• Title/Summary/Keyword: Clinical anxiety

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Effect of Acupressure on Preoperative Cesarean Section Anxiety

  • Abadi, Foziyeh;Abadi, Faezeh;Fereidouni, Zhila;Amirkhani, Mehdi;Karimi, Shahnaz;Najafi Kalyani, Majid
    • Journal of Acupuncture & Meridian Studies
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    • v.11 no.6
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    • pp.361-366
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    • 2018
  • Anxiety is a common preoperative problem in cesarean section candidates. Nonpharmacologic anxiety control has been demonstrated to be more suitable in pregnant women. The current study was a randomized, single-blind clinical trial which evaluated the effect of acupressure on preoperative C-section anxiety. In this study, 60 patients facing surgery were randomly divided into two groups of 30 patients each. Those patients in the intervention group received simultaneous acupressure at the Yintang and HE-7 acupoints for 5 minutes before surgery, and patients in the control group received intervention at a sham acupoint. The anxiety level of patients was preoperatively assessed twice using the Spielberger's State-Trait Anxiety Inventory. The mean anxiety scores of the two groups were shown to be insignificantly different before the intervention (p = 0.859), whereas a significant difference between the mean anxiety scores of the two groups was observed after the intervention (p = 0.001), suggesting that acupressure reduced the anxiety of patients before surgery.

Clinical Symptoms and the Duration of Illness in Patients with Obsessive-Compulsive Disorder (강박증 이환기간과 임상 양상)

  • Lee, Seung-Jae;Yoo, So-Young;Kang, Do-Hyung;Kwon, Jun-Soo
    • Anxiety and mood
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    • v.2 no.1
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    • pp.22-27
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    • 2006
  • Objectives : There is a paucity of data on the long-term course of obsessive-compulsive disorder (OCD) and chronological relationship between OC symptoms and their related symptoms such as anxiety and depression. The purpose of this study was to investigate the longitudinal course of OC symptoms as well as anxiety and depression which are believed to be associated with OC symptoms. Methods : Data for 155 patients with OCD who completed general evaluation for OCD were used. Forty four were excluded to minimize the effect of the different age of onset on the clinical course. One hundred eleven patients finally participated in the analysis. Cross-sectional correlations between each symptom as well as between such symptoms and the duration of illness were analyzed. Further correlation analysis was done within two groups that were divided by 7 years of the duration of illness. Results : There were significant correlations not only between the severity of OC symptoms and anxiety but also between anxiety and depressive symptom, regardless of the duration of illness. These correlations between such symptoms were also found within patients with the duration of illness below 7 years, whereas these were not within the group with the duration of illness above 8 years. Conclusion : Patients with OCD in this study shows the moderate to severe level of OC symptoms irrespective of the duration of illness. Our finding also suggests that the OC symptoms, especially obsessions are closely related to anxiety and depressive symptoms and these relationships might be pronounced in relatively early phase of the OCD after onset.

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The Effect of the Pulsatilla 30C as Homeopathy for Ophthalmic Diseases with Concomitant Separation Anxiety (동종요법을 이용한 개의 분리불안과 안과질환 치료 4례)

  • Hwang, Hag-Kyun;Yang, Hyun-Gook;Kim, Min-Su;Kim, Nam-Soo;Cho, Sung-Jin
    • Journal of Veterinary Clinics
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    • v.28 no.1
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    • pp.173-178
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    • 2011
  • Homeopathic Pulsatilla 30C was evaluated in 4 clinical cases of ophthalmic complications with concomitant separation anxiety in dogs. Separation anxiety in dogs is excessive anxiety regarding to the separation from owners and is one of the most common behavioral problems in dog. In addition, ocular diseases is sometimes related with abnormal behaviors. Holistic approach is good alternative method to treat dogs with physical problem associated behavior problem. Homeopathy is one of the complementary and alternative medicines and bases on healing of patients themselves which includes mind healing, not the disease itself. Among the material medical remedy of homeopathy, the Pulsatilla is used as homeopathic remedy for ocular problems, earache, cough, cold, and anxiety from lost attention. These case studies described the successful treatment of ocular diseases and separation anxiety by application of Pulsatilla 30C as homeopathy in 4 dogs. During the homeopathy, these dogs did not receive any other treatments, and were performed the physical exam to check the ocular problems. These dogs were completely cured of physical and behavior problem within 10 days. On following up, any clinical signs were not observed at one month after the last therapy. In addition, as from the treatment the anxiety problem of patients has been much better improved. According to these case studies, we know that an application of homeopathic remedy may be useful therapeutic choice to treat both problems of physical and behavior.

Anxiety, Depression and their Correlates in Rectal Cancer Patients Without Ileostomy (장루미보유 직장암 환자의 불안과 우울 및 관련요인)

  • Lim, Semi;Kang, Younhee
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.1
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    • pp.80-91
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    • 2015
  • Purpose: This study aimed to identify the relationships among bowel function, health locus of control, anxiety, and depression in patient with rectal cancer. Methods: This study utilized a descriptive correlational design. Subjects were 200 rectal cancer patients who attended out-patient clinic in a colorectal cancer center. The study instruments included the scales for bowel function, health locus of control, anxiety, and depression. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficient. Results: The mean score of bowel function was $34.44{\pm}5.73$. The mean scores of internal HLOC, chance HLOC, doctor HLOC, and powerful others HLOC were $29.06{\pm}6.81$, $22.41{\pm}6.96$, $15.88{\pm}2.85$, and $10.72{\pm}4.68$ respectively. The mean scores of anxiety and depression were $4.49{\pm}3.95$ and $6.25{\pm}3.98$, respectively. There were significant negative correlations between bowel function and anxiety (r=-.180, p=.011); between bowel function and depression (r=-.267, p<.001); and between internal health locus of control and depression (r=-.149, p=.035). There were significant positive correlations between chance health locus of control and depression (r=.146, p=.039), and between anxiety and depression (r=.651, p<.001). Conclusion: It is suggested that anxiety and depression for the patients with low bowel function after colorectal cancer surgery should be evaluated and nursing interventions to enhance internal health locus of control need to be developed.

Clinical Guidelines for Hwabyung II. (Research on the Status of Hwabyung in Korea) (화병 임상진료지침 II. (화병의 실태))

  • Chung, Sun-Yong;Song, Seung-Yeon;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.15-22
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    • 2013
  • Objectives : The Hwabyung Research Center of The Korean Society Of Oriental Neuropsychiatry attempted to produce clinical guidelines for doctors of Korean medicine for the treatment of Hwabyung. Methods : A standard guideline development process was followed. Relevant literature was identified by a review of bibliographies. The operational criteria were used to rate the quality of scientific evidence, and the line of treatment recommendations included a consensus clinical opinion. This section of "the status of Hwabyung in Korea" is 2 out of 5 articles drafted and reviewed by clinicians. Results : Hwabyung is changed depending on the time and have a risk of relapse. Like the previous studies, Female and lower socio-economic and educational level people suffers Hwabyung frequently. But recently number of Male Hwabyung patients increases. Recovery of Hwabyung is involved in depression, anxiety, stress. Hwabyung is related to Major depressive disorder, generalized anxiety disorder, somatoform disorder and diseases of the digestive system. Conclusions : This study was observed for the progression of Hwabyung. Hwabyung is a long-term disease associated with depression, anxiety and stress. Hwabyung is accompanied by physical and psychological symptoms and degrades the quality of life.

Habit Reversal Training in Tic Disorder (틱 장애에서 습관뒤집기 훈련의 임상효과)

  • Hong, Jong-Woo;Doh, Jin-Ah;Kim, Hyun-Woo;Lim, Myung-Ho
    • Anxiety and mood
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    • v.6 no.1
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    • pp.24-30
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    • 2010
  • Objectives : Tic disorder is known to be a chronic neuro-behavioral disease, cognitive behavioral treatment (CBT) strategies, like habit reversal training (HRT), are introducing recently. We report the effectiveness of HRT in Tourette disorder, which are very common in clinical settings. Methods : The DSM-IV clinical diagnosis applied by child psychiatrist. YGTSS, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, Dupaul ADHD Rating Scales are used. Ultimately, totally 10 children were evaluated. Subject group are consist of 6 boys and 4 girls, and the mean age was $10.90{\pm}1.73$ years old. This study is treatment-refractory 10 patients (from 9-14 years old) though 1 years drug treatment and psychiatric consultation were taken. We administered 5 times of HRT for 4 weeks. Results and Conclusion : There were improvement of scores in Yale Global Tic Severity Scale, Clinical Global Improvement. Our observations indicate that HRT might be effective in the treatment of Tourette disorder.

Attentional Dysfunction in Major Psychiatric Disorders (주요 정신장애에서의 주의력 장애)

  • Ha, Kyoo-Seob
    • Sleep Medicine and Psychophysiology
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    • v.5 no.2
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    • pp.155-169
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    • 1998
  • Attentional dysfunction is considered as one of the core deficits in schizophrenic process. The findings, pathophysiological mechanisms, and their clinical implications of clinical and experimental neurocognitive tests for the attentional impairment in schizophrenics are reviewed. The influences of psychopathology, antipsychotic treatment, and chronic institutionalization are also included in the review. In contrast, there are only a few evidences that attentional dysfunction would be a core deficit of depressive, manic, and anxiety disorders. Some recent findings of attentional impairment in these disorders are reviewed.

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Relationship of Affective Symptoms and Resilience with Childhood Abuse in Patients with Depressive or Anxiety Disorders (우울 및 불안장애 환자에서 아동기 학대와 정서증상 및 리질리언스와의 관계)

  • Kyoung, Miha;Min, Jung-Ah;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.9 no.1
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    • pp.68-73
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    • 2013
  • Objective : The aim of this study is to identify the relationship between childhood abuse and affective symptom including resilience in patients with depression or anxiety. Methods : A total 256 outpatients diagnosed with depressive disorder or anxiety disorder according to DSM IV-TR, were evaluated with Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Parent-Child Conflict Tactics Scale (PCCTS), Connor-Davidson Resilience Scale (CD-RISC). Independent t-test, Chi-square analysis and analysis of covariance (ANCOVA) were performed to identify the demographics of patients and the relationship between affective symptoms including resilience and childhood abuse. Results : Among demographic and clinical variables, patients with childhood abuse history were significantly higher rate in patients who were living alone and unemployed. In affective symptoms, patients with childhood abuse history were significant more severe in depressive symptoms, and state anxiety score than patients without history of childhood abuse. Patients with childhood abuse history had higher score for trait anxiety and lower score for resilience than patients who had no history of childhood abuse. Conclusion : These finding suggest that history of childhood abuse might be risk factor on depressive and anxiety symptoms severity. And this might be a predictable factor of poor treatment outcome.

Depression, Anxiety and Stress in Pathological Gambling (우울, 불안, 스트레스와 병적 도박)

  • Shin, Young-Chul;Choi, Sam-Wook
    • Anxiety and mood
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    • v.2 no.2
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    • pp.86-93
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    • 2006
  • Depression, anxiety and stress are important components of theories of pathological gambling and are often foci of treatment with patients with gambling problems. In the present review we attempt to examine the relationship between anxiety, depression, stress and pathological gambling. Although the previous studies on this subject are limited and the relationship is unclear and complex, our review on the previous studies and clinical experiences on this subject could offer new insights for the assessment and treatment of pathological gamblers.

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A case of Mixed anxiety and depressive disorder (혼재성 불안 및 우울장애 환자 1례 증례 보고)

  • Kim, Bo-Young;Lee, Ji-In;Kwen, Soon-Ju;Chung, Dae-Kyoo;Lee, Seung-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.127-134
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    • 2003
  • This is a case report of a patient with mixed anxiety and depressive disorder treated by Punsimgieum. The symptoms of the patient were anxiety(agitation), numbness(paresthesia), nausea, dyspepsia, insomnia and hopelessness. In this case, we administrated Punsimgieum to a patient suffering from anxiety and depressive disorder symptoms. After administration of Punsimgieum medication clinical symptoms improved Punsimgieum showed desirable effect on anxiety and depressive disorder symptoms.

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