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알코올, 당신의 뇌를 위협한다 ; 술만 마시면 돌변하는 그 분, 술주정도 병(病)!
최삼욱 대한보건협회 2010 건강생활 Vol.- No.69
뇌의 전두엽 부분이 알코올에 의해 지속적인 손상을 입게 되면 충동조절능력을 잃게 된다. 음주가 잦아질수록 점점 술의 양이나 횟수가 증가하는「내성」이 생기고, 술을 마시지 않으면 짜증이 나고 초조해지는「금단」이 생기며, 마침에「중독」에 이르게 된다.
남성 알코올 의존 환자의 삶의 질과 정신-사회-영적 특성과의 관계
최삼욱,나란희,김한오,최성빈,최영숙 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.5
Objectives : This study was designed to evaluate the relationship between quality of life (QOL) and psycho-socio-spiritual characteristics in male patients with alcohol dependence. Methods : The sample consisted of 109 men with alcohol dependence defined by DSM-IV criteria. We assessed QOL by the WHO QOL assessment instrument-BREF (WHOQOL) and SmithKline Beecham QOL (SBQOL). Sociodemographic and alcohol related data were collected, and 7 questionnaires were administered : MAST, BDI, STAI, Drinker Inventory of Consequences (DrInC), Scale of Social Support (SSS), Religious Beliefs and Behaviors (RBB) and Spiritual Well-being Scale (SWBS). The correlations between each QOL score and other variables were examined, and stepwise multiple regression analysis was performed. Results : The WHOQOL score positively correlated with education level, SSS (support) and RBB and negatively correlated with MAST, DrInC, BDI, STAI (trait) and SSS (conflict) scores. In stepwise regression analysis, the scores on the STAl and BDI contributed to the score on the WHOOOL. The SBQOL score correlated with the income level, and negatively correlated with BDI and STAI score. STAI score was a weak predictor of SBQOL score. Conclusion : The significant predictors of QOL in patients with alcohol dependence were psychological factors such as anxiety and depression.
산림치유가 청소년 인터넷 중독 위험군의 신경인지, 심리사회, 그리고 생리적 측면에 미치는 영향
최삼욱 ( Sam Wook Choi ),목정연 ( Jung Yeon Mok ),김민수 ( Min Soo Kim ),정안수 ( Ahn Soo Chung ),한진우 ( Jin Woo Han ),우종민 ( Jong Min Woo ),김기원 ( Ki Weon Kim ),박범진 ( Bum Jin Park ) 한국산림과학회 2015 한국산림과학회지 Vol.104 No.2
This study aims to evaluate the impact of forest therapy on neuro-cognitive, psychosocial, and physiological aspect of adolescent internet addiction risk group. We have classified potential and high risk user group as internet addiction risk group according to the criteria of Korean Internet Addiction Proneness Scale(K Scale). Based on the results of k-scale from the adolescents in metropolitan area from May to July 2013, 25 people were selected as Internet addiction risk group. We have randomized 13 participants joining forest therapy camp and 12 participants not joining one, and analyzed the change of the two groups with Continuous Performance, Kimberly S. Young, Connor-Davidson Resilience, Relationship Change Scale, heart rate variability and cortisol. Statistically significant changes were observedd in neuro-cognitive, psychosocial, and physiological variables, Through this study, we can consider that the therapy healing may relieve the level of internet addiction and can be an alternative to control emotional stability and impulsive behavior.
최삼욱(Sam-Wook Choi),방수영(Sooyoung Bhang),안준호(Joon-Ho Ahn) 한국중독정신의학회 2007 중독정신의학 Vol.11 No.2
Caffeine is the most widely used psychoactive substance. Caffeine has been considered occasionally as a drug of abuse, and the potential for dependence on caffeine has been debated. At this time, due to lack of clinical evidence on caffeine dependence, no such diagnosis included in the DSM-IV-TR. However, some population-based survey study showed that a substantial portion of caffeine users (9% or more) may fulfill DSM-IV criteria for substance dependence on caffeine. The authors reviewed available data on the mechanism of action on the central nervous system, the effects on the human performance, tolerance, withdrawal and dependence of caffeine. The classical drugs of abuse such as amphetamines and cocaine lead to dopamine release in the shell of the nucleus accumbens, the key structure for reward, motivation and addiction. However, caffeine doses that reflect the daily human consumption, do not induce a release of dopamine in the shell of the nucleus accumbens. In conclusion, further research is needed not only to replicate the positive findings of the previous studies on the caffeine dependence, but to explore the molecular basis of caffeine dependence and individual differences in the susceptibility to increased caffeine dependence bet-ween intervestibular nuclear activities after ULX by inhibition of vestibular nuclear complex through nhibitory Purkinje system.
최삼욱(Sam-Wook Choi),박영민(Young Min Park),박주언(Joo-Eon Park),채정호(Jeong-Ho Chae),강은호(Eun-Ho Kang) 대한스트레스학회 2008 스트레스硏究 Vol.16 No.3
Positive psychology emphasizes the need to understand the positive aspect of human experience, as well as understanding and ameliorating psychopathology and distress. Positive therapy explores the relevance of positive psychology to therapy. In this article, we reviewed the fundamental assumptions of positive psychology and therapy, and its possibility of the application to stress management. We summarized a variety of current positive therapies that share the same fundamental assumptions of positive psychology. Additionally, we mentioned the pitfalls and future of positive therapy. Finally, we suggested the need for further clinical evidence of positive therapy in stress management and various health care settings.
도시 쉼터 남성 노숙자에서 병적 도박의 실태와 심리사회적 특성
최삼욱(Sam-Wook Choi),신영철(Young-Chul Shin),신은정(Eun-Jung Shin),김현수(Hyun-Soo Kim),이재헌(Jae-Hun Lee),김범조(Bum-Jo Kim) 한국중독정신의학회 2007 중독정신의학 Vol.11 No.1
Objectives:This study was to assess the prevalence of pathological gambling in homeless men living in a city shelter in Seoul and to investigate the comparative characteristics of home-less people with and without probable pathological gambling. Methods:The subjects were 119 homeless men living in a city shelter in Seoul. Questionnaires on socio-demographic and psychiatric data were administrated to the subjects. Probable pathological gambling was assessed with Korean South Oaks Gambling Screen (K-SOGS) and probable alcohol dependence was evaluated by CAGE questionnaire. Results:The rate of lifetime probable pathological gambling was 34.5% (41 of 119) and the rate of probable alcohol dependence was 37.8% (45 of 119). The homeless in this study with probable pathological gambling were significantly more likely to have longer times of homelessness, more counseling experiences about gambling, more suicide at-tempts related to gambling problem, more gambling problems with parents, more frequent drinking per given week and higher CAGE scores than the homeless without probable pathological gambling. Conclusion:These results should encourage clinicians working with homeless people to screen for pathological gambling and alcohol use disorder as well. And the plans to approach and treat homeless people with addiction disorder should be made.
최삼욱(Sam-Wook Choi),신영철(Young-Chul Shin),김대진(Dai-Jin Kim),최정석(Jung-Seok Choi),김서희(Seohee Kim),김승현(Seung-Hyun Kim),윤현철(HyunChul Youn) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.1
Objectives : Gambling disorder (GD) is defined as persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress. GD can cause personal, vocational, legal, and financial problems. However, the gold standard for treating GD has not been established yet. This re-view summarizes the screening, diagnosis, assessment, and treatment for GD. Methods : We referred to new and previously published studies and guidelines. Results : We introduced screening methods such as self-report scales and described DSM-5 diagnostic criteria. We also suggested essential information worthy of considering during the assessment stage. Explanations about treatment included novel options and conventional methods such as cognitive behavioral therapy and pharmacotherapy. Finally, we created an algorithm for treating GD. Conclusion : This review not only provides a summary for GD treatment, but also serves as a reference for designing future studies on GD.