• Anxiety and mood
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• v.16 no.2
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• pp.76-82
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• 2020

Objective : Previous studies have shown that depression, anxiety and embitterment are highly related to suicide. This study aims to investigate the mediating effect of embitterment between depression, anxiety and suicide. Methods : A total of 174 participants with depressive and anxiety disorders were evaluated with STAI-S, STAI-T, PHQ-9, PTED scale, SSI and suicide attempt history. A mediation analysis using bootstrapping was utilized in order to estimate the indirect effects of depression and anxiety on suicide through embitterment. Results : Embitterment significantly mediated the relationship between depression and suicidal ideation [b=0.291, 95% CI(0.18, 0.40)], and also it mediated the relationship between depression and suicide attempt [b=0.066, 95% CI(0.02, 0.16)]. Although a direct effect of anxiety on suicide attempt was not significant, but embitterment significantly mediated the relationship between anxiety and suicide attempt Conclusion : This suggests that embitterment may be a significant important factor to consider in the relationship between depression, anxiety and suicide. Understanding the mediating role of embitterment on suicide may helpful to prevent suicide.

• Anxiety and mood
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• v.15 no.1
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• pp.29-34
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• 2019

Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients.

• Anxiety and mood
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• v.10 no.1
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• pp.3-10
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• 2014

Reactive disorder is a group of diagnosis with a definitely known etiology and whose etiological factor is essential to the diagnosis. In DSM system, such reactive disorders are listed as adjustment disorder, acute stress disorder, brief psychotic disorder with marked stressor and posttraumatic stress disorder (PTSD). However, a growing number of individuals is suffering from a prolonged feeling of embitterment after exceptional negative life events and this condition could be diagnosed neither PTSD nor adjustment disorder nor depressive disorder in the context of DSM-IV diagnostic system. This clinical condition can be described as 'posttraumatic embitterment disorder' (PTED). PTED is a reactive disorder triggered by exceptional, though normal negative life events such as conflict in the workplace, unemployment, death of a relative, divorce, severe illness, or experience of loss or separation. The common feature of such events is that they are experienced as unjust, as a personal insult, accompanied by psychological violation of basic beliefs and values. The central psychopathological response pattern in PTED is a prolonged feeling of embitterment. In particular, the core emotion of embitterment can lead to the rejection of treatment. Therefore, "wisdom therapy" as a new treatment approach specifically designed for PTED has been developed. It is assumed that many patients suffering from PTED are often misunderstood and misdiagnosed. This review would help to introduce PTED into the clinical field in psychiatry.

• Journal of Oriental Neuropsychiatry
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• v.24 no.spc1
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• pp.55-62
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• 2013

Objectives : We will discuss the differences on EEG results of Post-traumatic embitterment disorder (PTED) and Major depressive disorder (MDD). Methods : We measured EEG on 21 sites (Fp1, Fpz, Fp2, F7, F3, Fz, F4, F8, T3, C3, Cz, C4, T4, T5, P3, Pz, P4, T6, O1, Oz, O2) of PTED and MDD. Then, we compared the results. Results : There is a significant result of a beta band between PTED and MDD. Conclusions : We became aware of the differences on EEG results of PTED and MDD. This can be used as the basis of diagnosis.

• Journal of Welding and Joining
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• v.5 no.2
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• pp.9-16
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• 1987

Post weld heat treatment (PWHT) is carried out to increase the fracture toughness in heat affected zone(HAZ) and remove the residual stress. There occur some problems such as toughness decreement and stress relief cracking(SRC) in the coarse grained HAZ subjected to the effect of tempering treatment. Especially, embitterment of structure directly relates to the mode of fracture and is appeared as the difference of fracture surface, that is, grain boundary failure. Therefore, in this paper, PWHT was carried out under the stress of 0, 10, 20 and $30kg/cm^2$ to simulate residual stress in HAZ welded by heat input of 10, 30 and 40KJ/cm. Applied stress in weld HAZ during PWHT assisted precipitin of over saturated alloying element in the structure, and grain boundary failure according to welding heat input didn't almost appear at the heat input of 10 KJ/cm, but it appeared from being the applied stress of $30kg/cm^2$ at $30KJ/cm and 20kg/mm^2$ at 40KJ/cm.

• Journal of Welding and Joining
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• v.5 no.2
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• pp.53-59
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• 1987

The effect of applied stress, current density and heat-treatment after welding on the time to fracture, fracture behavior was investigated by the method of constant load tensile testing under catholic charging with hydrogen in E.B. welded 250,300 Grade 18% Ni Maraging steel sheet. The main results obtained are as follows: 1. All specimen showed the characteristic delayed failure and the time to fracture showed decreasing tendency with the increase in current density and applied stress. 2. Hydrogen embitterment susceptibility of notched specimen after solution-treatment and aging after welding was more increased than that of aged smooth specimen and as welded specimen. 3. Fracture surface showed a typical intergranular fracture on the border, a dimple pattern in the center of specimen and some quasi-cleavage fracture between the intergranular and the dimple.

• Journal of Welding and Joining
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• v.5 no.1
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• pp.73-80
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• 1987

During PWHT, it is well known that residual stress in weld HAZ is one of the reasons for PWHT embitterment. In case of static loading, it was experimentally found that fracture toughness of weld HAZ was dependant upon PWHT conditions. However, the effects of PWHT on fatigue behavior are not clearly verified. Therefore, in this paper, the effects of heating rate PWHT conditions and residual stress simulated in weld HAZ of Cr-Mo steel on fatigue crack propagation behavior were evaluated by fatigue Testing and SEM observation. The obtained results are summarized as follows; 1. Applied stress($10 Kgf/mm^2$) in weld HAZ during PWHT tneded to decrease fatigue strength and to increase fatigue crack growth rate. 2. Applied stress and slow heating rate of 60.deg. C/hr during PWHT contributed to precipitin of impurity elements as well as carbide, which promoted the fatigue crack growth. 3. Fatigue crack growth rate decreased at the heating rate of 220.deg. C/hr in contrast with 600.deg. C/hr and 60.deg. C/hr.

• Journal of Welding and Joining
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• v.3 no.2
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• pp.35-41
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• 1985

The fracture toughness of subcritical HAZ in the hot strained weldments of two structural steels(SB 41 and SA 537) has been investigated by COD test method and metallurgical study. The obtained results are summarized as follows; 1. The hot straining embitterment of subcritical HAZ depends on the hot straining amounts of notch tip, and the transition temperature( $T_{tr}$ ) increases with the accumulated hot straining amounts(.SIGMA. vertical bar .delta.$_{t}$vertical bar). 2. The fracture toughness of subcritical HAZ depends on materials and microstructure. The transition temperature( $T_{tr}$ ) of subcritical HAZ in SB 41 is almost same as that of parent material, however in SA 537 the temperature is higher than that of parent and lower than that of transformed HAZ. 3. The subcritical HAZ in SA 537 shows a higher toughness at small amounts of hot straining (.SIGMA. vertical bar .delta. $_{t}$vertical bar<0.3mm).mm).

• Transactions of the Korean Society of Mechanical Engineers A
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• v.28 no.5
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• pp.610-616
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• 2004

The aim of this study was to investigate the hydride embrittlement when the LBB evaluation was carried out for the integrity of PHWR Pressure Tubes. The transverse tensile and CCT toughness tests were performed at three hydrogen concentrations while the test temperatures were changed (RT to 30$0^{\circ}C$). Both the transverse tensile and the fracture toughness tests showed the hydrogen embitterment clearly at RT but this phenomenon was disappeared while the test temperature arrived at 25$0^{\circ}C$. Using the DHC test results, the CCL and LBB time were calculated and compared. The hydride embrittlement at the LBB evaluation made the LBB time short definedly. If the operating temperature, DHCV and LBB deterministic parameters such as A and m were known, LBB time could be estimated without the calculation of CCL.

• Journal of Welding and Joining
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• v.3 no.2
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• pp.16-26
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• 1985

Post weld heat treatment(PWHT), at more than 600.deg. C, is essential to remove residual stress and hydrogen in weld HAZ and improve fatigue characteristics. However, residual stress during PWHT is responsible for PWHT embitterment and it promotes precipitation of impurities to grain boundary. In this paper, the effect of stress simulated residual stress on fatigue failure was evaluated by fatigue test, microhardness test and fractograph. The obtained results are summarized as follows; (1) The fatigue crack growth rate(da/dN) of parent and heat treated parent was affected by microstructure due to heat treatment and it depended on stress intensity factor (.DELTA.k). (2) The fatigue strength of weld HAZ was dependent on applied stress during PWHT and da/dN after PWHT was slower than as-weld. (3) Softening amount of weld HAZ was bigger than any other due to PWHT. Hardness value of weld HAZ was affected by heat treatment under the applied stress of 10 $kgf/mm^2$, but beyond 20 $kgf/mm^2$ it was increased by the applied stress rather than heat treatment. (4) Beyond the applied stress of 20 $kgf/mm^2$ during PWHT, intergranular fracture surface was observed and its amount was increased with applied stress during PWHT. (5) Effect of applied stress during PWHT on aspect of fracture surface was larger rather than that on fatigue crack growth behavior.