• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제31권2호
• /
• pp.66-73
• /
• 2020

In a divorced family, child-centered custody evaluation is essential to ensure the child's best interests and healthy adaptation. A mental health professional's role and involvement are required in gaining an in-depth understanding of various environments and dynamics surrounding the child and family. Domestic violence, including child abuse and intimate partner violence (IPV) or parental alienation syndrome (PAS), is often observed in cases of custody evaluation in high-conflict divorced families, sometimes accompanied by allegations. Such cases warrant an extremely careful approach by the evaluator, who needs to be competent in interpreting the familial dynamics based on a reasonable context understanding. Genuine professionalism is a must for a custody evaluator to best help the child and carry out a high-quality custody evaluation process, and evaluators need to be ready for this task through adequate preparation and empowerment. This article is devoted to examining custody evaluation in divorced families in cases of IPV, child abuse, and PAS.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제31권2호
• /
• pp.58-65
• /
• 2020

As in western countries, divorce rates in South Korea have recently been rising, and family disruption has become one of serious social problems. Parents are able to express their opinions and wishes confidently, but the thoughts and wishes of children, especially infants and young children, tend to be ignored. Children can also experience several emotional and behavioral problems during the process of and after their parents' divorce. When South Korean family courts determine custody arrangements, they typically do not have a systematic strategy and process based on custody evaluation to help children and their parents overcome conflicts and build healthy parent-child relationships after divorce. Furthermore, under the current court system, it is difficult for mental health specialists and child psychiatrists to intervene in familial conflicts as mediators or therapists during the course of divorce proceedings. Acknowledging these limitations, the South Korean family court system implemented a formal program for custody evaluations by child psychiatrists and psychologists in 2017. However, they have faced challenges such as a shortage of experienced specialist and lack of a training system or instruments for evaluation. In this paper, the authors aim to share professional knowledge of and experiences with aspects of the custody evaluation process, such as indications, procedures, methods, psychological tests, resources, and final report writing, to better serve children and their parents undergoing a painful divorce process.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제31권2호
• /
• pp.80-87
• /
• 2020

Objectives: The prevalence of psychiatric disorders among young adults is different from that among younger or older age groups because of biological and environmental changes. The purpose of this study was to analyze the diagnostic distribution of psychiatric disorders in 19-30-year-old Koreans based on their age and gender using data from the Korean National Health Insurance Service (NHIS). Methods: From the 2011 medical claims sample data of NHIS of 1,375,842 people, we extracted the data of 221,038 people aged 19-30 years, including 106,232 (48.1%) men and 114,806 (51.9%) women. We evaluated the overall changes in the diagnostic distribution of psychiatric disorders over a 3-year period. Results: The diagnostic frequency in women was 13,627 (59.0%), which was significantly higher than that in men. "Other anxiety disorders" was the most common psychiatric disorder in both genders, followed by depressive episodes, somatoform disorders, "other neurotic disorders," and nonorganic sleep disorders. In men, attention-deficit/hyperactivity disorder or intellectual disabilities were not among the top 10 disorders. In women, no significant changes in major psychiatric disorders were seen over the 3-year period. Conclusion: These results reveal the trends of diagnostic distribution of mental illnesses depending on the development, particularly in young adulthood. It is necessary to identify whether such trends are due to biological or environmental factors, aging processes, or complex influences.

• 동의신경정신과학회지
• /
• 제22권4호
• /
• pp.169-183
• /
• 2011

Objectives : This study explores perspectives, reasons, functions of dreams in order to develop a treatment model. Methods : We searched CNKI, KISS, NDSL. Papers published since 2002, which are classified in categories. Results : 1. The Recognitions about the dream of Oriental Medicine is based on "Hwangjenaegyeong Eumsabalmong(黃帝內經 淫邪發夢)". 2. By each era, There are a variety of etiological causes, stages. 3. Dreams are generated by the internal stimuli Physiological activities of the Jangbu(臟腑),Deficiencies of yin and yang(陰陽), Pathological changes in the Jangbu(臟腑), Pathology products, external stimuli Yukeum(六淫), Eumsiksang(飮食傷), and unusual feelings. 4. Spirit(神) comes from brain(腦), not heart(心). So what we call brain spirit(腦神) is right. Dreams are the mental activity related to the brain. 5. Dreams are the reflection of the pathological changes of the human body. And it shows the development, changes and prognosis of disease. Dreams sometimes illustrate the incidence of the disease Conclusions : We organized perspectives, Causes and Functions of dreams mentioned in Oriental Medicine Literatures. Health is closely related to the dream. Therefore, we propose that the dream is worth for the diagnosis and treatment in oriental medicine.

• Journal of Korean Dental Science
• /
• 제16권2호
• /
• pp.128-148
• /
• 2023

Dementia is an umbrella term that describes the loss of thinking, memory, attention, logical reasoning, and other mental abilities to the extent that it interferes with the activities of daily living. More than 50 million individuals worldwide live with dementia, which is expected to increase to 131 million by 2050. Recent research has shown that poor oral health increases the risk of dementia, while oral health declines with cognitive decline. In this narrative review, the literature was based on the "hypothesis" that dementia and oral health have a close relationship, and appropriate oral health and occlusal rehabilitation treatment can improve the quality of life of patients with dementia and prevent progression. We conducted a literature search in PubMed and Google Scholar databases, using the search terms "dementia," "major neurocognitive disorder," "dentition," "occlusion," "tooth loss," "dental prosthesis," "dental implant," and "occlusal rehabilitation" in the title field over the past 30 years. A total of 131 studies that scientifically addressed dementia, oral health, and/or oral rehabilitation were included. In a meta-analysis, the random effect model demonstrated significant tooth loss increasing the dementia risk 3.64-fold (pooled odds ratio=3.64, 95% confidence interval [2.50~5.32], P-value=0.0348). Tooth loss can be an important indicator of cognitive function decline. As the number of missing teeth increases, the risk of dementia increases. Loss of teeth can lead to a decrease in the ascending information to the brain and reduced masticatory ability, cerebral blood flow, and psychological atrophy. Oral microbiome dysbiosis and migration of key bacterial species to the brain can also cause dementia. Additionally, inflammation in the oral cavity affects the inflammatory response of the brain and the complete body. Conversely, proper oral hygiene management, the placement of dental implants or prostheses to replace lost teeth, and the restoration of masticatory function can inhibit symptom progression in patients with dementia. Therefore, improving oral health can prevent dementia progression and improve the quality of life of patients.

• 한국산학기술학회논문지
• /
• 제22권5호
• /
• pp.151-161
• /
• 2021

본 연구는 지역보건의료계획 수립과정에서 시민들이 생각하는 건강문제와 보건 서비스 요구도를 정확히 파악하고 이를 대구광역시의 중장기 보건의료 종합계획 수립에 반영하고자 함을 목적으로 하였다. 시민참여단을 구성하여 2차례의 시민원탁회의를 실시하였으며, 시민원탁회의는 고객여정지도, DVDM (Definition, Value, Difficulty, Method) Map, 페르소나 기반 시나리오법을 통해 진행하였다. 시민들은 건강수준 향상을 위한 방안으로 보건 서비스 접근성 확대, 소생활권 중심 보건 서비스, 정신건강 서비스 확대, 건강 친화적 환경조성, 환경오염 개선, 사회적 건강개선을 제안하였으며, 건강 격차를 줄이는 방안으로는 건강 취약계층의 소통 향상 및 사회적 환경조성, 보건의료에 대한 접근성 향상, 쾌적한 물리적 공간, 사회적 역할 수행이 필요하다고 하였다. 본 연구 결과는 기존의 설문조사를 통한 주민요구도 조사와 달리 실제 주민들의 생각과 요구를 상세히 파악할 수 있었다는 점에서 의의가 있으며, 향후 지역보건사업의 기획과 수행과정에서 주민참여 수준의 단계를 평가하고, 보다 다양한 시민들의 의견을 적용할 수 있도록 주민참여 제도화 기반 수립을 위한 추가적인 연구가 필요할 것이다.

• 대한예방한의학회지
• /
• 제24권1호
• /
• pp.15-25
• /
• 2020

Objective : The purpose of this study was to analyze the frequency and contents of each 'Yangseng(養生)' category appeared in 『The Annals of Joseon Dynasty』, based on the Yangseng-related terms used in the records. Method : We selected 11 terms with the same meaning as 'Yangseng(養生)' and searched each of them on the website of the Annals of Joseon Dynasty online search service. Among the total of 679 records, 343 were classified into five categories: 'Mind Yangseng(精神養生)', 'Food Yangseng(飮食養生)', 'Doin-angyo(導引按蹻)', 'Lifestyle Yangseng(生活養生)', and 'Herb Yangseng(藥草養生)'. The contents and characteristics of each Yangseng category appeared in the 『The Annals of Joseon Dynasty』 were studied. Results : The term 'Jo-seop(調攝)' was most frequently used in the same meaning as Yangseng(養生), followed by 'Jo-ri(調理)', 'Jo-ho(調護)', 'Jo-yang(調養)', and 'Seop-yang(攝養)'. The frequency of records categorized into specific Yangseng methods(養生法) was in the order of 'Lifestyle Yangseng', 'Mind Yangseng', 'Food Yangseng', 'Herb Yangseng' and 'Doin-angyo(導引按蹻)'. The contents of 'Mind Yangseng' included 'control of emotions and thoughts', 'control of self-interest', 'emphasis on the cultivation of mind', and 'avoidance of stress'. The contents of 'Food Yangseng' were related to the amount of food intake and types of food. The contents of 'Lifestyle Yangseng' were related to 'work-rest balance(勞逸)', 'seasons(季節)', 'residence(居處)', 'bath(沐浴)', 'sexual life', 'sleep', and 'clothing'. The frequency of 'work-rest balance(勞逸)' was among the highest. Conclusion : Emphasis on mental health and work-rest balance appeared in 『The Annals of the Joseon Dynasty』 can have significant implications on people of today.

• Safety and Health at Work
• /
• 제3권2호
• /
• pp.140-145
• /
• 2012

Objectives: To understand the personal experiences of mine workers that have experienced job relocation due to silicosis at the Andina Division of Corporaci$\acute{o}$n Nacional del Cobre (CODELCO), Chile. The purpose of the study was to provide useful information for the development of new local, business and public policies for the care of workers with silicosis. Methods: A qualitative study based on a practical case study of 5 workers. The information was collected by means of structured individual interviews. The method of analysis was phenomenology. Results: The corporal axis was the most commented upon. It included awareness of the illness, body pains, fatigue, and antagonistic mood disorders (sadness, or the difficulty in finding meaning in life). As far as personal relationships, there was evidence of strong relationships with family, coworkers and friends, as well as extended family. Over all, the experience of relocation was positive with periods of impatience and uncertainty. The job reassignment provided a new and pleasant context for the relocated workers and in the process improved their perception of their quality of life. Conclusions: A multidisciplinary team should attend mine workers relocated because of silicosis by addressing the mental and physical aspects of their disease, along with the integral participation of close family members. It is suggested that this investigation be maintain over time to record the personal experiences in the medium-term, adding new cases with the intention of shedding more light on the phenomenon being studied. As a preventive measure, continual workshops are needed on the proper use of respiratory protection in addition, a group of monitors is required.

• 농촌의학ㆍ지역보건
• /
• 제29권2호
• /
• pp.237-247
• /
• 2004

이 연구는 경기도 S시 노인의 신체적 및 도구적 일상생활수행능력에 따른 장기요양보호 대상을 파악하고 이에 근거한 S시의 장기요양시설의 필요 병상 및 규모를 추계하기 위한 연구이다. 장기요양시설의 필요 조사는 경기도 S시 각 동별 65세 이상 노인의 2.7%를 층화 무작위 추출을 이용하여. 최종 397명을 연구대상자로 선정하였다. 장기요양시설의 필요는 신체적 일상생활수행능력과 도구적 일상생활수행능력을 이용하여 장애정도를 평가하는 OECD과 한국보건사회연구원의 기준을 이용하였다. 연구결과 OECD의 기준에 의하면 정기요양시설 입원 대상자수기 4,716명(31.2%)이었고, 보건사회연구원 기준에 의하면 1.739명(11.5%)이었다. 따라서 S시에 필요한 장기요양시설은 1,739병상에서 4,716병상이었다 이 연구는 한 지역을 대상으로 하여 객관적인 기준에 의해 필요를 추정하고, 이에 근거하여 장기요양시설의 규모를 추계하였다는데 그 의미가 있다.

• 기본간호학회지
• /
• 제9권1호
• /
• pp.56-65
• /
• 2002

The purpose of this study was to investigate the level of alienation, depression, suicidal ideation and delinquency in high school students and to explore the relationships between the variables. The respondents, 226 students attending a high school located in Chonnam province made up the convenience sample. Data were collected using a structured questionnaire which included the alienation scale, suicidal ideation scale, BDI, and delinquency scale. Data collection was done between June 20 and July 6, 2001. Data were analyzed with the SAS program and included descriptive statistics, t-test, ANOVA and Pearson's correlation coefficients. There were no significant association between alienation and general characteristics of the students. The scores for depression were significantly higher in female students, in students who had recently dropped in their school ranking compared to students who had improved. The scores of suicidal ideation were significantly higher in male students. Also, the scores of delinquency were significantly higher in male students, and students in the high economic class and those with low school rankings. There were significant positive correlations between alienation and other ; alienation and depression (r= .432, p= .000), alienation and suicidal ideation (r= 267. p= 000), and alienation and delinquency (r= 150, p= .024). Findings from this study suggest that subsequent practical study in consideration of Korean sociocultural background is needed to identify the cause of alienation and develop supportive strategies to maintain mental health in high school students. Also, study on alienation of students should be based on family, community and popular culture in combination with improvements in school environment.