• 치위생과학회지
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• 제20권1호
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• pp.59-66
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• 2020

Background: This study aims to analyze the job stress of dental hygienists and the factors affecting somatization and to provide basic data for effectively managing job stress and somatization of dental hygienists. Methods: In this study, the data collected from 208 dental hygienists working in Jeollabuk-do Province were analyzed. Job stress was investigated using a questionnaire with 43 questions. In addition, the degree of somatization was evaluated through a simplified psychotherapy examination (Symptom Check List-90-Revision). Results: Age, employment history, position, average monthly income, night duty execution status, and perceived health status were significantly associated with job stress (p<0.05). The job stress sub-items scores based on general characteristics showed significance in 'workload' for those working a five-day workweek and perceived health status (p<0.05). Age, average monthly income, and perceived health status were noted in 'role conflict as a professional'. In 'lack of expertise and skill', it was noted that age, employment history, position, income, and night clinic were implemented. In 'improper treatment and interpersonal issues', level of education and perceived health status were significant (p<0.05). The higher the job stress, the higher the somatization symptom score (p<0.05), and the higher the job stress component, the higher the somatization symptom score (p<0.01). Conclusion: The job stress of dental hygienists should be reduced, and the symptoms of somatization should be mitigated. To improve the quality of medical services and the work efficiency of dental hygienists, proper treatment and compensation systems should be implemented for them to take pride as professional. Further, programs and regulations on mitigating job stress and somatization symptoms should be developed.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.233-243
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• 1986

Our study was designed to identify the difference in the mental health status among hospitalized patients due to occupational diseases and accidents and pre-employment physical examinees, and to identify the relationship between mental health status and socio-demographic variables, and to provide information useful to non-psychiatric clinicians in caring of such patients. Samples were comprised of 189 pneumoconiotic patients, 132 industrial accident-induced patients and 122 pre-employment physical examinees who were interviewed with 90-item symptom cheklist (SCL-90). The following results were obtained: 1) Mean scores of symptom dimension on socio-demographic subgroup showed higher tendencies in older aged, male, lower educated, miner, married, mining residence, and pneumoconiotic patients. 2) Mean scores of total samples on all symptom dimensions were as follows in the order of their magnitudes; Depression, Somatization, Obsessive-compulsive, Anxiety, Psychoticism, Interpersonal sensitivity, Phobic-anxiety, Hostility, and Paranoid ideation. 3) The highest mean scores on each socio-demographic subgroup were as follows; Depression in younger aged and Somatization in older aged; Depression in male Somatization in female; Somatization in lower educated and depression in higher educated; Somatization in miners and depression in non-miners; Somatization in married and Depression in unmarried; Depression in all kind of residences; Somatization in patients and Depression in pre-employment physical examinees(normal). 4) In consequence of stepwise multiple regression, the important socio-demographic variables were age, occupation, diagnostic classification, and residence. Age was the most imprtant variable in Somatization, Depression, Obsessive-compulsive, Anxiety, Phobic anxiety, Paranoid ideation, and Psychoticism. Occupation was the most important one in Interpersonal sensitivity and Hostility and also had significant realtionships with all symptom dimensions.

• Journal of Yeungnam Medical Science
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• 제9권1호
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• pp.68-74
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• 1992

신체화 장애의 진단의 간편성을 위해 1991년 3월부터 1992년 2월까지 영남대학교 의과대학 부속병원 정신과에 내원한 여자 환자 135명을 대상으로 7-symptom screening test를 적용한 결과 다음과 같은 결론을 얻었다. 7개증상 모두의 판별 Index는 3.0 이상이었으며, 7개증상중 2개의 증상이 있을때 정확도가 89%(민감도 99%, 특이도 77%), 3개의 증상이 있을때 정확도가 87%(민감도 83% 특이도 90%)로 나타났으며 판별 분석 결과 cut off 점수는 7개증상중 3개 이상일 때 신체화 장애 진단에 속할 확률이 87%로 나타났다. 즉 7개의 screen 증상중 3개 이상 있는 경우 신체화 장애로 진단할 수 있다는 것을 나타낸 것이며 다시말해서 7개중 3개 증상 유무가 판별의 분기점이 되는것을 의미한다. 이는 7-symptom screening test가 신체화 장애 진단에 정확하고 간편한 검사 도구임을 나타내준다 하겠다.

• Journal of Korean Biological Nursing Science
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• 제21권3호
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• pp.178-187
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• 2019

Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.

• 치위생과학회지
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• 제19권2호
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• pp.113-121
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• 2019

Background: We investigated somatization symptoms experienced by dental hygienists due to stress from emotional labor. Our aim was to provide basic research data that could be useful in the development of efficient stress management schemes for this occupational group. Methods: We analyzed data collected from 208 dental hygienists working in Jeollabuk-do Province, Korea. To measure the level and intensity of emotional labor among research participants, we used the Korean Emotional Labor Questionnaire. We used the Somatization Symptom Checklist-90-Revised (SCL-90-R) to measure the level of somatization symptoms among participants. Results: On analyzing the level of emotional labor and somatization symptoms according to general characteristics, participants aged 23~25 years showed high scores for stress due to emotional labor (p<0.05). Working 5 days per week, subjective health status, and organizational support and protection systems were found to correlate with the level of stress due to emotional labor (p<0.05). In the analysis of correlations between emotional labor and somatization symptoms, scoring high across all domains of emotional labor was associated with scoring high for somatization symptoms in the subdomains of emotional labor. When emotional labor and demographical variables were used as independent variables, having higher scores for emotional labor and having poor subjective health status were found to be associated with having higher levels of somatization symptoms (p<0.05). Conclusion: Our results showed that working at night and organizational support and protection systems were correlated with emotional labor and somatization symptoms. Measures must be taken at the organizational level to reduce emotional labor and somatization symptoms.

• 동의신경정신과학회지
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• 제28권3호
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• pp.217-230
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• 2017

Objectives: This study was conducted to review studies on somatization disorder in traditional Chinese medicine. Methods: We reviewed studies in the China National Knowledge Infrastructure (CNKI) to 2017. Keywords were 軀體化障碍, Somatization disorder, somatic symptom disorder. We included Randomized Controlled Trial (RCT), and excluded non-Randomized Controlled Trial (nRCT), non-related somatization disorder or traditional Chinese medicine, non-clinical trials, dissertations for degrees. Jadad scale and Cochrane Library's Risk of Bias (RoB) were used for assessment of the quality of studies. Results: Twelve studies were selected. The Chinese Classification of Mental Disorders-3 (CCMD-3) was most frequently used as diagnostic criteria for somatization disorder. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD) was used most commonly. Meta-analysis of 10 studies revealed effective rate of Chinese Herbal Medicine groups (CHM) was significantly higher than Western Medicine groups (WM) (RR: 1.14, 95% CI: 1.02 to 1.27, p=0.02, $I^2=40%$). There was no significant difference in effective rate of CHM+WM and WM (RR: 1.12, 95% CI: 0.84 to 1.49, p=0.46, $I^2=83%$). And also, effective rate of Acupuncture group (Acu) revealed no significant difference compared to that of WM (RR: 1.17, 95% CI: 0.95 to 1.44, p=0.13, $I^2=84%$). For HAMD, there was significant difference in CHM vs, WM group and Acu vs. WM group. Quality of selected 12 RCTs was low. Conclusions: Therapies practiced in traditional Chinese medicine may be effective options for somatization disorder. treatment. For further clinical studies in Korean medicine, this study could be groundwork for development of diagnosis and treatment on somatization disorder.

• 정신신체의학
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• 제4권2호
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• pp.262-268
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• 1996

신체화를 이해하는데 신체화를 형성하게 된 행동이면의 정신적인 갈등배경을 이해하는 것이 중요하다. 그러나 신체화의 생물학적 과정을 파악하고 증상의 유지요인과 악화요소를 알아보아 변화되어 가는 형성과정을 이해하는 점이 더욱 중요하다. 그리고 문화-사회적 특성에 따라 신체증상호소의 방법이나 내용이 다르다는 점을 염두에 두어야 한다. 신체화를 이해하는 데에는 심리적, 생물학적, 사회, 인종, 역사적인 요소가 모두 함께 영향을 미치므로 통합적인 관점에서 파악해 나가지 않으면 안된다.

• 정신신체의학
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• 제28권2호
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• pp.135-142
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• 2020

연구목적 간호사의 신체화 증상과 스트레스, 우울 및 불안, 정신 증상 위험의 관계를 확인하여 정신신체의학 연구의 임상 근거를 창출하고, 신체화 증상의 의미에 대해 제고하는 것을 목적으로 한다. 방 법 서울시 내 1개 상급종합병원 외과계 중환자실 간호사 70명에게 자가기입형 도구(Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, Symptom Checklist-90-Revision)를 사용하여 수집한 데이터를 분석하였다. 결 과 대상자 중 12.9%가 신체화 증상을 경험하였고 피로, 낮은 에너지, 생리통, 허리 통증이 나타났다. 신체화 증상과 정신적 스트레스 인지의 통계적 관련성은 없었으나 불안한 느낌이나, 자신감의 감소는 신체화 증상의 수준과 관련이 있었다. 신체화 증상이 심한 집단은 우울, 불안을 더 많이 경험하였다. 신체적 피로가 높은 집단은 정신적 스트레스 인지의 통계적 관련성은 없었으나 긴장이나 스트레스를 느끼거나 통제력이 감소되는 경험에 영향을 미쳤다. 신체적 피로 수준의 증가는 불안과는 관련이 없었고 우울을 더 많이 경험하는 것으로 확인되었다. 신체화 수준이 높을수록 정신 증상 중 강박과 적대감이 증가하였다. 선형회귀모형에서 스트레스, 우울, 불안은 신체화 증상을 39.3%, 신체적 피로 증상을 16.1% 설명하였다. 결 론 이 연구의 결과를 바탕으로 우리는 한국 문화에서 신체화 증상의 특징으로 스트레스 인지 증상의 감소, 우울과 불안 경험, 강박 및 적대감의 동반 가능성을 추정할 수 있다. 이 연구에서 신체화와 정신 증상은 인과관계를 확인할 수 없었으나 상호관련성이 관찰되어 향후 중재 전략 마련에 참조할 수 있을 것이다.

• 한국학교보건학회지
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• 제23권1호
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• pp.79-87
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• 2010

Purpose: The purpose of this study was to explore the relationship between depression, alexithymia, social support and somatic symptom in adolescents. Methods: The subjects were 1,519 adolescents in Seoul. Radloff's CES-D (The Center for Epidemiological Studies-Depression scale) for depression, Bagby, Parker and Taylor's TAS (Toronto Alexithymia Scale) for alexithymia, Park's social support and Derogatis's SCL-90 (Brief Symptom Inventory & Matching Clinical Rating Scale) were used. The data was analyzed using descriptive statistics, Pearson's correlation coefficients, t or F test, and stepwise multiple regression. Results: Depression and somatic symptom were lower but social support was higher when compared to mean score. The somatic symptom was significantly positive correlations to age, depression, alexithymia but no correlation to social support. Stepwise multiple regression analysis showed that 21.8% of the somatic symptom was significantly accounted for depression, alexithymia, social support, gender, economic status, living alone, and living with parent. Conclusion: These results suggest that depression, alexithymia, living alone can be potential risk factors for somatic symptom in the adolescents. Therefore, these findings will give useful information for developing a promotion program focused on social support in the adolescents.

• 동의신경정신과학회지
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• 제20권4호
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• pp.31-52
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• 2009

Objectives : The purpose of this study was to investigate the connection between Symptom Checklist-90-R (SCL-90-R), Self-Efficacy Scale(SES) and Qi-gong. Methods : We investigated 141 oriental medical students in Daegu consisted of 36 subjects training Qi and 105 subjects not training. We had all subjects to reply to demographic questimnaire, SCL-90-R questimnaire and SES questimnaire. We made the Qi-training group write the kinds and periods of Qi seperately. Results & Conclusions : 1. The lower SCL-90-R score, the subjects had higher SES score. Total Self-Efficacy score was connected Somatization, Interpersonal Sensitivity, Depression, Paranoid Ideation, Paranoid Ideation score significantly. General Self-Efficacy score was connected Somatization, Obsessive- Compulsive, Interpersonal Sensitivity, Paranoid Ideation, Paranoid Ideation score significantly. Social Self-Efficacy score was connected Interpersonal Sensitivity, Depression, Anxiety score significantly. 2. The Qi-training group's mean all the details of SCL-90-R lower than the non-training's significantly in Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Hostility, Paranoid Ideation, Psychoticism. And the Qi-training group's mean all the details of SES higher than the non-training's, significantly in General Self-Efficacy. 3. In Qi-training group, as training longer, mean Somatization, Interpersonal Sensitivity, Depression, Anxiety, Hostility scores get lower and mean Total Self-Efficacy score get higher significantly.