• 정신신체의학
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• 제6권1호
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• pp.46-58
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• 1998

Objectives : This study was performed to evaluate the status of psychiatric consultation at a newly opened university hospital, to explore problems related to psychiatric consultation and to contribute for future consultation to be more systematic and more efficient. Methods: The subjects of this study were 284 patients hospitalized at Inha University Hospital between September 1, 1996 and August 31, 1997, who were referred for psychiatric consultation during hospitalization. This study was evaluated demographical characteristics of referred patients, resons for referral, recommendations by psychiatric consultant, clinical diagnoses, psychiatric diagnoses, relationship between referral time and hospitalization following the day of consultation and consultation referral types based upon psychiatrists' reports and patients' medical charts. Results : Most common patients referred to consultation were females aged 20s who visited at the department of internal medicine and related to the risk of suicidal attempts. Mood disorder was the most frequent psychiatric diagnosis, and the most common recommendations were to use psychopharmacological treatment along with outpatient visits. The 30% of subjects were referred to consultation within a day after hospitalization. In the case of consultation referral timing within two days and after three days, there was significant difference between early consultation and shorter hospitalization following the day of consultation. Most frequent type of consultation(29.6%) was categorized as IIIa type(physical complication type as a "Mending" request type). Conclusion : In review of consultation referral timing and consultation referral type of the subjects, who were referred for psychiatric consultation for one year at a newly opened University Hospital, referrals were found to be made within two days after their admission to hospital(50.7%), which was observed to be early request. We found that there was significant association between early consultation and shorter hospitalization following the day of consultation. The physical complication type(29.6%) which belongs to "Mending" request type was found to be the most frequent consultation referral type. This result indicates that more systematic psychiatric consultation is needed for the future.

• 한국산학기술학회논문지
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• 제15권10호
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• pp.6168-6175
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• 2014

아동의 정신건강 문제가 중요하게 대두되고 있지만, 정작 아동의 학업성적과 정신건강과의 관련성을 살펴본 연구는 거의 찾을 수 없다. 따라서 본 연구의 목적은 우리나라 초등학생의 학업성적과 우울감 경험 사이에 관련성을 살펴보았다. 본 연구는 단면적 상관관계 조사연구이며, 우울감 경험은 Children's Depression Inventory로, 학업성적은 주관적으로 느끼는 자신의 성적으로 측정하였다. 1,048명의 5 6학년을 대상으로 조사하여 분석한 결과, 학업성적과 우울감 경험 사이에 spearman correlation은 남학생 -0.31, 여학생 -0.37로 모두 유의하였다. 또한 학년, 가족의 경제수준, 자아존중감을 보정한 상태에서도 성적이 높은 그룹의 우울감 경험의 교차비는 남학생 0.34, 여학생 0.36으로 성적이 낮은 그룹보다 우울감 경험의 위험이 유의하게 낮은 것으로 나타났다. 따라서 학업성적이 낮은 초등학생은 향후 우울증 선별 시에 우선적으로 고려해야할 필요가 있음을 알 수 있다.

• 정신간호학회지
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• 제27권4호
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• pp.321-331
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• 2018

Purpose: The purpose of this study was to identify factors influencing decreasing depressive mood of married women with depression. Methods: Data that integrate the Korean longitudinal survey of women and families in 2014 and 2016 were used. Subjects for this study were 974 people who participated in the fifth survey in 2014 and the sixth survey in 2016, and married women were included in the depression group in the fifth survey. The data was analyzed with $x^2$ test, t-test, and logistic multiple regression analysis using the SPSS 23.0 program. Results: The decreased-depression group's depression decreased from 11.78 points in the fifth survey to 6.31 points in the sixth survey. This study showed that main factors such as age (OR=0.96, p=.002), educational level (OR=0.54, p=.007), economical status (OR=0.62, p=.037), satisfaction with marriage life (OR=1.15, p<.001), use of medical services (OR=1.65, p=.002), and physical activity (OR=1.08, p=.019) help decrease married women's depression. Conclusion: This study findings indicate a need to develop the strategies to increase satisfaction for marriage life and physical activity and to enhance health promotion to decrease depression among depressed married women.

• 우울조울병
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• 제16권3호
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• pp.152-157
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• 2018

Objectives : The purpose of this study was to examine psychosocial factors influencing suicidal ideation of community dwelling elderly, using the senior community center in Jeonnam Province. Methods : A total of 2,202 subjects (369 males, 1,833 females) were recruited. We evaluated sociodemographic factors, using a self-reporting questionnaire. Subjects completed the Geriatric Depression Scale-Short Form Korean Version (SGDS), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean version of the General Health Questionale-12 (GHQ-12) and Satisfaction with Life scale (SWLS), to assess psychosocial factors affecting suicidal ideation. Results : Among 2,202 subjects, 179 (8.1%) reported recent suicidal ideation. Self-perceptive health status (p<0.001) and physical disease (p=0.002) revealed differences between two groups. The scores of four scales in the suicidal group were significantly different from the control group: SGDS (p<0.001) and GHQ-12 (p<0.001) were higher, while MSPSS (p<0.001) and SWLS (p<0.001) were lower, in the suicidal ideation group than the control group. Multivariate logistic regression analysis revealed that physical disease (OR 2.575, 95%CI 1.022-6.492), SGDS (OR 1.181, 95%CI 1.120-1.246) and GHQ-12 (OR 1.192, 95%CI 1.108-1.283), were significantly associated with suicidal ideation. Conclusion : Findings support that physical disease, depression, and general mental health may correlate to suicidal ideation in the elderly.

• 한국노년학
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• 제37권1호
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• pp.33-54
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• 2017

본 연구는 시카고 시와 교외지역에 거주하는 한인이주민 중 65세 이상의 연장자들을 대상으로 그들의 우울증상과 문화동화 수준, 건강상태, 사회경제적 상태의 관계를 그들이 인식하는 존경의 매개역할 또는 조절역할을 통해 살펴보고자 하는데 목적이 있다. 연구의 목적을 위해 4개의 포커스 그룹과 2개의 심층 인터뷰를 실시하였다. ATLAS. ti.로 분석된 연구 결과는 문화동화 수준은 우울증상에 영향을 미치며 우울 증상은 또한 희망과 상호간의 대화를 통해 영향을 받는 것을 나타내었다. 이러한 연구 결과들은 서비스 제공자들에게 65세 이상의 한인 연장자들의 자기 결정권에 대해 충분한 의사소통과 그들에 대한 존경심을 고려할 필요가 있고, 그것은 그들이 새로운 환경에 적응할 때 다양하게 표면화되는 우울한 감정들에 대한 적절한 대처를 유도하는 매우 중요한 요소임을 보여주었다.

• 대한불안의학회지
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• 제17권2호
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• pp.49-58
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• 2021

Objective : The purpose of this study was to investigate the longitudinal trajectories of life satisfaction, loneliness, and depression and to identify the factors that influence these trajectories in North Korean Defectors (NKD). Methods : NKD (n=300) who registered in the multi-regional adaptation center (Hana Center), within three years of settling in South Korea, were recruited into this study. Life satisfaction, loneliness, and depression were assessed with self-report questionnaires over a period of 4 years (7 waves of data). Latent growth modeling was conducted to assess the changes in life satisfaction, loneliness, and depression. Results : Findings from both unconditional and conditional models (with gender, South Korea settlement age, household income, marital status, and PTSD at wave 1) indicated a linear increase in loneliness and depression, and a linear decrease in life satisfaction over the 4-year period. In the conditional model, gender predicted the intercept of life satisfaction and depression. In addition, PTSD predicted the intercept of life satisfaction, loneliness, and depression and slope of depression. Conclusion : Our finding suggests that the mental health of NKD tends to deteriorate over time after settling in South Korea. Therefore, continuous support is necessary for their successful adaptation to the South Korean Society.

• 융합정보논문지
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• 제11권2호
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• pp.16-24
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• 2021

본 논문은 고령화 사회로 진입함에 따라 급속히 늘어나는 고령자를 위하여, IoT와 인공지능 기술을 적극 활용하여 고령자로 하여금 행복한 노년을 영위할 수 있도록 도와주는 smart aging 서비스를 소개한다. 특히 고령화문제를 해결하려는 기존의 복지개념에서 탈피하여 긴급 상황에서 자신을 보호하고 감성을 만족시키어 활기찬 고령사회 구축으로의 패러다임 변화를 이끌어내는, 미래지향의 고령 친화적 wellbeing 지원 시스템을 제안한다. IoT(사물인터넷)와 AI(인공지능)를 도입하여 고령자의 생활정보로부터 생활상황 및 감성상태를 판단하여 긴급 상황 대응, 기분전환과 감성 위로 제공 및 모임을 추천한다. 제안 시스템은 맥박, 위험한 단어사용 및 외부소통 등의 정보를 입력하면 인공지능 기법을 이용하여 우울증의 정도를 판단해줌으로써, 기존 헬스케어 중심의 복지개념에서 탈피하여 고령자에게 감정적인 행복감을 제공하는 새로운 개념의 wellbeing 지원 시스템의 실현가능성을 보여주었다고 생각한다.

• 복식문화연구
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• 제31권4호
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• pp.558-571
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• 2023

In recent years, young Chinese consumers have become more favorably inclined toward products relating to traditional culture. Therefore, this study aimed to develop a textile design that incorporates traditional Chinese patterns and cultural symbolism that will appeal to consumers from the MZ generation (millennials and Generation Z). Through a literature search for traditional Chinese patterns and symbols regarded as auspicious, our design concept and motives were established. We selected peony, lotus, and frog motifs as representative of a "wealth and eternal prosperity" design theme. In textile design work 1, we used hand drawing and watercolor techniques, color transformation with Adobe Photoshop, and colorway and end-use 3D simulation with TexPro. The 3D simulation work suggests that this textile pattern is suitable for women's outerwear, mufflers, and tote bags. Textile design work 2 conveyed the 'wealth and eternal prosperity' design theme and had a graceful mood that embodied the nobility of the lotus flower whilst also encompassing the symbolism of money and status. The end design is a modern reinterpretation of traditional Chinese patterns and motifs. As such, it is hoped that it will satisfy the needs of young consumers for cultural values yet offer a unique new aesthetic distinct from existing textile designs. These qualities can be expected to enhance the competitive market value of textiles bearing this design.

• 대한불안의학회지
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• 제18권2호
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• pp.80-91
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• 2022

Objective : Hospital workers' mental health has deteriorated because of the ongoing COVID-19 pandemic. The purpose of this study was to investigate the impact of the prolonged COVID-19 pandemic on the mental health of hospital workers and its determinants. Methods : Two surveys were conducted among employees working in a hospital that received COVID-19 patients from the early phase of the pandemic in South Korea. Data on demographics, perceived threat, workplace evaluation, resilience, and mental health status were collected using the Korean General Health Questionnaire-20 in the initial phase (February 2020) and during the third wave of COVID-19 (December 2020) for 467 and 545 workers, respectively. The mental health of hospital workers in the two phases was compared, and the risk and protective factors during the third wave were investigated. Results : The proportion of patients in the psychiatric high-risk group increased from 2.8% in the initial phase to 11.4% during the third wave. The perceived threat, workplace evaluation, and resilience of respondents deteriorated. Risk factors for mental health during the third wave included the perceived threat items of job stress, loss of control, and considering resignation. Protective factors included presence of children, workplace satisfaction, and hardiness in resilience. Conclusion : Hospital workers' mental health deteriorated as the pandemic progressed. General stress and tension such as job stress, loss of control, considering resignation rather than COVID-19-specific stress had negative effects on mental health of hospital workers. Therefore, care for work stress itself can be helpful to maintain the mental health of hospital workers. Also, governance to improve workplace satisfaction or hardiness in resilience can be a potential protective factor for hospital workers' mental health during the prolonged pandemic.

• 우울조울병
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• 제12권2호
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• pp.128-136
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• 2014

Objectives : This study was undertaken to investigate the prevalence of depressive symptoms and their related factors among a group of medical students. Method : A total of 874 (529 male and 345 female) medical students were randomly selected to participate in a survey. Depressive symptoms, satisfaction with life, health behavior including alcohol use, stress, sleep disturbance and happiness were collected using self-reported questionnaires. Results : The prevalence of depressive symptoms was 10.8%. In stepwise multiple regression analysis, lower satisfaction of life, daytime dysfunction due to sleepiness, history of suicidal attempt, stress, sleep disturbance were found to be significant relating factors of depressive symptoms. In moderated regression analysis, the result showed that the impact of life stress were moderated by satisfaction of life on depressive symptoms, but the moderating effect of happiness was not significant. Conclusion : This study showed considerably high prevalence of depressive symptoms and BDI score in medical students. The findings suggest that early detection of depressive symptoms and intensive mental health promotion program is needed in order to improve medical student's mental health status.