• Title/Summary/Keyword: 정신적 적응

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A CASE OF PRADER-WILLI SYNDROME TREATED WITH FLUOXETINE (Prader-Willi 증후군의 Fluoxetine 치험 1례)

  • Shin, Dong-Won;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.133-138
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    • 1997
  • Prader Willi Syndrome(PWS) was first recognized and reported by Prader-Willi. The etiology of the syndrome is not fully understood, but 50-70% of the patients show small deletion in chromosome 15. Manifested symtoms vary according to developmental age. In early life, hypotonia, areflexia, feeding difficulties, hypothermia, microgenitalia, hypoplastic scrotum, cryptochordism were observed. But in several years, hypotonia disappears, and polyphagia, decreased satiety, psychomotor retardation, obesity, hypogonadism and short stature become main problems. Behavioural problems including temper and aggressive outbursts, stealing food, hoarding food, and self excoriating skin picking, trichotillomania are more prominent during adolescence and young adulthood. Also, irritable, depressed mood are described. Lots of psychological and behavioural problems explain the reason why psychiatrists have managed and reported this syndrome. However, there has been no official report of PWS in our country. So authors report the clinical characteristics and issues in management of a patient with PWS.

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How depression affects girls who experienced violence in home or at school: Using mixed model (아동·청소년기 여학생의 가정 및 학교 폭력이 우울에 미치는 영향 : 혼합모형을 이용한 종단자료 분석)

  • Min, Dae Kee;Choi, Mi Kyung
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.1
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    • pp.101-110
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    • 2016
  • Depression is a mental symptoms that accompany psychological symptoms such as anxiety, gloom, a sense of failure, helplessness as well as a physical symptoms that shows in the adaption process of stress. Depression may result in cognitive, emotional, and behavioral disorders in accordance with individual experience. In particular, the depression when growing lowers the concentration on studies of children and adolescents and also increases the violence and interpersonal problems causes a serious loss to individuals and society. This study analyzed the longitudinal data using mixed models to investigate how depression affects girls who experienced violence in home or at school.

Effects of Perceived Parental Attitude on Depression and Suicidal Ideation in Adolescents: Focused on the Mediation Effect of School Adjustment (부모양육태도와 우울 및 자살생각과의 관계: 학교생활적응의 매개효과)

  • Choi, Eun-Hee;Cho, Taek-Hee
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.152-162
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    • 2016
  • The purpose of this study was to find the mediation effect of school adjustment between perceived parental attitude and mental health in adolescents. 544 adolescents who live in Chungbuk filled out questionnaires. Data were analyzed by regression analysis with SPSS 18.0 version. Results showed significant relationships between socio-economic variables and main variables. Female showed higher depression and suicidal ideation than male. Higher performance group perceived parental attitude more positively, showed lower level of depression and suicidal ideation, and higher level of school adjustment than lower performance group. In addition, perceived parental attitude was a predictor of adolescent' mental health. School adjustment proved to have the mediating effect on depression and suicidal ideation overall. The specific interventions are associated with the increase of professionals and prevention program with parents, and the activation of school welfare.

A Study of Reliability and Validity on the Korean Version of Social Adaptation Self Rating Scale(SASS) (한국어판 사회적응자기평가척도(SASS)의 신뢰도 및 타당도 연구)

  • Kim, Hyeong-Seob;Kim, Yong-Ku;Yoon, Choong-Han;Jeong, Han-Yong;Cheong, Young-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.212-227
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    • 2000
  • This study was designed to testify the reliability and validation on the Korean version of the Social Adaptation Self-rating Scale(SASS) which was developed from Bose et al. for the evaluation of social motivation and behavior of depressed patients in 1997. Interests for the social world, those of social functioning, of patients were involved in the addition of new measure of disturbance. And those were distinct from abnormalities of thought, mood and symptoms of patients with major depression. As the previous reports there were several evidences that treatments may be less likely to be effective if the system they act on is dysfunctional. Thus, a better social situation favoured better outcome. As a matter of fact, however, those reports were developed in the course of the evaluation of interpersonal therapy(IPT) and cognitive therapy. Accordingly the conversed question -whether pharmacological therapy with antidepressants can impact on social functioning in addition to addressing the core features of illness- has been addressed. To date, anyhow, it is accepted that enhancement of social functioning may be a therapeutic principle in its own right and illness rarely divorced from social context. In terms of those concepts the introduction of an assessment of social functioning into pharmacotherapeutic studies of depression has been welcomed and might be a potent instrument for evaluating the relative pharmacoeconomic benefits of different treatments. Despite of many scales which were applied for the evaluation of symptoms in the patients with depression, however, the scale for the evaluation of social functiong has not been introduced in Korea yet. Thus, this study was designed to introduce the concepts of social functioning in the patients with depression and to testify the reliability and validation on Korean version of SASS. This Korean version of SASS was submitted to a reliability and validation procedure based on the data from healthy general population survey in 291 individuals and 40 patients with major depression. Cronbach a was 0.790 in total subjects group and the correlation of test-retest was statistically significant(y=0.653, p<0.0l). Thus, the Korean version of SASS might be shown to be valid and reliable. The results of multivariate analyses allowed the identification of 3 principle factors(factor 1 = intersts in social activities, factor 2 = active interpersonal relationship, factor 3 = selfesteem) in normal group, however, it could be counted as only one factor in the depression group because nearly total items of SASS were involved in factor 1. In the view of these results, the Korean version of SASS may be useful additional tool for the evaluation of social functioning in depression.

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A Study on The Diaspora-Consciousness of Author in the travel-siga of Korean-American Writer Hong-Eun$(1880{\sim}1951)$ (재미작가 홍언의 미국기행시가에 나타난 디아스포라적 작가의식)

  • Park, Mi-Young
    • Sijohaknonchong
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    • v.25
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    • pp.175-209
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    • 2006
  • This study focuses on Korean-American writer Hong-Eun$(1880{\sim}1951)'s$ American travel gasaes and sis who played an active role under the rule of Japanese imperialism. This study also investigates Hong-Eun's experience and expression on American travel and culture and discusses his changes in stream of consciousness. According to American travel sigaes which were published in the New Koren Times in 1936. 1937, and 1949, his consciousness can be summarized as follows. First travel siga depicts his inner conflict as a refugee who lost one's home country. That is to say. by observing Indians' losing identity and their miserable labor conditions, he developed his own critical eyes on American society. Eventually he missed his country desperately and sought for the ways of his returning there. Second travel sijo reveals his own agony about not be able to return his home country where he could Possibly visit. In other words, after suffering from his agony, it is evident that he started to take positive attitude towards American society and establish his own identity. Based upon Hong-Eun's changes in consciousness as a writer, the researcher hypothesizes that there exists Diaspora-Consciousness in his work. His consciousness is strongly related with his attitude towards his home country whether it Is positive or vice versa. When his home country declared her independence. his attitude towards immigrant society was positively changed, which was quite contradictory from his previous one. In this transition period, not only he accepted American ideology and life, but he re-conceptualized them as a Korean mode. In sum, Hong-Eun's mental traces lie on the core of hybrid and diaspora which Post-Colonial literature values highly of.

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The Impact of Acculturation and Social Support on Mental Health among Korean-American Registered Nurses (재미한인간호사의 문화적응과 사회적 지지가 정신건강에 미치는 영향)

  • Seo, Kumsook;Kim, Miyoung;Lee, Gunjeong;Park, Jinhwa;Yoon, Jungmin
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.157-169
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    • 2013
  • Purpose: This study was to examine the impact of acculturation and social support on the mental health among Korean-American registered nurses. Methods: Data were collected with a convenience sample of 203 Korean-American registered nurses living in New York state and New Jersey state from 8th May to 25th August in 2012. The structured questionnaires measured the degree of acculturation, social support, and mental health. Data analysis was conducted using t-test, ANOVA, Pearson correlation efficient, and Stepwise multiple regression. Results: Lower level of integration and higher level of marginalization were associated with the lower mental health. Social support was also positively related to mental health and had mediating effect on the relationship between acculturation and mental health. The five variables, including participants' educational background, work shift, integration, marginalization, and social support were significant to predict the level of mental health among Korean-American registered nurses, accounting for 41% of the variability. Conclusion: The results imply that higher level of social support and strong identity of both home and host culture will enable Korean-American registered nurses to maintain sound mental health.

Prevalence of Psychiatric Disorders and Psychosocial Adjustment in Patients with Acquired Immune Deficiency Syndrome(AIDS) (후천성면역결핍증후군(Acquired Immune Deficiency Syndrome ; AIDS) 환자의 정신질환 유병률과 심리사회적 적응)

  • Park, Hwi-Jun;Hong, Jin-Pyo;Woo, Jun-Hee;Ahn, Joon-Ho
    • Anxiety and mood
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    • v.5 no.2
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    • pp.103-111
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    • 2009
  • Objectives : We examined quality of life, psychosocial adjustments to illness, changes in sexual functioning, and prevalence of psychiatric disorders in AIDS patients compared to patients with chronic hepatitis B virus infection (CHB). Methods : Thirty-one men with AIDS and 50 men with CHB were enrolled. The Short-Form 12-Item Health Survey (SF-12), the Psychosocial Adjustment to Illness Scale (PAIS), and the Changes in Sexual Functioning Questionnaire short form (CSFQ-14) were administered. Results on these assessments were compared between the 31 AIDS patients and 50 CHB patients. The Structured Clinical Interview for DSMIV (SCID) was administered to determine the psychiatric diagnosis only for the AIDS patients. Results : The Physical Component Summary score (PCS) was lower in AIDS patients than in CHB patients (p<0.001). In the section examining sexual relationships, AIDS patients exhibited a lower level of adjustment (p<0.05) and had more changes in sexual function (p<0.05) than did CHB patients. Administration of the SCID to AIDS patients indicated that the lifetime prevalence of any psychiatric disorder was 56.7% ; 43.3% for mood disorders, 33.3% for alcohol use disorders, 26.7% for anxiety disorders, and 20% for adjustment disorder. Patients who had experienced any psychiatric disorder had more severe psychosocial distress (p=0.004) and evidenced a lower level of overall psychosocial adjustment (p=0.030) than patients who had not. Conclusion : We showed that AIDS patients have a high prevalence of psychiatric disorders, and that AIDS patients with psychiatric disorders were particularly low in levels of psychosocial adjustment. Thus, careful attention should be given to psychiatric aspects of AIDS patients emphasizing the early diagnosis and treatment of psychiatric disorders.

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A Research on Value Structure on Use Behavior about Social Service of the Mentally ill elderly (노인정신장애인의 사회복지서비스 이용행위의 가치 사슬 구조 연구)

  • Kim, Sun-Joo;Kwon, Sunae;Bak, Mi-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.667-675
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    • 2016
  • The aim of this study is to predict use behavior for social welfare service of the elderly mentally ill through means-end chain theory. Means-end chain theory explains cognitive structure related to the consumer's preference to various products and services. Although the elderly mentally ill begin to emerge as new client population, social welfare services for them do not seem to be enough in the community. Based on this awareness, this study tried to analyse service use behavior of the elderly mentally ill through means-end chain theory to develop new social welfare services. The data were collected from 15 elderly mentally ill and found 5 attributes, 10 consequences, and 11 values. Hierarchical Value Map was composed of 'disease management, rehabilitation preparation, hobby leisure ${\rightarrow}$ health maintenance, energy of life ${\rightarrow}$ social reintegration, life satisfaction, harmonious family life'. To activate the social service for the elderly mentally ill, it should be developed various programs such as disease management, rehabilitation preparation, hobby leisure for the elderly mentally ill. The ultimate value of these programs will be improve life satisfaction and integrated into society.

다문화 이주여성의 기업가정신과 창업기회인식, 긍정심리자본이 창업 의도에 미치는 영향

  • Jo, Seung-Mi;Kim, Jong-Seong
    • 한국벤처창업학회:학술대회논문집
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    • 2021.11a
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    • pp.119-123
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    • 2021
  • 통계청의 '인구주택총조사' 결과(2019년 11월 1일)를 기준으로 발표한 '2019 지방자치단체 외국인 주민 현황'을 보면, 국내 체류 외국인은 2,216,612명으로 지난해인 2018년 2,054,621명에 비해 161,991명(7.9%) 증가했다. 이러한 결과는 우리나라 전체 인구(51,850,705명) 중 4.3%에 해당하며, 외국인 주민 최초 조사 연도인 2006년 536,627명과 비교했을 때 4배 이상 증가한 것을 확인할 수 있다. 국내 이민자들의 수가 증가함에 따라, 우리가 생각해야 할 점은 그동안 다문화 관련 정책적 환경이 급변하였을 뿐 아니라, 환경적 변화에 맞게 정책의 변화도 지속해서 이루어졌다는 것이다. 또한, 다문화가족의 양적 증가뿐 아니라, 거주 기간도 장기화되면서 초기 적응이라는 정책보다 구체적이고 포괄적인 새로운 정책 요구를 파악할 필요성이 대두되고 있다. 따라서 다문화가정 결혼이주여성들의 창업 의지에 미치는 요인들을 연구하는 것은 향후 다양한 다문화 정책 수립 및 창업, 경제활동 활성화에 있어 큰 의미가 있다. 다문화가정 결혼이주여성에 대한 창업 의지에 영향을 주는 요인에 관한 연구는 학문적으로 중요한 의미를 갖는데, 선행연구는 주로 북한이탈주민 및 다문화 이민자의 문화지능 또는 사회체제 등이 창업 의지에 영향을 미치는지 초점을 두어왔다. 본 연구의 목적은 다문화 이주민의 창업 의지에 관한 기존 선행연구들을 바탕으로 다문화가정 결혼이주여성들의 창업 의지에 영향을 미치는 요인을 실증분석해 보는 데 있는데, 해당 요인들을 파악함으로써 앞으로 다문화가정 결혼이주여성들의 창업 활성화를 위한 정부와 대학의 역할을 논의해 보고자 한다. 다문화가정 결혼이주여성들의 창업 의지에 영향을 미치는 영향은 개인적 특성(기업가정신)인 '진취성', '혁신성', '위험감수성', '기회 인식'과 긍정심리자본 특성인 '자기효능감', '희망', '회복력', '낙관주의' 등을 선정하였다. 해당 요인들을 바탕으로 수도권에 거주 중인 다문화가정 결혼이주여성들에게 설문조사를 진행하였으며, 설문조사 결과로 신뢰성 분석과 요인분석, 다중회귀 분석, 상관관계 분석 등을 통하여 본 연구에서 설계한 가설들을 검증해 보고자 한다.

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A Phenomenological Study on Growth Experience of Youth with Part-time Jobs (아르바이트 청소년의 성장경험에 관한 현상학적 연구)

  • Koo, Seung-Shin
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.406-419
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    • 2017
  • This study is to explore the essence and meaning of part-time job experience, in particular, to deduce growth experience through part-time jobs. This study is based on time-experience of phenomenological research method developed by the van Manen. For this research, the research data was collected by reviewing high school student part timer in Gyeonggi-do, those who had experience of average of two-year part time work or currently at work, and by undertaking in-depth interviews with seven of them from the March to April of 2017 with the agreements of the participants of this study. Time-experiences, i.e. part-time job experiences of youths, can be arranged as the following subjects. 'the feeling necessity part-time job and seeking it', 'adapting hard life of part-time', growth-experiencing through part-time work..The necessities for part-time job are feeling up consumption needs, aidsing domestic economy, pursuing independence, social and leisure life, self growth and preparing for the future. Adapting of part-time jobs are mastering, enduring, skillfuling work related to work adatation, and enduring ostracizing of old members, stopping and lasting, building bonds related to relationship adaptation. Growth-experiencing through part-time work are formig rational management for money, mental growth, preparing for the future. Based on these findings, the suggestion and limitation of the study were presented.