• Title/Summary/Keyword: 심리진단

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Full mouth rehabilitation of fully edentulous patient with implant-supported fixed prosthesis preceding bone graft: A case report (전악 무치악 환자에서 골이식술을 선행한 임플란트 고정성 보철 수복 증례)

  • An, Ju-Nam;Lee, Jung-Jin;Seo, Jae-Min;Kim, Kyoung-A
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.77-87
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    • 2018
  • Prosthetic treatment using implants in fully edentulous patients includes implant-supported fixed prosthesis, implant hybrid prosthesis, implant retained- or supported-over-denture and implant supported fixed prosthesis has advantages such as psychological stability, pronunciation. If an implant supported fixed prosthesis is planned, the implants should be placed in consideration of pronunciation, esthetics, and oral hygiene. For this, clinical and radiological diagnosis is indispensable. When placing the prosthetic driven implant at the site determined from the diagnosis, a sufficient amount of alveolar bone and soft tissue support are required. If these requirements found to be insufficient, a wide range of bone grafting should be performed in advance. In this case, a fully edentulous patient with severe alveolar bone resorption due to periodontal disease was treated with a full mouth rehabilitation using implant-supported fixed prosthesis preceding maxillary sinus graft and alveolar bone augmentation. We report this patient were satisfied with esthetic and function.

A study on the graphology in Korean based on relationship with personality types (한글에 대한 필적분석과 성격유형과의 관계성에 대한 연구)

  • Han, Sang-Deog;Han, Seung-Hee;Jeong, Yang-Kwon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.5
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    • pp.703-711
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    • 2013
  • The effort for identifying personal information for example one's personality, based on one's handwriting has been continued in foreign countries, however, there is no research on the graphology for Korean in Korea. In the area of handwriting analysis, of course, they have made attempts to identifying people depended on expert's individual ability or judgment. For these reasons, the academic approach is needed for the graphology for Korean. In this thesis, we performed the frequency analysis, test of difference, cross tabulation analysis, factor analysis, correlation analysis, regression analysis and logistic regression analysis by using the data on the test of personality diagnosis based on 5 factors method and writing habits such as the size and slope of letters for 339 adults. It can be shown that the 5 factors method has high consistency and reliability, so we accept these 5 factors as the personalities. In cross tabulation analysis, it is found that there is significant relationship between sex and the size of letters, hometown and the margin, job and habit. The correlations between 5 factors are very high and we can find the useful relationships between 5 factors and writing habit through regression analysis and correlation analysis. It is difficult and impossible to compare the Graphology between English and Korean because there are various interpretations and structures of Korean that is much different from those of English. But it is very important to try to test and analyze the Graphology in Korean to found the basic theories at the present stage when there is no research on the graphology for Korean.

Clinical Characteristics of Psychiatric Patients with Military Issues Using MMPI-2-RF (군복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군의 MMPI-2-RF 프로파일)

  • Sung, Gyhye;Park, Ji-Hyun;Kim, Keun-Hyang;Lee, Sang-Hyuk;Park, Eun-Hee;Choi, Ji Young
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.33-45
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    • 2017
  • Objectives : The purpose of this study was to examine psychological characteristics of patients who visited psychiatric clinic for medical certificate for military service using MMPI-2-RF. We compared target group with general psychiatric patients with same age range. Methods : A total of 165 male patients for medical certificate and 154 general psychiatric patients were collected from the Department of Psychiatry of three university hospitals. There were significant differences of age and educational level between two groups. We used independent t-test, ANCOVA, ${\chi}^2$ test to examine differences between two groups. Results : Medical certificate group scored higher on the validity scales, the Higher-Order(H-O) scales, the Restructured Clinical(RC) Scales, the Specific Problems(SP) Scales, and the Personality Psychopathology Five (PSY-5) Scales. Especially, EID, RC7, HLP, SFD, SAV, SHY, DSF, and INTR-r showed significant differences between two groups on all three statistical tests. Conclusions : The present study showed that psychiatric patients who received psychological evaluation for military service have significantly higher emotional distress, helplessness, lower self-confidence, and lower quality of interpersonal relationships. And the difference of validity scales between two groups could be related with psychological burden of compulsory military service in the study sample which causes elevation on scales of infrequent responses. MMPI-2-RF would be helpful instrument to assess these emotional and psychological characteristics.

The awareness and coping of human suffering in the "PTSD era": Searching for an alternative paradigm of trauma recovery ('PTSD 시대'의 고통 인식과 대응: 외상 회복의 대안 패러다임 모색)

  • Choi, Hyunjung
    • Korean Journal of Cognitive Science
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    • v.26 no.2
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    • pp.167-207
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    • 2015
  • This study focused on the awareness and coping methods of psychological trauma and human suffering in the contemporary era after the development of posttraumatic stress disorder(PTSD) including the situations in the Korean society, and proposed principles for an alternative paradigm of trauma recovery. Trauma is defined as an 'external' stress causing chronic suffering mediated by memory, and the American Psychiatric Association approved PTSD in the Diagnostic and Statistical Manual of Mental Disorders in 1980. The development of PTSD empowered moral legitimacy to the victims, opened a successful way to treatment, and accomplished explosive amount of research in the area of neurobiology and cognitive neuroscience. However, this also narrowed the understanding of human suffering, and the importance of an alternative coping method which overcomes the limitations of technical intervention became overlooked. Moreover, the Korean society has an underlying mechanism of replacing the matter of trauma to a problem of an individual. This is shown among the historical context of splitting and denial, and among medicalized bureaucracy. Trauma should be acknowledged as a social suffering, and searching for an alternative paradigm is in need. This study suggested the following principles; seeking for truth and justice, survivor as the agent of recovery emphasizing the responsibility of the community, ecological adaptations of recent bio-psychological achievements, and finally putting emphasis on continuous discussions about the definition of recovery.

A Case of Congenital Nephrogenic Diabetes Insipidus Confirmed by Gene Analysis (유전자 분석검사로 확진된 선천성 신성 요붕증 1례)

  • Cho, Eun Young;Oh, Jin Hee;Koh, Dae Kyun
    • Clinical and Experimental Pediatrics
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    • v.48 no.6
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    • pp.669-674
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    • 2005
  • Nephrogenic diabetes insipidus (NDI) is a disorder in which the secretion of antidiuretic hormone is normal, but the response of the renal collecting tubules to vasopressin is impaired. Compared with acquired NDI (a-NDI), which is secondary to chronic bilateral incomplete urinary tract obstruction with hydronephrosis, congenital NDI (c-NDI) is a very rare heritable disorder that usually follows the X- linked recessive pattern. Clinical symptoms of c-NDI can be non specific, and often the disease ultimately results in failure to thrive, or mental retardation. Recently, the diagnosis can be confirmed by direct sequencing analysis of the peripheral blood specimens. The long-term results of treatment for c-NDI are not satisfactory. Reports on the follow up of c-NDI cases are rare and there is no report on the cases treated with combinations of three drugs. We report herein a case of severe c-NDI in an 8 year-old-boy with a severely dysconfigurated urinary tract system. The patient and his mother showed a frameshift mutation on the AVPR2 gene on chromosome Xq28:.847_851delTGCTG (p.C283fsX90). The patient showed normal growth and development by treatment with combinations of hydrochlorothiazide ($65mg/m^2$), amiloride (0.3 mg/kg/d) and indomethacin ($100mg/m^2$), yet after five years he needed adjuvant cystostomy to relieve him from the residual symptoms of urgency with polyuria.

A PILOT STUDY FOR THE EMOTIONAL CHARACTERISTICS OF THE SIBLINGS OF CHILDREN WITH AUTISM (자폐증 환자의 형제 및 자매의 정서적 특성에 대한 예비연구)

  • Hong, Sung-Do;Kim, Ji-Hae;Shim, Se-Hoon;Oh, Chang-Guen
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.75-81
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    • 2004
  • Objectives:This study was designed to compare the emotional/behavioral characteristics between the siblings of children with autism and normally developing children. Methods:The subjects were 34 children between 10 and 16 years of age, 17 siblings of children with autism, 17 siblings of nonhandicapped children. Both groups performed CDI(Kovacs' Children Depression Inventory), RCMAS(Revised Chidren's Manifest Anxiety Scale), SPPC(Self-Perception Profile for Children), Self-esteem scale. Their mothers performed K-CBCL(Korean -Child Behavior Checklist). The results of those test were analysed by Student's-test. Results:Both social competence and total social competence subsclae scores were significantly lower in sibling group of children with autism than in control group. However, each group was not significantly different on the scores of internalizing symptom, externalizing symptom subscale of CBCL, CDI, RCMAS, Self-Perception Profile and Self-esteem scale. Conclusion : Siblings of children with autism had a lower social competence than normal control group. Group comparisons indicated that siblings of children with autism and normal children did not differ on any self-report measures such as anxiety, depression, self-concept and self-esteem. Further research using more subjects will be needed.

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COMPARATIVE STUDY OF RORSCHACH RESPONSE CHARACTERISTICS BETWEEN ADHD WITHOUT DEPRESSION AND ADHD WITH DEPRESSION (우울 동반 여부에 따른 ADHD의 Rorschach 반응 특성 비교)

  • Lee, Sun-Mi;Lee, Moon-Suk;Cho, Eun-Cheong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.2
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    • pp.174-182
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    • 2003
  • Objective:Present study compared the Rorschach responses characteristics between ADHD without depression and ADHD with depression. Method:60 children diagnosed ADHD(30 ADHD without depression and 30 ADHD with depression) were assessed with The Rorschach. Responses characteristics between two groups were compared by t test and ${\chi}^2$ test. Results:ADHD without depression had more Rorschach response ration and frequency, with statical significance, in m, M-, DV, (3r+(2)/R>.44 and Fr+rF=0, OR(3r+(2)/R>.33)=YES, pure H<2=YES, H+(H)+Hd+(Hd), FQ none, Sc than ADHD with depression. ADHD with depression had more Rorschach response ration and frequency, with statical significance, in p, H+(H)+Hd+(Hd), (Hd), M than ADHD without depression. Conclusion:This results suggest that we had better consider the impulsivity of idation and cognition for ADHD without depression, preferred introversive coping style for ADHD with depression in diagnosing and intervening.

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A Systematic Review on the Intervention Program of Smartphone Addiction (스마트폰 중독의 중재 프로그램에 관한 체계적 고찰)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.276-288
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    • 2020
  • This study analyzed the intervention program of smartphone addiction. The literature used for this research analysis was published from Jan. 2010 to Jul. 2019. The foreign literature was searched for in 'Pubmed and Science Direct', and the domestic literature was found in 'RISS, Keris, and KISS'. A total of 310 studies were found and analyzed on the basis of our inclusion and exclusion criteria. Finally, 16 theses were analyzed. Thirteen theses (81%) meet the required evidence level, and three theses (19%) had level III. As a result of analysis on the intervention methods of smartphone addiction, art therapy was found in 6 theses (37.5%), exercise therapy in four theses (25.0%), and cognitive behavior therapy in three theses (18.6%). After the intervention of most of the programs, there were reduced withdrawal symptoms of smartphone addiction, reduced negative feelings like depression, anxiety, and impulsiveness, and increased positive feelings like self-esteem. A smartphone addiction evaluation scale was mostly applied in terms of the evaluated items, along with psychological evaluation. These studies are expected to be effectively used as intervention tools for treating smartphone addiction.

Care-giver Satisfaction of Language Therapy in Children with a Diagnosis of Autism (자폐 장애 아동 보호자의 언어치료 교육 서비스 만족도에 대한 실태조사)

  • Kim, Jung-Wan
    • The Journal of the Korea Contents Association
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    • v.11 no.3
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    • pp.327-338
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    • 2011
  • This study was conducted to determine the degree of satisfaction and the demand for the current education service of language therapy. We surveyed a total of fifty two nurturers of children who had been diagnosed as autistic. A three-part questionnaire that covered the environment of the therapy institution (7 questions), the programs provided by the Speech-Language Pathologist (7 questions) and the degree of satisfaction and the demand for therapy education (7 questions) was used. The study results showed, in the area of the institution environment for therapy education, that the degree of satisfaction was highest for Social Welfare Center users due to the therapy costs. The level of satisfaction then decreased in the order of private clinic users and general hospital users. However, in the area of education programs provided by Speech-Language Pathologists, it was highest for the users of general hospitals due to the proper contents of the programs and consulting service. The satisfaction level then decreased in the order of private clinic users and Social Welfare Center users. Regarding the level of satisfaction with therapy education and related demand, the degree of satisfaction with language therapy and all therapy education services was generally satisfactory. After the language therapy, the children showed considerable improvement in their living skills (60% of survey respondents) and psychological stability (stress reduction, 30% of the total survey respondents). Regarding the future demand for therapy education, the degree of demand was high for the individual and group language therapy education service. In summary, the results of this study uncovered a number of problems related to services provided by language therapy education institutions and suggested various implications that Speech-Language Pathologists and relevant professionals should endeavor to use so as to enhance the satisfaction level of therapy education for autistic children.

Psychogenic Dizziness for Psychiatrists in Korea (정신건강의학과 의사를 위한 심인성 어지럼)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.9-19
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    • 2016
  • Many patients with dizziness present with a symptom pattern that does not reveal the cause by neurotologic diagnostic approaches. In such cases, the physician frequently diagnoses psychogenic dizziness. Psychogenic dizziness is not characterized by true vertigo, and occurs in combination with other psychiatric symptom cluster. One out of two to four patients with dizziness are psychogenic dizziness. But there are few concern about this including clinical practice and study in Korea. I wrote this paper to increase concerning and attending to this for psychiatrists in Korea. I reviewed etiology including biological and psychological relations between dizziness and psychiatric disorder(especially anxiety), diagnostic approaches of, characteristics of dizziness of various psychiatric disorders related to, and the treatment of psychogenic dizziness. I also briefly reviewed the central and peripheral dizziness for psychiatrists. I suggest psychiatrists and clinicians in the psychosomatic field in Korea to acknowledge, concern, and attend to psychogenic dizziness. In turn, it will be helpful to well treat the patients with psychogenic dizziness.