• 제목/요약/키워드: Emotional Stress

검색결과 1,081건 처리시간 0.034초

口眼와斜에 대한 臨床的 考察 (A clinical study on facial paralysis.)

  • 안수기;황충연
    • 한방안이비인후피부과학회지
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    • 제4권1호
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    • pp.89-98
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    • 1991
  • Clinical study on the 114 facial paralysis patients, visited Won Kwang University Oriental Medical Hospital in Kwang ju from July 1990 to Jun 1991, was carried out. The results obtained are as follows. 1. Prevalence was almost same in both sexes and high in the age of 3 and 4 decades but distributed in an age group. 2. Majority of the patients were nomotensive, which meant blood pressure did not affect the incidence. 3. The incidence distributed in every occupations but high in housewife as 37 cases ($32\%$) and decreased gradually in office employee, labor worker, student and merchant in order. 4. Overwork, wind and cold, emotional stress, and numerous implicated agents were etiological factor. 5. The paralysis mostly occured in summer and winter as 40($35\%$) and 37 cases($32\%$) respectively, 18($16\%$) and 19cases($17\%$) were recorded respectively in spring and autumn. 6. The majority of patients showed only facial muscle paralysis without other complications, whose cure rate was $60\%$ (47 cases). The patients with auditory impairment or taste loss was less common and cure rate was low. 7. The number of the patients with migraine or mastoid pain was 81($71\%$), which was more than 33 patients($29\%$) with such pain. The cure rate was high in the patients without migraine than with migraine as a raito of 64 to $46\%$. 8. Most of duration from attack to admission were in a week as 86 cases($75\%$) and the patients with duration over 4 weeks 11 cases($10\%$). The cure rate of the patients in a week, was 54 cases($60\%$) and the patients over 4 weeks was none($0\%$), which meant shorter the duration was, the beter the result was. 9. Response on electro acupuncture on initiating therapy showed good in 39 cases($34\%$) the majority group, moderate in 37 cases, exellent in 29 cases and poor in 5 cases. 10. The results of treatment were as follows : asymptomatic in 58 cases($51\%$), improved n 40cases($35\%$), effective in 10 cases($9\%$) and ineffective in 6 cases($5\%$). 11. Cure rate according to the response on electro acupuncture showed $72\%$ in exellent group, $59\%$ in good group, $27\%$ in moderate groop, and $0\%$ in poor group. These show the better the response on the electro-acupuncture is, the higher the cure rate is, which will be able to indicate the prognosis of facial paralysis.

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가족 가치관이 암환아 가족의 적응에 미치는 영향 (Effects of Family Value on Family Adaptation in Family Who has a Child with Cancer)

  • 박인숙;탁영란;이정애
    • Child Health Nursing Research
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    • 제7권4호
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    • pp.494-510
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    • 2001
  • As a family respond to any stressful situation as a whole system, cancer diagnosis of a child, as a serious life event, could be emotional shock to destroy homeostasis of the family system. A family has a resilient capacity to adjust and adapt to stressful events. Previous studies have been focused on family stress and adaptation, but little attention has been given to family value as one of resilient factors. The data for model testing were collected from July 18, 2000 to August 30, 2000 and the analysis included 309 parents of children who are diagnosed as cancer, 18 or less years of age, and treated either hospitalized or at the outpatient clinics. The data analysis utilized SAS 6.12 and LISREL 8 for descriptive statistics, correlation, cluster analysis, factor analysis, and LISREL. The study findings are as follows. 1) Monthly income (γ=-0.28, t=-5.81) was the most important factor to explain family strain along with family support (γ=-0.11, t=-2.43), severity of children's illness (γ=0.26, t=5.22), and family stressor (γ=0.22, t=4.62). All of these factors together explained 40% of variance in family strain. 2) Among general family value, the relationship with the parents (γ=0.28, t=4.89) and relationship with the children (γ=0.20, t=3.60) showed positive effects to family value for cancer children, while relationship with the spouse (γ=-0.19, t=-3.22) and the age of the cancer children (γ=-0.11, t=-2.21) showed negative effects. These predictors together explained 22% of variance in family value for cancer children. 3) Family hardiness was explained mostly by family strain (γ=-0.53, t=-8.65) along with direct negative effects of family persistency and indirect negative effects of severity of children's illness, family stressor, relationship with the spouse, and the children's age. Family value for cancer children was the most important predictor with positive effect (γ=0.44, t=6.76) along with indirect effects of monthly income, relationship with the parents, relationship with the children, support from family and significant others, and confidence with the health professionals. 51% of variance in family hardiness was explained by all of these predictors. 4) The most important predictor for family adaptation was family stressor (γ=-0.50, t=-6.85) with direct and indirect negative effects along with the severity of children's illness (γ=-0.27, t=-5.21). However, family value for cancer children showed compromised total effect (γ=-0.13, t=-1.99) with negative direct effects (γ=-0.28, t=-3.43) and positive indirect effects (γ=0.14, t=3.01). Similarly, confidence with the health professionals also showed compromised total effect (γ=0.09, t=1.99) with positive direct effects and negative indirect effects. Family hardiness showed the biggest positive direct effects while other factors such as monthly income, family stressor, family persistence, support of family and significant others, relationship with the parents, relationship with the children, and relationship with the spouse, and children's age showed indirect effects only. 39% of variance in family adaptation was explained by all of these predictors.

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보육교사의 회복탄력성 관련 요인에 대한 메타분석 (A Meta-analysis of The Factors Related to Resilience of Childcare Teachers)

  • 문동규
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.222-230
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    • 2020
  • 본 연구는 보육교사의 회복탄력성과 관련하여 지난 10여년 간 국내에서 연구된 석·박사 학위논문과 학술지 논문을 중심으로 관련요인들의 효과크기를 메타분석을 통해 검증하였다. 검증결과는 다음과 같다. 첫째, 보호요인의 전체효과크기는 큰효과크기를 보였고, 보호요인군 별 효과크기는 모두 큰 효과크기로 개인특성요인군이 가장 큰 것으로 나타났고 그다음 직무특성요인군, 조직특성요인군 순이었다. 둘째, 보호요인군 중 개인특성요인군의 하부요인의 효과크기는 모두 큰효과크기를 보였고, 조직특성요인군과 직무특성요인군은 중간효과크기를 보인 원장리더십과 정서노동을 제외한 모든 하부요인이 큰효과크기를 보였다. 셋째, 위험요인 전체효과크기는 큰효과크기를 보였고, 직무특성 위험요인군인 소진은 큰효과크기, 직무특성 위험요인군인 직무스트레스는 중간효과 크기로 소진이 상대적으로 직무스트레스보다 더 큰 효과크기를 보였다. 결론적으로 본 연구는 지난 20년간의 보육교사의 회복탄력성과 관련하여 선행된 연구들을 통합적으로 정리하여 객관적 결과를 살피기 위한 수량적 통합을 시도했다는데 의의가 있으며, 보육교사의 회복탄력성 증진을 위한 프로그램 개발과 정책수립에 기초적 자료를 제공하였다는데 의의가 있다.

구강건조증에 대한 필로카핀 구강양치액의 효과 (Effect of Pilocarpine Mouthwash on Xerostomia)

  • 김지현;박주현;권정승;안형준
    • Journal of Oral Medicine and Pain
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    • 제36권1호
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    • pp.21-24
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    • 2011
  • 구강건조증이란 주관적인 구강 내 건조감으로 정의되며, 이는 약물, 타액선 질환, 방사선 치료, 쉐그렌 증후군, 심리적 요인 등과 같은 다양한 원인에서 비롯된다. 구강 건조증 환자 중 현저한 타액선 기능 감소가 존재하는 경우 구강캔디다증, 치아우식증, 치주질환, 미각변화, 구취 등의 병발증이 나타날 수 있다. 이러한 구강건조증의 치료로는 우선적으로 구강건조를 유발하는 원인요소를 제거하거나, 환자의 불편감을 감소시키기 위한 대증요법이 주가 되며 실제로 타액 분비 기능이 감소된 경우 이로 인한 합병증을 예방하기 위한 치료와 타액분비를 자극할 수 있는 약물치료를 시행할 수 있다. 이 중 타액분비를 촉진시키는 약물인 필로카핀은 구강건조증 치료제로 널리 사용되어 왔다. 하지만 발한작용, 비뇨기 및 위장관계의 비정상적인 기능유도, 심혈관계 및 호흡기계에 대한 위험 등의 부작용이 있어 천식, 만성폐질환, 심혈관계 질환자에게는 주의 깊은 사용이 요구되며, 특히 조절되지 않는 천식환자의 경우 필로카핀의 절대적 금기증으로 사용이 금지된다. 이처럼 구강건조증 치료에 있어 필로카핀은 부작용으로 인해 전신적인 투여에 많은 제한이 있다. 따라서, 필로카핀의 부작용을 최소화하기 위해 국소적으로 사용되는 방법 중의 하나인 필로카핀 양치액을 이용하여 치료한 증례를 통해 그 효과를 확인해보고자 하였다.

재난 대응 활동 시 노출가능 유해인자 종합분석 -화재 현장을 중심으로- (Comprehensive Analysis of Exposed Adverse Factors in Disaster Response Activities - Focused on Fire -)

  • Park, Chanseok
    • 한국재난정보학회 논문집
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    • 제10권3호
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    • pp.420-430
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    • 2014
  • 화재와 같은 재난현장에서 재난대응활동을 수행하는 소방공무원은 진압 구조 구급활동을 하는 동안 열, 연기, 유독가스에 노출되며 정신적인 스트레스, 생물학적 유해인자, 그리고 화재 진압 시 요구되는 인체공학적으로 부자연스러운 자세로 인한 육체적 과부하 등의 다양한 유해인자에 노출되고 있다. 그러나 지금까지 이에 대한 연구는 개별적 수준에서는 일부 존재해 왔지만 화재현장에서 소방관에게 노출되는 유해인자를 종합적으로 정리하고 그 대책까지 제안한 연구는 존재하지 않았다. 본 연구의 목적은 재난현장에서의 안전 및 유해인자를 종합적으로 도출하고 그 대응방안까지 제시함으로써 소방공무원의 노출로 인한 건강장애 및 사고 예방에 기여하는 데 의미가 있다고 할 수 있다. 이에 소방업무환경별로 화재진압분야, 구조 및 구급분야, 생활환경분야로 나누어 환경분석을 하고 물리적 화학적 생물학적 심리적 측면으로 구분하여 화재현장의 유해인자를 도출하고 노출현황을 제시하였다. 그리고, 물리적 유해인자 중에는 특수건강검진 결과 가장 많은 케이이스수를 차지하는 소음분야에 대하여 대처방안을 모색하였다. 화학적 유해인자는 보호장비와 클린룸 운영방안을, 생물학적 유해인자는 감염예방교육과 예방접종, 주기적 관리점검 체계확립을, 심리적 유해인자는 PTSD 경감 부스 설치와 멘토링제도의 도입을 제시하였다.

내과(內科) 영역(領域)의 요통(腰痛)에 대(對)한 문헌적(文獻的) 고찰(考察) (A Bibliographical study on Lumbago in Oriental Internal Medicine)

  • 윤철호;정지천
    • 대한한방내과학회지
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    • 제15권2호
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    • pp.318-346
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    • 1994
  • A Bibliographical study was done about lumbago in oriental internal Medicine. The results are as follows. 1. Shenxu,sexual active, senile, Feng, Han, Shi, shiji, Tanyin and Qi lumbago are applicable to internal medical lumbago in oriental medicine, and Shenxu is essential pathogenesis. 2. Shenxu lumbago is characterized by continous pain, improved after chiropsia, deep pulse in Chi pulse, and used QingeWan, LiuweiDihuangWan and AnshenWan in herb-medicine. and Cortex Eucommiae, Radix Rehmanniae Praeparata and Fructus Psoraleae in drugs for the purpose of ZishenYijing, and related to lumbago caused by chronic prostatitis, calculus or tumor in kidney and diabetes mellitus. 3. Sexual active lumbago is dim-aching and weak pain in or after sexual life at low back and knee joint, and classified to Shenyang Buzu, ShenjingKuisun. GanshenYinxu and XinshenBujiao ; Liuwei Dihuang Wan, ZuoguiWan In herb-medicine. Cornu Cervi Pantotrichum, Fructus Lycii and Fructus Corni in drug were used for treatment. 4. Senile Lumbago is a kind of consumptive disease due to exhaused essential energy and caused by lack of Shenjing, Yangqi ; and described as repeated mild dim pain and ErzhiWan, QingeWan and MoyaoGao were used frequently, supposed to connected with osteoporosis, osteomalacia and osteoarthropathy deformons caused by aging. 5. Feng lumbago is attacked by Liuyin, and characterized by chilling and fever. stabbing pain from thoracic and lumbar vertebrae to pedes, and used WujiXan, XiaoxumingTang for treatment. Han lumbago is caused by cold's attacking Shenjing, distinguished for chilling,icing sense improved by heat on low back, and used WujiXan, JiangfuTang. Shi lumbago is caused by damp's inflowing Shenjing, described as stone-like lumbago which was subsided low back pain growing worse by gloomy rain, and used ShenshiTang. ShenzhuTang for the purpose of ZaoshiXingqi. And it is supposed that lumbago occured in the initial of urinary track infection was belong to those of Feng,Han and Sill's. 6. Sillji lumbago is caused by pathogen being in the spleen and the stomach, and used ChenxiangJiangqiTang, PingweiSan for treatment. And it is supposed that it belong to lumbago caused by gastrointerstinal disease such as peptic ulcer. gastroduodenal tumor and colonic inflammatory disease. 7. Tanyin lumbago is caused by Tanyin's flowing meridian, characterized by thoracolumbar verterber's heaviness, covered sense with something on low back and painless massage. Kuaiqi-drug are added to ErchenTang, DaotanTang for treatment, and it supposed that Tanyin lumbago's belong to that accompanied with metabolic disease such as obesity and gout. 8. Qi lumbago is caused by excessive stress such as melancholy and fury, described as multiple stabbing pain, an unexpected on and improvement, ranging back pain until flank and abdomine. Tiaoqi-drugs were added to RenshenShunqiSan, WuyaoShunqiSan for treatment, and it supposed to connecting with emotional lumbago such as hysteria, feigned illness and anxiety psychosis.

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반려견 장내미생물의 조성, 다양성, 관련 질환 및 치료에 대한 이해: 친구인가 적인가? (The Comprehension of Composition, Diversity, Related Diseases, and Treatment of the Gut Microbiome in Companion Dogs: Friend or Foe?)

  • 최정현;홍용근
    • 생명과학회지
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    • 제30권11호
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    • pp.1021-1032
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    • 2020
  • 전 세계적으로 반려동물과 반려동물 양육 인구는 증가하고 있으며 이와 관련된 사업은 고급화, 전문화되고 있다. 특히, 개는 사람과 수 천년 동안 공생하고 있으며 이들은 탄수화물 식이와 더불어 사람과 비슷한 생활 방식을 영위하고 있다. 주거와 음식을 공유하며 형성된 강력한 유대관계를 통해 사람은 반려견에 대한 책임감 및 정서적 안정을 느끼며 반려견은 사람을 의지하는 행동을 보인다. 하지만 사람과 반려견 사이에는 식이와 관련된 스트레스가 존재한다. 반려견은 본질적으로 육식성이므로, 반려견에게 영양학적으로 균형 잡힌 식이와 기능성 물질들을 제공하는 것은 그들의 건강을 위한 장내 미생물 군집 유지에 매우 중요하다고 할 수 있다. 장내미생물은 병원균과 같은 외부 유해인자로부터 반려견을 보호하고 면역계를 조절, 생리학적 항상성에도 관여하기 때문에 최근 높은 관심을 받고 있다. 비정상적인 장내미생물 군집 형성은 장질환, 대사질환, 정신질환, 신경계 질환의 병리적 과정과 증상에 영향을 미칠 뿐만 아니라 반려견의 질병은 사람에게 기회감염을 통해 영향을 미칠 수 있다. 따라서 본 논문에서 반려견의 장내미생물의 조성, 다양성뿐만 아니라 장내미생물과 질병 사이의 상관성에 대하여 논의하고자 한다.

알코올중독 아버지와 사는 자녀의 경험에 관한 연구 (The Lived Experience of Children of Alcohol Dependent Fathers)

  • 김명아
    • 한국보건간호학회:학술대회논문집
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    • 한국보건간호학회 2002년도 제27회 보건종합학술대회
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    • pp.224-227
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    • 2002
  • Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

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석유화학단지 근로자들의 건강행위 실천 정도와 건강증진 요구도 (Practices and Needs of Health Promotion Program among Workers in A Petrochemical Industry Complex)

  • 김미애;전진호
    • 한국직업건강간호학회지
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    • 제13권2호
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    • pp.104-117
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    • 2004
  • Objectives: To propose the basic data for the development of the optimum health promotion program (HPP) for the workers in a petrochemical industry complex. Methods: The subjects were 553 workers who worked at the six plants in a petrochemical industry complex. From February to March 2003, questionnaire survey was conducted by the nurses with occupational health specialty about the life styles, interests, self-cognitions, practices of health behavior, subjective symptoms thought to be related the working environments, burden to the own health, needs and intentions to participation of the HPP. Data analysis was done using SPSS program (ver 10.0) with ${\alpha}=0.05$ of statistical significance. Results: The mean age and tenure of the subjects were 39.7 years and 14.2 years, respectively, and proportion of smokers was around 50%. Two of third (66%) satisfied their own job, and 58% recognized themselves healthy. The most frequent health behavior were exercise (60%) and regular health check (87%) in individual and job based, respectively. About half of them (58%) had at least one of the symptoms thought to be related the working environments, and the most frequent one was odor (21%). These symptoms were more frequent in case of the shorter career. The needs of HPP was relatively higher in exercise (66%), cancer prevention (51%), stress control (47%), and intention to participation was also the highest in exercise (64%). Job satisfaction was higher in case of the higher interests and cognitions to their own health, and thought that the ownership's interest to workers' health be high (p<0.01), but no associations with the subjective symptoms. The mean level of burden to the own health were $14.1{\pm}13.9$ of physical, $11.7{\pm}13.6$ of emotional, $9.1{\pm}10.7$ of behavioral as out of one hundred. They felt the more burden in case of office workers, the lower interests and cognitions to their own health, the lower satisfaction to their job, the frequent drinking group, and complained the subjective symptoms (p<0.05). Abnormal results of the regular health check was higher in the frequent drinking group (p=0.083). Conclusions: For the optimum HPP for the workers in the petrochemical complex, the ownership's interest to workers' health would be enhanced, and the priority would be focused on exercise and drinking habits control.

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가계부채가 정신건강에 미치는 영향 - 우울감과 자살생각을 중심으로 - (Indebtedness and Mental Health - Focusing on Depressive Symptoms and Suicidal Ideation -)

  • 박정민;오욱찬;구서정
    • 한국사회복지학
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    • 제69권2호
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    • pp.171-190
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    • 2017
  • 본 연구는 국내의 가계부채 규모가 지속적으로 증가하고 가계의 재정건전성은 약화되는 상황에서 높은 가계부채 수준이 정신건강, 구체적으로 우울감 및 자살생각에 미치는 영향을 살펴보았다. 이를 위해 한국복지패널 4~10차(2009~2015년 조사) 자료를 사용하였고, 패널확률효과모형과 패널고정효과 모형을 결합한 하이브리드 방법을 적용하여 인과관계를 종단분석하였다. 연구결과는 높은 가계부채 수준이 우울감의 위험을 상당히 높임을 보여주었다. 가처분소득 대비 총부채액 비율이 400%를 넘는 경우 그 비율이 100% 미만인 경우보다 우울감의 위험이 1.5배 높아졌고, 가처분소득 대비 부채상환액 비율이 30%를 넘는 경우 10% 미만일 때보다 우울감의 위험이 1.66배 상승하였다. 이 연구는 경제적 측면뿐만 아니라 비경제적 측면까지 고려한 신용회복 지원제도의 마련과 함께 과중채무자에 대한 정신건강 서비스 연계의 필요성을 시사한다. 또한 부채수준이 정신건강에 영향을 미치는 중요한 사회경제적 요인임을 확인하여 건강결정요인에 관한 이론을 풍부히 하는데 기여하였다.

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