• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권2호
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• pp.63-68
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• 2023

Objectives: The coronavirus disease (COVID-19) pandemic has had various effects on mankind, especially children and adolescents. Because children and adolescents spend a lot of time at school, COVID-19 has had a great impact on school mental health. In this study, we investigated the effect of prolonged COVID-19 on school mental health. Methods: We prepared self-report questionnaires for depression (Children's Depression Inventory, CDI), anxiety (Korean version of the Penn State Worry Questionnaire for Children; Generalized Anxiety Disorder-7, GAD-7), and post-traumatic stress (Primary Care Post-traumatic Stress Disorder, PC-PTSD) for administering to students aged between 7 and 18 years, recruited by a COVID-19 psychological prevention support group in the Gwangmyeong Mental Health Welfare Center for 2 years, in 2020 and 2021. Results: For children aged 7-12 years, there was no significant difference between the years 2020 and 2021 in the assessment of depression, anxiety, and post-traumatic stress. Conversely, for adolescents aged 13-18 years, there was a significant increase in the scale scores (CDI, PC-PTSD, and GAD-7). Conclusion: Prolonged COVID-19 might have had a significant impact on the mental health of adolescents who spent a lot of time at school. When comparing the years 2020 and 2021, middle and high school students were more affected by COVID-19 than elementary school students.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권4호
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• pp.255-266
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• 2022

Background: A previous study reported the effectiveness and patient satisfaction in the dental emergency unit (DEU) of the Pitie Salpetrière Hospital in Paris before coronavirus disease 2019 (COVID-19). The same methodology was used during the COVID-19 pandemic to compare pain, anxiety, and patient satisfaction during the two periods. Methods: This prospective study was conducted in 2020 (NCT04354272) on adult patients. Data were collected on day zero (D0) on site and then by phone during the daytime on day one (D1), day three (D3), and day seven (D7). The primary objective was to assess the pain intensity at D1. Secondary objectives were to assess pain intensity at D3 and D7, anxiety intensity at D1, D3, and D7, and patient satisfaction. Patients were evaluated on a 0-10 numeric scale on D1, D3, and D7; mean scores were compared with non-parametric statistics (ANOVA, Dunn's). Results: A total of 445 patients were given the opportunity to participate in the study, and 370 patients consented. Seventy-one were lost during follow-up. Ultimately, 299 patients completed all the questionnaires and were included in the analysis. In the final sample (60% men, 40% women, aged 39 ± 14 years), 94% had health insurance. The mean pain scores were: D0, 6.1 ± 0.14; D1, 3.29 ± 0.16; D3, 2.08 ± 0.16; and D7, 1.07 ± 0.35. This indicates a significant decrease of 46%, 67%, and 82% at D1, D3, and D7, respectively, when compared to D0 (P < 0.0001). The mean anxiety scores were D0, 4.7 ± 0.19; D1, 2.6 ± 0.16; D3, 1.9 ± 0.61; and D7, 1.4 ± 0.15. This decrease was significant between D0 and D7 (ANOVA, P < 0.001). Perception of general health improved between D1 and D7. The overall satisfaction was 9.3 ± 0.06. Conclusion: DEU enabled a significant reduction in pain and anxiety with high overall satisfaction during COVID-19, which was very similar to levels observed pre-COVID-19 pandemic.

• 한국노년학
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• 제40권1호
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• pp.179-196
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• 2020

본 연구는 지역사회 거주 노인을 대상으로 치매두려움에 미치는 영향 요인을 파악하는 것을 목적으로 하였다. 본 연구는 서술적 조사연구로서 대상은 전라남도 2개 소도시 지역에 거주하며 노인대학과 경로당을 이용하는 65세 이상의 노인 총 258명이며, 수집된 자료는 SPSS 23.0 프로그램을 이용하여 기술통계, t-test, One-way ANOVA, Pearson's correlation coefficient, Stepwise Multiple Regression Analysis로 분석하였다. 그 결과, 본 연구에서 대상자의 치매두려움은 평균 58.97점(0-120점)이었고, 치매두려움은 성별(p<.001), 교육수준(p=.011), 종교 유무(p=.046), 현재 주관적인 건강상태(p=.004), 동년배비교 주관적 건강상태(p=.001), 치아상실 유무(p=.011), 보청기사용 유무(p<.001), 청력 수준(p=.009), 만성질환의 수(p=.040), 복용약물의 수(p=.048), 주변 치매 경험 유무(p<.001), 치매 돌봄 경험 유무(p<.001) 치매 관심도(p<.001), 치매 교육 여부(p=.001)에 따라 통계적으로 유의한 차이를 나타냈다. 치매두려움은 치매불안(p<.001), 노인불안(p<.001), 노인우울(p<.05)과 양의 상관관계가 있었다. 치매두려움에 미치는 영향 요인은 치매불안, 노인불안, 치매 경험, 보청기 사용, 종교, 치매 관심도로 나타났고, 설명력은 37.2%이었으며, 영향 요인 중 치매불안이 가장 강력한 요인으로 나타났다. 따라서 본 연구는 일차 보건의료현장에서 지역사회 노인의 치매두려움을 예방하기 위해서는 치매두려움 영향 요인에 대한 간호사정과 함께 치매에 대한 올바른 인식을 위한 다각적인 교육전략이 필요함을 시사해주었다.

• 감성과학
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• 제11권4호
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• pp.461-480
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• 2008

기술의 도입과 이용지속성에 관한 많은 연구가 있어왔지만, 대부분 인지적 관점에서 바라본 데 반해, 감성적 측면은 상대적으로 부족하다. 정보시스템 연구에서 사용자의 태도, 만족이 주로 고려된다 하더라도 그것들은 감성의 오로지 일부분일뿐이다. 여러 학계의 연구자들은 인간행동을 이해하고 예측하는데 감성의 중요성을 주목하기 시작했다. 특히, 모바일 인터넷과 같은 현대 응용기술에서는 기술의 이용자로서뿐 아니라 서비스 소비자로서의 역할을 하는 사용자들의 감성이 필수적으로 연구되어야한다. 그래서, 이연구는 정보시스템 지속성을 위한 이성과 감성의 조화모델을 제안한다. 이전 연구들과의 차이점은 Circumplex Model of Affect에 따르는 감성의 주요한 차원인 즐거움과 각성(Pleasure and Arousal)을 고려함으로써, 다른 모든 감성의 요인들이 이 두 축의 조합으로 설명될수있도록 한 점이다. 그래서, 사용자 행동에 관한 이전연구들이 즐김과 흥분과 같은 "감성에 연관된 구조"의 직,간접적 효과를 고려한데 반해, 이 연구는 즐거움과 각성과 같은 "감성에 기반한 구조"의 직접적 효과를 제시한다. 본 연구에서 제안된 이성과 감성의 조화모델은 모바일 인터넷 서비스 사용자들을 대상으로 테스트되고, 그 타당성이 입증된다.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.190-195
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• 2023

Objectives: Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology. Methods: We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate. Results: In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively). Conclusions: Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.

• 성인간호학회지
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• 제28권1호
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• pp.1-12
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• 2016

Purpose: The purpose of this study was to test a Winningham's psychobiologic entropy model (PEM) on cancer related fatigue (CRF) among patients with solid tumors. Methods: Participants consisted of 213 patients with solid tumors recruited from December, 2012 through June, 2013, in a university hospital, in Hwasun, South Korea. Primary symptoms, adjustment, physical activity, status of nutrition and fatigue were measured using structured questionnaires. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 programs. Results: The modified model tested provided a reasonable fit to the data ($x^2=65.80$ [df=30, p<.001], TLI=.92, CFI=.95, RMSEA=.08, SRMR=.07). Primary symptoms (dyspnea, anxiety, depression and insomnia) had direct positive effects on CRF. Adjustment and status of nutrition showed indirect negative effects on CRF. However, the impact of physical activity was not significant. These variables explained 49.2% of the variance of CRF among solid tumor patients. Conclusion: The findings demonstrate that the tested model explain some CRF among solid tumor patients and warrant future research considering the cancer-related clinical factors of the given population.

• Human Ecology Research
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• 제53권1호
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• pp.29-47
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• 2015

The purpose of this study is to conceptualize the definition of school readiness specific to the context of the Republic of Korea. The school readiness test can be used as basic data to enable early childhood educational institutes to determine the general readiness of preschoolers and provide support to fit individual characteristics. For this purpose, six stages of the school readiness development process were considered, that is, draft development, primary preliminary survey, primary expert verification, secondary expert verification, secondary preliminary survey, and main survey. In the main survey, tests were conducted using the school readiness final draft targeting 344 preschoolers living in Seoul and Gyeonggi-do. The item discrimination power analysis and factor analysis for the examination area and question area were also conducted. Consequently, a test tool was developed on the basic of the results obtained, consisting of 129 items in the five areas of knowledge, function, adaptation, tendency, and attitude. The knowledge area was divided into general, linguistic, and mathematical knowledge, and the function area into fine motor function, basic living ability, expressive function, and gross motor function. The adaptation area was classified into adaptation activity, separation anxiety, maladaptive behavior, and environment adaptation; the tendency area into learning tendency; others understanding, and individual tendency, and the attitude area into rule compliance and life habits.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권4호
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• pp.262-270
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• 2011

Objectives : The definition of a hidden youth is a young person who has completely withdrawn from society and shut himself or herself away for more than 3 months. Those pathologically-withdrawn youths have become a burden not only to society but also to the family. However, screening of these hidden youths cannot be done easily. This study focused on developing a primary effective screening tool for these hidden youths. Methods : The 42 participants of this study were parents of hidden youths that are between 8 to 25 years old. They were selected from from mental health centers and psychiatric clinics around Seoul and Gyeonggi Province. We also recruited 239 parents of middle and high school students in the Seoul metropolitan area for a control group. In order to decide the concurrent validity of this questionnaire, we used the Symptom Checklist-90-Revision, Children's Depression Inventory, Beck Depression Inven-tory, Social Anxiety Scale for Children-Revised, Social Anxiety and Distress Scale, Avoidant Personality Disorder Scale, and State-Trait Anxiety Inventory for Children. SPSS version 12.0 was used for statistical analysis. Results : Cronbach's alpha values, the reliability coefficient to represent internal consistency, were between 0.396 and 0.935, which showed relatively high internal consistency for this questionnaire. The test-retest coefficient was between 0.68 and 0.78, which was a statistically significant result. In a factor analysis, 4 factors such as avoidance, withdrawal, isolation, and apathy were extracted. In a concurrent validity test with SCL-90-R, the isolation factor showed a statistically-significant relationship with a phobic-anxiety sub-scale, and avoidance and withdrawal sub-scales were remarkably correlated with the interpersonal sensitivity sub-scale. Conclusion : Since the questionnaire for socially withdrawn youths has achieved statistically-satisfactory reliability and validity, it will be a useful method to screen for hidden youths in educational, community, and clinical settings.

• 한국콘텐츠학회논문지
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• 제21권10호
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• pp.712-722
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• 2021

본 연구의 주목적은 성인애착과 대인관계능력의 관계에서 인지적 정서조절 전략의 매개효과를 검증하는데 있다. 이를 위해 전국의 대학생을 대상으로 설문조사를 실시하고 326명의 자료를 분석에 사용하였다. 자료분석은 기술통계분석, Pearson 상관분석, 그리고 구조방정식 모형을 SPSS 22.0, AMOS 23.0을 활용하여 실시하였다. 주요 연구결과는 다음과 같다. 첫째, 성인애착(애착불안과 애착회피)은 대인관계능력과 부적상관이 나타났으며, 애착회피가 애착불안보다 대인관계능력에 많은 영향을 주었다. 둘째, 성인애착과 대인관계능력의 관계에서 애착불안은 인지적 정서조절 전략에 완전매개, 애착회피는 인지적 정서조절 전략에 부분매개하는 것으로 확인하였다. 애착불안과 애착회피는 적응적 정서조절 전략에 매개하는 것으로 나타났다. 본 연구는 성인애착과 대인관계능력관계에서 인지적 관점에서 정서조절 전략의 매개효과를 검증함으로써 대인관계능력 수준을 높이는데 인지의 변화의 중요성과 가능성을 확인하였다. 마지막으로, 상담 장면에서 적응적 정서조절 전략을 위한 교육 및 프로그램 개발을 위한 기초자료를 제공하는데 의의가 있다.

• 한국산학기술학회논문지
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• 제22권1호
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• pp.520-530
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• 2021

목표: 본 연구는 음악요법이 치매 노인의 인지기능, 초조행동, 불안, 우울에 미치는 영향을 규명하는 것을 목적으로 한다. 방법: 2010년부터 2019년까지 PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar, PsycINFO에서 종합적인 문헌검색을 하였고 메타분석에서는 RevMan 5.4 프로그램을 사용하여 표준화된 평균 차이(Hedge's g)와 95% 신뢰 구간은 요약 측정으로 산출하고 랜덤 효과 모델과 역분산 방법을 적용하였다. 총 13개의 연구가 포함되었으며, 모두 오류 위험 평가를 위한 코크란 평가도구를 근거로 질 평가를 하였다. 결과: 효과 크기(Hedge's g)는 1차 결과 변수인 인지기능 0.31[95% CI:-0.02, 0.65], 초조행동 -0.03[95% CI: -0.17, 0.11], 2차 결과 변수인 불안 -0.61[95% CI: -1.17, -0.05], 우울 -0.44[95% CI: -0.88, 0.00]이었다. 음악중재 유형별 하위그룹 분석 결과 복합음악요법이 치매 환자의 인지기능(g=0.45[95% CI: 0.03, 0.87])에 유의한 증가 효과가 있는 것으로 나타났다. 결론: 음악요법은 불안과 우울을 감소시키는 데 유의한 효과를 보였으며, 복합음악치료는 치매 환자의 인지기능 개선 효과를 보였다.