• Title/Summary/Keyword: Obsessive-compulsive symptom

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A Study on the Relationship with Nicotine Dependence and Mental Health -Focusing on SCL-90-R (Symptom Checklist-90-Revision)- (니코틴 의존도와 정신 건강 수준의 연관성에 대한 조사 연구 -간이 정신진단 검사 중심으로-)

  • Kang, Hee-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.1
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    • pp.55-62
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    • 2014
  • Objectives: The purpose of this study is to investigate the relationship of nicotine dependence and mental health. Methods: The subjects of this study were 153 male smokers in their 20s, 30s, 40s and 50s who visited Wonmi Public Health Center. They were evaluated with Fagerstorm's test for nicotine dependence (FTND) and Symptom Checklist-90-Revision (SCL-90-R). Using the FTND score, the participants were divided into three groups; mild nicotine dependent group, moderate group and severe group. Results: In the SCL-90-R score, there were statistically significant differences in the characteristics of Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Global Severity Index (GSI) and Positive Symptom Test (PST) among the three groups. Comparing the values of FTND and the amounts of Daily Smoking to the values of Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression and GSI in this study resulted in positive correlations, thereby demonstrating a statistical significance. Conclusions: The above results suggest that there are significant relations between nicotine dependence and the level of mental health. These results can be used for planning the smoking cessation program and mental health promoting program based on Korean traditional medicine.

Clinical Symptoms and the Duration of Illness in Patients with Obsessive-Compulsive Disorder (강박증 이환기간과 임상 양상)

  • Lee, Seung-Jae;Yoo, So-Young;Kang, Do-Hyung;Kwon, Jun-Soo
    • Anxiety and mood
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    • v.2 no.1
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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.

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A Study on the Response to Psychiatric Self-Report Rating Scale (SCL-90) of Some Industrial Workers in Korea (일부 산업장 근로자의 간이정신진단 검사(SCL-90)결과에 관한 연구)

  • Choi, Jung-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.15 no.1
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    • pp.219-228
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    • 1982
  • This study aimed at assessing the industrial workers' mental health status and identifing the relationship between mental health status and socio-demographic variables. We administered psychiatric self report rating scale (SCL-90)to 622 manual workers and 191 office workers in a textile .industry. The study began on 1 November, 1981 and lasted for 30 days The results were as follow: 1. Scores of symptom dimension were higher in female rather than male, younger than older, lower income group than higher one, lower educated group than higher one, manual workers than office workers and unmarried group than married one respectively. 2. The result of dimension scores of total samples showed that the score of Obsessive-compulsive scale was highest. The rest symptom dimension showed the order as follows: Interpersonal sensitivity, Depression, Hostility, Anxiety, Paranoid ideation, Somatization, Psychoticism and Phobic anxiety. 3. In order to identify the partial contribution of each socio-demographic variables on the mental health, multiple regression method was applied, and the result was as follows. 1) Sex was the most important one to explain the Somatization, Phobic-anxiety and Psychoticism scales among the 7 variables in the multiple regression equation. 2) Economic status was the most important variable to explein the Obsessive-compulsive, Depression and Hostility scales. 3) Marital status was the most important variable to explain the Interpersonal-sensitivity and Paranoid ideation scales.

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Mental Health Status among Users of Medical Facilities in Mining Area (산업재해 요양기관 이용자의 정신건강에 관한 연구)

  • Cha, Bong-Suk;Park, Jong-Ku
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.233-243
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    • 1986
  • Our study was designed to identify the difference in the mental health status among hospitalized patients due to occupational diseases and accidents and pre-employment physical examinees, and to identify the relationship between mental health status and socio-demographic variables, and to provide information useful to non-psychiatric clinicians in caring of such patients. Samples were comprised of 189 pneumoconiotic patients, 132 industrial accident-induced patients and 122 pre-employment physical examinees who were interviewed with 90-item symptom cheklist (SCL-90). The following results were obtained: 1) Mean scores of symptom dimension on socio-demographic subgroup showed higher tendencies in older aged, male, lower educated, miner, married, mining residence, and pneumoconiotic patients. 2) Mean scores of total samples on all symptom dimensions were as follows in the order of their magnitudes; Depression, Somatization, Obsessive-compulsive, Anxiety, Psychoticism, Interpersonal sensitivity, Phobic-anxiety, Hostility, and Paranoid ideation. 3) The highest mean scores on each socio-demographic subgroup were as follows; Depression in younger aged and Somatization in older aged; Depression in male Somatization in female; Somatization in lower educated and depression in higher educated; Somatization in miners and depression in non-miners; Somatization in married and Depression in unmarried; Depression in all kind of residences; Somatization in patients and Depression in pre-employment physical examinees(normal). 4) In consequence of stepwise multiple regression, the important socio-demographic variables were age, occupation, diagnostic classification, and residence. Age was the most imprtant variable in Somatization, Depression, Obsessive-compulsive, Anxiety, Phobic anxiety, Paranoid ideation, and Psychoticism. Occupation was the most important one in Interpersonal sensitivity and Hostility and also had significant realtionships with all symptom dimensions.

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The Prevalence, Subtypes and Risk Factors of Irritable Bowel Syndrome by ROME III among Korean University Students (ROME III에 의한 국내 대학생의 과민성 장 증후군의 유병률, 증상유형 및 위험요인)

  • Park, Mi-Jung;Lee, Kyung-Sook;Jeong, Jae-Sim;Kim, Joo-Hyun;Choi, Jung-An;Shin, Gi-Soo;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.13 no.1
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    • pp.61-71
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    • 2011
  • Purpose: The purpose of the present study was to investigate the prevalence, subtypes and risk factors of irritable bowel syndrome by ROME-III among Korean university students. Methods: This study was descriptive survey research. The sampls were 796 and variables were measured by structured questionaire. Rome-III criteria was used for diagnosis of IBS. The gathered data were analyzed with %, $x^2$-test, t-test, logistic regression by SPSS win 17.0. Results: The students with IBS were 61 (7.7%) and the most of the subtype was IBS-M (42.6%). Meal (times/day), breakfast, stress, quality of sleep, neuroticism, bodily pain, general health, social function, role emotional restriction, mental health, somatization, obcessive-compulsive state, depression, anxiety, hostility, global severity index, positive symptom distress index, positive symptom were significantly different between IBS group and non-IBS group. The prevalence of IBS was low in the higher score of role emotional in general health state. There were more 2 times students who had score of the obsessive-compulsive in psychological health over the 50 than below the 50 in IBS group. Conclusion: 7.7% of students were diagnosed by Rome-III criteria and the most of the sybtype was IBS-M. The risk factors of IBS were role emotional restriction, obsessive-compulsive state.

A Case of Fluoxetine-induced Mania & Suicidal Ideation in Obsessive-Compulsive Disorder (Fluoxetine 투여 후 조증과 자살 사고를 보인 강박증 환자 1례)

  • Lee, Seung-Hwan;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.6 no.2
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    • pp.253-258
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    • 1999
  • The fluoxetine is one of the most frequently prescribed drugs for the treatment of depression and obsessive-compulsive disorder(OCD). This has been known as one of the most safest medication. But since the advent of this drug, there have been several reports of side effects-the mania and suicidal ideation-encountered during coadministration of fluoxetine with or without other psychotropic drugs. We experienced a case of 20 years old male OCD patient who developed into abrupt manic state and also was preoccupied with intense suicidal ideation following fluoxetine use. He was a only child in his family and his father had a history of alcoholism about 15years ago. Our patient's obsessive-compulsive symptoms have been occured since puberty. His OCD symptoms and anxiety were aggravated since joining the army. Beside these facts, we could not find any other psychiatric history such as depressive disoder and bipolar disorder. We used the fluoxetine starting dosage of 20mg and increased to 40mg at second week. About 3 weeks after the treatment, he developed sudden manic symptom and more aggravated suicidal ideation without any OCD symptoms. He felt vitalized and energetic without having enough sleep and food. These symptoms were ceased over two weeks by stopping medication. Up to this point, the reason why fluoxetine induces mania and suicidal preoccupation is unclear. But somehow the fluoxetine has effects on serotonin receptor and serotonin-dopamine regulations, thus we could make an assumption that fluoxetine can induce mania, extrapyramidal symptoms(EPS) and suicidal ideation in some part of the serotonin unbalanced patients. We think this would be the first report to remark on fluoxetine's suicidal and manic side effects in Korea. So here we present the case with the summary of reviewed articles.

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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
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    • v.20 no.4
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    • pp.31-52
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    • 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.

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DEVELOPMENT OF KOREAN FORM OF CHILDREN'S YALE-BROWN OBSESSIVE-COMPULSIVE SCALE(CY-BOCS):A RELIABILITY AND VALIDITY STUDY (한국판 아동용 예일-브라운 강박 척도 ; 신뢰도와 타당도 연구)

  • Lee, Jeoung-Seop;Kang, Yun-Hyong;Cho, Seong-Jin;Suh, Dong-Hyuck;Hong, Kang-E;Chung, Sung-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.60-69
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    • 2000
  • Objective:This study was carried out to evaluate the reliability and validity of the Korean form of the Children's Yale-Brown Obsessive Compulsive Scale(CY-BOCS). Method:Forty-two children with obsessive-compulsive disorder(OCD)(31 boys and 11 girls, aged 7 to 18 years) were assessed with CY-BOCS. Interrater agreement was assessed by two raters in subsample(n=20). discriminant and convergent validity were assessed by comparing CY-BOCS scores to Clinical Global Impression-OCD(CGI-OCD), Leyton Obsessional Inventory-Child Version (LOI-CV), State-Trait Anxiety Inventory for Children(STAI-C), and Child Depression Inventory(CDI). Results:Internal consistency was high, measuring 0.86 for the 10 items and total score. The intraclass correlations for the CY-BOCS total, obsession, and compulsion scores were 0.94, 0.94, 0.84, suggesting excellent interrater agreement for subscale and total scores. The CY-BOCS total score showed highest correlation with CGI-OCD(r=0.88), and significant correlation with LOI-CV(r=0.51), Trait Anxiety score(r=0.43), and CDI scores(r=0.49), but it was not correlated with State-Anxiety score(r=0.25). Conclusion:The results of this study indicate that the Korean form of CY-BOCS is a reliable and valid scale for rating obsessive-compulsive symptom severity.

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Treatment of Morsicatio Buccarum by Oral Appliance: Case Report

  • Chang, Min;Kim, Jiyeon;Park, YounJung;Kwon, Jeong-Seung;Kim, Seong-Taek;Choi, Jong-Hoon;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
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    • v.46 no.3
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    • pp.84-87
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    • 2021
  • Morsicatio buccarum is a condition caused by chronic cheek biting. It means frictional hyperkeratosis by repetitive cheek biting, which may be associated with obsessive compulsion. Clinically it presents as rough, shaggy, whitish, often peeling surface. We report a 9-year-old female patient who complained oral ulceration on both buccal mucosa. The initial diagnosis was oral candidiasis because of whitish plaques which were peeled off. Topical antifungal agent was ineffective and the symptom did not disappear. By incisional biopsy, she was diagnosed with morsicatio buccarum. A soft oral appliance was placed in the patient's oral cavity. Although morsicatio buccarum improved significantly when the appliance was used, the oral lesion had a tendency to recur, when the patient stopped using the appliance. In case of recurrence, cognitive behavioral therapy for obsessive-compulsive disorder is needed for the fundamental treatment.

DEVELOPMENT OF THE KOREAN FORM OF LEYTON OBSESSIONAL INVENTORY-CHILD VERSION(LOI-CV) (한국판 아동용 Leyton 강박증 척도의 개발)

  • Lee, Jeong-Seop;Shin, Min-Sup;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.162-171
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    • 1994
  • Objects : This study was carried out to develop the Korean form of Leyton Obsessional Inventory-Child Version(LOI-CV) designed to assess the obsessive compulsive symptoms in children and adolescents. The LOI-CV was modified into a paper-and-pencil form in order to administer it to group. Methods : We applied the Korean form LOI-CV to 127 elementary, middle and high school children, and retest it to 82 children with 3 weeks interval. Together with LOI-CV, Korean form of SCL-90-R which had been proved its reliability and validity, were administered to the all subjects for examining of concurrent validity. And then we examined whether this scale discriminates between obsessive patients, psychiatric controls and normal controls in the level of obsessive symptoms. Results : Test-retest reliability, internal consistency were very satisfactory. Concurrent validity with SCL-90-R was moderate level. And obsessive patients was scored significantly higher than psychiatric and normal controls in the level of obsessive symptoms. In factor analysis, items are clustered to 5 factors. In the global obsessive symptom, obsessive scores of female elimentary school students were higher than that of male students. Conclusions : These results indicate that the Korean form of LOI-CV is reliable and valid self-rating scale to assess the obsessive-compulsive symptoms in Korean children and adolescents. Author suggests that future research is needed for Korean version standardization study in normal and clinic-refered population.

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