• Title/Summary/Keyword: Panic

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Reliability and Validity of Korean Version of Depression and Somatic Symptom Scale(DSSS) (한국판 우울과 신체 증상 평가 척도(Depression and Somatic Symptom Scale, DSSS)의 신뢰도와 타당도)

  • Kim, Kun-Woo;Hong, Jin-Pyo;Park, Seung-Jin;Choi, Ji-Hye;Choi, Hye-Ra
    • Anxiety and mood
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    • v.7 no.1
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    • pp.9-15
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    • 2011
  • Objectives : We examined the reliability and validity of the Korean version of the Depression and Somatic Symptom Scale (DSSS) in Korean patients with depressive symptoms. Methods : Participants were 55 outpatients diagnosed with major depressive disorder, a depressive episode of bipolar I disorder, somatoform disorder, panic disorder, generalized anxiety disorder, or post-traumatic stress disorder according to the DSM-IV criteria. We assessed them using the Korean versions of the DSSS, Hamilton Depression Rating Scale (HDRS), and Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR). Results : The Korean version DSSS had a Cronbach's alpha of 0.90. Moreover, each item's correlation with the total score was statistically significant (r=0.24-0.71, p<0.01). The test-retest correlation coefficient (r=0.83, p<0.01) was relatively high, and the DSSS correlations with the HDRS and QIDS-SR were 0.77 and 0.74, respectively. Conclusion : These results demonstrate that the Korean version of the DSSS could be a reliable and valid tool for screening and assessing depressive patients. The Korean version of the DSSS will be a useful tool for screening both depressive and somatic symptoms in Korea.

Clozapine-related Sudden Pericarditis in a Patient Taking Long Acting Aripiprazole and Valproate: A Case Report

  • De Berardis, Domenico;Fornaro, Michele;Orsolini, Laura;Olivieri, Luigi;Nappi, Francesco;Rapini, Gabriella;Vellante, Federica;Napoletano, Cosimo;Serroni, Nicola;Di Giannantonio, Massimo
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.505-507
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    • 2018
  • Clozapine may be associated with cardiovascular adverse effects including QTc prolongation and, more rarely, with myocarditis and pericarditis. Although rare, these latter cardiovascular adverse effects may be life-threatening and must be immediately recognized and treated. Several cases of clozapine related-pericarditis have been described and often it has a subtle and insidious onset with symptoms that may be often misdiagnosed with psychiatric manifestations (e.g. anxiety, panic or somatization) leading to a delayed correct diagnosis with potential fatal consequences. In the present report we describe the case of a 27-year-old girl with schizoaffective disorder taking long acting aripiprazole and valproate who developed a sudden onset clozapine-related pericarditis during titration phase that resolved with immediate clozapine discontinuation and indomethacin administration. We underline the importance of an early diagnosis of clozapine-related pericarditis and the need to have monitoring protocols to prevent this potentially fatal adverse effect especially when polypharmacy is administered to patients taking clozapine.

A study on Korean collegians' health perception toward Eggs contaminated with pesticide: Will preventive behavioral intention be predicted by perceived susceptibility and severity, trust in government, evaluation of information from government, and subjective knowledge? (한국대학생의 살충제 오염 달걀에 대한 건강인식에 관한 연구: 지각한 민감성과 심각성, 정부에 대한 신뢰성, 정부 출처 정보에 대한 평가 및 주관적 지식이 예방행동의도를 예측하는가?)

  • Joo, Jihyuk
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.355-363
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    • 2018
  • Found pesticide-contaminated eggs in 2017, the situation became a hot issue in many countries in the world as well as Korea. In the context of the pesticide-contaminated egg, this study explored that preventive behavioral intention would be predicted by perceived susceptibility and severity from health belief model, trust in the government and evaluation of information from the government, and subjective knowledge. We found that preventive behavioral intention was explained by perceived severity (${\beta}=.262$, t=3.531, p<0.001), trust in the government (${\beta}=.25$, t=3.281, p<0.001), and evaluation of the information from the government (${\beta}=.226$, t=2.936, p<0.01) through stepwise multiple linear regression analysis. The findings imply the government would administer policy in terms of credibility, accuracy, and consistency for decreasing the public's sense of unease and panic when a similar incident occurs.

Prevalence of Posttraumatic Stress Disorder Among North Korean Defectors During Preparation for Early Settlement

  • Chang, Seung-Yong;Jeon, Jin-Yong;Maeng, Se-Ri;Kim, Hyeyoung;Bae, Jae-Nam;Lee, Jung-Sub;Kim, Won-Hyoung
    • Anxiety and mood
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    • v.17 no.2
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    • pp.67-72
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    • 2021
  • Objective : This study examined the prevalence of posttraumatic stress disorder (PTSD) among North Korean defectors during preparation for early settlement. In addition, the correlation between PTSD and other mental disorders with suicidal ideation was assessed. Methods : A total of 639 North Korean defectors aged 19-65 years were included from resettlement and training centers. PTSD was assessed using the PTSD Diagnostic Scale (PDS). The prevalence of other mental disorders and suicidal ideation were assessed using the Korean version of the Psychiatric Diagnostic Screening Questionnaire (K-PDSQ). Results : A total of 6.8% of North Korean defectors had a PDS score >23, which was suggestive of a diagnosis of PTSD. Prior repatriation to North Korea was significantly associated with PTSD. The defectors with PTSD had a higher prevalence of other mental disorders (major depressive disorder prevalence: adjusted odds ratio [AOR], 14.5; 95% confidence interval [CI], 6.7-31.2, panic disorder prevalence: AOR, 9.5; 95% CI, 4.6-20.0, generalized anxiety disorder prevalence: AOR, 5.6; 95% CI, 2.4-13.2). No significant association was found between suicidal ideation and PTSD. Conclusion : North Korean defectors had a relatively high prevalence of PTSD and suicidal ideation during preparation for early settlement. Cohort studies are needed to assess the lasting effects of PTSD on North Korean defectors' settlement in Korea for a longer period.

Analyzing Gifted Students' Social Behavior on Social Media at COVID-19 Quarantine

  • Khayyat, Mashael;Sulaimani, Mona;Bukhri, Hanan;Alamiri, Faisal
    • International Journal of Computer Science & Network Security
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    • v.22 no.9
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    • pp.7-14
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    • 2022
  • COVID-19 has caused a global disturbance, increased anxiety, and panic, eliciting diverse reactions. While its cure has not been discovered, new infection cases and fatalities are being recorded daily. The focus of the present study was to analyze the reaction of gifted undergraduate students on social media during the quarantine period of the COVID-19. A special group of gifted students, who joined the program of attracting and nurturing talents at the University of Jeddah, University students as were the target sample of this study. To analyze online reactions during the pandemic; the choice of university students was arrived at as they are perceived to be gifted academically. Hence, the analysis of the impacts on their behavior on social media use is imperative. This study presented accurate and consistent data on the effects of social media using Twitter platforms on gifted students during the quarantine occasioned by the COVID-19 pandemic. The behavior of learners due to during the use of social media was extensively explored and results analyzed. The study was carried out between April and May 2020 (quarantine period in Saudi Arabia) to establish whether the online behavior of gifted students reflects positive or negative feelings. The methods used in conducting this study the research were online interviews and scraping participants' Twitter accounts (where most of the online activities and studies take place). The study employed the Activity theory to analyze the behavior of gifted students on social media. The sample size used was 60 students, and the analysis of their behavior was based on Activity theory Overall, the results showed proactive, positive behavior for coping with a challenging situation, educating society, and entertaining. Finally, this study recommends investing in gifted students due to their valuable problem-solving skills that can help handle global pandemics efficiently.

Examining the Factors Affecting Prisoner's Decision-Making for Medical Treatment of Mental Illness after Release from Prison (출소 후 정신질환 치료결정에 영향을 주는 요인에 관한 연구)

  • Hong, Moon-Ki;Park, Jongsun
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.15-23
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    • 2022
  • There is little research about medical treatment after prison. The purpose of this study is to examine factors influencing mentally-ill prisoner's decision making for medical treatment on release from prison. With the data collected from prisoners in 2019, binary logistic regression was used to analyze the effect of variables on the mentally-ill prisoner's decision making. In result, bipolar disorder, depression, anxiety disorder, and panic disorder decreased the likelihood of answering that I will have no medical treatment plan after prison, whereas lack of experience in receiving medical care increased the likelihood of answering as such. Bipolar disorder, anxiety disorder, counseling, medical treatment, and education had a positive effect on selecting mental hospital in the answer. Depression enhanced the likelihood of choosing mental health center for treatment. Policy implications and directions for future research are discussed.

The Comorbidity of Anxiety Disorder in Depressed Patients : A CRESCEND(Clinical Research Center for Depression in Korea) Cohort Study (우울증 환자에서 불안장애의 동반이환 : 우울증 임상연구센터 코호트연구)

  • Sakong, Jeong-Kyu;Lee, Do-Yun;Suh, Ho-Suk;Sung, Hyung-Mo;Kim, Jung-Bum;Jung, Young-Eun;Lee, Min-Soo;Kim, Jae-Min;Jo, Sunjin
    • Mood & Emotion
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    • v.9 no.1
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    • pp.30-36
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    • 2011
  • Purpose : Anxiety disorder and depressive disorder are often comorbid with each other, and the comorbidity is associated with poorer psychiatric outcome, resistance to treatment, increased risk for suicide, greater chance for recurrence. We aimed to investigate the comorbidity of anxiety disorder in Korea. Method : Subjects were total of 867 depressed patients recruited CRESCEND-K multicenter trial. We used SCID (Structured Clinical Interview for DSM - IV) to find comorbidity of anxiety disorders in depressed patient. Results : Of 867 patients, total 8.2% had anxiety disorder. Proportion of anxiety disorder Not Otherwise Specified was 3.5%, panic disorder was 1.7%, generalized anxiety disorder was 1.1%, post traumatic stress disorder was 0.9%, obsessive compulsive disorder was 0.6%, social phobia was 0.4%. Conclusion : In this study, anxiety disorder in depression were measured at a low comorbidity rate in compare to previous studies. Selection bias, use of antidepressants at registration, severity of depression symptoms, and point of SICD administration seems to have affected these results. It is probable that comorbidity evaluation would be more precise if shorter, structured interviews such as M. I.N.I.-Plus were used during first clinical interview for depression diagnosis.

Association between social phobia level and dental fear level of college students (대학생의 사회공포수준과 치과공포수준의 관련성)

  • Bo Young Park;Han A Cho;So Yeong Bang;Min Jeung Oh;Eun Ji Lee;Whan Hui Lee;Jae Min Joung;Mi Sook Yoon
    • Journal of Korean Academy of Dental Administration
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    • v.11 no.1
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    • pp.89-95
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    • 2023
  • Social phobia is a mental disorder that triggers physical reactions, such as cold sweats, headaches, and panic attacks, as a result of anxiety about a particular situation. Individuals with social phobia are thought to be more sensitive to dental anxiety and may have difficulty visiting the dentist as a result. This study aimed to determine the relationship between social phobia and dental fear among college students, who are reported to have a high prevalence of social phobia. A total of 120 survey responses were analyzed. To investigate the variation in dental fear levels based on the level of social phobia, the total social phobia score was divided into two groups: 41 points or more, and 40 points or less. The disparity in dental fear scores was then analyzed using a t-test. The study found that the average score for dental fear was statistically significantly higher in the group with a total social phobia score of 41 points or more compared to the group with a total score of 40 points or less (p<0.05). Furthermore, the group that scored 41 points or higher on the social phobia scale reported experiencing symptoms such as feeling nauseous at the dentist (3.29 points), sweating upon entering the dentist (3.13 points), and feeling afraid when looking at the dentist (3.13 points). The score was high (p<0.05). Therefore, dental patients exhibiting anxiety symptoms require a comfortable treatment environment to alleviate dental fear, and safe, pain-free dental treatment techniques must be employed.

Analysis of University Cafeteria Safety Based on Pathfinder Simulation

  • Zechen Zhang;Jaewook Lee;Hasung Kong
    • International Journal of Internet, Broadcasting and Communication
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    • v.16 no.2
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    • pp.209-217
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    • 2024
  • Recent years have seen a notable increase in fire incidents in university cafeterias, yet the social attention to these occurrences remains limited. Despite quick responses to these incidents preventing loss of life, the need for large-scale evacuation in such high foot traffic areas can cause significant disruptions, economic losses, and panic among students. The potential for stampedes and unpredictable damage during inadequate evacuations underscores the importance of fire safety and evacuation research in these settings. Previous studies have explored evacuation models in various university environments, emphasizing the influence of environmental conditions, personal characteristics, and behavioral patterns on evacuation efficiency. However, research specifically focusing on university cafeterias is scarce. This paper addresses this gap by employing Pathfinder software to analyze fire spread and evacuation safety in a university cafeteria. Pathfinder, an advanced emergency evacuation assessment system, offers realistic 3D simulations, crucial for intuitive and scientific evacuation analysis. The studied cafeteria, encompassing three floors and various functional areas, often exceeds a capacity of 1500 people, primarily students, during peak times. The study includes constructing a model of the cafeteria in Pathfinder and analyzing evacuation scenarios under different fire outbreak conditions on each floor. The paper sets standard safe evacuation criteria (ASET > RSET) and formulates three distinct evacuation scenarios, considering different fire outbreak locations and initial evacuation times on each floor. The simulation results reveal the impact of the fire's location and the evacuation preparation time on the overall evacuation process, highlighting that fires on higher floors or longer evacuation preparation times tend to reduce overall evacuation time.In conclusion, the study emphasizes a multifaceted approach to improve evacuation safety and efficiency in educational settings. Recommendations include expanding staircase widths, optimizing evacuation routes, conducting regular drills, strengthening command during evacuations, and upgrading emergency facilities. The use of information and communication technology for managing emergencies is also suggested. These measures collectively form a comprehensive framework for ensuring safety in educational institutions during fire emergencies.

A study on an application of 'Virtual Reality Therapy' concerning a technology of real-time interaction. (실시간 상호작용 기술의 '가상현실치료' 적용에 관한 연구)

  • Kim, Jeong-Hwan
    • Cartoon and Animation Studies
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    • s.22
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    • pp.81-97
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    • 2011
  • The technology of 'Virtual Reality' has placed in advanced tools for human beings' joy and anger together with sorrow and pleasure in our generation. It has recently tried in a variety ways to use as an implication for treatment in the field of Cognitive Psychology. Especially, it widely approaches to human in terms of that a sense of reality in a virtual world through the five senses should reinterpret the meaning of cognition in the real world. Based on this paradigm shift, it allows for new treatment using the technology of virtual reality. A typical example is a field of Therapy in order to overcome panic disorder. It has advantages that in particular development of flexible interaction technologies in a virtual space can lead patients to experience psychological environments rather than physical one. the interaction technology provides environments in which users' five senses can be actively stimulated, it is very useful that information from the experiences in the virtual world allows people to learn through real experiences by renewing potential energies, advantages of Virtual Reality Therapy can be customized treatment by depending on symptoms in patients with panic disorder and are capable of differentiate application for the cure at each stage. It is to treat by leading patients to get accustomed to environments and situations in real world through care process with each symptom and stage. It is helpful that based on A Human-Sensibility Ergonomics, technologies like immersive virtual reality equipment, force-relative feedback and stereophonic sound, and like stimulating the sense of smell make people to induce experiences by stimulating human's five senses. There are many advantages of immersion in virtual world in that the phenomenon such as challenge, interaction, reality, illusion, and cooperation is expanded. As an application for therapy by growing such augmented reality, virtual space and sharing of data through the Internet and also inexpensive its availability have recently expanded the base. There are other benefits of Virtual Reality Therapy offering active interaction environments for cognitive experience which can provide appropriately adjusted environments for patients who are hard to overcome the real situation because of phobia. In addition to that it is safe and economical and patients' confidentiality is assured. Moreover, due to the principles of applying real-time navigation the Virtual Reality Therapy makes modification and supplementation easier and also it can reduce cybersickness because of the supply of Lenticular allowing people to see stereoscopy without eyeglasses, which makes sense of presence clearer. On top of that due to the development of interactive technologies, it is becoming close to sense of reality similar to real world by leading users to navigate by themselves and to operate objects in a virtual space. This paper will therefore examine, although it is of limited, characteristics of application of virtual reality technology based on A Human-Sensibility Ergonomics used for treatment for a disorder. this paper will analyse a range of its application and problems and it will suggest the future possibilities.

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