• 제목/요약/키워드: hospital anxiety

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불면증의 심각도와 우울, 불안 및 불안 민감성의 관계 (The Relationship between Insomnia Severity and Depression, Anxiety and Anxiety Sensitivity in General Population)

  • 김나현;최홍민;임세원;오강섭
    • 수면정신생리
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    • 제13권2호
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    • pp.59-66
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    • 2006
  • 목 적:일반인에서 불면증의 심각도와 우울, 불안 및 불안 민감성과의 연관을 조사하고 불면증의 심각도를 설명할 수 있는 요인을 알아보고자 하였다. 방 법:2006년 9월 강북삼성병원 건강검진센터에 건강 검진을 받으러 온 일반인 95명을 대상으로 AIS-8, BDI, STAI, ASI를 실시하였다. 연령을 통제변수로 하여 AIS-8, 수면 항목을 제외한 BDI, SA, TA, ASI 등의 변수에 편상관관계 분석을 시행하였다. 이들 척도 중 AIS-8을 설명할 수 있는 척도를 다중회귀 분석을 통해 도출하였다. 결 과:일반인 95명에서 불면증의 심각도는 수면 항목을 제외한 BDI(r=0.541, p<0.001), SA(r=0.267, p<0.05), TA(r=0.642, p<0.001), ASI(r=0.312, p<0.01)와 모두 유의한 상관 관계를 보였으나 TA와 가장 높은 상관 관계를 보였다. 다중회귀 분석에서 불면증의 심각도를 유의하게 설명할 수 있는 척도는 TA였다(p<0.001). 결 론:이 연구를 통해서 우리는 불면증의 심각도가 우울, 불안 및 불안 민감성과 양의 상관 관계에 있으며 특히 특성 불안과 유의하게 상관성이 높다는 것을 확인했다. 이는 특성불안이 우울, 불면과 관련 있다는 기존 연구들과 일치하는 결과이다.

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Subsyndromal Anxiety Disorder의 특징과 임상적 중요성 (Characteristics of Subsyndromal Anxiety Disorder and Its Clinical Importance)

  • 강남인;양종철
    • 생물정신의학
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    • 제18권4호
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    • pp.197-202
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    • 2011
  • Subsyndromal anxiety disorder indicates mental states of having anxiety symptoms not fulfilling criteria for anxiety disorders. Despite of the lack of previous objective findings of the subsyndromal anxiety disorder, its clinical importance has increased. It can cause many kinds of clinical anxiety symptoms and functional disabilities. But the early intervention and early treatment make it possible not only to attenuate the anxiety symptoms and functional disabilities but also to prevent disease progression to a full syndromal anxiety disorder. In this article, we will review the previous studies about the subsyndromal anxiety disorder and discuss its clinical characteristics and importance.

직장인들의 수면 양상이 우울 및 불안에 미치는 영향 (The Sleep Characteristics of Employees and Its Influence on Depression and Anxiety)

  • 이우형;김은진;오강섭;신동원;신영철;임세원
    • 대한불안의학회지
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    • 제12권2호
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    • pp.97-102
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    • 2016
  • 직장인에서 수면의 장애는 우울, 불안과 연관성이 높은 것으로 보이며, 수면 양상에 대한 여러 평가 항목 중에서도 주관적 수면의 질과 주간 기능장애가 가장 큰 연관성을 나타냈다. 이러한 결과는 총 수면 시간이나 입면 잠복 시간보다 환자가 느끼는 전반적인 주/야간의 만족도가 정동에 많은 영향을 미칠 수 있음을 뜻하며, 이를 고려한 수면 양상의 평가가 직장인뿐 아니라 일반인구나 환자에서도 중요할 수 있겠다.

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Predictive Factors of Postoperative Pain and Postoperative Anxiety in Children Undergoing Elective Circumcision: A Prospective Cohort Study

  • Zavras, Nick;Tsamoudaki, Stella;Ntomi, Vasileia;Yiannopoulos, Ioannis;Christianakis, Efstratios;Pikoulis, Emmanuel
    • The Korean Journal of Pain
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    • 제28권4호
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    • pp.244-253
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    • 2015
  • Background: Although circumcision for phimosis in children is a minor surgical procedure, it is followed by pain and carries the risk of increased postoperative anxiety. This study examined predictive factors of postoperative pain and anxiety in children undergoing circumcision. Methods: We conducted a prospective cohort study of children scheduled for elective circumcision. Circumcision was performed applying one of the following surgical techniques: sutureless prepuceplasty (SP), preputial plasty technique (PP), and conventional circumcision (CC). Demographics and base-line clinical characteristics were collected, and assessment of the level of preoperative anxiety was performed. Subsequently, a statistical model was designed in order to examine predictive factors of postoperative pain and postoperative anxiety. Assessment of postoperative pain was performed using the Faces Pain Scale (FPS). The Post Hospitalization Behavior Questionnaire study was used to assess negative behavioral manifestations. Results: A total of 301 children with a mean age of $7.56{\pm}2.61$ years were included in the study. Predictive factors of postoperative pain measured with the FPS included a) the type of surgical technique, b) the absence of siblings, and c) the presence of postoperative complications. Predictive factors of postoperative anxiety included a) the type of surgical technique, b) the level of education of mothers, c) the presence of preoperative anxiety, and d) a history of previous surgery. Conclusions: Although our study was not without its limitations, it expands current knowledge by adding new predictive factors of postoperative pain and postoperative anxiety. Clearly, further randomized controlled studies are needed to confirm its results.

Effectiveness of thaumaturgic distraction in alleviation of anxiety in 4-6-year-old children during inferior alveolar nerve block administration: a randomized controlled trial

  • Payal Kothari;Aditi Mathur;Rashmi Singh Chauhan;Meenakshi Nankar;Sunnypriyatham Tirupathi;Ashrita Suvarna
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권3호
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    • pp.143-151
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    • 2023
  • Background: Dental anxiety is a matter of serious concern to pediatric dentists as it may impede the efficient delivery of dental care. If not adequately resolved, a persistent negative response pattern may emerge. Thaumaturgy, commonly known as magic trick, has become popular recently. It is a tool that distracts and relaxes the child by using magic trick while the dentist performs necessary treatment. Hence, the aim of this study was to evaluate the effectiveness of Thaumaturgic aid in alleviation of anxiety in 4-6 - year-old children during administration of local anesthesia using the inferior alveolar nerve block (IANB) technique. Methods: Thirty children aged between 4-6 years with dental anxiety requiring IANB were included in this study. Patients were divided equally into two groups: Group I, thaumaturgic aid group and Group II, conventional non-pharmacological group using randomization. Anxiety was measured before and after using the intervention with Raghavendra Madhuri Sujata-Pictorial scale (RMS-PS), Venham's anxiety rating scale, and pulse rate. All the data were tabulated and compared using statistical analysis. Results: Children in thaumaturgy group (Group- I) exhibited significantly lower anxiety during IANB in comparison with children in the conventional group (Group- II) and the difference was statistically significant. Conclusion: Magic tricks are effective in reducing anxiety among young children during IANB; Moreover, it expands the arsenal of behavior guidance techniques for treatment of children with anxiety and plays an important role in shaping the behavior of a child in pediatric dentistry.

정보제공이 자궁적출술환자의 상태-불안에 미치는 영향 (Effect of Informativeness on the State-Anxiety of Hysterectomy Patient)

  • 이미경
    • 대한간호학회지
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    • 제13권2호
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    • pp.70-86
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    • 1983
  • The purpose of study carried out to determine the effect of informativeness influeucing the state-Anxiety of Hysterectomy patient, the relationship between Hysterectomy patient's general characteristics on State-Anxiety. and to investigation the cause of hysterectomy patient's Anxiety, the relationship between the cause of Anxiety and State-Anxiety. This stuad carried out between April 14. to May 24. 1983. This study sample consisted of 104 Hysterectomy patient who admitted to department of obstetrics of Seoul National University Hospital, Korea University Hospital, Han Yang University Hospital and Seung Nam Hospital. The Sample were divided into two groups; fifty two of experimental and fifty two of control group. The method used for the collection of data were set of information prepared by reseacher and state-Anxiety Inventory, The Questionnaire of state-Anxiety Inventory was made up 20 items. The data was analyzed by computer program. The results of the study were as follows. 1. There was shown state Anxiety to be alleviated by experimental group and control group. 2. There was significant relation between experimental group and control group. (p<0.01) 3. There was relation of state-Anxiety by education Level: Experimental group (p<0.05) control group (p<0.05) religion : only control group (p<0.05)economic state : only control group (p<0.05) The people who encouraged hysterectomy: Experimental group (p<0.05) control group (p<0.0001) 4. The cause of preoperative anxiety about hysterectomy were as follows: 1) destruction of body image(=loss of uterus) 2) husband's attitude 3) Expactation that hysterectomy will adversely affect sexual relation 5. Among the cause of Anxiety, R²for state-Anxiety were as follows: 1) economic state 17.3% 2) deatch 21.6% 3) Expactation that hysterectomy will adversely affect sexual relation 24.5%.

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직무스트레스와 우울 및 불안 증상의 연관성 (Association of Self-Reported Job Stress with Depression and Anxiety)

  • 김윤신;김은진;임세원;신동원;오강섭;신영철
    • 대한불안의학회지
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    • 제11권1호
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    • pp.38-46
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    • 2015
  • Objective : This study investigated the job stress and their association with depression and anxiety among Korean employees. Method : We retrospectively studied 80,842 employees, who receive regular checkups in the Health Screening Center of a one hospital from May, 2012 to April, 2013. A total of 73,975 people were analyzed, who completed a short form of Korean Occupational Stress Scale (KOSS), Center for Epidemiologic Study-Depression (CES-D) and Beck Anxiety Inventory (BAI). Results : Each of the seven subscales of KOSS was categorized into 4 quartile groups. Higher quartile of KOSS was associated with higher CES-D and BAI score an individual reported. The significantly increased odds ratios (ORs) in the higher scoring group compared to the lower scoring group for the effect of job stress on depression and anxiety remained after adjusting for age, sex, marital status, education, income, BMI, and smoking status. Conclusion : These results from a large number of respondents suggested that job stress might be related to depression and anxiety. Future investigations should design a prospective study to understand a causal relationship between job stress and psychiatric symptoms or disorders.

양극성장애에서의 공존 불안 (Comorbid Anxiety in Bipolar Disorder)

  • 김경원;문은수
    • 대한불안의학회지
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    • 제20권1호
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    • pp.1-7
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    • 2024
  • This review article summarizes the main research findings on the presence of anxiety disorders in individuals with bipolar disorder. It examines the prevalence of comorbid anxiety disorders in bipolar disorder, which is generally high. Moreover, it explores the variations in comorbid anxiety across different subtypes of bipolar disorder. The article also investigates the clinical features, treatment, and prognosis associated with comorbid anxiety in bipolar disorder. It reveals that bipolar patients with comorbid anxiety exhibit complex clinical features, worse treatment outcomes, and a poorer prognosis. Given the significant impact of comorbid anxiety on clinical features, treatment outcomes, and prognosis, it is crucial to address this issue when treating individuals with bipolar disorder. Therefore, further research on the treatment of co-occurring anxiety in bipolar disorder patients is warranted.

중풍(中風)에 대한 健康檢診(건강검진)을 받고자 내원(來院)한 환자(患者)의 정서상태(情緖狀態)에 대한 연구(硏究) (The Study about the Emotional Status of Patients Who want to take Medical Examination on Stroke)

  • 박세진;박상동;이정아
    • 동의신경정신과학회지
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    • 제12권2호
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    • pp.123-133
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    • 2001
  • This study was designed and undertaken to identify objectively the degree and relationship of anxiety, depression which are chief essential elements of emotional status in Stroke medical examination patients. The subjects in this study were 58 Stroke medical examination patients and 58 Non-Stroke medical examination patients, and for the assessment of anxiety, depression. We used State-Trait Anxiety Inventory (STAI), Zung's Self-Rating Depression Scale(SDS). The results of this study are as follows : 1. There were significant, differences in the 16 items of State anxiety scale among 20 items and the 14 items of Trait anxiety scale among 20 items between Stroke medical examination patients and the control group(p<0.05 respectively). 2. There were significant differences in the 14 items of SDS among 20 items between Stroke medical examination patients and the control group(p<0.05 respectively). 3. There were significant differences in the mean scores of STAI and SDS between Stroke medical examination patients and the control group(p<0.001 respectively). 4. There were no significant relationships between State anxiety & Trait anxiety, State anxiety & Depression, Trait anxiety & Depression in the Stroke medical examination patients.

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Levels of Depression and Anxiety Post-Mastectomy in Breast Cancer Patients at a Public Sector Hospital in Karachi

  • Khan, Sara;Khan, Naveed Ali;Rehman, Ata Ur;Khan, Iqra;Samo, Khursheed A;Memon, Amjad Siraj
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1337-1340
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    • 2016
  • Background: There is a noticeable change in the approach with which women nowadays seek help for diseases like breast cancer, primarily due to awareness campaigns, but what happens after surgical procedures is of great significance too. This study focused on the several psychological connotations attached to mastectomy and how the patients cope. Objective: To understand the pattern of anxiety and level of depression among Pakistani patients undergoing mastectomy. Materials and Methods: The sample size consisted of 88 patients who had undergone mastectomy at the different surgical units of the Civil Hospital, Karachi, from January 2012-December 2014; The questionnaire was administered before they were discharged i.e. within 3 days of surgical procedures. The patients were asked if they were willing to participate in this study, those who agreed signed the consent form and then we preceded by asking questions with a standardized tool. A self made questionnaire was constructed keeping in mind the nature and specification of the disease, which consisted of 20 questions related to anxiety and depression, focusing on a mixture of psychological and physiological symptoms. Results: There were a total of 88 patients out of which 36 (41%) were aged 51 to 60 years, 24 (27.2%) of the patients were in the age category of 41 to 50 years, 17 aged 61 and above (19.3%) and only 11 (12.5%) 30-40 years of age, the youngest of all the age categories. The pattern of depression and anxiety was found to be similar among all age categories, severe depression and anxiety predominating over moderate level of such symptoms, with only relatively few patients sufering mild or no depression symptoms. Conclusions: It was concluded that going through mastectomy leads to moderate to severe levels of depression and anxiety, primarily because the females feel incomplete and insecure after losing a part of themselves.