• 제목/요약/키워드: Anxiety Assessment

검색결과 331건 처리시간 0.023초

한국판 Mini International Neuropsychiatric Interview 타당도 연구 (Validity of Korean Version of the Mini-International Neuropsychiatric Interview)

  • 유상우;김영신;노주선;오강섭;김찬형;남궁기;채정호;이기철;전성일;민경준;오동재;주은정;박현주;최영희;김세주
    • 대한불안의학회지
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    • 제2권1호
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    • pp.50-55
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    • 2006
  • Objectives : In the psychiatry, structured interview is very important tool to be used in epidemiological or psychopharmacological studies. However, investigators often find that the administration of comprehensive diagnostic interviews is time-consuming and expensive to be used in clinical or research settings. Considering these points, Sheehan and his colleagues developed MINI (Mini International Neuropsychiatric Interview) to meet the need for a brief, reliable, and valid structured diagnostic interview for psychiatric disorders. The MINI has been translated into many languages and used in many countries. Therefore, we translated the MINI into Korean and determined its validity in this study. Methods : Twohundred seventy patients and normal subjects participated in the validation of the MINI versus an expert's professional opinion. Schizophrenia and other psychotic disorders, mood disorders including major depressive disorder and bipolar disorder, anxiety disorders including panic and other phobic disorders, and alcohol dependence were included in this study. The validity was obtained by examination whether MINI based diagnoses were compatible with diagnoses by expert psychiatrists. Results : The range of Kappa values was 0.22 (somatoform disorder) to 0.93 (bipolar disorder - past). Overall agreement between MINI and expert's diagnoses were good. The Kappa values for anxiety disorders seemed to be higher than those for other disorders. Conclusion : The MINI Korean version has the good validity. It also has potential applications as a diagnostic tool for psychiatric disorders.

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Quality of Life and Psychological Well-Being of Breast Cancer Survivors in Jordan

  • Abu-Helalah, Munir;Al-Hanaqta, Motasem;Alshraideh, Hussam;Abdulbaqi, Nada;Hijazeen, Jameel
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5927-5936
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    • 2014
  • Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

초등학생 대상의 산림치유 프로그램에 대한 체계적 문헌고찰 (A Systematic Review of Forest Therapy Programs for Elementary School Students)

  • 송민경;방경숙
    • Child Health Nursing Research
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    • 제23권3호
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    • pp.300-311
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    • 2017
  • Purpose: There are many forest and outdoor programs being offered but systematic reviews of effects are lacking. This study was done to identify content, format, and strategies of forest therapy programs for elementary school students. Methods: Literature search using keywords in English and Korean was performed using 6 electronic databases in December 2016. Search participants were elementary school students and interventions conducted in the forest. Seventeen forest therapy studies were selected for evaluation. Risk of Bias Assessment tool for non-randomized study was used for quality assessment. Results: All studies were quasi-experimental designs. Forest therapy programs included various activities in forests such as experience of five senses, meditation in the forest, walking in the forest, ecological play, observation of animals and insects. All studies used psychosocial health variables and forest healing programs had positive effects on sociality, depression, anxiety, self-esteem, stress, aggression, anger, and school adjustment. Limitations of these studies were vague reporting of the study, lack of ethical review and rigorous research designs. Conclusion: Forest therapy for elementary school child can be an effective way to improve psychosocial health. Future studies with rigorous study designs are needed to assess long-term effects of forest therapy on physical and psychosocial health.

PISA 2003에 나타난 우리나라 학생들의 수학적 소양의 특징 (A Profile of Mathematical Literacy on Korean Students in PISA 2003)

  • 나귀수
    • 대한수학교육학회지:수학교육학연구
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    • 제15권2호
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    • pp.147-176
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    • 2005
  • 이 글에서는 PISA 2003(Programme for International Student Assessment 2003)에 나타난 우리나라 학생들의 수학적 소양의 특징을 자세하게 살펴보고자 한다. 우리나라 학생들의 수학적 소양 평균 점수, 수학적 소양 수준의 분포, PISA 평가틀에 따른 수학적 소양 수준, 수학적 소양의 추이 분석, 남녀학생의 수학적 소양의 차이 등을 분석함으로써 우리나라 학생들의 수학적 소양의 인지적 측면을 조사하고자 한다. 또한, 우리나라 학생들의 수학 학습에의 참여, 학생들의 자신에 대한 신념, 수학에 대한 불안감, 수학 학습 전략 등을 중심으로 수학적 소양의 정의적 측면에 대해 살펴보고자 한다 그리고, 이를 바탕으로 수학교육 및 교육 정책적 시사점을 도출하고자 한다.

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Living Experiences of Indian Adult Cancer Survivors - a Brief Report

  • Mohanti, Bidhu Kalyan;Kaur, Jaspreet
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.507-512
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    • 2015
  • Background: This pilot study looked into the physical, social, psychological and economic issues of Indian adult cancer survivors. Materials and Methods: Assumed cancer free patients, after cancer directed therapy (CDT), were assessed on the basis of a questionnaire developed by the investigators. The mental status of the survivors was elicited by modified MINI international neuro-psychiatric interview. This cross sectional assessment was conducted as a direct interaction with each patient for 30 to 45 minutes at a cancer hospital in 2012. Results: Thirty one adult cancer survivors participated in this study. Median age was 53 years with a median follow up duration of 21.8 months (Range 2.3-194.1 months). The majority (68%) did not receive financial support for treatment. Median interval after CDT to start of activity of daily living was 1.5 months (range: 0-24 months). Fatigue and loss of appetite were reported by 52% and 29% respectively. The cancer diagnosis and its treatment adversely impacted the financial condition in 42% of patients. Nineteen percent each showed social anxiety and post-traumatic stress disorder and another 13% patients reported depression. Conclusions: This prospective assessment highlights survivorship issues and the need to address those issues particularly in the context of developing countries where resources and manpower are limited.

Persian Version of Functional Assessment of Cancer Therapy- Breast (FACT-B) Scale: Confirmatory Factor Analysis and Psychometric Properties

  • Patoo, Mozhgan;Allahyari, Abbas Ali;Moradi, Ali Reza;Payandeh, Mehrdad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.3799-3803
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    • 2015
  • Background: The Functional Assessment of Cancer Therapy - Breast (FACT-B) scale is widely used to measure health-related quality of life in cancer patients. The aim of the present study is to validate the FACT-B in a sample of Iranian women with breast cancer. Materials and Methods: The sample consisted of 300 women selected through non-random convenient sampling procedure from oncology hospitals and clinics in Kermanshah and Shiraz cities. They were asked to fill in the Persian versions of the FACT-B scale, Hospital Anxiety and Depression Scale, the European Organization for Research and Treatment of Cancer quality of life EORTC QLQ30. Confirmatory factorial analysis of the methods, concurrent validity and discriminant, and Cronbach's alpha for internal consistency were applied. Results: Internal consistency using Cronbach's alpha was 0.63 to 0.93 for the subscales and 0.92 for the total scale. Significant correlations between FACT-B and other measures indicate that this scale had concurrent and discriminant validity. The values of fit indices were satisfactory. Conclusions: The Persian version of the FACT-B scale is valid and reliable and, therefore, the scale can be used in research and clinical settings to assess health-related quality of life in Iranian patients with breast cancer.

수학교육에서 창의성 신장을 위한 열린교육 방안에 대한 연구1) (A Study on Open Education for Developing Creativity in Mathematics Education)

  • 전평국;이재학;백석윤;박성선
    • 한국수학교육학회지시리즈C:초등수학교육
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    • 제5권2호
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    • pp.71-94
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    • 2001
  • The purposes of this study were to design small group collaborative learning models for developing the creativity and to analyze the effects on applying the models in mathematics teaching and loaming. The meaning of open education in mathematics learning, the relation of creativity and inquiry learning, the relation of small group collaborative learning and creativity, and the relation of assessment and creativity were reviewed. And to investigate the relation small group collaborative learning and creativity, we developed three types of small group collaborative learning model- inquiry model, situation model, tradition model, and then conducted in elementary school and middle school. As a conclusion, this study suggested; (1) Small group collaborative learning can be conducted when the teacher understands the small group collaborative learning practice in the mathematics classroom and have desirable belief about mathematics instruction. (2) Students' mathematical anxiety can be reduced and students' involvement in mathematics learning can be facilitated, when mathematical tasks are provided through inquiry model and situation model. (3) Students' mathematical creativity can be enhanced when the teacher make classroom culture that students' thinking is valued and teacher's authority is reduced. (4) To develop students' mathematical creativity, the interaction between students in small group should be encouraged, and assessment of creativity development should be conduced systematically and continuously.

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사이버안전에 대한 국민인식 조사 연구 (A Survey on Public Awareness of Cyber Security)

  • 윤영선;안개일
    • 한국소프트웨어감정평가학회 논문지
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    • 제15권1호
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    • pp.87-95
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    • 2019
  • 본 연구에서는 사이버안전에 대한 설문조사를 통하여 인터넷 사용 환경의 파악, 국민들이 노출되기 쉬운 사이버 위협, 불안감을 느끼는 분야, 건전성을 해치는 콘텐츠 등에 대한 국민인식을 조사하였다. 그 결과, 국민들이 많이 노출되었다고 생각하는 사이버위협과 불안정도가 높은 사이버위협에 대한 분석을 진행하였으며, 인터넷 사용 환경, 불건전 콘텐츠에 대한 생각, 예방주체 및 방법 등을 파악하였다. 조사결과는 사이버안전 분야의 융합 연구 아이템을 기획할 때 참조해야할 요구사항을 도출할 수 있도록 그 결과를 분석하고, 그 활용방안을 제시하였다.

가상현실 기술의 정신의학적 이용 (Virtual Reality in Current and Future Psychiatry)

  • 차경렬;김찬형
    • 생물정신의학
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    • 제14권1호
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    • pp.28-41
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    • 2007
  • Virtual reality technology is now being used in neuropsychological assessment and real-world applications of many psychiatric disorders, including anxiety disorders, schizophrenia, child psychiatric disorders, dementia, and substance related disorders. These applications are growing rapidly due to recent evolution in both hardware and software of virtual reality. In this paper, we review these current applications and discuss the future work of clinical, ethical, and technological aspects needed to refine and expand these applications to psychiatry.

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유해물질 관리정책의 과학화 (Scientific Management Policy for Hazardous Substances)

  • 정기화
    • 한국식품위생안전성학회지
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    • 제26권2호
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    • pp.171-181
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    • 2011
  • Though food safety efforts of the government has been increasing, but the health hazards resulting from food does not stop and thus increases consumers' anxiety and distrust of government. For more reliable safety management, developing analysis and intake measurement methods and strengthening regulatory control with strict criteria is necessary. In addition, as not only the known hazards by now, but also unknown but obvious hazards are simultaneously ongoing in current environments, the unified risk management and health assessment for food, health food and medicines from the media is critical. As risks and damage to health may show up after a long time after exposure, preventive measures and strategies for safety control is also needed.