• 제목/요약/키워드: emotional disorder symptoms

검색결과 115건 처리시간 0.027초

임상에서 부모-교사 보고의 일치 : SDQ-Kr과 K-CBCL의 비교 (Agreement between Parent and Teacher Reports in Clinical Setting : Comparing SDQ-Kr with K-CBCL)

  • 김흥규;안정숙;김민혁
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권3호
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    • pp.127-133
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    • 2012
  • Objectives : The aims of this study were to examine agreement between parent and teacher ratings of the Korean version Strengths and Difficulties Questionnaire (SDQ-Kr) for the children's psychopathology and to determine whether it is effective in diagnostics as the Korean version of Childhood Behavior Checklist (K-CBCL). Methods : SDQ-Kr and K-CBCL were completed by parents and teachers of 165 children aged 6-12 years. The clinical diagnosis was made by a child and adolescent psychiatrist who did not have knowledge of the outcome. Spearman's correlations were computed for associations between parents' and teachers' ratings on a subscale level. The Mann-Whitney U test was performed for the influence of child's age and sex on the results. Finally, AUC values were calculated for the diagnostic capacity and the difference between informants was tested using the z test. Results : High correlations were observed between parents' and teachers' SDQ-Kr on every scale. Parents were more sensitive to emotional symptoms of girls, while teachers appeared to be more responsive to externalized symptoms of boys, inattention-hyperactivity of young children, and emotional symptoms of seniors. Parents' SDQ-Kr demonstrated the highest prediction of attention-deficit hyperactivity disorder. Conclusion : Teachers' SDQ-Kr can be used in identification of child psychopathology when parents are absent or when their reliability is considered low.

스트레스에의한 여성 울증(鬱證) 환자의 가미소요산(加味逍遙散) 치험 3례 (The Clinical Review on Three Cases of UL-syndrome(鬱證) induced by Chronic Stress)

  • 강병철;성경화;송일헌;김의철;권도익;박경훈;정성민;박준하;고은상
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.615-624
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    • 2004
  • UL-syndrome(鬱證) is a syndrome of emotional depression and various physical symptoms generally due to chronic psychological stress, without constitutional abnormality. These are cases of female patients suffering from headache, chest discomfort, heart burning, insomnia, dyspepsia, anorexia, fatigue and some other minor symptoms due to chronic stress. We diagnosed these cases as UL-syndrome and treated them with oriental medicine, specifically Gamisoyosan(加味逍遙散). This paper describes the symptoms that the patients suffered, the treatment used, and identifies stages in the development of UL-syndrome, and suggests a stage in which Gamisoyosan is efficacious.

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전증(癲證) 환자의 치험 1례 (A Case of Negative Symptoms of Schizophrenia)

  • 허은정;김지현;류희영
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.215-227
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    • 2010
  • Objectives : Jeon-Jeung(癲證) is one of negative symptoms from schizophrenia in Western medecine, which causes flattening of affect, emotional bluntness, and avolition. Compared with positive symptoms of schizophrenia, there is no established treatments that have been proved to be effective for negative symptoms, and since negative symptoms are chronically processed, they finally lead to devastate the mental health. Since Jeon-Jeung(癲證) is usually in set in adolescent period and tends to become chronic through life time, it is important to start getting treatments in early stage by being distinguished from other diseases, such as anxiety disorder. A patient in this case was affective blunting, general weakness, and delusion when sixteen years old. However, he refused to get Western medicine treatment and wanted oriental medicine treatment. Methods : The patient in this case had been suffered from severe stress from his family since he was young and had kept having irregular and unhealthy eating habits. Therefore, he diagnosed stagnant qi transforming into fire(氣鬱化火), heart blood deficiency(心血虛), and spleen-stomach deficiency cold(脾胃虛寒) and since then he had received several treatments including herbal treatment, acupumcture treatment, supportive therapy, and family therapy. These treatments were successful and reduced the level of symptoms. After discharged from the hospital, he had continued receiving outpatient treatment with his family for 8 months and his progress had been still observed after the discharge. Results : The symptoms of patient had been almost reduced and eliminated after he received 29days of admission treatment and the patient got better and better and now lives a normal life 8 months outpatient treatment. Conclusions : This result suggests that our oriental medical treatments and family treatments was effective on schizophrenia.

외상후 스트레스 증상완화를 위한 새터민의 음악사용 (The Use of Music for Alleviating PTSD Symptoms Among North Korean Resettlers)

  • 김하늬;이진형
    • 인간행동과 음악연구
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    • 제12권2호
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    • pp.79-97
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    • 2015
  • 본 연구의 목적은 PTSD 증상완화를 위한 새터민의 음악사용 실태를 파악하고 이와 관련된 특성을 탐구하는 것이다. 연구자는 수도권에 거주하는 80명의 새터민을 대상으로 외상경험, PTSD 증상, 증상 관련 음악활용에 대한 설문을 하였고 총 78부를 분석하였다. 분석 결과 설문에 참여한 모든 새터민이 외상사건에 직 간접적으로 노출된 경험이 있으며 이 중 32%가 하나 이상의 PTSD 관련 증상을 보이는 것으로 나타났다. 대다수의 참여자는 일상 뿐 아니라 PTSD 증상완화를 위한 음악활용의 필요성에 대해 긍정적으로 인식하고 있는데 38%만이 일상 속에서 활용하는 반면, 75%는 PTSD 증상완화를 위해 음악을 사용하고 있음을 보고하였다. 새터민들은 감상 위주로 음악을 접하지만 노래 부르기도 활용하였으며 음악활용의 목적으로 정서 안정과 환기를 가장 중요하게 평가했다. 보편적으로 남 북한 노래들을 모두 언급하였고 다양한 선곡의 이유와 고려사항들을 제시하였는데 이는 앞으로 새터민을 위한 음악의 치료적 활용에 있어 중요한 기초자료로써 의의가 있다.

과민성대장증후군의 형상의학적 고찰 -동의보감(東醫寶鑑)을 중심으로- (Hypersensitive Large Intestine Syndrome in Hyungsang Medicine)

  • 최병래;최영현;한진수;이용태
    • 동의생리병리학회지
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    • 제19권5호
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    • pp.1129-1136
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    • 2005
  • The writer reports the conclusions gained from study about the cause of the hypersensitive large intestine syndrome with Dongeuibogam as the central figure through researching the disharmony among Body Essence, Vital Energy, Mentality, and Blood, mutual action of five viscera and six bowels, and external shapes. The hypersensitive large intestine syndrome is generally chronic and recurred in many cases, so it is more efficacious than symptomatic to treat according to find the contradictions of individual shapes. The shapes and cases suffering frequently the hypersensitive large intestine syndrome are Gi-kwa and Sin-kwa, having a long nose, having a bruised spot on Triple warmer, man with inclined mouth, Taeeum type, man with congested fluids, man with colic symptoms. The hypersensitive large intestine syndrome in Oriental medicine is recognized of diarrhea, constipation, abdominal pain, abdominal distention and fullness caused by seven emotions. In Dongeuibogam it can be found out the similarity in depressive symptoms due to disorder of Gi, stagnation of Gi, dysphasia due to disorder of Gi, diarrhea due to disorder of Gi, fullness of due to Gi, diarrhea due to phlegm-retention, retention of undigested food, immoderate drinking, hypo-function of the spleen, or deficiency, abdominal pain from colic symptom, and difficulty in defecation and urination, internal injury, diarrhea due to weakness and fatigue. If the Jung, Gi, Sin, and Hyul composed the human body is broken harmony, the function of large intestinal transmission would be fallen, so similar symptoms like the hypersensitive large intestine syndrome are gotten. Especially Gi-kwa suffers diarrhea, constipation abdominal pain, and abdominal distention and fullness due to depressive symptoms from disorder of Seven emotions or Seven Gi. And Sin-kwa suffers from the hypersensitive large intestine syndrome due to emotional restlessness having an influence on rhythmic movement of abdomen. Examining between five viscera and six bowels and the hypersensitive large intestine syndrome, Liver cannot disperse well having influence on mutual relation of Liver-Large intestine, Heart reduces the function of defecation and urination not to control the seven emotions, Lung having exterior and interior relation with intestine has an influence on primordial energy and let the main symptoms occur, Spleen circulating the body fluid let the main symptoms occur due to malfunction of circulation, Kidney locating in lower part of the body has deep connection with intestine, so let the disorder. Urinary bladder is connected with intestine in moisture metabolism, Stomach is connected in receive and transmission, Small intestine is connected in absorption and excretion, from small intestine pain disturbing the abdominal movement, Samcho managing the catharsis of lower heater if declined its function causes the hypersensitive large intestine syndrome. The colic symptoms of Front private parts which disorder in lower abdomen give rise to abdominal pains, difficulty in defecation and urination due to Cold are similar to the hypersensitive large intestine syndrome. The treatments of applying the shapes of colic syndrome advocated by Master Park can be efficacious cure in clinic. Researching after the clinical cases of Master Park advocating Hyungsang medicine, we came to know that plenty of prescriptions of internal injury are applied and take good effects.

반항성 도전 장애 아동과 연관된 공존 증상 및 위험 요인에 관한 연구 - 지역사회 연구 - (COMORBIDITY AND RISK FACTORS ASSOCIATED WITH CHILDREN WHO HAVE THE SYMPTOMS OF OPPOSITIONAL DEFIANT DISORDER - COMMUNITY BASED STUDY -)

  • 김붕년;정광모;조수철;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.79-89
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    • 2005
  • 연구목적 : 본 연구에서는 지역사회에서 확인된 반항성 도전장애 (Oppositional defiant disorder 이하 ODD) 아동들을 대상으로 이들의 역학적 특징, 공존 정신병리 및 환경적 위험 요인을 파악하고자 하였다. 방법 : 본 연구는 서울 근교의 지방도시(부천시)에서 무작위로 선정된 1학년부터 6학년까지의 초등학생 986명을 대상으로 시행되었으며, 모든 정보는 부모로부터 얻었다. 우선 DSM-III-R과 DSM-IV에 의한 파탄적 행동 평가척도를 통해 대상군을 선정하였고, 나머지 군을 대조군으로 선정하였다. 소아행동조사표, 아동성격척도를 통해 아동 문제 및 기질을 조사하였다. 또한 가족적응/결속척도, 가족기능/만족도척도를 통해 가족 기능을 평가하였고, 동시에 임신-분만-주산기 문제들을 조사하였다. 두 군간의 차이는 t-검정과 $\chi^2$-검정을 통해 비교하였다. 결과 : ODD군 아동은 대조군에 비해 아동행동조사표(child behavior checklist : CBCL)의 모든 소항목과 파탄적행동장애평가표(disruptive behavior disorder scale : DBDS)의 주의력결핍/과잉행동 장애 항목에서 유의하게 높은 점수를 보여 전반적인 공존 정신병리가 심한 것으로 평가되었고, 가족 결속력, 가족 기능/만족도가 낮은 것으로 평가되었다. 임신-분만-주산기 문제 중에서는 임신기의 심한 정서적 스트레스, 임신 중 약물 복용, 산후 우울증 빈도에서 대조군에 비해 유의하게 높은 빈도를 나타냈다. 성격척도에서는 ODD군이 보다 높은 위험회피성, 새것추구성을 보이는 것에 반해 보상의존성은 낮은 것으로 평가되었다. 결론 : 본 연구는 ODD를 독립된 대상군으로 선정하여 시행된 첫번째 지역사회 연구라는 점에 의의를 가진다. 본 연구의 결과는 반항성 도전장애 아동들에게 임신-분만-주산기의 생물학적인 환경적 위험 요인과 가족 기능으로 대표되는 심리-사회학적인 환경적 위험 요인이 동시에 증상 발현에 관여할 가능성이 있음을 시사하는 것이다. 또한 대조군에 비해 높은 수준에서 주의력결핍과잉행동장애(attention deficit hyperactivity disorder ; ADHD), 우울, 불안 등의 다양한 공존 병리를 보여 ODD에 동반된 증상에 대한 정확한 진단과 치료가 요구된다고 할 수 있다. 향후 ODD의 질병 경과를 파악하고 위험 요인간의 상호관계를 밝히며 공존 병리 존재 시 치료 모델을 확립하기 위한 보다 자세한 연구가 요구된다.

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한국형 성인 ADHD 평가척도 개발 연구 (Development of Korean Adult ADHD Rating Scale)

  • 강태웅;김재원;반건호;송숙형;김준원;김지훈;김윤정;김의정;김태호;양수진;양재원;이소영;박준호;최지욱;한덕현
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권4호
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    • pp.295-310
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    • 2015
  • Objectives : Symptoms of attention-deficit hyperactivity disorder (ADHD) during childhood may persist into adulthood. This study included the development and validation process of the Korean Adult ADHD Rating Scale (K-AARS), which was developed for screening and monitoring treatment of adults with ADHD. Methods : Preliminary questionnaires of the K-AARS were based on the reviews of previous adult ADHD scales and clinical experiences of the board certified child and adolescent psychiatrists in Korea. For this study, 136 adults (18-50 years old) with inattention, hyperactivity and/or impulsivity symptoms were enrolled as ADHD subjects, and compared with 406 control subjects (18-50 years old) without ADHD symptoms. Construct validity was examined using explorative factor analysis and Cronbach's alpha to obtain internal reliability coefficients. Concurrent validity was evaluated by comparison with the Conners' Adult ADHD Rating Scale (CAARS). Results : An explorative factor analysis showed that the K-AARS had 8 factors (inattention, hyperactivity, impulsivity, antisocial personality disorder/conduct disorder/oppositional defiant disorder, impairment, driving, emotional dysregulation, disorganization). K-AARS was highly reliable in terms of internal consistency (Cronbach's alpha 0.77-0.95) and correlation between factors (0.57-0.86). Concurrent validity with the CAARS and discriminant validity were statistically significant. Conclusion : The K-AARS is a valid and reliable measure for assessment of Korean adults with ADHD.

독서요법과 뉴로피드백을 시행한 심비양허형(心脾兩虛型) 울증(鬱證)환자 치험(治驗) 1례(例) (The Case Study of a Patient with Simbiyangheo type Ul-zeong who has treared by Bibliotherapy and Neurofeedback)

  • 임정화;최강욱;정인철;이상룡
    • 동의신경정신과학회지
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    • 제17권2호
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    • pp.187-198
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    • 2006
  • Bibliotherapy is the field of clinical counceling to treat the emotional, psychiatric and social maladjustment. Neurofeedback is a means by which participants can team voluntary control of the EEG and has been applied to a range of clinical conditions such as epilepsy, attention deficit hyperactivity disorder, depressive disorder. 'Ul-zeong' comes from obstruction of qi by stress. The mind affect the body. The patient has depressed mood, irritable sign, chest discomfort, flank pain, angry state and some strange feeling on the throat. In this case, a female patient, 30 years old, who complained of amnesia, deficiency of the power of the attention and concentration depersonalization, depressed mood, insomnia ect. We treated the patient with bibliotherapy, neurofeedback and oriental medical treatment such as heral medicine, acupuncture treatment and aroma therapy. In result, the symptoms which she complained were improved.

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지발형 오르니틴 트랜스카바미라제 결핍증 환자들의 신경학적 예후 (Neurological Outcome of Patients with Late-onset Ornithine Transcarbamylase Deficiency)

  • 장경미;황수경
    • 대한유전성대사질환학회지
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    • 제22권1호
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    • pp.15-20
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    • 2022
  • The most common urea cycle disorder is ornithine transcarbamylase deficiency. More than 80 percent of patients with symptomatic ornithine transcarbamylase deficiency are late-onset, which can present various phenotypes from infancy to adulthood. With no regards to the severity of the disease, characteristic fluctuating courses due to hyperammonemia may develop unexpectedly, and can be precipitated by various metabolic stressors. Late-onset ornithine transcarbamylase deficiency is not merely related to a type of genetic variation, but also to the complex relationship between genetic and environmental factors that result in hyperammonemia; therefore, it is difficult to predict the prevalence of neurological symptoms in late-onset ornithine transcarbamylase deficiency. Most common acute neurological manifestations include psychological changes, seizures, cerebral edema, and death; subacute neurological manifestations include developmental delays, learning disabilities, intellectual disabilities, attention-deficit/hyperactivity disorder, executive function deficits, and emotional and behavioral problems. This review aims to increase awareness of late-onset ornithine transcarbamylase deficiency, allowing for an efficient use of biochemical and genetic tests available for diagnosis, ultimately leading to earlier treatment of patients.

수면 무호흡과 수면이 기억기능에 미치는 영향 (The influence of sleep and sleep apnea on memory function)

  • 이성훈;이나영;박윤조;전덕인
    • 수면정신생리
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    • 제5권2호
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    • pp.177-184
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    • 1998
  • Objectives : Disturbance of sleep with or without sleep apnea may impair the memory function. Sleep deficiency, sleepiness, sleep apnea and emotional problem in sleep disorders can induce an impairment of memory function. Methods : In this study, the polysomnographies were administered to 58 sleep apnea patients and 38 sleep disorder patients without sleep apnea. Their clinical symptoms were quantitatively evaluated. Short term and long term memory were evaluated before and after polysom no graphy with Digit symbol test and Rey-Osterrieth complex figure test. And correlations among various sleep, repiratory and clinical variables were statistically studied in order to explore which variables may influence on memory function. Results and Conclusions : Results are as follows. Depth of sleep cis positively correlated with memory function. As sleep apnea increases and average saturation of blood oxygen decreases, memory function is more impaired. Emotional depression, high blood pressure, obesity or alcohol impaired memory function. However, daytime sleepiness was not significantly correlated with memory function. The possible mechanisms how above factors influence on the memory function were discussed.

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