• 제목/요약/키워드: Alcohol use disorder

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남자 청소년의 약물사용 위험성에 관한 연구 (A Study on the Risk of Drug Use by Male Adolescents)

  • 김현미;안효자;손정태
    • 기본간호학회지
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    • 제14권4호
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    • pp.524-535
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    • 2007
  • Purpose: The purpose was to identify the risk of drug use by adolescents. Method: The participants were 933 male students in the first grade of a high school in D city. The data were collected from Aug. 5th to Oct. 30th, 2004. The instrument was the High Risk Group Adolescent Drug User Screening Test(HIRIGADUST) developed by the Korea Adolescent Society(1996). The data were analyzed using SPSS. Results: For substance use, 64.5% of the students answered that they had drunk, 40.3% that they had smoked, and 2.0% that they had tried drug use. For scores on HIRIGADUST regarding socio-demographic characteristics, there were significant differences depending on school type, personality, academic performance, economic status, and ability to talk with parents. For scores on HIRIGADUST regarding drug using-related characteristics, there were significant differences depending on drinking experience, frequency of drinking, amount of alcohol intake, smoking experience and number of cigarettes smoked. Of the students 27.2% students were in the high risk group. Conclusion: In schools, systematic and intensive assessment of drug use should be done, and if needed, a service system connected to clinics specializing in drug addiction should be established. Prevention education should be carried out continuously.

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직장 여성의 불안, 충동성과 음주문제 (Anxiety, Impulsiveness, and Drinking Problems in Employed Women)

  • 이현재;한덕현;이영식;기백석;권해진;박두병
    • 대한불안의학회지
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    • 제7권2호
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    • pp.73-78
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    • 2011
  • 본 연구 결과 여성에서의 문제음주와 알코올 의존 비율이 남성보다는 적지만 9.8%로 상당수의 여성들이 알코올 문제를 겪고 있음을 알 수 있었다. 그리고 직장 생활을 하는 여성에서 음주 노출 기회가 더 많고, 실제로 음주에 대한 문제가 더 많이 발생하며 이는 여성의 상태불안과 충동성과 관계가 있다. 여성에서는 직업을 가짐으로써 음주 노출기회가 많아지고 직장 생활에서의 불안 및 충동성이 문제 음주를 일으키는 원인이 될 수 있음을 예상해 볼 수 있겠다. 따라서 직장 여성의 음주 노출 기회와 불안 및 충동성 조절이 음주 위험 요소의 중요한 조절 요인으로 생각된다.

미디어 노출에 의한 간접외상이 외상 후 스트레스 증상에 미치는 영향 : 온라인 설문 조사 연구 (Impact of Indirect Trauma via Media on Post-Traumatic Stress Symptoms : Online Survey Study)

  • 박상의;정유지;이정현
    • 대한불안의학회지
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    • 제14권2호
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    • pp.71-79
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    • 2018
  • Objective : Several earlier studies have reported similar symptoms in patients with posttraumatic stress disorder (PTSD) who have been repeatedly exposed to relevant media after disasters and trauma. This study aimed to examine the effects of indirect trauma experience through media rather than direct traumatic events on an individual's social life. Methods : Five hundred and fifty-four individuals participated in our online, self-reported questionnaire survey. All subjects were asked to complete a demographic questionnaire, Posttraumatic Diagnostic Scale, Beck Depression Inventory, the Impact of Event Scale-Revised, State-Trait Anxiety Inventory, Korean version of Alcohol Use Disorder Identification Test, Patient Health Questionnaire-15, Suicidal Behaviors Questionnaire-Revised. Participants were assessed in regards to their experience of violent media exposure within the past three months. Results : Data from our study indicates that the group exposed to violent media had significantly higher perceived stress, physical symptoms, insomnia, and suicide ideation in comparison to the control group. Among the major symptoms of PTSD, the proportion of intrusion symptoms was relatively high in the media exposed group. Conclusion : This suggests that indirect trauma caused by media exposure could cause post-traumatic stress symptoms. The PTSD caused by indirect trauma may have slight differences from the PTSD caused by direct trauma. Therefore, it is necessary to understand, prevent, and control the adverse effects of media.

충남지역 일부 산업체 근로자의 알코올섭취 수준에 따른 건강관리 실천, 식행동 및 영양소 섭취상태 비교 (Comparison of health care practice, dietary behavior, and nutrient intakes, considering the alcohol drinking status of industrial workers in the Chungnam area)

  • 박건희;노정옥
    • Journal of Nutrition and Health
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    • 제54권3호
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    • pp.277-291
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    • 2021
  • 본 연구는 2019년 7월 충남지역 220명의 산업체 남성근로자를 대상으로 건강관리 실천, 식행동 및 영양소섭취실태를 조사하였으며, 그 결과를 요약하면 다음과 같다. 알코올의존도 분석 결과, '정상음주군'은 84명(38.2%), '문제음주군' 45명 (20.4%), '알코올의존 I군' 60명 (27.3%), '알코올의존 II군' 31명 (14.1%)이었다. 조사대상자의 평균연령은 45.42 ± 10.63세이며, 연령이 높아질수록 알코올의존도가 유의적으로 낮아졌다. 건강관리 실천의 총점은 50점 중 34.66점, 평균값은 3.47점이었다. 알코올의존도에 따라 '정상음주군', '문제음주군', '알코올의존 I군', '알코올의존 II군'의 순으로 건강관리 실천 수준이 유의하게 낮아졌다. 하위항목 중 '매일 2 L이상의 수준을 섭취하고 있다'는 '문제음주군'이, '평소 6시간 이상의 충분한 수면을 한다', '나는 긍정적인 생활습관을 가지고 있다', '적정한 체형유지를 위해 노력한다', '가까운 거리는 차를 이용하지 않고 걸어 다닌다', '전반적으로 건강하다'는 '정상음주군'이 유의적으로 높았다. 식행동의 총점은 65점 중 44.71점, 평균값은 3.44점이었다. 알코올의존도에 따라 '정상음주군', '문제음주군', '알코올의존 I군', '알코올의존 II군'의 순으로 알코올의존수준이 높아 질수록 식행동 수준이 유의하게 낮아졌다. '식사할 때 소금이나 간장을 넣지 않는다'와 '채소를 먹는 습관이 중요하다'는 '문제음주군'이 유의적으로 높았으나, '식사할 때 채소를 골고루 먹는다', '평소 과일을 자주 먹는다', '식사할 때 과식하지 않는다', '식사 전에 손을 깨끗이 씻는다', '식사 후에 양치질을 한다'는 '정상음주군'이 유의적으로 높았다. 영양소섭취량은 '알코올의존 I군'의 '에너지' (2,472.48 kcal), '비타민 E' (23.98 mg), '비타민 C' (69.05 mg), '니아신' (17.56 mg) 섭취량이 유의적으로 높았다. 관련요인 및 영양소섭취상태 간의 상관관계에서 '연령'은 '알코올의존도'와 음의 상관관계 (r = -0.213), '알코올의존도'는 '건강관리 실천' (r = -0.212), '식행동' (r = -0.199)과 음의 상관관계, '건강관리 실천'은 '식행동' (r = 0.526)과 양의 상관관계를 보였다. '알코올의존도'는 '에너지' (r = 0.168), '수분' (r = 0.160)과 양의 상관관계, '건강관리 실천'은 '칼슘'과 양의 상관관계 (r = 0.138), '식행동'은 '칼슘' (r =0.139), '비타민 C' (r = 0.148), '리보플라빈' (r = 0.140), '엽산' (r = 0.136)과 양의 상관관계를 보였다. 이상의 결과, 충남지역 산업체 남성근로자의 문제음주자 비율이 높은 수준으로 근로자의 건강관리실천, 식행동 및 영양소섭취에 영향을 주고 있었다. 특히, 알코올의존도가 높을수록 모든 지표가 낮게 나타났다. 따라서 근로자들의 건강유지와 근무만족도를 높일 수 있는 음주교육 및 건강 프로그램의 시행이 요구된다.

수면클리닉을 방문한 환자들의 불면증에 대한 인식조사 (Survey of Knowledge on Insomnia for Sleep Clinic Clients)

  • 소민아
    • 수면정신생리
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    • 제26권1호
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    • pp.23-32
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    • 2019
  • 목 적 : 본 연구의 목적은 수면장애로 수면클리닉에 내원하는 환자들을 대상으로 수면클리닉을 방문하게 된 이유, 찾게 된 경로, 수면클리닉을 찾게 되는 가장 흔한 증상이자 독립질환인 불면증에 대한 인식을 조사하고 그 의미를 해석하여 향후 수면장애의 치료와 환자교육에 도움이 되고자 하였다. 방 법 : 2018년 4월부터 10월 사이 6개월 간 국립정신건강센터의 수면클리닉을 방문한 외래환자들 중 만 19세 이상의 초진환자를 대상으로 자기보고식 설문을 진행하였다. 이때, 지적장애, 치매 등 심한 인지기능을 동반한 환자등을 배제하였고, 총 44명(남성 24명, 여성 20명)이 연구에 참석하였다. 설문지는 자체개발한 설문지로 수면클리닉을 방문한 이유, 수면클리닉을 알게 된 경로, 수면클리닉 방문 이전 수면질환의 치료력, 불면증의 인식에 대한 질문, 불면증의 치료에 대한 인식, 불면증의 동반질환(comorbodity)에 대한 지식을 묻는 질문으로 구성되었다. 결 과 : 연구에 참가한 대상자들은 총 44명으로 평균 연령은 $54.11{\pm}16.3$세로 남성은 24명(54.5%), 여성은 20명(45.5%)였으며, 40대 이상의 중장년층이 전체의 77.3%를 차지했고, 81.8%(36명)가 고졸이상의 학력을 갖추고 있었다. 환자들의 72.7%(32명)가 공존질환을 갖고 있었으며, 22.7%에서 고위험음주를 보였다. 수면클리닉에 내원한 이유는 잠들기 힘들고 중간에 자주 깸, 낮에 피곤하고 졸림, 불규칙한 수면시간, 악몽을 자주 꿈, 코골이와 수면 중 숨막힘 등의 순서였고, 93.2%에서 불면증을 인식하고 있었고, 가족 친지, 방송, 인터넷 등을 통해 본인이 불면증에 대한 지식을 얻게 되었다고 하였다. 불면증의 치료에 대해서는 70.5%가 약물치료를 떠올렸고, 이에 대한 정보는 인터넷과 의료진을 통해 주로 얻고 있었으며 불면증의 비약물학적인 치료방법에 대해 52.3%가 들어본 적이 없다고 하였다. 불면증의 치료선호도를 묻는 질문에 45.5%가 특별한 선호도 없이 의사의 권유대로 따르겠다고 하였고, 불면증의 공존질환 중 우울증, 신체질환, 알코올사용장애을 알고 있는지를 묻는 질문에 대해 각각 75%, 50%, 38.6%의 응답률을 보였다. 수면제 복용 시 의사의 지침을 준수해야 한다는 것에 대해서는 75%에서 알고 있었지만, 전체 응답자의 68.2%가 수면제 처방에 대해 걱정을 하고 있었고 이들 중 70%가 약물의존에 대해 걱정된다고 하였다. 결 론 : 내원자의 56.8%가 내원전 타의료기관에서 수면장애로 치료를 받고 왔음에도 불구하고, 불면증의 치료, 특히 비약물학적인 치료에 대한 잘 알고 있지 못했으며, 본인의 수면제 복용여부와 상관없이 수면제에 대해서는 약물의존에 대한 걱정을 많이 하고 있었으나 상대적으로 불면증과 공존질환으로서의 알코올 사용문제에 대해서는 간과하고 있었다. 향후 일선 일차의료담당자의 불면증치료에 대한 이해증진 및 표준화된 불면증치료안의 개발이 시급할 것으로 생각된다. 또한 알코올 사용장애에 대한 구체적인 평가가 초기 면담에서 반드시 필요하다고 하겠다.

불면증 관련 천연물 추출물의 특허 동향 분석 (Natural Product-Based Products for Sleep Improvement: Analysis of Patent Status in Korea)

  • 이정경;강성현;권찬영
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.287-299
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    • 2022
  • Objectives: The purpose of this study was to analyze the trend of natural product-based products for sleep improvement in Korean patents, to enhance the development and application of natural-products for sleep disorder in terms of Korean medicine. Methods: We collected patent data using the KIPRIS database and ScienceON database. Two authors independently screened patents that potentially met the criteria, and assessed full texts of screened patents for eligibility. Included patents were analyzed, quantitatively as well as qualitatively. Results: A total of 60 patents were selected 2008-July 2022. The number of patents have been on the rise since 2017, and reached 12 in 2018. Companies have registered the most patents, followed by the Industry-University Cooperation Foundation. Zizyphi semen (n=6), Lactuca sativa L. (n=5), Valeriana fauriei/officinalis (n=4), Poria cocos (n=4) were frequently used herbs among 60 patents. Twenty-one patents (35%) included medicinal herbs with sleep improving effects. Among 60 patents, alcohol extraction (70%) was mostly used, followed by water immersion (50%), and hot water extraction (48.3%). Conclusions: Analysis results showed that various Korean medicine herbs, are being used for natural-products for sleep disorder. The results will be helpful towards inventing new patents using Korean medicine, developing natural product extracts for sleep improvement, and extending the range of these products in clinical use.

주의력결핍 과잉행동장애 한국형 치료 권고안 개정안(II) - 진단 및 평가 - (The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (II) - Diagnosis and Assessment -)

  • 이문수;박수빈;김경미;김현진;박상원;김윤신;이영식;권용실;신동원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.58-69
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    • 2017
  • Attention-deficit hyperactivity disorder (ADHD) is a highly prevalent, impairing, and comorbid disorder that persists into adulthood. ADHD should be diagnosed in the same manner as other common adult mental health disorders. The three most important components in the comprehensive evaluation of patients with ADHD are the clinical interview, medical examination, and completion and scoring of behavior rating scales. The diagnostic evaluation of ADHD should include questions about the symptoms, family history, prior evaluation and treatment of ADHD, as well as other problems including alcohol and drug use. Screening interviews or rating scales, as well as interviews, should be used. When it is feasible, clinicians may wish to supplement these components of the evaluation with the objective assessments of the ADHD symptoms, such as through psychological tests. These tests are not essential to reaching a diagnosis, however, or to treatment planning, but may yield further information about the presence and severity of cognitive impairments that could be associated with some cases of ADHD. As comorbidity is the rule rather than the exception, clinicians should carefully screen for comorbid disorders as part of a comprehensive assessment of ADHD. To receive a diagnosis of ADHD, the person must be experiencing significant distress or impairment in his or her daily functioning, and must not meet the criteria for other mental disorders which might better account for the observed symptoms, such as mental retardation, autism or other pervasive developmental disorders, mood disorders and anxiety disorders. This report aims to suggest practice guidelines for the assessment and diagnosis of children, adolescents and adults with ADHD in Korea.

우리나라 대학생의 흡연행동과 환경요인, 건강생활실천 간의 관련성 (Association with smoking behavior, environmental factors and health promoting lifestyle among Korean university students)

  • 김영복
    • 보건교육건강증진학회지
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    • 제32권2호
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    • pp.15-26
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    • 2015
  • Objectives: This study performed to analyze general characteristics, environmental factors, and health promoting lifestyle by smoking behavior among university students. Methods: In 2011, interview survey was conducted with 700 Korean students of university and college in located 7 metropolitan cities and the biggest province (Gyeonggido). To examine the factors related to smoking behavior, it collected environmental factors, health promoting lifestyle, and mental health. Multiple logistic regression analysis for survey data identified the difference of smoking behavior. Results: The 20.4% of university students was current smoker. Smoking rate of male was higher than that of female. The university students residing in Seoul and surrounding areas were less likely to have smoking behavior than them residing in local areas. In multiple regression models, difference by gender, academic year, college level, college type, region, secondary smoking exposure time, health status, monthly drinking, alcohol use disorder, and eating breakfast remained significantly (p<0.01, p<0.05). Conclusion: Future efforts should be focused on association between health risk factors and environment factors in physical, mental, and social aspects. To achieve this, we will need to provide the integrated health promotion program to decrease smoking problems of university students.

Scientific Evidence for the Addictiveness of Tobacco and Smoking Cessation in Tobacco Litigation

  • Roh, Sungwon
    • Journal of Preventive Medicine and Public Health
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    • 제51권1호
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    • pp.1-5
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    • 2018
  • Smokers keep smoking despite knowing that tobacco claims many lives, including their own and others'. What makes it hard for them to quit smoking nonetheless? Tobacco companies insist that smokers choose to smoke, according to their right to self-determination. Moreover, they insist that with motivation and willpower to quit smoking, smokers can easily stop smoking. Against this backdrop, this paper aims to discuss the addictive disease called tobacco use disorder, with an assessment of the addictiveness of tobacco and the reasons why smoking cessation is challenging, based on neuroscientific research. Nicotine that enters the body via smoking is rapidly transmitted to the central nervous system and causes various effects, including an arousal response. The changes in the nicotine receptors in the brain due to continuous smoking lead to addiction symptoms such as tolerance, craving, and withdrawal. Compared with other addictive substances, including alcohol and opioids, tobacco is more likely to cause dependence in smokers, and smokers are less likely to recover from their dependence. Moreover, the thinning of the cerebral cortex and the decrease in cognitive functions that occur with aging accelerate with smoking. Such changes occur in the structure and functions of the brain in proportion to the amount and period of smoking. In particular, abnormalities in the neural circuits that control cognition and decision-making cause loss of the ability to exert self-control and autonomy. This initiates nicotine dependence and the continuation of addictive behaviors. Therefore, smoking is considered to be a behavior that is repeated due to dependence on an addictive substance, nicotine, instead of one's choice by free will.

중독(Addiction)에 대한 개념분석 (Concept Analysis of Addiction)

  • 도은영;정복례;도복늠
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.261-268
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    • 2001
  • Recently, social concerns about addiction problems not only to substances like alcohol and drug but also to gambling or internet have been increasing. Addiction is caused by a combined influence of biological, psychological. and social factors. However, addiction may also occur due to weak will-power or poor education on addiction. Even though addicted behavior provides temporal mood change such as euphoria, satisfaction. or relaxation. it leads to serious physical and mental disorder of the addicted person and its family members, which possibly results in fatal consequences. Nurses are in an environment to meet and take care of those who are addicted or vulnerable to addiction in order to help the clients to recover or to prevent people from addiction. Despite the importance of nurses role in addiction problems, there is a lack of consistency of addiction is often interchangeably used with other similar concepts in the society. In this study, a concept analysis of addiction was performed to more clearly and comprehensively understand addiction and to develop effective nursing intervention methods for addicted clients. The analysis is conducted according to a series of processes described by Walker and Avant. The defining attributes of addiction identified in this study are as follows: 1) existence of object 2) control loss 3) withdrawal symptoms 4) continued use despite adverse consequences.

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