• 보건의료산업학회지
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• 제12권4호
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• pp.219-228
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• 2018

Objectives : This study was conducted to examine the relationships between Korean adult's daily hours of sleep, depression, and suicidal thoughts using data from the 7th National Health and Nutrition Survey. Methods : This study utilized a depression screening tool, the 9-item Patient Health Questionnaire (PHQ-9), for the 6,355 participants of the health and mental health survey. T-tests, cross analysis, correlation analysis, and logistic regression analysis were used. Results : The results showed that sufficient hours of sleep decreased depression. The depression score for females (3.19) was significantly higher than for males (2.10; p<.001). The participants in the depression group slept less than 7 hours per day (p<.01). Conclusions : The study results showed a significant correlation between sleep duration and depression when health-related factors and social factors influencing sleep were controlled. The results also indicated that this correlation may vary based on gender. This study implies that further studies are necessary to identify the causal relationship between sleep duration and depression.

• Safety and Health at Work
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• 제12권4호
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• pp.522-529
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• 2021

Background: Burnout syndrome (BOS) is defined by the World Health Organization (WHO) as a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. This study aims to create the Korean version burnout syndrome scale (KBOSS) that conforms to WHO's definition of BOS and present the cut-off points for screening. Methods: We developed the KBOSS based on WHO's definition of BOS. An online survey was conducted through a specialized online research company. We recruited 444 workers for this research. The validity of the KBOSS was assessed using factor analysis and Pearson's correlation. The KBOSS reliability was assessed using Cronbach's alpha coefficient. The cut-off points for each of the three dimensions were derived using the upper quartile score. Results: The validity and reliability of the KBOSS were good. Regarding reliability, the scale's overall Cronbach's alpha was 0.813. Cronbach's alpha of each three-dimension was as follows: exhaustion, 0.916; cynicism, 0.865; and professional inefficacy, 0.819. The cut-off points of BOS three dimensions are exhaustion S 21; cynicism S 18; and inefficacy S 15. Conclusion: The developed questionnaire (KBOSS) can be a useful tool for screening of BOS.

• 보건교육건강증진학회지
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• 제18권2호
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• pp.115-128
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• 2001

This study was carried out to offer the basic data for more qualitative lives of the adulthood with obesity through their health maintenance and control. So, the researcher reviewed and analyzed the health problems of the subjects according to sex, age, and positive rate on the screening tests. The subjects were 91 obese persons in K university hospital in Seoul from December 1, 2000 to January 31, 2001. A Questionnaire developed by researcher to obtain subject's general characteristics, main symptoms, medical examination, diagnosed disease was used as the tool for the study. The results of this study are as follows: 1. For the distribution of diagnosis in subjects, liver disease was most frequent and hypertension was second. 2 The most common complaints were indigestion in the digestive system, throat pain in the respiratory system, dyspnea in cardiovascular system, thirsty in endocrine system, frequent urine in the urinary system, vertigo in the hematologic system. 3. The main symptoms according to sex were for females, a statistically significant higher rate of complaints in the digestive system, musculoskeletal system as compared to males. 4. The main symptoms according to age were that in the fourth decade there were higher rate of complaints in the musculoskeletal system. 5. In screening tests according to sex, males showed a higher positive rate for Alk-Phosphatase and females, in FBS, urine-micro, VDRL. 6. In screening tests according to age, higher positive rates of BP, Chest X-ray, mammography, ESR, CRP were seen in the fourth decades. 7. Obesity was positively related to cardiovascular system, endocrine system, urinary system, musculoskeletal system, mental and nervous system in main symptoms. 8. Obesity was positively related to BP, Sonography, FBS, SGOT, SGPT in screening tests.

• 대한불안의학회지
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• 제14권2호
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• pp.135-141
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• 2018

Objective : This study evaluated the role of smartphone application in the self-assessment of three psychiatric symptoms: stress, depression, and suicidal ideation. Methods : A total of 5,646 respondents were evaluated with three scales (Perceived Stress Scale, PSS, Center for Epidemiologic Study for Depression, CES-D, Scale for Suicidal Ideation, SSI) via smartphone application 'mindscan'. We analyzed the sociodemographic variables, the levels of three symptoms, and the association between the scores on all three scales. Results : The mean total scores of PSS, CES-D, and SSI were 24.86, 35.15, and 18.03, respectively. Women showed significantly higher scores on PSS, CES-D, and SSI when compared with men. Younger users showed a significantly higher score on all three scales when compared with older users. The scores on all three scales were higher than in other studies with off-line surveys. The PSS was positively correlated with CES-D (r=0.690), and with SSI (r=0.367). The CES-D was positively correlated with SSI (r=0.540). Conclusions : A smartphone application for mental health based on three scales (PSS, CES-D, and SSI) is a relatively useful screening tool compared with off-line general population surveys. The association between the three scales reflects the relationship between the three psychiatric symptoms observed in clinical practice.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.67-73
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• 2024

Purpose: Posttraumatic stress disorder (PTSD) is prevalent and is associated with protracted recovery and worse outcomes after injury. This study compared PTSD prevalence using the PTSD Checklist for DSM-5 (PCL-5) with the prevalence of PTSD risk using the Injured Trauma Survivor Screen (ITSS). Methods: Adult trauma patients at a level I trauma center were screened with the PCL-5 (sample 1) at follow-up visits or using the ITSS as inpatients (sample 2). Results: Sample 1 (n=285) had significantly fewer patients with gunshot wounds than sample 2 (n=45) (8.1% vs. 22.2%, P=0.003), nonsignificantly fewer patients with a fall from a height (17.2% vs. 28.9%, P=0.06), and similar numbers of patients with motor vehicle collision (40.7% vs. 37.8%, P=0.07). Screening was performed at a mean of 154 days following injury for sample 1 versus 7.1 days in sample 2. The mean age of the patients in sample 1 was 45.4 years, and the mean age of those in sample 2 was 46.1 years. The two samples had similar proportions of female patients (38.2% vs. 40.0%, P=0.80). The positive screening rate was 18.9% in sample 1 and 40.0% in sample 2 (P=0.001). For specific mechanisms, the positive rates were as follows: motor vehicle collisions, 17.2% in sample 1 and 17.6% in sample 2 (P>0.999); fall from height, 12.2% in sample 1 and 30.8% in sample 2 (P=0.20); and gunshot wounds, 39.1% in sample 1 and 80.0% in sample 2 (P=0.06). Conclusions: The ITSS was obtained earlier than PCL-5 and may identify PTSD in more orthopedic trauma patients. Differences in the frequency of PTSD may also be related to the screening tool itself, or underlying patient risk factors, such as mechanism of injury, or mental or social health.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권3호
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• pp.142-155
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• 2014

Objectives : The aim of this study was to develop an assessment tool for measurement of children's functioning in the mental health service. We conducted a preliminary study to develop a sensitive and inclusive scale focused on the functional changes of children rather than just focusing on their symptoms or screening. Methods : The Child and Adolescent Functional Assessment Scale and the Korean-Child Behavior Checklist (K-CBCL) were both administered to 134 parents of children with emotional or behavioral problems who participated in the Aizone program and also to 186 parents of elementary school children in the Seoul metropolitan area as a control group. SPSS version 12.0 was used for statistical analysis. Results : Most of the reliability coefficients were over 0.70 except those of the conduct behavior items, which showed relatively high internal consistency. The corrected item-total correlations ranged from .411 to 758, except those of conduct behavior items and special measure items. In a concurrent validity test with K-CBCL, the total behavior problem score of K-CBCL was highly correlated with the total score of the Child and Adolescent Functional Assesment Scale (r=.610). For the construct validity, confirmatory factor analysis was performed for each of four areas, including behavior (at home/school), achievement, peer relationship, and emotion. Conclusion : The results showed that the scale was statistically reliable and valid, except for conduct behavior items. This study was conducted only for parents with elementary children. An adolescents group should be included in future studies.

• 대한불안의학회지
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• 제13권2호
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• pp.123-131
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• 2017

Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.

• 한국산학기술학회논문지
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• 제18권5호
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• pp.382-390
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• 2017

본 연구는 제6기 2차년도 국민건강영양조사 결과를 토대로 인구사회학적특성, 건강상태, 정신건강 측면에서 암환자의 삶의 질에 영향을 미치는 요인을 확인하기 위해 시도되었다. 연구도구는 국민건강영양조사의 인구사회학적 특성, 건강상태, 정신건강, 삶의 질을 이용하였으며 SAS 9.3 version으로 분석하였다. 연구결과 연령, 성별, 경제활동 여부, 소득사분위수(개인), 주관적 건강상태, 본인인지 구강건강상태, 활동제한 여부, 스트레스 인지율, 우울증상 경험률에서 삶의 질이 유의한 차이가 있었다. 암환자의 삶의 질에 영향을 미치는 요인은 연령, 성별, 소득사분위수(개인), 주관적 건강상태, 활동제한 여부, 우울증상 경험률로 이들 변인은 삶의 질을 39.1% 설명하였다. 본 연구의 의의는 암환자 삶의 질 영향요인을 인구사회학적 특성, 건강상태, 정신건강의 다차원적 측면에서 확인하였다는 점과 본인인지 구강건강상태가 삶의 질에서 유의한 차이가 있음을 밝혀내었다는데 있다. 이와 같은 결과를 바탕으로 암환자의 삶의 질을 향상시키기 위해서는 암 진단부터 치료, 회복 후 사회로 복귀까지를 포함하는 포괄적인 관리가 요구된다. 또한 삶의 질에 대한 다차원적 접근 및 안위 증진, 암의 조기검진과 암예방 교육, 우울증상 관리, 사회적지지를 포함한 장기적인 프로그램 개발 및 적용이 필요하다.

• 한국멀티미디어학회:학술대회논문집
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• 한국멀티미디어학회 2012년도 춘계학술발표대회논문집
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• pp.302-303
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• 2012

최근 급증하고 있는 자살률과 청소년들의 학교폭력, 강력범죄 등은 심각한 사회적 문제가 되고 있다. 또한 컴퓨터의 보급으로 인한 인터넷 중독, 중년의 치매 등도 우리의 정신건강을 해치는 중요한 요인이다. 본 논문은 정신건강 간이선별도구를 활용하여 생활 스트레스로부터 발생되는 우울증과 인터넷 중독 등 정신건강을 헤치는 다양한 요인에 대한 대상자의 위험도를 파악하여 고(高)위험군에 해당되는 대상자의 1차 선별을 가능하게 하며, 정신건강진단에 대한 거부감을 줄이기 위한 놀이형태의 진단방법을 통하여 전문적인 치료로 유도하는 시스템을 구축하는 연구이다.

• Journal of Preventive Medicine and Public Health
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• 제38권3호
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• pp.351-358
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• 2005

Objectives : Dementia has rapidly increased with the prolongation of life expectancy and aging in Korea. This study was conducted to estimate the prevalence of, and find related factors for, dementia in an urban elderly population, using a newly developed screening method. Methods : Seven hundred and six people, aged over 65 years-old, in Dong district of Gwangju, Korea, were recruited using stratified cluster sampling, and completed Korean version of Geriatric Mental State Schedule B3 (GMS B3-K), the Korean version of the Community Screening Interview for Dementia (CSID-K) and modified 10 word list-learning from the Consortium to Establish a Registry of Alzheimer's Disease (CERAD). Dementia was diagnosed by an algorithm derived from all three of these measures. Results : The crude and age adjusted prevalence rates of dementia were 13.0 and 11.5%, respectively. Age, education, marital status and a history of cerebrovascular disease were identified as factors related with dementia. Conclusions : The new instrument, using the GMS B3-K, CSID-K and modified 10 word list-learning from the CERAD, was considered effective as a community screening and diagnostic tool for dementia. The results of this study can also be used to develop a community-based prevention and management system for dementia in the future.