• Title/Summary/Keyword: Somatization Symptom

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The Comparison of Stress Responses, Anger Expression and Alexithymia between Chronic Gastritis and Gastric Ulcer Patients (만성위염 환자들과 위궤양 환자들 간의 스트레스반응, 분노표현 및 감정표현불능증의 비교)

  • Koh, Kyung-Bong;Oh, Seung-Jun;Lee, Sung-Hee;Lee, Sang-In;Chung, Jae-Bock
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.30-37
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    • 2004
  • The objective of this study was to make a comparison between chronic superficial gastritis and gastric ulcer patients regarding stress responses, anger expression and alexithymia. The subjects included 100 patients with chronic superficial gastritis and 40 patients with gastric ulcer confirmed by gastroscopy. Stress responses were measured by the Stress Response Inventory(SRI) and anxiety, depression, somatization and hostility subscales of the Symptom Checklist-90-revised(SCL-90-R). Anger expression and anger suppression were assessed by the Anger Expression Scale. The level of alexithymia was assessed by the Toronto Alexithymia Scale(TAS). Multiple regression analysis showed that the patients with chronic gastritis scored significantly higher on tension subscale and somatization subscale of the SRI, and anxiety subscale of the SCL-90-R than those with gastric ulcer. However, no significant differences were found in the score of anger expression and anger suppression subscales and total score of TAS between the two groups. In chronic gastritis patients, women scored significantly higher on somatization subscale of the SRI than men, whereas in gastric ulcer patients, men scored significantly higher on somatization subscale of the SRI than women. These results suggest that chronic gastritis patients are more likely to have higher level of stress responses and higher susceptibility to stress than gastric ulcer patients. In addition, in chronic gastritis patients, women are more likely to somatize than men, but in gastric ulcer patients, men are more likely to somatize than women. However, there were no differences between the two groups in anger expression, anger suppression and alexithymia.

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The Comparison of Perceived Stress, Quality of Life between Patients with HIV Positive and Patients with Pulmonary Tuberculosis (HIV감염자와 폐결핵환자 간의 스트레스지각과 삶의 질의 비교)

  • Lee, Sang-Hyuk;Koh, Kyung-Bong;Kim, June-Myung;Park, Sung-Hyouk
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.1
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    • pp.15-24
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    • 2003
  • Objectives: The object of this study was to compare perceived stress and quality of life among patients with HIV infection, patients with pulmonary tuberculosis and normal controls. Methods: Stress response inventory(SRI) and Symptom checklist 90-Revised(SCL-90-R) were used to measure perceived stress responses and psychopathology. Smithklein Beecham quality of life scale was used to measure quality of life. Results: Patients with HIV infection scored significantly higher on scores of tension, anger, depression, fatigue and frustration subscale of the SRI than those with pulmonary tuberculosis and normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism subscale were also significantly higher in patients with HIV infection than those with pulmonary tuberculosis and normal controls. Patients with HIV infection scored significantly lower in quality of life than those with pulmonary tuberculosis. In patients with HIV infection, age had a significantly negative correlation with scores of somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism subscale of the SCL-90-R. but the level of education had a significantly positive correlation with somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism subscale of the SCL-90-R. Conclusion: The results suggest that patients with HIV positive were likely to have higher levels of perceived stress response and psychopathology, and lower quality of life than those with pulmonary tuberculosis and normal controls.

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The Comparison of Perceived Stress, Quality of Life between Patients with HIV Positive and Patients with Pulmonary Tuberculosis (HIV감염자와 폐결핵환자 간의 스트레스지각과 삶의 질의 비교)

  • Lee, Sang-Hyuk;Koh, Kyung-Bong;Kim, June-Myung;Park, Sung-Hyouk
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.120-129
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    • 2002
  • Objectives : The object of this study was to compare perceived stress and quality of life among patients with HIV infection, patients with pulmonary tuberculosis and normal controls Methods: Stress Response Inventory(SRI) and Symptom checklist 90-Revised(SCL-90-R) were used to measure perceived stress responses and psychopathology. Smithklein Beecham quality of life scale was used to measure quality of life. Results : Patients with HIV infection scored significantly higher on scores of tension, anger, depression, fatigue and frustration subscale of the SRI than those with pulmonary tuberculosis and normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism subscale were also significantly higher in patients with HIV infection than those with pulmonary tuberculosis and normal controls. Patients with HIV infection scored significantly lower in quality of life than those with pulmonary tuberculosis. In patients with HIV infection, age had a significantly negative correlation with scores of somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism sub scale of the SCL-90-R. but the level of education had a significantly positive correlation with somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism sub scale of the SCL-90-R. Conclusion : The results suggest that patients with HIV positive were likely to have higher levels of perceived stress response and psychopathology, and lower quality of life than those with pulmonary tuberculosis and normal controls.

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The Effect of TuRo (Qi dance therapy) on the psychological health in adolescent female students (투로(套路)(기무요법(氣舞療法) : TuRo)가 여중생들의 정신건강에 미치는 효과)

  • Lee, Hwa-Jin;Chae, Youn-Byoung;An, Kyung-Eh;Hahm, Dae-Hyun;Park, Hi-Joon;Lee, Hye-Jung
    • Korean Journal of Acupuncture
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    • v.23 no.2
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    • pp.69-78
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    • 2006
  • Objectives: TuRo, defined as a dance therapy applying the meridian Qi system into the dancing movements, may have effects on ameliorating the psychological symptoms that often appear in adolescent students in a stressful situation. The Objective of the present study was to examine whether TuRo training relieves the psychological symptoms in adolescent female students. Methods: Symptom Check List-90-Revision (SCL-90-R), a 5 point Likert scale, consisted of 90 items that represent psychological symptoms, were used to measure the psychological health status in healthy adolescent female. Twenty two adolescent female students were trained TuRo dancing for two months while 29 in control group were trained mimicked movements without the concept of Qi for the same period. Changes in Somatization, Obsessive-Compulsive behaviors, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic Anxiety, Parinoid Ideation and Psychotic symptoms by the two months of training were compared between TuRo and control groups using SCL-9Q-R. Results: Among the nine-categorized psychological symptoms, the somatization and hostility were significantly reduced in TuRo group (p

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Psychological Symptom to Work-Life Balance: An Examination of Negative Belief in Emotional Expression and Emotional Clarity among Working Men and Women (일과 삶의 균형과 정신건강의 관계에서 부정적 정서신념과 정서명료성의 조절효과: 성차를 중심으로)

  • Young Mi Sohn ;Cheong Yeul Park ;Eunjoo Yang
    • Korean Journal of Culture and Social Issue
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    • v.23 no.3
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    • pp.333-359
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    • 2017
  • We examined the moderator roles of negative belief in emotional expression and emotional clarity between work-life balance and psychological symptoms (depression, anxiety and somatization). Also we identified gender differences in their moderating effects. This study was based on a sample of 869 married working employees (man: 424, women: 445). Hierarchical moderated regression analyses showed that work-life balance, negative belief in emotional expression and emotional clarity were strongly associated with depression, anxiety and somatization. While negative belief in emotional expression significantly moderated the relationship between work-life balance and depression and anxiety, emotional clarity showed no significance. We found gender differences in moderating effects of two moderators. In specific, the only women who had more negative belief in emotional expression were more psychological symptoms in a low work-life balance situation. On the other hand, the only men who had higher emotional clarity were less depressive and anxious under the conditions of high work-life balance. We discussed about implications of these results.

Anger Expression Type and Mental Health in Middle Aged Women (중년여성의 분노표현 유형과 정신건강)

  • Choi, Il-Rim
    • Journal of Korean Academy of Nursing
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    • v.39 no.4
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    • pp.602-612
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    • 2009
  • Purpose: The purpose of this study was to identify type of anger expression and mental health in middle aged women. Methods: From August to October 2005, survey data were collected by using the State Trait Anger Expression Inventory and Symptom Check List-90-Revision (SCL). Participants (1,442) were classified into four types of anger expression by K-mean cluster analysis. For collecting interview data for content analysis, 18 participants (4-5 participants from each type of anger expression) were recruited. The interview data were collected between March and September 2006. Results: The average score of the state anger of middle-aged women was 11.95, and that of the trait anger was 18.75. The average anger expression scores were 12.72 for Anger-In, 13.45 for Anger-Out, and 18.51 for Anger-Control. The average SCL scores were 45.03 for somatization, 42.23 for obsessive-compulsiveness, 42.44 for interpersonal sensitivity, 42.45 for depression, 42.40 for anxiety, 42.62 for hostility, 44.44 for phobic anxiety, 43.65 for paranoid ideation, and 43.08 for psychoticism. The anger expression types identified in this study were 1) anger-out in secret, 2) anger-control with a patience, 3) anger-out with suppression, and 4) low anger expression type. The psychosomatic symptom scores were the highest in type III (anger-out with suppression), and the lowest in type IV (low anger expression type). Conclusion: This study can be helpful in assisting middle aged women to control their anger effectively and may contribute to the improvement of their mental health.

The Prevalence, Subtypes and Risk Factors of Irritable Bowel Syndrome by ROME III among Korean University Students (ROME III에 의한 국내 대학생의 과민성 장 증후군의 유병률, 증상유형 및 위험요인)

  • Park, Mi-Jung;Lee, Kyung-Sook;Jeong, Jae-Sim;Kim, Joo-Hyun;Choi, Jung-An;Shin, Gi-Soo;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.13 no.1
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    • pp.61-71
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    • 2011
  • Purpose: The purpose of the present study was to investigate the prevalence, subtypes and risk factors of irritable bowel syndrome by ROME-III among Korean university students. Methods: This study was descriptive survey research. The sampls were 796 and variables were measured by structured questionaire. Rome-III criteria was used for diagnosis of IBS. The gathered data were analyzed with %, $x^2$-test, t-test, logistic regression by SPSS win 17.0. Results: The students with IBS were 61 (7.7%) and the most of the subtype was IBS-M (42.6%). Meal (times/day), breakfast, stress, quality of sleep, neuroticism, bodily pain, general health, social function, role emotional restriction, mental health, somatization, obcessive-compulsive state, depression, anxiety, hostility, global severity index, positive symptom distress index, positive symptom were significantly different between IBS group and non-IBS group. The prevalence of IBS was low in the higher score of role emotional in general health state. There were more 2 times students who had score of the obsessive-compulsive in psychological health over the 50 than below the 50 in IBS group. Conclusion: 7.7% of students were diagnosed by Rome-III criteria and the most of the sybtype was IBS-M. The risk factors of IBS were role emotional restriction, obsessive-compulsive state.

A Clinical Study of Acute Low Back Pain Patients in Muscular Origin Through Symptom Check List-90-Revision(SCL-90-R) (급성 근육기인성 요배부 통증환자에 대한 간이정신진단검사를 통한 고찰)

  • Lee, Kang-Su
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.1
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    • pp.1-14
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    • 2006
  • Objectives : The causative pathology of acute muscular pain cannot be defined in many patients. To evaluate the relations between mental state and acute muscular pain patients, the author surveyed symptom check list-90-Revision(SCL-90-R) in patients with acute muscular pain. Materials and Methods : From November 2004 to June 2005, a questionnaire including SCL-90-R was given to patients(52 persons) who visited our department for acute(<7days)muscular pain of neck(22 persons) or low back(30 persons). Fifty two patients(30 male, 22 female) completed SCL-90-R Results : 1. Mean values of T-scores on all 9 basic scales in the patients groups were within normal range. but T-scores SOM in the patients groups were significantly very higher than those in Normal groups(p<0.01). 2. The T-scores of SOM In low back pain patients were significantly higher than those in Normal groups(p<0.05). 3. There was no significant difference in all scales between acute muscular pain and L-spine HIVD patients groups. 4. There was no significant difference in all scales between acute muscular pain and general back pain patients groups. 5. There was no significant difference in all scales between male and female in the patients groups. Conclusion : It is concerned between T-scores on all 9 bas κ scales of SCL-90-R and acute muscular pain. Especially acute muscular pain of back has a relation to somatization of T-scores on all 9 basic scales of SCL-90-R.

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Posttraumatic Stress in Fire fighters (소방대원의 외상후 스트레스 실태)

  • Koh, Bong-Yeun
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.3
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    • pp.5-15
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    • 2008
  • Purpose : This study is a descriptive research to provide basic factors of posttraumatic stress in Firefighters. This study was carried out to develop the effective program for the fire fighters to cope with the posttraumatic stress following the disasters. Methods : The questionnaires were collected among fire fighters who serviced in K and I community from April 1 to June 30 in 2008. Total 304 questionnaires were analyzed by SPSS WIN program for descriptive statistics, Pearson's correlation coefficient and t-test. Results : 1. 48.0% of 300 fire fighters were at the age of 31-40, and 42.3% were under 30. 2. Work burden had a significant difference of 2.30 in low-risk group, 2.60 in high-risk group(t-value=-3.85, p=0.00). However, life event had no significant difference 0.79 event in low-risk group, 1.41 event in high-risk group(t-value=-2.27, p=0.24). 3. Concerning posttraumatic stress factors, there was positive correlation between mobilization impact level r=0.38(P<0.01), work burden r=0.38(p<0.01), and life event r=0.27(p<0.01). 4. According to the Symptom Check List-Revised(SCL-90-R), somatization had a significant differences(t-value=5.46, p=0.00), obsessive-compulsive(t-value=7.16, p=0.00), interpersonal sensitivity(t-value=6.15, p=0.00), depression(t-value=6.62, p=0.00), anxiety (t-value=7.33, p=0.00), hostility(t-value=5.94, p=0.00), phobia anxiety(t-value=6.85, p=0.00), paranoid ideation(t-value=5.55, p=0.00), psychotism(t-value=6.52, p=0.00) in low-risk and high-risk group. Conclusion : As a consequence, mobilization impact, work burden, and life event were the influential factors on posttraumatic stress. Also, high-risk group revealed significantly higher score on all 9 scales. The information obtained from surveys made recommendation to develop the intervention of stress management to control mobilization impact and posttraumatic stress.

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Stress, Anxiety, and Depression of the Patients Who Complained of Functional upper Gut Symptoms (기능성 상부 위장관 증상을 호소하는 환자의 스트레스, 불안 및 우울)

  • Lee, Sang-Yeol;Shean, Sung-Hun;Choi, Suk-Chei
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.3-12
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    • 1998
  • Objective : The sensation of dysphagia, heartburn, globus hystericus, and functional dyspepsia are common symptoms of the functional upper gut disorders. This study was designed to investigate quantity of perceived stress, depression, and anxiety in the patients with functional upper gut symptoms whose esopahgeal manometry(EM) and gatroesophageal reflux (GERT) test were normal. Methods : A total of 38 patients who complained of the symptoms had been tested with 24-hour ambulatory EM and conventional GERT in our gastrointestinal clinic. Thirty patients whose tests had been normal(patients group) were assessed with Symptom Checklist-90-Revision(SCL-90-R), Beck Depression Inventory(BDI), and Spielberger Stait-Trait Anxiety Inventory(STAI) and compared with 30 patients(control group) without functional upper gut symtpoms in the hepatobiliary clinic. The two groups were also assessed by quantity of perceived stress during the last year through self-report. Results: 1) These patients tended to be predominently female, older, and possessed a lower education than control group. 79% of 38 patients who had been tested were normal. 2) Compared to the control group, the patients had significantly higher mean scores on four subscales(somatization, depression, anxiety, and positive symptom distress index). 3) The patient group had significantly more perceived stress than the control group. 4) The patients group had significantly higher levels of depression than the control gorup, but there was not any significant difference in the STAI. 5) There were significant positive correlations between the BDI score and the STAI-trait, the STAI-stait and the STAI-trait, the quantity of perceived stress and the STAI-trait. Conlusion : The patients with functional upper gut symptoms displayed more, psychological distress, sornatization, anxiety, and deperssion. Among them, patients had higer depression than control group. Functional upper gut symtoms could be more appropriately viewed as somatic symptoms of depression. These findings suggest that such patients need to have psychiatric intervention and treatment.

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