Correlation between Overactive Bladder Syndrome and Obsessive Compulsive Disorder in Women

Keun-Soo Ahn,Hyun-Pyo Hong,권혁중,Ah-Leum Ahn,Eun-Jung Oh,최재경,조동영 대한가정의학회 2016 Korean Journal of Family Medicine Vol.37 No.1

Background: Overactive bladder syndrome is characterized by urinary urgency, usually accompanied by Frequent urination and nocturia, with or without urgent urinary incontinence. There must be the absence of causative infection or pathological conditions. Overactive bladder syndrome is related to mental disorders, particularly depression and anxiety. However, obsessive-compulsive symptoms are investigated much less frequently. The purpose of the present study was thus to assess obsessive-compulsive symptoms in overactive bladder syndrome patients. Methods: Fifty-seven women patients with overactive bladder syndrome and fifty-seven women without it (age matched control group) were prospectively enrolled. They completed the overactive bladder syndrome-validated 8-question screener and the Korean version of the Maudsley Obsessional-Compulsive Inventory Questionnaire at the same time they visited the clinic. Patients were compared with controls on the Korean version of the Maudsley Obsessional-Compulsive Inventory Questionnaire and its checking, tidiness, doubting, and fear of contamination components. Results: Patients showed more obsessive traits than controls on the Korean version of the Maudsley Obsessional- Compulsive Inventory Questionnaire total score (P=0.006) and on the checking subscale (P=0.001). Odds ratio for the overactive bladder syndrome group’s obsessive-compulsive symptoms traits (score≥14) was 5.47 (P=0.001). The Korean version of the Maudsley Obsessional-Compulsive Inventory Questionnaire total score was associated with the overactive bladder syndrome-validated 8-question screener score in patients (P=0.03). Conclusion: Obsessive-compulsive symptoms may constitute an important aspect of the psychiatric profile of overactive bladder syndrome patients. The severity of obsessive-compulsive symptoms seems to be related to the degree of the overactive bladder syndrome severity. Clinicians may consider screening women with overactive bladder syndrome for obsessive-compulsive symptoms.

Validation of the Korean version of the thyroid cancerspecific quality of life questionnaire

Youjin Jeong,Jaekyung Choi,Ah-Leum Ahn,Eun-Jung Oh,Hee-Kyung Oh,Dong-Yung Cho,Hyuk-Jung Kweon,Kyoung Sik Park 대한외과학회 2015 Annals of Surgical Treatment and Research(ASRT) Vol.89 No.6

Purpose: The increasing incidence of thyroid cancer worldwide has drawn attention to the needs for assessing and managing health-related quality of life (HRQoL) of thyroid cancer survivors. We conducted this study to validate the Korean version of the thyroid cancer-specific quality of life (THYCA-QoL) questionnaire. Methods: Data obtained from 227 thyroid cancer survivors were analyzed using standard validity and reliability analysis techniques. Reliability was assessed by measuring internal consistency via Cronbach α coefficient, and validity was assessed by determining the Pearson correlation coefficient between the THYCA-QoL questionnaire and the following relevant assessment tools: the European Organization for Research and Treatment of Cancer QLQ-C30 (EORTC QLQ-C30), the Korean version of Brief Fatigue Inventory (BFI-K), the Korean version of Brief Encounter Psychosocial Instrument (BEPSI-K), Goldberg Short Screening Scale for Anxiety and Depression, and a nine-item Patient Health Questionnaire (PHQ-9). A multitrait scaling analysis was performed to assess each item’s convergent and discriminant validity. Results: The reliability of the THYCA-QoL questionnaire was confirmed by Cronbach α coefficients for multiple-item scales which ranged from 0.54 (sensory) to 0.82 (psychological). Except for a single item (sexual interest), the questionnaire’s validity was established by significant correlation observed between scales in the THYCA-QoL questionnaire and scales used in other assessment tools. A multitrait scaling analysis confirmed that all scales met the recommended psychometric standards. Conclusion: The Korean version of the THYCA-QoL questionnaire is a reliable and valid assessment tool that can be used in combination with the EORTC QLQ-C30 to assess the HRQoL of thyroid cancer survivors in Korea.

Exertional Rhabdomyolysis after Spinning

Youjin Jeong,권혁중,Eun-Jung Oh,Ah-Leum Ahn,최재경,조동영 대한가정의학회 2016 Korean Journal of Family Medicine Vol.37 No.6

Any strenuous muscular exercise may trigger rhabdomyolysis. We report an episode of clinically manifested exer-tional rhabdomyolysis due to stationary cycling, commonly known as spinning. Reports of spinning-related rhab-domyolysis are rare in the English literature, and the current case appears to be the first such case reported in South Korea. A previously healthy 21-year-old Asian woman presented with severe thigh pain and reddish-brown urinary discoloration 24–48 hours after attending a spinning class at a local gymnasium. Paired with key laboratory find-ings, her symptoms were suggestive of rhabdomyolysis. She required hospital admission to sustain renal function through fluid resuscitation therapy and fluid balance monitoring. Because exertional rhabdomyolysis may occur in any unfit but otherwise healthy individual who indulges in stationary cycling, the potential health risks of this activ-ity must be considered.

Predictors of Successful Smoking Cessation after Inpatient Intervention for Stroke Patients

Eugene Ha,Jun-Yong Jo,Ah-Leum Ahn,Eun-Jung Oh,최재경,Dong-Yung Cho,Hyuk-Jung Kweon 대한가정의학회 2016 Korean Journal of Family Medicine Vol.37 No.2

Background: Smoking is a well-known risk factor of cancer, chronic disease, and cerebrovascular disease. Hospitaladmission is a good time to quit smoking but patients have little opportunity to take part in an intensive smokingcessation intervention. The purpose of this study was to identify the factors of successful smoking cessation amongstroke patients who undergo an intensive cessation intervention during the hospitalization period. Methods: Thirty-nine male smokers who were admitted with stroke were enrolled in the study. They participatedin a smoking cessation intervention during hospitalization. Smoking status was followed up by telephone 3 monthslater. Nicotine dependence, sociodemographic factors, and other clinical characteristics were assessed. Results: After 3 months post-intervention, the number of patients who stopped smoking was 27 (69.2%). In addition,there was no significant difference in nicotine dependence, sociodemographic factors, and clinical characteristics. Only the stages of readiness for smoking cessation were a significant predictor (odds ratio, 18.86; 95% confidenceinterval, 1.59–223.22). Conclusion: This study shows that a patient’s willingness to quit is the most significant predictor of stopping smokingafter Inpatient cessation Intervention for stroke Patients.

Potentially Inappropriate Medications by Beers Criteria in Older Outpatients: Prevalence and Risk Factors

Yeon-Jung Lim,Ha-Yeon Kim,Jaekyung Choi,Ji Sun Lee,Ah-Leum Ahn,Eun-Jung Oh,Dong-Yung Cho,Hyuk-Jung Kweon 대한가정의학회 2016 Korean Journal of Family Medicine Vol.37 No.6

Background: Prescription of inappropriate medicine to elderly patients is a major public health care concern. The Beers criteria have been commonly employed as a screening tool to identify the use of potentially inappropriate medications (PIMs). The present study investigated the prevalence of PIM use according to the Beers criteria as well as factors related to PIM use.Methods: Data obtained from a retrospective survey included 25,810 outpatients aged ≥65 years from a university medical center in Seoul, Korea. PIMs were defined using the Beers criteria. Factors associated with PIM use were evaluated using multiple regression analysis.Results: Of all participants, 7,132 (27.6%) were prescribed at least one PIM. The most commonly prescribed PIMs were alprazolam (11.2%), clonazepam (10.8%), zolpidem (8.7%), quetiapine (8.4%), and hydroxyzine (5.4%). In multivariate logistic regression analysis, having five or more prescription medicines (odds ratio [OR], 11.32; 95% confidence interval [CI], 9.38 to 13.66) and five or more prescribing doctors (OR, 4.40; 95% CI, 3.59 to 5.39) were strongly associated with PIM. In a likelihood ratio test for trend, an increasing number of medications and prescrib-ing doctors were both significantly associated with PIM.Conclusion: At a university medical center, the number of medications and the number of prescribing doctors was associated with PIM in older outpatients.

Postthyroidectomy obesity in a Korean population: does the extent of surgery matter?

Min-Young Park,Sang Eun Nam,박경식,Madhuri Saindane,Young-Bum Yoo,Jung-Hyun Yang,Ah-Leum Ahn,Jae-Kyung Choi,박원서 대한외과학회 2019 Annals of Surgical Treatment and Research(ASRT) Vol.97 No.3

Purpose: The purpose of this study was to investigate the prevalence of postthyroidectomy obesity, and the relationship between the extent of thyroidectomy and obesity. Methods: A survey conducted at an outpatient clinic from June to October 2014 and retrospective charts for patients undergoing thyroidectomy at Konkuk University Medical Centers from June 2009 to December 2013 were reviewed. We compared clinical characteristics and pre- and postoperative obesity-related factors in 227 patients who underwent total thyroidectomy or lobectomy. Results: Patients included 39 males and 188 females with a mean age of 46.0 ± 11.0 years; the mean follow-up period was 23.9 ± 16.7 months, and 90 of the 227 patients showed postthyroidectomy obesity. In effect of operative extent on postoperative obesity, patients who underwent TT (48.2 years) than those who underwent lobectomy (43.4 years). TT group had longer follow-up and the frequency of menopause was higher than in the lobectomy group. No differences in postthyroidectomy obesity, body weight change, or body mass index (BMI), change among 2 groups. The predictors of postthyroidectomy obesity were older age, female, heavy alcohol consumption (P = 0.029), higher preoperative BMI (P < 0.001), larger postoperative weight gain (P = 0.024), and larger BMI change. However, the extent of thyroidectomy did not affect postthyroidectomy obesity. Preoperative BMI (P < 0.001) and heavy alcohol consumption (P = 0.03) were independent factors of postthyroidectomy obesity. Conclusion: The extent of thyroidectomy does not affect postthyroidectomy obesity. Preoperative BMI and heavy alcohol consumption are risk factors for postthyroidectomy obesity. Studies are needed to suggest preoperative life style modification to prevent postthyroidectomy obesity