급성 비특이성 장간막 림프절염의 임상 소견과 급성 충수돌기염과의 감별 인자

신경화,김갑철,이정권,이영환,감신,황진복,Shin, Kyung Hwa,Kim, Gab Cheol,Lee, Jung Kwon,Lee, Young Hwan,Kam, Sin,Hwang, Jin Bok 대한소아소화기영양학회 2004 Pediatric gastroenterology, hepatology & nutrition Vol.7 No.1

Purpose: Although acute nonspecific mesenteric lymphadenitis (ANML) is probably common cause of abdominal pain in children, which can be severe enough to be an abdominal emergency, the clinical features of mesenteric lymphadenitis are not clear. Also, a differential diagnosis with acute appendicitis (APPE) is indispensable to avoid serious complications. The clinical features of ANML were determined, and the risk factors for differential diagnosis with APPE were analyzed. Methods: Between November 2000 and May 2001, data from 26 patients (aged 1 to 11 years) with ANML and 21 patients (aged 2 to 13 years) with APPE were reviewed. ANML was defined as a cluster of five or more lymph nodes measuring 10 mm or greater in their longitudinal diameter in the right lower quadrant (RLQ) without an identifiable specific inflammatory process on the ultrasonographic examination. There were risk factors on patient's history, physical examination, and laboratory examination; the location of abdominal pain, abdominal rigidity, rebound tenderness, fever, nocturnal pain, the vomiting intensity, the diarrhea intensity, the symptom duration, and the peripheral blood leukocytes count. Results: Of the 26 ANML patients and 21 APPE patients, abdominal pain was noted on periumbilical (76.9% vs 14.2%), on RLQ (11.5% vs 71.4%), with abdomen rigidity (7.6% vs 80.9%), with rebound tenderness (0.0% vs 76.1%)(p<0.05), in the lower abdomen (11.5% vs 14.2%), and at night (80.8% vs 100.0%) (p>0.05). The clinical symptoms were vomiting (38.4% vs 90.4%), the vomiting intensity ($1.5{\pm}0.7$ [1~3]/day vs $4.5{\pm}2.9$ [1~10]/day), diarrhea (65.3% vs 28.5%) (p<0.05), and fever (61.5% vs 76.2%)(p>0.05). The period to the subsidence of abdominal pain in the ANMA patients was $2.5{\pm}0.5$ (2~3) days. The laboratory data showed a significant difference in the peripheral blood leukocytes count ($8,403{\pm}1,737[5,900{\sim}12,300]/mm^3\;vs\;15,471{\pm}3,749[5,400{\sim}20,800]/mm^3$)(p<0.05). Discriminant analysis between ANML and APPE showed that the independent discriminant factors were a vomiting intensity and the peripheral blood leukocytes count and the discriminant power was 95.7%. Conclusion: The clinical characteristics of ANML were abrupt onset of periumbilical pain without rigidity or rebound tenderness, a mild vomiting intensity, normal peripheral leukocytes count, and relatively short clinical course. If the abdominal pain persist for more than 3 days, and/or the vomiting intensity is more than 3 times/day, and/or the peripheral leukocytes count is over $13,500/mm^3$, abdominal ultrasonography is recommended to rule out APPE. 목 적: 급성 비특이성 장간막 림프절염(acute nonspecific mesenteric lymphadenitis, ANML)은 타 질환이 적절히 배제되었을 때 임상적 추정으로 진단하는 경우가 많아 그 실체에 대하여는 잘 알려져 있지 않다. 특히 급성 충수 돌기염(acute appendicitis, APPE)과의 감별에 혼란을 주어 복막염 등으로 이행되는 경우가 드물지 않다. ANML의 임상 소견을 보고하고, 특히 APPE와의 감별시 도움을 줄 수 있는 접근 방식을 연구하고자 한다. 방 법: 2000년 11월부터 2001년 5월까지 대구시 한영한마음연합소아과의원으로 급성 복통을 주소로 내원하여 ANML로 진단된 26명(남녀비 13:13)을, APPE 환자는 같은 기간 대구가톨릭대학병원을 방문하여 수술받은 21명(남녀비 12:9)을 대상으로 하였다. ANML 환자들은 복부 초음파 검사상 10 mm 이상, 5개 이상의 장간막 림프절이 관찰되면서 회장, 대장의 장벽 비후 소견이 5 mm를 넘지 않고 염증성 충수돌기가 관찰되지 않으며, 말초 혈액 검사, 소변 검사, 대변 검사상 타 질환을 의심할 소견이 없는 등을 진단기준으로 설정하였다. 결 과: 1) ANML군의 진단 당시 연령은 1~11세, $5.2{\pm}2.3$세였다. 2) ANML군의 복통 양상은 21례(80%)에서 야간 복통이 있었고, 위치는 배꼽 주위부 20례(76%), 우하복부 3례(11%), 하복부 3례(11%)였다. 2례(7%)에서 복부 강직이 있었고, 반발 압통은 전례에서 없었다. APPE군에서는 전례에서 야간 복통이 있었고, 17례(80%)에서 복부 강직이, 16례(76%)에서 반발 압통이 관찰되어 ANML군과 각각 유의한 차이를 보였다(p<0.05). 3) ANML군에서 복통의 회복까지 걸린 시간은 2~4일, $2.5{\pm}0.5$일이었다. 4) ANML군 10례(38%)에서 구토를 보였고 1~3회/일, $1.5{\pm}0.7$회/일이었다. 설사는 17례(65%)에서 있었고 1~4회/일, $1.6{\pm}0.8$회였다. APPE군 19례(90%)에서 구토가 있었으며 1~10회/일, $4.5{\pm}2.9$회로 ANML군과 유의한 차이를 보였다(p<0.05). APPE군의 설사는 6례(28%)에서 있었으며 1~5회/일, $2.1{\pm}1.6$회이었다. 5) ANML군에서 열은 19례(73%)에서 있었고, 말초혈액 백혈구 수는 $5,900{\sim}12,300/mm^3$이었으며 평균 $8,403{\pm}1,737/mm^3$이었다. APPE군에서는 열은 16례(76%)에서 관찰되었으며 백혈구 수는 $5,400{\sim}20,800/mm^3$으로 평균 $15,471{\pm}3,749/mm^3$이었으며 ANML군과는 유의한 차이를 보였다(p<0.05). 6) 판별분석을 이용하여 하루 구토의 강도와 백혈구 수를 독립변수로 하였을 때 ANML과 APPE는 95.7% 수준으로 분류되었다. 결 론: ANML과 APPE의 감별 시 복부강직, 반동압통 등 급성복증의 소견이 의심될 때 뿐만 아니라, 복통이 3일을 초과하여 지속되거나, 하루 구토가 3회를 초과하는 경우, 말초혈액검사상 백혈구 수가 $13,500/mm^3$ 이상을 보일 때에도 반드시 복부초음파 검사를 이용하여 APPE를 확인하여야 한다.

밀양 백중놀이에 나타난 서사구조 및 문화적 기능

신경화 ( Shin Kyung-hwa ) 한국무용연구학회 2017 한국무용연구 Vol.35 No.1

본 연구는 밀양 백중놀이안에 나타난 서사구조 및 문화적 기능을 조사하는 것을 목적으로 연구하였다. 밀양백중놀이는 문화재지정 전후 변화과정은 지정되기 전에는 놀음마당 → 신풀이 → 판 굿 순으로 나뉘었으며, 지정 이후에는 앞놀이 → 본놀이 → 전마당으로 진행되었다. 앞놀이에는 잡귀막이굿, 모정자놀이, 농신제로 이루어져 있고 본놀이에는 작두말타기, 양반춤, 병신춤, 범부춤이 있다. 전마당에는 오북춤, 화동마당으로 이루어져 있다. 밀양 백중놀이의 다양한 춤과 진행과정에서 문화적 기능을 분석하면 다음과 같다. 첫째, 휴머니즘 측면에서 종교적 농경의례로 풍년과 마을의 안정을 기원하고, 둘째 이데올로기 측면에서 피지배층이 놀이의 즐거움과 정신적인 자유를 만끽하며, 셋째, 사회적 측면에서 공동체 구성원인 연행자와 수용자 모두 적극적으로 감정이입하며, 넷째, 예술적 측면에서 다양한 춤사위를 보여주며 극적인 멋과 예술성을 드러낸다. 따라서 연구결과를 토대로 밀양백중놀이는 밀양 문화지식인과 결합하여 밀양 지역의 민속 문화와 예술을 중요한 자원임을 인식시키고 백중놀이가 보호 되어야 하며, 축제콘텐츠로 발전시켜야 할 것이다. The object of this study is to research the narrative structures and cultural functions in Miryang Baekjung Nori. I studied the literary methods, narrative structures and performative acts of the actual performance sequences. I analyzed cultural functions in terms of the various dances and individual dancing steps of Miryang Baekjung Nori and the result is as follows. I derived the cultural functions by analyzing its humanism aspect, ideology aspect, social aspect and artistic aspect, and analyzed the changing process of the Miryang Baekjung Nori after it was designated as a cultural asset. I will deduce a fostering plan for Miryang Baekjung Nori. I analyzed cultural functions in terms of the various dances and individual dancing steps of Miryang Baekjung Nori and the result is as follows. Firstly, as a religious agricultural rite, it prays for a bumper year and stability of a town from the humanism aspect, secondly, it let the subjugated class have fun with the play enjoy and psychological freedom from the ideology aspect, thirdly, it makes the performers and audiences empathize with the performance from the social aspect and fourthly, it shows dramatic artistry by showing various dancing steps from the artistic aspect. Therefore, Miryang Baekjung Nori should be combined with Miryang culture intellectuals and let people know that the folk cultures and arts in Miryang is important assets. Baekjung Nori should be protected and developed as a festival content

대장내시경하 전기수압쇄석술로 치료한 장 폐쇄 담석

신경화 ( Kyung Hwa Shin ),김동욱 ( Dong Uk Kim ),최문기 ( Moon Gi Choi ),김원진 ( Won Jin Kim ),류동엽 ( Dong Yup Ryu ),이봉은 ( Bong Eun Lee ),김광하 ( Gwang Ha Kim ),송근암 ( Geun Am Song ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.2

A 63-year-old woman was admitted to the hospital with abdominal pain and nausea. Her abdomen was distended with obstruct tivebowel sounds on exam. There was diffuse abdominal tenderness but no palpable masses. Abdominal computed tomography (CT) scan revealed a large gallstone in the ileum. Surgical intervention was deferred given patient`s known significant liver cirrhosis (Child-Pugh class B). Instead colonoscopy was performed and a large gallstone was found to be impacted at the ileocecal valve. The gallstone was fragmented using electrohydraulic lithotripsy (EHL) and then retrieved with snare and forceps. The patient made a full recovery and was eventually discharged home. This is the first reported case of an impacted gallstone at the ileocecal valve with successful colonoscopic treatment using electrohydraulic lithotripsy in Korea. This case highlights the potential therapeutic benefits for colonscopic retrieval of a gallstone impacted at the ileocecal valve in well selected individuals. (Korean J Gastroenterol 2011;57:125-128)

신생아에서 증후성 Trichomoniasis

신경화 ( Kyung Hwa Shin ),김천수 ( Chun Soo Kim ),이상락 ( Sang Lak Lee ),권태찬 ( Tae Chan Kwon ),김종인 ( Jong In Kim ),류남희 ( Nam Hee Ryoo ) 대한주산의학회 2004 Perinatology Vol.15 No.1

Trichomoniasis is a sexually transmitted disease by Trichomonas vaginalis infection that may be associated with preterm delivery and low birth weight in the newborn infants. T. vaginalis may be transmitted to neonates during passage through an infected birth canal and neonatal infection is usually self-limiting course, but rare cases of symptomatic neonatal infection such as vaginitis, urinary tract infection and respiratory infection have been reported. We experienced a case of symptomatic neonatal trichomoniasis which was confirmed by wet mount examination of vaginal discharge and urine specimens in premature baby with intrauterine growth retardation. The patient had complete resolution of symptoms such as vaginal discharge and pyuria after treatment with ornidazole (tiberalR). We report this case with a brief review of the related literatures.

영유아 놀이 중심 부모교육 프로그램 모형 구성

신경화(Shin Kyung Hwa),하연희(Ha Yeon Hee) 학습자중심교과교육학회 2019 학습자중심교과교육연구 Vol.19 No.13

본 연구는 영유아기 자녀를 둔 부모들이 영유아의 발달을 이해하고 적절히 상호작용할 수 있는 놀이 중심의 부모교육 프로그램 모형을 구성하고자 하였다. 이를 위해 선행연구를 검토하고 영유아 부모면담을 통해 요구를 조사하였으며 전문가협의 회를 거쳐 모형 시안을 구성하였다. 이후 24명의 부모를 대상으로 프로그램을 실시하여 타당화하고 수정 보완하였다. 영유아 놀이 중심 부모교육 프로그램 모형의 목표는 영유아기 자녀의 발달에 대한 이해와 지식을 증진시켜 부모의 사고와 감정, 그 리고 양육 행동의 습관적인 방법을 검토해 보고 놀이를 통한 상호작용방법을 습득하여 영유아와 효과적인 상호작용을 하고 이를 통한 놀이성 및 양육효능감을 향상하는 데 있다. 본 프로그램은 유아교육 기관에서 소그룹 또는 중그룹으로 영유아 부모를 대상으로 6회기로 진행할 수 있다. 본 연구에서 개발된 놀이 중심 부모교육 프로그램은 유아교육 기관을 통하여 실시되고 가정에서 실천적으로 활용 되어져 부모와 영유아가 효과적으로 상호작용하는 데 도움이 될 것이다. This study was intended to form a play-oriented parent education program model in which parents with young children could understand the development of young children and properly interact with them. To this end, the model was developed after a consultation meeting with experts, after reviewing prior research The program was then implemented for 24 parents to be rationalized and supplemented. The goal of the young children play-oriented parent education program model is to enhance understanding and knowledge of the development of infants and children, to review the habitual methods of parental thinking, emotion, and parenting behavior, to acquire interaction methods through play, to effectively interact with young children and to enhance playfulness and child-rearing efficacy through it. This program may be carried out in six sessions for young children’s parents in small or medium groups at an young children education institution. Play-oriented parent education programs developed in this study will be implemented through child education institutions and used in the home in practice to help parents and young children interact effectively.

신장 ; 신기능에 따른 폐외결핵의 임상적 특징과 예후

최보경 ( Bo Kyung Choi ),이희선 ( Hee Sun Lee ),황인혜 ( In Hye Hwang ),신경화 ( Kyung Hwa Shin ),최문기 ( Mun Ki Choi ),최보광 ( Bo Gwang Choi ),안강희 ( Kang Hee Ahn ),남형석 ( Hyung Seok Nam ),황종민 ( Jong Min Hwang ),성은영 ( 대한내과학회 2010 대한내과학회지 Vol.79 No.4

목적: 만성 신질환 환자에서 세포성 면역기능이 감소되어 결핵에 이환될 위험성이 높으며, 특히 폐외결핵의 발생 빈도가 높은 것으로 알려져 있다. 이에 신기능에 따른 폐외결핵의 임상양상, 치료 반응, 질환과 연관된 사망률의 차이점을 비교하였다. 방법: 2003년 1월부터 2007년 12월까지 폐외결핵으로 진단된 18세 이상의 환자를 대상으로 하였고, 진단 당시의 크레아티닌 값을 이용하여 MDRD 공식으로 계산한 추정 사구체 여과율(eGFR)이 60 mL/min/1.73 m2을 기준으로 신기능 장애군(Group I)과 정상 신기능군(Group II)으로 분류하여 폐외결핵의 임상상, 치료성공률, 사망률 및 치료기간의 차이를 후향적 비교 분석하였다. 결과: 총 342명의 환자 중 Group I은 30명으로 이중 투석을 시행하고 있는 환자는 6명이었고, Group II는 312명으로, 각각의 평균 사구체 여과율은 34±19 mL/min/1.73 m2, 102±26 mL/min/1.73 m2이었다. Group I에서 고연령, 빈혈, 저알부민증이 많았으며, 고혈압, 당뇨병 및 심혈관계 질환을 동반한 경우가 많았다. 폐외결핵의 발생 부위는 두 환자군 모두 (Group I vs. Group II)에서 흉막(30.0% vs. 28.2%)이 가장 빈도가 높았고, 신경계통(23.3% vs. 16.3%)과 림프절(16.7% vs. 17.6%)의 감염이 흔하였으나, 통계학적 유의성은 없었다 (p=0.379). 모든 환자들은 표준 결핵화학요법인 HERZ, HER 및 HRZ 등을 용량 조절하여 치료하였으며, 두 환자군 모두에서 치료 실패 및 재발은 없었다. 결핵과 연관된 사망률은 Group I에서 높았으며(Group I, 22.2% vs. Group II, 2.8%, p<0.001), 연령, 혈색소 및 알부민, 당뇨병, 고혈압 및 심혈관계 질환의 유무를 보정하였을 경우에도 Group I이 사망의 위험률이 높았다(HR=11.51, 95%CI 2.512~52.741; p=0.002). 치료 중 이탈된 환자 및 사망환자를 제외하였을 경우, Group I이 치료 기간이 짧았다(278±110일 vs. 367±170일, p=0.009). 결론: 신기능 장애 환자에서 폐외결핵에 대한 치료기간이 연장되지 않았고 사망을 제외한 치료실패와 재발이 없었으나 폐외결핵으로 인한 사망률은 높았고, 신기능 저하 자체가 사망의 독립적인 위험 요소였다. 그러므로 신기능 장애 환자에서 폐외결핵에 대한 적극적인 진단 및 치료가 더 요구된다고 판단한다. Background/Aims: There is an increased risk of tuberculosis (TB) with impaired cellular immunity and extrapulmonary TB is more common in patients with chronic kidney disease. We explored the clinical features and treatment outcomes of extrapulmonary TB according to renal function. Methods: This retrospective study reviewed the medical records of patients diagnosed with extrapulmonary TB between January 2003 and December 2007. We classified the patients into two groups using the glomerular filtration rate (eGFR), estimated using the Modification of Diet in Renal Disease (MDRD) formula cut-off of 60 mL/min/1.73 m2 and evaluated their clinical features, treatment outcome and mortality (Group I vs. Group II, ≥ 60 mL/min/1.73 m2). Results: The mean eGFR of Groups I (n=30) and II (n=312) was 34±19 and 102±26 mL/min/1.73 m2, respectively. The pleura was the most frequent site of TB in both groups (Group I, 30.0% vs. Group II, 28.2%; p=0.379). There was no treatment failure or recurrence in either group. The mortality was higher in Group I (22.2% vs. 2.8%; p<0.01). In a multivariate analysis, eGFR<60 mL/min/1.73 m2 was an independent risk factor for mortality (HR=11.51, CI 2.512-52.741; p=0.002). Conclusions: Mortality related to extrapulmonary TB was higher in patients with impaired kidney function and kidney function was an independent predictor. However, there was no difference in treatment failure and recurrence according to renal function. (Korean J Med 79:387-393, 2010)

완제품에 대한 수요가 Compound Poisson 과정에 따라 발생하는 CONWIP System의 성능분석

박찬우(Chan-Woo Park),신경화(Kyung-Hwa Shin),이효성(Hyo-Seong Lee) 대한산업공학회 2002 대한산업공학회 춘계학술대회논문집 Vol.2002 No.5

서양화와 한국화에 나타난 춤의 미적 이미지 고찰

최현주 ( Choi Hyun Ju ),안병주 ( An Byong Ju ),신경화 ( Shin Kyung Hwa ) 한국무용예술학회 2014 무용예술학연구 Vol.47 No.2

The purpose of this study is to examine aesthetic sense of dance in Western and Korean art works. The method of approaching dance and art works was based on essential attribute of dance and art history. Theoretical background was easily founded in publications and research papers. To examine Western and Korean art works, Edouard Manet, Edgar De, and Henri Matisse were selected for Western-style painters, and Hongdo Kim, Yunbok Shin, and Eunho Kim were selected for Korean-style painters to discuss their life and masterpieces. To discuss aesthetic sense of their masterpieces, the characteristics of Western and Korean art works were examined. The following findings were given: First, the characteristic of Western art works was that the distance between person and nature, or object and object was perfectly proportional by using perspective. Realistic description, free-form expression, and beauty of movements were also founded. The color sensation of Eastern art works emphasized on harmony of nature and human, however, Western art works focused on rationalism. The harmony of color, light, and drawing style were subjective expression by severance of nature, not the affirmative or active view of the objects. Second, the characteristics of Korean art works was that landscapes or objects was mostly placed in front rather than the back. Also, Korean art works had very detailed expression. However, the Western perspective seted a limit on seeing only one viewpoint. Because of the Western perspective, it is possible that the object at the back cannot see in the front, and only one viewpoint existed to draw actual feature. The color sensation of Korean art works reflected the Korean emotion, culture, and thoughts as well as construction, furnitures, handicrafts, and foods. This fact showed that Korean cultures autonomously shared its features in every categories. In the result, if Western art works were focused on human as the center with nature, Korean art works were focused on harmonizing of human and nature. This feature related with human, and there were many common features between Western and Korean art works. Through the result, followings were proposal: First, this study was limited on Western and Korean art works. Therefore, a follow-up study is needed to examine as aesthetic sense of dance in Korean art works. Second, dance in Korean art works should be selected of the times and examine the change of dance image. Therefore, a follow-up study is needed to examine the change of dance image by the phases of the times.

원저 : 비소세포폐암에서 Maspin의 발현과 임상적 의의

윤성훈 ( Seong Hoon Yoon ),김원진 ( Won Jin Kim ),신경화 ( Kyung Hwa Shin ),김미현 ( Mi Hyun Kim ),조우현 ( Woo Hyun Cho ),김기욱 ( Ki Uk Kim ),박혜경 ( Hye Kyung Park ),전두수 ( Doo Soo Jeon ),김윤성 ( Yun Seong Kim ),이창훈 ( Ch 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.2

Background: Maspin (mammary serine protease inhibitor) is a member of the serpin superfamily. A few studies have examined the role of maspin in tumor suppression of non-small cell lung cancer (NSCLC); however, its role in the development and progression of NSCLC still remains controversial. We evaluated the immunohistochemical expression of maspin in order to elucidate its clinical significance in NSCLC. Methods: We analyzed 145 patients with pathologically confirmed NSCLC, including 66 cases of squamous cell carcinomas (SCCs) and 79 cases of adenocarcinomas (ADCs). We performed a immuno-histochemical stain with maspin and PCNA (proliferating cell nuclear antigen) using tissue microarray blocks. Results: There were 108 men and 37 women in the study population. The mean age of patients in the study was 63.7 years (range, 40.0∼82.0; median, 65.0). The proportion of maspin expression was significantly higher in SCCs (52/66, 78.8%; p<0.01) than in ADCs (17/79, 21.5%; p<0.01). Maspin expression was not associated with PCNA (p=0.828), lymph node involvement (p=0.483), or tumor stage (p=0.216), but showed correlation with well-to-moderate tumor differentiation (p=0.012). There was no observed correlation between maspin expression and survival with NSCLC (p=0.218). Conclusion: The present study suggests that maspin expression was significantly higher in SCCs than in ADCs and was associated with low histological grade. However, maspin expression was not an independent factor to predict a prognosis in NSCLC.

천식 환자에서 우울과 천식의 중증도 및 조절과의 관련성

김원진 ( Won Jin Kim ),배현숙 ( Hyun Sook Bae ),최보경 ( Bo Kyung Choi ),황종민 ( Jong Min Hwang ),신경화 ( Kyung Hwa Shin ),김미현 ( Mi Hyun Kim ),이광하 ( Kwang Ha Lee ),김기욱 ( Ki Uk Kim ),전두수 ( Doo Soo Jeon ),박혜경 ( Hye 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.4

Background: Psychological factors are increasingly recognized for their influence on the course of asthma, on a worldwide basis. The aim of this study was to assess the presence of depression, anxiety, and asthma-related quality of life in patients with asthma and to evaluate their impact on severity and control of asthma. Methods: We assessed the severity of asthma by comparing patients` current medications to GINA guideline. The patients were classified into the controlled group (asthma patients with controlled disease) or into the uncontrolled group (asthma patients with uncontrolled disease), which included partly controlled and uncontrolled patients, again based on GINA guideline 2004. Patient-reported depressive symptoms, anxiety, and asthma-related quality of life were evaluated using the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), and Korean asthma quality of life (KAQLQ). Results: One hundred and twenty patients were enrolled (mean age, 55±1 years; 65% women). Among the 120 patients, 14 (12%) patients were classified as having mild asthma, 88 (73%) as having moderate asthma, and 18 (15%) as having severe asthma. Eighty-one (67%) of the 120 patients were controlled. The asthma-related quality of life showed the difference according to severity of asthma (p=0.002). The prevalence of depression was lower (10% vs 26%, p=0.024) and the asthma-related quality of life was higher (59.951 (29∼75) vs 35.103 (18∼72), p≤0.001) in the controlled group. Higher trait anxiety score and lower asthma-related quality of life were associated with depression (p<0.001, p=0.002, respectively). Conclusion: Psychological factors, such as anxiety and depression, are strongly associated with asthma control. Therefore, screening and management of depression is needed in patients with asthma.