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The Study about the Emotional Status of Patients Who want to take Medical Examination on Stroke (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))

  • Park Se-Jin;Park Sang-Dong;Lee Jeong-A
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.2
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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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Factors Influencing Somatization in Adolescents (청소년의 신체화 증상에 영향을 미치는 요인)

  • Lee, Han-Ju;Seo, Mi-A
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.79-87
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    • 2010
  • Purpose: The purpose of this study was to explore the relationship between depression, alexithymia, social support and somatic symptom in adolescents. Methods: The subjects were 1,519 adolescents in Seoul. Radloff's CES-D (The Center for Epidemiological Studies-Depression scale) for depression, Bagby, Parker and Taylor's TAS (Toronto Alexithymia Scale) for alexithymia, Park's social support and Derogatis's SCL-90 (Brief Symptom Inventory & Matching Clinical Rating Scale) were used. The data was analyzed using descriptive statistics, Pearson's correlation coefficients, t or F test, and stepwise multiple regression. Results: Depression and somatic symptom were lower but social support was higher when compared to mean score. The somatic symptom was significantly positive correlations to age, depression, alexithymia but no correlation to social support. Stepwise multiple regression analysis showed that 21.8% of the somatic symptom was significantly accounted for depression, alexithymia, social support, gender, economic status, living alone, and living with parent. Conclusion: These results suggest that depression, alexithymia, living alone can be potential risk factors for somatic symptom in the adolescents. Therefore, these findings will give useful information for developing a promotion program focused on social support in the adolescents.

A Case Report of ADHD Child treated with Neurofeedback (뉴로피드백을 이용한 주의력결핍 과잉행동장애 치료 1례(例))

  • Kang, Jun-Won;Park, Jeong-Gyung;Cheon, Yong-Woo;Han, Gook;Park, Hyun-Cheol;Yoo, Gyung;Jeong, Eun-Hee;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.243-249
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    • 2005
  • Attention Deficit Hyperactivity Disorder(ADHD) is a psychiatric disorder, characterized by the primary symptoms of inattention and/or impulsivity and hyperactivity. This study is a clinical report of 1 ADHD child treated with Neurofeedback therapy from Feb. to May 2005. Conners’ parent rating scale, Korean Personality Inventory for children(KPI-C), Basic Academic Skills Assessment(BASA : Reading) was compared between before and after Neurofeedback therapy, and the EEG data of each cession was analysed. The results show the Neurofeedback therapy is efficient in the treatment of ADHD.

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A Preliminary Study on the Korean Version of Quality of Life-Alzheimer's Disease (QOL-AD) Scale in Community-dwelling Elderly with Dementia (지역사회 거주 치매환자에서 한국판 삶의 질 -알쯔하이머병 척도 개발을 위한 예비연구)

  • Shin, Hee-Young
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.243-248
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    • 2006
  • Objectives: The Quality of Life-Alzheimer's Disease (QOL-AD) scale is a reliable and valid tool for assessing the quality of life (QOL) in the elderly with dementia. This study aimed to develop the Korean version of Quality of Life-Alzheimer's Disease (KQOL-AD) scale for the demented elderly living in the community. Methods: KQOL-AD was administered to two groups: 24 demented elderly and 72 cognitively impaired elderly with no dementia (CIND) who were living in the community Each elderly person and their caregiver rated the elderly QOL. The Korean version of mini-mental state examination (MMSE-K), the clinical dementia rating (CDR), the activities of daily living (ADL), and the neuropsychiatric inventory (NPI) were also assessed. The reliability and validity of the KQOL-AD were examined. Results: In the dementia group, the internal consistency (Cronbach's $\alpha$), the split half and the test-retest reliabilities of the KQOL-AD were excellent. Scores on the KQOL-AD were significantly correlated with the scores of the NPI, but they were not significantly correlated with scores of the MMSE-K, CDR and ADL. In addition, the CIND group showed similar results to the dementia group. Conclusions: KQOL-AD might be a reliable and valid instrument for assessing QOL in the elderly with dementia It could be used as an important outcome measure for research on the demented elderly.

Effects of A Qigong Training Program on the Anxiety and Labor Pain of Primipara (기공체조프로그램이 초산부의 불안 및 분만통증 완화에 미치는 효과)

  • Jeong, Soon-Ok;Kho, Hyo-Jung;Lee, Eun-Ju
    • Women's Health Nursing
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    • v.12 no.2
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    • pp.97-105
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    • 2006
  • Purpose: The purpose of this study is to verify the effects of the Qigong training program on the anxiety and labor pains of primipara. Method: The research subjects were a total of 60 primipara who consulted a doctor regularly concerning their antenatal care. Among them, 30 people were the experimental group, and the other 30 people were the control group, and were selected as homogeneous with the experimental group. The degree of anxiety and labor pains were measured by State-Trait Anxiety Inventory(STAI) and Graphic Rating Scale(GRS). SPSS WIN 11.0 was used for data analysis. Obstetric and general characteristics between experimental and control groups, and a homogeneity test of state and trait anxiety were done by both $X^2$ test and t-test. The hypothesis testing was analyzed by ANCOVA with a covariate of pretest value. Result: The first hypothesis, 'Primipara who join the Qigong training program have lower anxiety than those who do not join' was supported (F=28.8, p<.000). The second hypothesis, 'Primipara who join the Qigong training program have lower labor pain than those who do not join' was unsupported. Conclusion: It was verified that the Qigong training program was effective in alleviating anxiety; however it did not have any effect on relieving labor pain, so more in-depth research is needed later on.

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The Effects of Physical Therapy Intervention with Local Vibration on Pain, ROM and Psychological Status in Multiple Trauma Patients Caused by Traffic Accident (교통사고로 인한 다발성 외상 환자의 국소진동을 동반한 물리치료 중재가 통증 및 관절운동범위, 심리적 상태에 미치는 영향)

  • Ahn, Seung-won;Jung, Young-june;Jung, Sang-mo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.65-72
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    • 2019
  • Background: The purpose of this study was to investigate into the effects of physical therapy intervention with local vibration on pain, ROM (range of motion) and psychological status in multiple trauma patients caused by traffic accident. Methods: A patient with multiple trauma were recruited. Before treatment, he was evaluated using numeric pain rating scale (NPRS), Korean-version impact of event scale-revised (IES-R-K), Beck Depression inventory (BDI), passive and active range of motion, and were reevaluated after 4 and 8 weeks of treatment. Results: As a result of comparing the participant before and after the experiment, the score of the IES-R-K and BDI decreased. And the passive and active ROM increased. Conclusion: According to the results above, physical intervention with local vibration by Blackroll Releazer can help improve pain, physical function and psychological status. Also, physical intervention with Blackroll's Releazer technique was able to select interventions depending on the patient's conditional and the desired goal.

Comparison of Psychological Influence on Breast Cancer Patients Between Breast-conserving Surgery and Modified Radical Mastectomy

  • Sun, Meng-Qing;Meng, Ai-Feng;Huang, Xin-En;Wang, Mei-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.149-152
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    • 2013
  • Objective: To compare the influence of breast-conserving surgery (BCS) and modified radical mastectomy (MRM) on the psychological state of breast cancer patients. Methods: Patients receiving MRM or BCS, and fulfilling the study criteria, were recruited. Patients were required to complete a self-reporting inventory (SCL-90) on admission and 6 months after surgery and a self-rating depression scale (SDS) when discharged from hospital and 6 months after surgery. Results: A total of 70 patients received MRM and 50 BCS. Compared with the national standard, patients suffered to some extent psychological problems on admission, at discharge from hospital and at 6 months after surgery. Patients received BCS had a higher score of SDS compared with those with MRM when discharged from hospital. However, 6 months after surgery, SDS score increased in MRM and decreased in the BCS group, so the difference was significant. Conclusion: The short-term psychological state of patients receiving BCS is worse than that with MRM but superior to MRM 6 months postoperatively. BCS imposed less influence on long term psychological state of breast cancer patients compared with MRM.

The Depression Scales and The College Students' Health Care (대학생의 우울증에 관한 연구 -우울 측정 척도를 이용한-)

  • Lee, Kwang-Hye
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.144-154
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    • 1997
  • This study is planned to gather necessary data for setting up a system on students' health care in the university. In order to obtain statistical data on the students' health care problems especially in 'depression' among the mental health problems of the students, 'The Beck Depression Inventory' by A. T. Beck and 'Zung's Self-Rating Depression Scale' by W. W. K. Zung were used for gathering numerical data of scale of depression. It is evident that we have to prepare for further medical examination and health care educations for several students. For these students, it is clear that they have problems not only in mental health but also in physical health. I have screened out the high scored students for comparison and analysis. And it disclosed that we have to build up a periodical and continuous 'Health Screening System' utilizing Health Questionnaire for both physical and mental aspects, which will bring up us the very exact result to pick out any person who has healthy problem among the enormous number of the students with handy, convenient and effective procedures but with the least expense and effort. Also it is my firm confidence that this system will be applicable for primary health care control of mass population in local community or any organization.

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Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases (만성질환아의 극복력(Resilience) 측정도구 개발)

  • Kim, Dong-Hee;Yoo, Il-Young
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.236-246
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    • 2010
  • Purpose: The purpose of this study was to develop and evaluate a Korean questionnaire to measure resilience in children with chronic illness. Methods: Item construction was drawn from an extensive review of the literature, existing questionnaires and interviews with parents. Content validity was tested by experts. To further refine the questionnaire and test its reliability and validity, data were collected from the 202 children with asthma, diabetes mellitus or nephrotic syndrome. Corrected items were used to total correlation coefficient and test-retest reliability. Questionnaire testing was conducted using factor analysis, Cronbach's $\alpha$, and correlation coefficients. Validity of the questionnaire was tested using internal consistency, construct validity, and criterion-related validity. Results: Components of the questionnaire were in three domains; interpersonal characteristics, characteristics of coping, and intrapersonal characteristics. Factor analysis is showed five factors; positive self-understanding, self-reliance, resourcefulness, perception of positive family relationships, and intimacy. The questionnaire showed a high internal consistency. A significant positive correlation with the Numerical Rating Score and negative correlation with the Child Depression Inventory support the validity of the questionnaire. Conclusion: This instrument demonstrated high reliability and validity. Therefore, this instrument can contribute to the evaluation of resilience of chronically ill children and to any subsequent intervention as well as to develop a theory for resilience.

Relationship between Behavioral and Psychological Symptoms and Patient and Caregiver Quality of Life in Alzheimer's Disease (알쯔하이머병에서 행동심리증상과 환자 및 부양자의 삶의 질의 관계)

  • Kim, Sung-Wan;Shin, Il-Seon
    • Korean Journal of Biological Psychiatry
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    • v.14 no.1
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    • pp.48-54
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    • 2007
  • Objectives : This study aimed to examine the relationship between behavioral and psychological symptoms of dementia(BPSD) and patient and caregiver QOL in Alzheimer's disease(AD). Methods : Fifty-one AD patients and their caregivers participated. Measures about patients were Neuropsychiatric Inventory(NPI), Korean version of QOL-Alzheimer's Disease(KQOL-AD), Activities of Daily Living(ADL), Clinical Dementia Rating(CDR), and Korean version-Mini Mental State Examination(K-MMSE). Caregiver QOL was assessed with KQOL-AD and General Health Questionnaire/Quality of Life-12(GHQ/QOL-12). Results : Patient QOL-AD on patient ratings was negatively correlated with appetite/eating change and NPI scores. Patient QOL-AD on caregiver ratings was negatively correlated with hallucinations, depression/dysphoria, and NPI scores. Caregiver QOL assessed by the GHQ/QOL-12 was negatively correlated with agitation/aggression, depression/dysphoria, and NPI scores and was negatively correlated with distress related to agitation/aggression, depression/dysphoria, and NPI scores. Conclusion : BPSD of AD patients was associated with low QOL of both patients and caregivers. Thus, interventions of BPSD were needed to improve both patient and caregiver QOL.

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