• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.15 no.1
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• pp.61-74
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• 2004

Objectives：This study was performed to introduce a psychoeducational family therapy model for the families of schizophrenic patient and to investigate the effect of this model on the changes in coping style and depressive symptoms of the family members, and in perception of emotional support by families and depressive symptoms of patients. Methods：Nine preschool children, 3-5 years old, experiencing physical injuries caused by attack from a psychotic patient at kindergarten, were evaluated for psychological assessments；Intelligence test, MSSB(MacArthur Story-Stem Battery), H-T-P test(House-Tree-Person test). And their parents completed rating scale, KPI-C(Korean Personality Inventory for Children about children’s psychological conditions). Results：With respects to the contents and emotional reactions of MSSB, 9 preschool children showed generally high levels of anxiety, depression, avoidance, aggression, probably related to the traumatic experiences. Even though children couldn't verbally report directly about their traumatic experiences, in both MSSB, structured play narrative assessment tool, and HPT, free drawing and association test, they demonstrated psychiatric problems through reenactment plays, regardless of clinical diagnoses. Conclusion：Present study allowed us the chance to see beyond the outer pathological behaviors of PTSD in preschool children, through deeper evaluations of their mental representation. These preliminary data suggest deep understanding of internal representation would be of help for thorough evaluations and treatment plan for preschool children, experiencing severe trauma.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.77-85
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• 2021

Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

• Korean Journal of Social Welfare
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• v.39
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• pp.350-373
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• 1999

The patient population of U. S. state mental hospitals has changed drastically since the 1960s, when the deintstitutionalization movement began. This paper is designed to look at what happened to the number of inpatients of state hospitals in California during the last 150 years and, from this, to explore implications for the future of the mental health system in Korea, especially for the viability of mental hospitals. The data had been collected by field research(visits to state hospitals and State Department of Mental Health, and interviews with mental health administrators) and accessing statistical publications and various reports. Since the first state hospital opened in 1851 the statewide inpatient population of individuals who were mentally disabled has grown and peaked at 37,489 in 1959. The number of patients in state hospitals, however, began declining in the early 1960s and was reduced to 10,874 by 1971, and to 4,973 by 1986. As of 1997, there were only 4, 263 inpatients remaining in the state hospital system. This dramatic decrease slowed down somewhat in 1980s and 1990s, but this trend seems irreversible except for the inpatients referred by the court. Now the beds in state hospitals are filled with more and more forensic patients, which constitutes nearly 70% of the total inpatient population. Based on these findings, it is well expected that the number of inpatients of mental hospitals in Korea will also be reduced in a significant way as the community-based mental health care system is gradually replacing the traditional one. Mental hospitals need to introduce more diversified programs for the care of the mentally ill, and concurrently more vigorous aftercare programs are required in the community.

• 한국사회정책
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• v.24 no.2
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• pp.61-86
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• 2017

Along with the well-established evidence on the negative effect of social isolation on physical and mental health, increasing attention has been paid to multi-dimensional nature of social isolation. One line of study on social isolation has discussed different pathways between objective and subjective social isolation and health. Another stream of the research focused on the possibly non-linear association between social isolation and health by age cohort groups. Drawing from the two lines of research, this study aimed at empirically examine to what extent objective and subjective social isolation are associated with physical and mental health independently and how the associations vary by three age cohorts(i.e. the middle-aged, the young old, the old-old). Data came from the first wave of Korean Social Life, Health and Aging Project (KSHAP) (N= 814). Findings showed 1) objective subjective isolation were significantly related with worse physical and mental health, interestingly, subjective social isolation was associated with mental health only, 2) pattern of association between social isolation and physical health varied by age cohorts. Specifically, compared to the middle-aged, the young old with higher objective social isolation exhibited lower level of physical health, while the old-old with higher subjective social isolation were likely to experience lower physical health. Based on the findings, we discussed implications and suggestions for future research and relevant policy/program development for ameliorating objective and subjective social isolation.

• 한국벤처창업학회:학술대회논문집
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• 2020.06a
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• pp.95-100
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• 2020

본 연구는 과학기술의 발전과 이에 따른 급속한 사회변화 속에서 청소년의 진로를 탐색하고 역량을 높이기 위해 운영되고 있는 기업가정신 교육의 효과성을 밝히는데 목적이 있다. 청소년기는 미래인재로서 진로탐색을 위해 다양한 시도를 해야 할 필요성이 있는 시기이므로 청소년들에게 다양한 기회를 발견하고 활용하여 문제 상황을 해결해보는 경험이 필요하다할 수 있다. 기업가정신의 구성요인은 일반적으로 위험감수성, 진취성, 혁신성을 포함한다. 위험감수성은 불확실한 결과가 예상됨에도 과감히 도전하려는 의지이고, 진취성은 새로운 기회를 선제적 및 적극적으로 포착하기 위한 노력이며, 혁신성이 새로운 변화와 혁신을 선호하고 추구하면서 문제를 해결하려는 노력이라는 점에서 기회와 창의성, 문제해결력이 기업가정신에 중요한 요인에 포함됨을 판단할 수 있다. 청소년 기업가정신 교육의 효과성 측정항목으로 기업가적 태도와 진로개발역량으로 정하고, 기업가적 태도 하위항목으로 기회발견과 창의성 역량을, 창의성 역량의 세부지표로 창의적 문제해결능력, 협력적 의사소통능력, 혁신적 업무행동능력 선정하였다. 진로개발역량의 하위항목으로 진로설계, 개척정신을 정하였으며 진로설계의 세부지표로 자기탐색, 직업탐색, 직업가치관, 진로태도를, 개척정신의 세부지표로 차별화태도, 도전정신을 선정하였다. 이의 측정을 위해 청소년 기업가정신 교육 프로그램을 경기도 소재 중학교 학생들을 대상으로 2020년 9월부터 10월까지 실시하였다. 본 연구결과로 기업가정신 함양 프로그램을 수강한 학생들이 교육을 통하여 어떠한 역량이 높아졌는지에 대한 검증이 가능할 것으로 사료된다. 또한 이러한 효과측정을 통하여 더 나은 교육프로그램을 개발할 수 있는 계기의 마련과 기업가정신 교육에 대한 이해의 폭을 넓혀 기업가정신 교육의 활성화를 기대할 수 있을 것이다.

• Health and Mission
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• s.6
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• pp.38-42
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• 2006

성 안드레아 신경정신병원은 천주교 한국 순교복자 수도회가 1990년에 현 주소지인 경기도 이천시 마장면 표교리에 개원한 한국 최초의 개방형 정신과 전문병원이다. 이 땅에 가톨릭교회가 전래된 이후 여러 차례의 박해로 인해 우리의 선조들에게 엄청난 정신적 고통을 안겨 주었던 시기가 있었고, 우리가 살아가는 현대사회에는 신앙의 자유가 있지만 유무형의 사회 악현상에 의하여 삶이 황폐해지고 쫓기는 삶을 살고 있는가 하면 정치, 경제, 사회 등의 이유로 정신적 질환자는 매년 증가하고 있는 상황이다. 이런 환경 속에서 과거의 순교자들을 현양한다는 것과 아울러 우리사회의 부정적인 현상으로 인해 발생하는, 정신적인 치료를 요하는 사람들을 돕고 치료하는 것은 순교자 현양이라는 복자수도회의 창설 목적이다.

• Journal of the Korea Convergence Society
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• v.9 no.11
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• pp.371-378
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• 2018

The purpose of this study was to identify the effects of mental clinical practice on attitude toward the mental illness, social distance, psychiatry nurses' image in nursing students. After experiencing mental health clinical practices, social distance(t=-4,29, p<.001), psychiatry nurses' image.(t=-5.89, p<.001) are increased, but their attitude toward the mental illness (t=-1.02, p=.305) is not changed. Significant positive correlation were found between social distance and attitude toward the mental illness(r=.316, p<.001), psychiatry nurses' image(r=.378, p<.001). Based on the outcome of this study, implications for developing further psychiatry nursing teaching curriculum and psychiatry clinical practice program of nursing students.

• Korean Journal of Social Welfare Studies
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• v.47 no.3
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• pp.85-111
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• 2016

This study aims to analyse major changes of Mental Health Promotion and Welfare Service Support Act(MHPWSSA) and critically discuss these changes based on the major discourses on Mental Health Act revision. For this purposes this study reviewed literatures and government reports to understand human rights discourses, welfare discourses, and prevention discourses. Secondly, the major changes of MHPWSSA were analysed and discussed based on those discourses. This study found that MHPWSSA defined the concept of people with mental disorders narrowly, tightened the involuntary admission procedures, introduced welfare service support provisions and mental health promotion provisions. But this study shows that the new legislation may well be criticised due to neglect of the concept of disability and people with psychiatric disability, involuntary admission without mental capacity assessment, neglect of the basic values and principles of self determination and independent living common in welfare of the persons with disability. And the new legislation may be criticised due to overuse of the concept of mental health promotion as encompassing promotion, prevention, treatment and rehabilitation.

• Journal of Convergence for Information Technology
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• v.11 no.10
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• pp.10-19
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• 2021

In this paper, we tried to derive characteristic parameters that reflect mental fatigue through EEG measurement and analysis. For this purpose, mental fatigue was induced through a resting state with eyes closed and performing subtraction operations in mental arithmetic for 30 minutes. Five subjects participated in the experiment, and all subjects were right-handed male students in university, with an average age of 25.5 years. Spectral analysis was performed on the EEG collected at the beginning and the end of the experiment to derive feature parameters reflecting mental fatigue. As a result of the analysis, the absolute power of the alpha band in the occipital lobe and the temporal lobe increased as the mental fatigue increased, while the relative power decreased. Also, the difference in power between resting state and task state showed that the relative power was larger than the absolute power. These results indicate that alpha relative power in the occipital lobe and temporal lobe is a feature parameter reflecting mental fatigue. The results of this study can be utilized as feature parameters for the development of an automated system for mental fatigue determination such as fatigue and drowsiness while driving.

• The Journal of the Korea Contents Association
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• v.15 no.6
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• pp.487-498
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• 2015

The main purpose of this study was to examine the relationship among hoteliers' emotional labor like surface acting (SA) and deep acting (DA), job stress such as physical stress (PS) and mental stress (MS), and extra-role behavior (EB). Using data from 264 surveys collected from five-star hotels' employees, the author empirically tested the research model. Main results on applying structural equation analysis are as follows. (1) SA had positive impacts on both PS and JS while DA was negatively significant on only MS. (2) ER was influenced by DA while there was no significance on SA. (3) MS was negatively related to ER, and PS was also significantly effective; however, the estimate of PS indicated a positive correlation unlike theoretical prediction. In conclusion, a discussion about the interesting phenomenon was held based on self-rewarding acts.