• 우울조울병
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• 제15권2호
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• pp.67-72
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• 2017

Objectives : Mindfulness meditation has recently become a major component in mainstream modern cognitive behavioral therapy. The purpose of this study was to examine effects of a mindfulness meditation program on positive resources of outpatients with depressive disorder and anxiety disorder. Methods : Participants were 55 psychiatric clinic outpatients. Participants received eight weekly sessions in a mindfulness meditation training program, that was approximately 90 minutes each. Measures included the Positive Resources Test (POREST), Acceptance and Action Questionnaire-16 (AAQ-16), Life Satisfaction Expectancy Scales (LSES), and Subjective Happiness Scale (SHS). Variables were measured at two time points : pre- and post-implementation (eight weeks later). Results : Paired t-test results of participants before and after the mindfulness meditation program revealed statistically significant improvement in positive resources (t=-5.847, p<.001), acceptance (t=-4.090, p<.001), life satisfaction expectancy (t=-3.892, p<.001), but not in subjective happiness. Conclusion : Results suggest mindfulness meditation may be effective to enhance positive resources, acceptance, and life satisfaction in outpatients with depressive disorder and anxiety disorder. Mindfulness meditation may be a factor in improving psychological well-being and positive psychological features in outpatients with depressive disorder and anxiety disorder.

• Journal of Preventive Medicine and Public Health
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• 제54권2호
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• pp.110-118
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• 2021

Objectives: A growing number of people depend on flexible employment, characterized by outsider employment status and perceived job insecurity. This study investigated whether there was a synergistic effect of employment status (full-time vs. part-time) and perceived job insecurity on major depressive disorder. Methods: Data were derived from the 2012 Canadian Community Health Survey-Mental Health of 12 640 of Canada's labor force population, aged 20 to 74. By combining employment status with perceived job insecurity, we formed four employment categories: full-time secure, full-time insecure, part-time secure, and part-time insecure. Results: Results showed no synergistic health effect between employment status and perceived job insecurity. Regardless of employment status (full-time vs. part-time), insecure employment was significantly associated with a high risk of major depressive disorder. Analysis of the interaction between gender and four flexible employment status showed a gender-contingent effect on this link in only full-time insecure category. Men workers with full-time insecure jobs were more likely to experience major depressive disorders than their women counterparts. Conclusions: This study's findings imply that perceived job insecurity may be a critical factor for developing major depressive disorder, in both men and women workers.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권3호
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• pp.164-169
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• 2013

Objectives : We assessed the availability of Aberrant Behavior Checklist (ABC) for the evaluation of the pharmacological effect in autistic disorder. Methods : A retrospective review of the medical records of 27 children with autistic disorder, who visited the department of child and adolescent psychiatry of Kyungpook National University Hospital, from October 2011 to February 2013, was conducted. After treatment with risperidone, changes in the severity and improvement of symptoms were measured using ABC at the baseline, 2nd visit and 3rd visit, respectively. Results : The mean daily dose of risperidone increased from $0.66{\pm}0.27mg$ (baseline, initial dose) to $1.02{\pm}0.50mg$, 2nd visit, and $1.19{\pm}0.50mg$, 3rd visit. According to ABC, irritability, lethargy, hyperactivity, and inappropriate speech subscale scores decreased significantly from the baseline to 2nd visit. Irritability and Hyperactivity subscale scores decreased significantly from the 2nd to 3rd visit. All subscales and total scores of ABC decreased significantly from the baseline to 3rd visit. Conclusion : The results of this study suggest that ABC can be used as an efficient tool to measure the symptoms of autistic disorder and to evaluate the medication effect on continuous treatment.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7273-7284
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• 2015

본 연구는 메타분석을 통해 불안장애에 적용된 비약물적 중재요법의 효과크기를 알아보고 대상자 중재에 근거기반한 객관적 자료를 제공하기 위해 수행되었다. 이를 위해 국내 주요 DB를 이용하여 불안장애에 대하여 비약물적 중재를 제공한 2,690편의 논문 중 불안과 우울을 종속변수로 하여, 선정기준에 적합한 최종 23편의 논문을 대상으로 분석을 실시하였다. 검색어는 '불안장애(anxiety disorder)', 중재(treatment or intervention)'를 이용하여 2015년 5월까지 출판된 논문을 검색하였다. 분석은 랜덤 효과모형을 이용하였으며, 불안과 우울의 효과크기를 각각 산출하였다. 본 연구에서 비약물적 중재의 불안에 대한 효과크기는 Hedges's g=1.693, 우울에 대한 효과크기는 Hedge's g=1.571로 큰 효과크기를 보였다. 본 연구는 국내에서 시행되고 있는 불안장애에 적용한 비약물적 중재효과에 대한 연구결과를 체계적으로 종합하고, 그 효과크기를 객관적으로 제시하여 간호중재에 적용할 수 있는 근거를 마련하였다는데 그 의의가 있다.

• 한국산업보건학회지
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• 제31권1호
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• pp.38-49
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• 2021

Objectives: This study was conducted to analyze the impact of safety/health managers' experience of trauma case on their post traumatic stress disorder and the mediation effects of job stress and the moderated mediation effects of social support. Method: Using a structured questionnaire, data were collected from 241 workplace safety/health managers with experience in trauma case. The collected data were analyzed using SPSS(IBM. Ver.26.0) and verified through SPSS PROCESS Macro (Ver. 3.4). Results: The trauma case experience and the job stress, which is a mediation variable, had a statistically significant positive effect on post-traumatic stress disorder, and the job stress had a positive mediation effect in the relationship between the trauma case experience and post-traumatic stress disorder. Social support had a statistically significant negative moderation effect in the relationship between the trauma case experience and job stress; social support had a moderated mediation effect on the indirect effect of a job stress on the post-traumatic effect through a trauma case experience. Conclusion: The above findings suggest that work-related job stress management is important in order to reduce safety/health managers' post-traumatic stress disorder caused by the experience of trauma case, and that social support is essential to reduce the job stress, which can later be used as a basis for further studies.

• 시큐리티연구
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• 제54호
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• pp.77-99
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• 2018

본 연구는 지자체에서 실시하는 'CPTED'와 지자체 안전교육이 '안전생활 만족도'에 미치는 관계를 살펴보며, 무질서의 매개효과를 살펴보는데 그 목적이 있다. 이를 위하여 2017년 수도권지역에 거주자를 모집단으로 하였으며, 임의표집법(Random Sample)을 통하여 300명을 표본으로 추출하였다. 최종분석에는 24부를 제외한 총 276부를 통계처리 하였고, 분석방법으로는 회귀분석과 구조방정식 모형을 통한 경로분석을 실시하였다. 매개효과의 유의미성을 살펴보기 위하여 부트스트랩핑(Bootstrapping)을 실시하였다. 분석결과를 요약하면, 'CPTED'는 '무질서'와 '안전생활 만족도'에 정(+)적인 영향을 미치는 것으로 났으나, '지자체 안전교육'은 '안전생활 만족도'에만 정(+)적인 영향을 미치는 것으로 나타났다. '지역무질서'는 '안전생활만족도'에 부(-)적인 영향을 미치는 것으로 나타났다. 경로분석을 실시한 결과, 동일한 영향을 미치는 것으로 나타났으며, 매개효과를 살펴보기 위하여 부트스트랩핑을 실시한 결과에서도 'CPTED'와 '안전생활 만족도'의 관계에서만 지역무질서가 매개하는 것으로 나타났다. 이와 같은 결과를 종합해본 결과, 지역사회의 안전교육에 변화의 필요성을 시사하는 것이며, 지역사회의 CPTED 지역주민의 안전생활을 위한 안전망으로써 효과적인 수단이라는 선행연구를 지지하는 것으로 볼 수 있다. 국민의 안전을 위한 대책을 마련하는 것은 국가의 가장 중요한 정책 중 하나이다. 지자체 또한 지역주민의 안전한 삶을 보장받을 수 있도록 해야 하나, 사회 안전망으로써의 효과가 선행적으로 입증되어야만 지역사회에 보급하고 운영할 수 있기에 본 연구에서는 지자체 안전망과 무질서 및 안전생활 만족도의 관계를 살펴보았다는 점에서 의의가 있다.

• Journal of Preventive Medicine and Public Health
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• 제41권1호
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• pp.51-60
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• 2008

Objectives : We examined the effect of sociodemographic factors, cancer, and psychiatric disorders on suicide by gender and age-specific patterns in South Korea. Methods : The study is a case-control study. Claim data was obtained from the national health insurance database and national death registration database. The number of people who committed suicide was 11,523, which was matched with a control group consisting of ten times as many people at 115,230 selected from the national health insurance and medical aids beneficiaries. The medical utilization of the case group was one year before death and that of the control group was from July 1,2003 to June 30, 2004. Four variables-address, economic status, presence of a psychiatric disease, and cancer-were used in multiple logistic regression analyses. Results : Living in cities or in rural areas showed a greater risk for suicide than living in a metropolitan city. Low economic status, the presence of a psychiatric disorder, and cancer were also statistically meaningful risk factors for suicide. The three major psychiatric diseases, schizophrenia, alcohol abuse, and bipolar disorder, were meaningful in all age groups, but the scale of the odds ratio differed by the age group. Only the psychiatric disorder variable was meaningful in the adolescent group, whereas a psychiatric disorder and economic status were meaningful for the young adult group, and all variables were meaningful for the middle-aged group. A psychiatric disorder and cancer were meaningful in the elderly group, economic status was meaningful for male subjects, and address was meaningful for female subjects. Conclusions : Factors such as living in city or rural areas, low economic status, the presence of a psychiatric disorder, and cancer were statistically meaningful risk factors in suicide. These factors also differed by age group. Therefore, policymakers should establish policies for suicide prevention that are relevant for each age group.

• 한방안이비인후피부과학회지
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• 제32권2호
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• pp.59-67
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• 2019

Objectives : The purpose of this study was to analyze the effects of traditional korean medicine treatment on patients with olfactory disorder who did not respond to steroid treatment. Methods : A retrospective chart review was conducted on 16 patients who visited the outpatient clinic with olfactory disorder for over 1 month. The patients were treated with Herbal medicine, acupuncture, electronic moxibustion, intranasal pharmacopuncture, and olfactory training. The treatment effect was evaluated by KVSS I test. Results : There was no significant difference in KVSS I test score according to sex, age, duration of treatment, number of treatment, the days after onset. There was no significant difference in the KVSS I test scores before and after the treatment for the cases of sinonasal disease, head trauma, and idiopathic cases. However, there was a significant difference in cases of post-viral olfactory disorder. Conclusion : Traditional korean medicine may be effective for patients with post-viral olfactory disorder that did not show improvement in steroid treatment.

• 대한한방소아과학회지
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• 제29권1호
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• pp.50-59
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• 2015

Objectives The purpose of this study is to report seven cases of autism spectrum disorder treated by oriental medicine. Methods Seven patients who are diagnosed with autism spectrum disorder were treated with herbal medicine (Kwakhyangjungkisanhapyukmijihwangtang-gamibang), and the effect was measured. Results After the treatment, cognitive skill, speech, motor function, communication skill, and the patients' general conditions have gotten better. Conclusions This study has shown that the oriental medical treatment for autism spectrum disorder was effective, but further studies are needed.

• 대한한의학방제학회지
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• 제13권1호
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• pp.235-245
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• 2005

Purpose The purpose of this study is to report the effect of oriental treatments for the postpartum patient who is diagnosed as panic disorder. Methods : The patient had been in admitted to Dongshin Oriental Hospital from 2004. 10. 28 to 2004. 11. 27 This patient was treated with oriental methods such as herb medication, acupuncture, moxibustion therapy etc. Results : As a result of oriental treatments based on planing treatment according to diagnosis, the symptom of postpartum disease with panic disorder was improved. Conclusion : It is thought that the clinical study about the treatment of the postpartum disease with panic disorder based on planing treatment according to diagnosis, should be required.