• Journal of Yeungnam Medical Science
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• 제9권2호
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• pp.256-268
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• 1992

1991년 1월 부터 1991년 5월까지 양로원 및 재가 노인을 대상으로 통합 불안우울척도(CADS)와 신체화증상척도(SCL)를 이용하여 불안과 우울 및 신체화증상을 조사한 결과는 다음과 같다. 각군의 CADS 평균총점간 통계적으로 유의한 차이는 없었다. 그러나 각군의 여자대상자의 비교에서는 양로원 노인군에서 유의하게 높았다(p<0.05). 양로원 노인군은 절망감, 반복되는 죽으려는 생각, 흥미감소의 항목, 즉 주요우울증상에서 유의하게 높은 접수를 보였고 재가 노인군은 감정저하, 정신운동 지체, 우려, 소화불량, 신체통증, 불안, 공포, 불만족, 현기증, 빈맥의 항목, 즉 불안증상에서 높은 점수를 보였다. 비교적 높은 불안 우울증상을 가졌음을 지적하는 50점 이상의 CADS 점수를 보인 대상은 재가 노인에서 "주위 사람과의 관계에서 불만족이다"(p<0.05)라고 답한 노인들과 양집단 모두에서 "불행하다"(p<0.001), "건강이 나쁘다"(p<0.001), "과거직업에 불만족이다"(p<0.05), "장래에 대해 비판적이다"(대상군 : p<0.05, 대조군 : p<0.001)라고 응답한 노인들이었다. 양집단에서 CADS 총점이 49점 이하인 노인들과 50점 이상인 노인들은 모두 SCL의 모든 항목에서 유의한 차이를 보여(p<0.001) 노인들의 신체화 증상은 그들의 불안우울증세와 상관이 있는 것으로 나타난다.

• 사물인터넷융복합논문지
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• 제4권1호
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• pp.7-22
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• 2018

본 연구는 혈액투석 환자의 삶의 질과 우울, 불안과의 관계를 확인하기 위한 서술적 조사 연구이다. S시 소재 N의료원 1개 종합병원 인공신장실에서 혈액투석을 받고 있는 19세 이상, 혈액투석을 시작한지 1개월 이상된 130명의 환자를 대상으로 시작되었으나 중도에 포기하거나 사망, 또는 잘못 기재된 설문지를 제외한 총 112명의 환자를 대상으로 하였다. 연구결과 대상자의 삶의 질 평균점수는 57.77점으로 나타났고, 우울은 12.25점, 불안은 10.52점으로 대상자의 삶의 질은 낮은 편이었고, 우울과 불안은 높은 편이었다. 대상자의 삶의 질, 우울, 불안 간에는 유의한 상관관계가 있었다. 삶의 질은 우울과 음의 상관관계로 나타났고(r=-.782, p<.001), 불안과도 음의 상관관계가 있었다(r=-.719, p<.001). 우울과 불안은 양의 상관관계로 나타났다(r=.873, p<.001). 삶의 질에 미치는 영향 요인에 대한 다중회귀분석을 한 결과 우울이 삶의 질에 영향을 주는 요인으로 확인되었다(β=-.585). 따라서, 본 연구의 결과 혈액 투석 환자들에서 흔히 나타나는 정서적 문제인 우울과 불안 요인 중 특히, 대상자의 삶의 질에 많은 영향을 주는 중요한 변수인 우울의 정도에 집중하여 감소시킬 수 있는 중재 전략과 대상자의 삶의 질 향상을 위한 간호중재 프로그램 개발에 기초자료를 제공하는데 의의가 있다.

• Nutrition Research and Practice
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• 제18권1호
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• pp.110-118
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• 2024

BACKGROUND/OBJECTIVES: Depression and anxiety are common mental health problems. Anthocyanins from berries might have an inhibitory effect on monoamine oxidase (MAO) enzymes and alleviate various mood and anxiety symptoms. This study examined the effects of a daily supplement of an anthocyanin-rich product on mental health problems. SUBJECTS/METHODS: This study was a secondary analysis from a randomized, 6-week, open-label trial in 300 healthy participants aged 18-60 years who consumed 1 or 2 servings of anthocyanin-rich mulberry milk daily. The General Health Questionnaire-28 (GHQ-28) and Hospital Anxiety and Depression Scale (HADS) were used to monitor mental health problems. In addition, the saliva activity levels of MAO-A, MAO-B, and cortisol were examined at the baseline and after 6 weeks. RESULTS: The total scores of the GHQ-28 and HADS and all their subscales decreased in both groups (all P < 0.05). The cortisol, MAO-A, and MAO-B activities decreased significantly (all P < 0.05), but there were no significant differences between the groups (all P > 0.05). Significant correlations were noted between the decreased activity level of MAO-A enzyme and decreased scores from the GHQ-28 somatic subscale and the HADS depression subscale (all P < 0.05). CONCLUSIONS: Daily consumption of anthocyanin-rich mulberry milk possibly improves mental health problems by reducing depressive and anxiety symptoms in the working population. The suppression of MAO-A activity is a possible underlying mechanism.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.463-468
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• 2013

Background: Body image dissatisfaction among breast cancer survivors has been associated with psychological stress resultant from breast cancer and resultant surgery. This study aimed to examine the psychometric properties of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) and to investigate the associations of retained factors with the Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale (RSES). Materials and Methods: The MVBITS was 'forward-backward' translated from English to Malay and then administered to 70 female breast cancer patients who came to the Oncology Clinic of University Malaya Medical Centre, Kuala Lumpur, Malaysia to undergo chemotherapy. Principal component analysis (PCA) with varimax rotation was performed to explore the factor structure of the MVBITS. Associations of retained factors were estimated with reference to Spearman correlation coefficients. Results: The internal consistency reliability of MVBITS was good (Cronbach's alpha 0.945) and showed temporal stability over a 3-week period. Principal component analysis suggested two factors termed as 'Intrusion' and 'Avoidance' domains. These factors explained 70.3% of the variance. Factor 1 comprised the effects of breast cancer treatment on the emotion and thought, while Factor 2 informed attempts to limit exposure of the body to self or others. The Factor 1 of MVBITS was positively correlated with total, depression and anxiety sub-scores of HADS. Factor 2 was positively correlated with total and anxiety sub-scores of HADS. MVBITS was also positively correlated with the RSES scores. Conclusions: The results showed that the Malay Version of Breast-Impact of Treatment Scale possesses satisfactory psychometric properties suggesting that this instrument is appropriate for assessment of body change stress among female breast cancer patients in Malaysia.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권1호
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• pp.16-24
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• 2011

Objectives：This study examined the prevalence of psychiatric problems in children with scholastic difficulties who had been referred for mental health services from the Office of Education in Ulsan Metropolitan City. Methods：Child psychiatrists evaluated the referred children using the DSM-IV. Evaluation tools included the Wechsler Intelligence Scale for Children-III, the Children's Depression Inventory, the Korean form of the State-trait anxiety Inventory for children, the ADHD rating. Results：Seventy-six children consisting of 64 boys (84.2%) and 12 girls (15.8%) participated in the study. The average age was 10.3 (SD=0.93) years old. Approximately 74% of the children referred for scholastic difficulties were diagnosed with mental retardation. The Axis I diagnosis among these children were ADHD (86.8%), depression (21.1%), learning disorder (9.2%), communication disorder (4.8%), pervasive developmental disorder (3.6%), internet addiction (1.3%), and mood disorder (1.3%). Their overall measure according to the Child Depression Inventory was 22.7 (SD=16.8), that for the State-Trait Anxiety Inventory for Children was 33.3 (SD=7.9)/32.4 (SD=9.5), and that for the ADHD rating scale was 18.9 (SD=10.9). Conclusion：These results suggest that many children with scholastic difficulties have both complex psychiatric and educational problems.

• 대한인간공학회지
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• 제27권1호
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• pp.1-7
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• 2008

Work related musculoskeletal disorders (WMSDs) have become a hot issue within the Korean workplace for the past several years. Recently, the effect of job related stress on WMSDs, cerebro-cardiovascular diseases, and psychiatric disorders has been steadily increasing. The study conducted questionnaire of Korea version job stress model, WMSDs from NIOSH, CES-D (Center for Epidemiologic Studies Depression Scale), and STAI (State-Trait Anxiety Inventory) against train drivers. The results of this study show that the job stress score of the train drivers is high in the areas of physical environment, job latitude, interpersonal conflict, job insecurity, and organization system. The relation between job stress and WMSDs nd, interpersonal conflict, job insecurity and organizational system. The relation between job stress and depressive disorders showed statistical significance in the areas of job demand, job insecurity and low reward. Finally, the relation between job stress and anxiety disorders showed statistical significance in areas of job demand, interpersonal conflict, job insecurity, organizational system and low reward.

• 동의신경정신과학회지
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• 제25권1호
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• pp.1-12
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• 2014

Objectives: In this study, the meditation programs (${\alpha}$ version), which are properly coordinated according to the motion, breathing, and relaxation, are evaluated and researched upon to have positive effects on stress and in the area of psychology. Methods: Approved by the Clinical Trials Deliberation Committee in Oriental Medicine, Dongguk University, Ilsan Hospital, this study collected data according to the applicant's consents, demographic information and anthropometry for the Sasang Constitutional diagnosis. Sasang Constitutional diagnosis measured the beta tools by Institute of Oriental Medicine and a decision tree was made for the Sasang Constitutional questionnaires. The STAI, STAXI, BDI, and HRV were measured before and after the meditation in order to compare the effects of meditation according to Sasang Constitution. The HRV was used as a ProComP KM Tech (co). Results: 1) The positive changes available in the Time-domain analysis of heart rate variability assessment showed that the peace of mind is increased. By analyzing the Sasang constitution, So-eum In's peace of mind included a physical stability of the autonomic nervous system. 2) According to the psychological scale evaluation, each depression scale, trait anger, anger-in, state anxiety and trait anxiety index proved significantly positive effects. By analyzing the Sasang constitution, Eun-In which involved So-eum In and Tae-eum In, had positive effects. 3) The psychological scale changed the group of diagnosed depression or anxiety, it did not mean that the psychological scale changes in the depression group, but the index of the anxiety group had been significantly reduced. This program had clinical effects for anxious patients and Eum-In which involved Tae-eum In and So-eum In according to the analysis of Sasang constitution. 4) Correlations between the gender of each psychological scale showed that women have overall low correlations, but, there were no significant changes. Conclusions: The meditation program developed by adequately mixing Action, relaxation and breathing shows that it is effective for overall Eum-in physical and mental relaxation and concentration. In the future, It will have to be developed Meditation program to show the same effect for all people.

• 생물정신의학
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• 제16권1호
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• pp.46-52
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• 2009

Objectives : The goal of this study was to compare the clinical characteristics of panic disorder respiratory subtype(PD-R) and non-respiratory subtype(PD-NR). Methods : 84 patients with panic disorder were enrolled and divided into 2 groups, 29 PD-R and 55 PD-NR. Diagnosis of panic disorder was evaluated using Diagnostic and Statistical Manual of Mental Disorders $4^{th}$ edition and Mini International Neuropsychiatric Interview. They were also measured with Hamilton Rating Scale for Anxiety(HAM-A), Hamilton Rating Scale for Depression(HAM-D), and Panic Disorder Severity Scale (PDSS). Results : PD-R group showed significantly higher scores in PDSS than those of PD-NR group(p=.027). After controlling for the severity of panic disorder and gender, PD-R group showed higher HAM-D and somatic anxiety subscale of HAM-A than those of PD-NR group. Furthermore, results of logistic regression analysis suggested that the somatic anxiety was a possible risk factor of PD-R(OR=1.404,p=0.009). Conclusion : These results suggest that somatic anxiety and depressive symptom would be important clinical characteristics of PD-R.

• 대한불안의학회지
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• 제15권1호
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• pp.35-44
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• 2019

Objective : The aim of this study was to investigate the individual and job related factors as risk factors for mental health of firefighters. Methods : The data of 202 fire-fighters was analyzed by using a multinomial logistic regression analysis. All participants completed self-reported questionnaires including demographics (sex, age, work duration), the Childhood Trauma Questionnaire, the Ways of Coping Checklist, the Colleague related traumatic events, the Korean occupational stress scale, the Korean Perceived Stress Scale-10, and the Beck Depression Inventory. Participants were divided into three groups according to the level of stress and depressive symptom scores: Low Stress-Low Depression (LS-LD), High Stress-Low Depression (HS-LD), and High Stress-High Depression (HS-HD). Results : A job related factor-organizational injustice-was a significant factor related to HS-LD, while individual factors such as active coping level and childhood trauma experience and a job related factor-difficult physical environment-were significantly associated with HS-HD. Conclusion : These results imply the need to take both individual and environmental approaches into account when managing the stress and depression of firefighters. More specifically, psycho-education to facilitate active coping strategy and adaptive emotional regulation at the individual level and the improvement of physical work environment of firefighters should be supported.

• Journal of Hospice and Palliative Care
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• 제8권1호
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• pp.18-29
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• 2005

목적: 아로마테라피는 진통 효과, 항우울 및 항불안 효과를 가지는 것으로 알려진 대체 의학의 한 종류이다. 본 연구는 유방암 환자에서 아로마 오일로 손 마사지를 교육시킨 후 대조군과 비교하여 활력 징후, 통증의 강도, 우울, 그리고 스트레스에 미치는 영향을 비교 분석하여 아로마 자가 치료의 효능을 검증 하고자 하였다. 방법: 20세 이상 유방암 환자 32명을 연구대상으로 하였으며, 비맹검 무작위 방법을 이용하였다. 아로마 자가-치료군(n=15)은 2주간 집에서 스스로 아로마 오일(프랑켄센스 버가못, 라벤더)을 사용하여 하루 2회 손 마사지를 시행하도록 하였고, 대조군(n=17)에게는 어떠한 중재도 하지 않았다. 두 군 모두에서 0, 1, 3 주에 3회에 걸쳐 통증 강도(Visual Analogue Scale: VAS, $0{\sim}10cm$), 불안(State-anxiety in State Trait Anxiety Inventory: STAI) 및 우울(Beck Depression Inventory Scales: BDIS), 스트레스(Brief Encounter Psychosocial Instrument: BEPSI수정판) 등을 조사하여 두 군 간의 자가치료 전, 후의 변화량 차이를 비교하였다. 또한 아로마 자가치료 후 환자의 동반 증상 변화도 설문지를 통해 분석하였다. 결과: 통증 강도는 대조군과 비교시 아로마 자가 치료군에서 의미 있게 감소하였다(VAS score $0.83{\pm}1.01\;vs\;0.38{\pm}0.86$, P=0.0046). 동반 증상의 수도(P=0.044), 우울 정도(P=0.001) 그리고 불안정도도아로마 자가 치료군(P=0.008)에서 2주 후 의미 있게 감소하였으나, 대조군은 오히려 증가하였다. 그러나, 스트레스 정도는 두 군 사이에 유의한 차이를 보이지 않았다($0.05{\pm}0.85\;vs\;0.04{\pm}0.20$ P=0.1519), 우울 정도, 불안 정도, 스트레스 정도는 자가치료 순응도가 좋을수록 감소하는 경향을 보였으나, 통계적으로 유의하지는 않았다. 아로마 자가 치료군에서 수축기 혈압은 약간 증가하였으나 통계학적 의의는 없었다($4.53{\pm}14.43mmHg\;vs\;0.0{\pm}7.22mmHg$, P=0.152). 자가 치료군에서 환자들은 두통(20%), 감각이상(6.7%), 오심(6.7%) 등의 부작용을 호소했으나, 이들 모두 일시적인 것으로 자가치료를 중단할 정도는 아니었다. 결론: 유방암 환자들에게 아로마 손 마사지 교육을 시킨 후 자기 스스로 2주간 시행한 결과, 통증강도, 우울 및 불안 정도가 의미 있게 감소하였다.