• 가정과삶의질연구
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• 제33권4호
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• pp.119-145
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• 2015

The purpose of this study was to identify the latent styles of attachment across four major attachment figures (i.e., father, mother, best friend, and romantic partner) for Korean emerging adults. In this study, adult attachment had two dimensions (i.e., attachment anxiety and avoidance) and was measured by the Experiences in Close Relationships-Relationship Structures (ECR-RS). Data came from 317 undergraduate students in nine universities across the nation. A latent profile analysis classified the sample into four groups. (a) The "somewhat father avoidant secure" group reported the lowest levels of attachment anxiety and avoidance across close relationships but was moderately avoidant in their relationship with the father. (b) The "overall avoidant" group had the highest levels of attachment avoidance across close relationships, but along with the "father avoidant secure" group, they had the lowest levels of attachment anxiety. (c) The "romantic anxious" group was unique with the highest level of attachment anxiety toward romantic partners while reporting relatively lower levels of attachment avoidance across relationships. (d) The "overall anxious-avoidant" group was the highest in attachment anxiety and avoidance across all of their close relationships except for attachment avoidance from best friends and romantic partners, which were the highest among the "overall avoidant" group. These four groups also differed in their levels of depressive symptoms and affection for the father and the mother. This study uniquely contributes to the literature by identifying the latent attachment styles considering four attachment figures and examining the characteristics of these attachment styles.

• 정신신체의학
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• 제16권2호
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• pp.120-124
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• 2008

연구목적 : 본 연구는 홧병 클리닉을 방문한 환자를 대상으로 임상증상과 MMPI상의 성격특성을 조사해 보고자 하였다. 방법 : 2005년 12월부터 2006년 7월(7개월간)까지 이대 동대문 병원 내 가슴앓이 홧병 클리닉에 내원한 31명의 여성 환자($45.4{\pm}8.4$세)를 대상으로 호소하는 증상에 대해 반구조화된 면담을 실시하였고 신체적 검사를 시행하였다. 광고를 통해 모집된 31명의 여성 대조군($42.9{\pm}8.0$세)을 포함한 전체 대상군에게 MMPI를 완성하도록 하였다. 결과 : 홧병 클리닉 환자들이 호소한 주 증상은 31명 모두 가슴 답답함 혹은 통증을 호소하였으며, 소화기계 증상은 총 19명(61.3%)에서 있었다. 호흡기계 증상은 13명(41.9%)에서 관찰할 수 있었으며, 수면 장애는 12명 (38.7%)에서 있었다. 불안, 우울감 같은 정신과적 증상은 12명(38.7%)이 호소하였다. 8명(27.6%)의 환자에서 시행한 검사상 소화기계 질환이 진단되었다. 나이와 교육수준을 통제했을 때, 홧병 환자군에서 MMPI 소항목 척도 중 Hs(Hypochondriasis), D(Depression), Hy(Hysteria), Pt(Psychasthenia) 점수가 유의하게 높았다(p=0.001, p=0.049, p=0.000 and p=0.029, ANCOVA, respectively). 결론 : 본 연구에서 홧병 클리닉을 방문한 환자들은 다양한 신체 질환을 호소하였고, 27.6%의 환자에서 실제 신체질환이 진단되었다. 또한, 홧병클리닉 환자들의 성격 특징은 건강염려적이고, 우울하며, 스트레스에 미숙하고, 불안하였다.

• 대한한의학회지
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• 제39권1호
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• pp.13-21
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• 2018

Objectives: The objective of this study is to develop the diagnostic tool to distinguish between cold syndrome (CS) and heat syndrome (HS). Methods: A total of 1,753 subjects were divided into three groups, those are CS group, intemediate group, and HS group, by the mean and standard deviation of the cold heat syndrome differentiation score using 7 point scale consisting of 9 items. Demographic characteristics, diseases history, health status, Mibyeong, syndrome differentiation were analyzed. Results: CS is characterized by women, elderly, and low body mass index. CS has a history of thyroid disease, cataract, depression, osteoporosis, and HS has a history of prostatomegaly. CS receives less social psychosocial stress than HS, and the quality of life associated with health status is lower than HS. CS group has the tendency to be tired, painful, sleepless, dyspeptic and anxious. Conclusions: CS is a set of symptoms associated with decreased energy metabolism and decreased metabolic function, and is more likely to be unhealthy than HS.

• 대한디지털의료영상학회논문지
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• 제16권1호
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• pp.21-25
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• 2014

This study, was conducted to find out the correlation factors of anxiety of the patients during MRI exam on the claustrophobia. This study conducted a survey targeting those korea auxiliary police and combat auxiliary police patients who were admitted to the National Police Hospital over a period from January 2 to December 24, 2013 to investigate their degree of claustrophobia. In study result, sufficient explain before exam was helpful and decrease anxiety. However, they felt more anxious about limited spare, and when the entered a bore. Symptoms of instability and fear were stuffy, sweat, dyspnea, palpitation those are ascending rank of frequency.

• Restorative Dentistry and Endodontics
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• 제48권2호
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• pp.19.1-19.12
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• 2023

Objectives: The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods: This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results: Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions: The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

• The Korean Journal of Pain
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• 제33권2호
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• pp.108-120
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• 2020

From the perspective of the definition of pain, pain can be divided into emotional and sensory components, which originate from potential and actual tissue damage, respectively. The pharmacologic treatment of the emotional pain component includes antianxiety drugs, antidepressants, and antipsychotics. The anti-anxiety drugs have anti-anxious, sedative, and somnolent effects. The antipsychotics are effective in patients with positive symptoms of psychosis. On the other hand, the sensory pain component can be divided into nociceptive and neuropathic pain. Non-steroidal anti-inflammatory drugs (NSAIDs) and opioids are usually applied for somatic and visceral nociceptive pain, respectively; anticonvulsants and antidepressants are administered for the treatment of neuropathic pain with positive and negative symptoms, respectively. The NSAIDs, which inhibit the cyclo-oxygenase pathway, exhibit anti-inflammatory, antipyretic, and analgesic effects; however, they have a therapeutic ceiling. The adverse reactions (ADRs) of the NSAIDs include gastrointestinal problems, generalized edema, and increased bleeding tendency. The opioids, which bind to the opioid receptors, present an analgesic effect only, without anti-inflammatory, antipyretic, or ceiling effects. The ADRs of the opioids start from itching and nausea/vomiting to cardiovascular and respiratory depression, as well as constipation. The anticonvulsants include carbamazepine, related to sodium channel blockade, and gabapentin and pregabalin, related to calcium blockade. The antidepressants show their analgesic actions mainly through inhibiting the reuptake of serotonin or norepinephrine. Most drugs, except NSAIDs, need an updose titration period. The principle of polypharmacy for analgesia in case of mixed components of pain is increasing therapeutic effects while reducing ADRs, based on the origin of the pain.

• 대한불안의학회지
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• 제2권1호
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• pp.28-32
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• 2006

Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.

• 동의생리병리학회지
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• 제31권4호
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• pp.201-212
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• 2017

This study draws pattern differentiations of headache disorders on the ground of modern clinical applications and Korean medical literature. Categorization and symptoms of headache disorders are based on International Classification of Headache Disorders 3rd edition(beta version). And clinical papers are searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). In the aspect of eight principle pattern identification, primary headache occurs due to lots of yang qi and has more inner pattern rather than exterior pattern, heat pattern rather than cold pattern, excess pattern rather than deficiency pattern. And primary headache is related with liver in the aspect of visceral pattern identification and blood stasis, wind and phlegm are relevant mechanisms. Migraine without aura is associated with ascendant hyperactivity of liver yang, phlegm turbidity, sunken spleen qi, wind-heat, blood deficiency or yin deficiency. Migraine with aura is mainly related with wind and it's major mechanisms are ascendant hyperactivity of liver yang, liver fire, yin deficiency of liver and kidney, blood deficiency or liver depression and qi stagnation. High repetition rate of tension-type headache can be identified as heat pattern or excess pattern. And trigeminal autonomic cephalalgias can also be accepted as heat pattern or excess pattern when the occurrence frequency is high and is relevant to combined pattern with excess pattern of external contraction and deficiency pattern of internal damage based on facial symptoms by external contraction and nervous and anxious status by liver deficiency. This study can be expected to be Korean medical basis of clinical practice guidelines on headache by proposing pattern identifications corresponding to the western classifications of headache disorders.

• 한국학교보건학회지
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• 제10권2호
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• pp.169-178
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• 1997

In order to investigate the complaint rates of subjective fatigue symptoms and study the relationship between them and body type, health awareness in middle school students, we carried out a survey of 1,209 students (654 boy students and 555 girl students) at a middle school in Taejon City by a self-recorded questionnaire. The survey was conducted in June, 1997. The results obtained were as follows: 1. Among complaints of fatigue, "feel like lying down" was the highest, followed by "feel anxious about things", "feel drowsy", "yawning a lot", "eye strain" and "whole body feels tired" in descending order. 2. In the average weighted score of fatigue complaint, dullness and sleepiness (I) was the highest, followed by a difficulty in concentration (II) and bodily projection of fatigue (III) in descending order. Fatigue seems to create mental stress rather than physical burdens. 3. In the classification of body type based on the $R\ddot{o}hrer$ index, the obesity type (145 and above) was 11.0%, standard type (110~144) was 64.7% and leptosomic type (l09 and below) was 24.3%. Comparison between both sexes revealed that the rate of obesity and leptosomic types were significantly higher in boy students than in girl students. 4. In terms body type awareness, the statistics are the following: those who consider themselves to be standard type, 44.3%, slightly obese 24.5%, leptosomic, 23.5% and obese 7.8%. However, the level of obesity awareness was significantly higher in girl students than in boy students. 5. As for health awareness, 36.5% considered themselves healthy, 5.4% generally healthy and 10.1% a little unhealthy, but the level of unhealthy awareness was higher in girl students than in boy students. 6. In the relationship between body type and health awareness, most students thought that they were obese in spite of their standard body type. Also, many students who were obese and leptosomic tended to consider themselves to be a little unhealthy. 7. The more the students were obese or felt unhealthy, the more the average weighted score of fatigue complaints was high.

• 한국융합학회논문지
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• 제8권4호
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• pp.111-122
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• 2017

본 연구에서는 컴퓨터 기반의 인지편향수정 프로그램(Cognitive Bias Modification Program - Interpretation, CBM-I)을 이용하여 사회불안 경향이 있는 대학생들을 위한 해석편향 수정 프로그램을 개발하고, 이 프로그램이 사회불안증상 및 해석편향 변화에 미치는 효과를 검증하고자 하였다. 40명의 사회불안 경향성자들을 긍정해석 훈련집단((n=21)과 비처치대기집단((n=19)에 배정하였고 치료 전후 해석 편향과 사회불안증상 수준(e.g. 부정적 평가에 대한 두려움 척도, 레보위츠 사회불안 척도)을 비교하였다. CBM-I 훈련은 참가자들이 긍정적인 방식으로 모호한 상황을 해석하면 긍정적 피드백을 제공하고, 부정적인 방식으로 해석하면 부정적 피드백을 제공하는 방식으로 진행되었으며, 긍정해석 훈련집단의 경우 3주간 3번의 회기에 참가하였다. 사후분석에서 긍정훈련 조건에 참가한 내담자들의 자기 보고식 사회불안 증상이 감소하였다(t=2.35, p<.05; t=4.70, p<.001). 이러한 결과는 다중회기로 실시된 해석 편향의 수정이 임상적으로 유용할 수 있음을 시사한다.