• Korean Journal of Psychosomatic Medicine
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• v.26 no.2
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• pp.112-118
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• 2018

Objectives : Delirium is one of the most common mental illnesses that can affect cognitive function. Melatonin has been shown to be effective in the treatment of insomnia, and recent studies have shown a protective effect to prevent delirium. This study was conducted to investigate the efficacy of melatonin in delirium patients. Methods : All patients were referred to psychiatric department for insomnia and symptoms of delirium, and were diagnosed delirium by the DSM-5 diagnostic criteria. We compared base line severity of delirium with K-DRS-R-98-R (Korean version of Delirium Rating Scale revised 98) and after taking 2mg of melatonin, retrospectively. The side effects were also identified by referring to the medical records. Results : A total 21 patients had taken melatonin for insomnia and delirious symptoms. The K-DRS-R-98 scores were decreased from $15.24{\pm}2.64$ before treatment to $6.57{\pm}5.42$ after treatment. And CGI-S scores were also decreased from $4.14{\pm}0.48$ before treatment to $2.81{\pm}0.93$ after treatment (p<0.05). Conclusions : This study illustrates the possibility of melatonin as an effective treatment option for delirious symptoms such as disorientation, motor agitation, lability of affect and hallucinations as well as insomnia, with less concerns of drug side effect. Further study with a larger sample and prospective design will be required to confirm these results.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.46-53
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• 2022

Objectives : This study aimed to assess the possible association of dental pain with suicidal ideation among adolescents by analysing data from the 2018 Korean Youth Risk Behavior Survey, a nationwide online survey. Methods : Of 62,823 adolescent middle and high school students in Korea, 60,040 participants were selected for analysis, after excluding cases with missing values. Participants were given a questionnaire about their self-evaluation of health including dental pain and suicidal ideation. Logistic regression analysis demonstrated the relationships between dental pain and suicidal ideation after controlling for potential confounding factors. Results : The proportion of Korean adolescents reporting suicidal ideation was 13.3%. The proportion of adolescents who experienced dental pain was 23.4%. Compared to adolescents who did not report dental pain, adolescents who reported experiencing dental pain were significantly more likely to experience suicidal ideation (OR=1.94, p<0.001). In two multivariate models, the relationships between dental pain and suicidal ideation (AOR=1.24, p<0.001) were statistically significant. Conclusions : Dental pain was associated with increased risk of suicidal ideation among Korean adolescents, even when controlling for sociodemographic factors and other health conditions. It is necessary to consider screening adolescent patients who present with dental pain for suicidal ideation.

• Korean Journal of Psychosomatic Medicine
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• v.17 no.2
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• pp.68-74
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• 2009

Objectives : Illness behavior is defined as the persistence of an adaptive/maladaptive mode of perceiving, evaluating and responding to health status and symptoms according to the status. In a cognitive aspect, somatizing symptoms are regarded as being originated from distortions, including magnification and/or amplification, of perceiving, evaluating and responding to symptoms such as bodily sensations. That is somatization may be explained by maladaptive illness behavior. In this study, we tried to investigate differences of illness behavior in depressive patient according to the presence of somatization. Methods : We divided 45 patients who were diagnosed as depression with ICD-10 diagnostic criteria into two groups(somatizing and non-somatizing group) according to the somatization subscale of Korean Depression Scale and compared two groups in the differences of illness behavior using the Illness Behavior Questionnaire. Results : Somatizing group showed significantly higher scores than non-somatizing group on the disease affirmation subscale($6.79{\pm}2.08$ vs. 4.76, p=0.003) and the denial subscale($3.25{\pm}1.22$ vs. $2.10{\pm}1.41$, p=0.006). There were no significant differences between two groups on the general hypochondriasis subscale and the affective unstability subscale. In a logistic regression analysis, somatizing group also showed higher odds ratio (OR) scores on the disease affirmation subscale(OR=1.418, p=0.089) and the denial subscale(OR=1.880, p=0.083). Conclusion : The disease affirmation and denial may be a discriminative mechanism of somatization in depressive patients. These subscales of Illness Behavior Questionnare could be useful markers, and psychiatric illnesses with somatizing and depressive symptoms may be differentially diagnosed and be predicted through these subscales.

• 월간산업보건
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• s.278
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• pp.40-45
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• 2011

• 가정의 벗
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• v.37 no.1 s.425
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• pp.16-17
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• 2004

우울증은 슬프거나 울적한 느낌이 신체에까지 영향을 끼쳐 개인이나 사회생활에 장애를 초래하는 것을 의미한다. 한의학에서는 이를 기울(氣鬱)이라 하며 억압되고 침울한 마음으로 생리기능이 침체되는 현상으로 이해하고 있다. 우울증을 바로 알고 예방하며 즐거운 마음을 갖고 건강한 생활이 되도록 해보자.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.617-626
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• 2015

This study examined the relationship between the physical activity levels and health care utilization in Korean elderly based on the data from The fifth Korean National Health and Nutrition Examination Survey (K-NHANES V). As a result, physically active participants were 0.54 times (OR;95% CI, p<0.001) less likely to use inpatient health care and 0.73 times (OR;95% CI, p=0.040) less likely to use outpatient health care and 0.75 times (OR;95% CI, p<0.007) less likely to use drugstores than physically inactive participants, and the frequency of health care use was lower. In addition, physically minimal active participants were 0.64 times (OR;95% CI, p<0.001) less likely to use inpatient health care than physically inactive participants; the frequency of other health care facilities was lower. In conclusion, the relationship between being physically active and lower health care utilization among Korean elderly identified in this study. This suggests that being physically active is helpful to the elderly, not only in health promotion and improving quality of life, but also in reduced medical expenditure.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.318-329
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• 2017

This study examined the physical self-concept and self-efficacy of undergraduates. Using the convenience sampling method of non-provability sampling, a total of 377 undergraduates from North Kyongsang Province G city were selected. Of the 377 completed questionnairescollected, a total of 354 surveys with structural equation modeling were analyzed using theSPSS 22.0 statistics program. The self-esteem, endurance, health, and flexibility factors have positive effects on improvingthe self-control efficacy factor of self-efficacy in the order of physical self-concept factors. On the other hand,the higher university students perceive that among the physical self-concepts, the physical activity factor had more negative effects on the self-regulated efficacy. The self-esteem, health, and muscle strength have positive effects on improvingthe confidence factor of self-efficacy in the order of physical self-concept factors. The more perceptive endurance than the appearance, sports competence, body fat, health, self-esteem, flexibility, muscle strength of physical self-concept, and the more influence on self-efficacy. Overall, the higher the perception of physical activity factors among the physical self-concept factors, the more negative effects on the task difficult preference.

• The Journal of the Korea Contents Association
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• v.12 no.2
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• pp.358-368
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• 2012

The purpose of this study was to discover the factors affecting on physical activity levels of community-dwelling older adults in Korea. The data was analyzed on 12,322 older adults, aged 65 or above, from the 2008 National Elderly Survey. The results of this study were as follows: First, 29.9% of older men and 46.4% of older women were classified as physically inactivity. Second, age(OR=1.44, p<.001), education(OR=1.17, p=.026), location of residence(OR=1.19, p=.016), perceived health status(OR=2.18, p<.001), chronic disease(OR=1.23, p=.020), pain(OR=1.24, p=.011), ADL(OR=1.86, p<.001), fear of fall(OR=1.26, p=.003), depression(OR=1.78, p<.001) predicted physical activity levels in older men. Age(OR=1.54, p<.001), perceived health status(OR=1.63, p<.001), pain(OR=1.45, p<.001), falling experience(OR=1.24, p=.001), ADL(OR=1.72, p<.001), depression(OR=1.46, p<.001) predicted physical activity levels in older women. It is suggested that the findings of this study are helpful to develop effective physical activity interventions for older adults.

• Trans-
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• v.4
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• pp.111-134
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• 2018

The purpose of this study is to understand the principles of Balletfit and its program structure and to establish Balletfit's effects on body shape change and postural correction. Interview, the most commonly used method of qualitative research, was chosen as the research method. Ten Balletfit class participants, who have attended private lessons twice per week, for three to six months period of time, were selected. These participants were chosen from participants of private lessons instead of group lessons for in-depth insights. The research was limited to a small group of participants and therefore, it is difficult to standardize the result. Also, because this study is based on the opinions of the participants, not by a posture measuring device, the accuracy of the result is limited as well. The followings are the conclusion of this research. First, the participation motive was either internet research or acquaintance's recommendation. Secondly, the effort to change the body shape. After experiencing Balletfit classes, the participants became aware of their body and made an effort to recover their posture by holding the stomach tight and sitting up correctly. Thirdly, their posture became ideal. Most participants became aware of what an ideal posture is and as their body became ideal, the participants also recovered their health by becoming aware of their inner and outer body. Lastly, they tend to prefer beautiful body line. After the experience, all participants became interested in the body line and preferred to build a beautiful body line with correct postures. The most significant effect of Balletfit was the body line. Therefore, the experience of Balletfit develops the inner and outer body awareness and also can be consider to effect the change of the body shape. Balletfit will become a satisfying exercise for modern people, who desire a beautiful, healthy body.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.38-45
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• 2022

Objectives : The purpose of this study is to analyze Mental health literacy in General population. Methods : We analyze the National Mental Health Literacy and Attitude Survey Data in 2021. We investigate 2016 general population and evaluate sociodemographic characteristics, Mental health literacy and stigma. We utilize 4 Case vignette which consist of Major Depressive Disorder, Schizophrenia, Alcohol Use Disorder and Suicidal Ideation. Results : Schizophrenia (27.6%) have the lower disease recognition compare to Major Depressive Disorder (43.8%) and Alcohol Use Disorder (61.7%) (p<0.001). The stigma of Alcohol use disorder (52.8%) is highest and the stigma of Schizophrenia (47.2%) is the second highest (p<0.001). Conclusions : The education and overcoming the stigma in Mental health is needed in Schizophrenia and Alcohol Use Disorder.