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Temperament and Character are Associated with Suicide Attemptsin Patients with Mood Disorders (기분장애 환자에서 자살 시도와 연관된 기질 및 성격)

  • Park, Byoung-Sun;Han, Wou-Sang;Jang, Yong-Lee;Choi, Jin-Sook
    • Anxiety and mood
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    • v.4 no.2
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    • pp.111-120
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    • 2008
  • Objective : This study investigated the temperament and character traits associated with suicide attempts in patients with mood disorders. Methods : The temperament and character inventory (TCI) was administered to 150 patients who visited psychiatric clinics seeking treatment for mood symptoms. The patients were divided into three groups as follows : non-suicide ideation, suicide ideation and suicide attempt. We also gathered socio-economic data in order to rule out confounding variables. MANOVA was performed to analyze differences in personal temperament and character scores on the TCI between the three groups. Results : The self-directedness and cooperativeness subscales of the TCI are most influenced by the clinical symptoms rated by Beck Suicide Ideation Scale and Hamilton Depression Rating Scale. In the temperament scale, the suicide attempt group scored higher on the novelty seeking and harm avoidance items than the other two groups. The specific temperaments associated with suicidal behavior in patients with depression are impulsivity (NS2) and anticipatory anxiety or pessimism (HA1). Conclusion : In this study, we found that more risky patients who had previously attempted suicide had a temperament of impulsivity or pessimism. This finding suggests that a more cautious approach is needed to assess mood disorder patients with impulsive or pessimistic temperaments in order to prevent suicide attempts.

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The Effect of Back Massage on Degree of Pain, State Anxiety and Quality of Sleep of Postoperative Patients with Gastrectomy (등마사지가 위암 수술 환자의 통증 정도, 상태불안 및 수면의 질에 미치는 효과)

  • Han, Mi-Suk;Lee, Kang-Yi
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.69-76
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    • 2012
  • Purpose: Most of postoperative patients experience pain, state anxiety and sleep disturbance. These problems negatively influence the recovery of postoperative patients. So alleviating these problems has been one of the nurses' central roles. The purpose of this study was to examine the effects of back massage on pain, state anxiety and quality of sleep of postoperative gastrectomy patients. Methods: A non-synchronized non-equivalent control group pre and post-test design was used. The research instruments used in this study were the Numerical Rating Scale (NRS) for pain, the State-Anxiety Inventory (STAI) for anxiety and the Verran and Synder-Halpern scale for quality of sleep. The subjects were patients admitted to a university hospital located in D city. Twenty-nine patients in the experimental group had a 10 minute manual back massage stimulation for 5 days from the 1st day to the 5th day after their operation, and 25 patients in the control group did not. Results: The degree of pain was significantly reduced according to post operation day and quality of sleep was significantly increased. However state anxiety was not significantly reduced. Conclusion: Back massage is a partially effective nursing intervention for postoperative patients with gastrectomy who experience pain and sleep disturbance.

A Case Report of Panic Disorder with Functional Gastrointestinal Disturbance (기능성 위장장애를 동반한 공황장애 환자 치험 1례)

  • Ryu, Ki-Jun;Kim, Ji-Hyung;Han, Chang;Park, Jong-Hun;Kwon, Seung-Ro
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.187-196
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    • 2009
  • Objectives : This study was performed to report the effect of oriental treatments for panic disorder with functional gastrointestinal disturbance. Methods : In this case, a 30 year-old female patient has been suffered by panic disorder with functional gastrointestinal disturbance for 10 years. This case can be caused by KanKiUlKyul(肝氣鬱結), KanKiBeomYi(肝氣犯胃) and KanKiSeungBi(肝氣乘脾). We treated the patient with Herbal medication, Cognitive-behavioral therapy and Relaxation therapy. The effects of treatment were measured by GSRS(Gastrointestinal Symptom Rating Scale), BPI(Brief Pain Inventory) and VAS(Visual Analog Scale) Results : As a result of oriental treatments, the symptoms of Panic Disorder with Functional Gastrointestinal Disturbance was improved. Conclusions : These results suggest that oriental treatments have an effect on Panic Disorder with Functional Gastrointestinal Disturbance.

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A Study for Coping Strategies and Anxiety of Patients with Chronic Pain in the Oriental Clinic (한의원 내원 만성 통증환자의 통증대처방식 및 불안에 대한 연구)

  • Lee, Kye-Seung;Lee, Seung-Gi
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.123-132
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    • 2008
  • Objective: This clinical research is conducted to find out coping strategies and anxiety of patients with chronic pain, and the correlation between pain coping strategy and anxiety. Method: 50 subjects who came to the local oriental clinic answered the questionnaires about VPMI(Vanderbilt Pain Management Inventory) and SAS(The Self-rating Anxiety Scale). Then we researched the characteristics of pain coping strategies and the correlation. Results: 1. The mean scores of passive coping, active coping, and SAS are 29.62, 17.90, and 38.32 respectively. 2. In the analysis of nonparametric test, the female subjects tend to take more passive coping than the male. The older subjects tend to take less active coping than the younger. Subjects who reported more intense pain tend to take more passive coping. 3. There is significant difference between passive coping and anxiety. Conclusion: Pain coping strategies are related with age, sex, intensity of pain, and anxiety. The therapeutic intervention of decreasing passive coping and increasing active coping may be useful to manage the chronic pain. Further study is needed to find out more adequate inquiries of active coping.

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The Path Analysis of Parental Divorce on Children's Emotional and Behavioral Problems: Through Child-Rearing Behaviors and Children's Self-Esteem (부모의 이혼이 아동의 문제행동에 영향을 미치는 경로 분석: 주 양육자의 양육행동과 아동의 자아존중감을 통해서)

  • Hwang, Hye-Jung;Chun, Hee-Young;Ok, Kyung-Hee
    • Journal of the Korean Home Economics Association
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    • v.48 no.7
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    • pp.99-110
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    • 2010
  • The purpose of this study was to analyze the path of parental divorce on their children's emotional and behavioral problems through child-rearing behaviors and children's self-esteem. The participants were 162 children from divorced families and 194 from intact families. The Instruments used were CBQ (Children's Behaviour Questionnaire) (Rutter, 1967), Child-rearing rating scale (Park, 1995) and SEI (Self Esteem Inventory) (Coopersmith, 1967). The data were analyzed by ANCOVA and path analysis. The results were as follows. First, there were significant differences in children's emotional and behavioral problems and self-esteem, and caregivers' child-rearing behaviors between children from divorced and intact families. Second, parental divorce affected children's emotional and behavioral problems directly, as well as indirectly through child-rearing behaviors and children's self-esteem.

Herbal Medicine and Local Acupuncture Point Stimulation Administration and Their Clinical Effect on Quality of Life for Cervicogenic Dizziness (CGD) Patient: A CARE Guideline Compliant Case Report (경추성 현훈 환자의 복합 한의진료 경과 및 삶의 질 변화 : CARE 가이드라인에 따른 증례보고)

  • Kim, Eunmi;Jo, Hee-Geun
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.414-423
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    • 2020
  • Background: This study examines the clinical effect on quality of life of herbal medicine and local acupuncture point stimulation administration for a cervicogenic dizziness (CGD) patient. This case report was described in accordance with CARE guidelines. Case Report: A 25 year-old female patient suspected to be suffering from CGD was examined. The patient was treated with herbal medicine and local acupuncture point stimulation. We used the Headache Impact Test-6 (HIT-6), Dizziness Handicap Inventory (DHI), Pittsburgh Sleep Quality Index (PSQI), 36-Item Short Form Health Survey Version 2 (SF-36v2), and verbal numerical rating scale (VNRS) to assess the patient's symptoms. As new herbal medicine and local acupuncture point stimulation were applied, dizziness, headache, and neck pain symptoms improved. Quality of life affected by the symptoms significantly improved. Adverse effects were not observed. Conclusions: This study may suggest that herbal medicine and local acupuncture point stimulation may be effective therapy for the treatment of typical symptoms in patients with CGD.

Landslide susceptibility mapping using Logistic Regression and Fuzzy Set model at the Boeun Area, Korea (로지스틱 회귀분석과 퍼지 기법을 이용한 산사태 취약성 지도작성: 보은군을 대상으로)

  • Al-Mamun, Al-Mamun;JANG, Dong-Ho
    • Journal of The Geomorphological Association of Korea
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    • v.23 no.2
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    • pp.109-125
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    • 2016
  • This study aims to identify the landslide susceptible zones of Boeun area and provide reliable landslide susceptibility maps by applying different modeling methods. Aerial photographs and field survey on the Boeun area identified landslide inventory map that consists of 388 landslide locations. A total ofseven landslide causative factors (elevation, slope angle, slope aspect, geology, soil, forest and land-use) were extracted from the database and then converted into raster. Landslide causative factors were provided to investigate about the spatial relationship between each factor and landslide occurrence by using fuzzy set and logistic regression model. Fuzzy membership value and logistic regression coefficient were employed to determine each factor's rating for landslide susceptibility mapping. Then, the landslide susceptibility maps were compared and validated by cross validation technique. In the cross validation process, 50% of observed landslides were selected randomly by Excel and two success rate curves (SRC) were generated for each landslide susceptibility map. The result demonstrates the 84.34% and 83.29% accuracy ratio for logistic regression model and fuzzy set model respectively. It means that both models were very reliable and reasonable methods for landslide susceptibility analysis.

A Case Report of a Patient with Lateropulsion in Lateral Medullary Infarction Improved by Korean Medicine Treatment Including Scalp Acupuncture (가쪽쏠림보행을 동반한 외측 연수경색 환자의 두침요법을 병행한 한의치료: 증례보고)

  • Hyun, Jae-Cheol;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.193-201
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    • 2021
  • The aim of this study was to report the effect of Korean medicine treatment with scalp acupuncture of patient with lateropulsion, dizziness, headache caused by lateral medullary infarction. We treated the patient with scalp acupuncture, acupuncture, herbal medicine. Numeric rating scale (NRS), Korean version of berg balance scale (K-BBS), gait balance evaluation, dizziness handicap inventory (DHI), activities-specific balance confidence scale (ABC) and vestibular disorders activities of daily living scale (VADL) were used to evaluate symptoms. NRS of Lateropulsion, dizziness, headache were decreased. K-BBS score increased from 4 to 56, and in the gait balance evaluation, it returned to normal. DHI, VADL score were decreased and ABC score increased from 0 to 1,300. This case report shows that Korean medicine treatment with scalp acupuncture can be effective in lateral medullary infarction. However, further controlled studies are needed to confirm the effect of scalp acupuncture on such patients.

Comparison of the Effects of Scrambler and Transcutaneous Electrical Nerve Stimulation Therapy on Pain, Functional Disability, and Depression in Patients with Chronic Low Back Pain (스크램블러 치료와 경피신경전기자극 치료가 만성 허리 통증 환자의 통증과 기능 장애 및 우울에 미치는 효과 비교)

  • Park, Jae-Cheol;Lee, Dong-Kyu
    • PNF and Movement
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    • v.19 no.3
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    • pp.383-390
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    • 2021
  • Purpose: The purpose of this study was to compare the effects of scrambler and transcutaneous electrical nerve stimulation therapy on pain, functional disability, and depression in patients with chronic low back pain. Methods: Twenty patients with chronic stroke were assigned randomly to an experimental (n=10) or control (n=10) group. The experimental group performed scrambler therapy. The control group performed electrical nerve stimulation therapy. Training was conducted once a day for 30 minutes, five days per week, for three weeks. The pain was measured using the numeric rating scale. Functional disability was measured using the Roland-Morris disability questionnaire. Depression was measured using the Beck depression inventory. Results: As a result of comparison between the groups, the experimental and control groups showed significant difference for pain, functional disability and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which scrambler therapy was applied, showed a more significant reduction in pain, functional disability and depression than the control group (p<0.05). Conclusion: Based on these results, scrambler therapy shows positive effects on pain, functional disability, and depression in patients with chronic low back pain.

A Review on Clinical Research Trends in the Treatment of Tai Chi on Anxiety (불안에 대한 태극권 치료의 해외 임상연구 동향)

  • Kim, Ju-Young;Hong, Min-Ho;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.275-285
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    • 2019
  • Objectives: This study was performed to review the research trends in the treatment of Tai Chi on anxiety. Methods: We searched for articles in Pubmed and China National Knowledge Infrastructure (CNKI) from January 2009 to December 2018. The selected studies were evaluated by Jadad Scale. Results: One pre-post comparison study and seven controlled clinical trials were selected. HAMA (Hamilton Rating Scale for Anxiety) and STAI (State Anxiety Inventory) were the most frequently used diagnostic criteria. For outcome measurement, STAI was again the most commo. From Jadad Quality Assessment Scale of 8 articles, the overall quality of the studies was low. Conclusions: According to this study, it seemed that Tai Chi treatment on anxiety disorder is an effective and safe intervention. Therefore, based on this study, more clinical research on diverse forms of treatments of anxiety disorder should be performed in Korean medicine in the near future.