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The Efficacy and Safety of Moclobemide Twice Daily : An Open Trial in Patients with Major Depressive Disorder (1회 2회 분복 투여하는 Moclobemide의 효과와 안전성 : 주요우울장애 환자에서 개방 시험)

  • Yoon, Jin-Sang;Lee, Hyung-Young;Kook, Seung-Hee;Choi, Young
    • Korean Journal of Biological Psychiatry
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    • v.3 no.1
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    • pp.102-108
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    • 1996
  • This was an open trial to evaluate the efficacy and safety of moclobemide twice daily for treatment of Korean patients with major depressive disorder(DSM-III-R). The duration of the trial was 6 weeks with the initial dose of moclobemide being fixed lor the first two weeks at 300mg/day(150mg twice daily, each token after morning and evening meals). Thereafter, when necessary, the dose was allowed to increase to 600mg/day or decrease to 150mg/day according to the seventy of the depression and/or the tolerability of the drug. Hypnotics and/or sedatives from a benzodiazepine group could be concomitantly administered at usual dosage. Patients were assessed at baseline and at days 14, 28 and 42. Efficacy was primarily judged on the Hamilton Rating Scale for Depression(HAM-D) and Beck Depression Inventory(BDI). Patients had to score at least 17 respectively an both scales to enter the trial. Secondary efficacy parameters included Clinical Global Impression(CGI) for severity of illness and improvement. Safety and tolerability were judged on reported adverse events, vital signs and laboratory parameters. In addition, there was a series of questions and assessments for the psychiatrists and patients to complete at the end of the trial Twenty nine patients completing trial were included in the analysis of efficacy : of thirty one patients participating in the safety and tolerability analysis, those who withdraw voluntarily without particular reasons or violated the treatment schedule were not included. The efficacies as determined by HAM-D, BDI or CGI were found to be significant compared to baseline. The number of responders defined as patients with a total score of 10 or less or with a total score of 50% or less of the baseline score on HAM-D and BDI were 17(59%) and 18(62%) respectively. Regarding safety and tolerability, nine patients(29%) reported mild adverse events probably related to moclobemide : of these one patient dropped out because of poor tolerability : however, there were no appreciable changes in blood pressure, pulse rate, body weight or laboratory parameters for all patients over the trial period. Furthermore, the physicians' and patients' opinions at final evaluation showed that moclabemide has a good antidepressant effect as well as a favorable tolerability. In conclusion, a twice-daily dosage schedule with maclobemide is recommendable for the treatment of Korean patients with major depressive disorder since its efficacy and safety were demonstrated in this study.

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PARENTAL PERCEPTIONS OF CHILD ADJUSTMENT ASSOCIATED WITH PARENTING STRESS WITH AUTISTIC CHILDREN (자폐아동부모의 양육스트레스와 아동의 적응능력지각과의 관계)

  • Kim, Tae-Ryeon;Park, Rang-Gyu;Lee, Kyung-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.106-116
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    • 1992
  • This study were purposed to find out parental perceptions of child adjustment associated with parenting stress with autistic children and differences of parenting stress between autistic children's parents and normal children's. Subjects were 27 autistic children's parents, 28 normal children's, 4 teachers with autistic children. 'Scales were Parenting Stress Index(PSI), Eyberg Child Behavior Index(ECBI), Childhood Autism Rating Scale(CARS), Social Maturing Scale(SMS). The results of this study were as follows. 1) In total parenting stress, parents with autistic children had significantly higher scores than normal's. 2) In child domain of parenting stress, fathers with autistic children had significantly higher than mothers on the other components except Mood and Demandingness. 3) In parent domain of parenting stress, parents with autistic children had significantly higher than nomal's on Restrict of role, Attachment, Sense of Competence. All mothers of normal and autistic children had significantly higher than fathers on the other components except Repression. 4) In parenting perceptions associated with parenting stress level of autistic children's parents. Low level group perceived their children as higher adaptibility than teacher's evaluation and high level group perceived them as equal to teacher's.

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Dietary Factors Associated with Attention Deficit Hyperactivity Disorder (ADHD) in School-aged Children (학동기 어린이 주의력결핍 과잉행동장애에서 식이요인의 역할 규명)

  • An, Minji;An, Hyojin;Hwang, Hyo-Jeong;Kwon, Ho-Jang;Ha, Mina;Hong, Yun-Chul;Hong, Soo-Jong;Oh, Se-Young
    • Korean Journal of Community Nutrition
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    • v.23 no.5
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    • pp.397-410
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    • 2018
  • Objectives: An association between dietary patterns and mental health in children has been suggested in a series of studies, yet detailed analyses of dietary patterns and their effects on ADHD (attention deficit hyperactivity disorder) are limited. Methods: We included 4569 children who had dietary intake data as part of the CHEER (Children's Health and Environmental Research) study conducted nationwide from 2005 to 2010. We assessed ADHD (Attention Deficit Hyperactivity Disorder) by the DuPaul's ADHD Rating Scales and dietary intake by a semi-quantitative food frequency questionnaire. Using intake data, we constructed five dietary patterns: "Plant foods & fish," "Sweets," "Meat & fish," "Fruits & dairy products," and "Wheat based." Results: The overall proportion of ADHD was 12.3%. Boys (17.8%) showed a higher rate of ADHD than girls (6.5%). The total intake of calories (85 kcal) and plant fat (2g) in the ADHD group was significantly higher than that of the normal group. ADHD was significantly negatively associated with dietary habits such as having breakfast and meal frequency, and positively associated with eating speed, unbalanced diet, overeating, and rice consumption. Regarding dietary patterns, the "Sweets" category was relevant to high ADHD risk (OR 1.59, 95% CI: 1.18, 2.15 for Q5 vs. Q1) in a linear relationship. An inverse, non-linear association was found between "Fruits & dairy products" and ADHD (OR 0.55, 95% CI: 0.39, 0.76 for Q4 vs. Q1). Conclusions: Our study confirms both positive and negative associations between diet and ADHD in elementary school age children. Moreover, linear or nonlinear associations between diet and ADHD draw attention to the possible threshold role of nutrients. Further studies may consider characteristics of diet in more detail to develop better intervention or management in terms of diet and health.

Two-Year Follow Up Study of Change in Satisfaction Level and Mental Health among North Korean Defectors (북한이탈주민의 삶의 만족도와 정신 건강 실태 변화에 대한 2년간 추적 연구)

  • Lee, Hye Rin;An, Ji Hyun;Yoon, Se Chang;Jeong, Seo Hyun;Chang, Hye In;Hong, Jin Pyo
    • Anxiety and mood
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    • v.15 no.2
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    • pp.109-114
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    • 2019
  • Objective : The purpose of this study was to investigate changes in the satisfaction levels and mental health among North Korean defectors over two years. Methods : At the beginning of the study, the subjects were comprised of 300 North Korean defectors registered with a regional adaptation center (the Hana Center) in South Korea. Participants reported self-questionnaires including socio-demographic variables and self-rating scales for satisfaction levels, depression symptoms, trauma-related symptoms, resilience and alcohol use behavior. In the follow up study after two years, 189 North Korean defectors participated in an online survey, responding to the same questionnaires as at baseline. Results : The self-rated scores for satisfaction with one's overall life (p=0.008), sense of autonomy (p=0.001), sense of physical health (p<0.001), and expected life satisfaction five years later (p<0.001) had all decreased significantly at follow-up after two years. Depression symptoms (p<0.01) and trauma-related symptoms (p<0.001) increased significantly over two years, and the resilience score (p<0.01) decreased significantly during the same period. No significant differences in alcohol use behavior (p=0.059) were observed at follow-up. Conclusion : Satisfaction levels among North Korean defectors gradually decreased over the follow-up period, and this may be due to the difficulties encountered in the process of assimilating to daily life in South Korea. Economic, medical, and psychological support is needed for successful assimilation of North Korean defectors.

Effects of Breathing, Meditation and Qigong on the Impairable Dysfunction of Olfactory Sense in the Parkinson's Disease (파킨슨 병(PD)의 후각기능 장애에 대한 호흡 명상 기공 효과)

  • An, So Jung
    • Journal of Naturopathy
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    • v.9 no.2
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    • pp.37-45
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    • 2020
  • Purpose: Symptoms of idiopathic Parkinson's disease (PD) include tremors, bradykinesia, and rigidity. The purpose was to explore the effects of breathing, meditation and qigong on the improving of insight, behavior, mood discomfort, depression, anxiety, and olfactory dysfunction, which are PD non-motor symptoms. Methods: Three stages of An's-4444 healing breathing, An's Gwanjeong healing meditation, and healing qigong performed 12 times for 80 minutes at a time in subjects with PD (11 patients), and pre- and post-measurements compared and evaluated. Results: The Integrated Parkinson's Rating Scale (UPDRSI) for mood discomfort after 12 healings was 69%. The Depression Scale (61%) for HAMD, and 64% for Anxiety (HAMA)), and the smell identification test (TSI) for a trial for olfactory dysfunction, improved to 82%, respectively. However, the numerical values after one month after 12 healing were almost same in all four scales. This means that the healing effect maintained until after one month. Conclusions: An's healing breathing, meditation and qigong therapy significantly improved insight, behavior, and mood discomfort, and non-motor symptoms such as depression, anxiety, and olfactory dysfunction. These results suggest that An's breathing, meditation and qigong therapy are valuable as a primary therapy to improve and heal non-motor symptoms in Parkinson's disease patients. Further research in biomedical science is needed.

Development and validation of a Korean Affective Voice Database (한국형 감정 음성 데이터베이스 구축을 위한 타당도 연구)

  • Kim, Yeji;Song, Hyesun;Jeon, Yesol;Oh, Yoorim;Lee, Youngmee
    • Phonetics and Speech Sciences
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    • v.14 no.3
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    • pp.77-86
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    • 2022
  • In this study, we reported the validation results of the Korean Affective Voice Database (KAV DB), an affective voice database available for scientific and clinical use, comprising a total of 113 validated affective voice stimuli. The KAV DB includes audio-recordings of two actors (one male and one female), each uttering 10 semantically neutral sentences with the intention to convey six different affective states (happiness, anger, fear, sadness, surprise, and neutral). The database was organized into three separate voice stimulus sets in order to validate the KAV DB. Participants rated the stimuli on six rating scales corresponding to the six targeted affective states by using a 100 horizontal visual analog scale. The KAV DB showed high internal consistency for voice stimuli (Cronbach's α=.847). The database had high sensitivity (mean=82.8%) and specificity (mean=83.8%). The KAV DB is expected to be useful for both academic research and clinical purposes in the field of communication disorders. The KAV DB is available for download at https://kav-db.notion.site/KAV-DB-75 39a36abe2e414ebf4a50d80436b41a.

Rock Mass Stability of the Buddha Statue on a Rock Cliff using Fracture Characteristics and Geological Face-Mapping (마애불 암반의 단열특성과 지질맵핑을 이용한 안정성 해석)

  • Ihm, Myeong Hyeok
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.539-544
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    • 2023
  • The subject of this study is the Maae Buddha statue in granodiorite of the Mesozoic Cretaceous period, which is concerned about stability as a standing stone cultural property located in ◯◯-dong, Gyeongsangbuk-do. For stability analysis, three-dimensional face mapping, geological properties of joints, three-dimensional scanning, ultrasonic velocity, polarization microscopy, electron microscopy analysis and XRD analysis were performed. In addition, the safety factor of the Maaebul was calculated by analyzing the damage status investigation, stereographic projection analysis, rock classification, and limit equilibrium analysis. The types and scales of damage and possible collapse by section depend on the degree of weathering of the rock and the orientation and characteristics of the joints, but wedge-failure and toppling-failure are expected to be small-scale. The safety factor of Maaebul in dry and wet conditions is less than 1.2, so stability is concerned. The types of damage were mainly observed, such as exfoliation, cracking, granular decomposition, and vegetation growth. The Maaebul rock is granodiorite, and the surface discoloration materials are K, Fe, and Mg. The 4 sets of joints are developed, J1 is tensile joint and the others are shear joint. The uniaxial compressive strength estimated by ultrasonic exploration is 514kgf/cm2, which corresponds to most soft rocks and some weathered rocks. Rock classification(RMR) is estimated to be grade 5, very poor rock mass. These technique along with the existing methods of safety diagnosis of cultural properties are expected to be a reasonable tool for objective interpretation and stability review of stone cultural properties.

The development of explicit and implicit race attitudes in Korean elementary students and race attitude change in the multi-cultural age (다문화시대 한국 초등학생의 인종에 대한 명시적 및 암묵적 태도발달과 태도변화)

  • Kyung Ran Row;Hee Jeong Bang
    • Korean Journal of Culture and Social Issue
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    • v.15 no.1
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    • pp.49-79
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    • 2009
  • This study examined how the explicit and implicit race attitudes differ according to age and gender from the developmental perspective in Korean elementary students. The study also investigated the efficacy of a multi-cultural education program on explicit and implicit attitude change in elementary school students. This thesis consists of two parts. In Study 1, elementary school students(first grade:117, fourth grade:117) completed Explicit Attitudes Rating Scales, Explicit Preference Test, and Child Implicit Association Tests (Korean-White/Korean-Black/ Korean-Southeast Asian IATs). The effects of age and gender on explicit and implicit attitudes toward Korean/White/Black/Southeast Asian were examined with two-way MANOVA. The results demonstrated that as age increases, in-group preference/out-group bias decrease on the explicit level. In contrast, on the implicit level, as age increases, in-group preference/out-group bias do not decrease. Rather, prejudiced attitudes toward blacks increase. Study 2 was performed to investigate the effect of a multi-cultural education program on explicit and implicit attitude change toward races in elementary school students. The program conveying an anti-bias message consists of three sessions, and the procedures are as follows; watching video clips, confirming contents and short discussion. Two classes in the program and two classes in comparative groups on the first and fourth grade of elementary school were assessed. The results showed that black preference significantly increased both in the first and the fourth grade elementary students on the explicit attitude level, but not on the implicit level. The theoretical and practical implications of these findings were discussed.

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A Study for Alexithymia in the Patients with Panic Disorder (공황장애환자에서 감정표현불능증에 대한 연구)

  • Choi, Young-Hee;Jang, Hyuck-Jin;Kim, Min-Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.1
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    • pp.53-61
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    • 2006
  • Objectives: This study was designed to evaluate difference of the alexithymia between panic patients and normal controls by examination of the relationships between different components of the alexithymia construct and level of anxiety and depression in panic patients and normal controls. Methods The subjects were 167 patients who met DSM-IV criteria for panic disorder and 110 normal controls. They drew up symptom checklists and self-rating scales, and were measured by Anxiety Disorders Interview Schedule-Panic attack & Agoraphobia(ADIS-P & A), Korean version of Toronto Alexithymia Scale (TAS-20K), Spielberger State-Trait Anxiety Inventory-State & Trait (STAI-S & T), Beck Depression Inventory (BDI), and Revised Anxiety Sensitivity Index (ASI-R). For statistical analysis, we performed t-test to compare the sociodemographic characteristics and the scores of self reported scales between panic patients and normal controls. Pearson correlation was performed between TAS-20K and it's subfactors, STAI-S & T, ASI-R and BDI in panic patients and normal controls. And stepwise multiple regression analysis was preformed to explain results of correlation analysis for alexithymia. Results: The panic patients reported more significant alexithymic (p<0.001), more difficulty identifying feeling (p<0.001) and describing feeling (p=0.001) than normal controls. Futhermore, panic patients were more significant anxious, sensitive to anxious feeling and depressive than normal controls. Moreover, the alexithymia of panic patients was explained by trait-anxiety $({\Delta}R^2=0.255)$ and anxiety sensitivity $({\Delta}R^2=0.062)$, that of normal controls was predicted by depression $({\Delta}R^2=0.144)$ and anxiety sensitivity $({\Delta}R^2=0.033)$ Conclusion: The panic patients reported more anxious and sensitive to anxious feeling, and these symptoms predict alexithymia in panic patients. However, the alexithymia of normal controls was explained by depression more than anxiety sensitivity, and such a result isn't consistent with previous studies and this may be mainly due to difference of the homogeneity in object of the studies.

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MOTHER-CHILD RELATIONSHIP OF CHILDREN WITH REACTIVE ATTACHMENT DISORDER (반응성애착장애아의 어머니-아동 관계)

  • Shin, Yee-Jin;Lee, Kyung-Sook;Park, Sook-Kyung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.22-33
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    • 1997
  • The objective of this study is to understand disordered parent-child relationships of Reactive Attachment Disorder(RAD) systematically through the mother’ internal working model of child. In this study, RAD mothers’internal representations of the child were compared with mothers’of control group and association between mothers’ representation classifications and children’ attachment classifications was examined. Also individual differences in mother-child interaction by mothers’representation classifications was observed. The subjects of this study were 40 2-5 year-old children and their mothers, 20 attachment disordered dyads and 20 normal dyads of control group. Mothers were interviewed using the Working Model of the Child(Zeanah, Benoit & Barton 1986) to classify internal representations of child. Children’ attachment patterns were assessed by the Strange Situation Procedure. For observation of motherchild interaction, Each dyad was seen in DPICS devised by Eyberg and Robinson(1983). The results of the study were as follows:1) Among RAD group, 55% of mothers were classified as disengaged and 45% classified as distorted, while all mothers of control group were classified as balanced. In rating scales, there were significant differences in all 3 representation classifications in Intensity of involvement and Coherence. In Intensity of involvement disengaged representations had the lowest score and distorted representations had the lowest score in Coherence. 2) Mothers’representation classifications were related to children’ attachment classifications. All mothers of control group whose children were classified as secure were classified as balanced. Among RAD’ mothers, by contrast, 82% of mothers classified as disengaged had children classified as anxious-avoidant, 56% of mothers classified as distorted had children classified as disorganized / disoriented and 33% of mothers classified as distorted had children classified as anxious-resistant. 3) There were individual differences in mother-child interactions by mothers’representation classifications. In the child-centered play, mothers classified as disengaged used discriptive statement, reflective statement and discriptive-reflective question less than balanced mothers. Mothers classified as distorted used direct command and indirect command more than balanced mothers. In the clean-up task, mothers classified as disengaged and distorted used direct command and indirect command more than balanced mothers. The results of this study suggest that parents’working model of the child is an important factor to understand parent-child attachment relationships and their interactions. The understanding of parents’ working model of the child is thought to enrich our understanding of disordered parent-child relationships and to provide useful informations for specific and successful treatments.

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