직무스트레스가 정신신체적 긴장 및 소화기계 증상에 미치는 영향

사공준,김혜숙,정종학 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

To examine the effects of job stress on psychosomatic strain, gastrointestinal symptom, and disease, a total of 227 male blue collar workers of 21 departments of the factory producing fabric and videotape in Gumi city were surveyed using Karasek's Job Content Questionnaire. Twelve items of JCQ(skill discretion, created skill, decision authority, decision latitude, psychological job demand, job insecurity, coworker support, supervisor support, social support, psychological exertion, toxic exposure and psychosomatic strain), gastrointestinal symptoms, and UGI series were assessed for the all subjects. It was found that psychosomatic strain is associated with skill discretion, created skill, psychological job demand, physical exertion, and social support and gastrointestinal symptom is associated with social support. Multiple regression analysis suggested that psychological job demand, physical exertion, decision latitude, and job insecurity are main factors for psychosomatic strain and physical exertion is main factor for gastrointestinal symptoms. The Job Demands-Control model was not supported in this study, suggesting the level of psychosomatic strain are not modified by decision latitude.

Symptom Prevalence and Related Distress in Cancer Patients Undergoing Chemotherapy

Thiagarajan, Muthukkumaran,Chan, Caryn Mei Hsien,Fuang, Ho Gwo,Beng, Tan Seng,Atiliyana, MA,Yahaya, NA Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.1

Background: Much has been done to examine the psychological impact of cancer treatment, but it remains unclear to what extent anxiety and depression is related to symptom prevalence. The present study concerned the characteristics and frequency of distress as related to symptom prevalence in cancer patients undergoing chemotherapy in Malaysia. Materials and Methods: Participants were 303 consecutive adult cancer patients undergoing chemotherapy in an academic medical center. The short form Memorial Symptom Assessment Scale (MSAS-SF), which covers three domains of symptoms (global distress, physical- and psychological symptoms) was used to cross-sectionally measure symptom frequency and associated distress via self-reporting. One-way ANOVA and t-tests were used to test mean differences among MSAS-SF subscale scores. Results: Complete data were available for 303 patients. The mean number of symptoms was 14.5. The five most prevalent were fatigue, dry mouth, hair loss, drowsiness and lack of appetite. Overall, symptom burden and frequency were higher than in other published MSAS-SF studies. Higher symptom frequency was also found to be significantly related to greater distress in cancer patients undergoing chemotherapy. Conclusions: Patients undergoing chemotherapy suffer from multiple physical and psychological symptoms. Better symptom control or palliative care is needed. Greater frequency of reported symptoms may also indicate a subconscious bid by patients for care and reassurance - thus tailored intervention to manage distress should be offered.

장생보법 훈련이 신체증상 지각 및 뇌 영역별 활성에 미치는 영향

심준영 ( Jun Young Shim ),김홍기 ( Hong Kee Kim ),이성원 ( Sung Won Lee ),이승헌 ( Seung Heun Lee ) 한국스포츠리서치 2007 한국 스포츠 리서치 Vol.18 No.4

This study aims to examine the influence of ``Jangsaeng Walking`` on activation conditions of brain and ``psychosomatic symptom`` through comparison of ``common walking`` and ``Jangsaeng Walking`` with 40 women between 30 and 50 years old. 20 of 40 selected women were assigned to experimental group and 20 others to control group and experimental group conducted Jangsaeng Walking for 30 min. per semester through four times a week for 8 weeks. Electroencephalogram (EEG) was measured for 5 min. through 3 times at the first stability period, the second walking period and the third stability period. Electrode was attached to measured parts such as Fp1, Fp2, F3, F4, T3, T4, P3 and P4 by International 10/20 electrode system and relative power and cross correlation analysis were conducted. Questionnaire of psychosomatic symptoms was conducted before measuring EEG and comparison between groups was performed. As a result of repeated measure two way ANOVA, relative power by each frequency band of EEG showed significant difference between groups in alpha wave and gamma wave and relative power of alpha wave and gamma wave and cross correlation coefficient were analyzed. In the analysis of relative power, alpha wave showed significant difference between groups in Fp1, Fp2, T3, T4 and P3 and gamma wave did in Fp1, Fp2, F3, F4, T3 and P3. Experimental group showed significant decrease in alpha wave at the 2nd walking period compared to the first stability period, but gamma wave showed significant increase. In cross correlation analysis, alpha wave showed significant differences in total 11 electrode pairs and gamma wave did in 12 electrode pairs. In particular, at the second walking period, experimental group showed increase of functional cooperation between electrode pairs to parietal lobe centering around frontal lobe compared to control group. Changes of psychosomatic symptoms showed significant decrease at ``headache`` and ``digestion`` of four sub-factors in experimental group and it was found that perception of psychosomatic symptoms was improved.

소화기 증상을 보이는 소아 정신신체 질환에 대한 정신과적 고찰

유한익,백경원,Yoo, Hanik K.,Paik, Kyoung-won 대한소아소화기영양학회 2009 Pediatric gastroenterology, hepatology & nutrition Vol.12 No.suppl1

Gastrointestinal (GI) symptoms in children and adolescents are influenced by diverse psychiatric components such as psychosocial stresses, familial environment, school-related situations, and comorbid psychiatric conditions. Absolutely psychiatric symptoms of pediatric patients are also affected by problems of GI system. Lots of symptoms including anorexia, dyspepsia, nausea and so on are commonly originated from either GI or psychiatric causes or both. Sometimes the negative interactions between GI and psychiatric problems aggravate the severity and eventually decline the functions of children and adolescents with GI symptoms. We summarized the common GI and psychiatric conditions which have GI and psychiatric associations. To a clinician who manages pediatric GI disorders, psychiatric considerations can be beneficial to understand the clinical manifestations of patients and to find the way to relieve them. This short and somewhat superficial review may help to have a bird's-eye view on this topic.

신체증상을 호소하는 환자의 정신치료

이경규 한국정신분석학회 2013 精神分析 (Psychoanalysis) Vol.24 No.2

Patients complaining with somatic symptoms are very common in clinical practice, but difficult to treat well. Therapist treating these patients have to know not only psychiatric biological treatment but also psychotherapeutic approach. Somatization is a process which the body is used for psychological purposes. I reviewed historical background, psychoanalytical concepts, and various psychotherapeutic approaches of somatization. Early in the treatment, therapists have to begin psychotherapeutic treatment with warm, sensitive, nonprobing, empathetic supportive approach, respecting the patients’s incomplete psychic structure. And then the patients could be treated with intensive or psychoanalytic approach. Psychoanalysis continues an important theoretical and practical role in treating patients complaining with somatic symptoms. I suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by psychotherapeutic approach, so that it will be helpful to these patients and to make better outcome.

코로나19 감염과 그 이후의 정신신체증상

박선영,류신혜,임우영 한국정신신체의학회 2023 정신신체의학 Vol.31 No.2

연구목적코로나19 감염으로 인한 다양한 정신과적 증상, 정신신체증상을 파악하고 장기적 영향을 조사하였다. 방 법체계적 문헌고찰을 통해 국내외 데이터베이스에서 논문을 선정하고, “COVID-19”, “psychosomatic” 등의검색어를 활용하였다. 정신신체증상에 대한 구조화된 측정도구를 사용한 연구를 포함하여, 총 16편의 논문이최종 분석 대상으로 포함되었다. 결 과코로나19 급성 감염과 관련된 정신증상으로는 불안, 우울, 신체증상 등이 보고되고 있다. 장기간 지속되는포스트 코로나증후군의 증상으로는 흉통, 피로 등이 보고되었고, 이와 관련된 정신신체증상의 발생 빈도는10%-20%로 파악되었다. 감염병으로 인한 심리사회적 스트레스, 여성, 노인, 정신과적 기왕력이나 동반 정신질환 등의 요인이 관련을 미친다. 전신염증, 자가면역, 자율신경계의 이상반응 등이 관련이 있을 것으로 생각되고 있다. 결 론코로나19 감염 이후 발생하는 정신신체증상은 삶의 질과 심리사회적 기능에 부정적인 영향을 미칠 뿐 아니라 증상에 대한 정신과적 이해와 접근은 예방과 치료에도 중요하다 Objectives:This study aims to identify various psychiatric symptoms and psychosomatic symptoms caused by COVID-19 infection and investigate their long-term impact. Methods:A systematic literature review was conducted, selecting papers from domestic and international databases using keywords such as “COVID-19” and “psychosomatic.” A total of 16 papers, including those using structured measurement tools for psychosomatic symptoms, were included in the final analysis. Results:Psychiatric symptoms such as anxiety, depression, and somatic symptoms have been reported in acute COVID-19 infection, while long-term post-COVID symptoms include chest pain and fatigue. The frequency of long-term psychosomatic symptoms has been estimated to be 10%-20%. Factors contributing to these symptoms include psychological and social stress related to infectious diseases, gender, elderly age, a history of psychiatric disorders, and comorbid mental illnesses. It is suggested that systemic inflammation, autoimmune responses, and dysregulation of the autonomic nervous system may be involved. Conclusions:Psychosomatic symptoms arising after COVID-19 infection have a negative impact on quality of life and psychosocial functioning. Understanding and addressing psychiatric aspects are crucial for symptom prevention and treatment.

정신신체증상이 청소년 비행 행동에 미치는 영향

김헌수,김현실 대한신경정신의학회 2003 신경정신의학 Vol.42 No.3

Objectives:Our objectives were to examine the differences of coping strategies, sexual abuse, physical abuse, and psychosomatic symptoms between student adolescents and delinquent adolescents and to explore the extent of influence of psychosomatic symptoms and coping strategies to delinquent behavior among Korean adolescents. Methods:The research design of this study was cross-sectional nation-wide survey using Mental Health Questionnaire for Korean Adolescents(MHQKA). Subjects serving for this study were consisted of 2,086 including 1,230 student adolescents and 856 delinquents adolescents, using the proportional stratified random sampling method. Their age range was from 12 to 18. Data were analysed by IBM computer using SAS program. Statistical methods employed for this study were Cronbach’s Alpha for reliability, χ2, t-test and path analysis etc. Results:The results of this study were as follows : (1) Delinquent adolescents showed the more sexual abuse, physical abuse, psychosomatic symptom I, II, III and IV than student adolescents. (2) Delinquent adolescents showed the more negative coping strategies such as cognitive avoidance, behavioral avoidance, and consequently higher delinquent behavior than student adolescents. (3) The most powerful contributing variables on delinquent behavior among Korean adolescents were sexual abuse, psychosomatic symptom I, physical abuse, behavioral avoidance coping strategies, cognitive avoidance coping strategies in this order named. Conclusion:The results of the present study confirmed the relationship between psychosomatic symptoms and coping strategies and delinquent behavior. However, in view of the cross-sectional study character of the present study one needs to be cautious in interpretation on the relationship between psychosomatic symptoms and coping strategies and delinquent behavior. Several potential processes may underlie the relationship among these variables

Symptom Characteristics and Psychosomatic Profiles in Different Spectrum of Gastroesophageal Reflux Disease

임철현,백명기,문성진,김진수,조유경,박재명,이인석,김상우,최명규,최규용 거트앤리버 소화기연관학회협의회 2014 Gut and Liver Vol.8 No.2

Background/Aims: Gastroesophageal reflux disease(GERD) is diagnosed based on symptoms of heartburn andregurgitation but is a heterogeneous condition which can besubclassified according to endoscopy and esophageal refluxmonitoring. The aim of this study was to identify differencesin demographic characteristics and reflux symptom patternsamong patients with various spectrum of GERD. Methods:Patients having weekly heartburn or acid regurgitation wereclassified into four pathophysiological subgroups accordingto endoscopy and pH monitoring: reflux esophagitis (RE),endoscopy-negative reflux disease with pathological reflux(PR+), hypersensitive esophagus (HE), and normal acid exposurewith negative symptom association (pH-). Results: Atotal of 195 patients were enrolled. The numbers of patientsin the subgroups were: RE, 39.0%; PR+, 20.0%; HE, 10.3%;and pH-, 30.8%. Grossly, reflux symptom patterns and relieving/exacerbating factors did not differ between subgroups. Prevalence of extraesophageal syndrome was higher in patientswith PR+ than in other groups. Overlapping functionaldyspepsia was common in all groups. The SCL-90-R depressionscore was higher in PR+ patients than in RE patients(p<0.05). Conclusions: Demographic characteristics andreflux symptom patterns cannot differentiate pH- group fromGERD subtypes. Esophageal pH monitoring could be consideredfor the initial evaluation of GERD in the tertiary referralsetting.

SUNYA 정신신체증상 검사척도에 의한 대학생의 정신신체증상

연규월 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.3

일반 대학생에서 정신신체증상의 괴로운 정도를측정하기 위해, 서울시내 모 상위권 대학 남녀 대학생133명을 대상으로, SUNYA 정신신체증상 검사척도에관한 질문지를 주어 본인 스스로 작성하게 한 후정신신체증상의 빈도 및 강도, PSC총점수를 측정하였다. 결과는 다음과 같다. 1) 남녀 모두 평균 PSC총빈도 및 강도,평균 PSC 총점수는 같은 연령의 정상대조군 평균 점수보다 높았다. 여자가 남자보다 세가지 항목의 평균 PSC점수가더 높았고, 평균 PSC 총강도점수는 유의한 차이가있었다. 2) 남녀 모두 '피곤하다', '우울하고 기분이 나쁘다', '매사에 힘이 든다' 세 항목의 PSC 평균점수가가장 높았다. 3) 남녀 비교에서 남자는 '혈압이 올라간다', '숨쉴때 씩씩거린다', '잠이 안온다'의 세항목, 여자는'매사에 힘이든다', '공복시 위가 쓰리다', '우울하고기분이 나쁘다' 세항목의 평균PSC 총점수에서 유의한차이가 있었다. 4) 전채 대상자의 44.4%가 40점이상의 평균 PSC총점수를 나타냈다. 결론적으로 SUNYA PSC검사척도는 일반 대학생에서 정신신체증상을 측정하는데 유용한 진단적 도구로 사용될 수 있다고 사료된다. The aim of this work was to measure the distress of psychosomatic symptoms in the nonscreened college students. The SUNYA Revision of the psychosomatic symptom checklist was administered to the 133 college students. The mean total frequency and intensity scores and PSCtotal scores of all subjects were higher than the normative data of college students. Femalesubjects scored higher than male subjects for a11 three PSC scores, especiatlly significantly higherfor mean total intensify scores. The scores of items of fatigue, depression, general stiffnesswere highest of all items in both sexes.44.4% of all subjects scored above 40 PSC total score. The results of this study support the use of the PSC as a measure of psychosomatic distressin the college students.

신체증상장애의 이해와 접근

고유라(Eurah Goh) 대한스트레스학회 2017 스트레스硏究 Vol.25 No.4

신체증상장애(Somatic Symptom Disorder)는 DSM-IV에서 신체화장애(somatization)라고 불리던 질환으로, 정신사회적 스트레스가 다양한 신체증상으로 나타나는 질환이다. 비교적 흔한 질환임에도 증상이 매우 다양한 형태로 나타나 진단이 쉽지 않아 여러 전문 과를 돌며 환자가 고통을 겪는 의학적 고아(medical orphan)가 되는 경우가 많다. DSM-V에서는 임상적 적용에 쉽도록 기존의 신체형장애를 신체증상관련장애로 신체화장애를 신체증상장애로 새롭게 정의하였다. 본 고에서는 신체증상장애를 중심으로 신체증상관련장애에 대해 새롭게 바뀐 DSM-V의 기준을 소개함과 동시에 신체증상장애 환자에 대한 이해와 접근을 돕고자 한다. Somatic symptom and related disorder which is matched somatoform disorder in DSM-IV, is defined as a group of diseases that shows somatic symptoms with significant distress and impairment according to DSM-V. This is a very common disease in primary care, however, tends to be underdiagnosed or misdiagnosed because of its polymorphic symptomatic expressions. This review tried to help understanding somatic symptom and related disorder and its subcategorized diseases-somatic symptom disorder, illness anxiety disorder, factitious disorder and other specified and unspecified somatic symptom and related disorder.