• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.22 no.4
• /
• pp.262-270
• /
• 2011

Objectives : The definition of a hidden youth is a young person who has completely withdrawn from society and shut himself or herself away for more than 3 months. Those pathologically-withdrawn youths have become a burden not only to society but also to the family. However, screening of these hidden youths cannot be done easily. This study focused on developing a primary effective screening tool for these hidden youths. Methods : The 42 participants of this study were parents of hidden youths that are between 8 to 25 years old. They were selected from from mental health centers and psychiatric clinics around Seoul and Gyeonggi Province. We also recruited 239 parents of middle and high school students in the Seoul metropolitan area for a control group. In order to decide the concurrent validity of this questionnaire, we used the Symptom Checklist-90-Revision, Children's Depression Inventory, Beck Depression Inven-tory, Social Anxiety Scale for Children-Revised, Social Anxiety and Distress Scale, Avoidant Personality Disorder Scale, and State-Trait Anxiety Inventory for Children. SPSS version 12.0 was used for statistical analysis. Results : Cronbach's alpha values, the reliability coefficient to represent internal consistency, were between 0.396 and 0.935, which showed relatively high internal consistency for this questionnaire. The test-retest coefficient was between 0.68 and 0.78, which was a statistically significant result. In a factor analysis, 4 factors such as avoidance, withdrawal, isolation, and apathy were extracted. In a concurrent validity test with SCL-90-R, the isolation factor showed a statistically-significant relationship with a phobic-anxiety sub-scale, and avoidance and withdrawal sub-scales were remarkably correlated with the interpersonal sensitivity sub-scale. Conclusion : Since the questionnaire for socially withdrawn youths has achieved statistically-satisfactory reliability and validity, it will be a useful method to screen for hidden youths in educational, community, and clinical settings.

• The Journal of the Korea Contents Association
• /
• v.21 no.10
• /
• pp.712-722
• /
• 2021

The primary purpose of this study was to examine the mediating effect of cognitive emotion regulation strategies in the relationship between adult attachment and interpersonal relationship competence. To achieve the purpose of the study, college students from nationwide completed the questionnaire and analyzed 326 valid ones. Descriptive statistics, Pearson correlation analysis, and structural equation model were performed using SPSS 22.0 and AMOS 23.0. The results are as follows. First, adult attachment(attachment anxiety and attachment avoidance) were negatively correlated with interpersonal relationship competence. Also, attachment avoidance was significantly influenced on interpersonal relationship competence than attachment anxiety. Second, in the relationship between adult attachment and interpersonal relationship competence, attachment anxiety was fully mediated and attachment avoidance was partially mediated with cognitive emotion regulation strategies. Attachment anxiety and attachment avoidance mediated with adaptive cognitive emotion regulation strategies. Based on these results, we verified the importance and the possibility of changing the cognitive emotion regulation for increasing the level of interpersonal relationship competence. Finally, this study may provide an insight in terms of developing education and programs of adaptive cognitive emotion regulation strategies in counseling session.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.1
• /
• pp.520-530
• /
• 2021

Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

• The Journal of Internal Korean Medicine
• /
• v.36 no.2
• /
• pp.200-206
• /
• 2015

Objectives: The purpose of this study is to report the possibility of treatment of locally advanced non-small cell lung cancer with Traditional Korean Medicine based allergen-removed Rhus verniciflua Stokes (ARVS) following chemoradiotherapy. Methods: A patient with locally advanced non-small cell lung cancer (stage IIIB) felt chest discomfort, fatigue, and anxiety after chemoradiotherapy. To prevent recurrence, he opted to receive Traditional Korean Medicine. Results: After treatment with ARVS, the size of the residual primary cancer and a metastatic lymph node decreased, without new cancerous regions. The patient has maintained good performance and has shown prolonged overall survival. Conclusions: This report suggests that ARVS may play a therapeutic role in the treatment of locally advanced non-small cell lung cancer after chemoradiotherapy. Further studies will be needed to determine the effect of ARVS on locally-advanced unresectable non-small cell lung cancer.

• Education of Primary School Mathematics
• /
• v.6 no.1
• /
• pp.1-10
• /
• 2002

The objectives of the current study are on the practical use of geoboard in an elementary school class. To do this, we first investigate how come geoboard is significant in a practical use. Second, we present an example of practical use of geoboard connecting with the analysis of the 7th curriculum. Third, we investigate the results of geoboard which is applied to elementary school class. The results of this research are as follows: First, the instruction of using geoboard can give an interest and curiosity to all students. Second, right triangle, rectangle, square and so on can be easily constructed because geoboard is linked by dots. Third, by constructing figures on geoboard and comparing figures which is made by themselves, students could better understand the concept of figures rather than the explanation of teacher. fourth, students can be improved the ability of problem solving and spatial sense by providing experience for exploration. Fifth, students need not to have anxiety for error because geoband is used and so can be corrected easily.

• Anxiety and mood
• /
• v.13 no.2
• /
• pp.53-59
• /
• 2017

Reliable and valid diagnostic screening tools in the primary care setting enable accurate estimation of depression in individuals at risk or in need of treatment, and provide patients with an opportunity to receive optimal treatments. Although there have been extensive studies on screening tools for depression used in domestic mental health settings, there is little consideration and lack of a thorough review of the diagnostic validity of screening tools. In the current review, we selected 13 representative screening tools for depression which were evaluated in a total of 19 validation studies conducted in Korea. We summarized DSM-5 target domains, diagnostic indices, sensitivity, specificity, cut-off scores, and diagnostic validity information for each tool. Finally, the depression measurement expert group was constituted to evaluate the current status of screening tools for depression, and their recommendations for a new screening tool were summarized. This study was conducted as part of the Mental Health Technology Development project to develop the Korean screening tool for depression (K-DEP).

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7359-7366
• /
• 2013

Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.18 no.5
• /
• pp.277-285
• /
• 2018

Chemo-mechanical caries removal methods are known to be more effective compared with conventional methods in pain reduction. $Carie-care^{TM}$, a chemo-mechanical caries removal agent, was introduced in 2010 but a systematic review of its efficacy has not yet been performed. The purpose of this study was to investigate the effectiveness of $Carie-care^{TM}$ on the outcomes of treatment of caries in children and adolescents. The primary outcome was pain while the secondary outcomes included complete caries removal (CCR), time, need for local anesthesia and behavioral response changes. A Comprehensive literature search was performed in PubMed, EMBASE, and the Cochrane Library up to 30 September 2018. The following keywords were used in the search: 'chemo-mechanical caries removal agent', 'dental caries', 'Carie-care', 'chemo-mechanical caries removal', 'chemo-mechanical caries excavation', other related keywords, and their combinations. From 942 studies identified, 16 were analyzed. Finally, 4 studies met the eligibility criteria and 260 teeth in 120 children and adolescents were included in this review. This review showed that $Carie-care^{TM}$ reduces pain during caries treatment but requires a longer time for effective treatment than conventional methods. Local anesthesia was not required in the Chemo-mechanical caries removal (CMCR) group. In addition, dental anxiety decreased compared to the control group, and co-operation was more positive. Therefore, it may be a useful alternative to conventional methods in children and adolescents, but further verification through additional studies is needed.

• Journal of Oriental Neuropsychiatry
• /
• v.23 no.4
• /
• pp.169-182
• /
• 2012

Objectives : The purpose of this study is to examine the effects of a 3 day Hwa-Byung forests healing program, which consists of helpful contents of Korean medicine. Methods : This study examined the effects of forests healing for Hwa-Byung patients, visited Korean medicine hospital neuropsychiatry clinic for outpatients. The Hwa-Byung forests healing program was run with 20 participants; 4 of them quit in the middle of the program and excluded in data analysis. The Hwa-Byung forests healing program consisted of 3 day helpful Korean medicine contents. The primary outcome measurement was Hwa-Byung symptom score, which measured various symptoms of Hwa-Byung. Results : The results of this study showed that Hwa-Byung symptoms were significantly alleviated. General psychological states, including depression, anxiety, and anger, were significantly improved. Quality of life was also enhanced after 3 day program. These results indicate that the 3 day Hwa-Byung forests healing program was effective for the overall improvements of Hwa-Byung patients. Conclusions : The 3 day Hwa-Byung forests healing program were shown to be an effective intervention in improving the overall aspects of Hwa-Byung patients, including symptoms, depression, anxiety, anger, and Quality of life.

• Journal of Preventive Medicine and Public Health
• /
• v.36 no.2
• /
• pp.125-130
• /
• 2003

Objectives : This study evaluated the stress of community residents using the General Health Questionnaire, GHQ-60, as an instrument of stress measurement. Methods : The study included 2100 residents, aged 20 and over, living in three areas, a large city, a medium sized city and a rural area, between June and September 2001. A questionnaire interviewing method was used to collect data. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. Results : In this study, the degree of stress, as measured by the GHQ-60, was shown to be significantly higher in the following categories: females, people over 60 years old, people engaged in the primary industries and labor work, low incomes, the divorced and the bereaved, people who received no more than an elementary education, people who suffer from chronic diseases and non-exercisers. A factor analysis suggested that there were three factors of social dysfunction factors; psychosomatic symptom, and depression and anxiety, The social dysfunction factors was statistically significant for the groups described above. The factor of psychosomatic symptoms was statistically significant in the rural residents, and in the groups describedabove. The depression and anxiety factor was statistically significant in the large city residents, people aged between 20-29 years, students, unmarried persons, university graduates and those having suffered from chronic diseases. From the multiple linear regression analyses, chronic disease, exercise, gender and income, proved to be significant stress related factors Conclusions : This study suggests that special attention should be given to the management of the chronic invalided, non-exercisers, females and snail income earners, in order to maintain and promote the psychological health of residents in a community.