• Title/Summary/Keyword: Severe anxiety

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RELATIONSHIP BETWEEN DEPRESSION/ANXIETY AND PARENTAL REARING PATTERNS IN ADOLESCENTS WITH CONDUCT DISORDER (품행장애 청소년에서의 우울, 불안 증상과 부모양육특성)

  • Han, Sung-Hee;Choe, Kyoung-Min
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.83-91
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    • 1997
  • Objects:This study investigated whether depression, anxiety and perceived parental rearing patterns of the conduct disorder patients are different from those of the normal control group. The correlations were also assessed between perceived parenting style and depression, anxiety, severity of conduct problems and age at onset of conduct disorder in adolescents with conduct disorder. Methods:Thirty hospitalzed patients who met the DSM-Ⅳ criteria of conduct disorder, and 30 normal control subjects completed self-report questionnaires containing the Children’s Depression Inventory(CDI), the State-Trait Anxiety Inventory for Children(STAIC) and the Parental Bonding Instrument(PBI). Results:In the conduct disorder group, the results were as follows:1) The mean scores of CDI and STAIC-T(Trait) were not significantly different from those of the control group, but STAIC-S (State) showed significantly higher scores. 2) Parenting style was perceved to be less caring and more overprotective than in the control subjects. 3) There were negative correlations between maternal care and CDI and between maternal care and severity of conduct problems. 4) There were positive correlations between maternal overprotection and STAIC-T(Trait). 5) There were no correlations between paternal rearing patterns and depression, anxiety, severity of conduct problems, or age at onset of conduct disorder. Conclusion:We failed to identify depression and anxiety as common comorbid disorders in conduct disorder. Parental rearing patterns are thought to be significantly negativistic in conduct disorder group. It is guessed that less caring and more overprotective rearing style of parents, especially of mothers, could have much influence on depression and anxiety, more severe conduct problems and earlier age at onset of conduct disorder in the adolescents with conduct disorder.

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Two Case Reports of Anxiety Disorder Patients with Gastrointestinal Symptoms Treated with Traditional Korean Medicine (위장관 증상을 동반한 불안장애 환자의 한방 치험 2례)

  • Park, Jin-seo;Kil, Bong-hun;Kim, Dong-won;Jung, Da-hae;Jo, Hye-mi;Kim, Chang-wan;Hong, Wook-ki;Jeon, Yun-kyeong
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.177-185
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    • 2020
  • This study investigated the clinical effect of Korean medicine treatments on two patients who experienced gastrointestinal symptoms with anxiety disorder. The patients were treated with herbal medicine (Yukgunja-tang, Banhabakchulchunma-tang) and acupuncture for 11 days and 26 days, respectively. The Beck Anxiety Inventory (BAI) and Gastrointestinal Symptom Rating Scale (GSRS) scores on the day of hospital admission and after treatment were compared; both the BAI and GSRS scores decreased after treatment. Moreover, the grade of the gastrointestinal symptoms changed from severe to mild or none. Therefore, these cases are useful for describing Korean medicine treatments for anxiety disorders in patients who experience gastrointestinal symptoms. However, additional case reports and studies are be needed in the future to confirm these findings.

A Study on Physiological Index, Anxiety and Depression by the Severity of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia (전립선비대증 환자의 하부요로증상의 중증도에 따른 생리학적 지수 및 불안, 우울)

  • Kim, Jung Kyoun;Kim, Jin Bum;Song, Min Sun
    • Journal of Korean Biological Nursing Science
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    • v.18 no.3
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    • pp.127-134
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    • 2016
  • Purpose: The purpose of this study was to investigate the physiological index, anxiety and depression by the severity of lower urinary tract symptoms in patients with benign prostatic hyperplasia. Methods: This research was conducted from the 4th to the 27th of May in 2016 on112 patients with benign prostatic hyperplasia. The data were analyzed using a chi-square test, ANOVA, and Pearson Correlation Coefficients. Results: The results demonstrated a difference depending on the dysuria period of each lower urinary tract symptom, marital status, occupation and perceived health state of the patient. The physiological index by lower urinary tract symptoms showed a difference in the maximum flow rate, amount of post-void residual urine and Prostate-Specific Antigen (PSA), and anxiety and depression factors also revealed a difference. Lower urinary tract symptoms showed a positive correlation to the amount of post voided residual urine and PSA, a negative correlation to the maximum flow rate and also indicated a positive correlation to depression. Conclusion: The results of the study belonging to the moderate and severe categories were high when the result was based on the categorization of subjects with benign prostatic hyperplasia with lower urinary tract symptoms. Considering that depression levels increase as the symptom intensifies and the anxiety score is also high with mild symptoms, psychological support intervention is needed when a pattern of benign prostatic hyperplasia appears.

The Effect of Positive Thinking on Treatment Response of Major Depressive Disorder and Panic Disorder-A Pilot Study (긍정사고가 주요우울장애와 공황장애의 치료 반응에 미치는 영향에 대한 예비연구)

  • Jung, Jin Yi;Lim, Se-Won;Kim, Eun Jin;Ha, Ju Won;Shin, Dong Won;Shin, Young Chul;Oh, Kang Seob
    • Anxiety and mood
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    • v.12 no.1
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    • pp.1-6
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    • 2016
  • Objective : This study was performed to confirm the hypothesis that the more one applies positive thinking, the less severe the symptoms of stress and the better the therapeutic responsein panic disorder and major depressive disorders. Methods : The study included 50 subjects with confirmed diagnoses of panic disorder or major depressive disorders. Positive thinking was assessed using Positive thinking scale. Beck Depression Inventory was used as a subjective measure for depression, and to ensure an objective measure for depression and anxiety, the Hamilton Depression and Hamilton Anxiety rating scales were implemented. Results : The positive thinking scale measured at the initial visit had shown a strong negative correlation with objective depression. Although patients with a high level of positive thinking had shown a tendency to respond better to the treatment, as compared with those with a lower level, the differences were not statistically significant. Conclusion : Positive thinking is likely to ameliorate major depressive disorder, panic disorder-induced depression, and anxiety. Nevertheless, it was not possible to confirm the effects of positive thinking on the patients' treatment responses.

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Relationship between Somatization and Mental Health of Registered Nurses (간호사의 신체화 증상과 정신건강의 관계)

  • Joo, Jungmin;Goo, Ae Jin;Kim, Sung-Wan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.135-142
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    • 2020
  • Objectives : To identify the relationship between somatization, stress, depression, anxiety, and psychological symptoms risk for nurses working in the intensive care unit. Create clinical evidence of psychosomatic medicine research and complement the meaning of somatization. Methods : Seventy of the mental health checkups conducted by the National Mental Health Center among the nurses using tools including Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, and Symptom Checklist-90-Revision. Results : 12.9% of the patients experienced more than moderate somatization. There was no statistical relationship between somatization and psychological stress perception, but feeling of anxiety and decreased self-confidence were related to the level of somatization. The group with severe somatization experienced more depression and anxiety. The group with high physical fatigue also had no statistical relationship with psychological stress perception, but had an effect on the feeling of tension, stress, or decreased control. Physical fatigue level was increased by experience of depression, not by anxiety. For psychological symptoms the higher the level of somatization, the higher the obsession and hostility was explored. In the linear regression model, stress, depression, and anxiety accounted for 39.3% of somatization and 16.1% of physical fatigue symptoms. Conclusions : We can estimate the decrease in stress cognitive symptoms, accompanying depression and anxiety, compulsion and hostility as characteristics of somatization. The causal relationship between somatization and psychological symptoms cannot be confirmed in this study, but the interrelationships are observed, can be referred to mediation strategies.

A Case of Severe Serotonin Syndrome Induced by Fluoxetine and Sertraline (Fluoxetine 및 Sertraline으로 유도된 심한 세로토닌 증후군 1예)

  • Cheon, Jin-Sook;Lee, Sang-Shin;Kim, Sung-Hi;Cho, Woong
    • Korean Journal of Biological Psychiatry
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    • v.8 no.1
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    • pp.167-174
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    • 2001
  • A 54-year old male patient who was suffering from bipolar I disorder for 19 years and was admitted to the National Bugok Mental Hospital due to a depressive episode, was referred to the Kosin University Gospel Hospital. On arrival at the emergency room, he had confused mentality with disorientation, memory impairment, hypomania, marked anxiety and hyperirritability. The change of neuromuscular activity such as ataxia, gait disturbance, tremor, shivering, myoclonus and epileptic seizures was also shown. In addition, the symptoms and signs of autonomic instability including diaphoresis, tachycardia, hypotension, fever and facial flushing were noticed. The above symptoms developed after the administration of sertraline successive to the discontinuation of fluoxetine without any washout period. The degree of severity seemed to be severe because he had epileptic seizures, fever and hypotension. He was recovered from the severe serotonin syndrome by the supportive symptomatic treatment with sodium valproate, clonazepam, lorazepam and cyproheptadine after cessation of the selective serotonin reuptake inhibitors during hospitalization. Therefore, this rare case of severe serotonin syndrome was reported and related literatures were also reviewed.

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Complex Trauma and Disorder of Extreme Stress(DESNOS) (복합외상과 극단적 스트레스 장애)

  • Park, Seon-Cheol;Kim, Seok-Hyeon
    • Anxiety and mood
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    • v.5 no.2
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    • pp.80-88
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    • 2009
  • Disorder of Extreme Stress, Not Otherwise Specified (DESNOS) is the proposed diagnosis that meets the severe, complex, and prolonged psychological sequela of victims with chronic traumatization (e.g., family violence, incest, and childhood sexual or physical abuse). The hallmarks of DESNOS are a multiplicity of symptoms (e.g., somatization, dissociation, and depression), pathological changes in relationships, identity disturbances, and a propensity to experience repeated harm and injury at the hands of oneself and others. DESNOS can be directly assessed by Structured Interview of Disorder of Extreme Stress (SIDES) and Self- Report Inventory of Disorder of Extreme Stress (SIDES-SR). The treatment of DESNOS should be phaseoriented and involve movement back and forth among three basic stages : 1) stabilization ; 2) trauma processing ; 3) reintegration.

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Minimal sedation using oral sedatives for multi-visit dental treatment in an adult patient with dental phobia

  • Song, Seung-Rye;You, Tae Min
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.4
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    • pp.369-376
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    • 2021
  • In adult patients with dental phobia, dental treatment may be difficult, or may not be possible. Depending on the level of fear or anxiety, non-pharmacological or pharmacological behavior management techniques are used in the dental treatment of such patients. Among the pharmacological behavior management techniques, minimal sedation, that is, the lowest depth of sedation, can be easily obtained in adult patients using oral sedatives, does not require special equipment or tools, and does not affect ventilatory and cardiovascular function. Diazepam is an anxiolytic drug belonging to the benzodiazepine family that, in addition to relieving anxiety, produces muscle relaxation, and is a representative drug used in adult patients with fear of dental treatment. Herein, we report the case of a 50-year-old woman with severe dental fear who successfully underwent long-term dental treatment in approximately 20 visits with minimal sedation using oral diazepam. In addition, we reviewed the considerations for the use of benzodiazepines for minimal sedation.

A study anxiety of mothers who have hospitalized ill children Focusing on the comparison of korean mothers with multicultural family mothers (입원 환아 어머니의 불안에 관한 연구: 한국인 어머니와 다문화가정 어머니 비교를 중심으로)

  • Oh, Jae-Woo;Moon, Young-Sook
    • Journal of Digital Convergence
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    • v.10 no.6
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    • pp.311-319
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    • 2012
  • This study, by grasping the degree of anxiety of Korean mothers and multicultural family mothers because of their hospitalized children, was aimed to arrange the basic data for developing the program to help the mothers of Korea and multicultural family reduce the anxiety happening due to the hospitalization of their children and adapt to their environment. Methods: The subjects of the study were a total of 200 people composed of 100 multicultural family mothers, and 100 Korean mothers respectively whose children were hospitalized in the pediatric department of K university hospital located in Daejeon City. And the period of data collection was from Aug 1, 2010 to Aug 31, 2010.As a study tool, the measuring tool of Kim Jeong Taek(1978), which STAI of Sielberger(1972) was adapted to Koreans, was used.The collected data was analyzed using SPSS WIN 12.0. Results. A result of the state anxiety of the Korean mothers with that of the multicultural family mothers of the inpatient children, Korean mothers 2.11, multicultural family mothers 2.17, result of temperament anxiety showed Korean mothers 2.09, multicultural family mothers 1.94. As a result of comparing the anxiety of the Korean mothers with that of the multicultural family mothers of the inpatient children, there was no difference between groups in both temperament anxiety and state anxiety. In a situation of anxiety, when there was no explanation of the treatment or therapy, both Korean mothers and multicultural family mothers showed the severe anxiety. In the degree of anxiety according to the general characteristics of the mothers of the inpatient children, there was not a statistically significant result in anxiety according to general characteristics of the inpatient children of korean family mothers, there was a significant difference in state anxiety according to the state of average monthly income in Korean mothers(P<.05), however, there was a significant one in temperament anxiety in the course of perceiving a test method in multicultural family mothers(P<.05). In the degree of anxiety according to the general characteristics of the mothers of the inpatient children, there was a significant difference in state anxiety according to the state of average monthly income in Korean mothers(P<.05), however, there was a significant one in temperament anxiety in the course of perceiving a test method in multicultural family mothers(P<.05). Conclusion: Through the results of the study above, no matter what socio-demographic characteristics of the mothers of the inpatient children are, regardless of the general characteristics of the inpatient children, it was found out that most of mothers felt anxiety.

DENTAL ANXIETY OF SECOND GRADE ELEMENTARY SCHOOL CHILDREN PROJECTED IN THE DRAWING OF DENTAL TREATMENT SITUATION (초등학교 2학년 어린이의 치과치료장면 그림에 투사된 치과불안도)

  • Kim, Yun-Hee;Lee, Kwang-Hee;Ra, Ji-Young;Lee, Dong-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.390-397
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    • 2007
  • The purpose of this study was to observe dental anxiety of second grade elementary school children projected in the drawing of dental treatment situation. The subjects of study were 213 school children. Questionnaire survey was done regarding their experience of pain and fear during the dental treatment and children's attitude toward the dental treatment and dentist. Drawings were analyzed using criteria modified from Dental Anxiety Scale(DAS) by Sheskin et al. The mean anxiety score was 2.00 and the range was from 0 to 6. The mean anxiety score was 2.82 in untreated children and 1.92 in treated children (P<0.05). The mean anxiety score was 2.00 in boys and 1.99 in girls. The rates of children who showed severe fear and pain of the subjects were 8.2% and 5.6%. The rates of children who showed slightly or definitely negative attitude for dental treatment and dentists of the subjects were 19.9% and 4.6%.

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