• Sleep Medicine and Psychophysiology
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• v.25 no.2
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• pp.68-73
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• 2018

Objectives: The purpose of this study was to explore insomniac demographic characteristics and the type of consultation provided to hospitalized patients asked to the Department of Psychiatry for insomnia and to compare patient insomnia characteristics by consultation type. Methods: We performed a retrospective chart review of 4,966 patients who were hospitalized from August 1, 2005 to December 31, 2011 that received consultation in the Department of Psychiatry. Among them, 236 patients were referred for insomnia. We compared the differences in demographic characteristics and types of consultation between the insomnia patient group and other patient group. We also compared the difference between demographic characteristics and type of consultation by dividing total subjects into 'with reconsultation' and 'without reconsultation' groups. Results: Our results came from the analysis of 9,689 consecutive consultation requests. There were 4,966 patients that participated in the study over 6 years and 6 months. The overall consultation rate was 3.3% of all admissions and insomnia patients comprised 4.8% of those. The ratio of re-consultation for insomnia was 27.5%. There was no significant difference in mean age between the insomnia 'with reconsultation group' and the insomnia 'without reconsultation group', but the 'with reconsultation' group had significantly more male patients and medical patients than the 'without re-consultation' group. For insomnia patients, consultation types were in the order of Mending request (51.3%), Paralle request (36.6%), Complementary request (9.0%) and this composition differed from that of total admission patients. Conclusion: Hospitalized patients referred for insomnia showed a higher proportion of male patients, lower rates of re-consultation compared with other patients, and most of these were for secondary insomnia. Each doctor should be aware of the possibility of inpatient insomnia, conduct positive assessments and referrals as necessary, and psychiatrists who might be asked for consultation need to prepare an active intervention with initial diagnosis and treatment, as well as recommendations for the timing of reconsultation.

• 건강소식
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• v.19 no.3 s.196
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• pp.14-17
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• 1995

한국건강관리협회 대전 · 충남지부가 대전광역시의 지원으로 ‘93년 10월부터 실시하게 된 위암이동검진이 햇수로 3년째를 맞아 대전시민의 큰 호응을 얻고 있다. 경제적 · 시간적 부담 때문에 건강관리에 소홀할 수밖에 없는 저소득시민을 대상으로 위암을 비롯한 위장질환을 조기 발견하여 건강증진에 기여하겠다는 목적으로 시작된 이 이동검진을 성사시킨 주역이 바로 염홍철 대전광역시장이다. 평소 인간존중철학을 바탕으로 해서 상대방의 입장에서 보든 문제를 생각해야 한다는 정신으로 일해 온 염시장을 만나 위암이동검진 실시 배경을 비롯해 대전 시민을 위한 보건의료계획을 들어봤다.

• Proceedings of the Korean Association for Survey Research Conference
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• 2005.12a
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• pp.91-113
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• 2005

본 연구는 청년들의 취업 및 실업 경험이 정신건강에 어떠한 영향을 미치는지 종단적으로 알아보는 데 목적이 있다. 구체적으로 대학을 졸업하고 난 이후에 지속적으로 미취업 상태로 남아있는 사람들의 정신건강의 문제 그리고 취업에 성공하는 경험이 정신건강에 미치는 영향을 미치는지 알아보고자 한다. 이를 위해서 국내 대학교 4학년생들을 대상으로 1차 조사를 실시하고 이후 약 6개월 간격으로 2차 조사, 3차 및 4차 조사를 실시하였다. 네 시점에서 모두 응답자들의 취업여부와 정신건강 수준을 측정하였다. 4차 조사까지 모두 응답한 560명 중에서 2차, 3차, 및 4차 시점의 취업여부에 의해서 집단을 다음과 같이 나누었다: 2차, 3차 및 4차 시점 순서대로, 모두 취업 상태인 집단('취업-취업-취업 집단'), 3차 시점에서 취업에 성공한 집단('미취업-취업-취업 집단'), 4차 집단에서 취업에 성공한 집단('미취업-미취업-취업집단') 그리고 모두 미취업 상태인 집단('미취업-미취업-미취업 집단'). 그 결과를 보면, 취업-취업-취업 집단의 경우에는 취업에 성공한 2차 시점에서 정신건강 수준이 상당히 좋아졌다가 3차 및 4차 시점에서 다시 본래 수준으로 돌아가는 경향을 보였다. 미취업-취업-취업 집단의 경우에는 취업에 성공한 3차 시점 이후로, 미취업-미취업-취업 집단의 경우에는 취업에 성공한 4차 시점에서 정신건강 수준이 좋아지는 경향을 보였다. 지속적으로 미취업 상태였던 집단에서는 3차 시점에서 정신건강 수준이 상당히 나빠졌다가 여전히 미취업 상태인 4차 시점에서 오히려 완화되는 경향을 보였다. 본 연구의 시사점과 제한점 및 장래 연구의 과제가 논의되었다.iments and numerical analysis of luminescence efficiency in the hole carrier transport layer's thicknes. 나아갈 것이며, 아울러 향후에도 아직 미흡한 분야인 IT 아웃소싱에서 적정수준의 대가지급 방안 및 바람직한 Relationship 에 영향을 미치는 여러 가지 요인에 대해서도 살펴 봄으로써 IT분야의 Outsourcing을 검토하거나, 추진할 때 도움이 될 수 있도록 하고자 한다.개의 총 297개의 데이터를 추출하여 사용하였다. 실험과는 좌측공격 91.7%, 우측공격 100%, 중앙공격 87.5%, 코너킥 97.4%, 프리킥 75%로서 매우 양호한 인식율을 보였다. 사용경험정도가 가입직후 해지에만 영향을 미치는 요인임을 보여준다. 또한 매체의 정보전달 풍부성 (media richness)이 상대적으로 높은 소매점이나 웹사이트를 통해 서비스에 가입한 소비자일수록 가입 직후뿐만 아니라 서비스사용 이후에도 낮은 해지성향을 나타냈다. 이러한 분석결과를 바탕으로 인터넷전화 서비스에 적합한 고객지원 프로그램 설계와 마케팅 매체선정과 관련한 전략적 시사점을 도출한다. 그리고 국내에서 최근 이슈가 되고 있는 차세대 무선인터넷 서비스인 와이브로 출시에 따른 마케팅 및 고객관리와 관련된 시사점을 논의한다.는 교합면에서 2, 3, 4군이 1군에 비해 변연적합도가 높았으며 (p < 0.05), 인접면과 치은면에서는 군간 유의차를 보이지 않았다 이번 연구를 통하여 복합레진을 간헐적 광중합시킴으로써 변연적합도가 향상될 수 있음을 알 수 있었다.시장에 비해 주가가 비교적 안정적인 수준을 유지해 왔다고 볼

• Korean Journal of Psychosomatic Medicine
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• v.26 no.2
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• pp.179-187
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• 2018

Objectives : The purpose of this study was to assess physical illnesses, psychological difficulties, and daily life function of victims' family members one year after the Sewol ferry disaster, in order to establish a basis of strategies to promote their mental health and resilience. Methods : We statistically analyzed self-reported data collected from a survey conducted between March 22 and 28, 2015 with 139 family members of victims. Results : All respondents complained about one or more psychological difficulties, and 95.4% of them had newly diagnosed or exacerbated physical illnesses. An increased number of psychological difficulties was associated with a greater tendency to present physical illnesses including chronic headache, gastrointestinal, musculoskeletal, obstetrico-gynecological, genitourinary, and cardiovascular disease. In addition, the majority of respondents reported a decrease in life functioning. Specifically, 71.9% reported interpersonal avoidance and 63.9% reported difficulty in returning to work. Conclusions : Not only psychological trauma but also physical illness and daily functioning should be evaluated in detail and actively addressed in the bereaved family members after a catastrophe.

• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.420-427
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• 2016

The purpose of this study was to identify association between total sleep time and suicidal ideation in adults with mental problems and without. The data were derived from the fifth Korea national health and nutrition examination survey and analyzed using the IBM SPSS Statistics version 21.0 software package considering complex samples analysis. The subjects were 6,199 adults. The rate of suicidal ideation was 13.7% (880 people). 13.3% (846 people) of the subjects had experienced depression and out of whom 43.1% (329 people) have had suicidal ideation. 2.7% (164 people) of the subject had received the mental health counseling, and out of whom 40.2% (63 people) have had suicidal ideation. Comparing to group having sleep over 6 hours of more, the group of short sleep had 1.33 times high risk of suicidal ideation among general adults, 1.92 times high risk of suicidal ideation among group who had experienced depression and, 7.10 times high risk of suicidal ideation among group who had received the mental health counseling. Therefore, these results indicate that general adults with short sleep time as well as adults with depression or mental health problems have to be managed to prevent suicide.

• Journal of the Society of Disaster Information
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• v.16 no.1
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• pp.34-43
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• 2020

Purpose: In this study, we will try to find out problems and improvements of the policies in order to verify whether the plans contribute to the health and welfare of the firefighters properly. Method: By the Delphi analysis by experts. Result: There are problems such as absence of Firefighters' hospital, insufficient mental health education program in fire department, lack of on-site risk assessment system, problem on ineffectiveness of mental and physical health care business, lack of substantiality on mental and physical stability program, absence of mental health education, ensuring the confidentiality for users of mental health programs, lack of support for parent firefighters, lack of firefighters' retirement design and insufficient treatment for female firefighters. Conclusion: There are Improvements such as establishing Firefighters' hospital, improving mental health education and training CISD leaders in the fire department, preparing disaster risk assessment system, effectiveness measurement for visiting psychological counseling projects, improving the program through customer satisfaction surveys, establishment of mental health education system, ensuring confidentiality by improving personnel systems, encourage childcare leave and introduce childcare facilities at fire stations, revitalizing retirement Firefighters and policy development for female firefighters.

• The Journal of the Korea Contents Association
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• v.10 no.8
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• pp.308-316
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• 2010

The present study set out to explore the acculturative stress and mental health(depression) of Korean women living in Britain according to socio-demographic factors, social relations and social supports level. 152 Korean women's data were collected and analyzed with frequency, correlation, ANOVA. Analysis revealed that women's acculturative stress and depression level was 2.50(moderate) and 1.66(slightly low) respectively. Acculturative stress level showed correlation with depression level. Among demographic variables, acculturative stress was significantly different from residence period in Britain, marriage and economic state and the level of depression was also different from job and economic state. The group which has frequent relationships with British and high level of social supports showed low acculturative stress. The group has high level of social supports also showed low depression. These findings highlight the importance of concerns and interventions about acculturation and mental health of Korean immigrant women and community services for the new immigrant women to improve their acculturation and mental health.

• Journal of Digital Convergence
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• v.10 no.11
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• pp.433-439
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• 2012

This article aims at developing Mind Healing Program for university students, whose anxiety and depression are getting serious. Reality therapy was experimented total 10 times(one time per week), which was the revision and supplement of Woo(1994)'s reality therapy program. It consists of introducing program and self, understanding 5 mind desires, identifying obstacles of conversation, learning efficient communication skills, controling irrational expectation of others, recognizing mind gap, problems of choice and responsibility, nurturing mind, etc. The effectiveness of this program was verified through a model whose research variants were participation motivation, participation satisfaction, and mental health. Direct effects of participation motivation, participation satisfaction, and mental health were less satisfactory than indirect effects of the time when program satisfaction is a variant. It is concluded that mental health of participants is getting better when more satisfactory program should be provided, rather than motivation of simple participation.

• Korean Journal of Psychosomatic Medicine
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• v.27 no.1
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• pp.13-24
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• 2019

Objectives : The goals of the study are how to establish the cohort systems for the children and adolescents victims with sexual abuse in Korea and to identify the risk and protective factors that influence mental health in child sexual abuse (CSA). This is initial assessment data based on the analysis of cohort variables for baseline evaluation of subjects. Methods : We constructed the cohort systems for CSA victims recruited by Seoul Sunflower Children Center, CSA victims protection center. The initial assessment data which consisted of demographic and psychological inventories of CSA victims and their parents/families, psychiatric diagnoses were the results of statistical analysis of 65 subjects under 19 years old for 3 years 7 months. Results : The initial data were followings : female participants, N=56; mean age, 11.6 (SD=4.5); the most sexual assault, molestation 71.8%; victims, family and acquaintance 87.1%; 61.5% of the subjects diagnosed with psychiatric disorder; 29.2% diagnosed with PTSD and 23.1% diagnosed with depression. Mean duration for abuse to report is 1.5 years. Mean score of IES-R-K, TSCYC-avoidant and CBCL-problematic behavior were increased above clinical cut-off. Conclusions : CSA victims tend to have high risks in mental health problem. The cohort study could provide the risk and protective factors of CSA in mental health, and construct the predictive model for mental illness in Korea.

• The Korean Society of Law and Medicine
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• v.24 no.3
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• pp.155-206
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• 2023

When a person with diminished mental capacity refuses necessary medical care, normative judgments about when paternalistic intervention can be justified come into question. A typical example is involuntary hospitalization for people with mental disabilities, traditionally governed by mental health law. However, Korean civil law reform in 2011 introduced a new form of involuntary hospitalization through guardianship legislation, leading to a dualized system to involuntary hospitalization. Consequently, a conflict has arisen between the 'best interest and surrogate decision-making' paradigm of civil law and the 'social defense and preventive detention' paradigm of mental health law. Many countries have criticized this dualized system as not only inefficient but also unfair. Moreover, the requirement for the presence of 'mental illness' for involuntary hospitalization under mental health law has faced criticism for unfairly discriminating against people with mental disabilities. In response, attempts have been made to integrate guardianship legislation and mental health law based on mental capacity. This study examines the legislative process and framework of the Mental Capacity Act (Northern Ireland) 2016, which reorganized the mental health care system by fusing guardianship legislation with mental health law based on mental capacity. By analyzing the case of Northern Ireland, which has grappled with conflicts between guardianship legislation and mental health law since the 1990s and recently proposed mental capacity as a single, non-discriminatory standard, we aimed to offer insights for the Korean guardianship and mental health systems.