• Title/Summary/Keyword: 정서적 증상

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DEPRESSION IN CHILDREN - AN OVERVIEW AND THE DEVELOPMENTAL PERSPECTIVES ON CHILDREN IN DEPRESSION - (소아기 우울증 - 소아기 우울증의 개관과 발달학적 측면 -)

  • Kang, Kyung-Mi
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.3-11
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    • 1994
  • Childhood depression was not officially accepted as a separate diagnosis until 20-25years ago. Although DSM-III R criteria gave us a starting point and are gaining acceptances as a useful tool for diagnosing childhood depression recently, many professionals feel that additional modifications are needed to better reflect the developmental aspects of children. And because children are relatively poor in expressing their moods or feelings due to weak reality sence and/or cognitive and linguistic limitations, the author too carefully suggest that developmental perspectives of children should be considered in diagnosing childhood depression. Little is known about the extent to which childhood depression precedes adult depression and persists into adult life and about the impact of it on the personality formation. Some evidences that childhood depressive symtoms can be quite enduring make it important to make an early diagnosis and treatment.

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The Development and Effectiveness Verification of Integrative Psychotherapy Program for Relieving Depression among the Symptoms of Conversion Disorder : For Elderly Women in their 60s (전환장애 증상 중 우울감 감소를 위한 통합심리학적 치료 프로그램 개발 및 효과성 검증: 60대 노년 여성 대상)

  • Hwang, Tamija;Lee, Min Sun
    • Journal of Digital Convergence
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    • v.22 no.2
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    • pp.11-20
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    • 2024
  • The aim of this study was to develop a group counseling program as an integrative psychotherapy program to alleviate depression and physical symptoms of 22 women in 60s who experience depression as a symptom of conversion disorder and also tried to prove the effectivity of the program by using comparative analyze of pre-post changes. The Korean-style Elderly Depression Test(K-GDS), Symptom Interpretation Questionnaire(SIQ), Hamilton Depression Assessment Scale Questionnaire, PHQ-9 and interpersonal relationship scale (RCS) were conducted and pre-post-corresponding sample t-test, correlation analysis and multiple regression analysis were performed. The results showed depression reduction, physical symptoms alleviation, decreases in negative emotions and beliefs, and positive changes in interpersonal relationships. The implications and limitations of this study were discussed.

Self-Differentiation and Mental Health of Elderly Couples (노년기 부부의 자기분화와 정신건강에 관한 연구)

  • Lee, Juyeon;Chung, Hyejeong
    • 한국노년학
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    • v.29 no.4
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    • pp.1629-1644
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    • 2009
  • This study was to examine the relationship between self-differentiation and mental health of elderly couples. This study also tries to investigate the effect of self-differentiation on mental health. Data were collected using self-administered questionnaire method with 271 elderly couples over 55 years old who lived in Chollabuk-Do province. The results showed that first, there was no significant difference in the level of total self-differentiation between husbands and wives. While the level of mental health(depression, somatization) were higher for wives than for husbands. Second, both husbands' and wives' mental health were negatively correlated with self-differentiation. Finally, results of multiple regression analyses showed that both husbands' and wives' mental health were negatively influenced by self-differentiation. Specifically, the variable significant affecting the husbands' mental health was the emotional reactivity of self-differentiation and the variable significant wives' mental health was the emotional cut-off of self-differentiation. These findings confirmed the concept of self-differentiation in applying to mental health of elderly couples.

A Comparison of Needs for Hospice Care between Families of Children and Adult with Cancer (암 환아 및 암 환자 가족의 호스피스 요구도 비교)

  • Kang, Kyung-Ah;Kim, Shin-Jeong
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.216-223
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    • 2005
  • Purpose: The purpose of this study was to compare the need for hospice care between families of children and adults with cancer. Methods: The data was collected from 190 families of children and adult with cancer using self-rating questionnaires from December, 2004 to February, 2005. Data was analyzed using SPSS/Win program by Mean, SD and t-test. Results: The mean score of the need for hospice care in families of children with cancer was greater significantly than in families of adults with cancer (t=-2.126, P=.035). The scores of two factors among the five factors evaluated for the need for hospice care were different significantly. The mean score of control of major terminal physical symptoms' in families of children with cancer was greater significantly than the mean score of adults with cancer (t=-2.165, P=.032). The mean score of 'spiritual care to prepare for death' in families of adults with cancer was greater significantly than the mean score of children with cancer (t=-2.380, P=.018). Conclusion: For improving the quality of life for both patients and families, the hospice service program needs to consider the life cycle of patients.

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Differences in Cognitive and Psychological Characteristics of Psychiatric Patients with Military Service Issues versus General Psychiatric Outpatients (군 복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군과 일반 외래 환자군의 인지적 및 심리적 특성의 차이)

  • Shim, Seungyun;Choi, Junho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.143-154
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    • 2020
  • Objectives : The purpose of this study was to examine cognitive and psychological characteristics of patients with military service suitability issues compared to the general psychiatric outpatients. Methods : 108 patients who visited psychiatric clinic center due to military service suitability issues and 80 general psychiatric patients were recruited from the Department of Psychiatry of university hospital. ANCOVA and chi-equare test were used to examine differences between two groups. Furthermore, we utilized paired t-test to compare the scrore within military group depending on when they performed the psychological assessment. Results : There were no significant differences between military group and general outpatient group in WAIS-IV scores. However, military group scored remarkably higher than control group on validity scales, F-r and Fp-r whereas they scored lower on validity scale, K-r. Furthermore, military group showed significantly higher on BDI and MMPI-2-RF, EID, RCd, RC2, RC3, COG, HLP, SFD, NFC, STW, SAVE, SHY, DSF, NEGE-r, INTR-r. As a result of comparison within the military group following the periods of assessment, military group did not show the significant differences on the overall scales of MMPI-2-RF. Conclusions : The present study showed that military group tends to report their psychological distress more exaggeratedly. In addition, they had significantly elevated not only emotional distress such as depression and anxiety but interpersonal problem. The implications and limitations were discussed along with some suggestions for the future studies.

Three Cases of Menopausal Hot Flush and Sweating Treated by Ascending Kidney Water and Descending Heart Fire (AKDH) Pharmacopuncture Treatment (약침을 이용한 수화조절법으로 호전된 갱년기 상열감 및 발한과다 환자 치험 3례)

  • Jo, Na-Young;Roh, Jeong-Du
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.2
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    • pp.193-203
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    • 2015
  • Objectives : The purpose of this study is to evaluate the clinical effects of ascending kidney water and descending heart fire pharmacopuncture treatment for hot flush and sweating. Methods : Ascending kidney water and descending heart fire pharmacopuncture is achieved by injecting pharmacopuncture on a specific acupoint to change from the state of water-fire disharmony to harmonious state. Hwangryunhaedok-tang (黃連解毒湯) pharmacopuncture is injected on both side Gyeonjeong (GB 21 ), Pungji (GB 20 ). Total 0.4 cc was injected by 0.1 cc each point. BUM (Bear’s gall bladder, ox bezoar and musk) pharmacopuncture is injected on both side Jeonjung (CV 17 ), Jungwan (CV 12 ), Gihae (CV 6 ). Total 0.15 cc was injected by 0.05 cc each point. Treatment was done daily. The method of evaluation are Hot Flush Score (HFS), VAS and sweating areas. Results : In case 1, after treatment hot flush score was reduced from 24 to 4 points. VAS scale was reduced from 7 to 2. It took about two weeks for the symptoms to decrease by half. Associated symptoms almost did not stay at discharge. In case 2, after treatment hot flush score was reduced from 28 to 2 points. VAS scale was reduced from 10 to 3. And emotional symptoms were reduced about 70%. In case 3, after treatment hot flush score was reduced from 8 to 1 points. VAS scale was reduced from 6 to 1. And headache and chest discomfort symptoms have disappeared. Conclusions : Ascending kidney water and descending heart fire pharmacopuncture treatment is effective for improve ascending kidney water and descending heart fire energy. Therefore, it will be used to alleviate hot flush and sweating.

Manifestation of Affect States Across Daily Interpersonal Contexts Depending on the levels of Adolescent Depression (일상생활에서 나타나는 청소년기 우울증의 정서적 증상 - 대인맥락 변화를 중심으로 -)

  • Lee Meery;Kim Jinhan
    • Journal of the Korean Home Economics Association
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    • v.43 no.5 s.207
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    • pp.81-91
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    • 2005
  • The goal of this study was to investigate the daily manifestation of positive and negative affect states of early adolescent depression across daily interpersonal contexts. Forty-five boys and 44 girls in the second `year of middle schools participated and were classified into 3 groups according to CDI scores. Among 89 students 59 students in the highest or the lowest CDI groups continued to participate in the next step of this study. Using the Experience Sampling Method(ESM), the 59 students reported their affect states 6 times per day across four daily interpersonal contexts: the contexts alone, with all classmates, with a few friends, and with family members. The major findings were as follows. frst, the high CDI group felt more worried, angrier, more hurried, less happy, less interested, less control, and less relaxed than the low CDI adolescent group. Second, the negative affect states of the high CDI adolescent group did not vary across the interpersonal contexts, whereas their positive affect states were the highest in the context with a few friends. Implications of the findings were discussed in illuminating the phenomenology of adolescent depression.

Cognitive behavior intervention for critical incident stress management in fire fighters in Korea (소방공무원의 위기상황 스트레스 관리를 위한 인지행동 개입과 대책)

  • Lee, Eun-Jung;Kim, Jee-Hee
    • Journal of the Korea Convergence Society
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    • v.6 no.2
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    • pp.13-18
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    • 2015
  • The purpose of the study is to investigate the predisposing factors of posttraumatic stress disorder (PTSD) in fire fighters in Korea and to suggest the program development and solution to the critical incident stress management (CISM) in the future. PTSD is characterized by invasion, withdrawal, negative change of cognition and mood, and hypersensitivity. Trauma memory includes explicit memory and implicit memory. The explicit memory is conscious, cognitive, and descriptive and is controlled by hippocampus. The data of explicit memory have inhibitive and narrative language structure. The implicit memory is inconscious, emotional, and remembered by the body. The implicit memory is controlled by amygdala and has inexpressive language structure. The deletion of implicit memory is the key point to trauma treatment. Critical incident stress management (CISM) is the approach for the solution of PTSD. In conclusion, the essential goal of CISM is the psychological cessation of PTSD. This study tried to suggest the education program development of PTSD.

Group Bibliotherapy for Improving the Self-esteem of Middle-aged Women (중년여성들의 자존감 향상을 위한 집단 독서치료)

  • Lee, Myeong-Hee
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.3
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    • pp.109-132
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    • 2017
  • This study analyzed the phenomenological research method of Giorgi in order to understand the changes in the self-esteem of middle-aged women through group bibliotherapy. During this study, 12 sessions were conducted for six middle-aged women, and the participants' statements in the recorded files were analyzed and integrated into 221 semantic units, 16 sub-situations/topics, 6 situations/topics, and 3 groups. During the research, the participants suffered from neurosis symptoms due to family difficulties. Nevertheless, bibliotherapy showed favorable results; the use of picture books and thus the interaction between the participants led to positive, emotional and psychological responses. Furthermore, from the study, it was concluded that religious life played an important role in healing the participants' wounds.

How depression affects girls who experienced violence in home or at school: Using mixed model (아동·청소년기 여학생의 가정 및 학교 폭력이 우울에 미치는 영향 : 혼합모형을 이용한 종단자료 분석)

  • Min, Dae Kee;Choi, Mi Kyung
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.1
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    • pp.101-110
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    • 2016
  • Depression is a mental symptoms that accompany psychological symptoms such as anxiety, gloom, a sense of failure, helplessness as well as a physical symptoms that shows in the adaption process of stress. Depression may result in cognitive, emotional, and behavioral disorders in accordance with individual experience. In particular, the depression when growing lowers the concentration on studies of children and adolescents and also increases the violence and interpersonal problems causes a serious loss to individuals and society. This study analyzed the longitudinal data using mixed models to investigate how depression affects girls who experienced violence in home or at school.