• 제목/요약/키워드: Trait-Anger

검색결과 103건 처리시간 0.112초

한국형 청소년 자살사고 설문 개발 (DEVELOPMENT OF KOREAN ADOLESCENT FORM OF SUICIDAL IDEATION QUESTIONNAIRE)

  • 서동수;양석훈;이길홍;이영식
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제15권2호
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    • pp.168-177
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    • 2004
  • 연구목적:자살사고에 관한 1차 선별검사 도구를 개발하고자 현재 세계적으로 널리 사용되고 있는 Reynolds의 자가보고형 청소년 자살사고 설문(SIQ-JR)을 번안하여 우리나라 청소년에 적용하여 한국판 SIQ-JR 척도에 대한 신뢰도 및 타당도를 검증하고자 하였다. 방 법:서울시내 남녀 중고등학생 총 1,160명과, 정신과에 내원한 청소년 임상환자 114명을 연구대상으로 하였다. 연구도구로는 SIQ-JR 이외에, 자살관련 8가지 국내 표준화된 척도(분노, 우울, 불안, 절망감, 공격성, 충동성, 내외통제, 자아평가)를 시행하였다. 결 과:전체 SIQ-JR 총점 평균은 여자가 남자 보다 높았고, 고등학생이 중학생 보다 높았지만 모두 통계적으로 유의미하지 않았다. 임상군의 경우 일반 학생군과 높은 변별력(p<0.01)을 보였다. SIQ-JR의 내적일관성을 나타내주는 신뢰도계수는 0.92-0.94, 검사-재검사 상관계수는 0.68-0.78, 항목-전체 상관계수는 0.59-0.82로 모두 높은신뢰도를 보였다. 요인분석 결과 타인에 대한 고려가 독립된 요인으로 추출되었는데 이는 서구의 개인주의와 다른 우리나라의 문화적 배경을 반영한다고 여겨졌다. 공존 타당도 분석결과 자살사고와 자아평가척도와 분노조절척도 점수와는 역상관관계였으며 나머지 6개 척도와는 정상관관계였다. 전체대상의 자살사고 점수와 가장 연관이 높은 척도는 우울척도(r=0.42), 공격성 척도(r=0.36), 특성불안척도(r=0.35), 분노척도의 하위척도인 내재화된 분노(r=0.31) 순이었다. 남자와 고등학생의 경우 공격성(r=0.37)이 가장 자살사고와 관련이 높은 척도였다. 그러나 절망감척도와 충동성척도는 자살사고와 낮은 상관관계를 보였다. 결 론:이상을 살펴볼 때 한국판 자살사고 척도는 만족할만한 신뢰도와 타당도를 얻었다고 여겨지는바 학교, 지역사회, 임상현장에서 1차적 자살사고 선별검사 도구로서의 활용이 기대된다.

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추적 관찰을 통한 한국 농촌 노인의 수면 장애 예측 (Prediction of Sleep Disturbances in Korean Rural Elderly through Longitudinal Follow Up)

  • 박경미;김우정;최은채;안석균;남궁기;염유식;김현창;이은
    • 수면정신생리
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    • 제24권1호
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    • pp.38-45
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    • 2017
  • 목 적 : 불면 증상을 나타내는 수면 장애는 고령화 현상과 더불어 매우 급격히 증가중인 질환이다. 3년간 추적 관찰한 우리나라 농촌의 60세 이상 노인 코호트를 대상으로 수면 장애의 유병률과 이를 예측하는 요인을 알아보고자 하였다. 방 법 : 한국인의 사회적 삶, 건강과 노화에 대한 2012년과 2014년의 조사를 통해 두 번 데이터를 얻었다. 뇌졸중, 심근경색증, 협심증, 관절염, 폐결핵, 천식, 백내장, 녹내장, B형 간염, 요실금, 전립선 비대, 암, 골다공증, 고혈압, 당뇨, 고지혈증, 대사증후군에 대한 진단 여부를 물었다. 치매선별용 간이정신상태검사를 이용하여 인지 기능을 평가하였고 역학연구 우울척도를 이용하여 우울 증상을 평가하였다. 2015년에는 이 중 235명에게 DSM-IV의 제1축 장애의 구조화된 임상적 면담을 시행하였고 피츠버그 수면 질 척도로 불면증의 정도, 즉 수면 장애를 평가하였다. 또한, 지각된 스트레스 척도와 상태-특성 분노표현 척도를 시행하였다. 수면장애를 예측하기 위하여 성별, 나이, 교육, 첫 번째와 세 번째 주기의 우울 점수, 공존 질환의 개수, 그리고 현재의 분노 억제 점수와 지각된 스트레스 정도를 설명 변인으로 삼아 로지스틱 회귀분석을 시행하였다. 결 과 : 조사 대상의 27%가 수면 장애를 가지고 있었다. 회귀 분석 결과, 3년 전의 공존 질환 수, 1년 전의 우울 점수 및 현재 지각된 스트레스 정도가 수면 장애를 유의하게 예측하였다. 결 론 : 3년 전 측정한 공존 질환과 1년 전 평가한 우울증상이 현재의 수면 장애를 예측할 수 있었다. 공존 질환 및 우울 증상의 치료가 수면 장애를 호전시킬 수 있는지 추가적 연구가 필요하다.

계획된 간호 정보가 수면량에 미치는 영향에 관한 연구 -개심술 환자를 중심으로- (The Effect of Structured Information on the Sleep Amount of Patients Undergoing Open Heart Surgery)

  • 이소우
    • 대한간호학회지
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    • 제12권2호
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    • pp.1-26
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    • 1982
  • The main purpose of this study was to test the effect of the structured information on the sleep amount of the patients undergoing open heart surgery. This study has specifically addressed to the Following two basic research questions: (1) Would the structed in formation influence in the reduction of sleep disturbance related to anxiety and Physical stress before and after the operation? and (2) that would be the effects of the structured information on the level of preoperative state anxiety, the hormonal change, and the degree of behavioral change in the patients undergoing an open heart surgery? A Quasi-experimental research was designed to answer these questions with one experimental group and one control group. Subjects in both groups were matched as closely as possible to avoid the effect of the differences inherent to the group characteristics, Baseline data were also. collected on both groups for 7 days prior to the experiment and found that subjects in both groups had comparable sleep patterns, trait anxiety, hormonal levels and behavioral level. A structured information as an experimental input was given to the subjects in the experimental group only. Data were collected and compared between the experimental group and the control group on the sleep amount of the consecutive pre and post operative days, on preoperative state anxiety level, and on hormonal and behavioral changes. To test the effectiveness of the structured information, two main hypotheses and three sub-hypotheses were formulated as follows; Main hypothesis 1: Experimental group which received structured information will have more sleep amount than control group without structured information in the night before the open heart surgery. Main hypothesis 2: Experimental group with structured information will have more sleep, amount than control group without structured information during the week following the open heart surgery Sub-hypothesis 1: Experimental group with structured information will be lower in the level of State anxiety than control group without structured information in the night before the open heart surgery. Sub-hypothesis 2 : Experimental group with structured information will have lower hormonal level than control group without stuctured information on the 5th day after the open heart surgery Sub-hypothesis 3: Experimental group with structured information will be lower in the behavioral change level than control group without structured information during the week after the open heart surgery. The research was conducted in a national university hospital in Seoul, Korea. The 53 Subjects who participated in the study were systematically divided into experimental group and control group which was decided by random sampling method. Among 53 subjects, 26 were placed in the experimental group and 27 in the control group. Instruments; (1) Structed information: Structured information as an independent variable was constructed by the researcher on the basis of Roy's adaptation model consisting of physiologic needs, self-concept, role function and interdependence needs as related to the sleep and of operational procedures. (2) Sleep amount measure: Sleep amount as main dependent variable was measured by trained nurses through observation on the basis of the established criteria, such as closed or open eyes, regular or irregular respiration, body movement, posture, responses to the light and question, facial expressions and self report after sleep. (3) State anxiety measure: State Anxiety as a sub-dependent variable was measured by Spi-elberger's STAI Anxiety scale, (4) Hormornal change measure: Hormone as a sub-dependent variable was measured by the cortisol level in plasma. (5) Behavior change measure: Behavior as a sub-dependent variable was measured by the Behavior and Mood Rating Scale by Wyatt. The data were collected over a period of four months, from June to October 1981, after the pretest period of two months. For the analysis of the data and test for the hypotheses, the t-test with mean differences and analysis of covariance was used. The result of the test for instruments show as follows: (1) STAI measurement for trait and state anxiety as analyzed by Cronbachs alpha coefficient analysis for item analysis and reliability showed the reliability level at r= .90 r= .91 respectively. (2) Behavior and Mood Rating Scale measurement was analyzed by means of Principal Component Analysis technique. Seven factors retained were anger, anxiety, hyperactivity, depression, bizarre behavior, suspicious behavior and emotional withdrawal. Cumulative percentage of each factor was 71.3%. The result of the test for hypotheses show as follows; (1) Main hypothesis, was not supported. The experimental group has 282 minutes of sleep as compared to the 255 minutes of sleep by the control group. Thus the sleep amount was higher in experimental group than in control group, however, the difference was not statistically significant at .05 level. (2) Main hypothesis 2 was not supported. The mean sleep amount of the experimental group and control group were 297 minutes and 278 minutes respectively Therefore, the experimental group had more sleep amount as compared to the control group, however, the difference was not statistically significant at .05 level. Thus, the main hypothesis 2 was not supported. (3) Sub-hypothesis 1 was not supported. The mean state anxiety of the experimental group and control group were 42.3, 43.9 in scores. Thus, the experimental group had slightly lower state anxiety level than control group, howe-ver, the difference was not statistically significant at .05 level. (4) Sub-hypothesis 2 was not supported. . The mean hormonal level of the experimental group and control group were 338 ㎍ and 440 ㎍ respectively. Thus, the experimental group showed decreased hormonal level than the control group, however, the difference was not statistically significant at .05 level. (5) Sub-hypothesis 3 was supported. The mean behavioral level of the experimental group and control group were 29.60 and 32.00 respectively in score. Thus, the experimental group showed lower behavioral change level than the control group. The difference was statistically significant at .05 level. In summary, the structured information did not influence the sleep amount, state anxiety or hormonal level of the subjects undergoing an open heart surgery at a statistically significant level, however, it showed a definite trends in their relationships, not least to mention its significant effect shown on behavioral change level. It can further be speculated that a great degree of individual differences in the variables such as sleep amount, state anxiety and fluctuation in hormonal level may partly be responsible for the statistical insensitivity to the experimentation.

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