• Title/Summary/Keyword: depression disorder

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Reliability and Validity Analysis of the Instrument on Pattern Identifications for Depression (우울증 변증도구의 신뢰도, 타당도 평가)

  • Lee, Hun-Soo;Kang, Wee-Chang;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.4
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    • pp.407-416
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    • 2015
  • Objectives: This study was performed to evaluate the reliability and validity of the instrument on pattern identifications for depression. Methods: Two assessors carried out an evaluation about the instrument on pattern identifications for depression, targeting 201 participants, who after taking the HAM-D score over 12 or under 7 twice. Results: Inter-assessor reliability was higher than intra-assessor reliability in a reliability analysis about classification of pattern identification evaluated by the instrument on pattern identifications for depression. Reliability of intra-assessor and inter-assessor showed a moderate to strong agreement when reliability analysis about classification score of the pattern identification had been performed. Reliability analysis to evaluate the validity of the instrument on pattern identifications for depression showed moderate agreement. Conclusions: The results reveal that reliability analysis of the instrument on pattern identifications for depression showed an over moderate agreement and validity analysis represented a positive correlation.

The Effects of College Students' Dual Use of Electronic Cigarette and Conventional Cigarette on Depression (대학생 중복흡연이 우울에 미치는 영향)

  • Kim, Hee Jin;Lee, Bokim;Song, Min Kyung;Lee, Jinhwa
    • Research in Community and Public Health Nursing
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    • v.32 no.2
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    • pp.186-194
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    • 2021
  • Purpose: This study was conducted to find out the association between dual-use of the electronic cigarette (EC) and conventional cigarette (CC) and depression among undergraduate students. Methods: The participants of this study were 225 undergraduate students who were attending two universities located in Ulsan metropolitan city. Descriptive statistics and multiple regression were conducted to analyze the data. Results: Nicotine dependence and depression were significantly higher in the dual-use group than in the single-use group. Dual-use of the EC and CC was significantly associated with depression among undergraduate students. In addition, quality of sleep was significantly associated with depression among undergraduate students. Conclusion: In order to prevent depression among undergraduate students, it is necessary to improve the awareness of the danger of dual use of the EC and CC.

A Study on The Oriental-medical Understanding of Depression (우울증(憂鬱症)의 한방적(韓方的) 이해(理解)에 관한 문헌고찰(文獻考察))

  • Jang Hyun-Ho;Kang In-Seon;Moon Hyung-Cheol;Hwang Yoo-Jin;Lyu Yeoung-Su;Kang Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.2
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    • pp.1-15
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    • 2001
  • According to ICD-10, The typical Depression are characterized by dejected mood, loss of interest and pleasure, feeling of helplessness. Also, other symptoms such as loss of attentiveness and concentration, guilty conscience, pessimistic attitude for the future, sleeping disorder, lack of appetite, thinking of or doing a self-injury or suicidal act may characterize Depression. These Symptoms of Depression are similar to Wool-Zeng(鬱證), Zeon-Zeng(癲證), Her-ro(虛勞), Bul-Sa-Sik(不思食), Tal-Young-Sil-Zeong(脫營失精), Bul-Myeon(不眠), Ki-Myeon(嗜眠) in Oriental Medicine. In general, Depression is classified into Wool-Zeng type and Zeon-Zeng type. The former is similar to the neurotic type of depression, the latter is similar to the psychopathic type of depression. The clear causes of Depression are not known yet. But psychodynamic and biological factors are assumed to cause Depression. Psychodynamic factors may correspond to Chil-Zeong(七情) and biological factors to Tae-Byeong(胎病) and Dam(痰) in Oriental medicine. In Occidental medicine, Depression is treated by psychotherapy and medication. Electrically-induced spasm therapy and phototherapy also used for the treatment of Depression. In Oriental medicine, Depression is treated by more various therapy such as herb medication, acupuncture and moxibustion, oriental psychotherapy and dirigation(Gi-Gong, 氣功). Depression is not easy to cure. When the treatments of Occidental medicine and Oriental medicine are mutually cooperated, more effective medical care might be expected. Therefore, futher study to treat depression by mutually cooperated therapy is necessary.

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A Practical Guide for Clinical Use of Antidepressants with Particular Reference to Major Depression (항우울제의 임상사용을 위한 실제적 지침 : 주요 우울증을 중심으로)

  • Yoon, Jin-Sang
    • Korean Journal of Biological Psychiatry
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    • v.1 no.1
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    • pp.17-30
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    • 1994
  • Several different classes of antidepressants(ADs) with newer drugs becoming available have been used for the phamacological management of a broad spectrum of mental disorders, among which depressive disorder is most commonly indicated. Successful clinical use of ADs requires a complete understanding of the psychopharmacological properties of ADs and on accurate knowledge of patients, characteristics based on clinical experience and theoretical framework. This paper aims at providing some practical information on the clinical use of ADs to assist clinicians in treating patients with major depression. The author describes (1) different classes of ADs and their presumed mechanisms of action, (2) clinical characteristics of ADs focusing on side-effect profiles, (3) some issues arising during the treatment course such as : a) pretreatment tasks, b) choice of ADs, c) therapeutic drug dose and monitoring of drug concentration, d) three stages of treatment and e) strategies in refractory depression and (4) ADs in special patient groups.

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Illness Intrusiveness by Symptoms in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 증상에 따른 지각된 질병 영향)

  • Kim, Inja;Lee, Eun-Ok
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.288-296
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    • 2004
  • Purpose: Illness intrusiveness (illness induced lifestyle disruption) by symptoms was investigated in 439 patients with rheumatoid arthritis. Method: The cross-sectional and retrospective survey design was used. Fatigue, disability, pain, and depression were considered as symptoms of rheumatoid arthritis. Result: Patients were reported to perceive more illness intrusiveness than other chronic disease patients such as end stage renal disease, bipolar disorder, and peritoneal dialysis patients. They were especially intrusive into work, health, and active recreation domains. Stepwise regression analysis identified four variables counting for 26% of illness intrusiveness variances: fatigue, disability, marital status, and depression. All of the symptoms except pain were found to significantly predict illness intrusiveness. Fatigue explained 16% of illness intrusiveness variances. Conclusion: Fatigue and depression usually overlooked by health professionals must be carefully assessed and managed to reduce perceived illness for rheumatoid arthritis patients.

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The Literature Review on the Obesity from a Psychiatrical Point of View (비만의 정신의학적 접근에 관한 문헌고찰)

  • Min, Kyung Jik;Choi, Bo Yun;Jung, In Chul;Lee, Sang Ryong
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.345-353
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    • 2004
  • This study analyzed the contents of the research papers concerning the obesity from a psychiatrical point of view. As a result, the following conclusion was drawn. 1. In obese people, negative emotions, especially depression were frequently reported. 2. Negative feelings, especially anger, anxiety, depression, induce binge eating and can lead to obesity. 3. Depression was related to the wrong body image more than to the body mass index. 4. Wrong body image affects eating attitudes, which may cause eating disorders. 5. To treat obesity or eating disorders, we must use psychosocial treatment, for example, supportive, cognitive or behavior therapy.

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Korean Clinical Practice Guideline for the Treatment of Depressive Disorders - The Present State and Future Direction of Development - (한국형 우울증 진료지침 개발 및 적용연구 - 우울증 진료지침 개발의 국내외 현황과 개발방향 -)

  • Lim, Se-Won;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.13 no.1
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    • pp.11-18
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    • 2006
  • Depressive disorder is one of well-known major public health problems in Korea. The socioeconomic burden of depression is growing bigger and bigger. Therefore, the Korean government decided to establish the clinical research center for depression for better care of patients with depression. One of the major task of the center is the development of Korean clinical practice guideline for depressive disorders. This guideline should reflect the clinical situation in Korea and meet Korean physicians' needs. In addition, it should be feasible and easy to use. We reviewed the present status of the guideline development in Korea and other countries, and introduces the scope, method, and goals of Korean clinical practice guideline for depression.

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Automatic Nerve Activity to Physiologic Response in Adult With Psychiatric Disorder: A Systemic Review (성인 정신장애의 청각자극에 따른 생리학적 반응 측정에 대한 체계적 고찰)

  • Jung, Hye-Rim;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.1
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    • pp.45-52
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    • 2011
  • Objective : The aim of this study was to provide the method to measure physiologic response using equipments and auditory stimulation, and the physiologic response features of adult psychiatric disorders through a systemic review. Methods : The systemic review was executed using PubMed. The key words for search were "auditory stimulation, auditory startle, electromyograph, skin conductance, heart rate, psychiatric disorder, anxiety disorder, schizophrenia, depression". 8 studies were used for data analysis, and all of levels of evidence were level II. The substances of the review were subject(population), auditory stimulation, measure equipments and physiologic response features of psychiatric disorder. Results : 1. The subjects for the studies were anxiety disorder(4) and schizophrenia(4). 2. Auditory stimulation was used in 8 studies and visual stimulation with auditory stimulation was used in 2 studies to induce physiologic response. 3. Every study used electromyograph, and skin conductance was used in 2 studies and heart rate was used in 2 studies with electromyograph to measure physiologic response. 4. The subjects for the studies, schizophrenia and anxiety disorder(PTSD, OCD) have different physiologic response features with the normal control group. Conclusion : All studies used simple tones as an auditory stimulation and electromyograph to measure physiologic response. Psychiatric disorders indicated larger response, shorter and delayed habituation. The objective and systematic study using physiologic measure to investigate the sensory feature of psychologic disorders.

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Clinical Characteristics of Formal Thought Disorder in Schizophrenia (조현병에서 형식적 사고장애의 임상적 특성)

  • Yang, Chaeyoung;Kim, Han-sung;Kim, Eunkyung;Kim, Il Bin;Park, Seon-Cheol;Choi, Joonho
    • Korean Journal of Biological Psychiatry
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    • v.28 no.2
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    • pp.70-77
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    • 2021
  • Objectives Our study aimed to present the distinctive correlates of formal thought disorder in patients with schizophrenia, using the Clinical Language Disorder Rating Scale (CLANG). Methods We compared clinical characteristics between schizophrenia patients with (n = 84) and without (n = 82) formal thought disorder. Psychometric scales including the CLANG, the Brief Psychiatric Rating Scale (BPRS), the Young Mania Rating Scale (YMRS), the Calgery Depression Scale for Schizophrenia (CDSS) and the Word Fluency Test (WFT) were used. Results After adjusting the effects of age, sex and total scores on the BPRS, YMRS and WFT, the subjects with disorganized speech presented significantly higher score on the abnormal syntax (p = 0.009), lack of semantic association (p = 0.005), discourse failure (p < 0.0001), pragmatics disorder (p = 0.001), dysarthria (p < 0.0001), and paraphasic error (p = 0.005) items than those without formal thought disorder. With defining the mentioned item scores as covariates, binary logistic regression model predicted that discourse failure (adjusted odds ratio [aOR] = 5.88, p < 0.0001) and pragmatics disorder (aOR = 2.17, p = 0.04) were distinctive correlates of formal thought disorder in patients with schizophrenia. Conclusions This study conducted Clinician Rated Dimensions of Psychosis Symptom Severity (CRDPSS) and CLANG scales on 166 hospitalized schizophrenia patients to explore the sub-items of the CLANG scale independently related to formal thought disorders in schizophrenia patients. Discourse failure and pragmatics disorder might be used as the distinctive indexes for formal thought disorder in patients with schizophrenia.

Comparison of Clinical Symptoms between Early and Late Onset Depression in Elderly Depressive Patients in Korea (한국의 노인우울증 환자에서 조발성 우울증과 만발성 우울증의 임상증상의 비교)

  • Park, Ki-Hong;Lee, Hwa-Young;Ham, Byung-Joo;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.17 no.3
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    • pp.145-152
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    • 2010
  • Objectives : Clinical differences between elderly patients with early and late onset depression have been described although these have been inconsistent. We aimed to compare differences of clinical symptoms using the 17 items Hamilton Rating Scale for Depression(HAM-D-17) between two groups. Methods : Data of 175 elderly patients with a diagnosis of major depressive disorder according to DSM-IV from January 2005 to November 2009 were collected. Seventy five patients were early onset depression and one hundred patients were late onset depression. Depressive symptoms were assessed by the 17-item Hamilton Rating Scale for depression. Results : There were some differences in HAM-D-17 scores between early and late onset depression. Early onset depression patients scored significantly higher in retardation(t = 2.41, p = 0.017) and somatic symptoms( general)(t = 2.37, p = 0.019) than late onset depression patients. Conclusion : We concluded that early onset depression patients have more severe psychomotor retardation and general somatic symptoms than late onset depression patients in Korea. Because of some limitations of this study, further investigations will be needed to validate this study results.