• Title/Summary/Keyword: 심리적 충격

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Validity and Reliability of the Transition Shock Scale for Undergraduate Nursing Students (간호대학생의 전환충격 척도 신뢰도 및 타당도 검증 연구)

  • Kim, Soo Yeon;Shin, Yong Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.17-26
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    • 2019
  • Purpose: This study was conducted to verify the validity and reliability of the modified Transition Shock Scale for use among nursing students. Methods: From March 8-April 3, 2018, 207 nursing students participated in this study and were asked to complete self-reported questionnaires, including transition shock, clinical stress, and adapting to clinical practicums. The IBM SPSS Win 18.0 and AMOS 18.0 programs were used for data analysis. Results: A confirmatory factor analysis supported good convergent and discriminant validities ($x^2/df=1.58$, TLI=.92, CFI=.95, RMSEA=.053, AVE=.51-.68, CR=.75-.68). Correlations among transition shock, clinical stress (r=.34, p<.001), and adapting to clinical practicums (r=-.54, p<.001) were significant. Cronbach's alpha for the overall scale was .85, and for the six subfactors it ranged from .65 to .75. Conclusion: The findings suggest that the 17-item transition shock questionnaire is an appropriate instrument for measuring nursing students' transition shock with good validity and reliability.

Depression after Traumatic Brain Injury (외상성 뇌 손상이후의 우울증)

  • Jung, Han Yong;Han, Sun Ho
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.21-29
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    • 1999
  • Traumatic Brain Injury(TBI) of any severity can result in broad and persisting biopsychosocial sequelae. Depression after TBI occur at a greater frequency than in the general population, with estimates approaching 25% to 50% for major depression, and 155 to 30% for dysthmia. Acute onset depressions are related to lesion location and may have their etiology in biological response of the injured brain, whereas delayed onset depressions may be mediated by psychosocial factors, suggesting psychological reactions as a possible mechanism. Anxious depressions are associated with right hemisphere lesions, whereas major depressions alone are associated with left dorsolateral frontal and left basal ganglia lesions. However, there is insufficient information to postulate a specific neuroanatomic model for TBI-related depression.

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A Qualitative Study on Parents'Experiences with Their Children Handicapped with Restricted Growth (저신장장애 자녀를 둔 부모의 양육경험에 관한 질적 연구 : '자라날 수 없는' 아이에서 '자라날 수 있는' 아이로 키우기)

  • Chong, Hye-suk;Lee, Kyoung-ran
    • Korean Journal of Social Welfare Studies
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    • v.45 no.2
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    • pp.173-202
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    • 2014
  • This qualitative study is designed to explore parents' experiences with their children handicapped with restricted growth. The parents' unique reality and its essential meanings are elicited through in-depth interviews enabling to reflect the insider's perspective. "From the child unable to grow to the child able to grow" is identified as the main theme penetrating through the participants'parenting experiences unique to their reality. Embracing the shock and the disappointment related to their children 'unable to grow', they thrive to make their children able to grow. However, they eventually accept their children's handicap, in spite of never doing it easily, by getting confronted with the limits of making their children grow in stature, and the social stigma and the difficulty their children experience. Therefore, they get to take alternative perspectives not focusing on their children's stature unable to grow but on psycho-social growth able to grow. Social welfare plans to support the handicapped with restricted growth and their parents are suggested.

Psychosocial Experience in Cheonan Warship Incident Survivors ('천안함 사건' 유가족의 심리사회적 경험)

  • Lee, Yoon-Soo
    • Korean Journal of Family Social Work
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    • no.43
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    • pp.87-110
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    • 2014
  • This study is to understand the psychosocial experience in 'Cheonan Warship Incident Survivors'. The study question was how psychosocial experience in The Union of Family Bereaved by Cheonan Warship had been progressed. To answer this question 4 representers ofthe group and 2 reporters had been interviewed using a qualitative research method based on Phenomenology method. From this study the group's experience in had been revealed that they first crisis intervention are to identify and reinforce the strengths and coping skills of a one's family. Second, they gathered their opinion together and assigned the roles to the members, and then, requested what they want responding reasonably. The families' love, the representers' quick judgements and decisions, and the embarrassment of the military and media for the dead, who had been abandoned for long and decayed under the cold ocean, made the national support and respectful treatment possible for the dead and the family. The results of study will be applicable for individuals and groups, who need social work service as an empowerment intervention approach and crisis intervention are to identify and reinforce the strengths and coping skills of a one's family. The social worker's ability to anticipate, understand, and give therapeutic direction to the crisis reaction and the concerns of family members helps to bring around a successful crisis resolution. It is clear to us that wars, suicides, homicides in school settings, disaster and other events are providing unique challenges to social workers who are interested in learning more about the effects such events have on victims of traumatic events.

Child-rearing Experience of Ex-offenders' Wives: Focus on Developmental Stage of Children (남편의 수감 생활 및 출소 과정에서 경험하는 출소자 아내의 자녀양육: 자녀의 발달수준을 중심으로)

  • Jeon, Ji-Yeol;Lee, Dong-Hun;Yang, Ha-Na;Kim, Ju-Yeon
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.1-26
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    • 2018
  • This study examines 17 ex-offenders' wives who is receiving housing support from the Korea Rehabilitation Agency to understood the difficulties child-rearing experiences with the grounded theory. Based upon the research outcomes, supporting that needs for prisoners' wives who feel a huge burden on taking care of infants and preschool children by themselves was discussed. The prisoners' wives with children at school age and initial/middle adolescent need to get strong support due to not only the shock about husbands in prison but also the burden and stress that should follow the role as parents of students. Those late adolescent/adulthood who were supposed to follow their dreams, were required for their financial and emotional sacrifice. Result indicates children need to get support to form the right identity, not to get exhausted or shrink from being stigmatized and prejudiced as children of released prisoners.

The phenomenological study on the psychological experience of mothers of sexually abused children (성폭력 피해 아동 어머니의 심리적 경험에 관한 현상학적 연구)

  • Yang, Sun-Wha
    • Korean Journal of Family Social Work
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    • no.23
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    • pp.183-224
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    • 2008
  • This study is a phenomenological study on the experience of mothers of sexually abused children. The participants were 6 mothers whose children were sexually abused. The data was then analyzed according to Colaizzi's method. 253 sentences and phrases, 65 formulating meanings that were general, metaphysical, 27 theme, 13 theme clusters, 5 categories based on interview were selected. The following are the findings of study. 1. Shock : Perplexity, Confusion 2. Coping ; Settlement 3. Mental anguish: Anger, Anxiety, Suffering, Isolation 4. Conquest: Stabilization, Acceptance, Consolation, Change 5. Scar: Extant of anxiety, Concern The results show that the experience of the mother of sexually abused children changed over a period of time and they were willing to protect their children and resolve the issues within society. This research contributed to an understanding of the experience of mothers of sexually abused children, using phenomenological research method without the resource of previous study. This study suggests that social welfare services is needed for sexually abused children and their mothers.

A Single Case Study on the Psychological Analysis of a Middle-aged Woman Suffering from Animal Phobia (동물공포증을 겪는 중년여성의 심리분석 단일사례연구)

  • Dong-Tae Kim
    • Industry Promotion Research
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    • v.9 no.2
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    • pp.127-135
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    • 2024
  • This study is an instrumental case study based on a theoretical proposition on animal phobia as a single case, Six categories were derived for the purpose of psychological analysis of the father of a female research participant suffering from the earthworm phobia. They are 'a fearful existence', 'problems with the woman who is always by her father's side', 'secret adultery and shock', 'fear of punishment', 'symbol for earthworm and fear displacement', and 'earthworm phobia'. Anxiety about punishment from a fearful father was the cause of the phobia. For the study participant, the earthworm phobia was the displacement of her father's fear of earthworm, and the earthworm phobia was interpreted as a substitute for her father. In other words, earthworm phobia should be understood as an escape and defense process as it replaces the re-emergence of long-repressed fearful feeling toward her father, and its symbolism can be seen as a metaphorical transformation of the pathological family atmosphere.

CHILDHOOD TRAUMA:PSYCHIATRIC OVERVIEW (아동기 외상의 정신과적 개관)

  • Han, Sung-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.3-14
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    • 2002
  • Childhood psychic trauma appears to be a crucial factor in the development of serious disorders both in childhood and in adulthood. Traumatized children show strong tendency to revisualize or re-feel a traumatic events. Play and behavioral reenactments are frequent manifestations of both the single blow and the long-standing traumas in childhood. Those children who suffer the results of single, intense terror appear to exhibit detailed memory, retrospective reworkings and misperceptions. In long-standing or repetitive trauma, children would show psychic numbing, self-hypnosis, dissociation and rage. Child's brain is undergoing critical and sensitive periods of differentiation. During this time, developing central nervous system is exquisitely sensitive to stress. Stressor-activated neurotransmitters and hormones can play major roles in neurogenesis, migration, synaptogenesis, and neurochemical differentiation. Internal opiate system operates in some trauma and causes the victim to fail to respond, to avoid, to shut off feelings. Evidence is also accumulating in traumatology that dysfuntion of locus coeruleus and ventral tegmental neucleus system leads to catecholamine receptors hypersensitivity. This change result in hypervigilance, increased startle, affective lability, and increased autonomic nervous system hyperreactivity. Another site of action of trauma on the brain is hypothalamic-pituitary-adrenal axis. Individuals with PTSD do not have enough cortisol to halt the alarm reaction. When children are exposed to long-standing extreme events, massive attempts to protect the psyche and to preserve the self are put into gear. These developmental traumas mobilize various kinds of defense mechanisms. Massive denial, dissociation, self anesthesia, identification with aggressor and aggression turned against the self often lead to profound character changes in the youngsters.

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Depression during Pregnancy and the Postpartum (임신 및 산후 우울증)

  • Kim, Youl-Ri
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.22-28
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    • 2007
  • The pregnancy and postpartum period appear to be a time of heightened vulnerability for the development of major depression in some women. Postpartum depression affects 10% of women within a few weeks immediately postpartum. Postpartum depression is associated with disturbances in the mother-infant relationship, which in turn have an adverse impact on the course of child cognitive and emotional development. Depression during pregnancy is also common, although it has been relatively neglected. Psychopathological symptoms during pregnancy have physiological consequences for the fetus. Understanding the aetiology of perinatal depression requires integrating of multiple psychosocial and biological risk factors. The treatment of depressed pregnant women requires skilled decision making by psychiatrists. Risk-benefit analysis is appropriate method for intervention fur depression in pregnancy. Effective treatments for depression in pregnancy include psychotherapy, antidepressant medication and electroconvulsive therapy. In treatment of postpartum depression, the biological, psychological, and social interventions are included. Prescribing antidepressants(such as fluoxetine), estrogen in severe and chronic cases, and counselling can be effective for improving maternal mood and aspects of infant outcome. Ongoing research is directed to further elucidating neurohormonal and psychosocial contributions to depression during pregnancy or postpartum. Screening for risk factors and symptoms for depression need to be incorporated into antenatal and pediatric clinics.

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Practical Use of Psychodrama as a Self-Development Program for University Students (대학생의 자아성장프로그램으로서 사이코드라마의 활용)

  • Yang, Hye-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3148-3154
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    • 2015
  • The purpose of this study was to examine the usefulness of psychodrama as a self-development program for university students by applying it to D university student during 10 weeks. The study results were produced by quantitative and qualitative analyses on the data. At first, according to the quantitative analyses result, the identities of the participated students did not show significant differences between pre and post program participation, statistically. But according to the qualitative analyses on the participants experience reports, which were written by them at each session, the participants had experienced the 'fresh impulse' and the 'enlightenment through the body' at the introduction stage. And, they had experienced the 'whirlwind for the development' and the 'developments through suffering and bearing' at the actualization stage. Eventually, these results proved that psychodrama was useful for the university students to develop their inner side, by bearing and overcoming the physically mentally chaotic experiences from it.