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The Influence of MMPI Characteristics on the Outcome of Cognitive Behavioral Therapy for Panic Disorder (공황장애 환자의 다면적 인성검사 (MMPI) 특성이 인지행동치료 결과에 미치는 영향)

  • Choi, Young-Hee;Lee, Jung-Heum
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.147-154
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    • 1998
  • Objective : This study was designed to find the characteristics of MMPI that could influence the outcome of cognitive behavioral therapy(CBT) for panic disorder. Methods : 34 patients who met DSM-IV criteria for panic disorder with or without agoraphobia had completed 11 weekly sessions of cognitive behavioral therapy. All the patients were assessed with MMPI before the initiation of treatment. Five self-report measures including Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory(STAI), Agoraphobic Cognition Questionnarie(ACQ), Body Sensation Questionnaire(BSQ), and Daily Anxiety Selfrating (0 - 8 scales) were also assessed as a pre- and post-treatment assessment. After the completion of treatment, patients were classified by the High End-State(HES) functioning group and the Low End-State(LES) functioning group for the data analysis. Results : 1) The LES group showed significantly higher scores in Hypochondriasis Scale(HS), Depression Scale(D), Hysterical Scale(Hy), Obsessive Scale(Pt), Schizophrenia Scale(Sc) and Validity Scale(F) of MMPI than the HES group. However, these differences gave impressions that the LES group had more severe symptoms rather than that they could be the factors influencing the outcome of CBT. 2) Though, the severity of symptoms of the LES group in the 5 measures of pre-assessment was basically higher than that of the HES group. The fact that both group showed the similar improvement between pre- and post-assessment supported the above interpretation. Conclusion : In regarding the above results, MMPI was not a proper tool that could provide the factors influencing the outcome of CBT. In the future study, the authors need to use a different tool that can find the personality characteristics more directly.

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Validation on the Utilization of Small-scale Unmanned Aerial Systems(sUAS) for Topographic Volume Calculations (토공량 산정을 위한 소형무인항공시스템의 활용성 평가)

  • Lee, Yong-Chang
    • Journal of Cadastre & Land InformatiX
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    • v.47 no.1
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    • pp.111-126
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    • 2017
  • Small-scale UAS(Fusion technique of Unmanned Aerial Vehicles platform and Sensors, 'sUAS') opens various new applications in construction fields and so becoming progressively common due to the considerable potentials in terms of accuracy, costs and abilities. The purpose of this study is that the investigation of the validation on the utilization of sUAS for earth stockpile volume calculations on sites. For this, generate 3D models(DSM) with sUAS aerial images on an cone shaped soil stockpile approximately $270m{\times}300m{\times}20m$, which located at Baegot Life Park in Siheung-si, compared stockpile volume estimates produced by sUAS image analysis, against volume estimates obtained by GNSS Network-RTK ground surveying method which selected as the criteria of earth stockpile volume. The result through comparison and examination show(demonstrate) that there was under 2% difference between the volume calculated with the GNSS Network RTK data and the sUAV data, especially sUAS imaged-based volume estimate of a stockpile can be greatly simplified, done quickly, and very cost effective over conventional terrestrial survey methods. Therefore, with consideration of various plan to assess the height of vegetation, sUAS image-based application expected very useful both volume estimate and 3D geospatial information extraction in small and medium-sized sites.

Effect of Short-Term Pharmacotherapy on Anxiety Sensitivity, Quality of Life and Functional Disability in Panic Disorder Patients (공황장애에서 단기약물치료가 불안민감도와 삶의 질 및 기능장애에 미치는 영향)

  • Oh, Yun-Hye;Choi, Kwan-Woo;Kim, Bora;Heo, Jung-Yoon;Yu, Bum-Hee
    • Anxiety and mood
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    • v.9 no.1
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    • pp.25-30
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    • 2013
  • Objective : Panic disorder is a chroni, debilitating illness, and has been known to be affected by high anxiety sensitivity and a poor quality of life. We examined if 12 weeks of pharmacotherapy with escitalopram could affect anxiety sensitivity, quality of life, and general disability in patients with panic disorder. Method : We enrolled 27 patients who met the DSM-IV-TR criteria for panic disorder, with or without agoraphobia, and completed 12 weeks of escitalopram treatment. We enrolled 29 normal control subjects who were matched for age and sex compared with the panic patients. All subjects were assessed using the Hamilton Rating Scale for depression (HAM-D), Hamilton Rating Scale for Anxiety (HAM-A), Panic Disorder Severity Scale (PDSS), Anxiety Sensitivity Index-Revised (ASI-R), WHO quality of life assessment (WHO-QOL) and Sheehan Disability Scale (SDS) before and after 12 weeks of treatment. Result : Panic disorder patients had a higher Anxiety sensitivity, a poorer Quality of life, and significant disability than normal control subjects at baseline. After the treatment, Panic disorder patients showed significant improvement in the severity of panic symptoms in terms of the HAM-A p<0.001), HAM-D (p<0.001) in addition, the reached a remission state in terms of the PDSS score. They also showed significant improvement in the ASI-R (p<0.001), WHO-QOL (p<0.001) and SDS (p<0.001), but mean scores of the ASI-R, WHO-QOL and SDS in panic disorder patients were did not reach normal levels. Conclusion : This study suggests that 12 weeks of pharmacotherapy with escitalopram could improve anxiety sensitivity, quality of life, and disability in panic disorder patients, although their anxiety sensitivity, quality of life and disability were not yet normalized after short-term pharmacotherapy. Thus, long-term pharmacotherapy may be necessary for panic disorder patients in order to get an optimal clinical response in terms of anxiety sensitivity, quality of life, and general disability.

Pre-Filtering based Post-Load Shedding Method for Improving Spatial Queries Accuracy in GeoSensor Environment (GeoSensor 환경에서 공간 질의 정확도 향상을 위한 선-필터링을 이용한 후-부하제한 기법)

  • Kim, Ho;Baek, Sung-Ha;Lee, Dong-Wook;Kim, Gyoung-Bae;Bae, Hae-Young
    • Journal of Korea Spatial Information System Society
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    • v.12 no.1
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    • pp.18-27
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    • 2010
  • In u-GIS environment, GeoSensor environment requires that dynamic data captured from various sensors and static information in terms of features in 2D or 3D are fused together. GeoSensors, the core of this environment, are distributed over a wide area sporadically, and are collected in any size constantly. As a result, storage space could be exceeded because of restricted memory in DSMS. To solve this kind of problems, a lot of related studies are being researched actively. There are typically 3 different methods - Random Load Shedding, Semantic Load Shedding, and Sampling. Random Load Shedding chooses and deletes data in random. Semantic Load Shedding prioritizes data, then deletes it first which has lower priority. Sampling uses statistical operation, computes sampling rate, and sheds load. However, they are not high accuracy because traditional ones do not consider spatial characteristics. In this paper 'Pre-Filtering based Post Load Shedding' are suggested to improve the accuracy of spatial query and to restrict load shedding in DSMS. This method, at first, limits unnecessarily increased loads in stream queue with 'Pre-Filtering'. And then, it processes 'Post-Load Shedding', considering data and spatial status to guarantee the accuracy of result. The suggested method effectively reduces the number of the performance of load shedding, and improves the accuracy of spatial query.

Development of Standard Work Type to Utilize Drone at Expressway Construction Sites (고속도로 건설현장에서 드론 활용을 위한 표준공종 개발)

  • Lee, Suk Bae;Jeong, Min;Auh, Su Chang;Kim, Jong Jeon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.41 no.4
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    • pp.461-468
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    • 2021
  • The role of drones is increasing day by day in smart construction that manages construction sites with 3D data in every life cycles. This is because both the digital surface model (DSM) and the orthoimage obtained for the construction site through the drone are made of point cloud data. This study aims to develop standard work types for drone use in order to systematically utilize drones in expressway construction sites. For the study, two expressway construction sites in Korea were set as test beds, and construction types applicable to drones were derived and verified through a pilot project. As a result of the study, three construction work types were developed for road planning, road design and maintenance, respectively, and in road construction, twenty-one detailed construction types were developed for five construction work types. It is expected that drones can be used more systematically not only at expressway construction sites, but also at other road construction sites by utilizing the "standard work type at expressway construction site for drone use" developed in this study.

Acute Insomnia in Post-Traffic Accident Patients Treated with M&L Psychotherapy Combined with Traditional Korean Medicine: Three Case Reports (교통사고 후 발생한 급성 수면장애 환자에 대한 M&L 심리치료와 한방 복합치료 치험 3례)

  • KANGMOO GOO;Ji-Won Park;Jeong-Hyo Ji;Na-young Kim;Dong-Hwan Lee;Hyo-Rim Kim;Yu-Ra Im;Ja-Yean Son;Seok Gyu Yang
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.205-216
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    • 2024
  • Objectives: To evaluate the effectiveness of Mindfulness & Loving Beingness (M&L) psychotherapy combined with traditional Korean medicine in treating acute sleep disorders in patients hospitalized following traffic accidents. Methods: We applied traditional Korean medicine treatments in conjunction with various mindfulness meditation techniques from M&L therapy, including Resource Mindfulness and Nourishment Brief Therapy. This study was conducted on three patients who reported acute sleep disorder symptoms on the first day of hospitalization following a traffic accident. The effectiveness of these interventions was assessed using the PTSD Checklist for DSM-5 (PCL-5-K), Insomnia Severity Index (ISI), EuroQol 5-Dimension (EQ-5D), Numerical Rating Scale (NRS), and Patient Global Impression of Change (PGIC). Results: ISI and PCL-5-K scores showed significant improvements after treatment, indicating reduced sleep disturbances and stress symptoms. Additionally, EQ-5D and PGIC scores were enhanced, reflecting an overall improvement in quality of life. Conclusions: This study suggests that integrating M&L therapy with traditional Korean medicine could significantly improve symptoms in patients with acute sleep disorders following traffic accidents.

Feasibility of Emotional Freedom Techniques in Patients with Posttraumatic Stress Disorder: a pilot study

  • Yujin Choi;Yunna Kim;Do-Hyung Kwon;Sunyoung Choi;Young-Eun Choi;Eun Kyoung Ahn;Seung-Hun Cho;Hyungjun Kim
    • Journal of Pharmacopuncture
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    • v.27 no.1
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    • pp.27-37
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    • 2024
  • Objectives: Posttraumatic stress disorder (PTSD) is a prevalent mental health condition, and techniques using sensory stimulation in processing traumatic memories have gained attention. The Emotional Freedom Techniques (EFT) is a psychotherapy that combines tapping on acupoints with exposure to cognitive reframing. This pilot study aimed to assess the feasibility of EFT as a treatment for PTSD by answering the following research questions: 1) What is the compliance and completion rate of patients with PTSD with regard to EFT protocol? Is the dropout rate reasonable? 2) Is the effect size of EFT protocol for PTSD sufficient to justify a future trial? Methods: Thirty participants diagnosed with PTSD were recruited. They received weekly EFT sessions for five weeks, in which they repeated a statement acknowledging the problem and accepting themselves while tapping the SI3 acupoint on the side of their hand. PTSD symptoms were evaluated using the PTSD Checklist for DSM-5 (PCL-5) before and after the intervention. Results: Of the 30 PTSD patients (mean age: 34.1 ± 9.1, 80% female), 96.7% showed over 80% compliance to the EFT sessions, and 86.7% completed the entire study process. The mean PCL-5 total score decreased significantly after the intervention, with a large effect size (change from baseline: -14.33 [95% CI: -19.79, -8.86], p < 0.0001, d = 1.06). Conclusion: The study suggests that EFT is a feasible treatment for PTSD, with high session compliance and low dropout rates. The effect size observed in this study supports the need for a larger trial in the future to further investigate EFT as a treatment for PTSD. However, the lack of a control group and the use of a self-rated questionnaire for PTSD symptoms are limitations of this study. The findings of this pilot study can be used to plan a future trial.

Effects of Interruption Layer for Capillary Rise on Salt Accumulation and Kentucky Bluegrass Poa pratensis Growth in Sand Growing Media over the Reclaimed Saline Soil (임해 간척지에서 모래상토 층에 모세관수 차단 층의 도입이 염류 집적과 켄터 키블루그래스 생육에 미치는 영향)

  • Rahayu, Rahayu;Yang, Geun-Mo;Choi, Joon-Soo
    • Asian Journal of Turfgrass Science
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    • v.24 no.2
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    • pp.106-116
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    • 2010
  • This research was conducted to determine the effect of interruption layer for capillary rise on the sand based growing media when growing Kentucky bluegrass (Poa pratensis L.) on soil reclamation and saline water irrigation. Growing media profile consists of three layers as top soil of 30 cm, 20 cm of the interruption layer for capillary rise and 10 cm of reclaimed paddy soil. Growing media profile was packed in 30 cm diameter column pots. The top soil was a mixture of sand dredged up from Lake Bhunam Tae Ahn, Korea and peat at the ratio of 95:5 by volume. Bottom part of column was covered with plastic net and the pots were soaked into 5 cm depth saline water reservoir with salinity $3-5\;dS\;m^{-1}$. Kentucky bluegrass was established by sod and irrigated using $2\;dS\;m^{-1}$ saline water ($5.7\;mm\;day^{-1}$) in 3 days interval. The results showed that the largest accumulation of salt in the spring with electrical conductivity in saturated extract (ECe) of $5.4\;dS\;m^{-1}$ and sodium absorption ratio (SAR) 34.0 in growing media without the interruption layer for capillary rise and ECe of $4.6\;dS\;m^{-1}$ and SAR 8.24 at growing media using gravel as the interruption layer for capillary rise material. The interruption layer for capillary rise of gravel and coarse sand reduced the accumulation of Na by 16% and 25%, ECe by 7% and 13% in the growing media. Visual quality of Kentucky bluegrass was higher in growing media with the interruption layer for capillary rise of gravel than no interruption layer by 8.3 compared to 7.9 in rates. The interruption layer for capillary rise of gravel and coarse sand enhanced the visual quality by 4.1 and 4.0%, root length by 50 and 38%, and root dry weight by 35 and 17% of Kentucky bluegrass, and reduced the accumulation of Na by 16% and 25%, ECe by 7% and 13% in the growing media.

CLINICAL EVALUATION OF CHILDREN WITH INATTENTION AND HYPERACTIVITY IN A PSYCHIATRIC CLINIC (주의산만과 과잉운동을 주소로 하는 정신과 내원 아동들의 임상 평가)

  • Kweon, Yong-Sil
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.93-103
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    • 2002
  • The aim of this study is to examine the diagnostic profiles and related clinical variables of children with attention and hyperactivity in psychiatric outpatient clinic. Seventy one children with age range of 5 to 14 were diagnosed by DSM-IV, and assessment battery including KEDI-WISC, KPI-C, ADS(ADHD Diagnostic System) were completed. The subjects were divided into 3 diagnostic groups:ADHD only(n=17), ADHD comorbid(n=27), Other diagnosis(n=27). The results were as follows:In ADHD comorbid group, tic disorder, developmental language disorder, borderline intellectual function, oppositional defiant/conduct disorder, and learning disorder were combined in descending order. Other diagnosis group consisted of tic disorder, borderline intellectual function, depression/anxiety, oppositional defiant/conduct disorder, and others. There were significant differences in IQ, PIQ, and VIQ among the three groups, and ADHD only group showed higher scores of IQ and VIQ than ADHD comorbid group. On the KPI-C, there were no significant differences in all subscales among the three groups. On the visual ADS, omission error and sensitivity showed significant differences among the three groups, and ADHD comorbid group represented higher omission error and lower sensitivity than other diagnostic group. The findings indicated that the inattention and hyperactivity symptoms could be diagnosed into diverse psychiatric disorders in child psychiatry, and ADHD children with comorbidity will show more problems in academic performance and school adjustment.

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A Review Study on the Treatment of Postpartum Depression in Traditional Chinese Medicine (산후 우울증 치료에 대한 중의학의 최근 임상연구 동향)

  • Kim, Moon-Jeong;Lee, Jong-Nam;Hong, Jin-Man;Lim, Jung-Hwa;Seong, Woo-Yong
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.2
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    • pp.179-190
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    • 2014
  • Objectives: This study was performed to review the research trends regarding the treatment of Postpartum Depression (P.P.D) in the Traditional Chinese Medicine (TCM). Methods: We searched articles in CNKI (China National Knowledge Infrastructure) from 2004 to 2013. Search key words were "产后抑郁症", "Postpartum Depression", and we selected 27 studies except for non-clinical studies, insufficient number of studies, unrelated studies and tests on animals. Results: We selected 27 articles with following results: 1) One study of Jadad Quality Assessment Scale score showed 3 points, 4 studies showed 2 points and 22 studies showed less than 1 point. Overall, the quality of the studies was low. 2) DSM - IV was frequently used as a diagnostic criteria and HAMD was mostly used as evaluation criteria. Diagnostic criteria and evaluation criteria were the same in HAMD and EPDS. 3) In TCM, there are various ways, such as herbal medicine, acupuncture, electro acupuncture, auricular acupuncture and/or massage to treat the postpartum depression. 4) The roots of Bupleurum falcatum Linne, Glycyrrhiza uralensis Fisch, Angelica gigas Nakai and Paeonia lactiflora Pall, the rhizome of Atractylodis macrocephala Koidz, the semen of Zizyphus jujuba Mill, the radix of Curcuma aromatica Salisb, the sclerotium of Poria cocos Wolf and the rhizomas of Cyperus rotundus L and of Cnidium officinale Makino are mainly used in the herbal medicine. BaekHoi (GV20) and Yindang (Ex-HN3) are mainly used in acupuncture points. 5) Most of the studies showed effective results. Some of the results were similar to those of the control groups which were cured by western medicine. Other results were better than those of control groups. Conclusions: Research on postpartum depression has been actively conducted in TCM and all studies showed effective results in the study group patients. Therefore, with this study, we hope to activate more clinical research on the treatment of patients in Korean traditional medicine.