• Title/Summary/Keyword: 정신사회적 평가

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Clinical Characteristics of Psychiatric Patients with Military Issues Using MMPI-2-RF (군복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군의 MMPI-2-RF 프로파일)

  • Sung, Gyhye;Park, Ji-Hyun;Kim, Keun-Hyang;Lee, Sang-Hyuk;Park, Eun-Hee;Choi, Ji Young
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.33-45
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    • 2017
  • Objectives : The purpose of this study was to examine psychological characteristics of patients who visited psychiatric clinic for medical certificate for military service using MMPI-2-RF. We compared target group with general psychiatric patients with same age range. Methods : A total of 165 male patients for medical certificate and 154 general psychiatric patients were collected from the Department of Psychiatry of three university hospitals. There were significant differences of age and educational level between two groups. We used independent t-test, ANCOVA, ${\chi}^2$ test to examine differences between two groups. Results : Medical certificate group scored higher on the validity scales, the Higher-Order(H-O) scales, the Restructured Clinical(RC) Scales, the Specific Problems(SP) Scales, and the Personality Psychopathology Five (PSY-5) Scales. Especially, EID, RC7, HLP, SFD, SAV, SHY, DSF, and INTR-r showed significant differences between two groups on all three statistical tests. Conclusions : The present study showed that psychiatric patients who received psychological evaluation for military service have significantly higher emotional distress, helplessness, lower self-confidence, and lower quality of interpersonal relationships. And the difference of validity scales between two groups could be related with psychological burden of compulsory military service in the study sample which causes elevation on scales of infrequent responses. MMPI-2-RF would be helpful instrument to assess these emotional and psychological characteristics.

PARENTAL ATTACHMENT STYLES AND PSYCHIATRIC MANIFESTATIONS IN THEIR $4^{th}\;TO\;6^{th}$ GRADE ELEMENTARY SCHOOL CHILDREN (부모의 애착 유형과 초등학교 고학년 아동의 정신병리와의 상관 관계)

  • Yoo Han Ik;Hwang Jun Won;Kim Boong-Nyun;Shin Min Sup;Hong Kang-E;Cho Soo Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.47-53
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    • 2005
  • Objectives : Few studies have examined the relation between the attachment styles of the primary caregivers and the behavioral problems of their children. This study was performed to identify the impact of the insecure parental attachment patterns on the development of their higher grades elementary school children's psychiatric manifestations and disorders. Methods : 504 higher elementary pupils and their primary caretakers were included in our study. Relationship Questionnaire, Kovacs Children's Depression Inventory, Spielberger's State-Trait Anxiety Inventory for children, and Korean Child Behavior Checklist were applied to them. Results : The grade-school children of the parents who belonged to preoccupied attachment type revealed higher Withdrawn, Anxious/depressed, Social Problems, Attention Problems, Delinquent Problems, Aggressive Problems, Internalizing Problems, Externalizing Problems, Total Behavioral Problems scores than ones of securely attached parents (p<0.01). Internalizing Problems score of preoccupied parents' children was highest, and one of avoidant and secure typed parents' kids followed in order (p=0.004) . More youngsters revealed Total Behavior Problem score high enough to clinically meaningful level in insecure parental attachment style than in secure one (p=0.038). Higher CDI score in insecure parental group was reported than in secure one (p=0.040). Conclusion : Parental insecure attachment can be associated with the development of the behavioral problems and psychiatric illness of their children.

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성인병 뉴스 제307호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.307
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    • pp.1-18
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    • 2006
  • 경기도 의왕시 보건소 임인동 소장/의료비지출 OECD국가 중 최하위/“암환자 96%가 정상활동 못해”/MRI 진료비 18.2% 환불조치/“진료비 부당 청구 심사 강화”/대형병원 환자 집중현상 심화/제왕절개 분만율 평가결과 공개/KGMP 국제적 수준 높인다/완제의약품 생산국가 표기‘명확’/“국내 제약산업 희생양”안 된다/‘산디문 뉴오랄’당뇨 발현억제/지역사회정신보건사업 선도적 추진/지역보건의료계획 어떻게 추진되고 있나/버섯, 항암 등 15가지 약리효과 입증/자궁경부암은 HPV가 주원인이다/증상 없다고 대장암 안심은‘금물’/1급발암 물질 석면 사용 금지/고지혈증/당뇨병과 비만/

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A Study on the Effects of Visiting Companion Dog Program on People with Chronic Mental Disability (치료감호소의 만성정신장애인을 대상으로 한 반려견 방문프로그램의 효과에 관한 연구)

  • Kim, Sung-Chun;Noh, He-Len
    • Korean Journal of Social Welfare
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    • v.36
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    • pp.1-20
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    • 1998
  • This study was conducted to find out the effects of visiting companion dog program on people with chronic mental disability. Visiting companion dog program was carried out for one hour every week for about three months between January and March of 1997 for chronic schizophrenic patients with severe negative symptoms and evaluated by the treatment team as those who are incapable of participating in any other program aside from medication. In order to measure the effects of the program PANSS: Positive and Negative Syndrome Scale was conducted by two trained evaluators. The results showed that there was a statistically significant decrease in scores of negative symtoms and general psypathological symtoms. Moreover, scaling scores reported by the nurses and occupational therapist also reveal that the patients show positive changes such as improvement in conversational interaction and facial expressions. Such results evidence that companion animals can have positive emotional and mental influence on people with chronic mental disability. Furthermore the fact that the visiting companion dog program became a program that the chronically mentally disabled who could not participate in any other program can easily participate and enjoy is a meaningful finding in and of itself.

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Analysis of Health-related Push and Pull Factors in Mountain Climbing (등산활동의 건강관련 동기요인과 유인요인 분석)

  • Kim, Jae Jun;Lee, Hye Rin;Lee, Min Ha;Kang, Min Ji;Park, Su Jin
    • Journal of Korean Society of Forest Science
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    • v.100 no.3
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    • pp.327-333
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    • 2011
  • This study was aimed to specify health-related push and pull factors in mountain climbing and provide effective management strategy for mountain-based recreational setting through the identification of the reciprocal relationship between the push and pull factors. The results of survey by 440 mountain climbers at Mt. Dobong, Mt. Bukhan, Mt. Kwanak, and Mt. Cheonggye showed that three dimensions were respectively derived from health-related 15 push items and 11 pull items; therapeutic care, mental health, physical fitness in push factors and cultural, socio-economic, and natural environment in pull factors. According to an analysis of influence between push and pull factors, natural environment was reported to be the greatest influencing pull factor on therapeutic care and physical fitness, and socio-economic environment was on mental health.

Comparison of Attitude Toward Antidepressants Between Medical and Surgical Group Outpatients in a Korean University Hospital (일 대학병원 내과계열 및 외과계열 외래 환자들의 항우울제에 대한 태도 및 인식에 대한 연구)

  • Lee, Sang-Soo;Seo, Jeok-Seok;Moon, Seok-Woo;Nam, Beom-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.52-58
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    • 2008
  • Objectives : Antidepressants are prescribed by not only psychiatrists but also general practitioners. However, patients' negative attitude and stigma against antidepressants are major obstacles to prescribe antidepressants in nonpsychiatric outpatient departments. We, therefore, examined patients' attitude toward antidepressant in medical and surgical group outpatient in Korea. Methods : Short item questionnaire was applied to medical group and surgical group outpatients who consented to this survey in a Korean university hospital. 100 medical and 100 surgical outpatients were surveyed. The questionnaire contained sociodemographic information, previous recognition of antidepressant, and general attitude toward attidepressants. Results : Of the 212 recipients, exclusive of erroneous and missing ones, we analyzed 200 recipients. 1) We found negative attitude toward antidepressants among both medical and surgical outpatients. 2) Medical group outpatients are answered more' antidepressants cause physically ill. 3) The persons who didn't take previously antidepressants showed more negative attitudes. 4) The most reason why they refuse to take antidepressants is concerns of side effects of antidepressants. Conclusion : There are highly negative attitude toward antidepressants between medical and surgical group outpatients. Study findings suggest the need for an active education on antidepressants to nonpsychiatric outpatients to maximize their therapeutic effect and compliance.

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The Effects of Health Promotion Initiatives with Community Participation and Parterships: The Case of Sabong-Myeon in Jinju City (지역사회참여와 파트너쉽에 기반을 둔 지역건강증진사업의 효과: 진주시 사봉면 사례)

  • Jeong, Baekgeun;Kim, Jang-Rak;Kang, Yune-Sik;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.39 no.4
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    • pp.209-221
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    • 2014
  • Objectives: The objective of this study was to identify the effects of area-based health promotion initiatives with community participation and partnerships conducted in Sabong-Myeon, Jinju City for three years. Methods: We used data from the '2008 Sabong-Myeon Health Survey' and the '2011 Health Plus Happiness Plus Community Health Survey'. The study comprised 520 systematically sampled individuals, composed of 300 adults in 2008 and 200 adults in 2011. We compared some health behavior and mental health indicators as well as social capital levels between these two surveys. Results: The prevalences of smoking and walking exercise in 2011 were significantly higher than those in 2008. The prevalences of high risk alcohol consumption in men, stress perception, depressive symptoms experience, and suicide ideation were significantly lower than those in 2008. The proportion of people having a high level of social capital in 2011 was significantly higher than that in 2008, regardless of sex or marital status. However, the difference in the proportion was not statistically significant among people with a high educational background. Conclusions: This study suggested that the 3 years' implementation of area-based health promotion initiatives conducted in Sabong-Myeon might help to improve the mental health and social capital level of this community. The long-term health effects of area-based health promotion initiatives with community participation and partnerships need to be studied further, and lessons from these initiatives can be obtained by adapting proper evaluation methods.

RELATIONSHIP OF MOTHERS' SELF-PERCEPTION WITH PERCEPTION OF CHILDREN'S PROBLEMS - FOCUSING ON VALIDITY SCALES OF MMPI & KPI-C - (어머니의 자기 지각 성향과 자녀 문제에 대한 지각 성향간의 관계 - MMPI와 KPI-C의 타당도 척도를 중심으로 -)

  • Kim, Keun-Hyang;Jung, Yoo-Sook;Hong, Sung-Do;Kim, E-Yong;Kim, Ji-Hae
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.174-179
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    • 1998
  • Objective:Present study investigated the relationship between mothers' self-perception and perception of children's problems. Method:Subjects were 63 children, mothers, who visited child & adolescent psychiatric clinic. Their mothers completed Minnesota Mulpiphasic Personality Inventory(MMPI) & Korean Personality Inventory for Children(KPI-C). Correlation between validity scales of mothers' MMPI and validity scales of KPI-C was analysed, and then we divided subjects into two group(High & Low Group) according to the MMPI validity scales, and compared KPI-C's validity scales by student t-test. Result:There were significant positive correlation(r=.30) between K scale of MMPI and L scale of KPI-C, significant negative correlation(r=-.32) F scale of MMPI and L scale of KPI-C. The Means of T scores did show significant difference according to MMPI F, K scales in KPI-C L scale, to MMPI L scale in KPI-C F scale. Conclusion:These results indicated that defensive mothers tend to perceive her child's problems more defensively. However mothers who exaggerate their problem more severely, do not exaggerate their children's problem. Therefore, these result suggested that we should be careful not to underestimate children's problem whose mother elevated in K scale of MMPI.

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Exploring the Evaluation Framework of Maker Education (메이커교육(Maker Education) 평가틀(Evaluation Framework) 탐색)

  • Kang, Inae;Yoon, Hyea Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.541-553
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    • 2017
  • Maker education rooted on Maker Movement refers to constructivist learning approach in which students as makers participate in producing visible outcomes through self-directed inquiry and creative hands-on activities in a real life context to solve their personal or social problems. The Maker education, therefore, stresses cultivation of 'maker mindset' in the process-oriented learning environments, pursuing evaluation aspects different from those in the existing educational system. In this context, this study aimed to explore an evaluation framework for the Maker education which reflects the Maker mindset: First, a literature review was conducted to search for the evaluation framework of the maker education which consists of the category of 5 ONs (Minds-on, Hands-on, Hearts-on, Social-on, Acts-on) representing intellectual, physical, emotional, interpersonal and practical aspects, respectively; Second, a Delphi survey for content validity was carried out to confirm the adequacy of the 5 ONs category along with sub-elements for each category. Finally, this study presented the evaluation framework for the Maker education, which is expected to be used as feedback rather than a measuring tool for the process and environments of the Maker education.

Psychophysiologic Responses to Event Imagery in Traffic Accident Related Patients (교통사고관련 환자에서 사건상상에 대한 정신생리반응)

  • Chung, Sang-Keun;Choi, Myong-Su;Hwang, Ik-Keun
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.45-51
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    • 2001
  • Objectives: The experience of traffic accident is a kind of the psychosocial stressors to person. The traffic accident-related patients may show the psychophysiologic hyperarousal. So we examined the differences of psychophysiologic response between patients with and without the memory of experienceing a traffic accident. Methods: Twenty-four traffic accident-related patients were divided into two groups according to ther memory of a traffic accident. In psychological assessment, levels of anxiety and depression were evaluated by State-Trait Anxiety Inventory, Beck's Depression Inventory, and Hamilton Rating Scales For Anxiety and Depression. Heart rate, electrodermal response (EDR), and electromyographic activity (EMG) were measured by biofeedback system, and systolic and diastolic blood pressure by automated vital sign monitor during baseline, task, and rest periods. We utilized script-driven imagery technique as a stressful task. The patients listened to the script describing their own traffic accident experience and were instructed to imagine the event during the task period. Statistically analytic data were obtained from the differences of psychological and psychophysiologic data between two groups. Results: The memory group did not show significantly higher EDR than the none memory group, but showed higher tendency during baseline, imagery, and rest periods. The memory group showed significantly lower EMG than the none memory group during rest period. However, there were no differences in other psychophysiologic reponses between the two groups. Conclusion: Our results showed that the memory group had higher tendency in autonomic arousal level such as electrodermal response than the none memory group. We suggest that physicians need to minimize repetitive imagery of traffic accident (reexperience), and decrease the autonomic hyperarousal in the treatment of traffic accident-related patients.

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