• Title/Summary/Keyword: 행동 자율성

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Associations Between Heart Rate Variability and Symptom Severity in Patients With Somatic Symptom Disorder (신체 증상 장애 환자의 심박변이도와 증상 심각도의 연관성)

  • Eunhwan Kim;Hesun Kim;Jinsil Ham;Joonbeom Kim;Jooyoung Oh
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.108-117
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    • 2023
  • Objectives : Somatic symptom disorder (SSD) is characterized by the manifestation of a variety of physical symptoms, but little is known about differences in autonomic nervous system activity according to symptom severity, especially within patient groups. In this study, we examined differences in heart rate variability (HRV) across symptom severity in a group of SSD patients to analyze a representative marker of autonomic nervous system changes by symptoms severity. Methods : Medical records were retrospectively reviewed for patients who were diagnosed with SSD based on DSM-5 from September 18, 2020 to October 29, 2021. We applied inverse probability of treatment weighting (IPTW) methods to generate more homogeneous comparisons in HRV parameters by correcting for selection biases due to sociodemographic and clinical characteristic differences between groups. Results : There were statistically significant correlations between the somatic symptom severity and LF (nu), HF (nu), LF/HF, as well as SD1/SD2 and Alpha1/Alpha2. After IPTW estimation, the mild to moderate group was corrected to 27 (53.0%) and the severe group to 24 (47.0%), and homogeneity was achieved as the differences in demographic and clinical characteristics were not significant. The analysis of inverse probability weighted regression adjustment model showed that the severe group was associated with significantly lower RMSSD (β=-0.70, p=0.003) and pNN20 (β=-1.04, p=0.019) in the time domain and higher LF (nu) (β=0.29, p<0.001), lower HF (nu) (β=-0.29, p<0.001), higher LF/HF (β=1.41, p=0.001), and in the nonlinear domain, significant differences were tested for SampEn15 (β=-0.35, p=0.014), SD1/SD2 (β=-0.68, p<0.001), and Alpha1/Alpha2 (ß=0.43, p=0.001). Conclusions : These results suggest that differences in HRV parameters by SSD severity were showed in the time, frequency and nonlinear domains, specific parameters demonstrating significantly higher sympathetic nerve activity and reduced ability of the parasympathetic nervous system in SSD patients with severe symptoms.

Determinants of perceptual switching costs for digital game: focused on the different effects of basic psychological needs satisfaction (게임 전환 비용의 결정 요인: 모바일 게임 사용자의 기본적 심리 욕구 충족 차이를 중심으로)

  • Kim, Young-Berm;Lee, Sang-Ho
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.131-139
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    • 2020
  • Gamers switch their games to a new when get bored or encounter more attractive ones. Switching cost varies by gamers and depends on how they are satisfied with their current game. This study evaluates the satisfaction with current games as the miltiple basic psychological need in the self-determination theory and suggests 'needs-costs' causality research model that explain the variety of gamer's switching behavior. As the empirical test to domestic mobile gamers, the autonomy fulfillment to current game affect reversely with those of autonomy and relatedness. Those relationships between need satisfaction and perceptual switching cost vary according to their age and game genre preference. The results would be applied to understand gamers' switching behavior.

The Causal Relationships among the Employee's Self-leadership, the Empowerment and Job Satisfaction in Social Welfare Facilities (사회복지 종사자들의 셀프리더십과 임파워먼트와 직무만족 간의 인과관계에 관한 연구)

  • Park, Hwie-Seo
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.9
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    • pp.181-188
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    • 2012
  • This study concentrates on the exploratory study about self-leadership securing autonomy and self-determination of the job performance for the employees of social welfare facilities like that the members set the goal of their jobs and solve the problems by themselves without exterior one-way interruption and control. For this purpose, this study set up the analysis model and hypothesis that the efficiency of the members' job performance can be promoted since the increasing self-leadership(behavior-focused strategies, natural-reward strategies, contractive thought pattern strategies) of the employees of social welfare facilities has a positive effect on empowerment and job satisfaction. Therefore, this study has significance in the aspect that it provides political suggestion for promoting the efficiency of human resource management by investigating the relationship between self-leadership and empowerment and job satisfaction through empirical analysis.

A Comparison of Study Habits and Test Anxiety Between Gifted and Non-gifted in Middle-School Children: Mathematically and Scientifically Gifted at Cyber Education Center and Non-gifted As Subjects (중학교 영재학생과 일반 학생의 학습습관 및 시험불안 비교: 사이버교육센터의 수.과학영재와 일반학생을 대상으로)

  • Moon, Jeong-Hwa;Kim, Sun-Hee
    • Journal of Gifted/Talented Education
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    • v.20 no.3
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    • pp.831-846
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    • 2010
  • The Purposes of this study were to compare the level of study habits and test anxiety between gifted middle-school students and non-gifted and to find out the correlation between study habits and test anxiety in two groups. The total participants of this study were 437 middle school students. One hundred eighty three students (127 boys, 56 girls) belonged to gifted group who were enrolled in Cyber Education Center for Math & Science Gifted Students of KAIST in Daejeon. And two hundred fifty four (128 boys, 126 girls) were non-gifted group who were from the middle school in Seoul City and Gyeonggi province. The results revealed that the level of study habits of gifted middle school students was higher than that of non-gifted. And gifted group felt lower level of test anxiety than non-gifted group. Additionally gifted boys showed significantly higher level of study skills application behavior than gifted girls.

Core Competence Evaluation Model of Play Worker Based on Delphi Technique (델파이 조사를 통한 놀이 전문가 핵심역량 분석)

  • Park, Hye-Jin;Kim, Yong-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.2
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    • pp.100-107
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    • 2019
  • The purpose of this study is to develop an evaluation model to measure the core competences of actual play workers by exploring what competences are necessary for them to provide quality play. Based on literature review, we selected five core competences : knowledge of play, program development, understanding play culture, creativity, and information sharing & applying. In order to achieve the research purpose end, a two-round Delphi survey was conducted on 10 play and education experts. The findings drew scholarly consensus on the competences of play workers to have and proposed basic data by developing competences evaluation model to measure them. Each of the key competences has three sub-conpetences, each of which included two behavior elements. Furthermore, this study presented future research directions so that play can be voluntarily planned and supported in a social and cultural context.

THE EFFICACY AND SAFETY OF RISPERIDONE IN CHILD & ADOLESCENT PSYCHIATRIC INPATIENT (소아 청소년 정신과 입원 환자에서 Risperidone의 효과 및 안정성에 관한 연구)

  • Park Jeong-Hyun;Kim Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.239-250
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    • 2005
  • Objective : The purpose of this study was obtaining data on the efficacy and safety of risperidone in child and adolescent psychiatric patients. Method : Thirty one children and adolescents (males n=18, females n=13, age ranged from 5.4 to 17.3 years) treated with risperidone were selected among child and adolescent psychiatric inpatients of Seoul National University Hospital from January, 2001 to June, 2002, and charts for them were reviewed retrospectively. Results : The primary psychiatric disorders treated with risperidone were schizophrenia and other psychosis, bipolar I disorder with psychotic features, Tourette's disorder, autism spectrum disorders, mixed receptive and expressive language disorder, attention deficit-hyperactivity disorder, conduct disorder and obsessive-compulsive disorder. twelve of these had comorbid mental retardation. Primary target symptoms of risperidone were psychotic symptoms (n=13 or $41.9\%$), behavioral symptoms (n=10 or $32.3\%$) including aggression, impulsivity, hyperactivity, stereotypy nonresponsive to other psychiatric treatments, and chronic and severe tics (n=8, $25.8\%$). The efficacy of risperidone was measured by clinical global improvement (CGI) for target symptoms, $67.7\%$ of subjects showed moderate or marked improvements and its therapeutic effect appeared to be maintained during at least 7.5 months. Mean daily dosage of risperidone was $0.05{\pm}0.01mg/kg$, the group with psychotic symptoms had significantly higher mean daily dosage (0.07mg/kg) compared with other two groups (0.04mg/kg) with behavioral symptoms or tics. A variety of adverse events were reported in this study : weight gain (n=23) most commonly reported, extrapyramidal symptoms (n=15), autonomic symptoms (n=6), sedation (n=5) and symptoms related to hyperprolactinemia (n=2) etc. Although there was no drug change related to the adverse events of risperidone, and $90\%$ of subjects at their last visits were maintained on it, thus its tolerability appeared good. Conclusions Results suggest that risperidone may be relatively safe and effective drug in managing a wide variety of child and adolescent psychopathologies such as psychotic symptoms, behavioral symptoms including aggression, impulsivity, hyperactivity and stereotypy nonresponsive to other psychiatric treatments, and chronic and severe tics. Controlled and long-term studies of efficacy and safety of risperidone treatment for children and adolescents are recommended in the future.

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A Study on the Effect of Smartwork Environment on Office Administrators' Organizational Effectiveness: Moderated by Concerns and Work-Life Balance (스마트워크 환경이 비서직종사자의 조직유효성에 미치는 영향에 관한 연구: 관심사와 일-생활 균형의 조절효과를 중심으로)

  • Kim, Myong Ok
    • The Journal of Society for e-Business Studies
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    • v.20 no.2
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    • pp.37-71
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    • 2015
  • At present, the importance of organizational effectiveness is highlighted even more as business environment enters into a new type of work setting, the smartwork environment. This new type of work environment could be significantly influential in promoting organizational effectiveness of office administrators who carry out atypical types of tasks in general and are exposed to emotional labor excessively. Organizational effectiveness of office administrators could also be controlled by their concerns at work, their personal values and the increasing demand for work-life balance. The main purpose of this research is to investigate how smartwork environment perceived by office administrators is related with organizational effectiveness. In addition, this research places the focus on how concerns and work-life balance moderate the relationship between smartwork environment and organizational effectiveness. The survey was conducted among 102 office administrators, and data were analyzed by moderated multiple regression analysis method. Job autonomy of smartwork environment showed positive effect on job satisfaction, organizational commitment, and innovative behavior. IT dependence of smartwork environment showed negative effect on job satisfaction and organizational commitment and positive effect innovative behavior. It was found that concerns with impact positively moderate the effects of job autonomy on job satisfaction and innovative behavior; concerns with self negatively moderate the effects of job autonomy on organizational commitment and innovative behavior. Also, it was found that work-life balance moderates the effects of job autonomy on organizational commitment and the effects of IT dependence on innovative behavior. The result of this research can be taken into consideration when a strategic human resource development plan is prepared for office administrators in smartwork environment.

An Empirical Study on the Factors Influencing the Acceptance of SmartWork (스마트워크 수용 영향요인에 관한 실증연구)

  • Kang, Moon-Seog;Jung, Chul-Ho;Chung, Young-Soo
    • Management & Information Systems Review
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    • v.32 no.1
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    • pp.19-41
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    • 2013
  • The primary purpose of this study is to identify the influencing factors on the acceptance behavior of user in smartwork. For this purpose, a research model and hypotheses are developed based on relevant literature reviews. The data have been collected from 320 potential users and respondents were employee of Daejeon and Chungnam region. The results of hypotheses testing through covariance structural model analysis are summarized as follows. First, individual innovativeness has positive influence upon perceived ease of use and acceptance intention of smartwork, and self efficacy has positive influence upon perceived ease of use. Second, subjective norm of social influence has positive influence upon perceived ease of use and image has positive influence upon perceived ease of use and perceived usefulness. Third, number of exception of task characteristics has positive influence upon perceived ease of use and autonomy has positive influence upon perceived usefulness. Lastly, perceived ease of use has positive effect on the perceived usefulness and acceptance intention, and perceived usefulness positively related to acceptance intention in smartwork. Based on the findings, this study ends with theoretical and practical implications, as well as limitations and future research directions.

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What Makes Korean Youth Happy: Self-Directedness Mediates the Relationship between Parenting and Subjective Well-Being (무엇이 한국 청소년들을 행복하게 하는가: 부모의 양육행동과 주관적 안녕감의 관계에서 자율성의 매개효과)

  • Choi, Ara;Lee, Sook
    • Human Ecology Research
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    • v.57 no.4
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    • pp.499-512
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    • 2019
  • Korean adolescents have a lower subjective well-being compared to their counterparts in other Organization for Economic Co-operation and Development member countries as well as experience more psychological difficulties than adults. Previous research shows that parenting behavior has a considerable influence on adolescent subjective well-being. Additionally, the personality dimension of self-directedness, the ability to regulate personal behavior to obtain onindividual goals, has a positive influence on subjective well-being. This study analyzed the structural relationship between parenting behavior, self-directedness, and the subjective well-being of Korean adolescents as well as investigated the mediating effect of self-directedness in the relationships between parenting behaviors and the subjective well-being of adolescents. Participants were 325 middle school students in Gwangju, Korea, who completed measures of self-directedness (from the Korean Junior Temperament and Character Inventory), subjective well-being (Well-Being Scale of Adolescents in Korea), and perceived parenting behaviors (My Memories of Upbringing - Short Korean version). Results showed that emotional warmth had a statistically significant direct impact on adolescents' subjective well-being. However, the findings also indicated a statistically significant indirect impact mediated by self-directedness. Rejection and overprotection had a statistically significant indirect effect on adolescents' subjective well-being that was mediated by self-directedness. The results provide information that can be used to develop programs to improve the subjective well-being of adolescents as well as confirm the importance of parenting behavior and self-directedness during adolescence.

The Relationship between Maladjustment Schema and Marital Satisfaction: Focusing on the Moderating Effect of Adaptive Emotion Regulation Strategy (부적응 도식과 결혼 만족도 간의 관계: 적응적 정서조절방략의 조절 효과)

  • Ji-Hye Lee;Paul Kyu-man Chae
    • Korean Journal of Culture and Social Issue
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    • v.18 no.2
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    • pp.169-190
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    • 2012
  • This research explored cognitive emotion regulation strategy, behavioral emotion regulation strategy, and experiential emotion regulation strategy, each moderating effect in the relationship between maladjustment schema and marital satisfaction. The data was analyzed through hierarchical multiple regression analysis. The results of the study are as follows: the regression analysis showed the moderating effects for adaptive emotion regulation strategy on the relationship between the maladjustment schema and marital satisfaction. The result showed the selection of 'Disconnection and Rejection', 'Impaired autonomy and Performance', 'Other-Directedness', 'Overvigilance and Inhibition' as maladjustment schema variables affecting marital satisfaction via cognitive emotion regulation strategy, that of 'Disconnection and Rejection', 'Impaired autonomy and Performance', 'Other-Directedness' as maladjustment schema variables affecting marital satisfaction via behavioral emotion regulation strategy, and that of 'Impaired limits', 'Impaired autonomy and Performance', 'Other-Directedness', 'Overvigilance and Inhibition' as maladjustment schema variables affecting marital satisfaction via experiential regulation strategy. Finally, the clinical implication and limitation of this study and suggestion for future studies were also discussed.

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