• 제목/요약/키워드: Self-insight

검색결과 197건 처리시간 0.027초

조현병 외래 환자에서 병식 모순 (The Insight Paradox among Outpatients with Schizophrenia)

  • 김태용;김준기;김철권
    • 대한조현병학회지
    • /
    • 제22권2호
    • /
    • pp.56-65
    • /
    • 2019
  • Objectives: The primary objective was to test the phenomenon known as the insight paradox, which refers to the association between higher levels of insight and lower self-esteem, higher hopelessness, and a higher perception of social prejudice among patients with schizophrenia. Methods: A total of 216 outpatients with schizophrenia according to the DSM-IV diagnostic criteria were recruited. All participants were receiving ongoing outpatient treatment and were in a stable phase of the disorder. The participants were divided into a good-insight (N=109) and a poor-insight (N=107) group by the direct interview and the mean score of questionnaire. The parameters used for analysis and comparison were demographic variables (age, gender, education), clinical variables (age at onset, number of hospitalizations), self-esteem, hopelessness, self-stigma, and quality of life. Results: Compared with the poor-insight group, the good-insight group was found to have a lower number of hospitalizations, lower self-esteem, higher hopelessness, lower quality of life, and a higher level of internalized stigma. Conclusion: The insight can cause the negative consequences in patients with schizophrenia. Therefore, clinicians should pay attention to the negative aspects of insight for improving the quality of life in the treatment of patients with schizophrenia.

간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향 (Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students)

  • 안주현;김명숙
    • 동서간호학연구지
    • /
    • 제26권2호
    • /
    • pp.176-184
    • /
    • 2020
  • Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5~8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.

Are college athletes' self-reflection and insight related to performance?

  • Deokjin, Kim
    • International Journal of Advanced Culture Technology
    • /
    • 제10권4호
    • /
    • pp.148-152
    • /
    • 2022
  • The purpose of this study was to investigate whether there is a difference in self-reflection and insight according to the performance level of college athletes. A total of 395 (210 male, 185 female) college athletes from 6 universities were sampled. The level of performance was divided into upper, middle, and lower groups based on the results of matches played in the past 1 year. To measure self-reflection and insight, THE SELF-REFLECTION AND INSIGHT SCALE developed by Grant et al. [4] was used. As a result, there was a statistically significant difference according to the level of performance, and as a result of post-hoc(scheffe) analysis, the upper group of performance was higher than that of the middle group and the lower group.

알코올의존자의 회복에 영향을 미치는 요인 (Factors influencing on Recovery in Alcohol Dependent Patients)

  • 최연숙;우주현;현명선
    • 재활간호학회지
    • /
    • 제15권2호
    • /
    • pp.109-116
    • /
    • 2012
  • Purpose: This study was conducted to investigate influencing factors on recovery among alcoholics. Methods: The participants were 123 hospitalized patients with alcohol use disorder in two hospitals in Gyeonggi province. The data were collected from May 16 to June 4, 2012 using self-report questionnaires including Hanil Alcohol Insight Scale, Alcohol Abstinence Self-Efficacy Scale, and Recovery Scale. The data were analyzed using the SPSS/Win 18.0 program with descriptive statistics, Pearson's correlation coefficient and regression analysis. Results: Recovery is positively related to abstinence self-efficacy and duration of abstinence. Recovery differed by insight type, gender, and occupation. Insight, duration of abstinence, gender, and occupation accounted for 59.1% of the variance in recovery of the alcoholics. Conclusion: The influencing factors on recovery among alcoholics were insight, duration of abstinence, gender, and occupation. Programs focusing on insight, abstinence self-efficacy, and abstinence maintenance should be developed and provided. When developing the programs, the environmental context in which the alcoholics work should be considered.

시설거주 정신장애인의 영적 안녕감에 영향을 미치는 요인 (A Study on the Factors Affecting the Spiritual Well-Being of Mentally Disabled Residents of Institutions)

  • 이정숙;이선영
    • 보건의료산업학회지
    • /
    • 제8권4호
    • /
    • pp.231-241
    • /
    • 2014
  • The purpose of this study was to identify the factors affecting the spiritual well-being of mentally disabled residents of institutions. The data were collected from July 1 to 25 in 2014. Data were collected by questionnaire from 145 mentally disabled residents of institutions. The instruments for this study were social support, self-esteem, depression, insight, spiritual well-being. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the degree of social support, self-esteem, insight and spiritual well-being was higher than and depression was lower. The significant factors influencing spiritual well-being were depression (${\beta}=-.32$, p<.001), insight (${\beta}=-.21$, p=.003), social support (${\beta}=-.21$, p=.006) and self-esteem (${\beta}=-.18$, p=.047). The study reveals that it is necessary to develop a program that decreases depression and increases insight, social support and self-esteem.

간호대학생의 자기-성찰 및 통찰력 측정도구 타당도 및 신뢰도 검증 (Validity and Reliability of the Self-Reflection and Insight Scale for Korean Nursing Students)

  • 송미옥;김희영
    • 기본간호학회지
    • /
    • 제25권1호
    • /
    • pp.11-21
    • /
    • 2018
  • Purpose: The purpose of this study was to translate the Self-Reflection and Insight Scale (SRIS) into Korean and test its validity and reliability. Methods: Participants were 340 nursing students who were recruited from 5 nursing colleges in Korea. Data were collected from November 21 to December 20, 2016 and analyzed using the IBM Statistics SPSS 22.0 and AMOS 23.0 programs. Exploratory factor analysis, Confirmatory factor analysis, and concurrent validity analysis were performed. Results: For the Korean-SRIS (K-SRIS) 4 items were deleted from the original SRIS. The final scale consisted of 16 items which were sorted into- the 2 factors: self-reflection (11 items), insight (5 items). The cumulative percent of variance was 50.91%. The statistically significant correlation between K-SRIS scores and the Reflection in Learning Scale (RLS) support the concurrent validity of the K-SRIS. The reliability of the scale, Cronbach's ${\alpha}$ was .83. Conclusion: The finding indicate that the K-SRIS has validity and reliability. Therefore it can be used for measuring and developing reflection ability in nursing students.

아동상담자의 의욕상실에 대한 상담자 개인적 특성의 영향 (Effects of Personal Character Variables on Burnout of Child Counselors)

  • 박희현;김광웅
    • 아동학회지
    • /
    • 제27권3호
    • /
    • pp.29-51
    • /
    • 2006
  • The 191 subjects of this study were counselors working with children under 18 years of age. The instrument was validated in an antecedent study and used after testing for reliability. Data were analyzed by Cronbach' a, quantification methods I, and multi-regression analysis. Results showed demographic variables at 5% of ad-$R^2$ over total burnout. Hobbies, counseling career, religion, and major field of study were significant. Marital status and caseload affected 'doubt about job.' Counseling field, qualifications and academic career affected 'negative personal relationship' and 'symptoms of somatization.' Psychological variables were 48% of ad-$R^2$ over total burnout. Self-esteem, type AB, self-insight and empathy ability for countertransference management ability were significant. Lower self-esteem, stronger type A personality, higher self-insight and lower empathy ability, produced higher degree of burnout.

  • PDF

조현병환자의 삶의 질에 미치는 영향요인 연구 (Schizophrenic Patients Impact on Quality of Life)

  • 김정숙
    • 융합정보논문지
    • /
    • 제8권1호
    • /
    • pp.53-58
    • /
    • 2018
  • 본 연구는 조현병환자의 삶의 질에 영향을 미치는 요인을 파악하기 위해 시도 되었다. 본 연구는 C시 지역에 거주하는 조현병환자 125명을 대상으로 한 서술적 조사연구이며 자료는 SPSS 21.0 을 이용하여 t-test, ANOVA, Pearson's correlation coefficients 산출 및 다중희귀분석을 실시하였다. 자료수집은 2016년 6월 1일부터 2016년 7월 31일 까지 였다. 본 연구결과는 다음과 같다. 조현병 환자의 일반적 특성에 따른 삶의 질 차이는 종교와 지지하는 팀의 종류에 따라 유의한 차이(p<.05)가 나타났다. 삶의 질은 자아존중감(r=.270), p<.0001), 가족지지(r=.348, p<.0001)와 유의한 양적 상관관계를 나타내었다. 자아존중감, 병식, 가족지지는 삶의 질을 49.5% 설명하였으며, 이중 가족지지와 자아존중감이 삶의 질에 의미 있는 영향을 주었다. 조현병 환자의 삶의 질 증진을 위해 가족지지와 자아존중감 강화를 위한 프로그램 개발이 요구된다.

수퍼바이저의 지지가 초심상담자의 심리적 소진에 미치는 영향 : 역전이 관리능력의 매개효과 (The Effects of Supervisor Supports on Novice Counselor's Psychological Burnout : The Mediating Effects of the Countertransference Management Ability)

  • 현민홍;홍혜영
    • 한국콘텐츠학회논문지
    • /
    • 제18권2호
    • /
    • pp.301-319
    • /
    • 2018
  • 본 연구의 목적은 수퍼바이저의 사회적 지지가 초심상담자의 심리적 소진에 영향을 미치는지 알아보고 역전이 관리 능력 및 각각의 하위요인들(자기통찰, 자기통합, 공감능력, 불안관리, 개념화 기술)이 매개 역할을 하는지 살펴보는 것이다. 이를 위해 상담경력 3년 이하의 슈퍼비전 경험이 있는 초심상담자 202명을 연구대상으로 하였으며 그 결과를 요약하면 다음과 같다. 첫째, 수퍼바이저의 사회적 지지는 역전이 관리 능력 및 5개의 하위요인 모두와 정적 상관을 나타냈고, 수퍼바이저의 사회적 지지, 역전이 관리능력, 5개 하위요인 모두는 심리석 소진과 부적 상관을 나타냈다. 둘째, 수퍼바이저의 사회석 지지가 심리적 소진에 미치는 영향에서 역전이 관리능력의 매개효과를 검증한 결과, 역전이 관리능력이 완전매개하는 것으로 나타났다. 셋째, 수퍼바이저의 사회적 지지가 심리석 소진에 미치는 영향에서 역전이 관리능력의 하위요인들에 대한 매개효과를 검증한 결과, 자기통합, 공감능력, 불안관리는 완전매개하는 것으로 나타났으며, 자기통찰, 개념화 기술은 부분매개하는 것으로 나타났다. 이러한 결과를 통해 역전이 관리능력이 수퍼바이저의 사회석 지지와 심리적 소진 사이에서 강한 영향을 미치고 있음을 확인하였다. 끝으로 본 연구의 시사점과 후속 연구를 위한 제언을 제시하였다.

중년 여성의 갱년기 증상과 자기건강관리 (Self-Care)와의 관련성 조사연구 (A Study on the Self-care of the Menopausal Symptoms of Middle-Aged Women)

  • 김희은;김초강
    • 보건교육건강증진학회지
    • /
    • 제10권1호
    • /
    • pp.72-86
    • /
    • 1993
  • The purpose of this study is to find out the menopausal symptom of middle-aged women and their self-care on it. This study also intended to awaken the relationship of the menopausal symptom and self-care and to provide basic data on the health education of middle-aged women. For this purpose, the study (1) identified respondents background variables, (2) found menopausal symptom and the state of self-care, (3) analyzed relationship between general character, menopausal symptom, and self-care, (4) analyzed the relationship of menopausal symptom and self-care for 543 random sampled women in City of Incheon. The questionnaire consisted of 25 questions on the menopausal symptom interview by Neugarton translated by Jung Hae Ran(1985) and questions of the self-care inventory by Orem reconstructed by Sung Moon Hee(1988). The data were analyzed by using frequency, percentage, t-test, X²-test, pearson's correlation coefficient with SPSS statistical package. The results of this study could be summed up as follows ; 1. The Degree of menopausal symptom were graded from 25 to 75. (x 40.85, s. d. 8. 6.) 2. The test of relationship between the individual background and the menopausal symptom revealed that there seemed to be statistically significant correlation between the sexual life, life-content, the level of education, menstruation(p<0.000). 3. In the test of relationship between the individual background and the self-care process, (1) in case of insight of symptom, there seemed to be statistically significant correlation between the self-content(r=0.1463), sexual life(r= -0.1376), menstruation(r=0.1561), and artificial abortion(r=0.1577), (p<0.001), (2) In case of self-health control, there seemed to be statistical correlation between the states of menstruation and the number of induced abortion. (3) In case of self-health decision, there seemed to be statistically significant correlation between the number of visiting hospitals or clinics and the level of education(r=0.106), the self-content(r=0.1235), induced abortion(r=0.1343) (p<0.0000). And also individual background can show the 40.21 percent of self-health maintenance. 4. The relationship between menopausal symptom and self-care has a significant meaning to the insight of symptom, self-health decision according to the groups of menopausal symptom(p<0.000), but it doesn't have any meaning to self-health control. And self-health maintenance can manifest the 19.88 percent of menopausal symptom.

  • PDF