• 대한불안의학회지
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• 제17권2호
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• pp.84-91
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• 2021

Objective : Mismatch negativity (MMN) is known to reflect several abnormalities of cognitive functioning. This study is aimed to investigate the differences in MMN among major depressive disorder (MDD) patients with or without suicidal ideation. Methods : Sixty-seven patients with MDD were recruited into this study. MMN was measured by a 64-channel electroencephalography (EEG) using oddball paradigm over the front-central area. Clinical characteristics were assessed using the Beck Anxiety Inventory (BAI), the Beck Depression Inventory-II (BDI-II), and the Beck Scale for Suicide ideation (SSI-BECK). Patients were divided into two groups, no suicidal ideation (N=12) and suicidal ideation (N=55), depending on the presence of suicide ideation in SSI-BECK questionnaires. Results : The MMN latencies were significantly longer in the MDD patients with suicidal ideation than in the MDD patents without suicidal ideation (p<0.05). The MMN amplitudes were not significantly different between the two groups. Conclusion : Suicidal ideation may be associated with longer MMN latencies, and it suggests that MMN may play a potential role in assessing the suicidal risk among MDD patients.

• 대한불안의학회지
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• 제18권2호
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• pp.72-79
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• 2022

Objective : Any traumatic event can be a risk factor, for subsequent mental disorder. However, childhood trauma, especially in interpersonal nature, is associated with later development of complex symptom patterns. This study examined the role of dissociation as a mediator between childhood trauma and symptom complexity. Methods : A pooled data of 369 psychiatric outpatients at a university-affiliated hospital was analyzed for descriptive statistics, group differences, and bivariate correlation analysis to verify a structural model. The questionnaires included the Symptom Checklist-90-Revised, the Trauma History Screen, the Dissociative Experiences Scale-Taxon, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : When other trauma variables were controlled, childhood interpersonal trauma had significant correlation with symptom complexity (r=0.155, p=0.003). Among the paths analyzed, that of childhood interpersonal trauma and dissociation showed the greatest impact on symptom complexity (b=9.34, t=5.75, p<0.001). Based on the significance of the indirect impact, the results suggest a complete mediation impact of dissociation on symptom complexity. Conclusion : This study validated that childhood interpersonal trauma impacts symptom complexity, through the sequential mediating impact of dissociation. Thus, clinicians should understand childhood interpersonal trauma, dissociation, and symptom patterns in a complex and interacting mode, and develop effective pertinent treatment strategies.

• 정신신체의학
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• 제22권2호
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• pp.121-129
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• 2014

연구목적 본 연구는 외래 치료 중인 양극성 장애 환자에서 하지불안증후군(restless legs syndrome, RLS)의 유병률과 관련 특성을 알아보기 위해서 시도 되었다. 방 법 안정적으로 외래 치료 중인 양극성 장애 환자 100명이 본 연구에 포함되었다. RLS의 진단과 증상의 심한 정도는 International Restless Legs Syndrome Study Group에서 개발한 진단 기준을 이용하였다. Beck 우울증 척도(Beck's Depression Inventory), 상태 불안 척도(Spielberg's State Anxiety Inventory), 피츠버그 수면의 질 설문지(Pittsburgh Sleep Quality Index), 한국판 약물태도 척도(Korean version Drug Attitude Inventory), 한국어판 항정신병약물치료 중 주관적 안녕감 척도-단축형(Subjective Well-Beings under Neuroleptic Treatment Scale-Short Form)과 반즈 좌불안석증 평가 척도(Barnes Akathisia Rating Scale) 등이 각각 우울 증상, 불안의 수준, 주관적 수면의 질, 주관적 안녕감, 약물에 대한 주관적 태도, 좌불안석증의 유무를 평가하는데 사용되었다. 결 과 연구대상자 100명 중 7명(7%)이 RLS로 진단되었으며, RLS의 필수 진단기준을 1개 이상 가지는 환자는 36명(36%)이었다. 본 연구의 표본의 크기가 작은 이유로 세 그룹 간 비모수적 검정을 시행하였다(RLS의 필수진단 기준을 모두 만족하는 그룹, RLS로 진단할 수는 없지만 RLS 필수진단 기준을 1개 이상 가지고 있는 그룹, RLS 필수진단 기준에 해당되지 않는 그룹). 세 그룹 간에 성별, 나이, 그 밖의 인구사회학적 특성에 유의한 차이는 없었다. RLS환자군 및 RLS증상군은 대조군에 비해 우울 및 불안증상이 더 많았고, 수면의 질이 더 낮은 경향을 보였다. 결 론 본 연구는 양극성장애 환자에서 RLS 유병률과 이와 관련된 특성을 살펴본 첫 예비 연구라 할 수 있다. 연구의 결과는 조현병 환자와 비교할 때 양극성 장애와 RLS의 연관성이 비교적 적다는 것을 시사한다. RLS가 있는 양극성 장애 환자에서 우울 및 불안 증상이 더 많고 수면의 질이 더 낮은 경향은 조현병 환자에서도 관찰이 된다. 향후 대규모 연구에서 보다 과학적인 연구방법을 통해 양극성장애와 RLS와의 연관성에 대해 조사할 필요가 있을 것이다.

• 대한간호학회지
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• 제30권6호
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• pp.1389-1399
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• 2000

Massage therapy is a traditional, alternative and nonphamacological means of promoting rest and relaxation. However, nursing intervention by massage for middle-aged women is rarely practiced by nurses. The purpose of this research was to examine the effects of the hand and arm massage as an independent nursing intervention tool for middle- aged women. The data used in this research were collected from forty-nine subjects using a nonequivalent control group non- synchronized design. Twenty-four persons for the experimental group and Twenty-five persons for the control group were selected from D city and C city from July 1997 to September 2000. Subjects' ages were between forty and fifty-six years old with mean the age of 45.6. Hand and arm massage developed by Cayce and Reilly was applied to the experimental group for a session of 15 minutes two or three times a week for four weeks. The instruments used for the measurement of the subjects' stress, anxiety, depression and the middle-life crisis were Langners's 22-item Self-rating Depression Scale, and Kim's Middle Life Crisis Scale(1988). These psychological factors were measured before and after the implementation of hand and arm massage. The data were analyzed with mean$\pm$s.d, percent, t-test, and a paired t-test. The results were summarized as follows; 1. Before the treatment, there were no significant differences between the two groups. 2. After the treatment, there were significant differences in the stress and the occurrence of mid life crisis between the two groups. The findings suggest that the use of the life crisis. Therefore, it is recommended that hand and arm massage be used as an independent nursing intervention tool for middle-aged women. For further research, is needed replication of this concept of research with different subjects in a larger population. Also, it is recommended to investigate the effects of massage with aroma therapy for the berefit of decreasing womens' stress level further.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.6869-6877
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• 2015

본 연구는 생태체계적 관점에서 폐광지역주민의 생활만족도에 영향을 주는 요인을 살펴봄으로써 폐광지역 주민의 생활만족도를 향상시키는 방안을 알아보고자 실시하였다. 본 연구의 대상자는 폐광지역에 거주하고 있는 30세 이상 주민 195명이며 2014년 4월 3일부터 20일까지 구조화된 설문조사를 이용하여 자료를 수집하였다. 폐광지역 주민의 정신건강 정도는 일반정신건강 척도(KGHQ)를 사용하여 측정하였고, 생활만족도는 생활만족도 척도를 사용하여 알아보았다. 폐광지역 주민의 생활만족도는 중간보다 조금 높은 수준으로 미래생활만족도가 가장 낮게 나타났다. 미시체계 요인군의 정신건강이 생활만족도가 영향을 주고 있었는데 하부 변수인 우울과 불안이 낮을수록 생활만족도가 높은 것으로 나타났다. 중간체계 요인에서는 생활만족도에 영향을 주는 요인이 나타나지 않았다. 거시체계 요인에서는 폐광지역 개발지원에 관한 특별법 시행이 생활만족도에 영향을 주고 있었다. 따라서 폐광지역주민의 생활만족도를 향상시키기 위하여 거시체계요인의 경제 활성화 정책의 지속적인 시행과 미시체계요인의 건강한 정신을 유지하기 사회적 및 정서적 지지를 위한 실천적 전략의 모색이 필요한 것으로 보인다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권4호
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• pp.168-177
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• 2019

Objectives: We examined the factor structure of the Adolescent version of the General Behavior Inventory (A-GBI) for Koreans. Methods: We retrospectively reviewed the medical records of 220 adolescents (age, 12-18 years) who completed the A-GBI through the Department of Psychiatry at Asan Medical Center, Seoul, Korea, from October 2011 to December 2018. Caregivers of the study participants completed the Parent version of the GBI (P-GBI) 10-item Mania Scale. The adolescents were evaluated based on the A-GBI, Children's Depression Inventory (CDI), and Revised-Children's Manifest Anxiety Scale (RCMAS). Subsequently, an exploratory factor analysis (EFA) using the maximum likelihood method with direct oblimin rotation and correlation analyses with other scales were performed. Results: The EFA identified a two-factor structure as having the best fit: factor I included depressive symptoms and factor II included hypomanic/biphasic symptoms. Factor I was very strongly correlated with the A-GBI depressive subscale (r=0.990, p<0.001) and strongly correlated with CDI (r=0.764, p<0.001) and RCMAS (r=0.666, p<0.001). Factor II was also very strongly correlated with the A-GBI hypomanic/biphasic subscale (r=0.877, p<0.001) and weakly correlated with CDI (r=0.274, p<0.001) and RCMAS (r=0.332, p<0.001). Conclusion: The above findings support a two-dimensional model of mood symptoms in Korean youth.

• 정신신체의학
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• 제26권1호
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• pp.1-8
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• 2018

연구목적 본 연구에서는 기능성 위장질환(Functional gastrointestinal disorder, 이하 FGID)이 동반된 정신질환자들의 정신사회적 특성을 알아보고자 하였다. 방 법 일 대학병원 정신건강의학과 외래를 방문한 환자를 대상으로 Rome III questionnaire - Korean version에 따라 FGID를 선별하여 144명의 자료를 분석하였다. 인구학적 요인을 조사하였으며, 정신사회적 요인을 평가하기 위해 Hospital Anxiety Depression Scale, Patient Health Questionnaire-15, Childhood Trauma Questionnaire-Korean, State-Trait Anger Expression Inventory를 사용하였다. 통계분석은 독립표본 t-검정(independent t-test)과 교차분석(chi-square test)을 사용하였다. 결 과 FGID에 따른 집단간 비교에서 학력에 따른 차이가 나타났다(${\chi}^2=10.139$, p=0.017). FGID 집단에 따른 정신질환의 차이에서는 과민성 대장증후군(Irritable bowel syndrome, 이하 IBS) 집단에서 유의한 차이가 있었다. (${\chi}^2=11.408$, p=0.022) IBS 집단은 불안(t=-3.106, p=0.002), 우울증상(t=-2.105, p=0.037), 신체증상(t=-3.565, p<0.001), 특성분노(t=-3.683, p<0.001), 분노-억제(t=-2.463, p=0.015), 분노-표출(t=-2.355, p=0.020)에서 높은 점수를 나타냈다. 기능성 소화불량(Functional dyspepsia) 집단에서는 불안(t=-4.893, p<0.001), 우울증상(t=-3.459, p<0.001), 신체증상(t=-7.906, p<0.001), 특성분노(t=-4.148, p<0.001), 상태분노(t=-2.181, p=0.031), 분노-억제(t=-2.684, p=0.008), 분노-표출(t=-3.005, p=0.003)지표가 유의하게 높았다. 비미란성 위식도 역류증(Nonerosive reflux disease) 집단에서는 불안(t=-4.286, p<0.001), 우울증상(t=-3.402, p<0.001), 신체증상(t=-7.162, p<0.001), 특성분노(t=-2.994, p=0.003), 상태분노(t=-2.259, p=0.025), 분노-억제(t=-2.772, p=0.006), 분노-표출(t=-2.958, p=0.004)에서 유의미하게 높은 수준을 나타냈다. 결 론 본 연구에서는 정신질환자에서 FGID의 유병률이 매우 높고, 다양한 정신사회적 변인들이 이에 영향을 미치는 것으로 나타났다. 따라서 이러한 정신의학적 접근은 FGID 환자를 더 잘 이해하고 치료하는데 있어서 도움이 될 것으로 생각된다.

• 동의신경정신과학회지
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• 제25권1호
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• pp.13-28
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• 2014

Objectives: The purpose of this study was to evaluate the effects of EFT on panic disorder patients. Methods: The three patients with panic disorders were treated with oriental medical treatments which involved acupunctures, herb-medications, moxibustion and emotional freedom techniques. The patients have been predicted with panic disorder twice through diagnosis and statistical manual (DSM-IV), Panic Disorder Severity Scale (PDSS), Visual Analogue Scale (VAS), Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI) upon their admission and discharge. Results: After the treatments, both the physical and psychological symptoms have decreased. Conclusions: This study suggested that the EFT is an effective way for treating patients who are suffering panic disorders.

• 동의신경정신과학회지
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• 제27권3호
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• pp.147-155
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• 2016

Objectives: Schizophrenia is a serious disease that influences not only the patients themselves but also their family and the society. In this case, we employed art therapy and Korean traditional medicine for treating a schizophrenia patient.Methods: The patient was diagnosed with schizophrenia, and the main complaints were hallucination, visual hallucination and catatonic behavior. We treated the patient with art therapy and Korean traditional medicine including acupuncture, moxa and herbal medicine. We used the Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS) for assessment.Results: After treatment, clinical symptoms were improved and the BPRS and PANSS scores were decreased, especially the scores for anxiety, depression and poor rapport.Conclusions: Combined treatment with art therapy and Korean traditional medicine can be effective for treating chronic schizophrenia.

• 한국간호교육학회지
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• 제14권1호
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• pp.80-87
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• 2008

Purpose: This study examined the effects of a personality-development program on ego-resilience and maladaptive behavior of school age children. Method: This study used a non-equivalent control group pre-post design. The data was collected from Apr. 2007 to Nov. 2007. The subjects consisted of 33 children. The experimental group (n=17) participated in a self-development program that consisted of 8 sessions during an 8 week period, each session lasted for 45 minutes. To examine the effects of the self-development program an ego-resilience scale and behavior problem scale (BPPS)of K-YSR were measured before and after the program. Result: The results of analyses indicated that the score of ego-resilience increased but not significantly in the experimental group. There was significant change in anxiety/depression, social problems, and aggressive behavior of BPS of K-YSR after the intervention. Conclusion: This study showed that the 'Personality-Development Program' was effective on maladaptive behavior. Therefore, it is advisable to use it in a community-based child center for maladaptive behavior in vulnerable children.