• 디지털융복합연구
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• 제13권11호
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• pp.231-239
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• 2015

본 연구는 경기도 소재 일개 시의 지역사회 주민 509명을 대상으로 삶의 질 영향 요인을 파악하기 위한 목적으로 수행하였다. 구조화된 설문지를 통하여 일반적 특성, 우울, 정신건강수준 및 삶의 질 수준에 관한 자료를 수집하였고, 자료분석은 SPSS20.0 통계프로그램을 이용하였다. 연구결과 첫째, 연구대상자의 일반적 특성에 따른 삶의 질 차이는 성별, 연령, 학력, 결혼상태, 월 총수입, 스트레스 상태에서 통계적으로 유의한 차이가 있었다. 둘째, 우울과 정신건강수준의 세부요인인 전반적 정신건강, 사회적 부적응, 불안/우울감 정도에서 유의한 차이가 있었고, 상관관계를 나타냈다. 셋째, 삶의 질에 영향을 미치는 요인으로는 연령, 스트레스 상태 및 정신건강수준의 세부요인인 불안/우울감 정도 이었으며 선행변수들의 설명력은 47.8%이었다. 본 연구결과는 향후 지역사회 주민들의 삶의 질을 향상시키기 위한 중재와 관리프로그램의 적용방안을 모색하는데 있어 바탕이 되는 자료가 될 것으로 사료된다.

• 한국학교보건학회지
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• 제26권1호
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• pp.26-33
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• 2013

Purpose: The mental health during the elementary school years is important to develop overall healthy behaviors and well adapt to society. So as to provide basic data for comprehensive health education programs, we investigated the state of mental health problems and health promotion behaviors among rural elementary school students, along with the relationship between the two factors. Methods: In total, 421 5th and 6th grade students were recruited to answer a self-administered questionnaire. The questionnaire was composed of questions about general demographic characteristics, 4 items over mental health-interpersonal vulnerability, depression, anxiety, hostility-, and 5 items over health behaviors-general health habits, computer addiction, accident prevention, infection prevention, and mental health-. The participation rate was 96%(407/421). Results: 1) The mean and the standard deviation of mental health problems were as follows; interpersonal sensitivity $2.06{\pm}0.70$, hostility $1.88{\pm}0.73$, depression $1.74{\pm}0.69$, anxiety $1.72{\pm}0.66$. 2) The mean and the standard deviation of health-promoting behaviors were as follows; prevention of infectious diseases $3.37{\pm}0.47$, hygiene and daily-life habit $3.09{\pm}0.41$, mental health $2.81{\pm}0.51$, accident prevention $2.79{\pm}0.57$, computer usage and health $2.61{\pm}0.56$. 3) Students with high academic performance, good relationships with friends and teachers, high household economic status, and good family relation, showed higher scores in health-promoting behaviors. 4) Higher scores in mental health problems were significantly correlated with lower scores in health-promoting behaviors. Conclusion: In developing comprehensive school health programs, it is necessary to find ways to improve both health promoting behaviors and mental health problems.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7359-7366
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• 2013

Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

• 대한불안의학회지
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• 제11권1호
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• pp.54-60
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• 2015

Objective : To translate Center for Epidemiologic Studies Depression Scale (CES-D) into North Korean language and to examine its reliability and validity Methods : North Korean defectors (n=207) recruited from the call center for North Korean defectors participated. Psychiatrists and psychiatric residents interviewed the participants and made the psychiatric diagnoses. Subsequently, the participants completed the CES-D, Impact of Event-Scale-Revised-North Korea (IES-R-NK), Alcohol Use Disorders Identification Test-North Korea (AUDIT-NK), and Brief Psychological State Inventory for North Korean Refugees (BPSI-NKR) questionnaires. Of the original participants, 143 subjects participated in test-retest reliability study after one week. Results : Cronbach's alpha coefficient of CES-D-NK was superior in both males (0.91) and females (0.93). The test-retest correlation coefficient was high (males, 0.64 ; femals, 0.79). Good convergent validity was evident by significant correlations with IER-R-NK, BPSI-NKR-Depression and BPSI-NKR-PTSD, respectively. CES-D-NK had no or weak correlations with AUDIT-NK and BPSI-NKR-Alcohol, showing its discriminant validity. Conclusion : CES-D-NK could be a reliable and valid tool for screening and assessing depressive symptoms of North Korean defectors.

• 대한불안의학회지
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• 제4권2호
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• pp.157-159
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• 2008

저자들은 심한 수면 무호흡증을 가진 성인 남자에서,CPAP 치료 후 조증 및 경조증 삽화가 유발된 증례를 보고하였다. 본 증례는 정신과적 병력 및 가족력이 없던 환자에게서 CPAP 치료 후 조증 삽화와 경조증 삽화가 연속해서 유발된 첫 번째 보고이다. 환자는 CPAP 치료 시작 직후부터 약 한달 동안 기분 고양감과 목적지향 활동의 증가를 보이다가 2~3일만에 정신병적 증상이 동반된 조증 삽화를 보였다. 또한 퇴원 후 투약을 지속하면서 다시 CPAP치료를 한 직후 경조증 삽화로 추정되는 일련의 기분 및행동 변화가 나타났다. 따라서 이 환자의 조증 삽화와 경조증 삽화로 추정되는 기분 변화는 CPAP 치료로 유발되었을 가능성이 있다고 판단되었다. 폐쇄성 무호흡증이 심하여 CPAP 치료가 처방되는 경우에 임상의들은 정신과적 질환의 기왕력이나 위험 인자가 없는 환자에서도 조증상태가 발생할 수 있는 가능성에 대해 유의하여야 하고, 주기적으로 객관적인 척도를 사용하여 기분 변화 정도를 점검할 필요가 있다. 특히 CPAP 사용 후 특별한 이유 없이 행동 변화나 기분 고양의 정도가 심해질 때는 조증 가능성을 의심해 보아야 할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제21권9호
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• pp.338-344
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• 2020

불확실성에 대한 인내력 부족은 범불안장애 등 다양한 정신질환과 관련이 있는 것으로 알려져 있다. 하지만 이를 측정하는 척도(IUS: Intolerance of Uncertainty Scale, 이하 IUS)는 여러 연구에서 요인 구조가 다르게 나타나는 바, 본 연구에서는 IUS의 구인 타당도를 검증하고 요인 구조를 명확하게 하고자 하였다. 이를 위해 대학생 533명을 대상으로 자료를 수집하였고, 이 중 임의로 추출한 260명의 자료를 대상으로 탐색적 요인 분석한 결과, 3문항으로 구성된 전향적 요인과 5문항으로 구성된 억제적 요인의 2요인 구조가 적합한 것으로 나타났다. 또한 나머지 273명의 자료를 대상으로 확인적 요인분석과 상관 분석을 한 결과, 8문항 2요인의 구조모형의 적합도가 선행 연구에서 제시한 모형들에 비해 우수하게 나타났다(x²=37.699, TLI=0.951, CFI=0.969, RMSEA=.063, SRMR=.039). 아울러 걱정 및 불안, 우울 관련 측정 도구들과 유의미한 정적 상관을 보였다. 본 연구는 IUS의 구인 타당도를 검증하여 전향적 요인과 억제적 요인으로 구성됨을 확인하고, IUS-08를 제안하여 보다 정확하고 간략한 척도를 개발하였다는 점에서 의의가 있겠다.

• 한국의류산업학회지
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• 제19권1호
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• pp.40-48
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• 2017

In this study, the impact of the fashion design education on the brain wave and the psychological change of the senior females and its change was intended to analyze. 16 senior females were selected as a subject and the brain wave and the psychology were analyzed before and after the educational program of 4 hours a day for total 3 weeks. Out of the brain wave, the increase of alpha wave represents the mental stability and the comfortable state and its decrease represents the tension and stress. On the contrary, the increase of beta wave represents the tension and the excitation. In the brain wave analysis results, the alpha wave was increased and the beta wave was decreased after the design education program, through which it is deemed that the design education would help to increase the psychological stability and to decrease the tension and the stress in the senior females. In the results of analyzing the psychological test, while the test results for 4 senior females were shown as anxious out of 16 senior females, the BAI score was decreased to 'minor anxiety' after the education and the BAI score was decreased except 2 subjects, through it is deemed that the fashion design education would help to reduce the anxiety in the senior females and it seems that it is coincided with the beta wave analysis results.

• 대한불안의학회지
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• 제10권1호
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• pp.24-29
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• 2014

Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

• 대한물리치료과학회지
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• 제10권1호
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• pp.58-64
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• 2003

The study was done in order to better understand the stress which physical therapist experience during clinical training. Clinical training was not confined to understanding training facts and concepts of physical therapist. The data were collected from November 1 to December 15, 2002 and 129 valid questionnaires were obtained and analyzed. They were analyzed by the percent, frequency, t-test, one-way ANOVA and Pearson Correlation Coefficient. The results of the study were as follows: 1. There were in satisfaction degree of major 42.6% of the subjects was revealed as "satisfied" and in satisfaction degree of clinical training 24.0% of the subjects was revealed as "satisfied". 2. There were much stress in relation of physical therapist was revealed as the most severe stress at a mean 15.98 and environment was revealed as severe stress at a mean 12.94. in role was revealed as the lessor stress at a mean 4.12. 3. The state anxiety degree which physical therapist students experience during clinical training was revealed as "moderate" anxiety. 4. There were significant difference between relation of physical therapist and satisfaction degree of clinical training (p<0.05), between ideal and values of physical therapist and health condition(p<0.05), between relation of tint and satisfaction degree of major(p<0.05), between education the characteristic which it will pull out and satisfaction degree of major(p<0.05), satisfaction degree of clinical training(p<0.05).

• 대한간호학회지
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• 제46권1호
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• pp.19-28
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• 2016

Purpose: The purpose of this study was to test the mediating effect of psychological distress in the relationship between chemotherapy related cognitive impairment (CRCI) and quality of life (QOL) in people with cancer. Methods: A purposive sample of 130 patients undergoing chemotherapy was recruited for the cross-sectional survey design. Data were collected from November 2014 to June 2015. The instruments were K-MMSE (Korean Mini-Mental State Examination), Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for objective cognitive function was 27.95 and 69.32 for perceived cognitive decline. Overall quality of life was 91.74. The mean score was 17.52 for psychological distress. The prevalence was 56.2% for anxiety and 63.1% for depression, and 20.0% for CRCI. There were significant correlations among the variables, objective cognitive function and self-reported cognitive decline, psychological distress, and quality of life. Psychological distress was directly affected by CRCI. ($R^2=29%$). QOL was directly affected by CRCI. Psychological distress and CRCI effected QOL ($R^2=43%$). Psychological distress had a partial mediating effect (${\beta}=-.56$, p <.001) in the relationship between self-reported cognitive decline and quality of life (Sobel test: Z= -5.08, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline, and decreasing psychological distress are highly recommended to improve quality of life in cancer patients.