• Title/Summary/Keyword: 심리사회적 접근

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Relationship between Psychosocial Factor and Positive Health Behavior Change after Diagnosis in Breast Cancer Patients (유방암 환자에서 심리사회적 요인과 암 진단 후 건강행동 변화의 관계)

  • Jung, Dooyoung;Shim, Eun-Jung;Hwang, Jun-Won;Hahm, Bong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.91-97
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    • 2012
  • Objectives : With the increase in cancer prevalence, the health behavior of cancer survivors has become an important issue. This study was conducted to examine the psychosocial correlates of behavior changes after cancer diagnosis. Methods : 95 patients completed questionnaires assessing depression, anxiety, insomnia, posttraumatic stress symptoms, social constraints, personal beliefs about cancer cause and health-related behavior changes after cancer diagnosis. Results : In the multiple logistic regression analysis, insomnia was the only significant predictor of positive change in physical behavior : normal sleep group(Odds ratio=9.462, 95% CI 1.738-51.509) and subthreshold insomnia group(Odds ratio=10.529, 95% CI 1.701-65.161) showed a larger increase compared to the insomnia group. In psychosocial behavior, low age, religion and causal belief in hormonal factors were independent factors that predicted increase in positive change. Conclusions : This study showed a difference between predictors of physical and psychosocial health behavior change after breast cancer diagnosis. Multi-faceted approaches are required to promote positive change in health behavior in cancer patients.

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Structural Analysis on the Path of Problem Gambling among College Students - Using Jacob's General Theory of Addiction- (대학생의 문제도박 발달경로 구조분석 -Jacob의 중독의 일반이론 적용-)

  • Jang, Soomi
    • Korean Journal of Social Welfare
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    • v.65 no.2
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    • pp.231-254
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    • 2013
  • The growth of legal and illegal gambling industry in Korea has increased the gambling accessibility. Actually, the prevalence of gambling addiction in Korea is significantly higher than those in western countries. The problems related to gambling make negative consequences in the individual, familial and socio-economical aspect. Previous studies showed that the prevalence of problem gambling by college students was much higher than that by adolescence and adult due to the nature of psychosocial developmental stage. The purpose of this study is to explore the path of problem gambling among college students based on the Jacob's general theory of addiction. Participants are 366 male college students who have experienced on gambling behavior. The main results are as follows. First, the problem gambling prevalence of participants is 14%. Second, statistical analysis using structural equation modeling shows the significant pathway among psychological vulnerability, needs to escape and problem gambling. Instead, the physiological vulnerability is not significant on the path to problem gambling. On the basis of these findings, the implications for social welfare prevention and intervention to college students are discussed.

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Children with Cancer: Adjustment to Disease and Body Image (소아·청소년 암환자의 신체상과 질병적응에 관한 연구)

  • Cho, Hae-Rin;Park, So-Young;Han, In-Young
    • Journal of the Korean Society of Child Welfare
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    • no.26
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    • pp.7-30
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    • 2008
  • The survival rate of children with cancer has increased significantly from less than 30% in 1960s to 75% during the recent years with the development of modern medical technologies. As a result, the cancer of children today is no longer classified as incurable diseases. Rather, it is recognized as a chronic illness. However, children with cancer are still suffering from physical and psychosocial ailments caused by long-term hospitalization. In particular, teenagers are more likely to be affected by these problems because of interests on one's appearance and peer relationships This study investigated the relationship of the level of body distortion and disease adjustment of children with cancer, and how demographic factors, disease factors, and the level of body distortion affect disease adjustment. Data were collected between October 22, 2007 and November 16, 2007 and the total respondents consisted of 82 children, ages 10 to 18. SPSS 12.0 with descriptive statistics, t-test, correlation and multiple regression were used for data analysis. The results showed that the factors which influence the disease adjustment of children with cancer were age, school enrollment, and the level of body distortion. The result of this study has major implications for the government to provide support for children with cancer to stay in school. Additionally, programs that assist children to build positive body images need to be developed in accordance with their ages and psychosocial characteristics.

Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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Psychosocial Rehabilitation of Chronic Depression (우울증 환자를 위한 정신사회 재활치료)

  • Hwang, Tae-Yeon
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.30-33
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    • 1999
  • While depression is certainly a prevalent disorder, it is often severe and debilitating and does not always have the good prognosis we have been led to expect. Social approaches to affective disorders have not been subjected to the same level of scrutiny as the interventions used in the management of schizophrenia. Psychosocial Rehabilitation is now at a critical stage. Psychoeducation, social skill training, cognitive remediation, family education, vocational rehabilitation and case management programs are essential for the rehabilitation of chronic depression.

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농촌의 녹지공간 제공기능 인식과 농촌방문 경험 분석

  • Kim, Young;Kim, Eun-Ja;An, Yoon-Soo;Lee, Sang-Young
    • Proceedings of the Korean Society of Community Living Science Conference
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    • 2004.05a
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    • pp.164-164
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    • 2004
  • 농촌의 녹지공간은 일상생활에서 많은 사람들이 쉽게 접근하여 휴식과 휴양을 즐기거나, 개개인이 자아를 발견하고 재창조하는 장소로 농촌이 있음으로 발생되는 논, 밭, 목야, 과수원, 산림, 마을숲, 하천, 호수 등을 말한다. 이러한 농촌의 녹지공간은 심리적으로 인간이 아름다운 경관을 보고 즐길 수 있는 마음을 가지게 하며, 환경 보전적으로 지역의 생태계를 보전하고 미기후를 조절하기도 한다. (중략)

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A Study on Social Integration of Person With Disabilities based on Independent Living Paradigm : Life Span (자립생활 패러다임에 따른 장애인의 사회통합에 관한 연구 : 생애주기를 중심으로)

  • Park, Soo-Kyung
    • Korean Journal of Social Welfare
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    • v.58 no.1
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    • pp.237-264
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    • 2006
  • The purpose of this study is to examine the level of social integration of the person with physical disabilities based on independent living paradigm according to life span and to find factors affecting social integration and therefore to make policy implications for a better rehabilitation system. The data was obtained through telephone interviews with physically disabled residing in the city of Seoul and the suburb area of the city. The final sample consists of 591 respondents. The data was analyzed through frequency, oneway anova, pearson's correlation analysis, and multiple regression. In this study, social integration based on independent living paradigm was divided into separate but related dimensions: autonomy of activity daily living, accessibility, economic level, degree of social support satisfaction, consumer control, psychological empowerment. The major findings of this study were as follows: First, the levels of six dimensions of social integration based on independent living paradigm were very different and especially the level of dimensions such as degree of social support satisfaction and consumer control were lower than other dimensions of social integration. Second, each level of social integration by life span was very different. Finally, the factors affecting social integration were socio-psychological traits such as social support, rehabilitation services, self esteem and acceptance of disability as well as the attribution to disability. The current findings suggest that improving nay only ADL or accessibility but also consumer control or social support should be considered by professional and policy makers. And differentiated intervention and policy according to life span necessary to policy makers and field practitioners.

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Search for the Direction of the Digital Cultural Psychology through Environmental Changes in Plays (놀이환경 변화를 통해 본 디지털문화심리학의 방향 모색)

  • Jang Ju Lee
    • Korean Journal of Culture and Social Issue
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    • v.17 no.1
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    • pp.131-154
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    • 2011
  • Rapid social changes due to digitization have created new psychological challenges of adapting and coping. Plays are in the center of these changes. Plays used to be collateral activities of labor in the traditional society and industrial society, but they have become key activities embracing economy, society, culture in a digital society that has been maximized productivity and efficiency. Still, the theoretical approach of plays is based on the industrial societies. Analyzing these points, the psychological impacts of players using multimedia, social networking, and digital games utilizing both of them was dealt in this article. I dealt with multimedia, social networking, and digital games as key characteristic of digital culture. The difference between traditional psychology and Digital Cultural Psychology was dealt in the perspective of self-concept, information processing, and sex role. Then the conclusion on the future directions of Digital Cultural Psychology and its limitations will be followed.

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Solution Method of Hypochondriasis through Focused Distraction (집중산만 전략을 활용한 건강염려증의 해소 방안 -인지치료적 접근-)

  • Joseph Jeon
    • Industry Promotion Research
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    • v.8 no.4
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    • pp.229-239
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    • 2023
  • This research as a literature study is to clarify solution method of hypochondriasis through focused distraction. Hypochondriasis is called by various terms such as somatization symptoms, health anxiety, illness phobia, illness anxiety disorder, hypochondriacal disorder, hypochondriacal neurosis, and hypochondria personality disorder. Hypochondria is basically a factor that causes worry, fear, anxiety, and even phobia, lowering the quality of life at home, work, and society. As the quality of life of individuals is decreasing, the field of counseling psychology and psychological counseling has the task of solving this problem and restoring psychological peace. Accordingly, this study is an attempt to explore the symptoms of hypochondria by using the distraction strategy among cognitive strategies as a way to resolve the condition. Focused distraction strategy can be said to be a kind of cognitive 'avoidance strategy'. Focused distraction strategy is a way to avoid being overly focused on one's health. In addition, it weakens health concerns by 'dispersing' or 'distracting' the 'attention' focused on health in another direction.

미디어 대체에 관한 연구: 전통적 미디어에 대한 인터넷 이용의 영향을 중심으로

  • Kim, Jin-Yeong
    • Korean journal of communication and information
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    • v.24
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    • pp.37-67
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    • 2004
  • 본 연구는 인터넷 이용수준이 전통적 미디어의 이용수준에 미치는 영향과 수용지들의 미디어 소비 패턴에 대해 살펴보았다. 미디어 대체이론, 이용과 충족이론, 미디어 레퍼토리 연구를 바탕으로 인터넷 이용이 전통적 미디어의 이용에 미치는 영향을 중심으로 개인들의 정보와 오락 미디어 레퍼토리, 인터넷 레퍼토리에 영향을 미치는 사회적, 심리/태도적 변인과 인구통계학적 특징 등도 검토하였다. 이를 위해 전국에 있는 18세 이상 성인들을 대상으로 성별, 나이별, 지역별 층화표집방법을 이용해 표본을 추출하고 500개의 유효 서베이 설문지를 수집하였다. 데이터의 분석결과, 인터넷 이용정도가 다른 매체에 미치는 영향은 각 미디어별로 세 가지 다른 양상을-상호보완적 영향, 대체 치환의 영향, 그리고 영향을 받지 않음-보였으나 대체로 인터넷은 다른 미디어의 대체 미디어라기보다는 보완적인 매체로 현재 이용되고 있음이 나타났다. 또, 전반적인 미디어 이용시간 측면에서는 인터넷을 많이 이용하는 응답자일수록 오락과 정보 미디어 레퍼토리 크기가 더 컸던 것으로 나타나, 현재까지는 인터넷이 다른 미디어와 상호 보완하는 양상, 피들러(Fidler)의 미디어 변형이론 가운데 공존 공진화 현상을 보여주었다. 응답자들은 평균 2.01개와 2.25개의 오락과 정보 미디어 레퍼토리를 가졌으며 텔레비전, 신문, 인터넷을 두 미디어 레퍼토리의 3대 주요 미디어로 꼽았다. 또한 인터넷 레퍼토리와 사회적, 태도적 변인들간의 상관관계는 최근의 이용 충족이론과 미디어 레퍼토리 연구에서 나타났던 결과들과 일치해 사회적, 심리 태도적 요인들이(친밀도, 접근성, 유용성, 여가시간) 미디어 레퍼토리의 크기에도 영향을 미친다는 사실이 검증되었다.

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