• Title/Summary/Keyword: Psychiatric factors

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The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (I) - Clinical Presentation and Comorbidity - (주의력결핍 과잉행동장애 한국형 치료 권고안 개정안(I) - 서론, 임상양상 및 공존질환 -)

  • Kim, Eun Jin;Kim, Yunsin;Seo, Wan Seok;Lee, So Hee;Park, Eun Jin;Bae, Seung-Min;Shin, Dongwon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.2
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    • pp.46-57
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    • 2017
  • Attention-deficit hyperactivity disorder (ADHD) is a common psychiatric disorder that can affect individuals across their lifespan. It is characterized by the core symptoms of inattention, impulsivity and hyperactivity. ADHD develops as a result of the complex interplay between genetic and environmental factors. Children and adults with ADHD usually suffer concomitantly from other psychiatric comorbidities, including both externalizing and internalizing disorders. It is associated with functional impairment and poor long-term outcomes. This review aims to summarize the key findings from recent research into ADHD and its prevalence, core symptoms, cause and comorbidities from childhood to adulthood.

Survey of Psychiatric Convalescent Facilities in The Busan area (부산지구 정신요양원 실태조사)

  • 송영선
    • Journal of Korean Academy of Nursing
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    • v.3 no.3
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    • pp.62-72
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    • 1973
  • THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

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The Importance of Treatment for the Patients with Chronic Pain (만성통증 환자 치료의 중요성)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.252-255
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    • 1999
  • Numbers of patients who have chronic pain seem to be increasing even in the psychiatric practice. One report in Korea showed more than 40% of psychiatric patients who visited out-patient clinic were suffered from chronic pain and one third of those patients were needed treatment for the on-going pain. For evaluating and treating those patients the charateristics of illness behavior should be understood. Abnormal Illness behavior was found as one of the most influential factors which led symptoms complicated and chronified. This symposium was planned to illustrate how to manage the patients whose pain are associated with arthropathy and connective tissue diseases, neuropathic pain and headache more effectively and efficiently. So, It is hoped to get fruitful knowledges for the management of chronic pain in the scope of consultation-liaison psychiatry.

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An Analysis on the Visual Preference of Waterscape Facilities for Healing Garden in Psychiatric Hospitals (정신병원 치료정원을 위한 수경시설의 시각적 선호도 분석)

  • Jeong, Na-Ra;Ahn, Deug-Soo
    • Journal of the Korean Institute of Landscape Architecture
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    • v.35 no.3
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    • pp.50-61
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    • 2007
  • The purpose of this study is to establish design guidelines for waterscape facilities of healing gardens in psychiatric hospitals. Data were collected through simulation and interview. The subjects included schizophrenic (n=42) and alcoholic (n=41) inpatients as well as medical staff personnel (n=40) at Maeumsarang Hospital. The results of this study are as follows: It was revealed that for all three groups the first preference was a natural flowing waterscape, and the second preference was a natural descending waterscape. The schizophrenic subjects had a greater preference for a static artificial waterscape and a descending artificial multistory waterscape than the other two groups. The alcoholic subjects preferred an ascending natural multistory waterscape. The analysis on the preference towards an ascending type and a descending type from the perspective of naturalness and complexity. Complexity had a greater influence than naturalness in the ascending waterscapes, and naturalness had more influence than complexity in the descending style waterscapes. Therefore, these factors need to be taken into consideration when designing either ascending or descending waterscape facilities. In general, the subjects preferred natural, dynamic and descending waterscapes to the artificial, static and ascending variety.

Work Stress and Mental Health of the Industrial Workers (일부 제조업 근로자의 스트레스와 정신건강에 관한 연구)

  • Cha, Bong-Suk;Park, Jong-Ku;Lee, Myung-Keyn;Chang, Sei-Jin
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.2 s.24
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    • pp.365-373
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    • 1988
  • Information on work stress and mental health status of industrial workers was required for optimum staffing and health care management. This study dealt with the relationship between mental health status examined by PSI(psychiatric symptom index) and socio-demographic variables. Especially this study attempted to find relevant determinants of the stress and mental health through multiple stepwise regression analysis based on data obtained from 687 occupational workers. The findings of this study were as follows; Mean scores of symptom dimension were higher in youth, female, more educated, unmarried and divorced, and workers in the noisy condition and short duration in job. And it showed high scores in long duration in job for anxiety; college educated for anger; unmarried for cognitive disturbance. The factors affecting the mean scores of psychiatric symptom index were varied according to the types of symptom: age, sex and duration in job for anxiety; age, sex, living with parent, education and marital status for anger; sex and marital status for depression; noisy condition and sex for cognitive disorder.

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Diagnosis and Evaluation for the Early Detection of Delirium (섬망의 조기 발견을 위한 진단 및 평가 방법)

  • Chon, Young-Hoon;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.1
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    • pp.3-14
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    • 2011
  • Delirium is a common psychiatric disorder and occurs in many hospitalized older patients and has serious consequences including increased mortality rate. Despite its importance, health care clinicians often fail to recognize delirium or misdiagnosed as other psychiatric illness. Awareness of the etiologies and risk factors of delirium should enable clinicians to focus on patients at risk and to recognize delirium symptoms early. To improve early recognition of delirium, emphasis should be given to terminology, psychopathology and knowledge regarding clinical rating scale for delirium in the specific medical and surgical clinical settings. In this study, authors introduce rating scales for delirium and knowledge of clinical diagnostic process for delirium and give rise to appropriate assessment of delirium in the clinical situation.

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Factors Influencing Suicidal Ideation in People with Mental Disorder (만성정신질환자들의 자살사고에 영향을 미치는 요인)

  • Lee, Mi-Young;Kim, Young-Sun
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.209-220
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    • 2014
  • The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.

Associations of Interpersonal Relations with Irrational Beliefs and Social Supports among Nursing Students (간호대학생의 대인관계, 비합리적 신념 및 사회적 지지 간의 관계)

  • Lee, Eun Joo;Lee, Soo Jung
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.313-320
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    • 2018
  • Purpose: The purpose of this study was to identify the associations of interpersonal relations with irrational beliefs and social supports among nursing students. Methods: Subjects were 149 nursing students attending a university in C city. The data were collected in June, 2018 using questionnaires. The collected data were analyzed by descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression with the SPSS 23.0 program. Results: There were statistically significant differences by the level of interpersonal relations according to gender (t=3.65, p<.001) and major satisfaction (t=5.04, p=.008). Also, interpersonal relations showed a significant negative correlation with irrational beliefs (r=-.24, p=.003) and a significant positive correlation with social support (r=.44, p<.001). The influencing factor of interpersonal relations were social supports, gender, irrational beliefs and major satisfaction. These factors explained 38.2% of interpersonal relations. Conclusion: Our study finidngs support developing educational and professional training with intepersonal relationships to improve social support as a prospective health care provider.

Associations of Vocational Calling, Emotional Intelligence, and Major Commitment with the Happiness of Nursing Students: Focusing on Mediating Effects of Major Commitment (간호대학생의 소명의식, 감성지능 및 전공몰입과 행복감 간의 관계: 전공몰입의 매개효과를 중심으로)

  • Park, Hyun Sook
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.332-341
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    • 2018
  • Purpose: The purpose of this study was to determine the impacts of vocational calling, emotional intelligence, and major commitment on nursing college students' happiness. This study also was conducted to explore major commitment's mediating effect on the relationship between vocational calling, emotional intelligence, and major commitment among nursing college students. Methods: Participants were 346 nursing college students. Data were collected in November, 2017 with self-report questionnaires and were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and regression analysis with IBM SPSS 19.0. Results: The regression model explained 33.0% of variance in nursing college students' happiness (F=41.44, p<.001). Significant factors were emotional intelligence (${\beta}=.30$, p<.001), grade (${\beta}=.20$, p<.001), major commitment (${\beta}=.18$, p=.002), and vocational calling (${\beta}=.11$, p=.035). Moreover, major commitment showed partial mediating effects on vocational calling and happiness. Major commitment also showed partial mediating effects on emotional intelligence and happiness. Conclusion: The results suggest that nursing college students' happiness can be increased through strategies aimed at increasing vocational calling, emotional intelligence, and major commitment.

Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community (지역사회 거주 정신질환자의 자기효능감, 건강태도, 건강생활습관이 회복에 미치는 영향)

  • Kwak, Yun Bok;Kim, Ji Young;Lee, Myung Ha
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.