• 재활치료과학
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• 제13권3호
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• pp.9-21
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• 2024

목적 : 이 연구는 중년 및 노년층의 온라인 및 오프라인 사회적 상호작용에 대한 우울증의 영향을 조사하여 사회적 연결성과 정신적 웰빙을 향상시키기 위함이다. 연구방법 : 환자 건강 설문지(Patient Health Questionnaire-9)와 루벤의 사회 네트워크 척도(Lubben Social Network Scale-6)를 사용하여 429명의 중년 성인의 우울증과 사회적 관계를 평가하였다. 경로 분석과 소벨 검정을 사용하여 오프라인 관계가 온라인 상호작용에 미치는 매개 효과를 탐구하였다. 결과 : 교육 수준이 높은 평균 63세의 남성 코호트에서 우울증과 사회적 관계 사이에 유의미한 연관성을 확인하였다. 오프라인 상호작용은 우울증이 온라인 관계에 미치는 영향의 32%를 매개하였다. 결론 : 이 연구는 온라인 및 오프라인 네트워크에서의 적극적인 참여가 노인의 정신 건강을 개선하고 우울증이 사회 활동에 미치는 영향을 관리하며 고립을 방지하는 데 도움이 될 수 있는 역할이 존재함을 확인하였다.

• 융합정보논문지
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• 제11권8호
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• pp.42-52
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• 2021

본 연구는 노인의 차별 경험과 사회적 고립이 우울에 미치는 영향을 확인하기 위해서 수행되었다. 자료분석을 위해서 2017 노인실태조사 자료를 이차자료로 이용하였다. 대상자는 65세 이상 노인 중 대표성 있는 표본이었으며, 10,041명의 자료를 분석하였다. 차별 경험과 사회적 고립이 우울에 미치는 영향을 확인하기 위하여 위계적 로지스틱 회귀분석을 이용하였다. 일반적 특성, 건강관련 특성을 투입한 모델 1에 차별 경험을 추가한 결과, 차별 경험을 한 경우에서 우울할 가능성이 1.95(1.60-2.36)배 높았다. 모델 2에 사회적 고립을 추가로 투입한 결과, 차별 경험을 한 경우에서 우울할 가능성이 1.89(1.55-2.30)배 높았으며, 가깝게 지내는 친구.이웃.지인이 1명 감소할수록 우울할 가능성은 1.14배 증가하였다. 또한, 가족과 친구.이웃.지인에게 고립된 경우에서 우울할 가능성이 3.90배 증가하였다. 노인 우울 감소를 위해서는 노인 차별 경험을 줄이기 위한 사회적 노력이 필요하다. 또한, 사회적 관계망을 유지하거나 형성해주는 것은 차별 경험을 한 노인의 우울 수준을 낮추는데 기여할 것이다.

• 디지털융복합연구
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• 제15권4호
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• pp.427-441
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• 2017

본 연구의 목적은 문화예술교육에 대한 공감기대가치와 사회적 성향이 학습자의 통제된 기제 해소에 미치는 영향을 실증적으로 살펴보는데 있다. 4050세대 대상의 정량적 조사가 실시되었다. 연구 결과, 목표지향 공감기대가치-개인주의, 관계지향 공감기대가치-집단주의 간의 상관관계가 높은 것으로 나타났다. 아울러, 목표지향 공감기대가치는 자아효능감 현실화에, 즐거움 공감기대가치는 유보된 욕망 재점화에, 관계지향 공감기대가치는 탈고립 실제화에, 개인주의는 자아효능감 현실화에, 집단주의는 탈고립 실제화에 상대적으로 더 큰 영향을 미치는 것으로 나타났다. 본 연구는 문화예술교육 공감기대가치와 학습자의 사회적 성향, 그리고 학습자의 심리적 기제에 대한 학제적 융합적 이해의 필요성을 환기시키고, 나아가 이에 기반 한 프로그램 개발, 사회적 요구에 대처한 질적 양적 적합성 확보, 호혜성을 고려한 운영, 평가, 관리 등과 연계된 후속 연구와 실무적 적용이 지속적으로 필요함을 제시하고 있다.

• 인간식물환경학회지
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• 제23권2호
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• pp.245-254
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• 2020

Patients diagnosed with cancer face mental problems such as alienation, isolation, anxiety about death and fear, recovering from psychological difficulties. In this study, a forest healing program was provided for cancer patients to recover from psychological stress, depression, social isolation and self-esteem caused by cancer and changes in salivary cortisol through psychological and emotional recovery were measured. From September 19 to November 28, 2017, a forest healing program composed of a total of 10 sessions, two hours per session was provided for 12 cancer patients in the Forest of Taegyo located in Yongin. Psychological tests were performed with Social Adaptation Self-evaluation Scale (SASS), Korean-version Perceived Stress Scale (PSS) and Beck Depression Inventory (BDI) and the collected data were analyzed with the SPSS 18.0. The salivary cortisol level was measured along with the psychological tests and were analyzed by a specialized testing agency. The results of the analysis showed that the pre- and post-assessment score of SASS was 29.17 and 25.92, respectively, and that the pre- and post-assessment score of PSS was 30.50 and 23.92, respectively. The pre- and post-assessment score of BDI was 41.00 and 34.83, respectively, which showed significant differences. In addition, the pre- and post-assessment level of saliva cortisol was 3.13 and 1.68, respectively, showing a significant decrease. In short, the forest healing program was found to be effective in reducing physiological changes caused by social isolation and stress due to the emotional and psychological difficulties that the subjects who were diagnosed with cancer and were recovering from it have. In the future, it will be necessary to develop and implement a forest healing program by conducting a forest healing requirement survey on cancer patients.

• Journal of Preventive Medicine and Public Health
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• 제57권3호
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• pp.242-251
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• 2024

Objectives: The aim of this study was to analyze the relationship between objective social isolation (SI) and unmet medical needs (UMN) in adults aged 19 and older. Methods: A cross-sectional analysis was conducted of 208 619 adults aged 19 and older, excluding missing data, using the 2019 Korea Community Health Survey. To analyze the association between objective SI and UMN, the chi-square test and logistic regression analysis were performed. Results: The prevalence of UMN was 1.14 times higher (odds ratio [OR], 1.14; 95% confidence interval [CI], 1.06 to 1.23) among those with SI than among those without SI, and the OR for groups with 5 SI types was 2.77 (95% CI, 1.86 to 4.12) compared to those with no SI types. In addition, a stratified analysis by age group showed that the association between SI and UMN existed even in groups under 64 years old. However, among those aged 65 and older, SI was associated with an OR of 1.53 (95% CI, 1.37 to 1.71) for UMN compared to non-SI. As the number of SI types increased, the prevalence of UMN also increased, indicating a strong association between SI and UMN in older adults. Conclusions: This study found that individuals with SI experienced UMN due to fear and anxiety about interpersonal relationships. Therefore, based on the results of this cross-sectional study, it is necessary to investigate the causal relationship between SI and UMN through future longitudinal data.

• Journal of Ginseng Research
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• 제48권5호
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• pp.481-493
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• 2024

Background: Post-weaning social isolation (SI) reduces sociability, gene expressions including myelin genes in the medial prefrontal cortex (mPFC), and alters microbiome compositions in rodent models. Korean Red Ginseng (KRG) and its major ginsenoside Rb1 have been reported to affect myelin formation and gut metabolites. However, their effects under post-weaning SI have not been investigated. This study investigated the effects of KRG and Rb1 on sociability, gene expressions in the mPFC, and gut metabolites under post-weaning SI. Methods: C57BL/6J mice were administered with water or KRG (150, 400 mg/kg) or Rb1 (0.1 mg/kg) under SI or regular environment (RE) for 2 weeks during the post-weaning period (P21-P35). After this period, mice underwent a sociability test, and then brains and ceca were collected for qPCR/immunohistochemistry and nontargeted metabolomics, respectively. Results: SI reduced sociability compared to RE; however, KRG (400 mg/kg) and Rb1 significantly restored sociability under SI. In the mPFC, expressions of genes related to myelin, neurotransmitter, and oxidative stress were significantly reduced in mice under SI compared to RE conditions. Under SI, KRG and Rb1 recovered the altered expressions of several genes in the mPFC. In gut metabolomics, 313 metabolites were identified as significant among 3027 detected metabolites. Among the significantly changed metabolites in SI, some were recovered by KRG or Rb1, including metabolites related to stress axis, inflammation, and DNA damage. Conclusion: Altered sociability, gene expression levels in the mPFC, and gut metabolites induced by two weeks of post-weaning SI were at least partially recovered by KRG and Rb1.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권2호
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• pp.65-76
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• 2012

South Korea's rapid ageing and the fast increase of nuclear families have led to the social isolation of the elderly and generational conflicts. In order to solve these social problems, this study explores the ways in which different generations can communicate and interact more actively. We surveyed 110 social workers who run generation-integrated programs at community centers in Gyeonggi province, and also examined the spatial design of the four age-integrated community centers and analysed its effect on the intergenerational exchange. We propose several suggestions for intergenerational exchange programs and effective space planning to facilitate intergenerational interactions in multi-generational community centers. To develop intergenerational interactions and keep their constant relationship, the users of community centers should be the core of generation-integrated programs which can facilitate the intergenerational exchange and interactions.

• 한국산학기술학회논문지
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• 제18권12호
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• pp.254-263
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• 2017

본 연구의 목적은 노인의 부정적 정서와 비만과의 관계를 파악하여 적정 체중관리를 위한 간호중재 개발 시 기초자료를 제공하기 위함이다. 연구 대상자는 충청북도 J시에 위치한 2개소의 노인 복지관을 이용하는 65세 이상의 노인 216명이었으며, 자료수집은 2017년 8월 14일부터 8월 30일까지 설문지 조사와 신체계측을 통하여 이루어졌다. 연구도구는 CES-D, RULS, BPS를 사용하였으며 수집된 자료는 SPSS 22.0통계프로그램을 이용하여 기술통계, t-test, ${\chi}^2-test$, Fisher' exact test, Pearson's correlation, Logistic regression을 분석하였다. 연구결과 대상자들의 체질량지수의 평균은 $23.59{\pm}3.48$이었으며, 31.9%가 비만인 것으로 나타났다. 정상군과 비만군 사이에 통계적으로 유의한 차이를 보였던 변수는 연령(${\chi}^2=8.16$, p=.003), 성별(${\chi}^2=9.27$, p=.002), 흡연 유무(${\chi}^2=7.78$, p=.004), 우울(t=2.54, p=.012)과 사회적 고립감(t=2.98, p=.003)이었고, 우울 (OR,1.04; 95% CI,1.00-1.09)과 사회적 고립감(OR,1.06; 95%CI,1.02-1.11)은 비만의 위험을 높이는 심리적 요인으로 나타났다. 따라서 노인 인구에서의 비만관리를 위하여 우울과 사회적 관계를 적절히 파악하고 측정해야 하며, 신체적, 정신적, 사회적 영역의 요구를 모두 충족시키는 체중관리 프로그램 및 간호중재의 개발이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제50권4호
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• pp.262-267
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• 2017

Objectives: The US ranks ninth in obesity in the world, and approximately 7% of US adults experience major depressive disorder. Social isolation due to the stigma attached to obesity might trigger depression. Methods: This paper examined the impact of obesity on depression. To overcome the endogeneity problem, we constructed pseudopanel data using the Behavioral Risk Factor Surveillance System from 1997 to 2008. Results: The results were robust, and body mass index (BMI) was found to have a positive effect on depression days and the percentage of depressed individuals in the population. Conclusions: We attempted to overcome the endogeneity problem by using a pseudo-panel approach and found that increases in the BMI increased depression days (or being depressed) to a statistically significant extent, with a large effect size.

• 치위생과학회지
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• 제10권4호
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• pp.233-239
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• 2010

The study of the elderly and poor oral status interpersonal relationships and smooth social life limited to give is the social alienation and isolation, promoting to having problems with a sense of the elderly subjective oral health status and social efficacy affects whether analyzed. 1. Subjective oral health status authoring feel healthy food disorders, toothache, periodontal problems, tmj pain, dry mouth, bad breath symptoms such as 'sometimes' 'often' than a 'no' if you appear to be a highly subjective and social efficacy Efficacy of oral health status and social influence were more (p<0.01). 2. Subjective oral health status of the seven kinds of sub-variable that oral health status, food authoring disorders, toothache, gum disease, jaw joint or more, dry mouth, bad breath instantly and look at the relationship between social efficacy oral health status, ability of mastication, pain in oral, gum disease, tmj pain, dry mouth, presence of halitosis than positive (+) was correlated.