• Title/Summary/Keyword: mental disorders

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The Effectiveness on Prevention of Rehospitalization with Long-Term Psychosocial Interventions for Patients with Major Psychiatric Disorders (주요정신질환 환자에 대한 장기 정신사회적 중재의 재입원 예방에 대한 효과)

  • Jeong, Jae Hoon;Kang, Min Jeong;Kwon, Min Young;Lee, Sang Min;Lee, Kyu Young
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.66-73
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    • 2019
  • Objectives: This study aimed to elucidate the effectiveness of long-term psychosocial intervention in reducing the disabling period of patients with major psychiatric disorders by their rehospitalization rate. Methods: Of the 210 patients with major psychiatric disorders received psychosocial interventions in a Mental Health and Welfare Center, 192 patients (147 with schizophrenia spectrum disorders, 45 with mood disorders) who received interventions more than 6 months were selected. Review of case management records was conducted to obtain information. Results: The number and length of hospitalization and the hospital days per year significantly decreased after psychosocial intervention. Additional analysis of 102 patients followed up for more than 5 years suggested that the effectiveness of the intervention persisted for a sufficient period. However, no significant difference was observed in the number of rehospitalization in 45 patients with mood disorders, though the length of hospitalization significantly decreased. In addition, the hospital days per year of 21 patients with mood disorder followed up for more than 5 years also showed no significant decrease. Conclusion: Long-term psychosocial intervention had a significant effect on reducing the number and length of hospitalization for patients with major psychiatric disorder and the effectiveness maintained for more than 5 years.

Another Diagnostic Approach : An Introduction to Research Domain Criteria (RDoC) (새로운 진단적 접근법 : Research Domain Criteria(RDoC)의 소개)

  • Oh, Daeyoung
    • Korean Journal of Biological Psychiatry
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    • v.20 no.3
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    • pp.63-65
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    • 2013
  • The new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is published by the American Psychiatric Association. The diagnostic systems for mental disorders have come under criticism for relying on presenting signs and symptoms with the result that they do not adequately reflect relevant neurobiological and behavioral systems. Finally, the National Institute of Mental Health (NIMH) in the United States has suggested the Research Domain Criteria (RDoC) to develop a research classification system based upon dimensions of neurobiology and behavioral aspect. The present review introduces the RDoC as a new reaseach framework.

The meaning of Mental Disorder in Chinese Medicine (중의정지병증적내함해석(中医情志病证的内涵解析))

  • Lu, Ming-Yuan
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.39-42
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    • 2009
  • Jeongji(情志) in Chinese medicine refers to a series of psychological activity which is expressed as hui(喜), no(怒), wu(優), sa(思), bi(悲), gong(恐), gyeong(驚), together with emotion, sentiment, and cognition, which are manifested as responses of the human body to environmental changes both inside and outside. Sa(思) is a major cognitive activity, and the other six emotions are main emotional activities. The emphasis on the interrelationship between cognition, sentiment, and emotional activity is a unique characteristic of the Jeongji(情志) concept in China. Jeongji[Mental] disorder refers to a series of diseases that has a close link between the attack, clinical presentation and emotional stimulation. The attack is deeply affected by emotional stimulation, with which physical symptoms are either present or absent. However, emotional changes are clear most of the time, their effect on disease development noticeable as well. To sum up, Jeongji[Mental] disorder is related to a wide range of medical problems in fields such as internal, surgical, gynecology, pediatrics, and various psychiatric disorders, not to mention contemporary psychological disorders, neurosis, and all kinds of mental illnesses of today. Moreover, the mental and physical disorders of today all share a common pathogenesis, clinical manifestation and treatment discipline. All the more reason for deeper professional research.

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Correlation between mental health level, usual lifestyle, and self-report symptoms of temporomandibular joint disorder (일부 성인의 정신건강수준, 평소 생활습관 및 턱관절장애 자각증상과의 관련성)

  • Choi, Hye-Jung;Park, Kyung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.763-770
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    • 2018
  • Objectives: The purpose of this study was to investigate the relationship between mental healthlevel,usual lifestyle, and thelevelofsubjectivesymptoms of some adults. Methods: From 17 September-28 November 2017, 260 adults living in Seoul, Gyeonggi, and Incheon comple tedaquestionnaireconsistingofgeneral characteristics (6 items), mental health level (14 items), usual lifestyle (9 items), and subjective symptoms level (9 items) on a 5-point scale. Results: In the mental health level, there was a significant difference in sex, age, marital status, education level, andexistenceofstress, and there were differences in age, marital status, occupation, and existence of stress in usual lifestyle. There were statistically significant differences in age, marital status, occupation, and existenceofstress in the subjective symptoms of temporomandibular disorders. Conclusions: It is necessary to develop a program that can be applied in parallel with counseling therapy related to mental health during the clinical treatment of temporomandibular disorders.

Verbal Aggression Against Teacher and Upper Extremity Musculoskeletal Pain

  • Ceballos, Albanita G.C.;Carvalho, Fernando M.
    • Safety and Health at Work
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    • v.11 no.2
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    • pp.187-192
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    • 2020
  • Background: This study investigated the relationship between verbal aggression against school teachers and upper extremity (neck, shoulder, upper limb, and/or upper back) musculoskeletal pain. Methods: This was a cross-sectional study of 525 elementary school teachers from Jaboatão dos Guararapes, Northeast Brazil. Results: The prevalence of upper extremity musculoskeletal pain among teachers who reported verbal aggression in the past six months (67.7%) was higher than that among those who did not report verbal aggression (51.7%): (prevalence ratio = 1.21; 95% confidence interval = 1.04-1.40). The prevalence of upper extremity musculoskeletal pain was associated with verbal aggression, sex, and common mental disorders, controlled by skin color, age, monthly income, teachers' education, years working as a teacher, workload, and obesity. Furthermore, the measure of the association between verbal aggression and upper extremity musculoskeletal pain was modified by sex and common mental disorders, considered altogether. Teachers who suffered verbal aggression, of the feminine sex, and also having common mental disorders reported high prevalence (85.4%) of upper extremity musculoskeletal pain. Conclusion: The association between verbal violence in the school and complaints of upper extremity musculoskeletal pain was strong and modified by teachers' sex and common mental disorders.

The Mediating Effects of Mother-Child Relation on the Relationships between Psychological Symptoms of Mothers with Mental Disorders and their Child's Resilience (정신장애를 가진 어머니의 심리증상과 자녀의 탄력성과의 관계에서 모자관계의 매개효과)

  • Sung, Jun-Mo
    • Korean Journal of Social Welfare
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    • v.61 no.1
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    • pp.219-238
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    • 2009
  • This study aimed to examine the mediating effects of mother-child relation affecting child's resilience through the analysis of structural equation model. The data was collected from the sample of mothers with mental disorders. As a result, psychological symptoms of mothers and mother-child relation had direct effects on the child's resilience. Mother-child relation mediated the effect which psychological symptoms of mothers had on the child's resilience. To reinforce the child's resilience of mothers with mental disorders, the intervention for the managing the mother-child relation is needed.

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Anxiety Disorder (불안장애)

  • Jung, Han-Yong
    • The Journal of the Korean life insurance medical association
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    • v.29 no.1
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    • pp.7-11
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    • 2010
  • Anxiety disorders Anxiety disorders are among the most prevalent mental disorders in the general population. Anxiety disorders can be viewed as a family of related but distinct mental disorders, which include following as classified in the text revision of fourth edition of Diagnostic and Statistical Manual Disorders(DSM-IV-TR): (1) panic disorder with or without agoraphobia; (2) agoraphobia with or without panic disorder; (3) specific phobia; (4) social phobia; (5) obsessive-compulsive disorder; (6) posttraumatic stress disorder; (7) acute stress disorder; (8) generalized anxiety disorder. An acute intense attack of anxiety accompanied by feeling of impending doom is known as panic disorder. The term phobia refer to an excessive fear of a specific object, circumstance, or situation. Obsessivecompulsive disorder is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions. Posttraumatic stress disorder is a condition marked by development of symptoms after exposure to traumatic life events. Generalized anxiety disorder is defined as excessive anxiety and worry about several events or activities for most days during at least a 6-month period.

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The History of the Concept of Anxiety and Anxiety Disorders (불안과 불안 장애의 개념의 역사)

  • Yoon Young Chang;Won Kim
    • Anxiety and mood
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    • v.19 no.2
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    • pp.27-36
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    • 2023
  • Interest in anxiety has a long history, and this topic has played a significant role in the field of mental health. The concept of anxiety has evolved diversely over time and across cultures, influencing our understanding, diagnosis, and treatment approaches for anxiety disorders. In this paper, we have reviewed and summarized various concepts and theories related to anxiety that have evolved over several centuries. Furthermore, we have examined how the diagnostic criteria in the DSM (Diagnostic and Statistical Manual of Mental Disorders) have changed within this historical context. A precise understanding of the history of the concept of anxiety and anxiety disorders is believed to have a positive impact on shaping the future path of anxiety disorders in psychiatry.

Promising Services Based on AI for Mental Health (정신건강을 위한 인공지능 활용과 유망 서비스)

  • Song, G.H.;Kim, M.K.;Park, A.S.
    • Electronics and Telecommunications Trends
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    • v.35 no.6
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    • pp.12-23
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    • 2020
  • Because of economic polarization and difficulties, extreme personalization, and the complexity of social relationships, modern people are experiencing various mental disorders or pathologies. Accordingly, there is an urgent need to prepare more active countermeasures and support those with mental health difficulties to improve mental health and prevent abnormal pathologies. Artificial intelligence (AI) is expected to improve the mental health of individuals through emotional enhancement beyond affective computing. We investigated how to use AI to prevent and diagnose mental diseases or disorders, support treatment, and manage followup. In particular, promising services that can be used in daily life or medical clinics were discovered and active directions for realizing these services are suggested.

Autism Spectrum Disorder Diagnosis in Diagnostic and Statistical Manual of Mental Disorders-5 Compared to Diagnostic and Statistical Manual of Mental Disorders-IV

  • Lim, Yun Shin;Park, Kee Jeong;Kim, Hyo-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.4
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    • pp.178-184
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    • 2018
  • Objectives: The objective of this study was to investigate the concordance of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV and DSM-5) diagnostic criteria for autism spectrum disorder (ASD). Methods: We retrospectively reviewed the medical records of 170 subjects (age range: 3-23, 140 boys) with developmental delay or social deficit from January 2011 to July 2016 at the Department of Psychiatry of Asan Medical Center. The Autism Diagnostic Interview-Revised (ADI-R), the Autism Diagnostic Observation Schedule (ADOS), and intelligence tests were performed for each subject. Diagnosis was reviewed and confirmed for each subject with DSM-IV Pervasive Developmental Disorder (PDD) and DSM-5 ASD criteria, respectively. Results: Fifty-eight of 145 subjects (34.1%) who were previously diagnosed as having PDD in DSM-IV did not meet DSM-5 ASD criteria. Among them, 28 (48.3%) had Asperger's disorder based on DSM-IV. Most algorithm scores on ADOS and all algorithm scores on ADI-R were highest in subjects who met both DSM-IV PDD criteria and DSM-5 ASD criteria (the Convergent group), followed by subjects with a DSM-IV PDD diagnosis who did not have a DSM-5 ASD diagnosis (the Divergent group), and subjects who did not meet either DSM-IV PDD or DSM-5 ASD criteria (the non-PDD group). Intelligence quotient was lower in the Convergent group than in the Divergent group. Conclusion: The results of our study suggest that ASD prevalence estimates could be lower under DSM-5 than DSM-IV diagnostic criteria. Further prospective study on the impact of new DSM-5 ASD diagnoses in Koreans with ASD is needed.