• Title/Summary/Keyword: depression disorder

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Comparison of Clinical Characteristics Between Respiratory and Non-Respiratory Subtypes of Panic Disorder (공황장애 호흡기 아형과 비호흡기 아형의 임상 특성 비교)

  • Ha, Ju-Won;Lim, Se-Won;Oh, Kang-Seob
    • Korean Journal of Biological Psychiatry
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    • v.16 no.1
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    • pp.46-52
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    • 2009
  • Objectives : The goal of this study was to compare the clinical characteristics of panic disorder respiratory subtype(PD-R) and non-respiratory subtype(PD-NR). Methods : 84 patients with panic disorder were enrolled and divided into 2 groups, 29 PD-R and 55 PD-NR. Diagnosis of panic disorder was evaluated using Diagnostic and Statistical Manual of Mental Disorders $4^{th}$ edition and Mini International Neuropsychiatric Interview. They were also measured with Hamilton Rating Scale for Anxiety(HAM-A), Hamilton Rating Scale for Depression(HAM-D), and Panic Disorder Severity Scale (PDSS). Results : PD-R group showed significantly higher scores in PDSS than those of PD-NR group(p=.027). After controlling for the severity of panic disorder and gender, PD-R group showed higher HAM-D and somatic anxiety subscale of HAM-A than those of PD-NR group. Furthermore, results of logistic regression analysis suggested that the somatic anxiety was a possible risk factor of PD-R(OR=1.404,p=0.009). Conclusion : These results suggest that somatic anxiety and depressive symptom would be important clinical characteristics of PD-R.

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A Review Study on the Treatment of Eating Disorder in Traditional Chinese Medicine (섭식장애의 치료에 대한 임상연구 동향 -중의학 논문을 중심으로-)

  • Jo, Sang-Ho;Ahn, Young-Jun;Lee, Seung-Hwan;Lim, Jung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.1
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    • pp.11-21
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    • 2016
  • Objectives: This study was performed to review the research trends in the treatment of eating disorder in traditional Chinese medicine (TCM). Methods: The CNKI database (China National Knowledge Infrastructure) was searched under the key words ‘Eating Disorder’, ‘Anorexia Nervosa’, and ‘Bulimia Nervosa’. Results: Thirteen articles were selected. These included 2 studies on bulimia nervosa, and 11 studies on anorexia nervosa. According to study design, studies were classified into 1 randomized controlled trial, 2 single group before-and-after studies, and 8 case reports. According to therapy method, they included 11 herbal medicine studies, and 2 complex treatment studies. The most common pattern identification was ‘liver qi depression’ (肝氣鬱結), and the most used herb was ‘Root of Bupleurum falcatum’ (柴胡). Most of the studies showed effective results. Conclusions: The results of our study indicated that TCM clinical studies on eating disorder were being conducted more actively than in Korean medicine. Korean medical treatment might be effective to relieve eating disorder symptoms. In the future, more scientifically designed clinical studies should be performed to prove the effectiveness of traditional Korean medicine treatment on eating disorder.

A Literature Review of Clinical Studies on Korean Medicine Treatment on Panic Disorder: Focused on Domestic Case Reports (공황장애의 한의학적 치료에 대한 임상연구 동향 분석: 국내 증례보고를 중심으로)

  • Seo, Ji-In;Lee, Yun-Jae;Jeong, Hye-In;Kim, Kyeong Han
    • Journal of Society of Preventive Korean Medicine
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    • v.25 no.2
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    • pp.61-83
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    • 2021
  • Objectives : This study was conducted to analyze the Korean medicine treatment on panic disorder in Korean clinical studies. Methods : The literatures were searched from 4 Korean databases(OASIS, SCIENCEON, KISS, RISS). We analyzed the publication year, study type, type of panic disorder, demographic information of participants, treatment periods, intervention type and details, outcome measurements and treatment results of selected studies. Results : 19 studies have been collected. 'Series of Ondam-tang', acupuncture at 'LI4·PC6', Moxibustion at 'ST36·CV4·CV12', 'Li-Gyeung-Byun-Qi' and 'Breathing Retraining' were most commonly used in treatment on panic disorder. 'Beck Depression Inventory(BDI)' and 'Subjective Investigator's Assessment(IA)' were most commonly used in outcome measurements. Most of the studies showed that Korean medicine treatment could improve the symptoms of panic disorder. Conclusions : We analyzed the research trends of Korean medicine treatment on panic disorder. Further studies are needed to establish the evidence for the treatment.

Effect of Untreated Depression in Adolescence on the Suicide Risk and Attempt in Male Young Adults (청소년기 치료받지 못한 우울증이 젊은 성인 남성의 자살 위험성 및 자살 시도에 미치는 영향)

  • Yang, Chan-Mo;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.29-35
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    • 2020
  • Objectives : Evidence regarding the association between untreated depression in adolescence and suicidal risk in male young adults is scarce. We aimed to assess the effect of untreated illness during adolescence on the suicidal risk and attempt after that first episode. Methods : As part of a cross-sectional study, between May 2017 and April 2018, a total of 260 patients with currently unipolar or bipolar depression were included in the final analysis. Multiple linear and logistic regression analysis were performed to evaluate the association between untreated mood disorder in adolescence and its effect on the suicidal risk and attempt. Results : In total 260 patients, 189 were classified as untreated group. The proportion of suicide attempts, total depression score, suicidal risk and number of suicide attempts were significantly higher in the untreated group. The most predictive factors of suicide attempts were history of untreated depression [Adjusted Odds Ratio (AOR)=4.19, 95% Confidence Interval (CI)=2.25-7.81, p<0.001] and diagnosis of bipolar depression (AOR=2.60, 95% CI=1.52-4.46, p<0.001). Conclusions : Although the untreated depression suggests higher rates of suicidality, a significant proportion (86.7%) of adolescent depression in this study did not receive psychiatric treatment. Future research should be needed to find better ways to decrease barriers in using mental health treatment and its contribution to reduction and prevention of adverse outcome.

Fibromyalgia: practical considerations for oral health care providers

  • Jeon, Younghoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.5
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    • pp.263-269
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    • 2020
  • Fibromyalgia is a syndrome characterized by chronic pain in the skeletal system accompanied by stiffness, sleep disturbance, fatigue, and psychiatric problems, such as anxiety and depression. Fibromyalgia commonly affects orofacial health, presenting with a variety of oral manifestations, including temporomandibular disorder, xerostomia, glossodynia, and dysgeusia. Therefore, oral healthcare providers need to be aware of this clinical entity to effectively manage oral symptoms and provide proper oral self-care modification and education on the nature of fibromyalgia. This review focuses on the epidemiology, pathophysiology, clinical manifestation, diagnosis, orofacial concerns, and treatment of fibromyalgia.

A Case Report of Depressive Disorder treated by Huini-san based on Shanghanlun Provisions (변병진단체계(辨病診斷體系)에 근거하여 회역산(回逆散)을 투여하여 호전된 우울증 1례)

  • Min, Joon Hong
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.115-125
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    • 2015
  • Objective : This case report aims to show the effect of Huini-san on depressive disorder. the patient was diagnosed with Soeum-byung based on Shanghanlun provisions. Methods : According to Diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Soeum-byung and the patients are treated with Huini-san. We evaluated the results of treatment by Korean Version of the Remission from Depression Questionnaire. Results : After taking Huini-san decoction for 2 month, the symptoms of patients improved Conclusions : This case report shows that effectiveness of using Huini-san according to Diagnostic system based on Shanghanlun provisions on depressive disorder.

A Case Report of Sleep Disorder with Anxiety (불안을 동반한 수면 장애 환자 치험 1례)

  • Hong, Namjung;Kum, Changjun;Park, Hyunmin;Lee, Jekyun
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.19 no.2
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    • pp.29-37
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    • 2013
  • Objectives: This case report presents a 29-years-old male patient. His chief complaint was insomnia, anxiety and chest discomfort. We diagnosed him with sleep disorder. During the therapeutic period, he experienced temporary improvement. Methods: We treated him with emotional freedom techniques(EFT), giungoren-therapy. Also, acupuncture and chuna therapy were accessorily practiced. The effects of treatment were measured by Beck depression inventory(BDI), state-trait anxiety inventory(STAI), insomnia severity index(ISI). Results: After treatment, the chief complaint have been subsided and improved. But, BDI, STAI, ISI score were not remarkably decreased. Conclusions: This result suggests that EFT and giungoren-therapy might be effective for sleep disorder patient with anxiety.

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Seasonal Affective Disorder: Focusing on Psychophysiological Aspects (계절성 정동장애: 정신생리학적 측면을 중심으로)

  • Sunhae Kim;Kounseok Lee
    • Sleep Medicine and Psychophysiology
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    • v.30 no.1
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    • pp.13-21
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    • 2023
  • The Seasonal Affective Disorder (SAD) is a disorder characterized by prolonged periods of depression and various physical and psychological symptoms experienced during specific seasons, typically winter. In this review aims to provide a comprehensive overview of SAD with a specific focus on psychophysiological aspects. Through the review from ancient times to the present, this paper explores the characteristics, causes, and underlying mechanisms of SAD. Particularly, it comprehensively reviews the research findings on the relationship between external factors such as light, sunlight, climate, and their association with SAD. Furthermore, the paper discusses the interplay between SAD and psychophysiological changes, along with the latest research trends in treatment and prevention strategies. By combining theoretical and practical perspectives on SAD, this article aims to provide a holistic understanding and offer suggestions for future research directions and clinical interventions.

A study of Fatigue, Depression and Sleep Disorders in Patients with Chronic Liver Disease (만성 간 질환자의 피로, 우울 및 수면장애)

  • Kim, Ji-Suk;Hong, Hae-Sook;Na, Yeon-Kyung
    • Journal of Korean Biological Nursing Science
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    • v.14 no.1
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    • pp.1-7
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    • 2012
  • The purpose of this study is to investigate the level of fatigue, depression and sleep disorders and to find the correlation between them in patients with chronic liver disease. Methods: The participants consisted of 130 patients with chronic liver disease who visited the C University Hospital in Daegu, Korea from July to August, 2011. Data were collected by a self-reporting questionnaire of the Revised Piper Fatigue Scale, Depression Inventory (BDI) and Sleep Scale. Collected data were analyzed by using PASW Statistics 18.0 program for descriptive statistics, T-test, one-way ANOVA and Correlation Analysis. Results: There were significant differences in fatigue scores (t=8.415, $p$=.004) and depression scores (t=10.08, $p$=.002) between subjects with symptoms of liver disease and those with no symptoms. There was no significant difference in sleep disorder scores. In addition, there is a significant correlation between fatigue and depression (r=.641), linking fatigue and sleep disorders (r=.578), and between depression and sleep disorders (r=.572). Conclusion: It is necessary to develop multidisciplinary intervention programs to relieve patientsuffering.

Cytisine, a Partial Agonist of α4β2 Nicotinic Acetylcholine Receptors, Reduced Unpredictable Chronic Mild Stress-Induced Depression-Like Behaviors

  • Han, Jing;Wang, Dong-sheng;Liu, Shui-bing;Zhao, Ming-gao
    • Biomolecules & Therapeutics
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    • v.24 no.3
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    • pp.291-297
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    • 2016
  • Cytisine (CYT), a partial agonist of ${\alpha}4{\beta}2-nicotinic$ receptors, has been used for antidepressant efficacy in several tests. Nicotinic receptors have been shown to be closely associated with depression. However, little is known about the effects of CYT on the depression. In the present study, a mouse model of depression, the unpredictable chronic mild stress (UCMS), was used to evaluate the activities of CYT. UCMS caused significant depression-like behaviors, as shown by the decrease of total distances in open field test, and the prolonged duration of immobility in tail suspension test and forced swimming test. Treatment with CYT for two weeks notably relieved the depression-like behaviors in the UCMS mice. Next, proteins related to depressive disorder in the brain region of hippocampus and amygdala were analyzed to elucidate the underlying mechanisms of CYT. CYT significantly reversed the decreases of 5-HT1A, BDNF, and mTOR levels in the hippocampus and amygdala. These results imply that CYT may act as a potential anti-depressant in the animals under chronic stress.