• Title/Summary/Keyword: Obsessive-compulsive

Search Result 165, Processing Time 0.028 seconds

THERAPEUTIC APPROACHES FOR TREATMENT RESISTANT OBSESSIVE-COMPULSIVE DISORDER IN CHILDREN AND ADOLESCENTS (소아청소년기 치료저항성 강박장애의 치료적 접근)

  • Suh, Hyun-Ju;Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.14 no.1
    • /
    • pp.64-80
    • /
    • 2003
  • Although obsessive-compulsive disorder(OCD) affects children, adolescents, and adults whether its juvenile(dhild and adolescent) and adult forms are different subtype of a disorder remains unknown. But there are increasing findings that suggest that juvenile OCD may be unique subtype of the disorder. One proposed subtype is the childhood OCD associated with high comorbidity of tic disorder and increased familial loading for OCD or tic disorder. The other proposed subtype is the childhood OCD and/or tic disorder occuring in association with streptococcal infection(PANDAS). These two subtypes of OCD are unlikely to respond to SSRI due to possible different pathphysiological mechanism. So this paper reviews the characteristics of OCD and therapeutic approaches for treatment resistant OCD in childhood and adolescence. Considering the likely heterogeneity of OCD, the possibility that juvenild OCD may be a variant of the disorder can have important clinical and scientific implications because it may further our understanding of this disorder, its etiology, and perhaps its treatment.

  • PDF

Test Anxiety Investigation of Students in Oriental Medicine College by Using Korea's version-Test Anxiey Inventory, State-Trait Anxiety Inventory, Symptom Check List-90-Revision (시험불안척도, 상태-특성불안 척도, 간이정신진단검사를 이용한 한의학과 대학생의 시험불안 특성)

  • Yang, Dong-Ho;Oh, Young-Jin;Cheun, Young-Ho;Cho, Youn-Song;Oh, Kyong-Min;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
    • /
    • v.19 no.1
    • /
    • pp.55-70
    • /
    • 2008
  • Objective : The aim of this study is to investigate and measure the Test-anxiety of college students in OO Oriental Medicine by using Korea's version-Test Anxiey Inventory(K-TAI-K), State-Trait Anxiety Inventory(STAI), Symptom Check List-90-Revision(SCL-90-R), etc. Methods : We studied 181 students who being at OO College of Oriental Medicine in second semester, 2007 We used some questionaries like K-TAI-K, STAI, SCL-90-R , College Life Satisfacaion, Life Event Questionnaire. Results and Conclusions : 1.141 persons(83,43%) of students feel the largest test anxiety before test. 18 persons(9.94%) of students feel the largest test anxiety after test. 2.The 1st grade students of preparatory course and 4th grade students of regular course have the lowest score in State Anxiety Inventory and obsessive-compulsive of SCL-90-R. The 2nd grade students of regular course have the lowest score in State Anxiety Inventory and obsessive-compulsive of SCL-90-R 3. Students who failed in test one time have the lowest score , and who failed in test more than two times have the highest score in K-TAl-K Students who failed one time in grade promotion more than two times showed high score in second K-TAI-K. 4. The higher grade, the lower score in College Life Satisfaction. The scores of College Life Satisfaction have negative correlations with those of K-TAI-K, STAI SCL-90-R except phobic anxiety, 5. The scores of Life Event Questionnaire have positive correlations with those of K-TAI-K, STAI and SCL-90-R except phobic anxiety. 6. The scores of K-TAl-K have positive correlations with those of STAI, SCL-90-R, College Life Satisfaction and Life Event Questionnaire. A correlation coefficient of obsessive-compulsive scale is highest, anxiety scale is second, interpersonal sensitivity scale is third, depression scale is fourth high among the scales of SCL-90-R.

  • PDF

A Study on the Use of the Media for Positive Perception and Attitude towards People with Mental Illness: Focusing on Depression, Obsessive-Compulsive Disorder, and Panic Disorder (정신질환자에 대한 태도와 인식 개선을 위한 대중매체 활용 방안 연구 : 우울증, 강박증, 공황장애를 중심으로)

  • Park, Jong-Ho;Lee, Hyun-Sim
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.4
    • /
    • pp.250-263
    • /
    • 2019
  • This study aimed to improve the public perception of people with mental illness by suggesting the need for public efforts and proposing specific plans. Demographic differences in the attitudes towards mental illness, the need of public service announcements to improve public perception of mental illness, and the current and expected situation of each advertising medium were analyzed, and plans to improve the advertising were proposed. Three mental illnesses that are possible to recover from through treatment-depression, obsessive-compulsive disorder(OCD), and panic disorder-were examined primarily, and the general public residing in Seoul and the capital area were surveyed. A comparison of the respondents' attitudes towards people with mental illness showed that there were significant differences in their attitudes with respect to gender, marital status, age, and family history. On the other hand, there was no significant difference with respect to religion, monthly income, or academic background. Most of the respondents recognized that public efforts to improve the public perceptions of mental illness, i.e., efforts through the mass media, were necessary and should be intensified though television, Internet, radio, billboard, and transport advertising. Based on the above findings, this study highlights the necessity for advertising through mass media for positive public perceptions of people with mental illness and proposes plans to intensify the advertising, focusing on social, organizational, and individual levels.

Relationships Between Premonitory Urge, Tics and Comorbidities in Children and Adolescents With Chronic Tics (만성 틱장애 소아청소년의 전조충동, 틱증상 심각도, 동반질환 간의 관련성)

  • Joo-Han Kwon;Sang-Keun Chung;Jong-Chul Yang;Jong-Il Park;Ha-Min Kim;Tae Won Park
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.31 no.2
    • /
    • pp.142-148
    • /
    • 2023
  • Objectives : The purpose of this study is to investigate the relationships between premonitory urge, tic severity, and comorbidities in children and adolescents with chronic tic disorders. Methods : In this study, scales for tic symptoms, premonitory urge, obsessive-compulsive symptoms, and ADHD symptoms were repeatedly measured twice in 26 children and adolescents aged 10 to 18 years with chronic tic disorders. Correlations between scales were confirmed through repeated measures correlation analysis, and causal relationships between scales were confirmed through regression analysis using a linear mixed model. Results : The degree of premonitory urges showed a significant positive correlation with the severity of tic symptoms, the severity of obsessive-compulsive symptoms, and the severity of ADHD symptoms. The ADHD symptoms showed a significant positive correlation with the severity of tic symptoms. These results were the same even in children and adolescents with tic disorders who were not diagnosed with obsessive-compulsive disorder. Additionally, premonitory urges were found to have a significant positive effect on the severity of tic symptoms. Conclusions : These results may be helpful in treating tic disorders and can be used in future tic disorder research considering developmental trajectory.

The Correlation of Psychological Scale Measurements in Depression, Anxiety, and Insomnia Patients and its Value (우울, 불안, 불면 환자에 대한 심리척도의 유용성과 상관성에 대한 임상연구)

  • Park, Dae-Myung;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
    • /
    • v.23 no.3
    • /
    • pp.63-76
    • /
    • 2012
  • Objectives : The aim of this study was to investigate the value and efficacy of BDI, STAI, STAXI, ISI, and SCL-90-R in correlation with depression, anxiety, and insomnia patients. Methods : A total of 39 patients, who were diagnosed with depression, anxiety, and insomnia were evaluated using BDI, STAI, STAXI, ISI, and SCL-90-R. They were then statistically analyzed. Results : 1. BDI scores of depression patients were significantly different from other patients. 2. BDI scores of depression patients had strong positive correlation with STAI-S, and STAI-T scores. 3. STAI-S scores of anxiety patients had positive correlation with BDI, and ISI scores. 4. SCL-90-R depression subscale scores of depression patients had strong positive correlation with somatization, obsessive compulsive, interpersonal sensitivity, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, global severity index, and positive symptom total subscale scores. 5. SCL-90-R anxiety subscale scores of anxiety patients had strong positive correlation with somatization, obsessive compulsive, depression, phobic anxiety, and global severity index subscale scores. Phobic anxiety subscale scores had strong positive correlation with anxiety, global severity index, and positive symptom total subscale scores. Conclusions : The result findings are expected to serve as a useful resource in future stress-related depression, anxiety, and insomnia case reports and clinical research in oriental neuropsychiatry.

An Analysis of Character on Hwabyung Patients using SCL-9-R (SCL-90-R을 이용한 화병(火病)환자 특성분석)

  • Lee, Eun-Kyung;Kwon, Soon-Ju;Chung, Dae-Kyoo;Lee, Ji-In
    • Journal of Oriental Neuropsychiatry
    • /
    • v.16 no.2
    • /
    • pp.149-158
    • /
    • 2005
  • Objective : The aim of this study is to investigate the traits of psychiatric state on Hwabyung patients by using Symptom Check List-90-Rivision(SCL-90-R) Method : We studied 96 patients who visited Daegu Hanny University Oriental Medical Hospital from November 2003 to October 2004. Hwabyung Diagnostic Interview Schedule was conducted for diagnosis. And Symptom Check List-90-Rivision was carried out each group. Results & Conclusions : Hwabyung group was 22 persons among 96 patients 1. Hwabyung group has higher scores in all demensions of SCL-90-R than control group.(p<0.0l) 2. In female, Hwabyung group has higher scores in somatization, obsessive-compulsive, depression, hostility and psychoticism of SCL-90-R than control group. In male, Hwabyung group has higher scores in somatization, obsessive-compulsive, interpersonal-sensitivity, depression, anxiety, hostility and phobic anxiety of SCL-90-R than control group. 3. In 20s&30s, Hwabyung group has higher scores in all demensions of SCL-90-R except psychoticism than control group. In over 40, Hwabyung group has higher scores in somatization, depression, anxiety, hostility and psychoticism of SCL-90-R than control group. 4. In Hwabyung group, male group has higher scores in hostility of SCL-90-R than female, and 20s&30s group has higher scores in interpersonal-sensitivity, anxiety and paranoid ideation of SCL-90-R than over 40 group.

  • PDF

Symptom Checklist-90-Revision(SCL-90-R) in Inpatients on Tension headache and Insomnia (긴장성 두통 및 불면을 주소로 입원한 환자의 간이정신진단검사(SCL-90-R)의 진단별 특성)

  • Shim, Sang-Min;Koo, Byung-Soo;Kim, Kyeong-Ok
    • Journal of Oriental Neuropsychiatry
    • /
    • v.14 no.1
    • /
    • pp.117-131
    • /
    • 2003
  • SCL-90-R is a multidimensional self-report symptom inventory devoloped by Derogatis and his coworkers. Since it was standardized into Korean version in 1978 by Won and Kim et aI., but it has been rarely studies for the clinical groups. Objectives : This study sought to define a diagnotic character of SCL-90-R of tension headache and insomnia inpatients groups. Methods : We determined a diagnotic character of 17 tension headache and 23 insomnia patients by means of SCL-90-R, and compared with normal groups in order to characterize subscale of SCL-90-R in patients with tension headache and insomnia from Neurasthenia. Results : 1. Male tension headache group has significant difference in Somatization and Depression subscales, female group in Somatization, Obsessive-Compulsive, Depression and Hostility subscales. 2. Female insomnia group has significant difference in Anxiety subscale. Although there are a little significiant, many subscales such as Somatization, Obsessive-Compulsive, Depression and Hostility are higher than normal group. 3. There are significant difference in GSI and PDSI of Global index, which means that we use that for objective index of tension headache and insomnia from Neurasthenia. Conclusions : All of these results show that SCL-90-R is useful inventory to characterize and screening for Neurasthenia.

  • PDF

The Connection between Symptom Checklist-90-R(SCL-90-R), Self-Efficacy Scale(SES) and Qi-gong (기공과 간이정신진단검사 및 자기효능감 척도의 관계 고찰)

  • Kim, Soo-Hyun;Park, Sun-Young;Chung, Dae-Kyoo
    • Journal of Oriental Neuropsychiatry
    • /
    • v.20 no.4
    • /
    • pp.31-52
    • /
    • 2009
  • Objectives : The purpose of this study was to investigate the connection between Symptom Checklist-90-R (SCL-90-R), Self-Efficacy Scale(SES) and Qi-gong. Methods : We investigated 141 oriental medical students in Daegu consisted of 36 subjects training Qi and 105 subjects not training. We had all subjects to reply to demographic questimnaire, SCL-90-R questimnaire and SES questimnaire. We made the Qi-training group write the kinds and periods of Qi seperately. Results & Conclusions : 1. The lower SCL-90-R score, the subjects had higher SES score. Total Self-Efficacy score was connected Somatization, Interpersonal Sensitivity, Depression, Paranoid Ideation, Paranoid Ideation score significantly. General Self-Efficacy score was connected Somatization, Obsessive- Compulsive, Interpersonal Sensitivity, Paranoid Ideation, Paranoid Ideation score significantly. Social Self-Efficacy score was connected Interpersonal Sensitivity, Depression, Anxiety score significantly. 2. The Qi-training group's mean all the details of SCL-90-R lower than the non-training's significantly in Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Hostility, Paranoid Ideation, Psychoticism. And the Qi-training group's mean all the details of SES higher than the non-training's, significantly in General Self-Efficacy. 3. In Qi-training group, as training longer, mean Somatization, Interpersonal Sensitivity, Depression, Anxiety, Hostility scores get lower and mean Total Self-Efficacy score get higher significantly.

  • PDF

Psychological state of the patients according to skeletal class III malocclusion symptoms (골격성 III급 부정교합자의 임상적 특성에 따른 심리상태)

  • Kim, Sun-Ok;Jin, Mi-Young;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
    • /
    • v.15 no.2
    • /
    • pp.205-216
    • /
    • 2015
  • Objectives: The purpose of the study is to investigate the psychological state of the patients according to skeletal class III malocclusion symptoms. Methods: The subjects were 200 skeletal class III malocclusion patients. The questionnaire consisted of general characteristics, clinical manifestation, and T score of Korean version of self-rated Symptom Checklist-90-Revision modified by Jae-hwan Kim. The data were analyzed using SAS version 9.2 and t-test, ANOVA, and ANCOVA were used. Clinical manifestation included subjective recognition and radiological analysis. The subjective recognition of the patients consisted of self-satisfaction of the appearance, phonation, mastication, and temporomandibular joint pain. T score consisted of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. Results: The most serious factor in 9 scales was the severe TMJ pain by ANCOVA. Male patients had a higher T score in phobic anxiety, psyochoticism, somatization and depression than female patients. Those having low appearance satisfaction had the problem in interpersonal sensitivity. Obsessive-compulsive symptoms were conspicuous in phonation difficulty and temporomandibular pain. Conclusions: The patients with skeletal class III malocclusion have more satisfaction with appearance, pronunciation, and phonation than those with skeletal class III malocclusion and overjet. Proper dental treatment will improve the communication and quality of life.