• Title/Summary/Keyword: Somatic complaints

Search Result 39, Processing Time 0.021 seconds

Biological Mechanism of Somatization : Mainly Focused on the Neuropsychological Model of Somatization (신체화의 생물학적 기전 : 신체화의 신경심리학적 모델을 중심으로)

  • Lee, Young-Ho
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.8 no.1
    • /
    • pp.122-140
    • /
    • 2000
  • Somatization disorder is a chronic condition characterized by multiple somatic complaints that are not due to any apparent organic illness. Somatization disorder is related historically to hysteria and hysteria has been defined by the existence of somatic complaints for which no organic reason can be found. Therefore most theories of somatization have focused on the psychodynamic and sociological perspectives. However, the concept that the somatic presentation of emotional distress or psychiatric illness might have a neurobiological basis has also aroused considerable interest. Relative to this perspective, the case of Anna O. which has been considered the prototype of hysteria, was reformulated from a neuropsychological perspective. Several neurophysiological and neuropsychological studies, studies concerning hemispheric differences in symptom presentation of the patients with hysteria have been shown the evidences for the biological basis of somatization. Moreover, recent neuroimaging studies in somatization disorder also show that brain dysfunction in somatization. The author reviewed several candidate theories which could help to explain the process of somatization in the perspective of biological basis and proposed the new neuropsychological model of somatization. The author also examined the possible application of this model to the treatment of somatization disorder and discussed it's limitation and the future directions in this field.

  • PDF

Treatment and Management of Conversion Disorder (전환장애의 치료와 관리)

  • Oh, Duck-Won
    • Physical Therapy Korea
    • /
    • v.4 no.2
    • /
    • pp.77-88
    • /
    • 1997
  • Conversion disorder is a psychologically produced alteration or loss of physical functioning suggestive of a physical disorder. Conversion symptoms are often superimposed on organic disease and can be overlooked. Psychological techniques are central to the management include the following: avoiding confrontation with the patients; avoiding reinforcement or trivializing the symptoms; reviewing results of tests and exams and creating an expectation of recovery; educating the patient before a treatment is begun; evaluating the patient's emotional adjustment and considering it at a treatment; using caution in labeling the condition; considering referral for psychotherapy; establishing particularly a treatment plan and making a definite treatment program; adjusting patient' s environment; letting participate a family at appropriate time; developing a reinforcement program for a treatment of chronic symptoms; developing a home program for outpatients. Use behavior therapy reinforcement may be helpful with more chronic or resistant symptoms, especially when there is a history of vague or excessive somatic complaints or significant secondary gain.

  • PDF

The Effectiveness of Filial Therapy on Empathy in Parent-child Interaction and Problem Behavior of Children with Separation Anxiety Disorder (부모자녀놀이치료 프로그램이 부모자녀 상호작용에서의 공감 및 문제행동에 미치는 효과 - 분리불안아동을 대상으로 -)

  • Baek, Ji-Eun;Lee, Jung-Sook
    • Korean Journal of Child Studies
    • /
    • v.30 no.4
    • /
    • pp.99-117
    • /
    • 2009
  • This study examined the effectiveness of the Filial Therapy program for children with Separation Anxiety Disorder (SAD). Subjects were 8 mother-child dyads each in the experimental and comparison groups. Mann-Whitney U-test and the Wilcoxon Matched-Pairs Signed-Ranks Test were performed following the therapeutic program. After application of the Filial Therapy program, results showed that, compared to the control group, (1) parents of SAD children in the experimental group significantly increased their level of empathic interactions with their children. AND (2) the experimental group children significantly reduced level of somatic complaints, anxious/depressed, and social problems. Conclusions were that Filial Therapy is an effective program for improvement of parent-child relationship of SAD children but not for changing problem behavior of SAD children.

  • PDF

The Relationship between Maternal Psychological Environment and Child Behavioral Problem : A Cross-Cultural Study (어머니의 심리적 환경과 아동행동문제와의 관계에 대한 횡문화적 고찰)

  • Han, Young Ok;Kim, Moon Hae
    • Korean Journal of Child Studies
    • /
    • v.24 no.1
    • /
    • pp.47-59
    • /
    • 2003
  • The influence of depression, self-esteem, and well-being components of maternal psychological environment on child behavior problems was examined in Korean and American populations. Findings were that the level of mother's self-esteem was lower in Korean than in American mothers; the level of mother's "autonomy" and "environmental mastery" was lower in Korean than in American mothers; and "somatic complaints" were more frequent in the Korean group. The relationship between maternal psychological environment and child behavior problems was greater in the American group. In the Korean group, autonomy and enviornmental mastery were negative components causing both internalized and externalized behavor problems in children. Mothers' depression was the most powerful variable, affecting internalized and externalized behavior problems in both Korean and American groups.

  • PDF

The Validation of the Child Behavior Checklist (아동행동평가척도(CBCL)의 타당화 연구)

  • Han, Mi Hyun;Yoo, An Jin
    • Korean Journal of Child Studies
    • /
    • v.16 no.2
    • /
    • pp.5-21
    • /
    • 1995
  • The purpose of this study was to validate the Child Behavior Checklist(CBCL) with a population of Korean children. Subjects were 415 mothers of fourth and sixth graders selected from five elementary schools in Seoul. The CBCL(Achenbach, 1991) and the Child Behavior Questionnaire(CBQ; Rutter et als., 1970) were used as a methodological instrument. Statistics used for data analysis were ${\chi}^2$, Cramer's V, factor analysis, Pearson's r, and Cronbach's ${\alpha}$. The major findings were that 102 items of the 107-item scale were found acceptable through the item discriminant method. Nine factors (anxious behavior, hyperactive behavior, immature behavior, delinquent behavior, aggressive behavior, withdrawn behavior, thought problems, somatic complaints, other problems) were extracted by factor analysis. The correlation between the CBCL and the CBQ was examined to test criterion-related validity, and the coefficient was significant (r=.78, p<.001). Finally, the internal consistency of the CBCL appeared to be at an acceptable level (Cronbach's ${\alpha}$=.83).

  • PDF

GENDER DIFFERENCES IN EMOTIONAL AND BEHAVIORAL PROBLEMS OF KOREAN ADOLESCENTS (청소년기 정서 및 행동문제의 성차)

  • Lee, Hyunji;Ha, Eun-Hye;Oh, Kyung-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.16 no.1
    • /
    • pp.117-123
    • /
    • 2005
  • Objectives : The purpose of the present study was to investigate the gender differences in behavior problems and social competences of Korean Adolescents. Methods : K-YSR (Korean-YSR) data from 6570 Korean adolescents (2549 boys and 4021 girls) and K-CBCL (Korean-CBCL) data from 2373 parents (boys 1173 and girls 1200) between the ages of 12 to 17 were analysed. Results : The results showed that boys reported higher mean scale scores on the Social Problems, Delinquent Behavior, whereas girls showed higher mean scale scores on the Withdrawn, Somatic Complaints, Anxious/Depressed and Aggressive Behaviors as well as Internalizing Problems and Total Behavior Problems in K-YSR. Girls also reported higher scores on the Social. as well as Total Competence Scale. Also parents reported higher mean scale scores on the Attention Problems, Delinquent Behavior in their boys, whereas reported higher mean scale scores on the Withdrawn, Somatic Complaints, Anxious/Depressed and Aggressive Behaviors as well as Internalizing Problems in their girls in K-CBCL. Parents reported no differences between boys and girls in social competence scales. Conclusion : In both K-YSR and K-CBCL, girls consistently showed higher scores in the Internalizing Problem scales and there was no significant difference between boys and girls in the Externalizing Problem scores, but girls showed higher mean score in the Aggressive Behavior scale.

  • PDF

The Clinical Effect of Sandplay Therapy on Adolescent Behavior and Emotion - Through Minesota Multiphasic Personality Inventory (모래놀이치료가 청소년의 행동, 정서에 미치는 임상효과 - 다면적 인성검사를 중심으로)

  • An, Un Kyoung;Kwak, Hyeon Jeong;Kim, Jong Woo;Lim, Myung Ho
    • The Journal of the Korea Contents Association
    • /
    • v.17 no.12
    • /
    • pp.257-265
    • /
    • 2017
  • The sand play therapy showed a clinical treatment effect to such children with lots of problem behaviors at the previous studies. This study aimed to evaluate the clinical effect to emotional and behavioral problems with 20 adolescents after 10 weeks group sand play therapy. After sand play therapy, the subjects showed a significant effect such that the MMPI depression scale score, somatic symptoms complaints, social discomfort, psychomotor retardation, somatic dysfunction, affection desire, bizarre sensation experience, shyness/self-consciousness were decreased from baseline to 10 weeks of the study. We suspected that the sand play caused to clinical effect to physical problems as well as emotional problems of the adolescents with school maladaptation.

Diagnostic Utility of Minnesota Multiphasic Personality Inventory-2-Restructured Form Scales: Distinguishing Social Anxiety Disorder, Panic Disorder, and Major Depressive Disorder (다면적 인성검사 II 재구성판(MMPI-2-RF) 척도의 진단적 유용성: 사회불안장애, 공황장애, 주요우울장애 비교)

  • Haewon Min;Jungae Lee;Kang-Seob Oh
    • Anxiety and mood
    • /
    • v.19 no.2
    • /
    • pp.69-76
    • /
    • 2023
  • Objective : This study aimed to find out whether the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scales are useful in distinguishing social anxiety disorder, panic disorder, and major depressive disorder. Methods : The study sample included 118 patients: 33 with social anxiety disorder, 53 with major depressive disorder, and 32 with panic disorder. Participants were classified according to the diagnosis indicated on their medical records. MMPI-2-RF scores were derived from MMPI-2 protocols. Results : The results of multivariate analysis of variance showed that the elevated scales were consistent with the diagnostic and clinical characteristics of each diafnostic group. Logistic regression analyses identified several scales that were useful in differentiating the diagnostic groups. The higher Cognitive Complaints (COG) scale significantly differentiated major depressive disorder from the other groups. The higher Self-Doubt (SFD) scale and Somatic Complaints (RC1) scale were useful in differentiating social anxiety disorder and panic disorder respectively. The lower Cynicism (RC3) scale was also useful in differentiating social anxiety disorder. Other scales that were useful in distinguishing between pairs of groups were also identified. Conclusion : The results of this study suggest that the MMPI-2-RF scales can be useful for discriminating anxiety disorders.

A Study on PAI Traits of Beauty Major Male Students (미용전공 남학생의 특성비교 연구)

  • Koh, SungYoun
    • The Journal of the Korea Contents Association
    • /
    • v.22 no.8
    • /
    • pp.587-595
    • /
    • 2022
  • In this study, in order to understand the social psychological characteristics of college male students majoring in beauty, PAI tests were conducted on 163 university students located in Gyeonggi-do and Chungnambuk area in 2020. First, when comparing the average scales of men who majored in beauty and men who majored in general, the major male students of beauty showed an overall high clinically recognized type compared to students who majored in beauty, and a negative impression on a valid scale (NIM) considered treatment for physical complaints (SOM), depression (DEP) and drinking problems (ALC) on a clinical scale, and a significant difference was shown on a suicide idea (SUI) scale. Secondly, in order to navigate the PAI scale that significantly predicts beauty major male students, a stepwise regression analysis was performed using 15 significant scales as search factors in comparison between beauty major male and general major male students. As a result, physical complaints (SOM) and depression (DEP) scales were extracted, which became a factor that can predict male students in beauty major. Therefore, it can be understood that the male students in the beauty major have behavior patterns that are more obsessed with and more impulsive to physical problems than the male majors. These results will provide a lot of suggestions for the selection of future male students in beauty major, selection, management, education, consultation materials, and selection of occupations after graduation.

Health Problems and Psychosocial Adaptation of Children with Cancer (소아암 환아의 건강문제와 사회심리적 적응)

  • 오가실;심미경;손선영
    • Journal of Korean Academy of Nursing
    • /
    • v.33 no.2
    • /
    • pp.293-300
    • /
    • 2003
  • Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.