Objectives : This research was investigated to evaluate the psychological characteristics and changes of psychological state among dental orthodontic patients. Methods : This cross-sectional questionnaire research was conducted with 230 dental orthodontic patients in Busan from December 23, 2009 to March 6, 2010. The psychological analysis of dental orthodontic treatment patients was performed with Symptom checklist-90-revision(SCL-90-R) considering 5 general characteristics and 2 treatment period related characteristics. Estimated psychological results were changed T-score. Data analysis was performed with descriptive analysis, t-test and ANOVA using SAS(ver 9.1) program. Results : The levels of T-score of SCL-90-R were $43.88{\pm}7.50$ in hostility(HOS), $43.38{\pm}4.64$ in phobic anxiety(PHOB), $43.20{\pm}6.24$ in somatization(SOM), $42.13{\pm}6.71$ in paranoid ideation(PAR), $41.39{\pm}8.16$ in interpersonal sensitive(I-S), $41.01{\pm}7.90$ in obsessive-compulsive(O-C), $40.96{\pm}5.37$ in psychoticism(PSY), $40.96{\pm}5.19$ in anxiety(ANX) and $39.81{\pm}6.80$ in depression(DEP), respectively. The T-score of phobic anxiety in before treatment group was higher than that of treatment groups. The T-score of interpersonal sensitive and paranoid ideation in over 36 months treatment period group were higher than that of other treatment period groups. Conclusions : Phobic anxiety(PHOB), interpersonal sensitive(I-S) and paranoid ideation(PAR) were affected in pre-treatment and long-term treatment dental orthodontic patients. Psychological management methods considering treatment period are needed to improve mental health of dental orthodontic patients.
Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment. Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed. Results: After eight weeks of treatment, ISI, BDI-II, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment. Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on the mechanisms by which various psychological problems (depression, anxiety, anger, etc) cause and worsen insomnia and the psychological symptoms secondary to insomnia.
The purpose of this study was to investigate the preoperative anxiety of surgical patients and to observe the effects of an experimental nursing process on the incidence of vomiting, the number of analgesics used and the voiding ability of surgical patients within a 48 hour postoperative period and also the number of postoperative days in the hospital. This study me based on a sample of 51 patients who were scheduled for abdominal surgery. They were assigned alternately to experimental and control groups. Patients assigned to the experimental group were given nursing care by the writer, using an experimental nursing process. This is a process directed toward helping the patient obtain a suitable psychological state for surgery. This process was performed by use of the following steps: 1. The nurse approached the patient with interest and concern, and observed the patient's behavior to determine the presence of anxiety. 2. The nurse explored further to find out what was causing the anxiety and what was needed too relieve it. 3. The nurse listened carefully lo the patient. 4. The nurse gave an opportunity for expression of individuality. 5. The nurse showed friendliness and reassured the patient 6. The nurse gave instruction about deep berating, turing and coughing and gave an explanation of routine preoperative preparation which decreased the unknown and so decreased the patient's anxiety- The findings of this study are as follows: 7. The investigation of preoperative anxiety through observing and interviewing revealed patients were concerned about the following: a. Length of stay in the hospital 69.7% (31 cases) b. Condition unimproved o. worse 48.,8% (30 cases) c. Postoperative pain and discomfort .56.8% (29 cases) 2. The results of the study regarding the four hypothesis were as follows: a. Preoperative psychological care not reduce the number of analysis needed during the 48 hour period following surgery. b. Preoperative psychological care did not reduce the Postoperative incidence of vomiting c. Preoperative psychological care had no influence on voiding ability following surgery. d. Preoperative psychological care significantly reduced the number of postoperative days in tile hospital. The experimental nursing process proved to be successful in decreasing the length of postoperative hospitalization (improving rate of healing). This study has demonstrated further that the relief of anxiety (emotional distress) is part of the nurse's professional role. In order to be sure psychological care is given it is important to make a nursing care plan which .includes a plan for the psychological care needed by the patient. As this care is given it can be charted off by each nurse just as medication and treatments are checked after they are given.
Objectives : The objective of this study was to observe the relationships between neck pain and psychological factors such as stress, anger, anxiety and depression. Methods: Under mental stress. the 31 patients with neck stiffness and 32 control subjects with no neck stiffness were measured by using NDI, BEPSI, GARS, STAXI, STAI, and BDI scales. The psychological scales between the patients and the controls were taken to observe the average results by comparing between the two groups. Also NDI and psychological scales of correlation analysis was performed. Results: 1. The mean scores of NDI, BEPSI, GARS, State-Anger, Trait-Anger, Anger-out, Anger-In, Sate-Anxiety, TraitAnxiety, and BDI under patients group were significantly higher than those in control group. 2. The value of NDI comparing to the values of BEPSI, GARS, State-Anger, Trait-Anger, Anger-out, Anger-In, Sate-Anxiety, Trait-Anxiety, and BDI in this study resulted in high correlation among each others which showed statistically significant. Conclusions : It has the possibility that the neck pain with stress. anxiety. anger and depression might be related highly in correlation. especially in stress and anxiety which showed the most high correlation.
Akodu, Ashiyat Kehinde;Akindutire, Oluwagbemisola Marian
The Korean Journal of Pain
/
제31권3호
/
pp.199-205
/
2018
Background: Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP). Methods: A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of $50.0{\pm}15.5$ took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, postintervention. Results: The participants studied recorded significant reduction in pain-related disability (P = 0.001). There was also improvement in the sleep quality (P = 0.001), depression level (P = 0.001), and anxiety level (P = 0.001), post intervention. Conclusions: This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients.
The purpose of this study was to investigate the effect of aromatherapy on pain level, blood pressure, pulse rate, sleep, anxiety and depression of patients with pain. This study used a non equivalent quasi-experimental design. Aromatherapy was the inhalation of blending oils with lavender, eucalyptus, peppermint for 3 weeks. As the estimation for the physiological aspect, the visual analogy scale (VAS) for the pain level, blood pressure and pulse rate were measured. Also, as the estimation for the psychological aspect, Sleep of Snyder-Halpern & Verra, anxiety of Spielbeger and depression of Beck were used. The data were analyzed by SAS program using $x^2$ test, Fisher's exact test, Cronbach ${\alpha}$ and t-test. The results of this study were as follows. Pain level(p=0.001), state anxiety(p=0.018), trait anxiety(p=0.002), and depression(p<0.001) improved significantly in the experimental group. Also, there was significant difference between the experimental group and the control group on the depression(p=0.012). Aromatherapy was effective in physiological and psychological therapy. Also it can be applied in combination with existing Oriental medical therapy.
Purpose: This study was to examine the degree of anxiety about aging for middle aged and elderly women and to identify the overall degree of anxiety about aging and general characteristics of middle aged and elderly women. Method: The subjects of the study were 674 women who lived in Busan city, Korea. The sampling was at the researcher's convenience and data was collected from April to August, 2007. The instrument for the study was questionnaires consisting of the general characteristics, and Anxiety about Aging for Elderly by Watkins, Coates, and Ferroni(1998). Descriptive statistics, t-test or ANOVA with Scheffe's test were used for data analysis. Result: The results of this research were as follows: The mean score of anxiety about aging was 50.32$\pm$5.75. The results reveal that middle aged women are more anxious about aging than old women. Anxiety about aging was the most common psychological dimension of the six factors. According to the general characteristics, there was a significant difference in education, subjective economic status, composition of family and job status in anxiety about aging. Conclusion: The results of this study help in explaining psychological health. In addition, development of adequate interventions to decrease anxiety about aging in women is needed.
Short videos are becoming more popular in mobile Internet age. Not only people's media consumption patterns have been changed by the rise of this new media form, but also it has posed challenges to public psychological well-being. For many netizens, their entertainment needs have been met by watching short videos. However, many side effects, such as addiction and anxiety, reduce users' subjective well-being instead of satisfying the entertainment motivation after watching short videos. Therefore, it has become a significant research problem in short videos to figure out how to get audiences to watch short videos on a regular basis while avoiding side effects like anxiety and addiction and improving audiences' subjective well-being. Based on the theory of Internet addiction, this study analyzed short video users using the 2×2×2 research method and explored the relationship between the length of use, addiction, anxiety, and subjective well-being of short video users. The results showed that short video users with different usage lengths showed significant differences in addiction, anxiety, subjective well-being, and online social support; innovative different short video users showed significant differences in addiction and anxiety, as well as a triadic relational interaction of short video users' anxiety under the interaction with self-efficacy and online social support. This study contributes to the advancement of internet addiction theory research and application, assisting short video users in avoiding addiction and anxiety, and improving the subjective well-being of short video users, thereby promoting the growth of the short video industry.
Objective: To investigate psychological distress and fertility quality of life (FertiQoL) in infertile Korean women, and to investigate whether a correlation exists between psychological distress and FertiQoL. Methods: Participants in this study were made up of 141 infertile women and 65 fertile women. We conducted a survey on psychological distress (using the Depression Anxiety Stress Scales [DASS]-42 questionnaire) and administered a FertiQoL questionnaire. The levels of stress hormones (adrenocorticotropic hormone [ACTH] and cortisol) in serum were assessed. Results: The scores for depression ($13.7{\pm}8.4$), anxiety ($10.7{\pm}6.4$), and stress ($18.0{\pm}8.3$) among the infertile women were significantly higher than the scores for depression ($9.4{\pm}7.5$), anxiety ($6.6{\pm}6.0$), and stress ($12.2{\pm}8.3$, p<0.001) among the fertile women. There was no difference in the scores for depression ($13.5{\pm}8.2$, $13.8{\pm}8.6$), anxiety ($10.0{\pm}6.2$, $11.5{\pm}6.6$) and stress ($17.7{\pm}8.4$, $18.4{\pm}8.1$) between younger (${\leq}34$) and older (${\geq}35$) participants. The mind-body (r =-0.495) and emotional (r =-0.590) subscales showed a higher negative correlation with stress compared with other scales of psychological distress. At the same time, the social (r =-0.537) and relational (r =-0.385) subscales showed a higher negative correlation with depression. Levels of cortisol and ACTH in infertile women were $9.1{\mu}g/mL$ and 11.9 pg/mL, respectively, which are within normal ranges. Conclusion: The levels of psychological distress and quality of life in infertile Korean women seem to require psychological intervention. This study provides a baseline measurement of psychological distress and FertiQoL in infertile women in Korea, which will be available for developing psychological interventions for infertile Korean women.
Objective : This study compared the psychological stresses of depressed patients' families with those of schizophrenic patients' families. We investigated the influence of depressive patients' clinical features and their families' demographic characteristics on the families' depressive symptoms and stresses. Methods : Participants were 23 family members of depressed patients and 20 family members of schizophrenic patients. We measured the patients' clinical features (duration of illness, number of previous hospitalizations, and satisfaction with medication), and each family member's socioeconomic status and psychological characteristics (depressive mood, anxiety, family stress, and stress response), analyzing the data via independent t-test, chi-square test, and correlation and hierarchical multiple regression analyses. Results : The depressed patients' average clinical global impression (CGI) was significantly higher than that of the schizophrenic patients. The depressed patients' family members showed stress responses significantly higher than those of schizophrenic patients' family members. Furthermore, in depressed patients, frequency of hospitalization was positively correlated with family members' stat anxiety. For both patient types, family stress was positively correlated with the patient's severity of illness and the family's state anxiety, trait anxiety, and stress response ; socioeconomic status was positively correlated with the family's depressive symptoms ; the family's state anxiety positively correlated with the family's trait anxiety and stress response ; and the family's trait anxiety positively correlated with the family's stress response. Socioeconomic status predicted the family's depressive symptoms, and socioeconomic, illness severity and stress response predicted family stress. Conclusion : These findings suggest that both depressed patients' families and schizophrenic patients' families suffer from psychological stress. The study data also have important clinical implications, in that families of depressed patients need psychiatric intervention, as well as the patients themselves. In particular, family intervention should focus on psycho-education and stress coping strategies.
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