's age. 5) The score of environmental domain were significantly increased with caregiver's educational age (r=0.482, p=0.003), but decreased with patient's age(r=0.328, p=0.044). Conclusion : Although the quality of life in caregivers of ADHD patient had not significantly decreased than control, the quality of lift were positively correlated with educational age of caregives, and negatively correlated with chronological age of caregivers and children. Above results suggest that physicians should consider integrated approaches for caregiver's subjective quality of life in the management of ADHD.

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Design of an AR-based Accessibility Improvement System for the Hearing Impaired (AR기반 청각장애인 접근성 향상 시스템 설계)

  • Hyun-Jun Jeong;Sang-Hoo Park;Tae-Hong Kim;Su-Bin Jeon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.1020-1021
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    • 2023
  • 장애인의 사회활동 증대는 개인의 삶의 질 향상 및 사회의 다양성과 포용성 증진에 중요하다. 특히 청각장애인은 환경적, 신체적 장애로 인해 사회적 접근성에 제한을 받는다. 이를 해결하기 위해 AR 글래스 기반의 NEAR를 개발하였다. NEAR는 음성자막 변환 및 위험 알람 기능을 제공하여 청각장애인의 사회활동 제약을 해소한다. STT 기능은 입력 음성을 텍스트로 변환하며, MFCC 기능은 다양한 상황의 소리를 감지하여 위험 알림을 제공한다. 이 연구는 청각장애인의 사회적 참여 향상 및 사회의 포용성 증진에 기여할 것으로 기대된다.

A Study of Social Meaning of Game Accessibility (게임접근성의 사회적 의미에 대한 연구)

  • Kim, Min-Kyu
    • Journal of Korea Game Society
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    • v.13 no.6
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    • pp.111-122
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    • 2013
  • In accordance with mandatory enforcement action of the Web Accessibility, Web accessibility is increasing interest in society. People are facing with disability situations, and the elder people are facing with disability situation more and more. 'Everyone' is faced with disability situations. The value of the universality of accessibility oriented. The game is typical of modern society and culture activities, but society in Korea is still recognized as a special minority cultures. To understand about conflict over the game, we access game accessibility as a Despotic conditions. Game Accessibility implies a social meaning ; Cultural values of universal access to games, literacy games, new business creation, contents accessibility.

Drug Treatment in Psychosomatic Disease (정신 신체의학에서 최신 치료 약물)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.133-142
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    • 2001
  • For treating various conditions of the psychosomatic disease, not only psychotropic drugs but also drugs used in internal medicine or other than psychiatric fields would be applied. So psychiatrists who are interested in psychosomatic medicine should make expanded knowledges of those medicine. And modalities of drug treatment should be modified according to the characteristics of illness behavior and disease concept which the patient have. Some drugs used in complementary medicine could be applied to the psychosomatic illness. For example, herbs and/or aromas which have some effects without serious adverse reactions could be used carefully to the patient. And the mode of action and efficacies of them should be evaluated by doctors.

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Adverse Effect of Newer Antidepressant : Nausea and Vomiting, Weight Gain, Sexual Dysfunction - Mechanisms, Epidemiology, and Pharmacological Management - (새로운 항우울제의 부작용: 오심 및 구토, 체중증가, 성 기능장애 - 발병기전, 역학, 약물학적 처치를 중심으로 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.81-92
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    • 2013
  • Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

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Effects of Traumatic Events on Posttraumatic Stress Disorder(PTSD), Burnout, Physical Symptoms, and Social and Occupational Functions in Korean Fire fighters (소방공무원의 외상후 스트레스장애가 정신신체적 증상에 미치는 상관관계)

  • Choi, Hea-kyung;Kim, Jee-hee
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.213-215
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    • 2010
  • 본 연구의 목적은 소방대원들의 외상사건 경험이 외상후 스트레스장애 증상, 정서적 탈진, 신체증상, 사회 및 직업기능에 미치는 영향을 파악하기 위해 이들 간의 관계를 설명하는 가설적 모형을 구축하고 검증하므로써 소방공무원의 근무여건 개선 및 외상후 스트레스 관리방안 마련을 위한 기초자료를 제공하고자 하였다. 전국의 소방공무원 2,167명을 대상으로 2008년 1월20일부터 2008년 2월 15일까지 이메일을 통한 설문조사를 실시하였으며, 연구 도구는 일반적 특성 및 근무특성 설문, 외상사건경험 설문, 사건충격척도(IES-R-K), 정서적 탈진척도(MBI), 신체증상 측정도구, 사회 및 직업기능척도(SOFAS)를 사용하였다.

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Effects of Traumatic Events on Posttraumatic Stress Disorder(PTSD), Burnout, Physical Symptoms, and Social and Occupational Functions in Korean Fire fighters (외상후 스트레스장애와 정신신체적 증상의 상관관계고찰)

  • Choi, Hea-Kyung;Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.582-583
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    • 2010
  • 본 연구의 목적은 소방대원들의 외상사건 경험이 외상후 스트레스장애 증상, 정서적 탈진, 신체증상, 사회 및 직업기능에 미치는 영향을 파악하기 위해 이들 간의 관계를 설명하는 가설적 모형을 구축하고 검증함으로써 소방공무원의 근무여건 개선 및 외상후 스트레스 관리방안 마련을 위한 기초자료를 제공하고자 하였다. 전국의 소방공무원 2,167명을 대상으로 2008년 1월20일부터 2008년 2월 15일까지 이메일을 통한 설문 조사를 실시하였으며, 연구도구는 일반적 특성 및 근무특성 설문, 외상사건경험 설문, 사건충격척도(IES-R-K), 정서적 탈진척도(MBI), 신체증상 측정도구, 사회 및 직업기능척도(SOFAS)를 사용하였다.

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