• 임상간호연구
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• 제28권1호
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• pp.23-33
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• 2022

Purpose: This study aimed to identify the relationships among disease severity, anxiety, depression, social support, unpleasant symptoms and self-care among patients with atrial fibrillation based on the unpleasant symptom theory, and to examine the mediating effects of unpleasant symptoms. Methods: A cross-sectional study was conducted. The participants were 216 patients with atrial fibrillation who were being followed up on an outpatient basis at a university hospital in Seoul. Data were collected from November 1, 2020 to June 30, 2021, using self-report questionnaires. Data were analyzed using IBM SPSS/WIN 27.0 and PROCESS macro with 95% bias-corrected bootstrap confidence interval(CI). Results: The average age of participants in this study was 66.0years. Disease severity (β=10.19, p<.001) and depression (β=1.53, p<.001) had significant positive relationships with unpleasant symptoms. Also, unpleasant symptoms (β=-0.03, p=.006) had a negative relationship with physical activity, which is a subscale of self- care. Social support (β=0.06, p<.001) was positively related with physical activity. Unpleasant symptoms showed a mediation effect in the relationship between disease severity and physical activity (Bias corrected bootstrap CI -0.65, -0.04). Depression had an indirect effect on physical activity that was mediated by unpleasant symptoms (Bias corrected bootstrap CI -0.11, -0.00). Conclusion: The findings of this study suggest that integrated strategies including physical, psychological, and social factors should be considered to promote self-care in patients with atrial fibrillation.

• 한국산학기술학회논문지
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• 제16권9호
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• pp.5819-5828
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• 2015

본 연구는 Sky Diving시 Sky Diver가 지각하는 심리적 불안요인과 자신감의 관계를 규명하고, 이를 바탕으로 Sky Diving의 자신감 강화 프로그램을 개발하기 위한 예비조사로 수행된 것이다. 연구 목적을 달성하기 위해 Sky Diver 150명에게 설문지를 배포하여 최종 123부를 분석하였고, 자료 분석은 SPSS v.21을 활용하였다. 연구결과, 첫째, Sky Diving시 Sky Diver의 스트레스 관련 징후에 따른 행동 대처방식에서 스트레칭과 호흡을 주요 대처방식으로 가장 많이 사용하는 것으로 나타났다. 둘째, Sky Diver의 심리적 불안요인과 자신감은 종교의 유무와 연령, 강하횟수에서 유의한 차이가 나타났다. 셋째, Sky Diver의 심리적 불안요인은 자신감에 부적 영향을 미치고 있는 것으로 나타났다. 본 연구를 통해 Sky Diving시 Sky Diver의 심리적 불안요인을 낮추고 자신감을 높일 수 있는 심리적 대처기술을 향상시키는 프로그램 개발에 기여할 것으로 사료된다.

• 생물정신의학
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• 제24권3호
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• pp.149-154
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• 2017

Objectives This study investigated associations between symptom severity and neurocognitive functions in patients with major depressive disorder using comprehensive neuropsychological tests. Methods Ten patients with low depression (LD) and 22 patients with high depression (HD) participated. Symptom severity was determined by both the Beck Depression Inventory and the Hamilton Depression Rating Scale. Additionally, anxiety was measured by the Korean version of the State-Trait Anxiety Inventory (STAI-KYZ). Ten subtests of the Korean-Wechsler Adult Intelligence scale (K-WAIS), Stroop test, the word/design fluency tests were administered to assess cognition. Results The LD and HD groups did not differ in any of cognitive measures but anxiety level. Namely, the HD group obtained significantly higher scores on the state (U = 29.50, p < 0.01) and trait (U = 28.50, p < 0.001) anxiety scales than the LD group. A significant interaction effect between trait anxiety and depression severity was observed on the picture arrangement subtest of the K-WAIS [F (1, 27) = 5.09, p < 0.05]. Conclusions Cognitive deficits observed in patients with major depressive disorder may be related to other factors rather than current symptom severity. Trait anxiety possibly moderates the effect of current symptom severity on social judgment in these patients.

• 대한불안의학회지
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• 제5권2호
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• pp.125-132
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• 2009

Objective : This study examined psychiatric characteristics of wounded persons of Daegu subway fire accident occurring in February 2003 after six years. Methods : 103 wounded persons completed psychometric measures at 2 months and 6 years after the accident. Changes of psychiatric symptoms were compared and factors affecting post-traumatic stress disorder (PTSD) seriousness were examined. Results : In Minnesota Multiphasic Personality Inventory, the scores of Psychopathic Deviate (Pd), Masculinity/ Femininity (Mf), Social Introversion (Si) scales were significantly changed over time. The scores of Symptoms Checklist-90-Revision subscales were mostly decreased over time, however, paranoid ideation (PAR) subsclae scores were not significantly changed over time. In all of the State-Trait Anxiety Inventory (STAI)-State, Beck Depression Inventory, Impact of Event Scale, and PTSD Checklist-Civilian, mean scores at 6 years after the accident were significantly lower than those at 2 months after the accident. However, STAI-Trait score was not significantly changed over time. Total seriousness of PTSD was found to be affected by quality of sleep. Conclusions : Psychiatric symptoms of subjects were largely improved over time, but distrust and doubt of others were continued. In addition, the wounded persons suffered from sleep problems. Therefore, early and continuous interventions of public institutions and public health specialists are needed for the wounded persons with chronic psychiatric disorders.

• 동의신경정신과학회지
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• 제33권1호
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• pp.21-31
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• 2022

Objectives: To perform correlation analysis between the Core Seven Emotions Inventory-Short Form (CSEI-s), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), upper gastrointestinal symptoms, and gastroscopic findings and to compare emotional characteristics with upper gastrointestinal endoscopic findings. Methods: In this study, medical records of 38 participants who visited the hospital for examination purposes or complained upper gastrointestinal symptoms and completed the CSEI-s, BAI, BDI, and Questionnaire for upper gastrointestinal symptoms were analyzed using SPSS (Statistical Package for the Social Sciences) version 25.0. Frequency Analysis, Descriptive Analysis, Independent t-test, Mann-Whitney's U-test, and Correlation analysis were performed. Results: The upper gastrointestinal symptom group showed higher levels of anger, sorrow, depression, and anxiety than the asymptomatic group. On gastroscopy, the normal group had higher levels of Joy than the abnormal group. The reflux esophagitis group showed higher levels of thought, depression, sorrow, and anxiety than the non-reflux esophagitis group. Joy showed a negative correlation with BDI score. However, anger, depression, sorrow, BAI, and BDI score showed positive correlations. Conclusions: Results of this study suggest that CSEI-s can be used to treat patients with upper gastrointestinal symptoms and reflux esophagitis.

• 사회복지연구
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• 제41권3호
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• pp.327-348
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• 2010

본 연구는 청소년에 대한 빈곤의 영향을 주로 가족의 측면에서 연구하였던 기존의 관점에서 탈피하여, 빈곤청소년이 거주하는 지역사회 환경의 위험성과 폭력성에 주목하였다. 즉, 본 연구는 빈곤으로 인해 더 위험한 환경에서 거주하게 되는 청소년이 일반 청소년보다 폭력에 더 많이 노출되는지를 살펴보고, 이것이 그들의 우울과 불안을 높이는지 분석하였다. 분석 자료로 '한국청소년패널데이터' 중2 패널자료 중에서 3-5차년도 종단데이터가 활용되었으며, 통계방법으로는 구조방정식모형이 이용되었다. 분석 결과, 청소년의 빈곤 자체가 폭력피해 경험을 직접적으로 증가시키지는 않았으나 빈곤으로 인해 위험한 지역사회 환경에 거주하게 됨으로써 더욱 많은 폭력피해와 두려움을 경험하게 되며 이는 우울 및 불안으로 이어지는 것으로 나타났다. 이 결과를 바탕으로 청소년에 대한 빈곤의 부정적 영향을 줄이는 데에 지역사회의 역량 강화의 중요성을 함의로 지적하였다.

• 한국콘텐츠학회논문지
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• 제16권8호
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• pp.29-38
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• 2016

본 연구의 목적은 대한민국 성인 여성의 불안 및 우울증상 경험여부와 사회 경제적 수준 간의 관계를 알아보는 것이다. 이를 위해 국민건강영양조사 제6기 1차년도 원시자료를 이용하였고, 성인여성 3,453명을 최종 연구대상으로 선정하였다. 건강변수를 보정한 후 사회경제적 수준과 불안 및 우울증상간의 관계를 규명하기 위해 이분형 로지스틱 회귀분석을 실시하였다. 분석 결과, 불안 및 우울증상 경험 여부에 영향을 미치는 변수는 '나이, 결혼상태, 교육수준, 소득수준, 경제활동 참가여부, 주관적 건강상태, 평소 스트레스 인지 정도'인 것으로 나타났다. 위의 결과를 토대로 대한민국 성인여성의 사회 경제적 수준과 불안 및 우울증상 경험여부 사이에는 연관성이 있는 것으로 결론지었으며 저소득, 저학력, 미취업 여성들을 위한 우울증 예방 및 관리 프로그램이 필요할 것으로 판단된다.

• 아동학회지
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• 제27권3호
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• pp.285-300
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• 2006

Social skills and behavior problems of 90 4- and 5-year-old children were analyzed by children's negative emotionality(sadness, anger, and fear). The instrument for measurement of social skills(cooperation, self-control, assertion, and responsibility) was the Preschool Level of the Korean Version of the Social Skills Rating System(Suh, Mee-Ock, 2004). Measures of behavior problems included internalizing(anxiety, immaturity, withdrawal, physical symptoms) and externalizing(hyperactivity, aggression) problems. Results showed that girls were higher in negative emotionality(sadness) than boys, and 5-year-olds were higher in social skills than 4-year-olds. Children with lower levels of negative emotionality were higher in social skills and lower in behavior problems than children with higher levels of negative emotionality.

• 동의신경정신과학회지
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• 제25권2호
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• pp.153-164
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• 2014

Objectives: In this case report, we will show the effectiveness of herbal medicine with neurofeedback treatment on social phobia. Methods: First, we diagnosed the patient by interview and questionnaire as having social phobia and suffering from anxiety, shaking and palpitation in public places and fear to meet new people. Beside, we examined the pattern of brainwaves by QEEG-8 system. Second, we treated the patient by herbal medicine with neurofeedback treatment for 4 months. Then we conducted new assessments by SCL-90-R, BDI, BAI and QEEG-8 system. Results: The patient's psychological and physiological symptoms were significantly improved. Conclusions: Herbal medicine with neurofeedback can be effective in the treatment of social phobia. Especially, it can be helpful to improve the patient's sensitivity to its physiological symptoms.

• Psychiatry investigation
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• 제15권12호
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• pp.1168-1173
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• 2018

Objective After the Sewol ferry disaster, bereavement with suicidal ideation was a critical mental health problem that was accompanied by various neuropsychological symptoms. This study examined the frontal alpha asymmetry (FAA), heart rate variability (HRV), and several psychological symptoms in bereaved family members (BFM) after the Sewol ferry disaster. Methods Eighty-three BFM after the Sewol ferry disaster were recruited. We assessed FAA, HRV, and psychological symptoms, including depression, post-traumatic stress, post-traumatic growth factor, anxiety, grief, and positive resources, between BFM with the presence and absence of current suicidal ideation. Results Compared to BFM without suicidal ideation, BFM with suicidal ideation showed a higher FAA with right dominance. Significant differences in psychological symptoms were observed between the groups. In BFM with suicidal ideation, the low: high frequency (LF:HF) ratio correlated with social resources and support. Conclusion The FAA and LF:HF ratio may be biomarkers that represent the pathological conditions of BFM with suicidal ideation. If researched further, they may shed light on the interaction between bereavement with suicidal ideation and social resources for therapeutic intervention.