• Title/Summary/Keyword: Mental Adjustment

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The Marital Interaction Coding System-Global(MICS-G): A Validation Study (포괄적 부부상호작용 코딩시스템(MICS-G) 국내 타당화 연구)

  • Park, Woochul
    • Human Ecology Research
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    • v.57 no.1
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    • pp.109-125
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    • 2019
  • Few studies have utilized observational methods in the field of couple research even though using self-report questionnaires is prone to the subjective biases of the reporter. This study validates the Marital Interaction Coding System-Global (MICS-G), a global version of the well-established microanalytic observational coding system, Marital Interaction Coding System (MICS). Participants in the study consisted of 30 married couples with varied levels of marital adjustment who visited one of the Healthy Family and Multicultural Family Support Centers in Seoul, either for couple therapy or the "Marriage Checkup"program. Ten-minute problem-solving discussions were rated by two undergraduate student raters who were trained for 10 hours. Interobserver agreement based on percentage agreement and intraclass correlation coefficients showed a high level of agreement between raters in establishing interrater reliability. Convergent validity was established by: correlations among marital adjustment, psychological aggression, mental health, and MICS-G categories of conflicts, validation, invalidation, facilitation, and withdrawal. MICS-G categories also were successful in discriminating between distressed and nondistressed couples, which provides evidence of discriminant validity for MICS-G. This study showed that MICS-G is a promising method for researchers to observe couple interactions in a more cost-effective way. Methodological issues and practical applications are also discussed.

EFFECTS OF INTERPERSONAL COGNITIVE PROBLEM SOLVING SKILLS TRAINING ON ADOLESCENTS WITH MILD MENTAL RETARDATION (대인관계 인지 문제해결 기술훈련의 효과 - 교육가능 정신지체 청소년을 대상으로 -)

  • Oh, Kyung-Ja;Lee, Mi-Seon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.100-108
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    • 1995
  • The purpose of the present study was to examine whether Interpersonal Cognitive Problem Solving(ICPS) skill training would enhance interpersonal solving skills and behavioral adjustment of mildly mentally retarded adolescents in the junior and high school. The program used in the present study was shortened and adapted for mildly retarded adolescents from Shure and Spivack(1982) program which was developed to improve the adjustment of children in the intermediate grades 5-6. The subjects were 22 mildly retarded adolescents, and they were assigned to either the experimental(11) or the control group(11). The experimental group were given ICPS training 4 times a week over a period of 8 weeks with a total of 32 sessions in all. The results showed a significant improvement of alternative thinking and consequential thinking in the experimental group compared with the control group. With regard to behavioral ratings by the parents and teachers, there were no significant differences between the groups. The results indicated that the training was effective in increasing the ability to generate alternative solutions and to predict consequences, but the significant improvement of interpersonal cognitive problem solving skills did not lead to noticeable improvement in behavioral adjustment. It was suggested that a longer training period for over-learning, concomitant parent education program, and more behaviorally oriented social skill training combined with the cognitive approach would yield significant training effects, maintenance and transfer.

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A comparative study on the Air Traffic Controller's performance and cognitive imbalance (관제사 수행의 인지적 균형과 불균형의 관계고찰)

  • Shin, H.-Sam
    • The Korean Journal of Air & Space Law and Policy
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    • v.18
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    • pp.105-134
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    • 2003
  • This paper describes generic cognitive aspects of the air traffic controller's performance and perceptive activities unveiled through the past literature study. which underlines mental modelling and mental picture presented in the middle of complicated situational awareness and decision making process when air traffic controller comes to determine the distance between aircraft under control to maintain air traffic in a safe, orderly and expeditious way. It also describes human limit in terms of human memory in conjunction with relative workloads and environmental factor. In conclusion, It suggest that ATC authority will take into account the qualitatiive adjustment of training requirement necessary for ATC facility rating and refresher training to allow them more preparedness for better situational awareness and optimal decision making. In this paper controller's behavioral activators affecting their job performance are addressed in perspective of aviation safety.

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PTSD Symptoms in Elementary School Children After Typhoon Rusa

  • Lee, In-Sook;Ha, Yang-Sook;Kim, Yoon-A;Kwon, Yong-Hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.4
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    • pp.636-645
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    • 2004
  • Purpose. A natural disaster negatively affects children's emotional and behavioral adjustment. The purpose of this paper was to examine the prevalence, symptoms, and correlates of PTSD after the occurrence of Typhoon Rusa. Method. 261 elementary school children living in Kimcheon, which was a devastated rural area in South Korea by Typhoon Rusa, were selected. Data were collected 4 months after the disaster using the PTSD Reaction Index categories recommended by Frederick, severity of PTSD. Results. 12.3% of the children had either moderate or severe PTSD symptoms; 22.7% reported mild symptoms; and the remaining 65% had sub-clinical symptoms of PTSD. The most frequent symptom was recurrenct fear(67.0%). 13% to 17.2% of children exhibited difficulty in concentration, sleep disturbance, and guilt feeling. The regression model of severity of PTSD was composed of the level of exposure to traumatic experiences, grade in school, gender, negative coping style, and social support, and explained 34.3% for PTSD symptoms. Exposure to traumatic experiences was the strongest factor of all predictors. Conclusion. Emotional support from friends and coping style were correlated with PTSD severity. School-based interventions that emphasizes coping with disaster related problems and problem-solving may prove to be useful, and may aid in building close and supportive ties with teachers, classmates, and friends.

Ethnography on the Adaptation Processes of Japanese Marriage Immigrant Women to Community in Rural Areas (농촌거주 일본인 결혼이주여성의 지역사회 적응과정에 대한 문화기술)

  • An, Hyo-Ja
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.394-405
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    • 2018
  • Purpose: The purpose of this study was to identify and describe cultural meanings for married Japanese immigrant women in rural Korean communities. Methods: The informants were 10 women in rural areas. Data were collected from August 2017 to June 2018 through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Results: The meanings of adaptation were classified into five cultural domains: Practicing the doctrine, accepting the difference, redemption, true home, and confronting reality. The subthemes according to meanings of adaptation were comprised of international marriage with a sense of calling, bearing with sense of duty, and making a living substantively. The subthemes in this study reflect the process of adaptation. The cultural themes in the process of adaptation were overcoming differences and conflicts between Korea and Japan to achieve true family. Conclusion: The adaptation processes of married Japanese immigrant women included making their living reality known and recognizing the times when exchanges between Koreans and Japanese cannot exist within a hostile composition.

Prevalence and Correlates of Symptoms of Post-Traumatic Stress Disorders in Korean Older Adults Exposed to Natural Disaster (자연재난 피해 노인의 외상 후 스트레스 장애(PTSD) 발생 관련 요인)

  • Cho, Myong Sun
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.214-227
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    • 2019
  • Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

Relationships between Nailfold Plexus Visibility and Clinical Variables in Adult Schizophrenics (성인 정신분열병 환자에서 손톱주름 총 시도(叢 視度) (Nailfold Plexus Visibility)와 임상 변인과의 관계)

  • Kang, Dae-Yeob;Chang, Hi-Yeoul;Kang, Sung-Suk
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.111-118
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    • 1999
  • Objectives : There have been several evidences that the central nervous system defect is one of the etiologic factors in schizophrenia and high nailfold plexus visibility can reflect these defects indirectly. These are particularly related to the negative symptoms of schizophrenia. In this study, we examined the relationship between nailfold plexus visibility and various clinical variables in schizophrenia. Methods : Forty patients(20 males, 20 females) satisfying the DSM-lV criteria for schizophrenia and forty normal controls(20 males, 20 females) were measured for Plexus Visualization Score (PVS) by using capillary microscopic examination. We used Positive and Negative Syndrome Scale(PANSS), Ulmann-Giovannoni Process-Reactive Questi-onnaire(PRQ), Phillips Premorbid Adjustment Scale(PAS), Continuous Performance Test, and Backward Masking for psychopathology and clinical variables. Results : There was no significant relationship between schizophrenic subjects and normal controls in PVS. PVS was correlated with PANSS positively except negative symptom subscore. PVS was correlated with PRQ score negatively, and with PAS score positively. Conclusions : This study shows high PVS are associated with more severe psychotic symptoms and with clinical variables, such as disease process and premorbid adjustment, in some schizophrenics.

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Local Adjustment and Geographical Knowledge of Foreign Immigrants in S. Korea (외국인 이주자의 지역사회 적응과 지리적 지식)

  • Choi, Byung-Doo
    • Journal of the Economic Geographical Society of Korea
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    • v.13 no.1
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    • pp.39-63
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    • 2010
  • As foreign immigrants are rapidly increasing, how they without previous knowledge and experience adjust themselves to local circumstances where they come to live becomes a major social issue. In order to analyze their adjustment process, this paper suggests a model which consists of relationships with local environment and people on the one hand, and of geographical knowledge and imagination on the other. The analysis of questionnaire survey based on the conceptual model suggests some findings. As there are considerable differences in the extent of their local adjustment and felt difficulties among immigration types, nationalities, and dwelling regions, foreign immigrants‘ policies should be devised proper for their type and characters.

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Mental Health Problems in Child and Adolescent Obesity (비만에 이환된 아동청소년에서 보이는 정신건강문제)

  • Kang, Na Ri;Lee, Ji Sun;Kang, Ki Soo;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.2
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    • pp.119-129
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    • 2016
  • Objectives: The purpose of this study was to investigate mental health problems in obese child and adolescent patients. We assess the frequency of mental health problems and their differences according to sex, school grade and severity of obesity. Methods: The sample consisted of 106 children and adolescents aged 8-16 years (61 boys with mean age $10.98{\pm}2.26$, 45 girls with mean age $9.74{\pm}1.96$, p=.004) who were diagnosed with obesity and recruited at the Department of Pediatrics of Jeju National University Hospital. The participants completed the Korean-Child Behavior Checklist (K-CBCL), Children's Depression Inventory (CDI), Korean version of the Eating Attitude Test-26 (KEAT-26), and somatotype drawings. Results: The percentage of participants having a T-score in clinical range on one or more CBCL subscale was 37.7%. The percentage of participants in the high risk group for depression (CDI score above 17) was 20.8% and that in the high risk group for eating disorder (EAT-26 score above 20) was 6%. The girls showed significantly lower CBCL T-scores in social competence ($48.39{\pm}15.66$ vs. $38.91{\pm}22.04$, p=.011), adjustment function ($49.51{\pm}17.35$ vs. $40.38{\pm}22.58$, p=.020) and school competence ($53.34{\pm}10.47$ vs. $48.22{\pm}15.11$, p=.042) than the boys, but the percentages of boys and girls in clinical range were not significantly different. The middle school students showed (significantly) higher CBCL T-scores in somatic symptoms ($60.86{\pm}9.44$ vs. $55.74{\pm}6.76$, p=.005), aggressive behavior ($58.81{\pm}6.74$ vs. $54.68{\pm}6.22$, p=.009), total problems ($59.86{\pm}9.91$ vs. $54.88{\pm}9.76$, p=.039) and externalizing problems ($57.90{\pm}10.57$ vs. $52.44{\pm}9.38$, p=.022) than the elementary school students. The severe obesity group showed significantly higher CBCL T-scores in attention problems ($59.18{\pm}9.45$ vs. $54.15{\pm}5.34$, p=.001), social problems ($59.25{\pm}8.59$ vs. $55.96{\pm}6.50$, p=.038), delinquent behavior ($58.07{\pm}6.97$ vs. $54.73{\pm}6.00$, p=.017) and total problems ($59.21{\pm}11.65$ vs. $54.67{\pm}9.03$, p=.037) than the mild to moderate obesity group. Conclusion: Significant proportions of obese children and adolescents suffer from mental health problems. Clinicians need to pay attention to the mental health risk, especially in obese adolescents and severely obese children and adolescents.

MULTIDISCIPLINARY APPROACH OF A PATIENT WITH MENTAL RETARDATION UNDER GENERAL ANESTHESIA : A CASE REPORT (정신지체 환자의 협력 진료에 의한 전신마취 하 치과치료 증례)

  • Jang, Yoon-Hyoung;Pae, Ah-Ran;Choi, Sung-Chul;Park, Jae-Hong;Kim, Kwang-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.1
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    • pp.23-26
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    • 2009
  • Mental retardation is defined by the American Psychiatric Association as" subnormal general intellectual functioning which originates during the developmental period and is associated with impairment of either learning and social adjustment or maturation, or both." A patient with mild to moderate mental retardation can be managed adequately using restraints and medications. However, in case of severe or profound mental disability, dental treatment cannot be accomplished even with the use of behavior modification, physical restraints and sedation techniques. When treatment in the dental office has much difficulty, hospitalization for dental treatment under general anesthesia can and should be considered. This case presents the treatment of a patient with mental retardation who was referred to our department for comprehensive dental care. Dental examination revealed widespread dental caries and a severe anterior open bite with crowding problems. Under general anesthesia, generalized caries treatment was performed by our department, and the anterior dental esthetics was achieved in collaboration with the department of prosthodontic dentistry.

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