• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권1호
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• pp.39-43
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• 2009

We treated the persistent ruminative vomiting of a 13-year-old autistic boy by using a behavioral and psychopharmacological approach in a closed ward. Before the interventions, the patient had lost about 10kg of body weight due to very high-frequency ruminative vomiting. Together with psychopharmacological trials, the psychiatric treatment included a combination of a behavioral approach and food regulation that emphasized food restrictions, and we provided regular light meals. There was a considerable reduction of the ruminative vomiting and 2kg weight gain was achieved during the admission. These therapeutic gains were maintained at the 4-month follow-up assessment and the vomiting symptom reached a near-zero level and the weight loss were recovered by about 8kg. The issues related to the treatment approaches for ruminative vomiting with autism are discussed.

• 한국사회복지학
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• 제66권3호
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• pp.253-276
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• 2014

본 연구의 목적은 국내에서 단축형 간이정신진단검사(Brief Symptom Inventory-18, BSI-18)가 정신장애인의 정신과적 증상을 평가하고 치료 개입의 성과를 측정하는 도구로 활용될 수 있도록 타당도와 신뢰도를 검정하는 것이었다. BSI-18은 BSI-53의 축소버전으로 임상 현장에서 효과적인 개입을 위해 정신과적 증상을 확인하고 진단하며, 치료프로그램의 성과로서 증상변화를 측정하기 위해 개발된 도구이다. 본 연구에서는 정신장애인 180명을 대상으로 하여 첫째, BSI-18 전체 문항과 하위요인에 대한 내적일치도 및 검사-재검사 반복측정을 통해 신뢰도를 파악하였으며, 둘째, 확인적 요인분석을 실시하여 해당구성개념의 요인구조를 확인하였으며, 셋째, BSI-18의 우울 점수와 대표적인 우울척도인 BDI, CES-D 20의 우울 점수 간에 상관관계를 검토하여 준거 타당도를 살펴보았다. 연구의 주된 결과는 다음과 같다. 첫째, BSI-18 전체 문항과 하위요인 등의 검사-재검사 반복측정 결과 선행연구들과 유사한 높은 수준의 반복측정 신뢰도 및 내적일관성을 보여주었다. 둘째, 확인적 요인분석 결과 정신장애인을 대상으로 BSI-18은 3요인 모형이 가장 자료에 부합하는 것으로 나타났다. 셋째, BSI-18의 우울증상은 BDI, CES-D 20과 유의한 정적상관관계가 나타나 준거 타당도가 확보되었다. 이러한 결과들에 대한 연구함의를 논의하여 제시하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권1호
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• pp.38-44
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• 2015

Objectives : The purpose of this study is to examine the effects of the characteristics of victim and sexual abuse on posttraumatic psychiatric symptoms in children and adolescents with a history of sexual abuse. Methods : A total of 137 children and adolescents were recruited from the Seoul Sunflower Children Center, a nation-funded sexual violence victim protection center, from January 2009 to December 2013. We collected the demographic data of the victims and the Trauma Symptom Checklist for Children (TSCC) from victims. We hypothesized victims' age, sex, and intelligence quotient, and the characteristics of sexual abuse as the affecting factors of posttraumatic psychiatric symptoms. Descriptive analysis and hierarchical regression analysis were performed for analysis of demographic data, TSCC scores, and psychiatric symptoms. Results : The victims' age and the characteristics of sexual abuse were significantly related to the traumatic distress of sexual abuse. R-square was 23% for anxiety, 39% for depression, 21% for posttraumatic stress, and 37% for dissociation on TSCC. Conclusion : This study suggests that victims' age, type, frequency and duration of exposure, and disclosure of sexual abuse are significant affecting factors on posttraumatic psychiatric symptoms in children and adolescents. Exploration of psychiatric symptoms other than posttraumatic symptoms, and relations between pretraumatic and posttraumatic psychiatric symptoms is needed through collection of larger samples.

• 대한불안의학회지
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• 제15권2호
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• pp.115-121
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• 2019

Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student's t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46-168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals.

• Journal of Preventive Medicine and Public Health
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• 제15권1호
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• pp.219-228
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• 1982

This study aimed at assessing the industrial workers' mental health status and identifing the relationship between mental health status and socio-demographic variables. We administered psychiatric self report rating scale (SCL-90)to 622 manual workers and 191 office workers in a textile .industry. The study began on 1 November, 1981 and lasted for 30 days The results were as follow: 1. Scores of symptom dimension were higher in female rather than male, younger than older, lower income group than higher one, lower educated group than higher one, manual workers than office workers and unmarried group than married one respectively. 2. The result of dimension scores of total samples showed that the score of Obsessive-compulsive scale was highest. The rest symptom dimension showed the order as follows: Interpersonal sensitivity, Depression, Hostility, Anxiety, Paranoid ideation, Somatization, Psychoticism and Phobic anxiety. 3. In order to identify the partial contribution of each socio-demographic variables on the mental health, multiple regression method was applied, and the result was as follows. 1) Sex was the most important one to explain the Somatization, Phobic-anxiety and Psychoticism scales among the 7 variables in the multiple regression equation. 2) Economic status was the most important variable to explein the Obsessive-compulsive, Depression and Hostility scales. 3) Marital status was the most important variable to explain the Interpersonal-sensitivity and Paranoid ideation scales.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권3호
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• pp.136-141
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• 2014

Objectives : The aim of this study was to examine the relationship between internet game addiction and psychiatric symptoms. Methods : A total of 447 adolescents who were recruited from a child and adolescent psychiatric clinic of university hospital completed a self-report questionnaire consisting of Korean Internet Addiction Self-scale (K-scale), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Korean-Attention-Deficit Hyperactivity Disorder Rating Scale (K-ARS), and Adolescent Happiness Index (AHI). They were classified into three internet user groups, non-addicted group (below or equal to 94), potential risk group (95 to 107) and high risk group (above or equal to 108) according to K-scale total score. Results : Significant mean differences in BDI, BAI, K-ARS, and AHI scores were observed among the three groups. The BDI, BAI and K-ARS scores showed positive correlation with K-score. The AHI score showed negative correlation with K-score. Conclusion : Findings of this study suggest that depression, anxiety, inattention, hyperactivity/impulsivity, and happiness are associated with internet game addiction.

• 한국임상약학회지
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• 제29권1호
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• pp.56-60
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• 2019

Oseltamivir is an antiviral medication prescribed to prevent and treat influenza A and B. A case from a community pharmacy in Korea was reported for an adverse event associated with oseltamivir administration. A 20-month-old boy had psychiatric symptoms after receiving 2 doses of oseltamivir. Therefore, an evaluation of whether the psychiatric symptoms were caused by oseltamivir was required. To determine whether the adverse event resulted from the administrated medication or other factors, three tools were used: the Naranjo scale, the Korean causality assessment algorithm (Ver.2), and the World Health Organization-Uppsala Monitoring Center (WHO-UMC) criteria. The psychiatric symptoms occurred after oseltamivir administration, and were attenuated after oseltamivir termination. A possible cause of the psychiatric symptoms is high fever, but information on the body temperature of the patient was not sufficient. Therefore, it was unclear whether there were other nonpharmacological causes of adverse drug reaction. For these reasons, in terms of causality, the results evaluated by the three tools represented, "possible", "probable", and "probable/likely", respectively.

• 산업융합연구
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• 제20권12호
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• pp.97-106
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• 2022

본 연구의 목적은 국립법무병원 간호사의 정신건강 회복에 대한 태도와 지각된 회복의 의미, 장애요인 및 촉진 요인을 파악하는 것으로 서술적 연구 설계가 사용되었다. 대상자는 C 지역 국립법무병원에서 근무하는 간호사 100명이다. 수집된 자료는 SPSS 26.0 WIN 프로그램을 이용하여 서술통계, t-test, ANOVA, scheffe-test로 분석하였으며 대상자가 서술한 응답은 내용분석을 이용하였다. 대상자의 정신건강 회복에 대한 태도는 긍정적이었으며(3.90±0.41), 정신 전문간호사 자격증 취득 여부(t=-2.06, p= 042), 중독정신간호사(t=-2.36, p= 020) 자격증 취득 여부에 따라 차이가 있었다. 간호사의 지각된 회복의 의미는 증상이 완화된 상태(42.0%), 장애요인은 가족의 무관심과 편견(31.0%), 촉진 요인은 약물복용, 정신 재활 교육 및 치료적 면담(33.0%)이었다. 국립법무병원 간호사의 정신건강 회복에 대한 이해를 증진시키기 위한 교육이 필요하며 정신장애 범죄자의 회복을 위해 가족 지원 체계와 치료 환경 구축을 위한 조직적 노력이 필요하다.

• 대한불안의학회지
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• 제2권2호
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• pp.101-107
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• 2006

Object : Since autonomic nerve system dysfunction was known as the mechanism of panic disorder, many researchers used heart rate variability (HRV) as means of measuring autonomic nerve function of patients with panic disorder. We aimed to examine the effect of paroxetine medication for 3 months on symptom improvement and change of heart rate variability of the patients with panic disorder. Methods : The subjects were patients with panic disorder who visited the psychiatric outpatient clinic of Samsung Medical Center in Seoul. We included panic disorder patients who were aged from 20 to 50 and in normal BMI range (from 18 to 30) to minimize the effect of age and weight on HRV data. We excluded the patients with EKG abnormalities, hypertension or other major psychiatric disorders. They took 20-40 mg paroxetine medication a day for 3 months. Alprazolam was used only during the first month to control the acute panic symptoms and was tapered off after that. We measured the acute panic inventory (API), Hamilton rating scale for anxiety and depression (HAM-A & HAM-D), Spielberger state-trait anxiety inventory (STAIS, STAIT), and Beck depression inventory (BDI) in order to assess clinical improvement of the patients. And we measured time and frequency domain HRV in the resting, standing and cognitive stress states to assess the change of HRV. All measurements were done before and after paroxetine treatment. Result : After paroxetine medication, patients showed significant improvement in all psychiatric scales. In time domain of HRV, standard deviations of all R-R intervals (SDNN) were significantly increased in all states. In frequency domain of HRV, the ratio of high frequency to total power (HF/TP) in the standing state was significantly increased. Conclusion : After 3 months paroxetine medication, panic disorder patients showed significant clinical improvement and change in HRV data such as SDNN in all states and HF/TP ratio in the standing state. This result suggests that paroxetine medication is effective for the improvement of autonomic nerve system dysfunction in panic disorder patients.

• 정신신체의학
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• 제24권1호
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• pp.9-19
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• 2016

어지럼을 호소하는 환자들 중 많은 환자에서 신경 이과적 검사에서는 이상이 없고 정신의학적으로 문제가 있는 경우가 있다. 이런 경우에 심인성 어지럼증이란 진단을 붙이는데, 이는 대개 정신의학적 문제로 인하여 어지럼이 발생한다. 어지럼증 환자의 2-4명 중 1명일 정도로 많은 편이다. 그러나 한국에서는 심인성 어지럼에 대한 진료, 연구 등이 부족한 편이다. 이에 저자는 한국 정신건강의학과 의사들이 심인성 어지럼에 대하여 많은 관심을 가지고 적극적인 동참을 하도록 하기위하여 이 논문을 발표하였다. 이 논문은 정신질환 특히 불안과 어지럼의 생물학적, 심리적 연관성을 포함한 심인성 어지럼의 원인 및 진단, 심인성 어지럼과 관련된 정신질환 및 각 정신질환에서의 어지럼의 특성, 그리고 심인성 어지럼의 치료에 대하여 고찰하였다. 또한 정신건강의학과 의사를 대상으로 하였기에 신경 이과와의 협진에 필수적인 중추성 및 말초성 어지럼에 대해서도 간략히 고찰하였다. 치료에서는 특정치료, 증상치료, 전정재활치료 뿐만이 아니라 심인성 어지럼의 치료에 필수적인 약물치료 및 인지행동치료에 대해서도 고찰하였다. 어지럼 환자에게 신경 이과적 검사 및 진료 시 기질적 문제가 없거나, 기질적 문제가 있을지라도 다른 정신과적 증상이 상당히 동반된 심인성 어지럼 환자라면 정신의학적 치료를 적용하여 치료성공률을 높이고 나은 귀결을 보일 것이다. 어지럼의 치료에는 다학제적 접근을 통한 환자-중심의 치료적 접근이 환자들의 고통 경감과 삶의 질의 향상을 도모할 수 있다. 이를 위해서 한국 정신건강의학과 의사들의 심인성 어지럼증에 대한 관심 증가 및 적극적인 참여가 필요하다고 제시한다.