• Title/Summary/Keyword: 우울증 치료

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The Study of Psychiatric Problem of the Caregivers of Children with Disability (장애아동 양육자의 정신과적 문제에 관한 연구)

  • Kim, Hee-Jung;Kim, Dong-Hyun
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.137-147
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    • 2011
  • 본 연구는 일부지역 장애아동 양육자의 정신과적 문제를 알아보기 위해 우울증 지수를 검사하고 분석함으로서 그 심각성을 확인하고 장애아동 양육자의 정신보건의 필요성을 알리기 위한 기초자료를 제공하는 데 목적이 있다. 본 연구는 2011년 8월부터 9월까지 경주 및 인근지역에서 지적장애아동과 지체장애아동을 둔 전업주부의 정신과적 문제를 알아보기 위해 양육 스트레스로 인한 우울증 정도를 알아보았다. 연구대상자는 3개의 치료기관 및 치료 관련기관에서 지적장애 또는 지체장애 아동을 양육하고 있는 부모 각 20명씩을 대상으로 하였다. 우울증 평가도구는 한국형 우울증 검사(Korean Depression Scale; KDS)를 이용하였다. 결과는 첫째, 지적장애아동과 지체장애아동 양육자 모두 우울증이 있는 것으로 나타났고 각각의 차이 비교에는 유의성이 없었다. 둘째, 지적장애아동과 지체장애아동 양육자의 우울증 세부항목에서는 의욕상실 부분에서만 유의성이 있었다. 셋째, 지적장애아동 양육자의 우울증 세부항목간의 비교에서는 유의성이 있었다. 넷째, 지체장애아동 양육자의 우울증 세부항목간의 비교에서는 유의성이 있었다. 다섯째, 지적장애아동 양육자의 우울증과 세부항목의 상관관계에서는 의욕상실에서 유의한 상관성이 있었다. 여섯째, 지체장애아동 양육자의 우울증과 세부항목의 상관관계에서는 의욕상실에서 유의한 상관성이 있었다. 본 연구에서는 두 장애아동의 양육자간 차이는 없었으며 우울증은 장애유형에 상관없이 모두 나타났다. 그리고 세부항목과 우울증의 상관성에서는 의욕상실에서 유의한 상관성을 보였다. 이것은 장애아동의 양육에서 치료의 지연으로 인한 의욕상실에서 우울증이 많이 유발됨을 알 수 있다.

Clinical Efficacy of Repetitive Transcranial Magnetic Stimulation for Treatment of Depression and Latest Trends in TMS Techniques (반복 경두개자기자극술의 우울증 치료효과 및 최신동향에 대한 고찰)

  • Kim, Shin Tae;Kim, Hae Won;Kim, Se Joo;Kang, Jee In
    • Korean Journal of Biological Psychiatry
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    • v.24 no.3
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    • pp.95-109
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    • 2017
  • Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive neuromodulation technique which can change cortical excitability in targeted area by producing magnetic field pulses with an electromagnetic coil. rTMS treatment has been used to treat various neuropsychiatric disorders including depression. In this review, we evaluate the literature on rTMS for depression by assessing its efficacy on different subtypes of depression and different technical parameters. In particular, we focus on the results of randomized clinical trials and meta-analyses for depression after the US Food and Drug Administration approval in 2008, which acknowledged its efficacy and acceptability. We also review the new forms of rTMS therapy including deep TMS, theta-burst stimulation, and magnetic seizure therapy (MST) that have been under recent investigation. High frequency rTMS over left dorsolateral prefrontal cortex (DLPFC), low frequency rTMS over right DLPFC, or bilateral rTMS is shown to be effective and acceptable in treatment for patients with non-psychotic, unipolar depression either as monotherapy or adjuvant. Deep TMS, theta-burst stimulation and MST are promising new TMS techniques which warrant further research.

EEG-based Music therapy Expert System for Depressed patients (뇌파 측정을 통한 우울증 환자 음악 치료 시스템)

  • Lee, Eun-Mi;Lim, Won-Jun;Lee, Kang-Hee
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2014.07a
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    • pp.15-16
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    • 2014
  • 본 논문은 음악 치료 전문가들로부터 수집한 음악 치료 프로그램에 관한 지식과 규칙을 수집하여 구성된 전문가 시스템을 도입하여 자동으로 우울증 환자를 위한 추천 음악 치료 시스템을 설계하는 것을 목표로 한다. 제안한 시스템은 음악 치료 전문가들로부터 수집한 수많은 음악 치료 프로그램 중 뇌파 측정을 통해 환자에게 가장 효과적인 치료 프로그램을 선별하고 환자에게 제공하여 치료 효과를 극대화하는 것을 목표로 한다. 제안 시스템은 우울증 환자들의 치료를 위해 뇌파 측정을 입력 받아 분석하여 환자의 증상을 완화하고 치료 효과가 가장 좋은 음악 치료 프로그램을 선별하기 위해 인공 지능 기술들인 전문가 시스템(Expert System) 기법에 기반 한 음악 치료 시스템을 설계하고 제안한다.

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Effect of Untreated Depression in Adolescence on the Suicide Risk and Attempt in Male Young Adults (청소년기 치료받지 못한 우울증이 젊은 성인 남성의 자살 위험성 및 자살 시도에 미치는 영향)

  • Yang, Chan-Mo;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.29-35
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    • 2020
  • Objectives : Evidence regarding the association between untreated depression in adolescence and suicidal risk in male young adults is scarce. We aimed to assess the effect of untreated illness during adolescence on the suicidal risk and attempt after that first episode. Methods : As part of a cross-sectional study, between May 2017 and April 2018, a total of 260 patients with currently unipolar or bipolar depression were included in the final analysis. Multiple linear and logistic regression analysis were performed to evaluate the association between untreated mood disorder in adolescence and its effect on the suicidal risk and attempt. Results : In total 260 patients, 189 were classified as untreated group. The proportion of suicide attempts, total depression score, suicidal risk and number of suicide attempts were significantly higher in the untreated group. The most predictive factors of suicide attempts were history of untreated depression [Adjusted Odds Ratio (AOR)=4.19, 95% Confidence Interval (CI)=2.25-7.81, p<0.001] and diagnosis of bipolar depression (AOR=2.60, 95% CI=1.52-4.46, p<0.001). Conclusions : Although the untreated depression suggests higher rates of suicidality, a significant proportion (86.7%) of adolescent depression in this study did not receive psychiatric treatment. Future research should be needed to find better ways to decrease barriers in using mental health treatment and its contribution to reduction and prevention of adverse outcome.

Combined Impacts of Physical Activity and Exercise on Depression in Elderly People (규칙적인 신체활동과 운동중재가 노인의 우울증에 미치는 영향분석)

  • Jeong-Yoon Oh;Jeong-Ok Yang;Yi-Sub Kwak
    • Journal of Life Science
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    • v.34 no.3
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    • pp.208-213
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    • 2024
  • Depression is one of the greatest health concerns in the world. Symptoms include emotion disorders, loss of appetite, reduction in interest, and insomnia. The prevalence of depression is increasing rapidly around the world and in South Korea. Elderly people are vulnerable to depression, resulting in serious socioeconomic problems. Depression in the elderly can cause sleep disorders, cognitive impairment, memory impairment, and many other diseases. Additionally, depression can cause frailty, which is associated with increased falls, chronic diseases, and mortality. Therefore, this study empirically analyzed sleep disorders in relation to depression, the link between exercise and the hippocampus in mitigating depression, and physical activity and exercise in the management of depression for successful aging.

Effects on the Bibliotherapy for Depressed and Remark of Dotard Dementias Old Adults (독서치료가 경증 치매노인의 인지도와 우울증에 미치는 효과 - S 독서치료연구회 임상사례를 중심으로 -)

  • Hwang, In-Dam;Park, Joon-Shik
    • Journal of Korean Library and Information Science Society
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    • v.39 no.4
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    • pp.505-522
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    • 2008
  • This research aimed at the investigation of the effectiveness of bibliotherapy for depressed older adults from 90 to 65 years of age and older. For implementing the research, 12 subjects, aged 65 or over, were recruited from the community on a volunteer basis to participate in a bibliotherapy program. The score of MMSE-K, while there was no statistical significance in the score of SDS. Experiment results were analyzed via t-ananlysis. The analysis of hypothesis was revealed that the Depressed effectiveness of interactive Remark bibliotherapy was superior to that of reading bibliotherapy.

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Health Zone_부모 카운슬링 - 우울증 어른의 것 아니야 아이도 우울하다 소아청소년 우울증

  • Yang, Jae-Won
    • 건강소식
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    • v.36 no.6
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    • pp.30-31
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    • 2012
  • 최근 청소년들의 잇따른 자살 때문에 사회적 관심이 집중되고 있다. 특히 과도한 학업 스트레스와 미래에 대한 불안감, 왕따 현상 등이 청소년들을 위기로 몰아넣고 있다. 어른과 마찬가지로 청소년들에게도 좌절, 실망감, 상실감이 크면 우울증 등 정신건강의 문제가 나타날 수 있고, 그 빈도는 성인에서만큼 흔하다. 만약 일시적인 증상이라면 큰 문제가 아닐 수 있지만 지속적으로 문제가 된다면 정확한 평가와 빠른 치료가 필수다.

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A Study on the Effectiveness of Bibliotherapy on Depression in Early Retirees (조기퇴직자의 우울증 해소를 위한 독서치료 효과에 관한 연구)

  • Ku, Yeoun-Bai
    • Journal of the Korean Society for Library and Information Science
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    • v.43 no.2
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    • pp.253-275
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    • 2009
  • The purpose of this research is to investigate if bibliotherapy is effective for the retirees suffering from depression and enervation caused by early retirement in order to help them to accept their situations positively, lessen their illnesses and actively live new lives. The study used 15 people and executed 1:1 interview investigation among early retired employees from 45-years old to 56-years old. They were all inhabitants of the Kunsan area and visited the S University library, and used the S University library conference room for bibliotherapy. A. T. Beck's 'Beck Depression Inventory' (BDI) was used to collect the data for this research, and the before- and after-data analyses were performed.

Antidepressants in the Psychosomatic Disorders (정신신체 질환에서 항우울제)

  • Seo, Jeong-Seok;Moon, Seok-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.7-13
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    • 2007
  • Antidepressants are used by substantial number of physicians as well as psychiatrists. Antidepressants are the mainstay of treatment of depression combined with physical illness, neuropathic pain, and various psychosomatic disorders. Antidepressants, especially TCA and SSRI, are superior to placebo in treating comorbid depression and pain of physical illness. Although it has been controversial whether the influence of depression on the risk and outcome of physical illness is true, antidepressants would provide more favorable prognosis and better quality of life for the patients with physical illness.

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A Proposal of Emotion Recognition Mobile Application to Improve Depression in Young People (청년층의 우울증 개선을 위한 감정 인식 모바일 애플리케이션 제안)

  • Park, Jaewan;Choi, Bokgiu;Lee, Sangwon;Lee, Hyunju
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.594-606
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    • 2020
  • On the contrary to the steady rise of social problems about depression, only a few take care of mental health themselves due to their negative perception of psychotherapy. In this study, we propose service design and user interface design of mobile applications that introduce an automatic emotional recognition system to prevent leaving depression unattended. First, we have come up with improvements in the usability of existing apps through literature research and case analysis, and draw out Personas from surveys and in-depth interviews of young people. As an essential element of the design of the Depression Improvement Service, we recommend having three components: writing a diary to manage schedule, recognize users' emotional state through avatar management, and tracking down emotional points to improve the cognitive system. Through this proposal, we want to prevent the development of depression and help to resolve the changes in perception of depression and longitude depression on our own. Ultimately, we publicize the necessity of mental health care application design and expect to lower the personal and social costs for psychiatric care.