• Title/Summary/Keyword: Mental change

검색결과 595건 처리시간 0.024초

COVID-19로 인한 소득변화를 경험한 중년남성 근로자의 건강행태 및 정신건강: 자영업자와 임금근로자 비교 (Health Behavior and Mental Health Status of Middle-Aged Male Workers Who Experienced Income Changes Due to COVID-19: A Analysis of Self-employed individuals and Wage Workers)

  • 김주혜;허경화;정진욱
    • 한국직업건강간호학회지
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    • 제32권2호
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    • pp.39-48
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    • 2023
  • Purpose: This study aimed to understand how changes in income due to the COVID-19 pandemic have affected the health behavior and mental health status of self-employed individuals. Methods: We compared the health behavior and mental health status of regular wage workers and self-employed individuals with no change in income, with that of self-employed individuals with reduced income due to the spread of COVID-19. Results: Smoking status, average amount of smoking per day, changes in the amount of smoking and drinking due to COVID-19, drinking frequency per year, monthly binge drinking experiences, subjective stress, and suicidal thoughts experienced by self-employed individuals with decreased income were not only higher than those of wage workers and self-employed individuals with maintained income, but their happiness index was also lower than the latter group. Conclusion: This study suggests that the change in total household income due to COVID-19 adversely affects the health behavior and mental health status of self-employed individuals. However, COVID-19-related policies focus only on economic loss compensation, and the health behavior and mental health management for self-employed individuals is insufficient. Therefore, it is necessary to establish policies for health behavior and mental health management of self-employed individuals.

조레틸 주사 후 의식 변화를 주소로 내원한 환자 1례 (A Case of Mental Change in a Patient Who Received a Zoletil Injection)

  • 이영기;강인구;박철상;허석진;채연석;박성수;이재광;김현진;정원준
    • 대한임상독성학회지
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    • 제11권1호
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    • pp.23-27
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    • 2013
  • Zoletil is a non-opioid, non-barbiturate animal anesthetic and proprietary combination of two drugs, a dissociative anesthetic drug, tiletamine, with the benzodiazepine anxiolytic drug, zolazepam. Zoletil has greater potency than ketamine. Zoletil is abused for recreational purposes, especially by people with easy access to medicine. However, in Korea, it is available over-the-counter. Here we report on a case of an 83-year-old woman who received injection of seven vials of "Zoletil 50" by her daughter and presented with an altered mental change. Her mental state was stupor and vital sign was hypotension, bradycardia. Her blood tests indicated metabolic and respiratory acidosis and hyperkalemia. She was treated with intravenous naloxone and flumazenil but was not responsive. She was admitted to the ICU and treated with supportive therapy. Her mental state showed transient recovery, however, her clinical manifestation worsened and she expired.

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Epigenetics와 정신장애 (Epigenetics and Psychiatric Disorders)

  • 오대영;양병환;이유상
    • 생물정신의학
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    • 제15권4호
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    • pp.243-253
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    • 2008
  • In the post-genomic era, the mechanisms controlling activation of genes are thought to be more important. Gene-environment interactions are crucial in both development and treatment of psychiatric disorders as they are complex genetic disorders. Epigenetics is defined as a change of gene expression that occurs without a change of DNA sequence and can be heritable by certain mechanisms. Epigenetic changes play essential roles in control of gene activation. DNA methylation, chromatin remodeling and RNAi act as key mechanisms for epigenetic modifications of genes. Here, we review the basic mechanisms of epigenetics and discuss their potential involvement of human diseases, including psychiatric disorders.

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공연에서 나타나는 '전이'와 배우의 '심리적 경계'에 관한 연구 (Study on the Performer's Transference and Mental Borderline in a Performance)

  • 김종구
    • 공연문화연구
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    • 제25호
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    • pp.57-89
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    • 2012
  • 일반적으로 공연을 준비하는 배우들은 처음 텍스트(희곡)를 접하면서 배역과 배우 자신과의 경계를 허물려는 노력을 통해 일상의 공간에서 극중의 공간으로 이동하는 심리적 전이과정을 경험하게 된다. 이러한 '전이'는 실제로도 나타난다고 할 수 있는데 무대에 서기전까지 분장실이나 윙(무대에 등장하기 직전의 공간), 그리고 무대(관객을 접하는 공간)라는 물리적 공간이 그것이다. 공연을 하는 배우는 공연기간이 완전히 종료되는 순간까지 끊임없이 반복적으로 심리적 물리적 공간들을 이동하게 된다. 이렇게 각각의 공간으로 이동하는 것은 '전이'이며, 이 '전이'과정 속에서 배우들이 경험하게 되는 심리적 변화의 지점을 '심리적 경계'라고 할 수 있을 것이다. '심리적 경계'는 실제 배우들이 각각의 공간에서 전이되는 순간 느끼는 심리적 양상들을 통해 그 존재 자체를 유추할 수 있다. 배우의 '심리적 경계'를 알 수 있는 변화 양상 중에서 가장 대표적인 예가 바로 '긴장', '불안' 등으로 표출되는 '무대공포'인데, 연구에 따르면 가장 많은 수의 배우가 무대에 등장하기 직전의 공간에서 이 같은 심리적 양상을 경험하게 된다고 한다. 즉 회피의 감정이 높게 나타났다. 본 연구는 공연을 완성해 무대에서 구현하기까지 과정 중에서 배우가 경험하게 되는 심리적 물리적 공간과 이를 관통하는 전이과정에서 나타나는 '심리적 경계'와 배우의 심리적 변화에 대한 관계를 규명해보고자 한다. 첫째, 선행연구를 통해 심리적 경계개념을 이해하고 이를 기반으로 배우가 경험하는 '공간'과 그 전이에서 나타나는 '심리적 경계'에 대한 개념을 재정립하였다. 둘째, 공연과정에서 나타나는 '전이영역'을 물리적 공간과 심리적 공간으로 재분류하여 개념 정리를 하였다. 셋째, '심리적 경계'를 체험하는 배우들의 실제 사례 분석을 통해 긍정적 요소로 작용가능한 '경계'의 다각적인 활용방안을 모색해 본다. 공연을 하는 배우가 경험하는 심리적 현상은 무대공포 등의 부정적인 측면이외에도 긍정적인 측면도 있음을 부정할 수 없다. 전이 영역에서 일어나는 긴장이 배우에게 긍정적이고 에너지화로 발전되기 때문이다. 이러한 '전이'와 '심리적 경계'의 관계에 대한 연구를 통해 공연중 배우가 경험하는 '심리적 경계'에서 실제 배우가 어떤 변화를 일으키며 심리상태가 유지되어 공연의 전 과정을 수행하는 것인지를 분석하여 무대공포, 부끄러움 등으로 발생하는 스트레스와 집중력을 확인하고 이를 기반으로 정체성의 다변화와 방어기제로 활용되는 무대 현존의 긍정적인 요소를 찾아본다.

Deterioration of Mental Health in Children and Adolescents During the COVID-19 Pandemic

  • Eunkyung Jo;Kyoil Seo;Boram Nam;Deokyong Shin;Seohyun Kim;Youngil Jeong;Aeju Kim;Yeni Kim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권1호
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    • pp.21-29
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    • 2023
  • This paper reviews the global effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health of children and adolescents in South Korea, the U.S., Japan, and China. We reviewed research on deteriorated mental health, including increased suicide, suicidal thoughts, and self-harm. Various studies have shown that students' mental health issues, such as depression and anxiety, have worsened during the COVID-19 pandemic. Furthermore, the number of students who committed suicide has significantly increased in the U.S. and Japan. Factors such as prior mental health status, change in daily routine, reduced physical activity, excessive screen time, overuse of electronic devices, and reduced social support have been reported to have a significant effect. The chain of deteriorating mental health among the youth began at the onset of COVID-19, social distancing, and school closure. As youths began to stay at home instead of going to school, they lost opportunities to connect with their friends or teachers, who could provide support outside of their homes. Young people spent less time on physical activity and more time online, which damaged their sleeping schedule and daily routine. In preparing for the post-pandemic phase, we should thoroughly analyze the long-term effects of the pandemic on youth mental health, while simultaneously tackling current imminent issues.

과학수업 후 변하는 것과 변하지 않는 것: 정신모형 이론을 중심으로 한 고등학생의 원운동 개념변화 사례 분석 (What Changed and Unchanged After Science Class: Analyzing High School Student's Conceptual Change on Circular Motion Based on Mental Model Theory)

  • 박지연;이경호;신종호;송상호
    • 한국과학교육학회지
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    • 제26권4호
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    • pp.475-491
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    • 2006
  • 최근 과학교육에서 학생들이 현재 가지고 있는 개념의 특성을 분석하고 개념형성에 영향을 미친 요인들을 확인하며 이들 요인들이 개념변화과정에 어떠한 영향을 미치는지에 대한 심층적인 논의의 한 가지 이론적 배경으로 정신모형에 대한 관심이 높아지고 있다. 정신모형이란 학습상황에서의 외부 정보와 장기기억 속에 저장되어 있는 지식과 믿음 사이의 상호작용의 결과로서 작업기억 속에 형성된 역동적인 표상이다. 따라서 문제 상황에서 형성된 정신모형과 정신모형 형성과정을 조사하는 데에는 학생의 인식론적 신념, 존재론적 신념, 메타인지 등 인지적 요인, 동기, 불안, 목표 등의 정의적 요인, 수업, 제시된 과제 등의 맥락요인과 같이 다면적인 접근을 시도할 수 있다. 이에 본 연구에서는 학생들의 원운동 정신모형 형성에 영향을 미치는 관련 변인들을 사례연구와 문헌연구를 통해 확인한 후, 윈운동 단원을 가지고 정신모형 이론에 기반 한 수업모형을 개발하여 경기도 소재의 인문계 고등학교 2학년 물리수업에 적용한 후, 이 수업에 참여한 한 학생의 수업 전, 직후, 지연 사후의 각 시기마다 이 학생이 원운동 문항에 관해 어떤 정신모형을 형성시켰는지, 그리고 각 시기를 거치면서 원운동 문항에 관한 정신모형이 어떻게 변하였으며 이에 영향을 미친 요인들에 관해 알아보았다. 사례 분석 결과, 학생들이 각 시기의 문제 상황에서 떠올린 정신모형은 통합된 정신모형 이론에서 논의한 바와같이 수업이전 획득한 관련 지식과 인식론적 신념 등과 같은 인지적 요인, 과학학습에 대한 흥미 등의 정의적 요인, 메타인지 활동 등을 강조한 교수전략이 사용된 수업 등의 맥락요인들이 역동적으로 상호작용한 결과로 형성된 것임을 확인할 수 있었다. 한편, 겉으로 표현된 정신모형은 수업 후 어느정도 변화가 가능한 것으로 확인되었으나, 인식론적 신념과 같은 부분은 수업후에도 쉽게 변화지 않음을 알 수 있었다.

문제에 포함된 조작단계수에 따른 문재해결 결과의 차이 (The Results of Problem Solving according to Mental Demand of Items)

  • 안수영;권재술
    • 한국과학교육학회지
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    • 제12권3호
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    • pp.49-59
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    • 1992
  • New-Piagetian theory has proposed that mental capacity and mental demand do a critical role in human cognitive processes. In this study, the students' mental capacity and the mental demand of the given problems were examined. The principal findings of the study are as follows; (1) There was no significant difference among achievement scores of subjects (3rd grade students of middle school, 2nd grade students of high school, 3rd grade students of high school) in the items of balance that needed specific content knowledge. But, in the Newton's 2nd law items that needed specific content knowledge, there was significant difference be ween3rd grade students of middle school and high school students(2nd, 3rd). According to increase of mental demand, middle school students' achievement score appeared to decrease linearly. However high school students' achievement score didn't change untill they faced the items of critical mental demand. When mental demand was beyond critical mental demand,their score was decreased rapidly. (2) According to hierchical analysis of items, the more mental demand an item needed, the higher or at least the same hierachical item was. These results showed that mental demand was the main factor which decided diffculties of problem solving (3) It was possible for students to solve the newton's 2nd law item that had one or two more mental demand relative to balance beam item. Although the item needed the same mental demand.students recognized that the Newton's 2nd law items were easier than the balance beam items.

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한국 아동의 일상생활 대화에서 나타난 바람과 믿음 : 산출자료를 중심으로 (Desire and Belief in Everyday Conversation of Korean Children : Evidence from Language Production Data)

  • 권은영;이현진
    • 아동학회지
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    • 제30권6호
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    • pp.567-581
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    • 2009
  • This study examined 10 Korean children's expressions of the mental states of desires and beliefs by analyzing mental state verbs as well as modal expressions in Korean production data. Mental expressions of desires and beliefs increased with increasing age. Two transition points of desires and beliefs were found in the data. First, belief expressions were less frequently produced than expressions of desires between 23 to 32 months. Second, belief expressions were much the same as desire expressions from 33 to 44 months. Finally, belief expressions were more frequently produced than desire expressions between 45 to 76 months. The authors suggest that these developmental transitions represent a conceptual change in understanding of mental states as proposed by Wellman (1990).

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친구의 자살이 청소년의 정신 건강에 미치는 영향 (Impact of Peer's Suicide on Mental Health of Adolescents)

  • 강나리;정운선;곽영숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권4호
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    • pp.266-272
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    • 2015
  • Objectives : This study examined the impact of peer's suicide on mental health of middle-school students. The aim of this study was to describe the course of posttraumatic stress and grief reaction, suicide ideation, and depression score among adolescents after exposure to peer's suicide and to examine the relationship between posttraumatic stress and other mental health scores in these subjects. Methods : Thirty seven middle school students who were exposed to the suicidal death of a peer completed self-report measures to assess levels of depression, grief reaction, post-traumatic stress, and suicide ideation at 1 month and 8 months after the peer's suicide. Results : There was no significant change in mental health scores between 1 month and 8 months. Level of posttraumatic stress after 8 months was related to acute grief response. Subjects who experienced a clinically significant level of suicidal ideation and posttraumatic stress showed more mental health problems. Conclusion : The results suggested that peer's suicide strongly impacted mental health issues of adolescents at a critical time of adolescent development. Clinicians should perform a thorough evaluation of mental health problems for youth who experienced peer's suicide and help them in management of their grief reaction.

코로나19 팬데믹과 조종사 정신건강 관리 (COVID-19 Pandemic and Pilot Mental Health Care)

  • 권영환
    • 항공우주의학회지
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    • 제31권3호
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    • pp.64-67
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    • 2021
  • When the COVID-19 crisis hit air transport, the whole aviation industry was affected. The change in the behavior of passengers following the COVID-19 crisis, travel restrictions and the ensuing economic crisis have resulted in a dramatic drop in demand for airline services. The COVID-19 pandemic, with all its associated consequences, has had a significant impact on the mental health and well-being of pilots, which could impact operational safety. As the number of international flights has decreased, pilots are exposed to high levels of psychological stress such as job instability, reduced income and increased risk of infection during flight work. Psychological stress lowers work performance and threatens aviation safety. The pilot needs mental health management during the COVID-19 pandemic, but psychological support is weak. For pilot mental health management, it is important to raise awareness about mental health and to continuously respond. To this end, it is necessary to foster a safe and trustworthy culture in which mental health issues are discussed freely and solved together without hiding them. They should also support the establishment of a peer support program that is easily accessible and that allows pilots to discuss their issues with confidence.