Objective : Stereotactic psychosurgery is known as one of effective means of treating in some medically intractable psychiatric illness. However, it is unfamiliar and it's long-term clinical result has not reported in our country. The authors evaluated its long-term results of pscychosurgery and discussed its neuroanatomical basis. Methods : Since 1993, eight patients underwent stereotactic psychosurgery for medically intractable psychiatric illnesses. All were referred from psychiatrist of these disorders, one was aggressive behavior, five were obsessive-compulsive disorders(OCD), and two were depression with anxiety disorders. Bilateral amygdalotomy and subcaudate tractotomy were done for aggressive behavior, and limbic leukotomy was done for OCD and depression with anxiety. The results of OCD were evaluated with with YBOCS(Yale-Brown obsessive compulsive scale) and VAS (visual analogue scale), CGI(clinical global impairment) in OCD, and OAS(overt aggression scale), MMS, WAIS were checked for the evaluation of aggressive behavior. Hamilton depression scale(HAMD) was used for evaluation of depression. Ventriculography was used in the first five patients and MR-guided stereotaxy was used in recent three cases for localization of target. The lesions were made with radiofrequency lesion generator. Results : With long-term follow up(mean 45 months) in five OCDs, mean YBOCS declined from 34 to 3(n=5). All returned to previous social life. In OAS scores of aggressive behavior during six-year follow up, scores declined from 8 to 2 with clinical improvement. In two patients with depression with anxiety, HAMD declined from 28.5 to 16.5(n=2). There was no operative mortality and no significant morbidity except one case of mild transient urinary incontinence. Conclusion : With these long-term results, authors assumed that stereotactic psychosurgery could be one of safe and effective mtherapeutic methods in several medically intractable psychiatric illness.
Purpose: The purpose of this study was to verify the effects of a Qigong prenatal education program on anxiety, depression and physical symptoms in pregnant women. Method: The subjects were a total of 40 pregnant women who received regular prenatal care at S hospital. Twenty people were enrolled in the Qigong prenatal education program and were assigned to the experimental group. The other 20 people who received regular prenatal care only were the control group. The Qigong prenatal education program was given to the experimental group once a week and 2 hours per session for 4 weeks. Anxiety, depression and physical symptoms were collected by a self-administered study questionnaire at the pre- and post-test. Result: There were no significant differences in subjects' general characteristics or pretest scores of study variables at the pretest indicating both groups were homogeneous. Differential t-tests were used to test the effects of the Qigong prenatal education program on study variables. Pregnant women who received the Qigong prenatal education program had a lower level of depression than those who did not attend(t=2.23, p=.03). There were no significant differences on anxiety and physical symptoms. Conclusion: The Qigong prenatal education program was effective in alleviating depression during pregnancy. However, further study is needed to replicate the results with a greater sample size and to investigate the long term effects of the program on the labor and delivery process.
The purpose of this study was to investigate the relationships among emotional dissonance, depression and anxiety, and to examine the moderating effects of emotional intelligence on the relationships between emotional dissonance and both depression and anxiety in care service workers. For this study, a sample of 142 care service workers completed the questionnaires: Emotional Dissonance Scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7. This data was analyzed by SPSS 25.0 program. The results of the analysis showed that emotional dissonance and others' emotion appraisal had a significant effect on depression and anxiety. The results also verified the moderating effects of others' emotion appraisal on the relationship between emotional dissonance and depression. Finally, on the basis of the results, we proposed and discussed interventions on emotional labor and mental health issues of care service workers.
Objectives : The objective of this study was to examine the acupoint location of Kyoshin (KI8) from classic literatures. Methods : A review of KI8 location along the meridian route from 18 classics of acupuncture and moxibustion - 『Huangdineijing·Lingshu』, 『Huangdimingtangjingjixiao』, 『Zhenjiujiayijing』, 『Huangdineijingtaisu』, 『Huangdimingtangjiujing』, 『Beijiqianjinyaofang』, 『Waitaimiyaofang』, 『Ishimpo』, 『Taipingshenghuifang』, 『Tongrenshuxuezhenjiutujing』, 『Shengjizonglu』, 『Zhenjiuzishengjing』, 『Shisijingfahui』, 『Shenyingjing』, 『Zhenjiujuying』, 『Yixuerumen』, 『Zhenjiudacheng』, and 『Yizongjinjian』 - was performed. Then, KI7 location on classics and current standard KI8 location were compared. Results : Based on modern standard acupoint location system, the acupoint of KI8 is located on the medial aspect of the leg, in the depression posterior to the medial border of the tibia and it is on the route of spleen meridian. But no classics of acupuncture and moxibustion said KI8 was located on the route of spleen meridian. In addition, KI8 location on classics was largely described as being located in front of KI7, but only in 『Yizongjinjian』 was it written that KI8 was located posterior to KI7. Conclusions : Through a classic literature review, it is possible to explain that KI8 is located posterior to spleen meridian. The acupoint of KI8 seems to be located between medial border of flexor pollicis longus and flexor digitorum longus based on anatomical location.
Journal of the Korea Academia-Industrial cooperation Society
/
v.21
no.11
/
pp.586-594
/
2020
The purpose of this study is to propose interventions on emotional labor and health issues through verifying the mediating effects of depression and anxiety on the relationship between emotional labor and somatic symptoms in medical workers. For this study, a sample of 200 medical workers completed the questionnaires of the Korean Emotional Labor Scale, the Patient Health Questionnaire-15, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7. The data was analyzed using the SPSS 25.0 program. The results of this study can be summarized as follows. 1. Results showed a risk of emotional labor, depression, and somatic symptoms in medical workers. 2. The risk group of the emotional labor's 4 factors (excluding organizational support and protection system) had a significantly higher level of depression compared with the normal group. Particularly in emotional dissonance and impairment, depression in the risk group was moderate, while depression in the normal group was normal. 3. Only emotional dissonance and impairment had a significant influence on somatic symptoms. Reflecting the results, the mediating effects of depression and anxiety on the relationship between emotional dissonance and impairment and somatic symptoms were verified. Results showed that depression had a partial mediating effect, whereas anxiety did not have a mediating effect. Finally, we discuss the necessity of dealing with emotional dissonance and depression in emotional labor and health issues.
Journal of Korea Entertainment Industry Association
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v.14
no.6
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pp.231-241
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2020
This study was conducted from April 2020 to June of the same year to identify the working skills, quality of life and depression on occupational therapists working at medical institutions in Gwangju, Jeollabuk-do and Jeollanam-do. Each function was evaluated using the WAI(Work Ability Index), the Korean version of WHOQOL and PHQ-9(Patient Health Questionnaire-9 Korean version) to evaluate the working ability, quality of life and depression level of depression. Studies have shown mo statistically significant differences in all areas of work capability, quality of life, or depression, depending on general characteristics. The correlation between work tretment worker's work ability, quality of life and depression showed a positive correlation between work ability and quality of life and a strong nehative correlation between quality of life and depression. This is a tesult of improved working ability, which improves the quality of life and lowers the level of depression if there is a positive change in the quality of life. It is hoped that research will be conducted considering the work ability and quality of life of occupational therapists who play an important role in rehabilitation and ways to reduce depression.
The purpose of this study was to analyze the relationship among the health promoting behaviors, self-reported climacteric symptoms and depression on a cross-sectional survey desist The subjects were 108 middle-aged women who were nonhystrectomized and ranged in age from 40 to 60. They were selected in Seoul and Kyoung-ki province. Korea. Data were collected from Oct. 25 to Nov. 10, 1997 by a structured Questionnaire. The instrument used for this study was the revised Health Promotion Lifestyle Profile(HPLP) developed by Walker, Sechrist and Pender, revised Climacteric Symptoms Scale developed by Chi, Sung Ai, and the Beck's Depression Inventory(BID). The data were analyzed by the SPSS /PC$^{+}$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low(2.42$\pm$0.35). There were statistically significant difference in the score of health promoting behaviors according to the educational background. family income, marital satisfaction, and whether or not taking a restoraitve food(t =-2.07, F=2.60~7.57, p<0.05). 2. The mean score of self-reported climacteric symptoms was 1.69 ; 99% of middle-aged women had symptoms. There were statistically significant difference in the score of middle-aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormone replacement therapy(HRT) or consultation experience with a professional, and perceived health status(t=-2.04~3.69. F=2.87~11.63, p<0.05). 3. The mean score of depression was 10.84. There were statistically significant differences in the score of the depression according to the age, number of children, educational background, occupation, marital satisfaction, whether or not receiving menopausal treatment or consultation by a professional, and perceived health status(t =-2.25~3.00, F=3.50~9.24, p<0.05). 4. Women's degree of health promoting behaviors was a negative correlation with the degree of climacteric symptoms(r=-0.19, p=0.03) and the degree of depression(r=-0.23, p=0.01). The degree of climacteric stmptoms was a positive correlation with the degree of depression(r=0.64 p=0.01). In conclusion. health promoting behavior should be considered when developing nursing strategies for middle-aged women. especially when dealing with climacteric symptoms and depression.
Journal of agricultural medicine and community health
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v.36
no.2
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pp.73-86
/
2011
Objectives: This study was performed to investigate the relationship between individual-level social capital and depression. Methods: Data from the 2009 Community Health Survey were analyzed for this study. We used chi-square tests and hierarchical logistic regression analyses to determine the relationship between individual-level social capital and depression. The Korean version of the Center for Epidemiological Studies-Depression Scale was used to measure depression. Results: After controlling for socio-demographic factors such as, health behavior and chronic illness morbidity, that are associated with individual-level social capital, trust and informal participation significantly affected depression. Respondents with "be trust"(0.536, 95% CI 0.419-0.685) and who participate in "informal groups"(0.657, 95% CI 0.516-0.836) had significantly lower odds ratios of depression. Conclusions: Considering and introducing measures to increase the social capital of residents, need reduce depression. It is especially necessary to enhance resident empowerment.
This study was performed to test the influence of older people's satisfaction factors (safety and convenience) of housing environment on their quality of life and the mediating effect of self-esteem and depression. In this study, from 386 older people over the age of 60 in senior welfare center and senior club of Cheongju region, the data were collected by questionnaire during October, 2012. The findings of this study are as follows: First, safety had not any significant influence on older people's quality of life, while convenience had a significant positive influence on their quality of life. Second, safety had not any significant influence on older people's self-esteem and depression, while convenience had a significant positive influence on older people's self-esteem and it had a significant negative influence on their depression Third, older people's self-esteem had a significant positive influence on their quality of life, while older people's depression had a significant negative influence on their quality of life. Fourth, between safety and older people's quality of life, the indirect effects of older people's self-esteem and depression as mediating variables were not found. However, between convenience and older people's quality of life, the indirect effects of older people's self-esteem and depression as mediating variables were found. This study shows that various measures for convenience of housing environment need to be prepared to increase older people's quality of life and self-esteem and to lessen their depression.
Depression is very common mental disorder, so many people suffer from it, which makes the treatment of depression important. Many drugs to treat depression were developed and being prescripted. But they have a lot of side effects, so it needs to develop drugs without side effects or with less side effects. Herbal medicines have been used to treat not only physical disorder but also mental disorder and it has been reported that they have less side effects. Therefore, there is the need to discover and use herbal medicine with antidepressant effect. The purpose of this study was to reseach Antidepressant effect of Licium chinense Mill. and its influence on serotonin and its metabolite of depression model rats. We used 'forced swimming test(FST)' to know antidepressant effect of Licium chinense Mill. and HPLC to check the influence on serotonin and its metabolite(5-HIAA) of Licium chinense Mill. after rats' brains were divided into cerebral cortex, striatum, hypothalamus and hippocampus. The results were obtained as follows : In the study of antidepressant effect by 'forced swimming test(FST)' method, Licium chinense Mill. had a significant antidepressant effect. In the study of influence on serotonin and 5-HIAA by HPLC, Licium chinense Mill. mainly increased serotonin and 5-HlAA of cerebral cortex and striatum signigficantly among 4 parts of rat's brain above-mentioned. These results suggest that Licium chinense Mill. has antidepressant effect that may be related with the increase of serotonin and its metabolite as its mechanism, but more precise experiments will be need to prove their relation.
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