• 우울조울병
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• 제10권1호
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• pp.13-21
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• 2012

자살은 다양한 신경생물학적, 심리사회적 요인들이 모두 관여하고 있는 복합적인 행동으로, 유전적 요인과 가족력, 신경생물학적인 특성, 발달 단계에서의 요인들과 성격적 특성 등의 취약한 체질적 소인을 가진 사람들에게서 환경적인 스트레스와 물질남용, 정신질환, 신체질환 등의 영향을 통해 최종적으로 발생하게 된다. 신경생물학의 발달로 인해 자살에는 정신질환과 무관하게 독립적으로 작용하는 유전적 소인이 있으며, 이와 관련된 신경전달물질, 신경호르몬, 신경영양인자, cytokine, 지질 대사의 이상 등이 신경회로의 신호 전달을 교란시켜 자살에 취약하도록 만든다는 사실이 밝혀졌다. 또한 그 중 가장 주된 역할을 하는 인자는 5-HT와 HPA 축의 기능부전인 것으로 생각할 수 있다. 이러한 소견들은 향후 자살의 생물학적 표지자를 설정하고, 임상적으로 자살 고위험군에 대한 조기 개입을 하는 한편 새로운 치료 방법을 개발하는데 많은 도움을 줄 수 있을 것이다.

• 동의신경정신과학회지
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• 제13권1호
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• pp.127-132
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• 2002

이상의 증례는 해역(咳逆)과 희기(噫氣)가 복합된 난치성 증상이 칠정(七情) 자극에 의하여 유발될 수 있음을 보여주었으며, 치료에 있어서도 약물(藥物)과 침구치료(針灸治療) 뿐만이 아니라 이정변기요법(移情變氣療法), 지언고론요법(至言高論療法), 경자평지료법(驚者平之療法), 가족치료(家族治療) 등 다양한 정신요법 들이 시도되어야만 호전될 수 있음을 보여주었다. 이러한 증례에 있어서 기질적(器質的) 병리변화(病理變化)와 정신적(精神的) 요소(要所)가 어떠한 정도로 관여하는지에 대하여는 향후의 자세한 연구가 필요하리라 사료된다.

• Archives of Plastic Surgery
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• 제34권6호
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• pp.705-712
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• 2007

Purpose: Transsexualism is considered to be the extreme end of the spectrum of gender identity disorders characterized by, among other things, a pursuit of sex reassignment surgery (SRS). We evaluated psychologic status, health-related quality of life in female-to-male (FTM), male-to-female (MTF) transgender individuals. Methods: We used the Minnesota Multiphasic Personality Inventory, Beck Anxiety Inventory, Beck Depression Inventory, Moudsley obsessive-compulsive Inventory, SCL-90-R, Short-Form 36-Question Health Survey version 2 (SF-36v2). We enrolled 40 transsexual participants. Results: Analysis of quality of life health concepts demonstrated statistically significant (p<0.01) diminished quality of life among the transsexual participants as compared to the Korea male and female population. FTM transgender participants reported more higher hostile, phobic than MTF transgenders. Overall, in all psychologic status examination, Transgender individuals are within normal population boundary. On all category, result is improved post-operatively. Conclusion: Transgender participants reported mental status within normal boundary. SRS improved their quality of life and mental stability.

• 대한한의진단학회지
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• 제15권1호
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• pp.29-46
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• 2011

Objectives: The purpose of our study is to develop and verify questionnaire using temperament and character inventory (TCI) in the future by contemplating the comparative study on TCI and psychological testing Questionnaires. Methods: We investigate the research searched by keyword: 'TCI' and 'Questionnaire' through internet search engines, Pub Med, Science Direct and Springer Link. Results: The comparative study of TCI and psychological testing Questionnaires(SPAQ, BDI, TAS-20, MAC, DSQ) which have the purpose of diagnosing personal disorder is helpful for the verification of the level of adequacy of the concerned psychological testing Questionnaire and contributes to the understanding of psychobiological characteristics of each of personal disorders. The comparative study of TCI and psychological testing Questionnaires(MMPI, NEO, CPI) which have the purpose of comprehending general personality is helpful for the verification of the level of adequacy of the concerned psychological testing Questionnaire and contributes to the understanding of meaning of questionnaire-scales. The comparative study of TCI and constitution-psychological testing Questionnaire(QSCC II) is helpful for the verification of the level of adequacy and the understanding of the concerned constitution-psychological testing Questionnaire and contributes to the understanding of psychobiological characteristics of each of constitutions. Conclusions: TCI is a useful tool to understand the psychological testing Questionnaire more deeply and verify the level of the adequacy, and from now on for the development and verification of Oriental medicinal-psychological testing Questionnaire, the study comparing it with TCI should be actively used.

• Tuberculosis and Respiratory Diseases
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• 제42권2호
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• pp.238-243
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• 1995

갑상선 기능저하증은 수면 무호흡 증후군의 한 원인이 될 수 있다. 수면 무호흡 증후군 환자에서 병력과 이학적 검사상 갑상선 기능저하의 가능성에 대한 충분한 평가가 필요하며 갑상선 기능저하증 환자에서도 수면 무호흡 증후군의 증상 및 가능성에 대한 고려가 필요하다. 저자들은 갑상성 기능저하증이 동반된 수면 무호흡 증후군 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한한방내과학회지
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• 제41권2호
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• pp.141-149
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• 2020

Traumatic brain injury, which can be caused by head trauma, can damage the brain, resulting in physical disorders, such as headache, dizziness, and nausea, as well as mental health problems, such as depression, anxiety, memory loss, and personality changes that reduce a person's quality of life. Therefore, it is important to administer the best treatment at the right time. A 57-year-old patient complained of headache and depression after intracranical hemorrhage caused by a traffic accident. These symptoms are considered to be after effects of brain trauma due to increased pressure on the brain. Herbal medicine was prescribed to release internal brain pressure and acupuncture was applied to ease frontal and occipital head muscle tension. Objective scales were conducted at baseline, and at one month, two months, and four months. It was observed that the degree of headache and depression improved after treatment. This study is meaningful in that it found that Korean medicine treatments help alleviate the after effects of traumatic brain injury.

• 동의신경정신과학회지
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• 제31권2호
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• pp.109-119
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• 2020

Objectives: The aim of this study is to review the significance of managing "Mibyeong" in geriatric health in Korean medicine and psychology. Methods: We performed a literature search using OASIS, Koreantk, RISS, DBpia, and PubMed databases. We retrieved research articles using the keywords related to mibyeong (未病), sub-health (亞健康), Korean-medicine, psychology and geriatric health. Results: Both Korean medicine and psychology emphasize biological, psychological, and social balance and well-being. In addition, both value individual personality and constitution. Mibyeong is a Korean medical concept suggesting sub-health. Elderly individuals who are in a state of Mibyeong are frail and vulnerable to disorders and illness. Since depression, chronic diseases, low physical and mental activity have fatal outcomes in frail and elderly subjects, positive psychological support and active management of Mibyeong are very important. Conclusions: Geriatric health conditions are associated with chronic disease and multiple risk factors, including physiological, psychological, social, and economic conditions. A preventive and integrative approach is essential for geriatric health as prevention is better than cure for most geriatric diseases and illnesses.

• 대한불안의학회지
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• 제9권1호
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• pp.45-53
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• 2013

본 연구는 한국인에게 맞는 강점 척도의 개발과 타당화를 목적으로 한다. 연구 참여자는 남녀 성인 355명이었으며, 측정도구는 HEXACO 성격 검사, 삶의 만족도 척도, 긍정적 부정적 정서 척도, 행복추구경향 척도를 사용하였다. 탐색적 요인 분석 결과, 25개의 하위 영역은 4개의 상위 요인 구조를 보였다. 한국인 강점 척도는 높은 내적일치 신뢰도를 보였고, 각각의 하위영역와 개념적으로 유사하기 때문에 높은 상관을 나타내리라고 기대하였던 관련 측정치들과 예상대로 높은 상관을 보였다. 본 연구에서 개발된 한국인 강점 척도는 신뢰롭고 타당한 측정 도구로 평가되었으며, 개인의 대표강점의 발견과 활용에 관한 임상적 실제, 연구 및 교육에 효과적으로 이용 가능할 것이다.

• 대한불안의학회지
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• 제11권1호
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• pp.61-68
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• 2015

Objective : Police officers are exposed to job-related traumatic events and have a high prevalence of post-traumatic stress disorder (PTSD). This study examined the relationship between PTSD symptoms and dimensions of temperament and character in police officers. Method : Thirty-six police officers participating in a psychological support program were enrolled. All subjects were asked to complete a demographic questionnaire, the Impact of Event Scale-Revised (IES-R), the Temperament and Character Inventory (TCI) and other self-reported symptoms scales. Results : Among all participants (age $40.8{\pm}10.2$, men 94.4%), the rate of 'post-traumatic stress symptoms group' was 47.2%. After controlling for confounding factors, lower self-directedness scores were significantly associated with higher PTSD symptoms (${\beta}=0.6$, p=0.03) in multiple regression analysis. Conclusion : Character traits, especially self-directedness, were associated with the severity of PTSD symptoms severity. These findings may provide useful information regarding personality factors related to PTSD in police officers.

• The Korean Journal of Pain
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• 제22권1호
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• pp.28-32
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• 2009

Background: Complex regional pain syndrome (CRPS) is characterized by severe neuropathic pain and disability, which can result in psychological and behavioral dysfunction. The goal of the present study was to evaluate neurocognitive disability, and to assess the relationship between clinical variables and neuropsychological features in CRPS patients. Methods: We investigated the neuropsychological features of 15 CRPS I patients. The neuropsychological tests that we made comprised of a full intelligence quotient, memory quotient, trail-making test A, trail-making test B (TMT-B), and MMPI (Minnesota multiphasic personality inventory). Results: The results showed severe disability in performance on TMT-B. There was no significant correlation between specific cognitive variables and MMPI scales. Conclusions: Decreased performance on TMT-B which shows mental flexibility in the prefrontal lobe exists independently from depressive disorders in CRPS patients.