• 대한불안의학회지
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• 제2권1호
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• pp.22-27
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• 2006

Objectives : There is a paucity of data on the long-term course of obsessive-compulsive disorder (OCD) and chronological relationship between OC symptoms and their related symptoms such as anxiety and depression. The purpose of this study was to investigate the longitudinal course of OC symptoms as well as anxiety and depression which are believed to be associated with OC symptoms. Methods : Data for 155 patients with OCD who completed general evaluation for OCD were used. Forty four were excluded to minimize the effect of the different age of onset on the clinical course. One hundred eleven patients finally participated in the analysis. Cross-sectional correlations between each symptom as well as between such symptoms and the duration of illness were analyzed. Further correlation analysis was done within two groups that were divided by 7 years of the duration of illness. Results : There were significant correlations not only between the severity of OC symptoms and anxiety but also between anxiety and depressive symptom, regardless of the duration of illness. These correlations between such symptoms were also found within patients with the duration of illness below 7 years, whereas these were not within the group with the duration of illness above 8 years. Conclusion : Patients with OCD in this study shows the moderate to severe level of OC symptoms irrespective of the duration of illness. Our finding also suggests that the OC symptoms, especially obsessions are closely related to anxiety and depressive symptoms and these relationships might be pronounced in relatively early phase of the OCD after onset.

• 대한불안의학회지
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• 제2권2호
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• pp.94-100
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• 2006

Objective : This study was designed to examine the volumetric abnormality of orbitofrontal cortex (OFC) and its change after 2 years of pharmacotherapy in obsessive compulsive disorder (OCD) patients. Method : Volumetric magnetic resonance imaging studies were conducted in 15 OCD patients and 13 normal volunteers. For 2 years, all patients took at least one serotonin reuptake inhibitor and atypical antipsychotics were used as an augmentation therapy in most patients. The follow-up MRI studies were conducted after the pharmacotherapy and OFC volumes were measured by the manual region of interest method. Results : Bilateral OFC volumes of 15 OCD patients were significantly greater than those of the normal volunteers before the treatment. After 2 years of the treatment, significant decrease was observed in bilateral OFC volumes of OCD patients to the extent that left OFC volume of OCD patients was not different from that of the normal volunteers. Conclusion : This finding suggests that OFC is directly related to the pathophysiology of obsessive compulsive disorder.

• 한국치위생학회지
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• 제13권2호
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• pp.231-237
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• 2013

Objectives : The purpose of this study to provide preliminary data to effective halitosis control. Methods : A survey was carried out the self-perception of causative factors of halitosis in 98 female college students in Chungnam province. In addition, the levels of oral gas and breath gas were measured by use of the B&B checker, and an analysis was made of the correlation between halitosis and obsessive-compulsive disorder (OCD). Results : 1. Subjective halitosis awareness degree different degree of dryness, 'None', 'some', 'little' people who feel as the 'little fly' (68%), 78.3%, 70% was higher (p<0.05), halitosis interest 'very worried', 'worry', 'normal' person with a' not at all 'to 58.3% higher (p<0.01). 2. In regard to OCD severity, 49.0%, 34.7% and 16.3% were found to be mild, moderate and severe respectively. Halitosis tended to be severe in proportion to OCD severity, which was statistically significant (p<0.05). 3. Oral gas had a positively correlation with breath gas (r=0.329, p<0.01), but had a negative one with OCD severity (r=0.204, p<0.05). Conclusions : Symptoms of oral dryness and halitosis interest were associated with self-perception of halitosis. The levels of oral gas and breath gas were in inverse proportion to OCD severity. Hereat, it needs to analyze psychogenic factors properly as regards the diagnosis or treatment of halitosis.

• Journal of Korean Neurosurgical Society
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• 제29권4호
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• pp.514-520
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• 2000

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.

• 한국콘텐츠학회논문지
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• 제19권1호
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• pp.413-420
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• 2019

본 연구는 영화 [아가씨]의 주요 등장인물의 유형을 분석하는 것을 목적으로 한다. 영화 [아가씨]의 네 캐릭터는 모두 '실존'을 보았고 악인형의 요소를 가지고 있다는 공통점이 있다. 코즈키와 히데코는 라캉의 정신 분석 방법론에 의해 각각 전형적인 도착증, 강박증 증상을 보였다. 반면 숙희와 고판돌은 범죄 환경 속에서 실존에 직면한 성장 특성을 지니고 있기 때문에 정신 분석 방법론으로 분석해 가는 것이 어려웠다. 따라서 PCL-R 진단 항목을 바탕으로 숙희와 고판돌의 성격 유형을 분석하고 구조 분석을 병행하였다. 결과적으로 코우즈키는 사디스트이며 히데코는 강박증자, 숙희는 반사회적 생활 방식을 가졌지만 정상적인 감정적 범주에 속해있다고 보았으며 고판돌은 소시오패스이며 잠재적인 사디스트의 기질을 갖고 있다고 보았다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권7호
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• pp.317-326
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• 2019

본 연구의 목적은 시뮬레이션골프 참여자들의 건강관심도, 여가스포츠열정 그리고 심리적 행복감 간의 관계를 규명하고자 한다. 본 연구의 대상자는 서울, 경기지역에 거주하는 성인 남녀를 대상으로 한정하였다. 본 연구의 목적을 규명하기 위하여 빈도분석, 신뢰도분석, 확인적 요인분석, 상관관계 분석, 구조방정식모형 분석 등을 사용하였다. 위와 같은 연구 과정을 거쳐 다음과 같은 연구결과를 도출하였다. 첫째, 시뮬레이션골프 참여자의 건강관심도는 조화열정에 긍정적인영향을 미쳤다. 둘째, 시뮬레이션골프참여자의 건강관심도는 강박열정에 긍정적인 영향을 미쳤다. 셋째, 시뮬레이션골프 참여자의 건강관심도는 심리적 행복감에 긍정적인 영향을 미쳤다. 넷째, 시뮬레이션골프 참여자의 조화열정은 심리적 행복감에 긍정적인영향을 미쳤다. 다섯째, 시뮬레이션골프 참여자의 강박열정은 심리적 행복감에 영향을 미치지 않았다. 이상의 결과로 비추어 볼 때 건강을 중시하는 현대인들에게 시뮬레이션골프의 재미를 통해 운동열정을 높임으로써 건강한 삶을 영위할 수 있는 방안을 모색했다는 점에 의의가 있다.

• 대한불안의학회지
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• 제18권1호
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• pp.32-37
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• 2022

Objective : Impaired working memory has been known to play an important role in the pathophysiology of obsessive-compulsive disorder (OCD) with growing evidence. Delayed matching-to-sample task (DMST) is a working memory task which have an advantage in analyzing several different working memory processes in one task. However, most of the studies have failed to reveal the working memory impairment with the DMST. The aim of this study was to identify whether working memory deficit in OCD can be evaluated with the DMST. Methods : The participants included 20 OCD patients and 20 healthy volunteers. Working memory was evaluated with the DMST with two different working memory loads. Accuracy of response and mean response time were measured. Results : OCD patients showed a significantly longer reaction time and lower accuracy in DMST compared to healthy controls in the task with high working memory loads. Moreover, the difference in accuracy showed interaction with the working memory load. Conclusion : The present results indicate that working memory deficit in patients with OCD can be evaluated with the DMST. The findings also suggest that previous negative behavioral results using the DMST were from low working memory load of the task.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.297-306
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• 2019

본 연구는 체육수업 참여 학생들을 라이프케어증진을 위한 체육수업 강박을 측정하기 위한 척도를 개발하고 구조적 타당성을 검증하는 데 목적을 두고 수행되었다. 이러한 연구의 목적을 달성하기 위한 절차로는 먼저 개방형 설문을 통하여 문항탐색과 적절성 평정을 실시한 후 예비판에 기초하여 확정판의 신뢰도를 분석하고, 구성개념 타당도를 점검하는 절차로 수행되었다. 예비판에 대한 요인분석을 거쳐 2차로 387명을 대상으로 자료를 수집한 후 문항분석과 요인분석을 수행하여 사회적 강박(4문항), 심리적 강박(3문항), 신체적 강박(3문항)으로 총 3개 요인 10문항의 최종 확정판을 완성하였다. 확정된 척도에 대하여 성별 및 수업만족에 따른 다변량 분석을 수행하여 외적 관계검토를 확인하였다. 본 연구에서 개발된 척도의 신뢰도는 .856에서 .907까지 높은 신뢰수준을 보였을 뿐 아니라, 타당성이 확보되어 라이프케어증진을 위한 체육수업 강박 척도로 입증되었으며, 이러한 척도를 활용하여 학교 체육현장에서 학생들의 체육수업 강박 측정을 위한 자료로 활용할 수 있을 것이다.

• 고전문학과교육
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• 제16호
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• pp.273-296
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• 2008

The author analyzed the psychological factors which affected on the way of Mrs. Park in the became a virtuous woman and compared these psychological factors with a virtuous women in Samganghaengsildo based on the relationship between Mrs. Park in and Samganghaengsildo's the virtuous women volume. First of all, it's about the power of authority on women. The volume of Samganghaengsildo's virtuous women was about the group of women who were recognized as virtuous women by the king who had absolute power at the time period. The volume of Samganghaengsildo's virtuous women was very well known for women. This book had a huge impact on women since the government authority educated the women using this book. In addition, the incredible events which were written in Samganghaengsildo indicated that the behavior of virtue was the right thing to follow since even super power recognized it as a good thing to do and the woman might be punished when she didn't follow the behavior of virtue. Second, it was based on the similarity of circumstance and uncertainty for the future. Mrs. Park in showed similar behavioral patterns with a virtuous woman in Samganghaengsildo since she took her role model from the virtuous woman. When Mrs. Park lost her husband, she was not sure about her future and the volume of Samganghaengsildo pointed out that there was another world after the death and she would meet her husband again after the death. In addition, the incorrect information that she would feel better psychologically when she followed her dead husband instead of living herself. Third, it is about the resemblance of obsessive mind and self internalization. The examination of the record of Mrs. Park showed that Mrs. Park tried to internalize integrity, loyalty, and virtue of virtuous women in Samganghaengsildo and became herself like virtuous women. In addition, the woman's obsessive mindset remarkly reflected in Samganghaengsildo. For instance, Mrs. Park in held to the time of death of her husband and the writer who wrote about the behavior of Mrs. Park also emphasized that the time of death of Mrs. Park was closed to the time of the death of her husband. This explained that the obsessive mindset of women in the epic of virtue women could have influence on the women's mind who tried to show the similar behavior with a virtue woman and internalize it. Finally, the people of the day also were not free from it.

• 한국심리학회지 : 문화 및 사회문제
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• 제24권2호
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• pp.131-151
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• 2018

본 연구는 우리나라의 사회문화적 맥락에서 높은 그릿집단이 조화 및 강박열정과 의미추구 경향의 수준에 따라 다양한 유형으로 구별되는지를 확인하고, 각 유형들이 심리적 특성에서 유의한 차이가 있는지를 알아보고자 기본 심리 욕구와 삶의 만족 그리고 자아탄력성을 살펴보았다. 이를 위해 대학생 297명이 응답한 그릿 점수의 중앙값을 초과한 연구 대상자들을 높은 그릿집단으로 선별한 후, 이들을 대상으로 군집분석과 분산분석을 실시하였다. 연구 결과, 우리나라 대학생들의 높은 그릿집단은 세 가지 유형으로 분류되었다: 적응적인 조화열정과 의미추구경향이 높은 적극적 그릿(35.8%), 부적응적인 강박열정이 높은 강박적 그릿(26.1%), 조화 및 강박열정과 의미추구경향이 모두 낮은 소극적 그릿(38.1%). 적극적 그릿은 기본 심리 욕구와 삶의 만족도, 그리고 자아탄력성에서 가장 높은 반면에, 강박적 그릿은 적극적 그릿보다 모두 낮았다. 소극적 그릿 또한 유능성, 관계성, 삶의 만족도에서 적극적 그릿보다 유의하게 낮았다. 이러한 결과를 바탕으로 본 연구는 한국의 문화적 토양에서 발달하는 그릿의 특성과 높은 그릿집단이 가지는 이질성에 대한 이해와 통찰을 제공하였다.