• Title/Summary/Keyword: 정신사회적 평가

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THE CLASSIFICATION OF ADOLESCENTS IN RUNAWAY SHELTERS BY THE EVALUATION OF THEIR PSYCHOPATHOLOGY (보호시설 가출청소년의 정신병리에 대한 평가와 분류)

  • Lee, Jong-Sung;Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.2
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    • pp.192-217
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    • 2001
  • Object:This study was carried out to classify adolescents in runaway shelters by evaluating their psychopathology. And the ultimate purpose is to offer basic data for preventing adolescents‘ runaway and for diversifying runaway shelters suitable for the problem of individual adolescent. Method:128 adolescents who stay in the runaway shelters were asked to complete self-report qeustionnaires including basic sociodemographic data, Child Behavior Check List(CBCL), Minnesota Multiphasic Personality Inventory(MMPI), and Symptom Check List-90-Revised(SCL-90-R). Korean Wechsler Adult Intelligence Scale(K-WAIS)[or Korean Educational Developmental Institute-Wechsler Intelligence Scale for Children(KEDI-WISC)] and Bender-Gestalt test(BGT) were also done by clinical psychologists. Results:The most common age of the subjects were 15-year-old, and they dropped out their schools in the middle school most commonly. Mostly they were from middle class family and their parents' educational level were high school graduates. The first runaway episode was most common in the middleschool period, and their runaways were repeated. The most common frequency of runaways were more than 10 times. About 10% of them abused drugs and about 80% of them abused alcohol. One third of them had experiences of illegal problems and 10% of them engaged in sexual activity for money. 95 adolescents(83%) in CBCL, 42 adolescents(36%) in SCL-90-R, and 70 adolescents(69.3%) in MMPI showed clinical significance. In intelligence test, 22 adolescents(22%) were mentally retarded. In BGT, 35 adolescents(39.4%) manifested brain dysfunction signs. Conclusion:Runaway adolescents in the shelters have variable and severe psychopathology. Their psychopathology is classified as follows;The behavior disorder group, the mood disorder group with anxiety/depression, the somatic disorder group with somatic symptoms, and the psychosis group with possibility of severe psychopathology. Therefore it is very important to evaluate psychiatric problems of runaway adolescents, and specific therapeutic interventions according to their problems are required.

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Perceptions of Social Changes and Subjective Well-Being: A Cross-National Analysis of the Coping Resource Effectiveness (사회변동의 지각과 주관적 안녕감: 대처자원의 효과에 대한 국가 간 차이의 분석)

  • Jungsik Kim;Wansuk Gim
    • Korean Journal of Culture and Social Issue
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    • v.14 no.1
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    • pp.19-45
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    • 2008
  • The present study investigated the relationship between the perceptions of social change and subjective well-being, and the effectiveness of coping resources in such a relationship by comparing the structural equation models of the samples obtained in two countries (Korea and the United States). Participants in two countries reported their perceived pace of social change, evaluation of social change, subjective well-being, personal resources(self-esteem and self-efficacy), and social resources. Based on the survey data, a structural equation models was developed and compared across two samples to examine the moderation effects of coping resources by culture and nations. As a result, it was revealed that the perceived pace of social change affected subjective well-being through the mediation of the evaluations of social change and that there were differences in the effectiveness of coping resources: social resources had stronger effects for the Korean sample whereas personal resources had stronger effects for the U.S. sample. Discussions on the psychological impact of a new type of social stress, social change, is included.

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Psychiatric symptoms of workers exposed to organic solvents (유기용제 취급자들에게 정신증상)

  • Lee, Seoung-Hoon;Yoon, Nung-Ki;Lee, Jong-Young;Suh, Suk-Kwon
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.1 s.37
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    • pp.1-12
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    • 1992
  • To assess the pattern of psychiatric symptoms and to evaluate the relationship between exposure related variables(duration of work and urinary hippuric acid concenturation) and psychiatric symptoms in organic solvent exposed workers, case control study of forty-two solvent exposed workers and ninethy-six non-exposed workers was conducted. The general health questionnaire 28(GHQ28) was administered to evaluate psychiatric symptoms and urinary hippuric acid concenturations was measured to estimate the present status of solvent exposure in exposed group and to estimate normal level in non-exposed group. The mean concenturation of urinary hippuric acid was significantly higher in exposed group (2.953g/creatinine g) than non-exposed group(0.395g/creatinine g) (P<0.01). The total positive rates of symptoms were significantly higher in exposed group(28.2%) than non-exposed group(17.5%)(P<0.05). The positive rates of symptoms for four sub-scales of GHQ28 in exposed group were in the order of somatic symptoms, anxiety, social dysfunction, depression and in the order of social dysfunction, anxiety, depression, somatic symptoms in non -exposed group. The positive rates of symptoms for somatic symptoms and anxiety were significantly higher in exposed group than non-exposed group (P<0.05) and the proportion of workers with six or more positive symptoms(dysthymic states) in exposed group were significantly higher than non-exposed group (P<0.01). After the effect of age, sex, level of income, level of education, and duration of work were controlled, the total score of GHQ28 was still significantly different between exposed and non-exposed group(P<0.01). In multipile logistic regression analysis on the dysthymic state, the odds ratio of level of income was statictically significant in both group. The odds ratios of exposure related variables such as duration of work and hippuric acid concenturations were not statistically significant but there was a tendency that exposure related variables had an affect on dysthymic state in exposed group. In future, continuous evaluation of psychiatric symptoms on organic solvent exposed workers and studies to detect the factors that affect on psychiatric symptoms are required.

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THE SOCIAL SKILLS TRAINING IN CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER(ADHD) (주의력결핍/과다활동장애(ADHD) 아동에서 사회기술훈련)

  • Han, Eun-Sun;Lee, Yang-Hee;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.79-93
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    • 2001
  • Objectives:The children with ADHD have some deficits in social skills including the peer relationship. There are several approaches to teaching social skills to children with ADHD, and many are combined in comprehensive programs to maximize treatment effects. We conducted this study to explore the direct effects of social skills training program applied to children with ADHD. Method:Five children and their mothers who were diagnosed to Attention Deficit-Hyperactivity Disorder(ADHD) in Y elementary school survey participated to the study. We performed the 8-session program with the modified the Pfiffner and McBurnett's program(1997), and assessed the social skills, problem behaviors, peer acceptance, parenting behaviors, and parenting stress. Results:Parent's reports were some different from teacher's reports;teacher reported improvement in social skills and peer acceptance, but parent notified decrement in problem behaviors. And also, there were no changes in maternal behaviors, but significant reducing effects in parenting stress. Conclusion:The stimulants are mainstream in treatment of children with ADHD. The social skills training programs are combined in comprehensive treatment programs in children with ADHD to maximize treatment effects.

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A Study on the Effect of Social Support on Entrepreneurial Intentions and Entrepreneurial Behaviors: Mediating Effects of Entrepreneurial Self-Efficacy and Entrepreneurial Intentions (사회적 지지가 창업의도 및 창업행동에 미치는 영향에 관한 연구: 창업자기효능감과 창업의도의 매개효과)

  • OK, Jun Woo;Hyun, Byung Hwan;Chang, Eun Sil;Yang, Jae Min
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.1
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    • pp.151-165
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    • 2020
  • Recently, the government has been spending a large amount of money to support start-ups with its major policies aimed at economic growth and job creation under the keynote of innovative growth. Nevertheless, the Global Entrepreneurship Development Institute (GEDI) gave a very low assessment of the social and cultural support areas of Korea's start-up ecosystem in the 2018 Global Entrepreneurship Index (GEI), indicating that unlike the government's interest, our perception of start-ups has not been positive. This study surveyed 300 prospective entrepreneurs and entrepreneurs. In addition, this study empirically analyzes how social support of those around them is related to their entrepreneurial intentions and behaviors. As a result, it was not possible to confirm whether social support affects entrepreneurial intentions, but social support had positive influences on entrepreneurial behaviors. In addition, social support was found to have positive influences on entrepreneurial behaviors with dual mediation of entrepreneurial self-dfficacy and entrepreneurial intentions. Therefore, it was confirmed that social support is a factor that influences entrepreneurial behaviors and that entrepreneurial self-efficacy has important parametric effects. The findings of this study suggest that the government and entrepreneurship support agencies need to reflect programs in start-up support poject to promote social support for start-ups and to enhance entrepreneurial self-efficacy.

Effects of Food Behavior on Social Competence and Hyperactivity of Preschoolers (취학 전 아동의 식생활 행동이 사회적 능력 및 과잉 행동에 미치는 영향)

  • 김정현;이명희
    • Journal of Korean Home Economics Education Association
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    • v.15 no.4
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    • pp.147-157
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    • 2003
  • The purpose of this study was to examine the relationship between food behavior and social competence and hyperactivity among 330 children aged 5-6 years. Social competence and hyperactivity of the children were measured simultaneously by both children´s mothers and their teachers using the same checklists. A significant difference was noted between the teachers´ and the mothers´ assessment upon the association of food behavior with both social competence and hyperactivity (p<0.05). Health status was closely related to only the teacher´s food behavior assessment(p<0.05). Children´s social competence was significantly related with the degree of children´s activity and the degree of hyperactivity was negatively related with their sleep status(p<0.05). The higher the teachers´ assessments on the children´s food behavior were, the higher the children´s social competences were(p<0.05). However, this positive relationship between food behavior and social competence were not observed by the mothers´ assessment. These results indicate that food behavior assessed by the teachers, not by mothers, plays a role in children´s social competence and hyperactivity.

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Psychopathology, Self Esteem and Quality of Life in Cancer Patients with Radiotherapy (방사선 치료 중인 암환자의 정신병리, 자아존중감 및 삶의 질)

  • Jeong, Chan-Young;Yang, Jong-Chul;Shin, Il-Seon;Choi, Young;Yoon, Jin-Sang;Lee, Moo-Seok;Lee, Hyung-Young;Nah, Byung-Sik
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.92-100
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    • 2002
  • Objectives : As medical science develops, survival rate of cancer patients rises. Therefore, psychologic understanding and improving quality of life in cancer patients is getting greater significance. The Object of this study is to investigate sociodemographic and clinical characteristics, psychopathology, self esteem and quality of life in cancer patients and to provide useful information for therapeutic approach to cancer patients. Methods : The subjects were 41 patents who had been treated by radiotherapy and 20 normal people. Sociodemographic information and clinical characteristics of cancer patients were investigated, and SCL-90R for psychopathology, Rosenberg Self-esteem Scale for self esteem, WHOQOL-BREF for quality of life were administered to subjects. The results of both groups were compared and analysed, and correlation between variables were evaluated. Results : 1) The tendency of Somatization, obsession-compulsion, depression, anxiety, hostility, phobia, psychosis in cancer group were higher than normal group. Especially, somatization and anxiety in cancer group were significantly higher than normal group. 2) Self esteem and quality of life in cancer group were significantly lower than normal group. 3) No significance were found in comparison of psychopathology, self esteem and quality of life according to sociodemographic variables. Among clinical characteristics, higher somatization was shown in case of more weight loss, and higher somatization and lower quality of life was shown in the presence of pain. 4) Higher anxiety was significantly associated with lower self esteem, and Higher somatization and anxiety was significantly associated with lower quality of life. Conclusion : Cancer patients had various kinds of psychopathology, low self esteem and low quality of life. In particular, somatization and anxiety, self esteem and pain were found to be important factors to quality of life of cancer patients. Therefore, management of psychopathology, improving self esteem, pain control is necessary to improve quality of life in cancer patients.

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Comparisons of Subjective and Actigraphic Measurements of Sleep between Shift-working and Daytime Psychiatric Nurses (정신과 교대근무와 주간근무 간호사에서 수면의 주관적 및 활동기록기 평가의 비교)

  • Kwak, Jun;Yoon, Bo-Hyun;Jeon, Bong-Hee;Sea, Young-Hwa;Song, Jye-heon;Park, Su-hee;Kim, Kyung-Min;Jung, Ha-ran;Jeong, Yu-Ran;Park, Jinhyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.166-175
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    • 2017
  • Objectives: Shiftwork is known to be one of the common causes of sleep and health problems and finally causes the decreased quality of life. The purpose of this study was to investigate the sleep patterns of shift-working and daytime psychiatric nurses using actigraphy and compare it with subjective assessment for sleep. Methods : Twenty-three shift-working and 25 daytime nurses were enrolled. They rated their sleep quality using Pittsburgh Sleep Quality Index(PSQI) and other self-rating scales were measured for psychosocial aspects. Actigraphy was applied to the subjects for a total of 7 days to measure the sleep parameters. They also wrote sleep diaries during the period of wearing actigraphy. Sleep-related parameters of actigraphy, global score and components of PSQI, and the results of other self-rating scales were compared between shift-working and daytime nurses. Results : Although the global score of PSQI did not show significant difference, the PSQI components showed significant differences between two groups: the shift-working nurses showed lower sleep quality, more sleep disturbance and hypnotic medication use, and worsened daytime dysfunction than daytime nurses. The shift-working nurses showed significantly shorter total time in bed and total sleep time, lower sleep efficiency, and longer average awakening time than those of daytime nurses in actigraphy. Conclusions : The results showed that shift-working nurses experienced more sleep disturbances in both subjective and objective aspects of sleep than daytime nurses. This study also suggests that actigraphy may be useful to measure the objective aspects of sleep that are difficult to assess with subjective questionnaires alone.

A Study for Link of Institution in Disaster Management : Ansan District Study (재난 지원에 있어 지역사회 기관 연계에 관한 연구)

  • Yoon, Seoyoung;Yoon, Ho-kyoung;Kim, So-yeon;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.125-132
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    • 2016
  • Objectives : The management of disaster should be immediate and sustainable. Further, it is hard to predict where the disaster will occur, using pre-exists governmental and non-governmental organizations are important. In this study, we tried to investigate the associated activities of organizations performed in Ansan city, in Sewol ferry accident. Methods : A total 121 workers in 25 organizations were surveyd about organizations which they worked with, kind of works performed, frequency of meetings, satisfaction in activities and factors associated with dissatisfaction in usual state and in Sewol ferry accident state, respectively. The differences between those two situations were analyzed using paired t-test for continuous variables and Chi-square test or McNemar test for categorical variables. Results : The total number of linkage of institutions were decreased(from n=397 to n=251) and the mean scores of rating satisfaction were significantly lower in most of organizations in disaster state. The rigid policy in performance evaluation was more likely associated with dissatisfaction in disaster state than usual state(p=0.045). Conclusions : For effective linkage of institutions, preparedness, such as understanding the capability of organizations in the communities and developing the protocol for associated activities, is important. The unnecessary and effortful performance evaluation should be sublated.

Psychological Characteristics of Living Liver Transplantation Donors using MMPI-2 Profiles (MMPI-2를 이용한 생체 간 공여자들의 심리적 특성에 대한 연구)

  • Lee, Jin Hyeok;Choi, Tae Young;Yoon, Seoyoung
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.42-49
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    • 2019
  • Objectives : Living donor liver transplantation (LDLT) is a life-saving therapy for patients with terminal liver disease. Many studies have focused on recipients rather than donors. The aim of this study was to assess the emotional status and personality characteristics of LDLT donors. Methods : We evaluated 218 subjects (126 male, 92 female) who visited Daegu Catholic University Medical Center from August 2012 to July 2018. A retrospective review of their preoperative psychological evaluation was done. We investigated epidemiological data and the Minnesota Multiphasic Personality Inventory-2 questionnaire. Subanalysis was done depending on whether subjects actually underwent surgery, relationship with the recipient, and their gender. Results : Mean age of subjects was $32.19{\pm}10.91years$. 187 subjects received LDLT surgery (actual donors) while 31 subjects didn't (potential donors). Donor-recipient relationship included husband-wife, parent-children, brother-sister etc. Subjects had statistical significance on validity scale L, F, K and all clinical scales compared to the control group. Potential donors had significant difference in F(b), F(p), K, S, Pa, AGGR, PSYC, DISC and NEGE scales compared to actual donors. F, D and NEGE scales were found to be predictive for actual donation. Subanalysis on donor-recipient relationship and gender also showed significant difference in certain scales. Conclusions : Under-reporting of psychological problems should be considered when evaluating living-liver donors. Information about the donor's overall psychosocial background, mental status and donation process should also be acquired.