심기증(침울증/심경기우증 /하이포콘드리아증), Hypochondriasis

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심기증(침울증/심경기우증 /하이포콘드리아증), Hypochondriasis

 

  • 마음 속 깊이 있는 긴장, 불안, 걱정 등을 진정시키는 방법으로, 사실은 기질적인 병이 없는데도, 심각한 병이 신체의 여러 기관에 있다고 두려워하는 정신병을 심기증이라고 한다. 
  • 어느 연령층에도 이 병이 생길 수 있으나 사춘기 아이들과 젊은이들에게 더 잘 생길 수 있다. 
  • 부모에게 어떤 병이 있거나 건강 문제가 있거나 부모가 약을 먹을 때 그런 부모의 자녀들에게 심기증이 생기기 쉽다. 
  • 거기다가 가족의 누가 죽거나 학교에서 공부하는 데 문제가 생기거나 형제간에 질투가 생기면 심기증이 유발될 수 있다. 
  • 실제로 어떤 기질적인 병이 없이 심기증의 증상 징후로 두통, 가슴이 두근거리거나 흉통, 복통, 현기증, 족통, 사지 통, 피곤, 구토 등의 증상 징후가 나타날 수 있다. 
  • 자세한 검진을 했을 때 아무런 비정상적인 진찰소견이 발견되지 않는다. 

심기증(침울증/심경기우증/하이포콘드리아증)의 치료

  • 대부분의 경우 자연 치료가 된다. 
  • 부모와 심기증이 있는 아이에게 아무런 신체적 병이 없다는 것을 인식시키고 근심 걱정, 오해 등이 있으면 그런 증상 징후를 제거해 주고 먹는 것 자는 것 노는 습관에 이상이 있으면 치료해 주고 보다 더 사랑해 주면 자연적으로 낫는다. 
  • 신체의 여러 기관에 증상 징후가 있다고 호소할 때 꾀병을 한다고 방치해서는 절대로 안 된다.

Hypochondriasis

• As a way to calm deep tension, anxiety, and worry in the mind, in fact, even though there is no organic disease, a mental illness in which a person fears that a serious illness exists in various organs of the body is called psychosis.

• The disease can occur at any age, but it is more common in adolescents and young adults.

• Children of such parents are more likely to develop hypochondria when their parents have some disease or health problem, or when they take medication.

• In addition, if someone in your family dies, if you have trouble studying at school, or if you have jealousy between siblings, it can lead to psychosis.

• In the absence of any organic disease, symptoms of cardiomyopathy may include headache, palpitations, chest pain, abdominal pain, dizziness, foot pain, extremity pain, fatigue, and vomiting.

• No abnormal findings were found upon detailed examination.

Treatment of hypochondriasis

• In most cases, it is a natural remedy.

• Recognize that parents and children with cardiomyopathy do not have any physical illness, and if there are concerns, worries, misunderstandings, etc., remove the symptoms, and if there are abnormalities in eating, sleeping, or playing habits, treat them and give more love to them.

• Never allow yourself to be fooled when you complain that you have symptoms of various organs in your body.

출처  참조 문헌 Sources and references

  • NelsonTextbook of Pediatrics 22ND Ed
  • The Harriet Lane Handbook 22ND Ed
  • Growth and development of the children
  • Red Book 32nd Ed 2021-2024
  • Neonatal Resuscitation, American Academy of Pediatrics
  • B형 간염 Hepatitis B
  • B형 간염 예방접종 Hepatitis B immunization
  • B형 간염 예방접종을 꼭 받아야 하는 사람들 Persons who should have hepatitis B immunization
  •  피나 피로 만든 약을 쓸 때 B형 간염에 대한 유의할 사항 Hepatitis B Precaution for using blood or product medicine Precaution for hepatitis B vaccination
  • B형 간염을 한 번도 앓은 적이 없는 사람들에게 B형 간염 예방접종을 해 주는 방법 How to give hepatitis B vaccine C형 간염/HCV 간염 Hepatitis C
  • D형 간염 Hepatitis D
  • E형 간염 Hepatitis E
  • G형 간염 Hepatitis G
  • The Johns Hopkins Hospital, The Harriet Lane Handbook, 22nd edition
  • Red book 31st edition 2021
  • Nelson Text Book of Pediatrics 21st Edition
  • Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
  • Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
  • Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
  • Gray’s Anatomy
  • Ambulatory Pediatrics, Green and Haggerty, Saunders
  • Introduction to Clinical Pediatrics, Smith and Marshall, W.B. Saunders Co
  • School Health: A Guide For Health Professionals, American Academy of Pediatrics
  • Holly Bible
  • How to really love your child Ross Campbell
  • Good Behavior Stephen W. Garber, Ph.D. and other
  • Kids Who follow, Kids who don’t
  • Loving Each Other Leo F Buscaglia, Ph, D.
  • Guide to Your Child’s Sleep. American Academy of Pediatrics
  • Hematology and Oncology in Adolescence, Neil J. Grossman, M.D., Stuart S. Winter, M.D., Adolescent Medicine, and The Media Adolescents Medicine
  • AM: Stars Adolescent Medicine: State of the Art Reviews, Asthma, and Diabetes in Adolescents, Robert A. Wood, M.D., Samuel J. Casella, M.D. April 2010, AAP
  • AM: Stars Adolescent Medicine: State of the Art Reviews, Sleep and Sleep Disorders in Adolescents, Amy E. Sass, M.D., MPH, David W. Kaplan, M.D., MPH Editors December 2010, AAP
  • The Pediatric Clinics of North America, Adolescent Gynecology, Part II THe Sexually Active Adolescent, August 1999
  • The Pediatric Clinics of North America, Childhood and Adolescent Obesity, August 2001
  • Adolescent Dermatology, Daniel P. Krowchuk, M.D., Anne W. Lucky, M.D., Adolescent Medicine, 12:2 June 2001
  • Gastrointestinal Disorders, Jeffrey S. Hyams. M.D. Editor, Adolescent Medicine
  • Fueling the Teen Machine, Ellen Shanley and Colleen Thompson
  • Why Teenagers Act the Way They Do, Eight Adolescent Personality Types: Understanding and Dealing With Them, Dr. G. Keith Olson
  • Adolescent Psychiatry, Adolescent Medicine Clinics, Feb. 2006 Vol 17 #1 Richard E. Kreipe, M.D., Christopher H. Hodgman, M.D.
  • Adolescent and the Media, Adolescent Medicine Clinics June 2005 Vol 16 #3, Guest Editors: Victor C. Strasburger, Marjorie J. Hogan, M.D.
  • 진정한 자녀 사랑 나비게이터
  • 10대 아들 딸 이렇게 사랑해 키워라 이상원 역저 (How to really love your teenager. Ross Campbell MD)
  • 소아과학 대한교과서
  • 의학 용어사전  대한 의사 협회
  • 그 외

Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP

부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances.

“Parental education is the best medicine.