1.Level and Correlation Factors of Uncertainty in Members of Families of a Patient with Mental Illness.
In Ohg OH ; Eui Geum OH ; Sunah KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2012;21(2):158-166
PURPOSE: The purpose of this study was to measure the level of uncertainty, credible authority, severity of illness and event familiarity in members of families where there is a patient with a mental illness and to examine the relationships among these variables. METHODS: Research data were collected from November 23 to December 7, 2010. Participants in the study were 96 family members who visited patients in a closed ward or out-patient department of one hospital in Goyang City. Self-report questionnaires were analyzed using the SPSS 18.0 Program. RESULTS: Mean scores were 79.8+/-11.23 for level of uncertainty in family members, 15.5+/-2.17 for credible authority, 13.3+/-2.02 for severity of illness, and 14.5+/-2.43 for event familiarity. Uncertainty in family members was significantly related to credible authority (r=-.52, p<.001), event familiarity (r=-.41, p<.001) and severity of illness (r=.22, p<.031). CONCLUSION: The results of the study indicate that credible authority, severity of the illness and event familiarity are major factors perceived uncertainty in members of families of these patients. This outcome suggests the need for a new trials in nursing interventions considering the effects of these variables.
Humans
;
Outpatients
;
Surveys and Questionnaires
;
Recognition (Psychology)
;
Uncertainty
2.The psychological characteristics of functional dyspepsia patients by MMPI.
Keun Sang YUM ; Whan Seok CHOI ; Hye Seong PARK ; Byung Soo LEE ; Mee Ryoug CHUNG
Journal of the Korean Academy of Family Medicine 1997;18(6):666-674
BACKGROUND: The functional dyspepsia gives rise to such a symptom similar to peptic ulcer without showing a noticeable lesion(e.g, gastric or duodenal ulcer) by endoscopy or upper GI serises, and it has been known that this is about twice as many as the peptic ulcer. However, there is no exact theory about its pathophysiology and it is suggested that multiple factors including genetic, physiologic, psychologic, environmental factors are engaged. Especially, in respect to the occurrence of functional dyspepsia and psychological factors, there have been many clinical studies over the world. But, we still need more studies in this country, therefore, this study has been initiated to give help patients of functional dyspepsia, invest.igating their characteristic traits through MMPI. METHODS: From March to September in 1996, the patients who visited the family medicine out-patients department of St. Marys hospital of Catholic Medical College were sampled in this study. There were 46 patients having a similar symptoms to peptic ulcer without showing pathologic lesions by endoscopy. Through an interview and some basic tests, the 41 controls who had no dyspeptic symptoms and were not affected to a noticeable physical or physiological disorders were selected for the normal reference group. The standardized MMPI of our country was applied to the whole object groups to get a result. Then each average value of the measure(mean T-score) was calculated, and the differences of the average value were analyzed by the t-test and chi-square test. And the psychological pattern analysis was done. RESULTS: In demographic aspects, there were no significant differences between the two groups. The mean T score for each measure of the two groups falls within the normal ranges with their values being of between 30 to 70. And the average of L, F, and K measure, known as the validity measure, did not give a significant differences between the two groups. The measure of Hs, D, and Hy have appeared significantly high in the patients group(p<0.01) and the Pd measure, too(p<0.05). While Mf, Pa, and Ma measure have not shown a significant differences, Pt, Sc, and Si measure have very significant differences(p<0.01). CONCLUSIONS: In the patient group with the functional dyspepsia, the measures of Hs, D, and Hy where they indicate a neurotic pattern have shown a very significantly high point as well as those of Pd, Pt, Sc, and Si where they indicate a psychotic pattern. This reveals that in the group of the functional dyspepsia neurotic or psychotic trends to attribute. However, it is very hard to define the characteristics of a group with just one test, so further study with more variable test will be necessary.
Dyspepsia*
;
Endoscopy
;
Humans
;
MMPI*
;
Outpatients
;
Peptic Ulcer
;
Psychology
;
Reference Values
3.Biofeedback Therapy in Patients with Nonrelaxing Puborectalis Syndrome: Are there differences of therapeutic effect according to methods of diagnosis?.
Jae Heon JEONG ; Jeong Seok CHOI ; Yong Jun SEO ; Jun Hyun KIM
Journal of the Korean Society of Coloproctology 2001;17(1):26-32
PURPOSE: To evaluate therapeutic effect of biofeedback therapy according to methods of diagnosis in patients with norelaxing puborectalis syndrome. METHODS: From September, 1, 1998 to February, 30, 1999, the patients who were diagnosed with norelaxing puborectalis syndrome on anal electromyography (EMG) and/or cinedefecography (CD) underwent biofeedback therapy. The patients were divided into 3 groups according to the diagnostic method; CD group - only diagnosed on cinedefecography, EMG group - only diagnosed on anal electromyography, CD EMG group - diagnosed on both tests. RESULTS: Nineteen patients were diagnosed nonrelaxing puborectalis syndrome on CD and/or EMG. There were 14 females and 5 males with a mean age of 40.8+/-18.4 years. The patients were classified into CD group; five patients (26.3%); EMG group, eight patients (42.1%); CD EMG group, six patients (31.6%). The patients had 5.4 3.7 sessions of outpatient EMG-based biofeedback sessions. Subjective symptoms after biofeedback therapy improved in 4 (80.0%), 6 (75%), 5 (83%) patients in CD, EMG, CD EMG groups, respectively. There was a statistically significant increase in spontaneous bowel movements, and a reduction in assisted bowel movements after biofeedback therapy in patients in all three groups (p<0.05). However, no significant difference was found among the three groups. CONCLUSION: This study demonstrated that biofeedback therapy had a high therapeutic effect regardless to the diagnostic method. Therefore, biofeedbck therapy can be performed if one test results in the diagnosis of norelaxing puborectalis syndrome in patients with constipation.
Biofeedback, Psychology*
;
Constipation
;
Diagnosis*
;
Electromyography
;
Female
;
Humans
;
Male
;
Outpatients
4.Factors Affecting the Empowerment Experienced by Outpatients with Schizophrenia
Jun Gee KIM ; Jee Young AHN ; Chul Kwon KIM
Korean Journal of Schizophrenia Research 2018;21(2):59-66
OBJECTIVES: To identify various factors that might affect the empowerment of outpatients with schizophrenia. METHODS: Of patients who had been receiving outpatient treatments at the department of psychiatry in Dong-A university hospital, 116 patients with a DSM-IV-TR diagnosis of stable schizophrenia were enrolled in this study. The empowerment, psychiatric symptoms, social functions, insight, family attitude, social support and self-esteem were assessed through an interview or self-report measures. Overall, multiple regression analyses were performed in consideration of 11 factors (age, sex, level of education, age of onset, frequency of hospitalization, symptoms, social functions, insight, family attitude, social support, self-esteem) as explanatory variables for the empowerment. RESULTS: Multiple regression analyses using a backward elimination revealed that the following four factors were found to be significant explanatory variables for the empowerment: age of onset, social functions, family attitude and self-esteem. A coefficient of determination for these four explanatory variables was 0.65. CONCLUSION: In conclusion, the results showed that four factors, such as age of onset, social functions, family attitude and self-esteem, were found to be significant explanatory variables for the empowerment of outpatients with schizophrenia. Since these four variables accounted for 65% of total empowerment, however, further studies in a larger group of patients are warranted to identify other potential factors for the empowerment.
Age of Onset
;
Diagnosis
;
Education
;
Hospitalization
;
Humans
;
Outpatients
;
Power (Psychology)
;
Schizophrenia
5.An Investingation of Psychological Factors in Patients with Functional Dyspepsia.
Jin Sung KIM ; Dai Seog BAI ; Kwang Heun LEE ; Jeong Ill SUH
Yeungnam University Journal of Medicine 1999;16(2):244-254
OBJECTIVES: This subjects investigated the psychological characteristics of patients with functional dyspepsia. METHODS: The subjects included ninety patients with functional dyspepsia and sixty four psychiatric out-patients. We administered Minnesota Multiphasic Personality Inventory (MMPI) and Illness Behavior Questionnaire(IBQ). RESULTS: There were no significant differences between the patients with functional dyspepsia and the psychiatric out-patients by MMPI. Two groups both showed a higher distribution in hypochondriasis, depression, hysteria subscales than in any other subscales. The patients with functional dyspepsia showed lower scores in disease conviction and affective disturbance subscales in IBQ subscales were similar between the patients with functional dyspepsia and the psychiatric out-patients. The patients with functional dyspepsia were divided into three groups for the Multivariate cluster analysis: normal(group 1), similar to psychiatric out-patient(group 2), and severe neurotic(group 3). The severe neurotic group showed higher scores in hypochondriasis, depression, hysteria, psychathenia, and schizophrenia subscales in MMPI and showed significant different scores in affective disturbance, disease conviction, psychological and somatic concerns, affective disturbance, denial, and irritability subscales in IBQ. CONCLUSION: If patients with functional dyspepsia show severe neurotic behavior, such as those in(group 3), they would need appropriate psychiatric intervention.
Denial (Psychology)
;
Depression
;
Dyspepsia*
;
Humans
;
Hypochondriasis
;
Hysteria
;
Illness Behavior
;
MMPI
;
Outpatients
;
Psychology*
;
Schizophrenia
6.Follow-up Management State of Lead Battery Workers in Periodic Health Examination.
Gap Soo LEE ; Young HWANGBO ; Yong Bae KIM ; Hwa Sung KIM ; Jung Oh HAM ; Sung Soo LEE ; Kyu Dong AHN ; Byung Kook LEE ; Jung HUR
Korean Journal of Preventive Medicine 1996;29(4):733-746
To evaluate the follow-up management state and related factor of lead battery workers in periodic health examination as part of program of group occupational health service, author studied 293 workers with questionnaire on knowledge of results and follow-up management state and related factors, and compared the responses to their periodic health examination result charts. The results were as follows: 1. 252(86%) workers responsed that they had received the health examination result chart, but only 116(39.6%) workers responsed that they had been educated or explained about the result of health examination, and 11(57.9%) workers among 19 workers with non-occupational disease D, 101(44.3%) workers among 228 workers with non-occupational disease C, and 19(28.4%) workers among 67 workers with occupational disease C knew accurately their health examination results. 2. 78(24.8%) of the workers responsed that they had follow-up management, and contents of follow-up management were follow-up(36.6%), out-patient treatment(31%), change worksite(8.5%), temporary retirement(7.0%) and others(16.9%). 3. Most of the workers responsed that the health examination were necessary, but three-fourths of the workers responsed that the health examination had been superficial or that they didn't know. 4. In this study, follow-up management show significant association with only explanation or education about health examination result chart.
Education
;
Follow-Up Studies*
;
Humans
;
Knowledge of Results (Psychology)
;
Occupational Diseases
;
Occupational Health Services
;
Outpatients
;
Surveys and Questionnaires
7.The Effects of Social Skills Training vs. Psychoeducation on Negative Attitudes of Mothers of Persons with Schizophrenia: A Pilot Study.
Psychiatry Investigation 2011;8(2):107-112
OBJECTIVE: We compared the effects of two brief psychoeducation programs and social skills training on the negative attitudes of mothers with a son who has schizophrenia. METHODS: 15 mothers with strong negative feelings towards a sons with schizophrenia were assigned by convenience to participate in one of three brief (5 session) group programs at an outpatient clinic: lecture-based psychoeducation, video-based psychoeducation, or social skills training. Assessments using the Patient Rejection Scale were conducted with the mothers at post-treatment, and 3-, 6-, and 9-months later. RESULTS: Mothers in the three groups demonstrated significantly different patterns of changes in their negative attitudes following treatment. Whereas the mothers who received the two psychoeducation interventions showed reductions in rejecting attitudes immediately following the program, their scores gradually increased at the subsequent follow-up assessments. In contrast, the mothers in the social skills training group showed reductions in negative attitudes that were sustained across all of the follow-up assessments. CONCLUSION: Brief social skills training may be more effective than psychoeducation in reducing negative attitudes of parents who have an offspring with schizophrenia.
Follow-Up Studies
;
Humans
;
Mothers
;
Outpatients
;
Parents
;
Pilot Projects
;
Rejection (Psychology)
;
Schizophrenia
8.Two Cases of Onychotillomania.
Myung Hwan KIM ; Hyun Jeong PARK ; Jun Young LEE ; Baik Kee CHO
Korean Journal of Dermatology 2006;44(7):855-857
Onychotillomania, named by Alkiewicz, is a rare psychocutaneous disorder of the nails, and various psychological factors predispose the development of this condition. There has been no report of onychotillomania in Korea. We herein report two cases of onychotillomania seen in the nail clinic of our outpatient department. The first case was a 72 year old woman, who presented with a varying degree of dystrophic change to the first, second and third toenails on her right foot. She had a history of a depressive disorder and hypochondriasis. The second case was a 70 year old woman, who presented with complete destruction of the big toenail on her right foot, plus the 3rd and 4th fingernails of her right hand.
Aged
;
Depressive Disorder
;
Female
;
Foot
;
Hand
;
Humans
;
Hypochondriasis
;
Korea
;
Nails
;
Outpatients
;
Psychology
9.Do Somatic Symptoms Predict the Severity of Depression? A Validation Study of the Korean Version of the Depression and Somatic Symptoms Scale.
Sang Won JEON ; Seo Young YOON ; Young Hoon KO ; Sook Haeng JOE ; Yong Ku KIM ; Changsu HAN ; Ho Kyoung YOON ; Chia Yih LIU
Journal of Korean Medical Science 2016;31(12):2002-2009
This study aimed at exploring the psychometric characteristics of the Korean Version of the Depression and Somatic Symptoms Scale (DSSS) in a clinical sample, and investigating the impact of somatic symptoms on the severity of depression. Participants were 203 consecutive outpatients with current major depressive disorders (MDD) or lifetime diagnosis of MDD. The DSSS was compared with the Montgomery-Åsberg Depression Rating Scale (MADRS) and the 17-items Hamilton Depression Rating Scale (HAMD). The DSSS showed a two-factor structure that accounted for 56.8% of the variance, as well as excellent internal consistency (Cronbach’s alpha = 0.95), concurrent validity (r = 0.44–0.82), and temporal stability (intraclass correlation coefficient = 0.79). The DSSS had a high ability to identify patients in non-remission (area under receiver operating characteristic [ROC] curve = 0.887). Maximal discrimination between remission and non-full remission was obtained at a cut-off score of 22 (sensitivity = 82.1%, specificity = 81.4%). The number of somatic symptoms (the range of somatic symptoms) and the scores on the somatic subscale (SS, the severity of somatic symptoms) in non-remission patients were greater than those in remission patients. The number of somatic symptoms (slope = 0.148) and the SS score (slope = 0.472) were confirmed as excellent predictors of the depression severity as indicated by the MADRS scores. The findings indicate that the DSSS is a useful tool for simultaneously, rapidly, and accurately measuring depression and somatic symptoms in clinical practice settings and in consultation fields.
Depression*
;
Depressive Disorder, Major
;
Diagnosis
;
Discrimination (Psychology)
;
Humans
;
Outpatients
;
Psychometrics
;
ROC Curve
;
Sensitivity and Specificity
10.Effects of BATHE Interview Protocol on Patient Satisfaction.
Ji Hyun KIM ; Yoon Na PARK ; Eal Whan PARK ; Yoo Seock CHEONG ; Eun Young CHOI
Korean Journal of Family Medicine 2012;33(6):366-371
BACKGROUND: BATHE, the acronym for background, affect, trouble, handling, and empathy, is an interview approach that can be applied in the out-patient setting whereby questions belonging to each of the 5 categories are asked in the above order. As we have been taught to believe that BATHE raises the level of patient satisfaction and the quality of medical treatment overall, this study was designed to test the validity of the claim that applying BATHE heightens patient satisfaction. METHODS: Each of the 5 doctors was assigned 10 patients (5 in the BATHE group and the other 5 in the control group) with each patient being randomly assigned to either of the groups. The control group was interviewed as usual and the BATHE group was interviewed using BATHE. Immediately after the interview, each patient anonymously filled out a patient satisfaction questionnaire. Whether the questions asked were appropriate for each category of the protocol was evaluated by the researcher through video clips taped during the interviews. RESULTS: On 7 out of 10 items on the patient satisfaction questionnaire, the BATHE group was found to experience higher level of satisfaction than the control group in a statistically significant manner. The questions asked the BATHE group were confirmed to be more appropriate for each category of the protocol except empathy than those asked the control group. CONCLUSION: As applying the BATHE approach was found to achieve higher level of patient satisfaction, we recommend using it in the out-patient setting.
Anonyms and Pseudonyms
;
Baths
;
Empathy
;
Handling (Psychology)
;
Humans
;
Outpatients
;
Patient Satisfaction
;
Surveys and Questionnaires