• 종양간호연구
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• 제7권2호
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• pp.119-130
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• 2007

Purpose: The purpose of this study was to analyze the data regarding questions raised by women with breast cancer through Internet counseling in Korea. Methods: The data were collected from one internet web-site, providing counseling by physicians. A total of 617 questions were analyzed by content analysis method. Results: About 90 percent of the counselees were patients themselves. But most of the general and health-related characteristics of them were not known from the data. As a result of content analysis, 617 questions were grouped into 9 major categories. The most common major category was identified as "life after treatment" (212 questions, 34.2%), followed by "chemotherapy" (139 questions, 22.3%) and "hormone therapy" (115 questions, 18.9%). Questions regarding "physical symptoms" were the most frequent one in the major categories of "life after treatment", "chemotherapy", and "radiotherapy", while questions regarding "psychological problems" were the least. Conclusion: The findings of this study indicate that it is important for health professionals to provide continuous on-line informational support to women with breast cancer, even after all the treatment is over, especially focusing on physical symptoms. In addition, off-line program needs to be reinforced to provide emotional support that is not well delivered by on-line program.

• 한국치위생학회지
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• 제13권5호
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• pp.727-737
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• 2013

Objectives : This study aimed to investigate the levels of emotional labor and occupational stress and their relationships in dental counselors to improve psychological health related with dental counseling. Methods : The questionnaire survey was conducted to 167 dental counselors working at dental clinics in Busan and Gyeongsangnam-do from June to August, 2012. The study used emotional labor questionnaires and Korean Occupational Job Stress Scale (Basic Version, KOSS-43) as an assessment scale. All respondents were asked to complete a self-administered questionnaire. Data analysis was performed with descriptive analysis, t-test, ANOVA, and multiple regression analysis using SAS(ver 9.2). Results : The levels of occupational stress and emotional labor in dental counselors were $47.26{\pm}8.36$ and $3.45{\pm}0.47$. Three subscales of emotional labor as frequency of emotional expression, attention of emotional expression norms and disharmony of emotion were related with occupational stress in dental counselors. The level of job stress was increased by the lower level of emotional expression and increased by the higher levels of emotional expression and disharmony of emotion. Conclusions : In addition to increasing the number of counselors, nurturing counseling workforce is essential to manage the job stress of dental counselors. Sufficient counseling with a patient in a comfortable counseling environment is important to reduce the job stress by emotional labor. Continuous service improvement through positive emotional service education is necessary to be implemented for counselors.

• Journal of Preventive Medicine and Public Health
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• 제43권3호
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• pp.265-273
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• 2010

Objectives: Due to the economic crisis and globalization, many workers have been suffering from severe occupational stress due to job insecurity and struggles related to downsizing and restructuring. This study aims to assess the stress levels among workers involved in fierce labor disputes and massive layoffs and to evaluate their specific needs and satisfaction with counseling services set up to help workers cope with severely stressful situations? Methods: The authors provided crisis intervention to workers in traumatic situations to compare the differential level of stress responses and needs among the workers remaining employed in a large auto factory, those laid off by it, and those laid off by other companies in the same region (Pyeongtaek, Gyeonggi Province). We measured stress levels using the worker's stress response inventory (WSRI) and heart rate variability (HRV), and assessed workers' satisfaction with the counseling services. Results: 502 workers participated in the program. Fifty-seven percent of them consulted with occupational problems. The mean WSRI score of the workers remaining employed in the automobile factory was higher than that of the unemployed (employed: $39.8{\pm}19.9$ unemployed: $29.3{\pm}18.8$). Ninety-five percent of workers responded that they were satisfied or very satisfied with the counseling services. Conclusions: This study suggests the urgent need for the establishment of a national crisis intervention program dedicated to supporting workers in severely stressful situations.

• 한국도서관정보학회지
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• 제50권3호
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• pp.167-190
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• 2019

이 연구는 신체적, 정신적, 심리적으로 과도기적 단계에 있는 초등 고학년 아동을 대상으로 아들러의 개인심리학을 접목한 독서상담 프로그램을 개발하고 이 프로그램이 열등감, 사회적 관심, 생활양식에 미치는 영향을 파악하고자 하였다. 이를 위하여 경기도 S시 소재 K초등학교 4-5학년 아동 20명을 실험집단 10명, 통제집단 10명으로 구성하여 총 12회기에 걸쳐 독서상담프로그램을 적용하였다. 연구의 주요 결과를 요약하면 다음과 같다. 첫째, 개인심리학을 적용한 독서상담 프로그램을 적용한 실험집단은 열등감, 사회적 관심, 생활양식에 통계적으로 유의한 차이가 나타났다. 둘째, 개인심리학을 적용한 독서상담 프로그램의 실험집단은 주관적인 반응이 긍정적으로 나타났으며, 아동의 독서에 대한 흥미와 책에 대한 관심이 향상된 것으로 나타났다.

• 산업진흥연구
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• 제7권3호
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• pp.71-75
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• 2022

본 연구는 산만 및 충동성향 6세 여아에 대한 아동중심놀이치료 이론을 기반으로 한 아동상담 사례이다. 아동의 산만 및 충동성향으로 인하여 어머니는 양육에 어려움을 겪고 있었다. 아동상담은 Full Battery 심리검사를 실시한 후, 2020년 11월 19일부터 2022년 6월 16일까지 주 1회 회기별 아동상담 40분 부모상담 10분씩 총 63사례회기 진행하였다. 아동은 상담과정에서 아동의 주도적인 놀이를 통해 애정욕구 및 공격적이고 충동적인 모습을 나타냈으며, 상담을 통해 안정감을 느끼며 산만 및 충동성향이 감소하는 행동을 보였다. 또한 아동은 부모에게 자신의 감정을 언어로써 구체적으로 표현하고, 초등학교 입학 후 학교적응이 원만한 모습을 보였다. 어머니는 아동양육이 전보다 훨씬 수월해졌다고 보고했으며, 한달에 한번 추후 상담을 하기로 결정하며 상담을 종료하였다. 본 연구는 유아기 아동상담의 시작으로 1년 8개월가량 진행된 사례연구로서, 그 결과로 아동이 초등학교에 입학하여 1, 2학년 시기 동안의 적응적 생활양식을 확인한 연구라는 점에서도 의의가 있다.

• 한국산학기술학회논문지
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• 제16권2호
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• pp.978-986
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• 2015

정부는 학생의 정서행동적 문제를 예방하고, 위기에 즉각 개입하기 위해 국가적 차원에서 "학생정서행동특성 검사(AMPQ-II) 및 관리매뉴얼"을 통해 개입을 실시하고 있다. 하지만 국가의 개입이 실제로 효과가 얼마나 있는지, 어떠한 요인들이 개입효과에 영향을 미치는지에 대한 경험적 연구는 거의 없는 상황이다. 본 연구는 K지역 2개 중학교를 대상으로 48명의 관리대상 중학생이 개입 후 심리적 상태의 변화를 경험하였는지, 그리고 상담자의 자격증 종류와 상담 회기 수에 의해 그 효과가 다른지를 탐구하였다. 분석 결과 대다수의 학생들은 개입 이후 긍정적인 변화를 보고하는 것으로 드러났다. 국가공인 자격집단의 경우 민간 자격집단에 비해 개입효과가 떨어졌으며, 회기 수 수준별 개입효과의 차이는 발견되지 않았다. 본 연구의 결과 해석은 적은 표본수로 인해 조심스럽게 접근할 필요가 있다. 그럼에도 불구하고 학교상담의 핵심인력인 전문상담교사 및 국가공인 상담자들의 전문성 제고를 위한 노력이 필요함을 함의하였으며, 단순히 상담 회기 수를 늘리는 것은 의미가 없음을 시사한다는 점에서 추후 학교상담의 제도개선과 관련된 논의에 큰 영향을 미칠 것으로 기대된다.

• 한국심리학회지 : 문화 및 사회문제
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• 제29권1호
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• pp.125-146
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• 2023

본 연구의 목적은 직장 내 지지와 직장 내 상담접근성이 직장 내 괴롭힘 피해 근로자의 우울에 미치는 영향을 확인하고 수준 간 상호작용효과를 검증하는 것이다. 분석을 위하여 2017년 국가인권위원회에서 실시한 조사에서 직장 내 괴롭힘 피해 경험이 있는 642명의 응답 자료를 사용하여 다층분석을 적용하였다. 분석결과는 다음과 같다. 첫째, 피해자가 인식한 직장에 대한 안전감에 따라 집단을 분류한 결과, 직장에 대한 안전감을 낮게 인식할수록 피해자의 우울이 높았다. 둘째, 피해자가 직장 내 지지를 높게 인식할수록 피해자의 우울이 낮게 나타났다. 셋째, 직장 내 상담접근성이 높을수록 피해자의 우울이 낮게 나타났다. 넷째, 직장 내 지지와 우울의 관계에서 직장 내 상담접근성의 정적인 상호작용효과가 확인되었다. 즉 직장 내 상담접근성이 높을 때 직장 내 지지가 피해 근로자의 우울을 낮추는 영향이 크게 나타났다. 이상의 결과는 직장 내 괴롭힘에 대한 직장동료나 상급자의 지지 및 회사의 대응에 관하여 안전하고 신뢰로운 조직문화를 형성하고, 근로자의 고충 처리를 담당하는 상담 및 도움창구의 운영이 직장 내 괴롭힘 피해 근로자의 대응을 돕고 우울을 완화하는 보호자원으로 기능할 수 있음을 시사하였다.

• Child Health Nursing Research
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• 제26권2호
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• pp.154-163
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• 2020

Purpose: The purpose of this study was to investigate the effects of a positive psychology-based mental health promotion program for high school students. Methods: This study used a randomized control group pretest-posttest design. A total of 47 high school students participated from two high schools in Gyeonggi Province. They were randomly assigned to an experimental group (n=24), which participated in the 8-session program, or to a control group (n=23). Psychological well-being, depression, and self-esteem were measured. Results: A significant difference in psychological well-being was observed between the two groups after the program. However, there were no significant between-group differences in depression or self-esteem. Conclusion: The positive psychology-based mental program was effective at increasing psychological well-being in adolescents, especially high school students. This study suggests that a school curriculum could incorporate positive psychology-based mental programs for high school students to promote their mental health.

• 한국생활과학회지
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• 제18권6호
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• pp.1181-1198
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• 2009

The purposes of this study were to find the general trends of individuals, marital relation, migrated-cultural variables and abuse, and to analyze the effects of the individual, marital relation, and migrated-cultural variables on the abuse. The subjects were 174 immigrant women. The data was analyzed with frequency, t-test, ANOVA and multiple regression by SPSS. The major findings were as follows; Physical abuse amongst immigrant women was significantly different according to residence and income factors, psychological abuse was dependent on residence and native country, sexual abuse was dependent on education level, and total abuse was dependent on residence and native country. The level of abuse (range 1-4) was 2.07, Psychological abuse was the highest with 2.23, physical abuse was next with 1.92 and sexual abuse was 1.78. All the abuse types were influenced by the husband's alcohol behavior, communication efficiency, marital conflict, and knowledge of Korean culture. In conclusion, it is important to protect immigrant women who have been abused. So understanding, reasonable coping, prevention programs and counseling of abuse victims were provided to immigrant women.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.1943-1948
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• 2014

Purpose: The prevalence of weight loss in esophageal carcinoma patients is high and associated with impairment of physical function, increased psychological distress and low quality of life. It is not known which factors may contribute to weight loss in patients with esophageal carcinoma during radiotherapy in China. The objective of this study was to identify the associated demographic and clinical factors influencing weight loss. Methods: We evaluated 159 esophageal carcinoma patients between August 2010 and August 2013 in a crosssectional, descriptive study. Patient characteristics, tumor and treatment details, psychological status, adverse effects, and dietary intake were evaluated at baseline and during radiotherapy. A multivariate logistic regression analyss was performed to identify the potential factors leading to weight loss. Results: 64 (40.3%) patients had weight loss ${\geq}5%$ during radiotherapy. According to logistic regression analysis, depression, esophagitis, and loss of appetite were adverse factors linked to weight loss. Dietary counseling, early stage disease and total energy intake ${\geq}1441.3$ (kcal/d) were protective factors. Conclusions It was found that dietary counseling, TNM stage, total energy intake, depression, esophagitis, and loss of appetite were the most important factors for weight loss. The results underline the importance of maintaining energy intake and providing dietary advice in EC patients during RT. At the same time, by identifying associated factors, medical staff can provide appropriate medical care to reduce weight loss. Further studies should determine the effect of these factors on weight loss and propose a predictive model.