1.Clinical Outcomes of Atypical Inflammatory Variants of Abdominal Aortic Aneurysm
JooHyun CHO ; Jung Hee BANG ; Sang Seok JEONG ; Junghoon YI ; Sung Sil YOON ; Kwangjo CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2020;53(6):353-360
Background:
Most abdominal aortic aneurysms are degenerative atherosclerotic aneurysms. Inflammatory or infected abdominal aortic aneurysms, which show a slightly different clinical course, are rarely encountered in clinical settings. Therefore, we aimed to investigate the clinical course of these variants of abdominal aortic aneurysms.
Methods:
This retrospective study included 32 patients with atypical inflammatory or infected abdominal aortic aneurysms who underwent emergent graft replacement between November 1997 and December 2017. Patients were followed up at the outpatient clinic for a mean period of 4.9±6.9 years. We analyzed the patients’ clinical course and compared it with that of patients with atherosclerotic abdominal aortic aneurysms.
Results:
There was 1 surgical mortality (3.0%) in a case complicated by aneurysmal free rupture. In 2 cases of infected abdominal aortic aneurysms, anastomotic complications developed immediately postoperatively. During the follow-up period, 10 patients (30%) developed graft complications, and 9 of them underwent reoperations; of these, 2 patients (22.2%) died of postoperative complications after the second operation, whereas 2 patients survived despite graft occlusion.
Conclusion
Patients with inflammatory abdominal aneurysms frequently develop postoperative graft complications requiring secondary surgical treatment, so they require close mandatory postoperative follow-up.
2.Korean Validation of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire
Hyeona YU ; Joohyun YOON ; Chan Woo LEE ; Ji Yoon PARK ; Yoonjeong JANG ; Yun Seong PARK ; Hyun A RYOO ; Nayoung CHO ; Sunghee OH ; Won KIM ; Jong-Min WOO ; Hyo Shin KANG ; Tae Hyon HA ; Woojae MYUNG
Psychiatry Investigation 2022;19(10):872-872
3.Korean Validation of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire
Hyeona YU ; Joohyun YOON ; Chan Woo LEE ; Ji Yoon PARK ; Yoonjeong JANG ; Yun Seong PARK ; Hyun A RYOO ; Nayoung CHO ; Sunghee OH ; Won KIM ; Jong-Min WOO ; Hyo Shin KANG ; Tae Hyon HA ; Woojae MYUNG
Psychiatry Investigation 2022;19(9):729-737
Objective:
The Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A) has been validated in more than 30 languages and is noted for its broad application in research and clinical settings. This study presents the first attempt to examine the reliability and validity of the TEMPS-A in Korea.
Methods:
A total of 540 non-clinical participants completed the Korean TEMPS-A, which was adapted from the original English version via a comprehensive translation procedure. Reliability was assessed using Cronbach’s α, and associations between temperaments were examined using Spearman’s correlation coefficient. Exploratory factor analysis (EFA) was performed, and differences in TEMPS-A scores between the gender- and age-based groups were examined using Kruskal-Wallis analysis.
Results:
The Korean TEMPS-A exhibited excellent internal consistency (0.70–0.91) and significant correlations between subscales. EFA resulted in a two-factor structure: Factor I (depressive, cyclothymic, irritable, and anxious) and Factor II (hyperthymic). Gender and age group differences were observed.
Conclusion
Overall, our results suggest that TEMPS-A is a reliable and valid measure of affective temperaments for the Korean population. This study opens new possibilities for further research on affective temperaments and their related traits.
4.Validation of the Short Form of the Mood Instability Questionnaire-Trait (MIQ-T-SF) in the Korean General Population
Joohyun YOON ; Hyeona YU ; Yoonjeong JANG ; Daseul LEE ; Yun Seong PARK ; Hong Kyu IHM ; Hyun A RYOO ; Nayoung CHO ; Jakyung LEE ; Yeoju KIM ; Jungkyu PARK ; Hyo Shin KANG ; Tae Hyon HA ; Woojae MYUNG
Psychiatry Investigation 2023;20(5):408-417
Objective:
Mood instability (MI) is a clinically significant trait associated with psychiatric disorders. However, there are no concise measurements to evaluate MI. The initial Mood Instability Questionnaire-Trait (MIQ-T) was developed to fill this gap. The current study aimed to create a short form of MIQ-T (MIQ-T-SF) that measures MI with high validity and reliability in the Korean general population.
Methods:
Of the 59 items in the MIQ-T, 17 items were chosen for the MIQ-T-SF following the factor analysis process. In total, 540 participants completed the MIQ-T-SF. Cronbach’s alpha and McDonald’s omega were used to evaluate reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to determine construct validity. Concurrent validity was confirmed via comparisons with Personality Assessment Inventory-Borderline Features Scale. Measurement invariance across gender and age groups was confirmed before analyzing differences in scores using Kruskal-Wallis test.
Results:
The MIQ-T-SF displayed expected correlations and high internal consistency (α=0.71–0.90, Ωt=0.72–0.92). Using EFA and CFA, a five-factor structure was confirmed. Measurement invariance was supported, and gender differences were observed.
Conclusion
The MIQ-T-SF is an accurate and reliable method to detect MI in the Korean general population. The study’s results offer new perspectives for future studies on MI.
5.Borderline Personality Pathology in Major Depressive Disorder, Bipolar I and II Disorder, and Its Relationship With Childhood Trauma
Ji Seon YOU ; Chan Woo LEE ; Ji Yoon PARK ; Yoonjeong JANG ; Hyeona YU ; Joohyun YOON ; Sarah Soonji KWON ; Sunghee OH ; Yun Seong PARK ; Hyun A RYOO ; Jong Hun LEE ; Daseul LEE ; Jakyung LEE ; Yeoju KIM ; Nayoung CHO ; Hong Kyu IHM ; C. Hyung Keun PARK ; Yeong Chan LEE ; Hong-Hee WON ; Hyo Shin KANG ; Ji Hyun BEAK ; Tae Hyon HA ; Woojae MYUNG
Psychiatry Investigation 2022;19(11):909-918
Objective:
Mood disorder and borderline personality pathology (BPP) are frequently comorbid and relate to childhood trauma. We investigated the relationship between childhood trauma and BPP features in mood disorder patients versus controls.
Methods:
A total of 488 mood disorder patients, particularly major depressive disorder (MDD), bipolar I disorder (BD I), and bipolar II disorder (BD II), and 734 controls were included. We examined between-group BPP-related differences and correlated between BPP and childhood trauma using the Childhood Trauma Questionnaire-Short Form (CTQ) and the Personality Assessment Inventory–Borderline Features Scale.
Results:
BD II patients showed significantly higher BPP. Emotional abuse and neglect were prominently associated with BPP, while affective instability and negative relationships exhibited a stronger association with childhood trauma. We also found a positive relationship between childhood trauma and BPP in MDD, BD I, and BD II patients.
Conclusion
The findings of the present study imply that BPP features are more likely to be found in patients with BD II than BD I or MDD. Mood disorder patients with severe childhood trauma may have higher BPP features. Thus, further study of the relationship between childhood trauma and BPP features could improve the therapeutic approaches and help understand patients with mood disorders.