• 제목/요약/키워드: Fall experience

검색결과 192건 처리시간 0.026초

동남아시아의 민주화 이후 '개발'과 '인권'의 갈등적 공존: 시민사회의 시각 (The Confrontational Co-existence of Development and Human Rights after Democratic Transition in Southeast Asia: A Civil Society Perspective)

  • 박은홍
    • 동남아시아연구
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    • 제19권2호
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    • pp.173-218
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    • 2009
  • Bring this analysis down to people-centered development perspective and looking through democratization in the Philippines, Thailand and Indonesia, we find similarities and differences among them related with the intensity of conflicts between development and human rights in the process of democratization in line with global transformation. Civil society in the Philippines criticized the developmental path in the Philippines which failed to implement land reform and eradication of poverty under the transition from 'patrimonial oligarchy' to democracy. In Thailand the coalition of military and the royalists had consolidated its power since Sarit military regime, which later paved the way 'hybrid oligarchy' era. Most Thai civil society organizations has regarded their developmental experience rather as 'maldevelopment' which disregarded economic and social rights. It has been especially believed by Thai localists that the stimulation of local markets and the building of autonomic community society will form the alternative economy without going against the conservative banner of nation, religion and king. Thaksin as a populist successfully took advantage of Thai localist ethos in favour of taking the seat of power. He projected himself as a modernizer focused on economic growth and cleaner politics. However Thaksin's procedural legitimacy was overthrown by counterattacking from military-royalist alliance, pretexting that Thaksin caused internal conflicts and lacked morality. Soeharto's New Order regime which can be called 'administrative oligarchy' had an antipathy towards notions of economic and social rights as well as civil and political rights. In spite of the fact that the fall of Soeharto opened the political space for democratic civil society organizations which had long struggled with development aggression and human rights abuses, there have been continuously a strong political and military reaction against human rights activists, NGOs and ethnic minorities such as Aceh and Papua. Nevertheless, Indonesian democracy is more promising than Philippine's and Thai democracy in terms of comparatively less pre-modern legacies.

뇌졸중 및 뇌손상 환자를 위한 한국판 넘어짐효능감척도(Korean Version-Falls Efficacy Scale) 번안과 내용타당도 연구 (Translation and Content Validation of the Korean Version of the Falls Efficacy Scale for Stroke and Brain Injury Patients)

  • 김수진;김정아;황수진
    • PNF and Movement
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    • 제21권3호
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    • pp.387-401
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    • 2023
  • Purpose: The purpose of this study was to develop a Korean version of the Falls Efficacy Scale (K-FES), which is used to measure the fear of falling, that is conceptually equivalent to the original and culturally adaptable to the Korean population. Methods: A five-step translation and adaptation process was employed to create the K-FES, adhering to the established guidelines for cross-cultural rehabilitation outcome measures. The content validity was then evaluated by 22 rehabilitation professionals (15 males and 7 females) with an average clinical experience of 201 months at neurological rehabilitation centers. The content validity ratio and index were used as a basis for judgment. Results: The translation process identified inconsistencies with the terms "objects" and "telephone" in the original Falls Efficacy Scale, which were subsequently resolved in the final K-FES version. The content validity ratios for the original, second, and third versions of the K-FES ranged from -0.27-0.91, -0.27-0.91, and -0.27-0.91, respectively. Correspondingly, the content validity index values for the original, second, and third versions of the K-FES ranged from 0.77-1.00, 0.68-1.00, and 0.63-1.00, respectively. Conclusions: The K-FES was rigorously developed through translation, adaptation, and validation processes, making it a reliable tool for Korean stroke rehabilitation professionals. It is expected to be instrumental in clinical and research settings to assess postural stability and fall risk in patients with strokes and brain injuries.

한의약 건강돌봄 교육 프로그램에 대한 한의사 요구도 조사 (Survey on the Needs of Korean Medicine Doctor for Community Care Education Programs)

  • 강지혜;안은지;이지현;성동민;한유진;김동수
    • 대한예방한의학회지
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    • 제28권1호
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    • pp.1-11
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    • 2024
  • Objectives : This study conducted a survey on the needs of Korean medicine doctors for health care education programs specializing in traditional Korean medicine. Methods : The study selected Korean medicine doctors who had experience participating in outpatient consultations. Data collected through surveys underwent frequency analysis on performance, importance, difficulty, and educational needs using SPSS 24.0. Additionally, an Importance-Performance Analysis (IPA) was conducted using importance and performance data. Results : According to the results of the IPA analysis, in the area of "keep up the good work" there were activities such as fee Claims (A3), comprehensive assessment (B4), care plan development (B5), client and caregiver interviews (C8), chronic disease monitoring (C9), musculoskeletal and other pain management, musculoskeletal rehabilitation (C10), mental health management (C11), and fall prevention (C15). In the "concentrate here" priority action area, skin care including pressure sore management (C13) was identified. Conclusions : The traditional Korean medicine community care service is expected to expand further, so it is anticipated that the developed educational programs will contribute to the activation of traditional Korean medicine health care business.

유한요소 해석을 통한 중·저준위 방사성폐기물 포장용기의 밀폐성 평가 (Evaluating the Airtightness of Medium- and Low-Intermediate-Level Radioactive Waste Packaging Container through Finite Element Analysis)

  • 이정인;박상욱;김동율;최창영;조용재;고대철;장진석
    • 한국포장학회지
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    • 제29권3호
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    • pp.203-209
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    • 2023
  • The increasing saturation challenges in storage facilities for Low- and Intermediate-Level Radioactive Waste call for a more efficient storage approach. Consequently, we have developed a square-structured container that features a storage capacity approximately 20% greater than that of conventional drum-type containers. Considering the need to contain various radioactive wastes from nuclear power usage securely until they no longer pose a threat to human health or the environment, this study focuses on evaluating the sealing efficacy of the newly designed rectangular container using finite element analysis. Since radioactive waste containers typically do not experience external forces except under special circumstances, our analysis simulated the impact of an external force, assuming a fall scenario. After fastening the bolts, we examined the vertical stress distribution on the container by applying the calculated external force. The analysis confirms the container's stable seal.

창의 천문기기 개발 및 관측 교육 프로그램: 소형 분광기 개발 (Creative Education Program of Astronomical Instrument Design and Observation: Development of the Small Spectrograph)

  • 양희수;정종균
    • 우주기술과 응용
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    • 제4권2호
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    • pp.105-120
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    • 2024
  • 현대 천문학에서의 대형 기기 개발은 많은 자원과 인력이 소모되기 때문에 시스템 엔지니어링 및 프로젝트 관리 능력은 현장에서 필수적인 역량이다. 우리는 관측 가능한 실습용 분광기를 제작하고 관측하여 시스템 엔지니어링 경험을 쌓을 수 있는 학부 교육프로그램을 제안한다. 한국천문연구원의 우주인력양성사업의 일환으로 충남대에서 진행된 파일럿 프로그램은 '창의천문기기 개발 및 관측'이라는 가칭으로 총 24명의 학생들이 수강하였으며, 5개 조에서 분광기를 만들어 태양, 달, 별 등의 스펙트럼을 측정하고 연구를 진행하였다. 학생들의 기기 개발과정은 수차례의 리뷰회의를 통하여 가이드 되었으며 개발과정과 문서화된 결과를 통해 성적을 배분하였다. 기기개발 학생들은 이 기회를 통해 시스템 엔지니어링의 기본 원리뿐 아니라 프로젝트 매니지먼트, 광학설계, 기계설계 등에 대해 전반적으로 익힐 수 있었다.

국립공원 탐방프로그램 참가자 만족도 및 재참여의향에 관한 연구 - 2019년 국립공원 봄 주간 프로그램을 중심으로 - (A Study on the Satisfaction and Intention to Re-participation of Participants in National Park Exploration Programs - Focusing on '2019 National Park Spring Week Program -)

  • 심규원;장진
    • 한국환경생태학회지
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    • 제33권4호
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    • pp.481-492
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    • 2019
  • 최근 문화체육관광부에서는 범국민적 여행분위기 조성과 여름철 집중된 국내 관광수요 분산 등을 위해 2014년부터 '여행주간'을 정하여 운영하고 있다. 이 사업의 일환으로 국립공원공단에서도 2018년부터 '여행주간' 동안 전국 국립공원에서 자연을 주제로 한 볼거리 즐길거리를 제공하는 국민 참여형 저지대 탐방 프로그램을 운영하고 있다. 따라서 본 연구의 목적은 국가 정책으로 시행되고 있는 '여행주간' 동안 국립공원에서 진행되었던 '국립공원 봄 여행주간 프로그램' 참가자를 대상으로 프로그램 만족도와 재참여의향에 대한 인식 특성을 파악하기 위해 진행되었다. 연구방법은 전국의 총 18개 국립공원에서 진행된 '2019년 국립공원 봄 주간 프로그램'에 참여한 탐방객 1,281명을 대상으로 자기보고식 설문조사를 실시하였다. 연구결과, 참가자의 '국립공원 봄 주간 프로그램' 사전 인지 여부에 따른 만족도 및 재참여의향 차이를 분석한 결과, 국립공원 방문 전 프로그램을 인지한 참가자의 만족도와 재참여의향은 사전에 인지하지 못했던 참가자 보다 만족도와 재참여의향 모두 평균값이 통계적으로 유의하게 높게 나타났다. 국립공원 유형별로 살펴보면, '해상 해안형 국립공원'과 '사적형 국립공원'이 '도시형 국립공원' 보다 만족도와 재참여의향 평균값이 통계적으로 유의하게 높게 나타났다. 프로그램 유형별로 살펴보면, 참가자의 만족도는 '전시회', '홍보부스', '캠페인' 보다 '문화공연'과 '탐방체험' 형태가 통계적으로 유의하게 평균값이 높았고, 재참여의향은 '전시회', '홍보부스' 형태 보다 '문화공연'과 '탐방체험'에서 평균값이 통계적으로 유의하게 높았다. 본 연구는 향후 국립공원 여름 성수기 외에도 봄과 가을 탐방객 수 증가에 대응한 탐방서비스 개선을 위한 탐방정책 수립을 위한 기초자료로서 활용될 수 있다.

간호원의 환자교육 활동에 관한 연구 (Study of Patient Teaching in The Clinical Area)

  • 강규숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.3-33
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    • 1971
  • Nursing of today has as one of its objectives the solving of problems related to human needs arising from the demands of a rapidly changing society. This nursing objective, I believe, can he attained by the appropriate application of scientific principles in the giving of comprehensive nursing care. Comprehensive nursing care may be defined as nursing care which meets all of the patient's needs. the needs of patients are said to fall into five broad categories: physical needs, psychological needs, environmental needs, socio-economic needs, and teaching needs. Most people who become ill have adjustment problems related to their new situation. Because patient teaching is one of the most important functions of professional nursing, the success of this teaching may be used as a gauge for evaluating comprehensive nursing care. This represents a challenge foe the future. A questionnaire consisting of 67 items was distributed to 200 professional nurses working ill direct patient care at Yonsei University Medical Center in Seoul, Korea. 160 (80,0%) nurses of the total sample returned completed questionnaires 81 (50.6%) nurses were graduates of 3 fear diploma courser 79 (49.4%) nurses were graduates of 4 year collegiate nursing schools in Korea 141 (88,1%) nurses had under 5 years of clinical experience in a medical center, while 19 (11.9%) nurses had more than 5years of clinical experience. Three hypotheses were tested: 1. “Nurses had high levels of concept and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of the T-test. Conclusions of this study are as follow: Before attempting the explanation, of the results, the questionnaire will he explained. The questionnaire contained 67 questions divided into 9 sections. These sections were: concept, content, time, prior preparation, method, purpose, condition, evaluation, and recommendations for patient teaching. 1. The nurse's concept of patient teaching: Most of the nurses had high levels of concepts and knowledge toward patient teaching. Though nursing service was task-centered at the turn of the century, the emphasis today is put on patient-centered nursing. But we find some of the nurses (39.4%) still are task-centered. After, patient teaching, only a few of the nurses (14.4%) checked this as “normal teaching.”It seems therefore that patient teaching is often done unconsciously. Accordingly it would he desirable to have correct concepts and knowledge of teaching taught in schools of nursing. 2. Contents of patient teaching: Most nurses (97.5%) had good information about content of patient teaching. They teach their patients during admission about their diseases, tests, treatments, and before discharge give nurses instruction about simple nursing care, personal hygiene, special diets, rest and sleep, elimination etc. 3. Time of patient teaching: Teaching can be accomplished even if there is no time set aside specifically for it. -a large part of the nurse's teaching can be done while she is giving nursing care. If she believes she has to wait for time free from other activities, she may miss many teaching opportunities. But generally proper time for patient teaching is in the midmorning or midafternoon since one and a half or two hours required. Nurses meet their patients in all stages of health: often tile patient is in a condition in which learning is impossible-pain, mental confusion, debilitation, loss of sensory perception, fear and anxiety-any of these conditions may preclude the possibility of successful teaching. 4. Prior preparation for patient teaching: The teaching aids, nurses use are charts (53.1%), periodicals (23.8%), and books (7.0%) Some of the respondents (28.1%) reported that they had had good preparation for the teaching which they were doing, others (27.5%) reported adequate preparation, and others (43.8%) reported that their preparation for teaching was inadequate. If nurses have advance preparation for normal teaching and are aware of their objectives in teaching patients, they can do effective teaching. 5. Method of patient teaching: The methods of individual patient teaching, the nurses in this study used, were conversation (55.6%) and individual discussion (19.2%) . And the methods of group patient teaching they used were demonstration (42.3%) and lecture (26.2%) They should also he prepared to use pamphlet and simple audio-visual aids for their teaching. 6. Purposes of patient teaching: The purposes of patient teaching is to help the patient recover completely, but the majority of the respondents (40.6%) don't know this. So it is necessary for them to understand correctly the purpose of patient teaching and nursing care. 7. Condition of patient teaching: The majority of respondents (75.0%) reported there were some troubles in teaching uncooperative patients. It would seem that the nurse's leaching would be improved if, in her preparation, she was given a better understanding of the patient and communication skills. The majority of respondents in the total group, felt teaching is their responsibility and they should teach their patient's family as well as the patient. The place for teaching is most often at the patient's bedside (95.6%) but the conference room (3.1%) is also used. It is important that privacy be provided in learning situations with involve personal matters. 8. Evaluation of patient teaching: The majority of respondents (76.3%,) felt leaching is a highly systematic and organized function requiring special preparation in a college or university, they have the idea that teaching is a continuous and ever-present activity of all people throughout their lives. The suggestion mentioned the most frequently for improving preparation was a course in patient teaching included in the basic nursing program. 9. Recommendations: 1) It is recommended, that in clinical nursing, patient teaching be emphasized. 2) It is recommended, that insertive education the concepts and purposes of patient teaching he renewed for all nurses. In addition to this new knowledge, methods and materials which can be applied to patient teaching should be given also. 3) It is recommended, in group patient teaching, we try to embark on team teaching.

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계열별 남자고등학생의 학교생활스트레스와 측두하악장애에 관한 연구 (A Study on the Temporomandibular Joint Disorder and School Life Stress of High School Student by Department)

  • 이정화;최정미
    • 치위생과학회지
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    • 제7권3호
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    • pp.179-185
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    • 2007
  • 본 연구는 대구광역시에 소재한 인문계, 실업계 남자 고등학생들을 대상으로 청소년기의 측두하악장애 유병실태와 기여요인, 악안면외상 경험과 관리 실태, 고교별 측두하악장애와 학교생활에서의 스트레스와의 관계를 관찰함으로서 측두하악장애의 예방과 치료에 있어 적절한 인식과 구강보건교육프로그램개발에 필요한 기초 자료를 마련하고자 본 연구를 시도하여 다음과 같은 결과를 얻었다. 1. 남자고등학생에서 측두하악장애의 유병률은 61.8%에서 관절잡음을 경험하였고, 관절탈구 6.9%, 저작시동통 47.5%, 비저작시동통 29.8%, 개구장애 11.3%, 두통이 40.4%로 나타났다. 2. 측두하악장애를 일으키는 기여요인에서 관절잡음은 이악물기, 입술 뺨깨물기, 저작시동통에서는 이악물기, 이갈이, 편측저작, 과잉저작, 입술 뺨깨물기, 모로취침 등이 유의한 차이를 보였다(P < 0.01). 비저작시동통은 이악물기, 이갈이, 편측저작, 입술 뺨깨물기 개구장애는 이악물기, 이갈이, 모로취침에서 통계적으로 유의한 차이를 보였다(P < 0.01). 두통은 모로취침을 제외한 나머지 항목에 대한 악습관이 측두하악장애의 기여요인으로 나타났다(P < 0.01, P < 0.05). 3. 측두하악장애를 일으킬 수 있는 악안면외상 경험률은 인문계고 19.6%, 실업계고 13.4%였고, 외상 요인으로 인문계고는 운동 26.8%, 기타 24.4%, 넘어짐 19.5%순이였으며, 실업계고는 운동 44.4%, 넘어짐 22.2%, 기타 14.9%순이었다. 치료경험은 인문계고 있다 2.9%, 실업계고 5.0%로 나타났으며 치료기관으로는 인문계고 치과 50%, 정형외과 50%, 실업계고 정형외과 40%, 한의원 30%, 치과 30%로 나타났다. 4. 측두하악장애는 학년별, 학력수준별 유의한 차이는 없었고, 인문계고와 실업계고의 측두하악장애 정도에서 저작시동통, 비저작시동통은 유의한 차이를 보였다(P < 0.01). 5. 고교별 학교에서의 스트레스를 비교해보면 성적 및 학업문제로 인해 인문계고 $3.75{\pm}1.14$, 실업계고 $3.01{\pm}1.23$로 전반적으로 실업계고 보다는 인문계고에서 스트레스 정도가 높게 나타나 유의한 차이를 보였다. 6. 성적 및 학업의 문제, 학교생활문제, 교사와의 문제로 인한 스트레스와 측두하악장애의 저작시동통, 비저작시동통, 관절잡음은 유의한 상관관계를 보였다(P < 0.01, P < 0.05).

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선원 해상생존교육 실습시설 및 장비의 적정성에 관한 연구 (A Study on Suitability of Training Facilities and Equipment used on Seafarer's Sea Survival Training)

  • 이진우;김이완;이창희;이영호
    • 해양환경안전학회지
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    • 제23권5호
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    • pp.473-481
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    • 2017
  • STCW협약에 따른 기초안전(재)교육 및 상급안전(재)교육 등과 같은 선원 해상생존교육은 해상에서 비상상황이 발생할 경우 선원들의 생존율을 증대시켜줄 수 있는 필수교육이다. 그리고 IMO 모델코스에 따른 선원안전교육을 효과적으로 수행하기 위해서는 선원들이 다양한 안전장비에 대한 이론 및 실습교육이 병행되는 것이 매우 중요하다. 따라서 이 연구는 IMO 모델코스에서 요구하는 해상생존교육과정에 근거한 실습시설을 파악하고, 국내외 교육기관의 운영 실례를 바탕으로 관련 시설을 비교 분석하여 선원 안전교육시설 개선방안을 다음과 같이 마련하였다. 첫째, 해상탈출설비(슬라이드, 슈트 등) 등과 같은 최신화된 교육장비를 비치하여, 선원들이 다양한 안전장비를 직접 체험할 수 있는 교육환경을 구축해야 한다. 둘째, 조파, 풍동, 강우, 암막장치 등과 같은 해상환경 재현시설의 설치하여 학습자가 현실적인 비상상황을 직 간접적으로 체험해 볼 수 있는 교육환경의 구축해야 한다. 셋째, 체험교육, 시청각교육, 시뮬레이터 교육과 더불어 가상현실 교육장비를 통한 층위별 맞춤교육을 개발하고 확대시킬 필요가 있다.

다면적 인성검사에 의한 대학신입생의 정신건강평가 (A Study on MMPI in College Freshmen)

  • 이중훈;박병탁;이종범;정성덕
    • Journal of Yeungnam Medical Science
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    • 제5권2호
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    • pp.141-150
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    • 1988
  • 1988년 1월부터 동년 2월까지 영남대학교 신입생중 본조사에 응한 3792명(남학생 : 2586명, 여학생 : 1206명)을 대상으로 Zung의 자가평가 불안척도와 자가평가 우울척도, Derogatis등이 고안한 SCL-R중 정신증척도등의 고득점자 392명(10.3%)에서 2차 조사에 응답한 신입생은 156명(69.9%), 여대생은 47명(30.1%)이었다. 이들에게 실시한 MMPI의 결과는 Lachar의 분류법을 이용하였다. 1) MMPI 결과 신경증적경향 24명(15.4%), 정신병적경향 20명(12.8%), 행동장애경향 7명(4.5%)으로 이는 전체 사례수의 약 1.4%이었다. 2) MMPI의 세부조사 결과 정서장애 8명, 불안장애 6명, 정신분열증 9명, 인격장애 3명 등으로 이들 26명은 총 신입생의 0.7%이었다. 3) 사회정신의학적 요인분석에서 자기집 가족 분위기에서 불만인 경우, 부모상호간의 친숙정도에서 불만인 경우, 나와 아버지 사이의 갈등정도에서 심각한 경우, 나와 어머니 사이의 갈등정도에서 심각한 경우 등에서 공통적으로 정신분열증 척도가 높았다. 4) 건강상태가 허약할 경우, 정신과 입원한 경험이 있는 경우, 최근 3년동안의 신체적 질환이 있는 경우 등에서 건강과 관계된 성적은 섬기증척도가 공통적으로 높았다.

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