• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권3호
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• pp.188-195
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• 2016

Objectives: The aim of this study was to investigate the relationship between internet addiction, smartphone addiction, and psychosocial factors. This study was designed to examine the vulnerability factors for internet and smartphone addiction. Methods: The participants were 1041 children and adolescents in a small and medium-sized cities. All of the participants were evaluated in terms of their demographic characteristics and present use of the internet and smartphone, as well as using internet and smartphone addiction and other psychological scales. Statistical analyses were performed to compare the psychosocial factors between the high risk, potential risk, and general user groups of internet and smartphone addiction. Results: The participants were classified into three groups, the high risk (N=33), potential risk (N=203), and general user (N=805) groups with regard to their internet and smartphone addiction level. There were statistical significantly differences between the groups in terms of the economic status of the family, academic performance, parents, use of internet and smartphone, loneliness, family cohesion, family adaptability, perceived social support, and peer relationship. Conclusion: These results suggest that the internet and smartphone addiction of children and adolescents is related to various psychosocial vulnerability factors.

• 정신신체의학
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• 제9권1호
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• pp.66-80
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• 2001

인생을 살아가는 동안 누구든지 스트레스를 경험한다. 심리사회적 스트레스 요인은 매우 다양하다. 또한 그에 대한 개인의 스트레스평가, 대응, 반응들도 매우 다양하다. 여기에는 개인차가 많이 있는데, 개인적 자원이나 취약성 인자와 같은 개인적 소인의 영향을 받기 때문이다. 이러한 스트레스과정의 결과로서, 개인은 정신적 성장의 기회가 되거나, 정신적, 신체적 적응(안녕)에 변화가 없을 수도 있으며, 또는 부적응(질병) 상태를 초래할 수 있다. 따라서 개인에게 맞는 스트레스 예방관리나 치료법이 필요하다. 진료의사가 임상현장에서 스트레스 관련 환자들을 진료할 때 스트레스의 전반적인(특히 심리사회적) 이해가 필수적이다. 저자는 그러한 이해를 돕기 위해서 심리사회적 측면의 스트레스와 관련된 문헌들을 포괄적으로 고찰하였다.

• 정신신체의학
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• 제5권1호
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• pp.63-72
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• 1997

For the purpose of examining the relationship between perceived stress, vulnerability variables, and somatization tendency, the self-report questionnaires of perceived stress, styles of stress coping(passive and active copings), self-perception, gender, and somatization tendency were administered to university entrants(n=2,024). The results were as follows: 1) Perceived stress, styles of stress coping(passive and active copings), self-perception, and gender accounted for 15.56% of the total variance in somatization tendency. As a result of comparing the relative contributions of all predictor variables to somatization tendency, the highest was perceived stress, and the next in order were passive coping style, self-perception, and gender, whereas direct effect of active coping style was not significant. 2) The two-way and three-way interaction effects of perceived stress X vulnerability variables were not significant. 3) The two-way and three-way interaction effects of gender X psychosocial variables were not significant. To conclude, perceived stress and vulnerability variables independently contribute to somatization tendency in university entrants, and furthermore it is suggested that vulnerability variables as well as perceived stress must be considered to account for somatization tendency.

• 의학교육논단
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• 제24권3호
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• pp.215-230
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• 2022

The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.

• 정신신체의학
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• 제29권2호
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• pp.77-85
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• 2021

유방암은 여성에서 가장 높은 유병율을 보이는 암으로, 진단과 치료과정 및 치료 후에도 다양한 정신사회적 디스트레스가 자주 나타난다. 유방암 환자의 치료에는 의학적 치료뿐만 아니라 정신신체의학적 통합치료가 필요하다. 유방암 환자는 스트레스, 불안장애, 우울장애, 적응 장애 등에 대한 취약성이 증가하고, 이러한 정신장애는 유방암의 악화 또는 재발과 연관이 있다. 유방암 환자의 불안과 우울에 대한 정신사회적 치료는 환자의 삶의 질을 증진시키고, 유방암의 재발과 악화를 감소시킨다. 본 연구에서는 5편의 유방암 치료 가이드라인에서 정신사회적 디스트레스에 대한 정신사회적 치료와 대체의학적 치료가 포함된 정신신체의학적 통합치료 부분에 초점을 맞추어 논의하였다. 5편의 가이드 라인에서 사용한 서로 다른 근거 기준은 US Preventive Service Task Force (USPSTF) 기준에 맞춰 연구자들이 평가하여 근거를 기술하였다. 또한 유방암 환자의 불안, 우울, 기분, 삶의 질에 대한 정신사회적 치료의 효과 크기를 요약하였고, 정신신체의학적 통합치료 서비스 제공에 대한 장벽과 이에 대한 대안을 제시하였다. 다학제 팀을 구성하고, 환자 요구도를 조사하며, 정신사회적 치료의 정보를 환자에게 제공하여 환자와 가족이 참여하는 것이 중요하다. 또한 준비된 계획에 따라 정기적으로 정신사회적 디스트레스를 평가하고, 정신신체의학 전문가 또는 자문조정 정신건강의학과 의사에 의한 정신신체의학적 통합치료가 환자에게 제공되는 것이 가장 중요하다.

• Journal of Preventive Medicine and Public Health
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• 제56권5호
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• pp.413-421
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• 2023

Objectives: This study explored the effect of the coronavirus disease 2019 (COVID-19) pandemic on psychosocial stress in prime working-age individuals in Korea, focusing on gender inequalities. We hypothesized that the impact of COVID-19 on mental health would differ by age and gender, with younger women potentially demonstrating heightened vulnerability relative to men. Methods: The study involved data from the Korea Community Health Survey and included 319 592 adults aged 30 years to 49 years. We employed log-binomial regression analysis, controlling for variables including age, education, employment status, marital status, and the presence of children. The study period included 3 phases: the period prior to the COVID-19 outbreak (pre-COVID-19), the early pandemic, and the period following the introduction of vaccinations (post-vaccination). Results: The findings indicated that women were at a heightened risk of psychosocial stress during the early pandemic (relative risk [RR], 1.01; 95% confidence interval [CI], 0.98 to 1.05) and post-vaccination period (RR, 1.07; 95% CI, 1.04 to 1.10) compared to men. This pattern was prominent in urban women aged 30-34 years (pre-COVID-19: RR, 1.06; 95% CI, 1.02 to 1.10; early pandemic: RR, 1.16; 95% CI, 1.08 to 1.25; post-vaccination period, RR, 1.22; 95% CI, 1.14 to 1.31). Conclusions: The COVID-19 pandemic has exerted unequal impacts on psychosocial stress among prime working-age individuals in Korea, with women, particularly those in urban areas, experiencing a heightened risk. The findings highlight the importance of addressing gender-specific needs and implementing appropriate interventions to mitigate the psychosocial consequences of the pandemic.

• 한국사회복지학
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• 제65권2호
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• pp.231-254
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• 2013

불법도박의 확산은 물론 도박의 합법화 및 사행산업 규모의 증가로 인해 우리 국민의 도박에의 접근성은 매우 용이하다. 실제로 한국인의 문제도박율은 높은 수준이며, 도박으로 인한 개인적, 가족적, 사회경제적 폐해 또한 심각하다. 선행연구에서는 심리사회적 발달단계의 특성 등으로 인해 대학생 집단이 청소년과 성인에 비해 도박참여 및 문제도박율이 높다고 보고한다. 본 연구에서는 대학생의 문제도박 발달경로를 탐색하려는 목적으로 Jacob의 중독의 일반이론을 적용하여 연구모형을 설정한 후, 변인간의 관계를 구조방정식 방법으로 분석하였다. 연구대상자는 전국 5개 권역에서 조사한 대학생 870명 중 도박경험이 있다고 응답한 남학생 366명이었다. 주요 발견으로는 첫째, 남자 대학생의 문제도 박률은 14%로 나타나 동일척도를 사용한 기존 연구와 유사하거나 더 높았다. 둘째, 구조분석 결과 남자 대학생의 심리적 취약성은 현재 상태에서 벗어나고자 하는 탈출욕구를 증진시켜 문제도박을 초래하는 경로가 유의미한 반면, 신체적 취약성이 탈출욕구를 통해 문제도박에 이르는 경로는 유의미하지 않았다. 연구결과를 바탕으로 대학생 문제도박의 예방 및 치유재활과 관련된 사회복지 개입전략이 논의 되었다.

• Psychiatry investigation
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• 제15권12호
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• pp.1100-1114
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• 2018

Objective Personality traits can be the basis for individual differences in the biological response of stress. To date, many psychobiological studies have been conducted to clarify the relationship between personality and biological reactivity to stress. This review summarizes the most important findings in this area of research. Results Key findings related to the relationship between personality factors and stress-sensitive biological systems in four research models have been summarized; model of psychosocial characteristics, model based on Rumination and Emotional Inhibition, Eysenck's biopsychological model, and Five-Factor Approach of Personality. Conclusion According to the results of this review, it can be concluded that personality typology of individuals influenced their biological reactivity to stressful events. Understanding the biological basis of personality can help to better understand vulnerability to stress. Future research can be continuing based on framework of the four models.

• 정신신체의학
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• 제4권2호
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• pp.182-197
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• 1996

For the purpose of examining the relationship between smoking, perceived stress and vulnerability factors, and furthermore suggesting interventions to reduce excessive smoking and prevent nicotine dependency effectively, the questionnaires of perceived stress(stressful experiences), ways of stress coping(passive and active copings), smoking motives, social influence, age, amounts of smoking, and nicotine dependency were administered to smokers among medical students in Chosun university(n=186). 1) As a result of classifying smokers by the types of smoking, the most was a type of smokers to reduce negative emotions and the next in order were addictive smokers, smoker for stimulation, smoker for pleasure, etc. 2) The effects of motive, age, and active coping style were significant, but the effects of perceived stress, passive coping style, and social influence were not significant in average amount of daily smoking. 3) The effects of motive, social influence, and age were significant, but the effects of perceived stress, passive and active coping styles were not significant in the degree of nicotine dependency. To summarize, it is concluded that there were a lot of people who smoke to solve negative emotions, but the direct effects of perceived stress and passive coping style on both average amounts of daily smoking and the degree of nicotine dependency were not significant. On the other hand, motive, age, active coping style, and social influence were proved to be more important variables than the others in explaining college students' smoking.

• Psychiatry investigation
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• 제15권11호
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• pp.1046-1052
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• 2018

Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311-5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061- -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211-0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273- -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.