• 정신신체의학
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• 제20권2호
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• pp.75-81
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• 2012

연구목적 : 갑상샘암 환자는 수술 및 방사성 요오드치료를 포함한 치료과정 동안 우울, 불안을 포함한 정서적 디스트레스(distress)를 경험할 수 있다. 이번 전향적 연구는 분화갑상샘암 환자의 치료과정 중 수술 전, 수술 후, 일시적 갑상샘 기능저하 상태의 세 시점에서 우울과 불안 정도를 비교하기 위해 시행되었다. 방 법 : 병원우울불안척도와 디스트레스온도계를 사용하여 41명의 분화갑상샘암 환자의 수술 전, 수술 후, 일시적 갑상샘 기능저하 상태의 우울, 불안 정도를 순차적으로 측정하였다. 전체 환자군을 대상으로 치료과정에 따른 디스트레스의 변화를 비교하였고, 디스트레스온도계로 측정한 스트레스 점수 4점을 기준으로 스트레스가 높은 군과 낮은 군으로 나누어 디스트레스의 변화를 비교하였다. 모든 통계분석은 Window용 IBM SPSS (PASW) 18.0을 이용하였으며 디스트레스의 변화는 반복측정 분산분석으로 분석하였다. 결 과 : 병원불안우울척도의 불안점수는 수술 전($6.93{\pm}3.97$)이 수술 후($4.22{\pm}2.92$) 및 일시적 갑상샘 기능저하상태($4.93{\pm}3.64$)에서 보다 유의하게 높았다. 한편, 스트레스가 높은 군과 낮은 군에서 병원우울불안척도의 불안점수는 측정시기별로도 유의한 차이를 보였고 두 집단 사이에도 유의한 차이를 보였고 병원우울불안척도의 측정시기별 차이는 유의하지 않았고 두 집단간의 차이만 유의하였다. 결 론 : 분화갑상샘암 환자의 치료과정에서 유도되는 갑상샘 호르몬 결핍은 분화갑상샘암 환자의 정서적 디스트레스에는 유의한 영향을 미치지 않는다. 분화갑상샘암 환자들에서의 정서적 디스트레스는 수술 전에 경험하는 불안감 및 염려와의 연관성이 높아보이며, 수술 전 정서적 디스트레스에 대한 평가와 스트레스 감소를 위한 개입이 필요하다.

• 의료법학
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• 제20권1호
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• pp.47-82
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• 2019

남북 간의 교류와 협력은 그 과정에서 불가피하게 여러 가지 법적 분쟁을 야기할 수 있는데, 그 중에 하나가 인신사고로 인한 손해배상 문제이다. 이 글의 목적은 인신사고로 인한 손해액 산정에 관한 북한법의 내용을 살펴보고 이를 남한법과 비교함으로써, 남북한 주민 간의 손해배상사건에 있어서 분쟁해결의 기준을 제시하는 데 있다. 향후 남북간의 교류와 협력이 확대될 것으로 예상됨에 따라, 북한의 손해배상법에 대한 이해는 매우 중요하고 시급한 과제이다. 남한 민법에는 인신사고로 인한 손해액 산정과 관련한 구체적인 규정을 두고 있지 않기 때문에, 손해액 산정에 관한 구체적인 기준은 법원의 판례를 통해서 정해지게 된다. 남한의 법원은 인신사고로 인한 손해를 적극적 재산상 손해, 소극적 재산상 손해, 정신적 손해로 나누어서 각각의 손해액을 산정한다. 반면, 북한 손해보상법은 인신사고를 1) 건강을 침해한 경우(제41조), 2) 건강을 침해하여 장애를 남긴 경우(제42조), 3) 인신 침해로 사망에 이르게 한 경우(제44조)로 나누어서 그에 따른 손해의 항목을 구체적으로 규정하고, 손해액 산정에 관한 규정(제43조, 제51조)을 두고 있다. 또한, 남한에서는 신체사고에 대한 정신적 손해배상을 넓게 인정하고 있으나, 북한에서는 정신적 손해배상을 원칙적으로 인정하고 있지 않다.

• 한국보육지원학회지
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• 제13권3호
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• pp.83-102
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• 2017

Objective: This study investigates the main effects and interaction effects of mother's reactions to young children's negative emotions on the children's problem behaviors. Methods: A total of 346 mothers with toddlers completed questionnaires, the data were analyzed using Pearson's correlation coefficient and multiple regression. Results: First, mothers' supportive response to young children's negative emotions, including expressive encouragement, emotion-focused reactions, and problem-focused reactions, showed negative relations with the children's internal and external problem behaviors. Mothers' unsupportive response to children's negative emotions, including distress reactions, minimization reactions, and punitive reactions, showed positive relations with the children's internal and external problem behaviors. Second, an interactive effect was observed. For external problem behavior, mothers' lower distress reactions accompanied by higher emotion-focused reactions, lower punitive reactions accompanied by higher emotion-focused reactions, lower distress reactions accompanied by higher problem-focused reactions, and lower punitive reactions accompanied by higher problem-focused reactions all decreased children′s problem behavior. However, for internal problem behavior, only mothers' lower distress reactions accompanied by higher emotion-focused reaction decreased children′s problem behavior. Conclusion/Implication: The main interaction effect on mothers' reaction to young children's negative emotional expression shows that preventive intervention is needed to address problem behavior.

• Asian Pacific Journal of Cancer Prevention
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• 제14권8호
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• pp.4571-4576
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• 2013

Background: Depression is a comorbid disabling problem and potentially affects patient likelihood of survival. The aims of this study were to recognize the characteristics of depression and investigate associated predictor factors in patients with oral cancers. Methods: A cross-sectional and correlational design was used to collect data for this study conducted in northern Taiwan. A set of questionnaires was used to measure depression, symptom distress, performance status, social support, and demographic and disease-related information. Logistic regression was conducted to determine important factors predicting depression. Results: A total of 132 oral cancer patients participated in this study. Of these, 18.2% were identified as depression cases. The patient average performance status score was 90 or higher. Patients reported mild-to-moderate levels of symptom distress. The majority of social support was from families. Religious belief, alcohol use, symptom distress, and social support from family were found to be important factors predicting depression. Patients with religious belief with alcohol use reported greater symptom distress, and those with lower levels of social support from families were significantly more likely to develop depression. Conclusions: Clinicians should assess patient emotional status and manage symptoms in a timely manner to enhance coping abilities. Supportive care provides assurance during the acute survivor phase.

• Clinical and Experimental Pediatrics
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• 제54권6호
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• pp.229-233
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• 2011

In the pediatric literature, excessive crying has been reported solely in association with 3-month colic and is described, if at all, as unexplained crying and fussing during the first 3 months of life. The bouts of crying are generally thought to be triggered by abdominal colic (over-inflation of the still immature gastrointestinal tract), and treatment is prescribed accordingly. According to this line of reasoning, excessive crying is harmless and resolves by the end of the third month without long-term consequences. However, there is evidence that it may cause tremendous distress in the mother-infant relationship, and can lead to disorders of behavioral and emotional regulation at the toddler stage (such as sleep and feeding disorders, chronic fussiness, excessive clinginess, and temper tantrums). Early treatment of excessive crying focuses on parent-infant communication, and parent-infant interaction in the context of soothing and settling the infant to sleep is a promising approach that may prevent later behavioral and emotional disorders in infancy.

• 공학교육연구
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• 제22권6호
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• pp.64-73
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• 2019

The purpose of this study is to explore characteristics of engineering students' Interpersonal Problems, Emotional Clarity, and Empathic Ability compared with humanities and social sciences students. A total of 739 college students participated in the study (459 enginerring students and 280 humanities and social sciences students). We tested research question by employing the t-test. The result showed that engineering students have higher level of clarity of feelings, perspective taking, empathic concern and lower level of attention to feelings, personal distress than humanities and social sciences students. Moreover, engineering students showed lower level of cold, socially avoidant, exploitable problems than humanities and social sciences students. We dicussed that programs aiming at developing engineering students' emotional awareness and improving their interpersonal relationships should be provided.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제21권3호
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• pp.168-173
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• 2010

Objectives: This study was conducted to compare emotional problems in children with neurosurgical diseases prior to surgery as well as levels of parenting stress experienced by mothers of children treated with surgery and those without surgery. The goals was to provide a basis on which comprehensive treatment interventions could be established. Methods: Subjects included 78 elementary school children who visited the Department of Pediatric Neurosurgery as well as their mothers. The Children's Depression Inventory (CDI) and the Revised Children Manifest Anxiety Scale (RCMAS) were administered to children. The Parenting Stress Indexs (PSI) and Beck Depression Inventory (BDI) were administered to their mothers. Results: The children with neurosurgical diseases showed higher levels of depression prior to surgery. In their mothers, parenting stress was relatively higher and parenting competence was lower. In particular, for those children who underwent surgery, depression was significantly higher. Specifically, they exhibited more negative expectations, and negative self-image. In mothers of children who underwent surgery, depression was significantly higher. Conclusion: Our results suggest higher levels of emotional distress and parental stress in children who undergo neurosurgical operations and their mothers, respectively. Based on this, the necessity for surgical and comprehensive psychological intervention is suggested.

• 간호행정학회지
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• 제21권4호
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• pp.458-458
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• 2015

• 감성과학
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• 제23권2호
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• pp.35-50
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• 2020

본 연구의 목적은 사회공포증 수준에 따른 정서지각 편향성의 변화와 이 변화에 기여하는 시공간 주의배분능력에 대해 탐구하는 것이다. 이를 위해, 본 연구에서는 사회공포증 수준을 측정하기 위해 한국형 자기보고식 설문 검사인 사회공포증 검사(Korean version of social avoidance and distress, K-SAD)를 사용하였으며, 정서지각 편향성과 시공간 주의배분능력을 측정하기 위해 정서지각 과제(emotional perception task)와 UFOV 과제(useful field of view task)를 사용하였다. 본 연구에는 118명의 연구참가자가 참여하였고 응답을 성실하게 하지 않은 연구참가자들을 제외하여 107명(남: 94명, 여: 13명)의 자료가 분석되었다. 연구참가자들은 K-SAD 점수에 따라 세 집단으로 나뉘어졌다. 연구 결과, 정서지각과제에서 긍정적 정서지각 편향성은 사회공포증 수준이 높을수록 더 크게 나타났으며 UFOV 과제에서는 사회공포증 수준이 높을수록 저하된 시공간 주의배분능력이 나타났다. 이러한 결과는 사회공포증 수준의 증가에 따라 나타나는 저하된 시공간 주의배분능력이 긍정적 정서지각 편향성에 부분적으로 기여할 가능성이 있다는 것을 시사한다.

• 대한간호학회지
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• 제48권6호
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• pp.669-678
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• 2018

Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.