• Title/Summary/Keyword: chronic mental illness

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Early Diagnosis of anxiety Disorder Using Artificial Intelligence

  • Choi DongOun;Huan-Meng;Yun-Jeong, Kang
    • International Journal of Advanced Culture Technology
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    • v.12 no.1
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    • pp.242-248
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    • 2024
  • Contemporary societal and environmental transformations coincide with the emergence of novel mental health challenges. anxiety disorder, a chronic and highly debilitating illness, presents with diverse clinical manifestations. Epidemiological investigations indicate a global prevalence of 5%, with an additional 10% exhibiting subclinical symptoms. Notably, 9% of adolescents demonstrate clinical features. Untreated, anxiety disorder exerts profound detrimental effects on individuals, families, and the broader community. Therefore, it is very meaningful to predict anxiety disorder through machine learning algorithm analysis model. The main research content of this paper is the analysis of the prediction model of anxiety disorder by machine learning algorithms. The research purpose of machine learning algorithms is to use computers to simulate human learning activities. It is a method to locate existing knowledge, acquire new knowledge, continuously improve performance, and achieve self-improvement by learning computers. This article analyzes the relevant theories and characteristics of machine learning algorithms and integrates them into anxiety disorder prediction analysis. The final results of the study show that the AUC of the artificial neural network model is the largest, reaching 0.8255, indicating that it is better than the other two models in prediction accuracy. In terms of running time, the time of the three models is less than 1 second, which is within the acceptable range.

Evaluation of Healthcare Organization Based Management Program in Korea - Using Chronic Care Model - (국내 보건의료기관 기반 청소년 비만관리 프로그램 현황 - 만성질환 관리모형을 중심으로 -)

  • Go, Dun Sol;Choi, Min Jae;Hong, Seok Won;Lee, Seon Heui;Kim, Young Eun;Noh, Jin Won
    • Korea Journal of Hospital Management
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    • v.21 no.1
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    • pp.14-31
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    • 2016
  • Obesity of adolescents causes mental and physical problems as well as social problems, which need prevention and management. Although a number of systematic reviews and meta-analyses on obesity programs for adolescents were conducted, there is no study evaluating the programs based on CCM(Chronic Care Model), an organizing framework for improving chronic illness care. This study was conducted to review the features of studies in obesity management programs and interventions of the selected studies were evaluated in terms of inclusion of components of the Chronic Care Model. 4 databases were searched for relevant studies in obesity management programs, which were published from 1994 to 2014 in Korea. Results were analyzed in a qualitative way. 14 studies were satisfied inclusion criteria. The interventions most frequently utilized the elements of self-management support(66.7%) and only 1 of the studies included more than three components of CCM. This study presents the direction of health policies about managements of metabolic syndrome, which means that we identified effective process of the obesity management programs for adolescents in Korea and also this study will be used as a basic information for the development of obesity management program.

A Case of Wernicke's Encephalopathy Associated with Hyperemesis Gravidarum (임신입덧으로 발생한 베르니케 뇌병증 1예)

  • Lee, Seung-Hyun;Lee, Se-Jin;Lee, Yun-Kyung;Ha, Jung-Sang;Lee, Jun
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.91-95
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    • 2004
  • Wernicke's encephalopathy is an acute-onset illness characterized by mental confusion, ataxia and ophthalmoplegia due to a thiamine deficiency. Immediate administration of thiamine prevents progression of the disease and reverses brain lesions. We have experienced a case of Wernicke's encephalopathy associated with hyperemesis gravidarum. As Wernicke's encephalopathy is mostly associated with chronic alcoholism, the possibility of Wernicke's encephalopathy may be ignored in young women. We emphasize the need for thiamine supplementation in the patient requiring intravenous alimentation such as hyperemesis gravidarum.

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Comprehensive Measures for Disease Prevention and Health Promotion (질병예방 및 건강증진 종합 대책)

  • 홍문식
    • Korean Journal of Health Education and Promotion
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    • v.8 no.1
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    • pp.5-13
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    • 1991
  • While the threat from traditional communicable diseases have been decreasing non communicable chronic diseases are increasing due to the aging of population and change in life pattern of the people such as over intake of cholesterol and lack of physical exercise etc. On the other hand, since 1980s, AIDS is spreading rapidly throughout the globe and environmental pollution, accidents, addictive diseases such as drug abuse and alcoholism are becoming serious factors to hinder the health promotion of the people. In order to improve general public health and promote individual health status, existing program for communicable disease control by the government such as tuberculosis, leprosy, STD and acute communicable diseases should be effectively continued. In principle, effort should be placed on eradication of source of infection, reduction of communicability of source in infection, treatment of source of infection as well as increase of individual registance to the diseases through immunization and improvement of physical status. Since the pattern of illness is being shifted from communicable diseases to non communicable chronic diseases such as cancer, cerebral hemorrhage, heart disease and hypertention etc., special emphasis should be placed on the prevention and control of those adult diseases. Early detection of the patients, registration and treatment of patients and health education should be systematically developed for effective control of the diseases. In addition, program activities on MCH, nutrition, dentistry, mental health, environmental health, accident prevention. medical delivery system, health insurance. and all other health issues should be improved in order to achieve our goal of health promotion.

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Results of Anxiety Disorder Screening Programat the 2013 Mental Health Exposition in Seoul (2013년 정신건강박람회 불안 장애 선별검사 결과)

  • Choi, Kangrok;Kim, Daeho;Seo, Ho Jun;Huh, Hyu Jung;Lee, Dong-Woo;Chae, Jeong Ho
    • Anxiety and mood
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    • v.9 no.2
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    • pp.147-153
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    • 2013
  • Objective : Despite the chronic nature and high social costs, individuals with anxiety disorders seldom seek treatment. Thus, education for public awareness and screening for the illness is tremendously important for mental health professionals. This study summaries and presents the results from Anxiety Disorder Screening Program during the Mental Health Exposition held in Seoul in April, 2013. Methods : We analyzed the data from 116 participants who agreed and completed the screening questionnaires during their visits to two-day Anxiety Disorder Screening Program prepared by the Korean Academy of Anxiety Disorder. The questionnaire comprised of modified Mobility inventory for agoraphobia, Contents of worries, Penn State Worry Questionnaire, Life Events Checklist, and Abbreviated Posttraumatic Stress Disorder Checklist. Results : Participants demonstrated high rates of anxiety symptoms and possible anxiety disorders. Experience of panic attack was reported by 45%, lifetime and 16% in the past month by respondents. Phobia was reported by 46%. Participants had an average of 3.3 pathological worries and among those, social or interpersonal content was most common (46%). At least one lifetime traumatic event was reported by 64%. By the cut-off scores in the literature, 46% had possible generalized anxiety disorder and 58% possible posttraumatic stress disorder. Conclusion : Our results suggested that many visitors to Anxiety Disorder Screening Program were in fact treatment seeking after experiencing some forms of anxiety symptoms. Further efforts for delivery of medical information and increasing public awareness for anxiety disorders are needed.

Semantic network analysis of schizophrenia through newspaper articles. (신문기사를 통해 본 조현병의 의미연결망 분석)

  • Song, Hye-Jin;Kim, Suk-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.375-384
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    • 2021
  • This study explored the change in keywords and topics in newspaper articles related to schizophrenia after the Gangnam murder case. The study examined newspaper articles related to schizophrenia for five years before and after the Gangnam murder case. A semantic network analysis was conducted using the NetMiner 4.4.1 program. 610 articles between 2013 and 2018 were retrieved from 8 national newsletters. The most frequent core keyword was 'treatment' before the murder case, but 'incidents' after the case. Four topics were identified: 'becoming chronic if missing the time of treatment due to prejudice', 'being curable with early treatment', 'living an ordinary life with medication', 'being indicted as a murderer while impaired by a mental disorder' before the murder case. After the case, four topics were identified: 'committing murder for delusions, not misogyny', 'medication non-adherence leads to more impulsive behavior', 'claiming leniency for criminals due to the mental impairment', 'killing the police who were mobilized to stop stabbing rampage'. These findings suggest that newspaper articles should provide accurate information about schizophrenia to reduce prejudice and stigma toward patients with schizophrenia and other forms of mental illness.

Correlations of Abnormal Involuntary Movements with Blood Glucose, Lipid Levels in Chronic Schizophrenics (만성정신분열병 환자들에서 비정상적 불수의 운동과 혈당, 지질과의 상관관계)

  • Kim, Hyeong-Seob;Kim, Eung-Jo;Lee, Joo-Ho;Ji, Seong-Hak
    • Korean Journal of Biological Psychiatry
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    • v.11 no.2
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    • pp.117-126
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    • 2004
  • Objects:It has been reported that the incidence of tardive dyskinesia(TD), the remarkable abnormal involuntary movement, was higher in the schizophrenics with high blood sugar levels and that TD had been improved by small amount of insulin-injection for 90 days. And also it was generally known that the blood lipids were higher in the schizophrenics with tardive dyskinesia. Thus, we tried to replicate the correlations of abnormal involuntary movements with blood sugar levels and blood lipids in chronic schizophrenics treated with antipsychotics. Methods:Thirty-eight male schizophrenic inpatients who were stable in clinical state with medications, were included. The patients who had been already diagnosed as diabetes mellitus(DM), organic brain disorder, substance- related disorder, physical illness were excluded and also we excluded female patients to remove the hormonal effect on TD. Eleven patients who ranked higher(above five) in the Abnormal Involuntary Movement Scale(AIMS) were assigned into 2 groups, a dibenese group and a placebo group. Diabinese or placebos were administrated for 3 weeks with antipsychotics and AIMS was rechecked. Results:There were no correlations between the total AIMS scores and blood sugar and lipids levels in all subjects. The means of total and subscale scores(objective, face, and extremity) of AIMS did not reveal statistical significances between diabinese and placebo groups. However(total, jaw, face, upper arm, and objective feeling), were statistically higher in the diabinese group than those in the placebo group. And correlations of total cholesterol(TC) with fast blood sugar(FBS), weight with body mass index(BMI) and waist, total glycerol (TG) with BMI were statistically significant. Conclusion:In this study, there were statistical significances in the changes in ratings of AIMS scores between the diabinese group and the placebo group. Application of oral hypoglycemic agent might be a way of improving abnormal involuntary movements in schizophrenics with abnormal involuntary movements or TD. Althogugh it was not certain that there were correlations of abnormal involuntary movement with blood sugar and lipids, correlations of TC/TG with AIMS, of FBS with AIMS cautiously suggest that the regular check of $HbA_1C$, waist, and weight are recommended for schizophrenics.

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A Study on Psychological and Physical Health of Families of Victims One Year after the Sewol Ferry Disaster (세월호 재난 1년 후 유가족의 심리적, 신체적 건강에 대한 연구)

  • Ko, Jeong-Kyung;Han, Eunjin;Shin, Cheolmin;Lee, Seung-Hoon;Park, Sol A;An, Sora;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.179-187
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    • 2018
  • Objectives : The purpose of this study was to assess physical illnesses, psychological difficulties, and daily life function of victims' family members one year after the Sewol ferry disaster, in order to establish a basis of strategies to promote their mental health and resilience. Methods : We statistically analyzed self-reported data collected from a survey conducted between March 22 and 28, 2015 with 139 family members of victims. Results : All respondents complained about one or more psychological difficulties, and 95.4% of them had newly diagnosed or exacerbated physical illnesses. An increased number of psychological difficulties was associated with a greater tendency to present physical illnesses including chronic headache, gastrointestinal, musculoskeletal, obstetrico-gynecological, genitourinary, and cardiovascular disease. In addition, the majority of respondents reported a decrease in life functioning. Specifically, 71.9% reported interpersonal avoidance and 63.9% reported difficulty in returning to work. Conclusions : Not only psychological trauma but also physical illness and daily functioning should be evaluated in detail and actively addressed in the bereaved family members after a catastrophe.

Oral Health Status of Some Patients with Chronic Mental Illness in Korea (일부 만성 정신질환자의 구강건강 상태)

  • Seo, Hye-Yeon;Jeon, Hyun-Sun;Park, Su-Kyung;Park, Ki-Chang;Chung, Won-Gyun;Mun, So-Jung
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.493-500
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    • 2013
  • The study aims to determine the status of oral health of mental illness patients and establish the preliminary data. The examinations and questionnaire survey were done 92 psychiatric patients to measure sociodemographic characteristics, decayed, missing and filled teeth (DMFT) index, patient hygiene performance (PHP) index, community periodontal index of treatment need (CPITN). Result of the missing teeth index in the state of oral health was higher in the hospital group (6.42) while the filled teeth index was higher in the center group (4.78). In the DMFT index, mental illness patients were higher than the national sample. The oral health status of medical aid recipients was poorer as the subjects were older and less educated (p<0.05). The PHP index was 3.41, close to the bad oral hygiene state. The hospital group (81.7%) required higher need for periodontal treatment. The periodontal health state was much poorer especially when the subject was in the age of 40's and 60's, received less education, and had no family (p<0.05). $CPITN_3$ was higher in the hospital group (13.3%) than the national sample (5.7%). The mental illness patients were socially vulnerable, therefore oral health care program should be needed and age, education level, health insurance type, presence of family and other factors needs to be considered in this approach.

Application of Rasch Analysis to the Korean Recovery Assessment Scale (한국판 회복평가척도의 라쉬분석)

  • Lim, Kyung-Min
    • The Journal of the Korea Contents Association
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    • v.15 no.10
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    • pp.354-361
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    • 2015
  • The purpose of this study is to investigate validation of the Recovery Assessment Scale(RAS) for Korean Version using Rasch analysis. This study included 60 patients who had chronic schizophrenia and were aged 18 or older. The data were analysed using a Rasch analysis to investigate whether the persons and items fit, the distribution of item difficulty and the appropriateness of the rating scale. 1 out of 60 subjects were found to not fit. 3 out of 24 items were also found to be misfit. The misfitted items was 'I believe that I can meet my current personal goals','Even when I don't care about myself, other people do. ','Coping with my mental illness is no longer the main focus of my life.'. Of the appropriate items, the most difficult was 'I can handle what happens in my life' and the easiest was 'Something good will eventually happen'. The RAS rating scale was shown to be appropriate for patients who had chronic schizophrenia. The item separation reliability was .70, and the person separation reliability was .94. Further studies are needed to investigate validity and criterion cut-off score for many patients with chronic mental illess.