• 제목/요약/키워드: Hypochondriasis

검색결과 34건 처리시간 0.021초

집중산만 전략을 활용한 건강염려증의 해소 방안 -인지치료적 접근- (Solution Method of Hypochondriasis through Focused Distraction)

  • 전요섭
    • 산업진흥연구
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    • 제8권4호
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    • pp.229-239
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    • 2023
  • 이 연구는 집중산만 전략을 활용한 건강염려증의 해소 방안을 모색하는 문헌연구이다. 건강염려증은 우리말로 건강기우증, 건강불안, 질병공포, 질병불안장애, 건강염려성 신경증, 건강염려성 성격장애, 신체 증상장애 등의 용어로 불리워지나 이 연구에서는 건강염려증으로 명명한다. 이는 기본적으로 염려, 두려움, 불안 더 나아가 공포를 야기하여 가정, 직장 및 사회에서 삶의 질을 저하하게 만드는 요인이다. 건강염려증은 주로 중년기 성인들이 겪는 심리적 문제로서 자기자신에게 집중, 몰두하다가 이에 노출된다. 이 증상은 건강에 대한 지나친 염려로 인해 빈번한 건강검진 등 병원을 전전하면서 상당한 사회적 비용이 소비되고, 개인의 삶의 질이 저하되어 상담심리, 심리상담 분야에서는 이 문제를 해결해주고, 심리적 평안을 회복하도록 해야 하는 과제를 안고 있다. 따라서 이 연구는 건강염려증을 해소할 수 있는 방안으로 인지 전략 가운데 집중산만 전략을 활용하여 그 증상 해소를 모색해보려는 시도라 할 수 있다. 집중산만 전략은 일종의 인지적 '회피 전략'이라 할 수 있다. 자신의 건강에 대하여 지나치게 집중하는 인식, 주의를 회피, 다른 방향으로 '분산'시키거나 '산만'하게 하는 것으로 건강염려를 약화시키는 것이다.

요통환자의 인성변화에 대한 임상적 고찰 (A Clinical study on mutation of personality in Low back pain patients)

  • 김규용
    • 대한물리치료과학회지
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    • 제6권4호
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    • pp.179-185
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    • 1999
  • We know that social psychologic factors important to make a decision on characteristic of back pain and prognosis. These facters have difficult to diagnosis of back pain and being protract the treatment session and which bring about a social problem caused the impairment compensation. Clinically, twenty low back pain patients, 8 organic pain group and 12 functional pain group have completed the MMPI(Minnesota Multiphasic Personality Inventory) and the results were as follows: l)Mean MMPI T-score of Hypochondriasis was 56.60(12.39, that of Depression was 57.95(7.71, and that of Hysteria was 57.50(7.15. and those of other scales were within normal range near to 50. 2)there was no significant difference between male and female groups on MMPI scales 3)The MMPI T-score of organic group was significantly higher than that of functional group on Hypochondriasis and Hysteria scale.

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어머니의 인성특성과 아동의 병리적 특성 및 진단유형의 연관성 (Correlations Between Mother's Personality Characteristics and Children's Diagnostic/Clinical Pathology)

  • 최인숙
    • 아동학회지
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    • 제29권3호
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    • pp.1-21
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    • 2008
  • This research explored links between mother/child personality characteristics based on their diagnostic and clinical pathology. The 232 participants, selected from mother-child pairs receiving psychological care in a hospital setting, were tested and interviewed by clinical practitioners. Correlations were found between mothers' Psychopathic Deviate, Paranoia, Psychasthenia, and Schizophrenia and sons' Psychasthenia, aggression, alienation, depression, and anger. Mothers classified with Hysteria were likely to have aggressive children. Mothers with low self-esteem, repression, frustration, and strong levels of extroversion had daughters with anger/rage issues. Sons of mothers diagnosed with Hypochondriasis, Depression, Hysteria, Psychopathic Deviate, Paranoia, and Psychasthenia had high rates of Oppositional Defiant Disorder and ADHD. Children of mothers diagnosed with depression had high rates of ADHD. Specifically, mothers with Hypochondriasis, Hysteria, and Psychopathic Deviate had daughters with high rates of ADHD.

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다한증 환자에서의 MMPI 다면적 인성검사 분석 (MMPI Analysis of Patients with Essential Hyperhisrosis)

  • 김도완;김찬;한경림;박재홍;조선미
    • The Korean Journal of Pain
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    • 제21권3호
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    • pp.206-210
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    • 2008
  • Background: Although the cause of hyperhidrosis has not been the subject of close investigation, there are cases for which excessive sweating happens at the hands, feet and armpits due to hyperactivity of the sympathetic nervous system. This usually occurs in people less than 25 years old and it often causes difficulties for their social and occupational life and there is a decrease in the quality of life. Therefore, this should also be examined according to the mental state of the patient who suffers from hyperhidrosis. Methods: The Minnesota Multiple Personality Inventory was administered to 59 patients in the Hyperhidrosis Center from March, 2006 to March, 2007. The MMPI's validity and 10 clinic standards were analyzed. The results were compared according to gender and age. Results: Of the standard clinical items, psychopathy and conversion hysteria were 21.1% and 17.5%, respectively. On comparison between males (47.5%) and females (52.5%), the females had a higher score for the hypochondriasis item. The patients above 18 years old had a significantly higher level of hypochondriasis and hypomania compared to the patients below 18 years old. Conclusions: When analyzing the personality of the patients with essential hyperhidrosis with using the MMPI, it was difficult to look for relations with the mental factor. Therefore, it is necessary to develop diagnostic tests for younger people with considering the relations with the period of morbidity.

『상한론(傷寒論)』 태음병(太陰病)으로 진단된 신체증상장애 환자 7례 증례 보고 (Case Series Reporting 7 Somatic Symptom Disorder Cases Diagnosed as Greater Yin Disease by Shanghanlun Provisions)

  • 윤효중;하현이;두인선;이숭인;이성준
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.45-59
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    • 2021
  • Objectives: This study was conducted to confirm the reproducibility of the diagnosis of greater yin disease (太陰病) and the efficacy of herbal treatment using Gyejigajakyak-tang or Gyejigadaehwang-tang in somatic symptom disorder (SSD). We also further refined the characteristics of greater yin disease in SSD. Methods: We analyzed the demographic and treatment data of seven patients with SSD from four Korean medical clinics. The reliability of diagnosis and the efficacy of the treatments were evaluated by the Beck Anxiety Inventory (BAI), a numerical rating scale (NRS), and the patients' statements. Finally, we analyzed patients according to the diagnostic points of Shanghanlun provision 273. Results: Seven SSD patients took Gyejigajakyak-tang or Gyejigadaehwang-tang. The mean age of the patients was 52.1±15.8 years old, and the herbal medication period was 82.2±38.2 days. At the first visit, the patients showed hypochondriasis, obvious stress, and a severe BAI score (40.4±10.9). The NRS significantly decreased from 8.9±1.6 to 0.7±0.7 after the treatments. There were no side effects reported. As a result of analyzing these 7 cases, hypochondriasis, obvious stress, and anxiety were identified, which had been previously suggested as 自痛, 因爾, and 結硬. Conclusions: We confirmed the reproducibility of greater yin disease in 7 SSD cases from 4 medical institutions. These results imply that there could be a considerable relation between SSD and greater yin disease as defined by the Shanghanlun provisions.

도시와 농촌 고등학교 학생의 정신건강에 관한 연구 (Study of the Mental Health of High School Students in Rural and Urban Community)

  • 이길웅
    • 보건교육건강증진학회지
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    • 제3권1호
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    • pp.91-97
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    • 1985
  • This study was attempted to evaluate the mental health of high school students in rural and urban community. For the above purpose the Minesota Multiphasic Personality Inventory(MMPI) was conducted for the total 868 students including 213 high school bodys and 209 high school girls in rural community, and 228 high school boys and 218 high school girls in urban community. The results are summarized as follows: 1. Scores of lie, hypochondriasis and social introversion scale were statiatically higher in rural high school boys than urban high school boys, but the scores of psychopathic deviate and hypomania scale were on the contrary. 2. Rural high school girls showed statistically higher scores in depression, paranoia, psychasthenia and schizophrenia scale than urban high school girls did. 3. Scores of validity, correction, hysteria and masculinity-femininity scale were not different between rural and urban community in both of high school boys and high school girls.

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Application of Near Spectroscopy for Nondestructive Evaluation of Ginsenoside Content

  • Lin, Guo-Lin;Cho, Rae-Kwang;Hong, Jin-Hwan
    • Near Infrared Analysis
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    • 제1권2호
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    • pp.45-48
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    • 2000
  • The effective component Ginsenoside in Ginseng has been widely used to cure some hypochondriasis and be as supplementary medicines. There are many chemical analysis methods to measure the contents of Ginsenoside in Ginseng; however, all these methods have some shortcomings such as long time, environmental pollution and damaging the samples. In this paper, it is possible to use near infrared spectroscopy to measure the content of Ginsenoside in Ginseng without destruction. As the results, Rg1, Rb1, Re and T-Saponin of Ginsenoside can be measured with the accuracy of R(0.81) SEP (1.704 mg/g), R(0.74) SEP (1.211 mg/g), R (0.78) SEP (1.049 mg/g) and R(0.84), SEP(4.537 mg/g).

운동선수에 있어 체중조절필요성에 따른 식사특성, 성격특성, 우울성향 및 기타병리의 차이에 대한 연구 (The Study for Differences of Eating Traits, Personality Characteristics, Depression and Other Psychopatology According to Need for Weight Control in Athletes)

  • 이영호;박세현;정영조
    • 정신신체의학
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    • 제3권1호
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    • pp.39-48
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    • 1995
  • This study was designed to investigate the role of weight control in the formation of underlying pathology in eating disorder or eating related problems. The subjects were 304 college athletes(Male : 187. Female: 121) and they were divided into two groups according to need for weight control(Weght control group: 110, Weght non control group: 194). The authors used self report questionnaire which was composed of epidemiologic data, food habit scale, eating attitude test, scale for locus of control for weight, scale for food preference and eating behavior. And we also used Eysenck Personality Questionnaire of Korean standardized edition for assessment of personality characteristics, Beck depression inventory, and the scale of hypochondriasis. The results were as follows: 1) Body mass index and the amount of cigarrette smoking and alcohol drinking showed significant differences by sex but not by need for weight control. 2) Eating habit of female athletes was the worst in all athletes. The score of eating attitude test of female athletes was higher than that of male athletes but there was no significant difference by need for weight control. Food preference and eating related behavior was also different by sex. 3) There were no significant differences in all subscales of Eysenck Personality Questionnaire, Beck depression inventory, and the scale of hypochondriasis between two groups which were divided by need for weight control. Neuroticism score was higher in female atheletes and psychoticism score was the highest in weight control male atheletes. 4) There was no significant difference in number of population with abnormal EAT score(to-tal score$\geq$26) between two groups which were divided by need for weight control. 5) The score of eating attitude test had positive correlation with the score of psychoticism and the tendency of depression in weight control male athletes but not in non-weight control male athletes. In non-weight control male athletes, the score of eating attitude test had positive correlation with the score of lie scale. so its correlation is different from those of weight control male athletes. But in female athletes, the score of eating attitude test had significant positive correlation with the score of psychoticism in both groups. In conclusion, these results suggest that the differences of eating traits in athletes are depend upon the sex difference, not upon the need for weight control. and that the role of weight control in eating disorder or abnormal eating attitude differs according to sex.

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기능성 소화불량증 환자의 심리특성에 관한 연구 (An Investigation of Psychological Factors in Patients with Functional Dyspepsia)

  • 김진성;배대석;이광헌;서정일
    • Journal of Yeungnam Medical Science
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    • 제16권2호
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    • pp.244-254
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    • 1999
  • 1998년 1월 1일부터 12월 31일까지 영남대학교와 동국대학교 의과대학 부속병원을 내원한 기능성 소화불량증 환자 90명의 심리적 특성을 알아보기 위하여, 정신과 외래 환자 64명을 대조군으로 하여 다면적 인성검사와 질병행동 설문지 조사를 실시하였으며, 그 결과는 다음과 같다. 다면적 인성검사를 통한 비교에서, 기능성 소화불량증 환자군과 정신과 외래환자군 사이에 유의한 차이가 없이 유사한 성적분포를 보였다. 양군에서 건강염려증, 우울증, 히스테리 척도에서 상대적으로 높은 점수를 보였다. 질병행동 설문지를 통한 비교에서 기능성 소화불량증 환자군이 정신과 외래환자군보다 질병집착심과 정서적 혼란 소척도에서 성적이 낮게 나왔으며, 다른 소척도들은 비슷한 성적분포를 보였다. 다면적 인성검사 성적을 이용하여 기능성 소화불량증 환자를 중다변인 군집분석한 결과, 정신과 외래의 신경증환자와 같은 집단<집단 1>, 정상인과 같은 집단<집단 2>, 신경증적 경향이 심한 집단<집단 3>으로 나눌 수 있었다. 분류된 집단들 간의 다면적 인성검사 성적 비교에서, 신경증적 경향이 심한 집단<집단 3>은, 건강염려증, 우울증, 히스테리, 강박증, 정신분열증 등의 소척도 점수가 높게 나왔다(P<.05). 신경증적인 경향이 심한 집단<집단 3>의 질병행동 설문지 결과를 보면 다른 집단들과 정서적 억압척도를 제외한 모든 척도 즉, 건강염려증, 질병집착심, 심리적 대 신체적 관심, 정서적 혼란, 부정, 자극과민성 등의 척도에서 유의하게 차이가 있는 것으로 나타났다(P<.05). <집단 3>처럼 심한 신경증적인 질병행동을 보이는 군은 정신의학적 접근이 도움을 줄 수 있는 집단이다.

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턱기형의 악교정수술후 환자의 심리적변화 (PSYCHOLOGIC CHANGES AFTER ORTHOGNATHIC SURGERY OF DENTOFACIAL DEFORMITY PATIENTS)

  • 김선종;김명래;김용한;박영숙
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제17권4호
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    • pp.311-316
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    • 1995
  • This is to study the presurgical motivation, psychological changes and self satisfaction after the surgical treatment of dentofacial deformities. The subjects were 34 patients that the orthognathic surgeies were rendered and followed-up over 6 months. The results were as followings ; 1. The analysis of MMPI profiles in clinical scale reveals that 8.8%(3 patients) of neurologic type, 2.9% (1 patient) of personality problem type and none of psychotic type, while 88.3% of showed no abnormal findings in psychologic status. 2. The significant differences of personality characteristics were noticed in the Depression(D), Hypochondriasis(Hs), Musculinity-Feminity(Mf) were changed significantly following the orthognathic surgeries.(P<0.05) 3. The self assesment of the esthetic results were satisfactory in 78.6%, while no changes in 14.3%.

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