• Title/Summary/Keyword: 조절장애

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Factor Structure of the Korean-Child Behavior Checklist 1.5-5 Dysregulation Profile in Infants and Toddlers With Mental Disorders and the Difference Among Mental Disorders (정신장애 영유아에 대한 K-CBCL 1.5-5 (Korean-Child Behavior Checklist 1.5-5) 조절곤란 프로파일의 요인구조와 정신장애 간 차이검증)

  • Kyung, Hye Min;Ha, Eun Hye
    • Therapeutic Science for Rehabilitation
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    • v.12 no.1
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    • pp.37-49
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    • 2023
  • Object : This study aimed to identify the factor structure of Korean-Child Behavior Checklist 1.5-5 Dysregulation Profile (K-CBCL 1.5-5 DP) in infants and toddlers with mental disorders and verify differences in K-CBCL 1.5-5 DP among the diagnosis groups. Methods : The participants were 265 mothers of infants and toddlers with mental disorders who completed K-CBCL 1.5-5 DP. The data was analyzed using AMOS 25.0 and SPSS 25.0. Results : First, the bifactor model was the most suitable for the factor structure of the K-CBCL 1.5-5 DP. Second, there were significant differences among the diagnosis groups, such as communication disorders, pervasive developmental disorders, emotional disorders, and developmental delays. It was confirmed that the pervasive developmental disorder and emotional disorder groups showed significantly higher dysregulation compared with the communication disorder group. Conclusion : This study confirmed that infants and toddlers had dysregulation problems. Using the bifactor model, the multidimensional nature of the K-CBCL 1.5-5 DP was assessed. It was also meaningful that dysregulation could contribute to onset and deepening of symptoms of pervasive developmental disorders and emotional disorders in infancy.

Study on the Effect of Social Trust and Disability Identity on Subjective Health and the Moderating Effect of Social-economic Status (장애인의 지역사회 신뢰와 장애정체감이 주관적 건강에 미치는 영향: 사회경제적 지위의 조절효과를 중심으로)

  • Yu, Dong Chul;Kim, Dong-Ki;Kim, Kyung Mee;Shin, Yu-Ri
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.337-347
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    • 2016
  • This paper investigates how social trust and disability identity influence subjective health, focusing on the moderating effect of social-economic status of people with disabilities. We used surveys used for the development of the social exclusion scale of people with disabilities. As a result, social trust and disability identity influence subjective health. Namely, those who have more social trust and high disability identity experience subjective good health than other people with disabilities do. Second, the relationship between disability identity and subjective health was moderated by social-economic status of people with disabilities. Namely, the relationship between disability identity and subjective health is bigger as the level of social-economic status is higher. However, the relationship between social trust and self-rated health was not moderated by social-economic status of people with disabilities. Based on these findings, we suggest policy and practice ways to promote the subjective health status of people with disabilities.

Characteristics of the Perception of the Somatic Symptoms and the Cognitive Emotion Regulation Strategies in Patients With Posttraumatic Stress Disorder (외상후스트레스장애 환자의 신체증상 지각 특성과 인지적 정서조절전략)

  • Kwon, Joo-Han;Park, Jong-Il;Sakong, Jeong-Kyu;Yang, Jong-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.102-110
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    • 2021
  • Objectives : The purpose of this study is to investigate the characteristics of the perception of the somatic symptoms and the cognitive emotion regulation strategies in patients with posttraumatic stress disorder (PTSD). Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using Clinician-Administered PTSD Scale (CAPS), Somato-Sensory Amplification Scale (SSAS), Hamilton Anxiety Scale (HAM-A) and Cognitive Emotion Regulation Questionnaire (CERQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SSAS, PTSD patients presented higher average SSAS scores than normal controls but the result is not statistically significant. In PTSD patients, the severity of PTSD is significantly correlated with CERQ-rumination and CERQ-catastrophizing. The SSAS scores of PTSD patients show the significant positive correlation with PTSD hyperarousal symptoms, CERQ-catastrophizing and CERQ-blaming others. Conclusions : These results reveal that patients with PTSD have maladaptive cognitive emotion regulation strategies such as rumination and catastrophizing. Somato-sensory amplification seems to be related with PTSD hyperarousal, CERQ-catastrophizing and CERQ-blaming others. Therefore, reducing somato-sensory amplification, rumination and catastrophizing can be helpful to reduce PTSD symptoms and somatic symptoms in PTSD patients.

The Relationship Between Sensory Processing and Emotional Regulation : A Literature Review (감각처리와 감정조절의 관련성에 대한 문헌고찰)

  • Hong, Eunkyoung;Hong, So-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.1
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    • pp.50-59
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    • 2016
  • Objective : The goal of this study was to investigate neurological mechanism of emotional regulation and to examine the relationship between the regulation and sensory processing. Subjective : Emotional regulations are mainly processed in limbic system, particularly the basal-lateral group of amygdala takes on a major role in the regulations. The basal-lateral group of amygdala links to thalamus directly and/or indirectly which processes sensory information together. This sensory information connects to orbital and medial prefrontal cortex. Inadequate sensory processing may cause difficulties in emotional regulations and behaviors because of a circuit linking the amygdala, the thalamus, and the orbital and medial prefrontal cortex. These difficulties and impairments has been reported in neurological studies for children with ASD and ADHD. Conclusion : Neurological states are different between the normal children and children with ASD and ADHD and these represent various aspects in sensory processing, emotional regulations and behaviors. Thus, therapists working with children with ASD and ADHD need to understand mechanisms of sensory processing and emotional regulations in order to provide adequate treatments.

A Study on the Effect of Caregiving Burden of a Developmentally Disabled Child on Marital Conflict -Moderating Effects of Social Support and Social Activities- (발달장애아동 어머니의 양육부담이 부부갈등에 미치는 영향 -사회적 지지체계와 사회활동의 조절효과를 중심으로-)

  • Park, Sun-Won
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.594-610
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    • 2017
  • The purpose of this study was to investigate the effect of caregiving burden of a developmentally disabled child on marital conflict and to examine the moderating effects of social support and social activities. For the purpose, a total of 124 mothers of developmentally disabled children who were enrolled at specialized school in Incheon were surveyed from May 15, 2011 to May 31, 2011 by using self-reported questionnaires. Our analysis on the data suggested as follows: first of all, the burden from caregiving a developmentally disabled child was a significant predictor of marital conflict. In addition, informal social support and participation in social activities moderated the relationship between the caregiving burden and marital conflict. Based on the findings, we provide measures to resolve the family problems of those with a disabled child.

Mediating and Moderating Effects of Self-esteem, Social Participation and Discrimination Experience in the Relationship between Acceptance of Disability and Social Competence in Adults with Physical Disabilities (지체장애인의 장애수용과 사회적 유능감 간의 관계에서 자존감, 사회참여, 차별경험의 매개 및 조절효과)

  • Kim, Do-Hee
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.377-386
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    • 2019
  • The purpose of this study is to identify effective strategies for promoting psycho-social adjustment by examining the mediating effects of self-esteem (SE) and moderating effects of social participation (SP) and discrimination experience (DE) in predicting social competence (SC) with acceptance of disability (AD). The subjects of the study were 1943 adults with a physical disability (1338 males and 605 females) and 233 adults with brain lesions (160 males and 73 females) aged between 19 and 65 years. Data were analyzed using SPSS and Process macro software, and conditional process analysis (model 18) in which the degree and onset of disability were controlled was performed. The results are as follows. First, SE was found to partially mediate the relationship between AD and SC. Second, the relationship between SE and SC was found to be moderated by SP but not by DE, and the relationship between SP and SC was found to be moderated by DE. In addition, the mediating effects of SE, which was moderated by SP, were found to not be moderated by DE. The clinical implication and suggestion for future research is discussed.

A Study of Postural Control Characteristics in Schoolchild with Intellectual Disability (초등학교 지적장애아동의 자세조절 특성)

  • Lee, Hyoung Soo
    • 재활복지
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    • v.14 no.3
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    • pp.225-256
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    • 2010
  • This study aims to provide the basic data of the rehabilitation program for the schoolchild with intellectual disability by designing new framework of the features of postural control for the schoolchild with intellectual disability. For this, the study investigated what sensations the schoolchild are using to maintain posture by selectively or synthetically applying vision, vestibular sensation and somato-sensation, and how the coordinative sensory system of the schoolchild is responding to any sway referenced sensory stimulus. The study intended to prove the limitation of motor system in estimating the postural stability by providing the cognitive motor task, and provided the features of postural control of the schoolchild with intellectual disability by measuring the onset times and orders of muscle contraction of neuron-muscle when there is a postural control taking place due to the exterior disturbance. Furthermore, by comparatively analyzing the difference between the normal schoolchild and the intellectually disabled schoolchild, this study provided an optimal direction for treatment planning when the rehabilitation program is applied in the postural control ability training program for the schoolchild with intellectual disability. Taking gender and age into consideration, 52 schoolchild including 26 normal schoolchild and 26 intellectually disabled schoolchild were selected. To measure the features of postural control, CTSIB test, and postural control strategy test were conducted. The result of experiment is as followed. First, the schoolchild with intellectual disability showed different feature in using sensory system to control posture. The normal schoolchild tended to depend on somato-sensory or vision, and showed a stable postural control toward a sway referenced stimulus on somato-sensory system. The schoolchild with intellectual disability tended to use somato-sensory or vision, and showed a very instable postural control toward a sway referenced vision or a sway referenced stimulus on somato-sensory system. In sensory analysis, the schoolchild with intellectual disability showed lower level of proficiency in somato-sensation percentile, vision percentile and vestibular sensation percentile compare to the normal schoolchild. Second, as for the onset times and orders of muscle contraction for strategies of postural control when there is an exterior physical stimulus, the schoolchild with intellectual disability showed a relatively delayed onset time of muscle control, and it was specially greater when the perturbation is from backward. As for the onset orders of muscle contraction, it started from muscles near coax then moved to the muscles near ankle joint, and the numbers and kinds of muscles involved were greater than the normal schoolchild. The normal schoolchild showed a fast muscle contracting reaction from every direction after the perturbation stimulus, and the contraction started from the muscles near the ankle joint and expanded to the muscles near coax. From the results of the experiments, the special feature of the postural control of the schoolchild with intellectual disability is that they have a higher dependence on vision in sensory system, and there was no appropriate integration of swayed sensation observed in upper level of central nerve system. In the motor system, the onset time of muscle contraction for postural control was delayed, and it proceeded in reversed order of the normal schoolchild. Therefore, when use the clinical physical therapy to improve the postural control ability, various sensations should be provided and should train the schoolchild to efficiently use the provided sensations and use the sensory experience recorded in upper level of central nerve system to improve postural control ability. At the same time, a treatment program that can improve the processing ability of central nerve system through meaningful activities with organizing and planning adapting reaction should be provided. Also, a proprioceptive motor control training program that can induce faster muscle contraction reaction and more efficient onset orders from muscularskeletal system is need to be provided as well.

The Effect of Social Support of Parents of children with Disabilities on Family Function : Mediating effect of disability (장애 아동 부모의 사회적지지가 가족기능에 미치는 영향: 장애수용의 매개효과와 경제적 안정감의 조절효과)

  • Mun, Jong-Hyeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.421-429
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    • 2019
  • This study seeks to discuss the effects of social support, acceptance of disability, and the sense of economic stability on the part of parents of children with developmental disabilities who are receiving treatment and training at a child development center has on family function. A survey was given to 252 parents of children who were using the child development center in S city. In the relationship between social support and family function, the mediating effects of the disability acceptance and the social support, the disability acceptance and the family function were used to verify the adjustment effect of the economic stability. The results of this study are as follows. First, as a result of checking the moderating effect of economic stabilization, social support, family function, disability acceptance and family function did not show any effect on economic stability. Second, as a result of verifying whether the relationship between social support and family function is mediated by disability acceptance, disability acceptance partially mediated the relationship between social support and family function. This study is significant in that it provided basic data for the development of a program to help children with developmental disabilities function properly.

고위험 공무직군의 직무스트레스 연구동향 및 과제: 경찰관, 소방관을 중심으로

  • Byeon, Sang-Hae;Yu, Sang-Hyeon
    • 한국벤처창업학회:학술대회논문집
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    • 2018.04a
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    • pp.143-147
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    • 2018
  • 직무스트레스를 이해하기 위해 많은 선행연구가 있어왔다. 특히 고위험 공무직군의 직무스트레스는 다양한 정신건강에 영향을 미쳐오고 있는 만큼 연구된 내용을 이해할 필요가 있다. 선행연구내용을 경찰관과 소방관을 중심으로 분류하고 적용된 직무스트레스 모델과 척도를 분석하였다. 분석된 논문에서 직무스트레스가 영향을 주고 있는 정신장애를 확인하고, 직무스트레스와 정신장애 간의 영향을 조절할 수 있는 조절변인들을 확인하였다. 직무스트레스 모델과 척도는 JCQ, ERI, NIOSH 모델을 바탕으로, 척도는 KOSS(52%)가 가장 많았다. 또한 직무스트레스가 영향을 주는 요인들로는 직무태도(62%)로 가장 많았으며, 우울(19%)로 나타났다. 직무스트레스를 조절하는 변인으로 직무만족(20%), 사회적지지(19%), 직무특성(15%)로 나타났다. 논의에서는 연구의 한계와 직무스트레스가 영향을 주는 정신장애와 조절변인들을 분석하는 것을 통해서 이후 연구에 나아갈 방향을 제시하였다.

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The Effects of Income Status and Depression on Life Satisfaction in the Elderly with Disabilities: Focusing on the Moderating Effect of Social Support and the Moderated Mediating Effect (장애노인의 소득지위와 우울이 삶의 만족에 미치는 영향: 사회적지지의 조절효과와 조절된 매개효과를 중심으로)

  • Lee, Hyoung-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.415-416
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    • 2021
  • 본 연구에서는 한국복지패널 15차년도(2020년) 패널 데이터를 활용하여 장애노인의 삶의 만족에 영향을 미치는 소득지위, 우울에 영향력을 분석하고, 소득지위와 삶의 만족 간에 사회적 지지의 매개효과와 우울과 삶의 만족 간에 사회적 지지의 조절된 매개효과를 검증하고자 한다.

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