• 정신신체의학
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• 제17권2호
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• pp.75-81
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• 2009

연구목적 : 소아정신과의사의 진료가 개설되지 않은 일반정신과 외래 및 소아과 외래에서 아동의 정신과적 장애를 선별 진단하는 목적으로 한국어판 강점 난점설문지(Korean version of Strengths and Difficulties Questionnaire : SDQ-Kr)가 활용될 수 있는지 알아보기 위하여 아동 정신병리의 표준진단도구인 아동행동조사표 (Korean version of Childhood Behavior Checklist : K-CBCL)와 비교 분석하였다. 방법 : 부모용 SDQ-Kr과 K-CBCL을 정신과 외래아동 313명, 정신과로 진료의뢰된 소아과 자문아동 91명, 소아과 외래아동(대조군) 93명의 부모에게 시행하였다. 이들은 모두 4~11세였고, 정신과아동은 ADHD, 정서장애, 또는 품행장애 중 하나로 진단되었다. SDQ-Kr과 K-CBCL의 대응되는 소척도 평균점수에서 세 집단간 차이가 있는지 성별을 나누어 비교하였다. 또한 두 설문지의 대응하는 소척도 점수들간 상관계수를 산출함으로써 SDQ-Kr의 구인타당도를 조사하였다. 정신과아동과 소아과아동에 대한 두 설문지의 집단 판별력을 비교하기 위해 AUC를 산출하고, 또한 정신과아동에 대한 두 설문지의 진단예측도를 비교하였다. 결과 : SDQ-Kr과 K-CBCL의 소척도 모두에서 정신과아동이 가장 높은 점수를 보였고 소아과 자문아동, 소아과 대조아동 순서로 나타났다. 두 설문지의 대응되는 소척도들은 유의하게 상관되었으며, 모두 정신과아동과 소아과아동의 집단 판별력이 우수한 것으로 나타났으나 SDQ-Kr이 더 나은 결과를 보였다. 정신과아동의 진단 예측도에서도 SDQ-Kr이 높은 예측력을 나타냈다. 결론 : 이 연구 결과는 SDQ-Kr이 소아과 외래에서 정신과적 진료가 필요한 아동을 선별하고, 일반정신과에서 소아정신과적 진단을 내리는데 일차적인 진단도구로 활용될 수 있음을 시사한다.

• 정신신체의학
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• 제26권1호
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• pp.9-18
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• 2018

연구목적 청소년의 내재화장애는 겉으로 표출되지 않으므로 의료서비스 이용을 결정하는 부모나 교사가 그 증상을 인지하기 어렵고 청소년 자신도 정신의학적 개입을 기피하는 경향이 있어 치료 기회를 놓치기 쉽다. 본 연구는 내재화장애 청소년의 정신병리를 자기보고식 강점난점설문지(SDQ-SR)와 MMPI-A를 사용하여 조사하고, 이 두 검사도구가 내재화장애를 진단평가하는데 상호보완성이 있는지를 규명하고자 시행되었다. 방 법 청소년 외래환자(13~17세) 91명을 임상진단에 따라 두 집단으로 나누었으며, 내재화장애집단 44명과 그 외 임상진단을 가진 비교집단 47명이 완성한 SDQ-SR과 MMPI-A 자료가 내재화장애 진단을 어느 정도로 예측할 수 있는지 분석하였다. 결 과 로지스틱 회귀분석 결과, SDQ-SR의 정서증상 소척도가 1점 상승할 때 내재화장애의 진단예측력은 2.27배 증가하였다. 또한 ROC 곡선분석에서, SDQ-SR 정서장애 소척도의 절단점수를 4점으로 했을 때 내재화장애진단의 민감도와 특이도가 각각 88.94와 78.72로 나타났다. MMPI-A에서는 A-anx 절단점수가 56이었을 때 민감도와 특이도는 각각 77.27과 74.47이었다. 그러나 이 두 검사도구 소척도들의 어떠한 조합도 SDQ-SR 정서증상 소척도가 갖는 진단예측력을 더 높이지는 못했다. 결 론 본 연구에서는 청소년의 내재화장애를 진단하는데 SDQ-SR의 정서증상과 MMPI-A의 A-anx, A-aln, A 및 INTR가 중요한 소척도임을 알 수 있었으나 이를 확정하기 위해서는 정상대조군을 포함한 대규모의 연구가 필요하다.

• 사상체질의학회지
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• 제19권3호
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• pp.99-125
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• 2007

1. Objectives This study focuses on the Revision and Translation of the Mongolian's Sasang constitution Diagnosis Questionnaire (SDQ-M) 2. Methods 03'SDQ's questionnaire analysis study have been performed based on the absolutely diagnosed group of 423 cases who have respond to the Sasang constitution Diagnosis Questionnaire (SDQ) from June to November, 2003. 3. Results and Conclusions Revised 05'SDQ-M's traits, which result from on the basis of 03'SDQ's questionnaire analysis study results and socio-cultural understanding via Mongolian physical constitution diagnosis as well as Mongolian translators' interchange, are as follows. (1) 05'SDQ-M is mainly adjusted in terms of external appearances and the nature of illness symptoms. (2) 05'SDQ-M's physical constitution questionnaires are equally adjusted. (3) 05'SDQ-M is re-used, deleted, or created on the basis of 03'SDQ's questionnaire analysis results. (4) 05'SDQ-M is translated to be easy for Mongolians.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권3호
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• pp.127-133
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• 2012

Objectives : The aims of this study were to examine agreement between parent and teacher ratings of the Korean version Strengths and Difficulties Questionnaire (SDQ-Kr) for the children's psychopathology and to determine whether it is effective in diagnostics as the Korean version of Childhood Behavior Checklist (K-CBCL). Methods : SDQ-Kr and K-CBCL were completed by parents and teachers of 165 children aged 6-12 years. The clinical diagnosis was made by a child and adolescent psychiatrist who did not have knowledge of the outcome. Spearman's correlations were computed for associations between parents' and teachers' ratings on a subscale level. The Mann-Whitney U test was performed for the influence of child's age and sex on the results. Finally, AUC values were calculated for the diagnostic capacity and the difference between informants was tested using the z test. Results : High correlations were observed between parents' and teachers' SDQ-Kr on every scale. Parents were more sensitive to emotional symptoms of girls, while teachers appeared to be more responsive to externalized symptoms of boys, inattention-hyperactivity of young children, and emotional symptoms of seniors. Parents' SDQ-Kr demonstrated the highest prediction of attention-deficit hyperactivity disorder. Conclusion : Teachers' SDQ-Kr can be used in identification of child psychopathology when parents are absent or when their reliability is considered low.

• 재활복지
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• 제22권4호
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• pp.43-58
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• 2018

영양 섭취와 일상생활 삶의 질에 영향을 미치는 삼킴장애는 신경장애 환자뿐만 아니라 정상 노년층에게서도 적지 않게 나타난다. 본 연구에서는 노인의 삼킴 문제를 조기 선별하여 진단 검사로 연결될 수 있도록 도움을 주기 위한 기초연구로서, 주관적 삼킴장애 평가도구인 삼킴곤란척도(Swallowing Disturbance Questionnaire, SDQ)를 한국인의 정서와 문화에 맞게 번안하여 신뢰도와 타당도를 검증하고, 뇌졸중 환자 105명을 대상으로 하여 그 유용성을 검증하였다. 연구 결과, 한국판 SDQ의 문항내적 일관성 신뢰도는 .601, 검사-재검사 신뢰도는 .97, 공인타당도는 .956이었고, 절단점 8점을 기준으로 민감도가 46.8%, 특이도가 81.6%인 것으로 나타났다. 객관적 삼킴장애 검사인 비디오투시조영검사와 한국판 SDQ 검사 상 관찰된 삼킴곤란 유무와의 비교 결과, 음성예측도(negative predictive value, NPV)는 81%, 양성예측도(positive predictive value, PPV)는 53%로 나타났다. 한국판 SDQ는 뇌졸중 환자들의 삼킴장애 유무를 변별하는데 유용한 검사도구로 활용될 수 있을 것으로 기대되며, 재활전문가에 의한 임상평가가 이루어지기 전에 대상자가 보이는 삼킴곤란을 미리 선별하여 진단검사를 의뢰하거나, 삼킴문제가 없는 뇌졸중 환자를 정확하게 선별하여 잉여적인 추가 검사 노출을 배제하는 차원에서 그 임상적 의의가 크다고 볼 수 있다.

• 사상체질의학회지
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• 제28권2호
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• pp.110-122
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• 2016

Objectives The purpose of this study was to develop the Sasangin Diagnostic Questionnaire for Specialist(SDQ_S) and to evaluate the reliability and validity of SDQ_S for standardization of sasang constitutional diagnosis by korean medicine Specialist in clinical practice.Methods SDQ_S was developed through discussions of three sasang constitutional medical specialist. We recruited 210 subjects aged from 20 to 70, and conducted the evaluation of SDQ_S and sasang constitutional diagnosis. For the reliability test, internal consistency was examined by calculating the cronbach's α coefficient on 88 items excepted measurements of trunk, and independence and agreement was examined by chi-square test and McNemar test for 84 subjects which retested SDQ_S. For the validity test, discriminant functions was derived from the sample group(105 subjects), and they were applied to the test group(105 subjects). We identified the hit-ratio of SDQ_S in the test group.Results and Conclusions In the reliability test, the cronbach's α coefficient was 0.664 and 87 items(98.9%) have dependent relationships between 1st test and 2nd test. And 39 items(44.3%) have high agreements(0.8≤McNemar), 26 items(29.5%) have common agreements(0.4≤McNemar<0.8). In the validity test, four discriminant variables(Soeum Index, Taeeum Index, Torso Ratio I, Taeyang Index) were selected, and two discriminant functions were derived. Total hit-ratio was 74.2%, and hit-ratio of Taeeumin(76.7%) was higher than that of Soeumin(75.9%) and Soyangin(69.7%). SDQ_S has good reliability and validity for sasang constitutional diagnosis.

• Journal of Yeungnam Medical Science
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• 제22권2호
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• pp.141-149
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• 2005

Purpose: This study was conducted to assess the level of agreement among survey instruments used to study dementia and to determine the prevalence rate of suspected dementia using different instruments. Subjects and Methods: A total 171 subjects older than 65 in Gyeongju-si, Gyeongsangbuk-do, were surveyed from February to October 2003. The age, sex and educational level were examined through interview surveys, and cognitive function was evaluated using three survey instruments including MMSE-K, S-SDQ, and KDSQ. Results: The cognitive function scores obtained with the MMSE-K showed significant difference according to age. For sex and educational level significant differences were observed with all three survey instruments. The kappa index, the level of agreement between the questionnaires, was 0.302 between MMSE-K and S-SDQ, 0.401 between MMSE-K and KDSQ, and 0.762 between KDSQ and S-SDQ. The prevalence rate of suspected dementia based on the criteria suggested by MMSE-K, S-SDQ, and KDSQ was 27.5%, 15.2%, and 17.0% respectively. Conclusion: The results of this study suggest that caution is needed when comparing the measured cognitive function scores and analyzing the prevalence of dementia; this is because the prevalence of dementia and cognitive functions vary according to the questionnaires used.

• 아동학회지
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• 제21권2호
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• pp.99-118
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• 2000

This study investigated the self-concepts of Korean students based on Marsh and Shavelson's(1985) multidimensional hierarchical model. Reduced forms of the Self-Description Questionnaire(SDQ)-I and -II were administered to 308 5th and 6th grade students and 718 7th to 9th grade students. Results of 2 factor analyses indicated that sub-scales 9 and 11 were well established for SDQ-I and -II, respectively, partly confirming the multidimensionality of self-concept. The factors involving distinctions between academic and non-academic higher-order factors and between the academic/math and the academic/verbal factors were not so differentiated nor hierarchically arranged as proposed by the model. These differences may be attributed to the heavy influence of the academic self-concept on the other sub-factors. A Locality ${\times}$ Sex ${\times}$ Grade ANOVA showed main effects of locality favoring urban areas and of sex favoring boys.

• 대한한의학회지
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• 제27권1호
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• pp.130-137
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• 2006

Objectives : SDQ is the measure for diagnosis of the Sasang constitutions. It evaluates external shape, mentality and symptoms of Sasangin. We analysed the items related with external shape to identify the feature of Sasangin's face. Methods : We analysed the data collected by multi-center researchers in 2004. We used Chi-square test to define the relationship between the item and Sasang constitutions. Results : There were 15 items significantly related with each corresponding constitution(p<0.05). 2 items were defined as Taeyangin's, 4 items were defined as Soyangin's. 5 items were defined as Taeumin's and 4 items were defined as Soeumin's. Conclusions : The items were partially contribute to diagnosis of Sasang constitutions. For more accurate diagnosis, there is the need to accumulate corroborative evidence about Sasangin's actual external shape.

• 한국보건간호학회지
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• 제9권1호
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• pp.71-82
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• 1995

The purpose of this study is to define the difference in the self-concepts between the public and the private primary school students. The data were collected from March 16 to 20 in 1994. The objects of this study are the 5th graded primary school students, total 193, from the public (94 students) and private (99 students) schools located in Chong Ju city. The tool used for this study is SDQ (Self Description Questionnaire). The SDQ is a multidimensional instrument designed to measure seven aspects self-concept hypothesized in Shavelson's hierarchical model. The collected data were analyzed using descriptive statistics, chi-square test, t-test and 2-way ANOVA. The results of the study are as follows: 1. Between the public students and the private students there were no significant differences in the self-concept. 2. 2-way ANOVA using sex (male vs. female) and type of school (public vs. private) were performed. The boys had substantially higher self-concepts in physical ability and the nonacademic self concept. The girls tended to have higher self-concepts for the academic factors (except for Mathematies). 3. 2-way ANOVA using social stratification (upper vs. lower) and type of school (public vs. private) were performed. The upper classes tended to have higher self-concept for the academic factors. The social stratification and sample interactions were statistically no significant.