• 한국사회복지학
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• 제35권
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• pp.263-288
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• 1998

실직자를 위한 위기개입 프로그램을 운영하여 그 효과를 분석하였다. 재가 실직자와 가출 실직자 두 집단에 위기개입 프로그램을 제공했다. 프로그램의 내용은 실직에 대한 자신의 감정 이해, 가족관계의 변화 이해 및 가족 관계 개선, 인지 재구조화를 통한 우울 감정의 감소, 이를 통한 자신감 고취, 자기주장 훈련, 구직 기술 습득 등이었다. 자기주장 정도, 가족관계, 우울정도에서의 변화를 사전 사후 검사하여 프로그램의 효과를 분석했다. 재가 실직자 집단에서는 자기주장 점도에 있어서 사전 사후 검사에서 통계적으로 유의미하게 향상되었다. 가출 실직자 집단에서는 가족관계에서 통계적으로 유의미하게 향상됨을 보여 주었다. 집단 과정에 대한 질적인 분석도 행해졌다. 연구 결과에 대한 해석과 프로그램의 개선점이 논의된다.

• 대한불안의학회지
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• 제19권2호
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• pp.56-60
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• 2023

Progressive supranuclear palsy (PSP) is rare atypical Parkinsonism accompanied by various psycho-behavioural problems. In this case report, we describe the diagnostic and treatment progress of a 65-year-old PSP patient who visited the psychiatric clinic with a depressed mood and lumbar pain resulting in a suicide attempt. Over the course of 30 months of treatment, typical characteristics of PSP, such as postural instability, dyskinesia, cognitive dysfunction and supranuclear gaze palsy, became prominent, and magnetic resonance imaging and the F-18 FP-CIT positron emission tomography revealed midbrain atrophy and reduced dopamine uptake in the basal ganglia. When treating elderly patients with depression, parkinsonism symptoms such as gait disturbances, frequent falls, tremors, and rigidity should be closely examined.

• 한국융합학회논문지
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• 제13권5호
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• pp.389-400
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• 2022

본 연구는 1인 가구원의 정신건강의 영향요인을 확인하기 위하여 수행되었다. 제8기 1차연도 국민건강영양조사 자료(2019)를 활용한 연구로 연구대상자는 19세 이상의 1인 가구원 768명이었고, SPSS/Win 21.0 프로그램을 사용하여 복합표본 분석을 하였다. 1인 가구원 중 스트레스 인지가 높은 경우는 29.9%, 우울감이 있는 경우는 16.2%, 자살생각이 있는 경우는 8.2%로 나타났다. 스트레스의 영향요인은 연령과 주관적 건강상태이었고(p<.001), 우울감 영향요인은 가구소득, 주관적 건강상태 및 스트레스 인지로 나타났으며(p<.001), 자살생각 영향요인은 연령, 가구소득, 주관적 건강상태, 스트레스 인지 및 우울감이었다(p<.001). 본 연구결과는 1인 가구원의 정신건강 서비스 개선을 위한 기초자료로 활용될 수 있을 것이다.

• 보건행정학회지
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• 제31권3호
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• pp.374-383
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• 2021

Background: The purpose of this study is to identify the factors affecting the depressive mood experience in university students by gender. Methods: This study is a descriptive survey that conducted a secondary analysis using data from the 2020 Community Health Survey, which is conducted annually in Korea. The study targets 8,928 college students, 4,682 male students and 4,246 female students. Data analysis was conducted after creating a composite sample plan file that reflected layering variables, colony variables, and weights. Results: Factors affecting the depressive mood experience of both males and females were household income, smoking, subjective stress levels, changes in drinking and smoking, and the number of encounters caused by coronavirus disease 2019 (COVID-19). Factors influencing the depressive mood experience of females were the presence of breakfast, changes in physical activity due to COVID-19, and the presence of helpers in self-quarantine due to COVID-19 (p<0.05). Conclusion: Psychological counseling programs should be promoted to actively utilize mental health in those in their 20s and 30s. Universities also need to detect depressed students early through screening and perform timely and appropriate interventions.

• 수면정신생리
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• 제29권2호
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• pp.40-44
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• 2022

Bipolar disorders are a group of mood disorders characterised by relapsing mood episodes throughout the course of illness. Patients with bipolar disorders commonly present with various sleep problems. Patients in a manic episode generally show decreased need of sleep and those in a depressed episode frequently complain about hypersomnia. Current literature even points to evidence that patients with bipolar disorder in euthymic state may still show signs of sleep disturbances when compared to the general population. Clinicians may also note intricate interactions between changes of circadian rhythm and evolution of mood episodes in patients with bipolar disorder. Also, commonly prescribed medications which plays a crucial role in treatment of bipolar disorders including mood stabilisers and antipsychotic medications often cause significant weight gain over time. Being a risk factor of sleep apnoea, weight gain can predispose the patient to develop sleep apnoea. In this narrative review, we summarised current evidence and literature regarding characteristics of circadian rhythm and comorbid sleep apnoea in patients with bipolar disorder. We also present literature regarding implications of circadian disturbance and comorbid sleep apnoea in managing patients with bipolar disorder.

• 대한불안의학회지
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• 제3권1호
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• pp.15-19
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• 2007

Substantial rates of comorbid anxiety disorders have been found using structured research diagnostic interviews in depressed outpatients. Comorbid anxiety disorders is underrecognized in routine clinical settings, in which clinicians usually use unstructured diagnostic interviews. Recognition of comorbid conditions such as anxiety disorders in patients seeking treatment for depression is clinically important because the presence of these disorders might influence selection of treatment options or predict the chronicity of the depression. A reliable and valid self-report screening questionnaire, such as the Psychiatric Diagnostic Screening Questionnaire (PDSQ), would potentially enhance usual clinical practice as a useful diagnostic aid.

• 정신신체의학
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• 제29권2호
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• pp.162-168
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• 2021

연구목적 역기능호흡은 일반 외래 진료에서 흔히 마주치는 증상이며, 삶의 질에 영향을 주지만, 간과되는 경우가 흔하다. 천식과 같은 호흡기 장애에서 유병률은 조사가 되었지만, 불안-우울장애에서는 연구가 적다. 본 연구는 정신과 외래에 방문한 불안-우울장애에서 역기능호흡의 유병률을 조사하고, 불안과 우울의 영향을 평가하고자 한다. 방 법 본 연구는 135명의 불안-우울장애 환자(불안장애 54명, 우울장애 81명)와 124명의 대조군을 대상으로 하였다. 역기능호흡 평가는 Nijmegen 척도를 사용하였고, 불안-우울의 정도는 병원 우울불안 척도를 사용하였다. 결 과 환자군에서 불안, 우울과 역기능호흡의 점수가 대조군에 비하여 높았다. 환자군과 대조군에서 역기능호흡의 점수에 대하여 불안은 유의한 설명력을 보였지만, 우울은 그렇지 않았다. 불안을 공변량으로 하여 비교하였을 때에도, 환자군의 역기능호흡의 점수가 대조군보다 높았다. 결 론 불안-우울장애환자들은 정상대조군보다 역기능호흡의 정도가 높다. 역기능호흡에 불안은 영향을 주지만, 우울은 영향을 주지 않는다. 또한 불안을 조정하였을 때도 역기능호흡의 정도는 불안-우울장애에서 정상대조군 보다 높다.

• 대한불안의학회지
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• 제10권2호
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• pp.115-127
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• 2014

Objective : Existing depression rating scales do not fully reflect depressed patients' perspective of remission, which goes beyond symptom resolution. The Remission from Depression Questionnaire (RDQ) captures a broader array of domains, and the present study examines the reliability and validity of the Korean Version of the RDQ (K-RDQ). Methods : The test-retest reliability of the K-RDQ was studied in 60 depressed patients and 30 normal subjects working at a university hospital. Subjects were evaluated at baseline and again 1-2 weeks later. The validity of the K-RDQ was studied in 200 depressed patients who were rated on the 17-item HDRS and the CGI-S ; each patient also completed the QIDS-SR, STAI-S, GHQ/QL-12, and SDS. Results : The K-RDQ demonstrated excellent internal consistency, with a Cronbach's ${\alpha}$ of 0.965 for the total scale and above 0.80 for each of the 7 subscales. The test-retest reliability of the total scale was 0.951. Mean K-RDQ scores ($45.79{\pm}18.65$) of the depressed patients were significantly higher than those ($15.87{\pm}10.60$) of the mentally healthy subjects (t=12.8, p<0.001). Five factors from the K-RDQ were extracted by principal axis factoring with equimax rotation. Conclusion : These results indicate that the K-RDQ is a reliable and valid measure that evaluates multiple domains that depressed patients consider important in determining remission. Thus, the K-RDQ maybe considered an appropriate tool for use in the clinical setting.

• 대한한방내과학회지
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• 제39권5호
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• pp.895-903
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• 2018

Objectives: This study reports on the efficacy of using integrative Korean medical treatments for Type 1 complex regional pain syndrome (CRPS). Methods: A 48-year-old female patient with Type 1 R/O CRPS was treated with herbal medicines, acupuncture, and pharmacopuncture for 38 days. The chief complaints were severe burning pain, general weakness, sleep disorder, and aggressive and depressed mood. The treatment effect was evaluated by measuring the numerical rating scale (NRS) of pain, improvement of the quality of sleep, and change in mood status. Results: After the hospital treatment, the patient's pain was controlled and the NRS score was decreased. Sleep and mood disorder also improved. Conclusions: The integrative Korean medical treatments appeared to be effective in reducing Type 1 CRPS symptoms. Further clinical research of patients with CRPS is needed.

• 대한불안의학회지
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• 제2권1호
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• pp.28-32
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• 2006

Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.