• Korean Journal of Biological Psychiatry
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• v.12 no.1
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• pp.13-19
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• 2005

Objective:The purposes of this study were to investigate heart rate variability(HRV) in patients with generalized anxiety disorder(GAD) compared with major depressive disorder in Korea. Methods:Fifty-six GAD patients(20 male and 36 female) was classified into their comorbid psychiatric illness. Among them, Twenty-five patients(10 male and 15 female) who do not have any psychiatric comorbidity were compared with 30 major depressive disorder patients(12 male and 18 female). Clinical symptoms, HRV and MMPI were analysed between two group. Results:Comorbid psychiatric illnesses of GAD were ranked into no diagnosis(44.6%), MDD(32.1%), panic disorder(10.7%), social phobia(5.3%), PTSD(1.7%), OCD(1.7%), MDD+panic disorder(1.7%) and MDD+specific phobia(1.7%). GAD patients showed low functioning in HRV, but degree of decreasing HRV is not so severe compared with MDD patient. Balance of sympathetic and parasympathetic nerve tone is more severely impaired in GAD patients compared with MDD patient. The score of MMPI did not reveal any differences between two groups. Conclusions:The result showed that HRV can differenciate GAD and MDD patients. GAD patients could show decreased HRV functioning, less than MDD patients. But autonomic imbalance could be more severe in GAD than MDD patients.

• Korean Journal of Biological Psychiatry
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• v.16 no.1
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• pp.37-45
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• 2009

Objectives : It is reported that panic disorder is frequently comorbid with other psychiatric illnesses. The aim of this study was to investigate differences of psychiatric comorbidity according to age of onset of panic disorder. Methods : Three hundred-two patients participated in the study. All the patients were evaluated by clinical instruments for the assessment the presence of other comorbid psychiatric disorders and various clinical features; Korean version of Mini International Neuropsychiatric Interview, Self-report questionnaires(Beck Anxiety Inventory, Beck Depression Inventory, Anxiety Sensitivity Index and State-Trait Anxiety Inventory) and clinical rating scale (Hamilton Anxiety Scale, Hamilton Depression Scale and Global Assessment of Functional score). Chi-square test was used to determine the difference between early onset and late onset panic disorder. Results : Forty percent of panic patients were found to have at least one comorbid psychiatric diagnosis. There were no differences among the groups divided by number of comorbidity in sex, agoraphobia comorbidity, duration of panic disorder, except onset age of panic disorder. Early onset group had more comorbidy with social phobia, agoraphobia, PTSD. We also found that Early onset panic disorder patients were more likely to experience derealization, nausea, parethesia than late onset panic disorder patients. Conclusion : The results of our study are in keeping with previous data from other parts of the world. Our finding suggest that earier onset of panic disorder related to more psychiatric comorbidity.

• Anxiety and mood
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• v.9 no.2
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• pp.147-153
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• 2013

Objective : Despite the chronic nature and high social costs, individuals with anxiety disorders seldom seek treatment. Thus, education for public awareness and screening for the illness is tremendously important for mental health professionals. This study summaries and presents the results from Anxiety Disorder Screening Program during the Mental Health Exposition held in Seoul in April, 2013. Methods : We analyzed the data from 116 participants who agreed and completed the screening questionnaires during their visits to two-day Anxiety Disorder Screening Program prepared by the Korean Academy of Anxiety Disorder. The questionnaire comprised of modified Mobility inventory for agoraphobia, Contents of worries, Penn State Worry Questionnaire, Life Events Checklist, and Abbreviated Posttraumatic Stress Disorder Checklist. Results : Participants demonstrated high rates of anxiety symptoms and possible anxiety disorders. Experience of panic attack was reported by 45%, lifetime and 16% in the past month by respondents. Phobia was reported by 46%. Participants had an average of 3.3 pathological worries and among those, social or interpersonal content was most common (46%). At least one lifetime traumatic event was reported by 64%. By the cut-off scores in the literature, 46% had possible generalized anxiety disorder and 58% possible posttraumatic stress disorder. Conclusion : Our results suggested that many visitors to Anxiety Disorder Screening Program were in fact treatment seeking after experiencing some forms of anxiety symptoms. Further efforts for delivery of medical information and increasing public awareness for anxiety disorders are needed.

• Journal of Periodontal and Implant Science
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• v.34 no.3
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• pp.639-646
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• 2004

Dental phobia is the most prevalent fear in all age groups, across gender, and in all countries. One of the primary identified sources is the fear of dental injections in the dental phobia or the high dental fear and anxiety groups. The purpose of this study was to clinically evaluate the computer controlled anesthetic device and to compare it with traditional methods of dental anesthetic delivery. Fifty(mean age : 25.6 yrs) systemically and periodontally healthy volunteers participated in this study. The subjects were given contralateral buccal and palatal injections. One side was injected with the computer-controlled anesthetic device with a microprocessor and an electric motor to precisely regulate flow rate during administration : The experimental group. The control side was injected with a standard manual syringe, in which flow rate and pressure are operator-dependent and can't be controlled accurately : The control group. The subjects described their perceived pain experiences with two subjective scales. The results of this study were as follows: 1. The computer-controlled anesthetic device was significantly less painful than conventional syringe injection 2. The female subjects reported more pain than the male subjects. But, there were no statistical differences. 3. The anesthetic effect of both methods did not show any difference. In this study, it may be concluded that pain levels decreased significantly when the computer-controlled anesthetic device was used.

• Journal of Dental Anesthesia and Pain Medicine
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• v.16 no.3
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• pp.203-208
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• 2016

Background: In South Korea, the number of cases of dental treatment for the disabled is gradually increasing, primarily at regional dental clinics for the disabled. This study investigated pediatric patients at a treatment clinic for the disabled within a university hospital who received dental treatment under general anesthesia. This data could assist those that provide dental treatment for the disabled and guide future treatment directions and new policies. Methods: This study was a retrospective analysis of 263 cases in which patients received dental treatment under general anesthesia from January 2011 to May 2016. The variables examined were gender, age, reason for anesthesia, type of disability, time under anesthesia, duration of treatment, type of procedure, treatment details, and annual trends in the use of general anesthesia. Results: Among pediatric patients with disabilities who received dental treatment under general anesthesia, the most prevalent age group was 5-8 years old (124 patients, 47.1%), and the primary reason for administering anesthesia was dental anxiety or phobia. The mean time under anesthesia was $132.7{\pm}77.6min$, and the mean duration of treatment was $101.9{\pm}71.2min$. The most common type of treatment was restoration, accounting for 158 of the 380 treatments performed. Conclusions: Due to increasing demand, the number of cases of dental treatment performed under general anesthesia is expected to continue increasing, and it can be a useful method of treatment in patients with dental anxiety or phobia.

• Industry Promotion Research
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• v.8 no.4
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• pp.229-239
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• 2023

This research as a literature study is to clarify solution method of hypochondriasis through focused distraction. Hypochondriasis is called by various terms such as somatization symptoms, health anxiety, illness phobia, illness anxiety disorder, hypochondriacal disorder, hypochondriacal neurosis, and hypochondria personality disorder. Hypochondria is basically a factor that causes worry, fear, anxiety, and even phobia, lowering the quality of life at home, work, and society. As the quality of life of individuals is decreasing, the field of counseling psychology and psychological counseling has the task of solving this problem and restoring psychological peace. Accordingly, this study is an attempt to explore the symptoms of hypochondria by using the distraction strategy among cognitive strategies as a way to resolve the condition. Focused distraction strategy can be said to be a kind of cognitive 'avoidance strategy'. Focused distraction strategy is a way to avoid being overly focused on one's health. In addition, it weakens health concerns by 'dispersing' or 'distracting' the 'attention' focused on health in another direction.

• Journal of Dental Anesthesia and Pain Medicine
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• v.16 no.4
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• pp.237-244
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• 2016

Topical anesthetics act on the peripheral nerves and reduce the sensation of pain at the site of application. In dentistry, they are used to control local pain caused by needling, placement of orthodontic bands, the vomiting reflex, oral mucositis, and rubber-dam clamp placement. Traditional topical anesthetics contain lidocaine or benzocaine as active ingredients and are used in the form of solutions, creams, gels, and sprays. Eutectic mixtures of local anesthesia cream, a mixture of various topical anesthetics, has been reported to be more potent than other anesthetics. Recently, new products with modified ingredients and application methods have been introduced into the market. These products may be used for mild pain during periodontal treatment, such as scaling. Dentists should be aware that topical anesthetics, although rare, might induce allergic reactions or side effects as a result of an overdose. Topical anesthetics are useful aids during dental treatment, as they reduce dental phobia, especially in children, by mitigating discomfort and pain.

• Journal of Oriental Neuropsychiatry
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• v.2 no.1
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• pp.108-121
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• 1991

Deficiency symptom-complex is related to psychotic disease and important concept of Pal Gang(八綱) in oriental Diagnosis. This investigation was carried out to see the effect of disease of deficiency Symptom-Complex upon Symptoms Checklist-90-Revision. The following results were obtained ; 1. Deficiency Symptom-Complex was related to psychoses in the bibliographic study. 2. Dimension #1, #2, #4, #5, #7, #9, were significantly recognized in the deficiency Symptom-Complex. 3. Dimension #1 was significantly recognized in the back pain. 4. Dimension #1 was related to the deficiency of spleen(脾虛). 5. It is suggested that dimension #2, #3, #7, related with phobia were connected with the deficiency of liver, and gall bladder(肝膽虛). Considering the above results, it is thought that deficiency Symptom-Complex was related to psychotic disease, investigation about deficiency Symptom-Complex of viscera &bowels(臟腑虛證) and Symptoms Checklist-90-Revision should be continued.

• Journal of Institute of Convergence Technology
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• v.2 no.2
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• pp.5-12
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• 2012

Recently, peoples are suffering from various psychological disorders such as addiction, phobia, depression, and bipolar disorder. Moreover, children with ADD/ADHD and autism are increasing. Korean tends to regard the psychological disorders as taboo. Therefore, it is unusual case that the mental patient gets the psychological therapy. Virtual reality has come to the spotlight as a useful tool for the therapy due to its anonymity and easy accessibility. The therapy in the virtual reality is called cyber-therapy. Emotion of the patient is important for the treating process. The objective of this paper is to review the researches on the treatment of psychological disorders using the virtual reality and prospect the affective interaction technology for the cyber-therapy.

• The International Journal of Costume Culture
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• v.13 no.2
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• pp.67-81
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• 2010

This study is a basic research to develop kit and program for fashion psychotherapy, a new genre of therapy. Symptom checklist, self-esteem evaluation, interpersonal relationship problem evaluation and fashion preference evaluation were conducted on 159 college students in Seoul. The results were analyzed with t-test and one-way ANOVA. The result showed that first, warm color preference was significantly high in interpersonal problem among psychological problems. Second, smooth material preference was significantly high in paranoia among psychological problems. Third, differences in design preferences by psychological problems were not significant. Fourth, differences in design preferences between abnormal range and normal range of psychological problems were significant in line shape, with depression abnormal group showing significantly high straight line preference. Additionally, complex shape preference was significant in complexity in somatization and phobia abnormal groups. This study can be utilized in kit development for a new field, fashion psychotherapy. This study is significant as practical basic data in constructing fashion psychotherapy program.