• 제목/요약/키워드: education panic

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공황장애 약물 치료에 대한 한국형 알고리듬 개발(3) - 인지행동치료 - (Development of the Medication Algorithm for Panic Disorder(3) - Cognitive Behavioral Therapy -)

  • 이상혁;양종철;윤세창;서호석;김찬형;유범희;김민숙
    • 대한불안의학회지
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    • 제4권1호
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    • pp.28-33
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    • 2008
  • Objective : A working group of psychiatrists from the Korean Academy of Anxiety Disorders was established to determine the appropriate medication algorithm for treating patients with panic disorder. In this article, we discussed the consensus among psychiatrists regarding the use of cognitive behavior therapy (CBT) in the development of a treatment algorithm for panic disorder in Korea. Methods : Based on the guidelines or algorithms published by the American Psychiatric Association, National Institute for Clinical Excellence, and Canadian Psychiatric Association, we constructed questionnaires regarding the core components and contents of CBT for patients with panic disorder. Fifty-four experts in panic disorder completed the questionnaires. Results : There was statistically significant consensus among the experts in the belief that cognitive reconstruction and psychological education are the core components of CBT for the treatment of patients with panic disorder. However, there was some inconsistency between the opinions of some experts regarding the content and frequency of CBT and the results of studies published outside of Korea. Conclusions : CBT, especially the psychological education and cognitive reconstruction components, should be considered when treating patients with panic disorder. However, further consideration needs to be put into the design of a more detailed treatment guideline for the use of CBT in the treatment of patients with panic disorder.

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한국의 교육광풍: 과연 한, 후회, 학습효과의 산물인가? (Koreans' Education Panic: A product of han, regret, or learning effect?)

  • 허태균;남궁재은;張薇
    • 한국심리학회지 : 문화 및 사회문제
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    • 제14권1호_spc
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    • pp.47-62
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    • 2008
  • 현재 한국의 지나친 교육열을 반영하는 비정상적인 교육현상에 대한 피상적이고 거시적인 설명만이 존재하고, 반면에 자녀교육을 결정하는 학부모 개개인의 심리적 기제에 대한 규명이 미흡했다. 이에 본 연구는 한국사회에서 널리 상식으로 받아들여지고 있지만 실제로 과학적인 방법으로 검증되지 않은 '부모 자신의 교육에 대한 한, 후회, 학습효과'와 같은 심리적 기제가 부모의 자녀교육양식과 자녀의 학습활동에 어떠한 영향을 미치는지를 조사하였다. 이를 위해, 초중고 548명의 학생과 그 부모에게 설문조사를 실시하였다. 설문결과에 따르면, 전반적으로 학습효과는 애정적 /자율적 양육태도와 합리적인 자녀교육의지와 관련되어 있는 것으로 밝혀졌다. 반대로 한과 후회는 거부적 /통제적 양육태도와 맹목적인 자녀교육의지와 관련되어 있었고 학업스트레스를 높이고 효능감을 낮추는 것으로 밝혀졌다. 이러한 결과들은 한국사회의 비정상적인 교육열이 단순히 교육열이 높고 낮음의 양적인 문제가 아닌, 그 심리적 근원에 따른 질적인 문제라는 것을 제안하고 있다.

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공황장애 인지행동치료의 최신 지견 (Recent Advances in Cognitive Behavioral Therapy for Panic Disorder)

  • 서호준;이강수;이상혁;서호석
    • 대한불안의학회지
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    • 제12권1호
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    • pp.47-55
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    • 2016
  • 30% of patients with panic disorder (PD) show treatment-resistant and chronic waxing and waning course. Therefore, adequate treatment strategies for PD by evidence based pharmacotherapy and combined cognitive behavioral therapy (CBT) are recommended. Regarding how and why CBT for PD works, three hypotheses include the cognitive theory, anxiety control theory, and behavioral theory were discussed. The recent findings that the altered activation in frontal lobe is normalized after CBT, suggest a reduction of an altered top-down fear processing in the neural correlates of CBT in PD. In order to improve accessibility to CBT, brief CBT and internet based CBT for PD were suggested. Despite limitations of sample sizes and study design, most of studies suggest that brief CBT is more effective than control conditions, and even as equally effective as standard CBT. The evidences suggest that internet based CBT may not be significantly different from face-to-face CBT in reducing anxiety. Several advances within the field of third-wave CBT for PD have led to the development of new techniques based on mindfulness, such as mindfulness-based cognitive therapy and acceptance and commitment therapy. Based on Korean algorithm project for panic disorder, especially the psychological education and cognitive reconstruction components were recommended in CBT with PD.

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주요우울장애를 동반한 공황장애 환자군의 임상적 특징 (Clinical Characteristics of Panic Disorder with Comorbid Major Depressive Disorder)

  • 이선우;이강수;이상혁
    • 생물정신의학
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    • 제25권3호
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    • pp.45-52
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    • 2018
  • Objectives The objective of this study was to investigate the differences in sociodemographic and clinical characteristics, temperaments, and quality of life between panic disorder (PD) patients with and without major depressive disorder (PD+MDD and PD-MDD patients, respectively). Methods We compared 411 PD-MDD and 219 PD+MDD patients. All patients who were drug-free for at least 1 month were assessed at initial outpatient visits before the administration of medication. The following instruments were used for assessment: the NEO Personality Inventory-Neuroticism (NEO-N) ; the Temperament and Character Inventory-Harm Avoidance (TCI-HA) ; the State-Trait Anxiety Inventory (STAI) ; the Intolerance of Uncertainty Scale-Short (IUS); the Anxiety Sensitivity Index-Revised (ASI-R); the Beck Depression Inventory (BDI) ; the Beck Anxiety Inventory (BAI); the Penn State Worry Questionnaire (PSWQ) ; the Generalized Anxiety Disorder for 7 item (GAD-7) ; the Albany Panic and Phobia Questionnaire (APPQ) ; the Panic Disorder Severity Scale (PDSS) ; the Early Trauma Inventory Self Report-Short Form (ETISR-SF) ; the Scale for Suicidal Ideation (SSI) ; the World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF) ; the Sheehan Disability Scale (SDS) ; and the Short Form health survey (SF-36). Results Compared to the PD-MDD patients, the PD+MDD patients were younger and more likely to be unmarried. They showed higher rates of unemployment, lower levels of education and income, younger age of onset, more previous suicide attempts, a greater incidence of agoraphobia, and more previous treatments. The PD+MDD patients showed significantly higher scores on the NEO-N, the TCI-HA, the STAI, the IUS, the ASI-R, the BDI, the BAI, the PSWQ, the GAD-7, the APPQ, the PDSS, the ETISR-SF, and the SSI. In addition, the PD+MDD patients showed significantly lower quality of life than did the PD-MDD patients. In contrast with previous studies, we observed no significant differences between the two groups in terms of gender, duration until treatment, and psychiatric comorbidities. Conclusions This study showed that the PD+MDD patients have more early trauma experiences, higher levels of anxiety-related temperaments, more severe panic and depressive symptoms, and lower quality of life than the PD-MDD patients.

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

  • 최강록;김대호;서호준;허휴정;이동우;채정호
    • 대한불안의학회지
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    • 제9권2호
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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.

가족여가 유형이 가족체계 역동성에 미치는 영향 연구 -자녀교육기의 도시가정을 중심으로- (A Study on the effects of Factors of Family Leisures on Family Intra-system Dynamics)

  • 지영숙;이태진;최보아
    • 가정과삶의질연구
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    • 제20권4호
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    • pp.189-196
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    • 2002
  • The purpose of this study is to investigate the effects of factors of family leisures on family intra-system dynamics and quality of family life. A total 309 questionnaires was analyzed from married men and women of school-age families. Factors of family leisures were classified in 'education oriented', 'hobby oriented', social oriented'and 'family oriented'in the study ahead.(Refer to Journal of korean Home Management association Vol. 19(2).) The major results of this research were as follows. First, family intra-system dynamics was classified 'individual progress', 'sentimental stability','interaction'and 'management efficiency'. Second, the group that participated more in 'social oriented'and less in 'family oriented'activities had higher level of 'individual progress'. The group that participated less in 'social oriented'and more in 'education oriented'activities had higher level of 'sentimental stability'The group that participated more in 'education oriented'activities had higher level of 'interaction'and 'management efficiency '. Based on the results as above, we suggest people need to overcome 'a mental panic'through the family leisure. And we need to develop concern with family leisure as a practical loaming.

Analyzing Gifted Students' Social Behavior on Social Media at COVID-19 Quarantine

  • Khayyat, Mashael;Sulaimani, Mona;Bukhri, Hanan;Alamiri, Faisal
    • International Journal of Computer Science & Network Security
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    • 제22권9호
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    • pp.7-14
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    • 2022
  • COVID-19 has caused a global disturbance, increased anxiety, and panic, eliciting diverse reactions. While its cure has not been discovered, new infection cases and fatalities are being recorded daily. The focus of the present study was to analyze the reaction of gifted undergraduate students on social media during the quarantine period of the COVID-19. A special group of gifted students, who joined the program of attracting and nurturing talents at the University of Jeddah, University students as were the target sample of this study. To analyze online reactions during the pandemic; the choice of university students was arrived at as they are perceived to be gifted academically. Hence, the analysis of the impacts on their behavior on social media use is imperative. This study presented accurate and consistent data on the effects of social media using Twitter platforms on gifted students during the quarantine occasioned by the COVID-19 pandemic. The behavior of learners due to during the use of social media was extensively explored and results analyzed. The study was carried out between April and May 2020 (quarantine period in Saudi Arabia) to establish whether the online behavior of gifted students reflects positive or negative feelings. The methods used in conducting this study the research were online interviews and scraping participants' Twitter accounts (where most of the online activities and studies take place). The study employed the Activity theory to analyze the behavior of gifted students on social media. The sample size used was 60 students, and the analysis of their behavior was based on Activity theory Overall, the results showed proactive, positive behavior for coping with a challenging situation, educating society, and entertaining. Finally, this study recommends investing in gifted students due to their valuable problem-solving skills that can help handle global pandemics efficiently.

COVID-19: an update on diagnostic and therapeutic approaches

  • Iyer, Mahalaxmi;Jayaramayya, Kaavya;Subramaniam, Mohana Devi;Lee, Soo Bin;Dayem, Ahmed Abdal;Cho, Ssang-Goo;Vellingiri, Balachandar
    • BMB Reports
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    • 제53권4호
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    • pp.191-205
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    • 2020
  • The unexpected pandemic set off by the novel coronavirus 2019 (COVID-19) has caused severe panic among people worldwide. COVID-19 has created havoc, and scientists and physicians are urged to test the efficiency and safety of drugs used to treat this disease. In such a pandemic situation, various steps have been taken by the government to control and prevent the Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). This pandemic situation has forced scientists to rework strategies to combat infectious diseases through drugs, treatment, and control measures. COVID-19 treatment requires both limiting viral multiplication and neutralizing tissue damage induced by an inappropriate immune reaction. Currently, various diagnostic kits to test for COVID-19 are available, and repurposing therapeutics for COVID-19 has shown to be clinically effective. As the global demand for diagnostics and therapeutics continues to rise, it is essential to rapidly develop various algorithms to successfully identify and contain the virus. This review discusses the updates on specimens/samples, recent efficient diagnostics, and therapeutic approaches to control the disease and repurposed drugs mainly focusing on chloroquine/hydroxychloroquine and convalescent plasma (CP). More research is required for further understanding of the influence of diagnostics and therapeutic approaches to develop vaccines and drugs for COVID-19.

출소 후 정신질환 치료결정에 영향을 주는 요인에 관한 연구 (Examining the Factors Affecting Prisoner's Decision-Making for Medical Treatment of Mental Illness after Release from Prison)

  • 홍문기;박종선
    • 디지털융복합연구
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    • 제20권1호
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    • pp.15-23
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    • 2022
  • 정신질환 재소자의 출소 후 치료에 대한 연구가 부족한 편이다. 본 연구의 목적은 정신질환 재소자들의 출소 후 치료결정에 영향을 주는 요인에 대해 분석하는 것이다. 따라서 2019년 남성 재소자들을 대상으로 설문조사를 실시하여 출소 후 치료에 대한 재소자들의 선호도와 여러 변수들의 인과관계를 이항 로지스틱회귀분석을 적용해서 분석하였다. 출소 후 치료계획이 없다고 응답할 가능성을 낮추는 요인은 재소자의 양극성 조울증, 우울증, 불안장애, 공황장애 증세이며, 반대로 출소 후 치료계획이 없다고 응답할 가능성을 높이는 요인은 수감 중 정신치료 경험이 없는 경우였다. 재소자의 양극성 조울증, 불안장애, 교도관 상담, 의사 치료와 학력은 정신건강병원에서 치료받을 계획이 있다고 응답할 가능성을 높이는 요인이었으며, 정신건강복지센터에서 치료받을 계획이 있다고 응답할 가능성을 높이는 요인은 재소자의 우울증이었다. 이를 바탕으로 관련 규정의 명문화, 정신질환 재소자 병력 공유 등을 정책대안으로 제안하며, 후속연구에서는 여성재소자들이 포함된 보다 다양한 변수들의 영향을 분석할 예정이다.

과거와의 대면 : ${\ll}$미르티스${\gg}$ 전시를 통해 기억된 아테네 대 역병 (Face to Face with the Past: Memorizing the Plague of Athens through the Exhibition)

  • 조은정
    • 미술이론과 현장
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    • 제14호
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    • pp.7-32
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    • 2012
  • The exhibition was started in 2010 in the New Acropolis Museum of Athens and embarked a journey since 2011 as a travelling exhibition inside Greece and abroad. The main purpose of the exhibition was to draw attention of the general public to the value of the 'rescue excavation' and of cultural heritage of Greece, by presenting the reconstruction bust of a girl whose skull was found in Kerameikos cemetery of ancient Athens. The new Kerameikos excavation was initiated by the construction of Metropolitan Railway lines in the center of Athens between 1992 to 1998. It revealed a pit of a mass burial where about 150 people were inhumed in a very hasty way without proper funeral rites or offerings. These bodies are identified as the victims of the infamous plague of Athens in the first years of the Peloponnesian War(430-426 BC). The epidemic disease killed almost one third of the city population including Pericles, and brought extreme fear and panic to the Athens society. The traditional funerary rites were totally disrupted, and the social decorum and the morality among the citizens became enfeebled. The plague and the civil war were the decisive factors to end the Golden Age of Democratic Athens. However, the exhibition organizers did not focus on the tragic aspect of this disaster and its casualties. Their main concern was to simplify the scholarly works of archaeological excavation and microchemistry analysis so that the exhibition viewers will easily understand and empathize the living value of the scholarly works of ancient Greek civilization. The centripetal element of the exhibition was the vivid face of an 11 years old ancient girl 'Myrtis', which was carefully reconstructed based on both the scientific data and artistic imagination. Also the set up of the exhibition was structured in order to stimuli cognitive and emotional experience of the visitors who witnessed the rebirth of a vibrant human being from an ancient debris. The museologists' continuous efforts to promote projects of contemporary artists, publications, and school programs related to the exhibition indicate that the ulterior motive of this exhibition is the cultural education of the present and future generation through the intimate experiences of ancient Greek life. Also this is the reason why the various museums that held the travelling exhibition try to make the presentation as a gesture of memorial service for an anonymous Athenian girl who deceased circa 2400 years ago. The pragmatic efforts of Greek scholars and museologists through exhibition show us a way to find a solution to the continuous threat of cultural resources by massive construction projects and land development, and to overcome public indifference to the history and cultural heritage.

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