• Title/Summary/Keyword: 정신형

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Korean Guidelines for the Treatment of Panic Disorder 2018 : Psychosocial Treatment Strategies (2018 한국형 공황장애 치료지침서 : 정신사회적 치료전략)

  • Gim, Minsook;Kim, Min-Kyoung;Lee, Jae-Hon;Kim, Won;Moon, Eunsoo;Seo, Ho-Jun;Koo, Bon-Hoon;Yang, Jong-Chul;Lee, Kang Soo;Lee, Sang-Hyuk;Kim, Chan-Hyung;Yu, Bum-Hee;Suh, Ho-Suk
    • Anxiety and mood
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    • v.15 no.1
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    • pp.13-19
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    • 2019
  • Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018. Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals. Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder. Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.

Examining Psychometric Properties of the Brief Symptom Inventory(BSI-18) in Korean People with Mental Disorders (정신장애인에 대한 Brief Symptom Inventory-18의 신뢰도와 타당도에 관한 연구)

  • Hoe, Maanse;Lee, Soonhee
    • Korean Journal of Social Welfare
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    • v.66 no.3
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    • pp.253-276
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    • 2014
  • The purpose of the present study was to examine psychometric properties of the BSI-18 in Korean adults with mental disorders. This study examined internal consistency, test-retest reliability, convergent validity, and a factor structure of the BSI. The sample consisted of 180 adults with mental disorders, who enrolled in mental hospitals and in a day hospital. Data was analysed using reliability analysis, correlation analysis, and confirmatory factor analysis. Major findings were as follows. The Korean version of the BSI showed good internal consistency and test-retest reliability, as well as excellent convergent validity. The original three-factor structure of the BSI-18, proposed by Derogatis, 2001, fitted to the data. These findings indicate that the BSI-18 is a reliable and valid measure as a psychiatric assessment tool and a treatment outcome measure.

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여성의 기업가정신이 창업성과에 미치는 영향: 경력단절여성창업자 대상으로 회복탄력성 조절효과검증

  • 길한나;김종성
    • 한국벤처창업학회:학술대회논문집
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    • 2023.11a
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    • pp.101-105
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    • 2023
  • 대한민국은 2017년 이후 저출산·고령화사회로 진입하였고 생산가능인구가 감소함에 따라 노동생산성이 낮아지고 있으며, 여성의 경력단절 문제가 심각한 사회문제로 대두되고 있다. 정부에서는 여성가족부와 고용노동부가 함께 여성의 경력단절 예방과 해결을 위해 다양한 지원창업과 경제활동을 장려하고 있지만 현실에서의 재취업장벽과 열악한 노동환경, 일과 가정의 양립 문제 등으로 인해 경력단절 여성들 특히, 고스펙·고학력의 여성들은 취업이 아닌 창업을 선택하고 있으나 창업의 성공률은 그다지 높지 않아 다양한 대비책이 요구되는 실정이다. 여성 기업가는 창업부터 성장하기까지 수많은 위험요소에 노출되어 있으며 이러한 위험요소를 체계적으로 관리하고 극복하는 노하우를 쌓아 잘 활용하였을 때 경제활동의 핵심주축으로 성장할 수 있으며 창업이라는 혁신적이고 생산적인 활동으로 전환해 일자리 창출 및 기업의 혁신과 나아가서는 국가경제발전에 기여할 수 있는 토대가 될 수 있다. 본 연구의 목적은 여성의 기업가정신이 창업성과에 미치는 영향을 실증 분석하는데 있다. 경력단절여성 창업자를 대상으로 기업가정신이 창업성과에 미치는 영향과 회복탄력성이 조절효과를 갖는지 여부를 확인하고자 하였다. 여성기업가 특유의 소비자의 욕구를 세심하고 활동적으로 파악하여 생활밀착형 아이디어가 풍성면모와 창조적인 아이디어를 갖고 적극적으로 실행해보고자 하는 진취적인 성향과 회복탄력성이 창업성과에 영향을 미칠 것이라는 상황에 초점을 두고 연구모형을 설정하였다. 이를 위해, 기업가정신의 구성요소를 '혁신성', '진취성', '위험감수성'을 독립변수로 구성하였고, 창업성과의 주요구성요소인 '재무성과', '비재무성과'를 종속변수로 설정하였다. 또한 회복탄력성을 조절변수로하는 연구모형을 상정하였고 이는 여성의 기업가정신과 창업성과의 관계에서 회복탄력성의 조절효과여부를 확인하여 여성의 기업가정신교육과 회복탄력성의 중요성을 밝히고 활성화를 목적으로 하고 있다. 본 연구는 여성의 기업가정신이 창업성과에 긍정적 영향을 미친다는 것을 규명했다는 점에서 시사점을 갖는다. 심각한 사회문제로 떠오르고 있는 여성의 경력단절 문제를 해소하기 위해 향후 중소벤처기업부 및 여성가족부, 고용노동부 등에서는 여성창업자를 대상으로 체계적인 기업가정신교육과 회복탄력성에 관한 교육을 시행할 것을 제언한다.

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대학 창업교육이 진로에 미치는 효과성에 대한 연구

  • An, Tae-Uk;Park, Jae-Hwan
    • 한국벤처창업학회:학술대회논문집
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    • 2018.04a
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    • pp.115-121
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    • 2018
  • 창업교육에서 강조하는 창의성 역량은 사회에 필요한 융합형 인재 육성을 위해 반드시 필요한 부분이다. 하지만 이제까지 창업교육에 대한 효과성을 검증함에 있어서 창업분야에 대한 단편적인 효과중심으로 연구되었고 진로에 어떠한 영향을 미치는지에 대한 효과 연구는 매우 부족한 실정이다. 이에 본 연구에서는 선행연구와 차별적으로 대학의 창업교육을 통한 역량함양이 사회에 진출을 앞두고 있는 대학생의 진로준비와 행동에 어떤 영향을 미치는지에 대해 실증분석 검증하였다. 2016년 8월부터 설문조사를 실시하였고 지역별 창업교육을 수강한 대학생 393개의 표본을 실증분석에 활용하였다. 분석결과 창업교육을 통해 함양된 협업적의사소통능력, 창의적문제해결능력은 기업가정신과 자기효능감에 정(+)의 영향을 미쳤고, 기업가정신과 자기효능감은 진로준비행동에 정(+)의 유의미한 영향을 미쳤다. 또한 기업가정신, 자기효능감의 매개효과 검증에서 협업적 의사소통능력, 창의적 문제해결능력과 진로준비행동 사이에 정(+)의 영향을 미쳤지만 창업교육에 의한 창의성 역량들은 진로준비행동에는 직접적인 유의미한 영향이 없는 것으로 분석되었다. 이에 본 연구의 시사점은 대학의 창업교육의 효과 검증에서 창업교육의 양적인 확대보다는 기업가정신과 자기효능감을 고취 함양시킴으로써 진로준비행동에 긍정의 영향을 미친다는 시사점을 도출 할 수 있었다. 또한 대학 창업교육의 중요성 검증과 향후 다양한 효과에 대한 평가를 학생창업 영역 뿐만 아니라 다각도로 추가 연구가 필요하겠다.

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Evolutionary Model of Individual Behavioural Variations (개체 간 행동 양상 변이의 진화적 모델)

  • Park, Hanson
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.1-12
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    • 2019
  • The behavioural patterns of individuals in the same species are very diverse. The phenomenon in which different behavioural phenotypes are maintained in the same species for long time can be explained by niche specialization or frequency dependent selection, but it has not been proven yet. Especially, the high prevalence of mental illnesses as extreme behaviour patterns is one of the challenges of evolutionary psychology. From an evolutionary point of view, several frameworks for studying various patterns of behaviours or psychopathologies may be proposed. In this paper, I briefly explain animal models, personality factor models, DSM-IV multiaxial models, FSD models, and RDoC models, and discuss their advantages and disadvantages, focusing on the evolutionary approach to behavioural variation among individuals.

Psychotherapy for Somatoform Disorder (신체형 장애의 정신치료)

  • Lee, Moo-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.269-276
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    • 1996
  • A theroretical study was made on the psychodynamism of somatoform disorder. Somatoform disorder is caused by a defense mechanism of somatization. Somatization is the tendency to react to stimuli(drives, defenses, and conflict between them) physically rather than psychically(Moore, 1990). Ford(1983) said it is a way of life, and Dunbar(1954) said it is the shift of psychic energy toward expression in somatic symptoms. As used by Max Shur(1955), somatization links symptom formation to the regression that may occur in response to acute and chronic conflict. In the neurotic individual psychic conflict often provokes regressive phenomena that may include somatic manifestations characteristic of an earlier developmental phase. Schur calls this resomatization. Pain is the most common example of a somatization reaction to conflict. The pain has an unconscious significance derived from childhood experiences. It is used to win love, to punish misdeeds, as well as a means to amend. Among all pains, chest pain has a special meaning. Generally speaking, 'I have pain in my chest' is about the same as 'I have pain in my mind'. The chest represent the mind, and the mind reminds us about the heart. So we have a high tendency to recognize mental pain as cardiac pain. Kellner(1990) said rage and hostility, especially repressed hostility, are important factors in somatization. In 'Psychoanalytic Observation on Cardiac Pain', psychoanalyst Bacon(1953) presented clinical cases of patients who complained of cardiac pain in a psychoanalytic session that spread from the left side of their chests down their left arms. The pain was from rage and fear which came after their desire to be loved was frustrated by the analyet. She said desires related to cardiac pain were dependency needs and aggressions. Empatic relationship and therapeutic alliances are indispensable to psychotherapy in somatoform disorder. The beginning of therapy is to discover a precipitating event from the time their symptoms have started and to help the patient understand a relation between the symptom and precipitating event. Its remedial process is to find and interpret a intrapsychic conflict shown through the symptoms of the patient. Three cases of somatoform disorder patients treated based on this therapeutic method were introduced. The firt patient, Mr. H, had been suffering from hysterical aphasia with repressed rage as ie psychodynamic cause. An interpretation related to the precipitating event was given by written communication, and he recovered from his aphasia after 3 days of the session. The second patient was a dentist in a cardiac neurosis with agitation and hypochondriasis, whose psychodynamism was caused by a fear that he might lose his father's love. His symptom was also interpreted in relation to the precipitating event. It showed the patient a child-within afraid of losing his father's love. His condition improved after getting a didactic interpretation which told him, to be master of himself, The third patient was a lady transferred from the deparment of internal medicine. She had a frequent and violent fit of chest pains, whose psychodynamic cause was separation anxiety and a rage due to the frustration of dependency needs. Her symptom vanished dramatically when she wore a holler EKG monitor and did not occur during monitoring. By this experience she found her symptom was a psychogenic one, and a therapeutic alliance was formed. later in reguar psychotherapy sessions, she was told the relaton between symptoms and precipitating events. Through this she understood that her separation anxiety was connected to the symptom and she became less terrifide when it occurred. Now she can travel abroad and take well part in social activities.

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STUDY ON THE RELATIONSHIP BETWEEN ONTOGENY OF SEROTONIN SYSTEM AND PSYCHOPATHOLOGY IN CONDUCT DISORDER (행동장애에 있어서 Serotonin계의 개체발생적인 과정과 정신병리와의 상호관계에 관한 연구)

  • Shin, Sun-Woong;Shin, Min-Sup;Hwang, Jun-Won;Kim, Boong-Nyun;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.112-122
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    • 2003
  • Objectives:Considerable data indicate that diminished serotonergic activity is related to aggressive behavior. In order to understand the biological etiology in conduct disorder, we studied the relationships of plasma serotonin and 5-HIAA levels in conduct disorders to measures of aggression, violation of rules and oppositional defiant behavior. Methods:Subjects were selected from inpatients and outpatients department of the Division of Child and Adolescent Psychiatry of Seoul National University Hospital. 41 conduct disorders(18 childhoodonset type, 23 adolescent-onset type) and 23 normal controls were included in this study. For the assessment of aggression, rule violation and oppositional behavior, parents completed the rating scale for conduct disorder and oppositional behavior based on the DSM-IV diagnostic criteria. Plasma serotonin and 5-HIAA levels were determined by HPLC with electrochemical detection. Results:1) Plasma 5-HT and 5-HIAA levels were not significantly different among childhood-onset conduct disorder, adolescent-onset conduct disorder and normal control subjects. 2) No significant correlations were found between plasma 5-HT levels and aggression or rule violation. 3) Plasma 5-HT levels showed significant positive correlations with oppositional behavior both in childhood-onset conduct disorder and adolescent-onset conduct disorder. 4) Age-related changes were not found in plasma 5-HT and 5-HIAA levles. Conclusion:Our findings do not support the hypothesis that dysregulation of serotonergic function may be associated with aggresson. Instead, our data suggest that serotonergic function is more closely related with oppositional behavior than aggression.

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Concept, Evaluation and Differential Diagnosis of Somatoform Disorder (신체형 장애(Somatoform disorder)의 개념, 평가, 감별진단)

  • Kim, Young-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.254-261
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    • 1996
  • Somatoform disorders are a group of syndromes in which patients focus on and complain of physical symptoms when there is no demonstrable underlying organic pathology or when complaints are in excess of what is expected. The author reviewed concept, sociocultural etiology, differential diagnosis and methods of evaluation of somatoform disorder. The symptoms of Korean culture-specific somatizing cluster, so called Wha-Byung, are discussed.

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불규칙파에 대한 두 수치모형의 현장적용

  • 유동훈;정신택;이동영;채장원
    • Proceedings of the Korean Society of Coastal and Ocean Engineers Conference
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    • 1995.10a
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    • pp.81-84
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    • 1995
  • 해안에 전파해오는 천해파는 주로 불규칙파이며, 이들의 천해변이를 해석하는 데 있어 스펙트럼파로 해석하는 기법을 많이 사용해 왔다. 본 연구에서 비교 검토된 두 수치모형은 유동훈(1993)의 쌍곡형 평균파 모형과 정신택(1990)의 타원형 모형인데, 두 모형 모두 실험조건에 적용하여 1차 검증을 확인하였던 것들이다. 본 연구에서는 영일만 일대에서 관측된 자료를 이용하여 두 수치모형의 현장검증을 수행하였으며, 관측결과와의 비교로부터 두 수치모형의 장단점과 특징을 비교하였다. (중략)

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A Study on the Development of Military Power Education Program Using Realistic Contents - Focusing on Augmented Reality (AR) - (실감형 콘텐츠를 활용한 군 정신전력교육 프로그램 개발 방안 연구 - 증강현실(AR)을 중심으로 -)

  • Im, Sang-wuk;cho, Hyun Young;Lee, sang-eun
    • Proceedings of the Korea Contents Association Conference
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    • 2019.05a
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    • pp.115-116
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    • 2019
  • 4차 산업시대에 부합된 군 정신전력교육을 위해 가상현실을 적용할 경우 이에 맞는 교육모델이 필요하다. 본 연구에서는 Keller의 동기설계 모형울 적용하여 증강현실 콘텐츠를 설계하였고 장병들에게 적용하여 그 효과를 증명하였다.

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