• 동의신경정신과학회지
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• 제33권1호
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• pp.33-48
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• 2022

Objectives: Academic stress poses a significant risk for the mental health of medical students, and a feasible group intervention program for managing academic stress is required. The purpose of this study was to examine the clinical effectiveness of emotional freedom techniques (EFT) on the mental health of Korean medical students. Methods: The class of first-year medical school students (n=36) participated in an after-school EFT group intervention program comprising six sessions (15 minutes/session, three weeks) to analyze its clinical effectiveness as a single-group test-retest clinical study. The changes in the Perceived Stress Scale (PSS), Test Anxiety Inventory (TAI), Positive and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) scores were examined using a paired t-test and Cohen's D at post-EFT and two-week follow-up. Results: There were significant curtailments at post-EFT and follow-up measures in TAI-Total (t=2.704 and t=3.289), TAI-Worry (t=2.297 and t=2.454), TAI-Emotionality (t=2.763 and t=3.654), PSS-Negative Perspective (t=2.659 and t=3.877), and PANAS-Negative Affect (t=2.885 and t=3.259) subscales, however not in PSS-Positive Perspective (t=-1.279 and t=-1.101) and PANAS-Positive Affect (t=0.194 and t=-0.122) subscales. The trait anxiety (t=2.227) was significantly mitigated in the post-EFT measure and the state anxiety (t=2.30) in the follow-up measure. Conclusions: The EFT group intervention alleviated test stress, negative affect, and anxiety in the Korean medical students. This study contributes to an understanding of academic stress and EFT intervention in the competitive environment of medical education.

• 한국학교ㆍ지역보건교육학회지
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• 제18권2호
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• pp.1-25
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• 2017

Objectives: There is higher rates of experience of suicide ideation and suicide attempt of adolescents in the Lima and Callao region compared with the results of the epidemiological study (2013) conducted by Peru National Institute of Mental Health and the Global School-based Student Health Survey (2010) which is was conducted among adolescents across all regions of Peru. Based on the PRECEDE model, this study analyzed the prevalence and the factor associated with the suicide attempt among the adolescent in a poor urban area in Peru. Methods: A stratified random sampling was used for the survey to select study participants from the 6 secondary schools based in Comas or Callao. The survey was conducted November 25th and December 4th in 2015 and a total of 738 individuals included in the analysis. In order to analyze factors influencing suicide attempt, comparison of predisposing factor, reinforcing factor, enabling factor, behavioral factor, environmental factor, psychological factors by suicide attempt and suicide risk group were identified through the chi-square test and hierarchical logistic regression. Results: Results showed that those who reported having less parental understanding, less time spent with parents, and 'almost none/none' for parental affection had more experience of suicide attempt and were more likely to sort into the high suicide risk group. Also, a greater proportion of those with the experience of suicide attempt had more experience of smoking and alcohol consumption, and experience of physical abuse and feeling insulted and depression in comparison to that of those without experience of suicide attempt. Variables that had a significant effect on suicide attempt included depression, subjective happiness, smoking experience, sexual intercourse, involvement in fight, parental affection, and gender (male). Conclusions: The results of the current study can serve as grounds for the necessity of acknowledging that adolescent suicide does not simply depend on a couple of factors, but arises from situations in which individual, home, school, social factors influence one another, and therefore adolescent suicide should be prevented and addressed through a multi-dimensional and integrated approach.

• 융합정보논문지
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• 제11권11호
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• pp.1-9
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• 2021

본 연구는 만 40세-64세의 중년 여성의 낙상에 영향을 주는 요인을 알아보고 낙상 예방 프로그램 개발에 기초자료로 활용하기 위하여 시도되었다. 연구방법은 2019년도 지역사회건강조사 자료를 이용하여 43,917명 중년 여성을 연구대상으로 낙상, 신체 건강, 정신건강 및 건강행태를 조사하였다. 대상자의 낙상에 영향을 미치는 요인을 알아보기 위하여 descriptive statistics, chi-square test, multiple logistic regression을 하였다. 연구 결과 중년 여성의 낙상 경험은 11.9%로 보고되었고 연령이 증가할수록, 배우자가 없는 여성에서 낙상을 많이 경험하였다. 높은 우울감과 지각된 스트레스, 당뇨병을 진단받은 경우, 폭음하는 여성에서 낙상 경험이 높게 나타났다. 중년 여성의 낙상을 감소시키기 위해서 본 연구에서 밝혀진 변수를 고려하여 다양한 간호 중재의 근거자료로 적용될 수 있을 것이다.

• 한국간호교육학회지
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• 제17권3호
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• pp.395-404
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• 2011

Purpose: The purpose of this paper was to analyze research papers using movies and to introduce a practical instruction in cinema education for nurse educators in Korea. Method: The computerized database of PubMed, Google scholar, NDSL, CINAHL, and PsychINFO were used to generate relevant literature. Sixteen studies were published between 1990 and 2011 and were included in this review. These papers were analyzed using the matrix method suggested by Garrad (2007). Results: The first paper using movies in nursing education was performed in 1995. There were 16 studies on this issue and classified into one qualitative and 15 quantitative research. Because psychiatric mental health nursing was the main course, movies relating to mental illness were mainly considered. Most papers used questionnaires developed by researchers and discussions regarding the course. The key findings in these papers were all positive. Conclusion: The critics and syntheses in these papers emerged into seven overarching merits of cinema education and that lead to conduct cinema education to deepen students' understanding and to evoke empathy, critical thinking, entertainment, and intimacy. In addition, cinema education was safe and economical. This study recommends discovering suitable films and developments in both instruction process and educational evaluation tools.

• 정신간호학회지
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• 제28권1호
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• pp.50-63
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• 2019

Purpose: The objective of this study was to explore operational definitions and moderators of the resilience of adult children of alcoholics (ACOA) and its associated variables. Methods: This integrative review was conducted based on a literature review method suggested by Whittemore and Knafl. Databases including PubMed, CINAHL, PsycINFO, and RISS were searched using the combinations of search terms such as; 'adult children of alcoholics,' 'parental alcoholism,' 'resilience,' and 'children of alcoholics.' Results: Seventeen studies were selected for this review. Findings of integrative reviews reported operational definitions for the resilience of ACOA and moderators. The operational definition of ACOA's resilience is: (1) having no behavioral and emotional problem, (2) meeting social and developmental expectancies, (3) having the ability to cope with adversity, (4) having high self-concept, and (5) having a meaningful relationship. In addition, the varying environmental moderators include family communication, qualities of caring environment, parental communication, parentification, and social support. Several moderators were identified as positive effect, self-esteem, alcohol-specific coping style, locus of control, spirituality, the image of God, and dyadic cohesion in marital communication. Conclusion: Our study findings emphasize comprehensive understanding of diverse definition of resilience and moderators in developing nursing interventions to promote resilience in ACOA.

• 농촌지도와개발
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• 제26권2호
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• pp.69-84
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• 2019

Recently rural healing tourism has been attracting tourists' interest in relieving mental stress and restoring physical daily life with nature-friendly experience. The purpose of this study is to explore the urgent problems and challenges of rural healing tourism by conducting focus group interview(FGI) with experts. Fourteen experts were interviewed with a semi-structured questionnaire. From the interview data, six themes were identified for direction of healing tourism development. The results of the study are as follows; The area of rural healing tourism can be explained within the framework of health tourism. As for the difference between rural tourism and healing tourism, rural tourism is expected to enhance physical and mental relaxation, daily restoration, and health promotion if rural tourism expects the understanding and experience of agricultural and rural life, and educational effect. The core components of rural healing tourism were operators' expertise, program with rurality, ecological environment, and storytelling. The findings of this paper implicate the underlying dimension of rural healing tourism from a experts' perspective.

• Journal of Yeungnam Medical Science
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• 제38권3호
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• pp.194-201
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• 2021

Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제35권3호
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• pp.163-168
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• 2024

Stress is a natural state that emerges due to the dynamics of an individual's life. Children must learn how to effectively manage stress as part of their growth and development. Resolution is possible when children are exposed to stress and receive adequate support from their families. However, when stress is intense, frequent, protracted, or traumatic, as in cases of childhood abuse, it can become toxic and interfere with the development of the child's brain and body. This results in vulnerability, which can have detrimental effects on the child's overall physical, mental, and emotional health. This perspective discusses the impact of childhood maltreatment and toxic stress, drawing on insights gained during the COVID-19 pandemic. We aimed to shed light on the lessons learned from this unique and challenging period and how they inform our understanding of the effects of stress on children's well-being.

• 한국사회복지학
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• 제62권3호
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• pp.163-191
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• 2010

본 연구의 목적은 농촌 결혼이주여성들의 복지욕구의 영향요인을 탐색적으로 확인하고자 하는 것이다. 확률표집을 한 300명의 농촌거주 결혼이주여성의 복지욕구조사결과, 남편의 문제행동 상담에 대한 복지욕구는 정신건강이 나쁠수록, 신체건강이 좋을수록, 연령이 낮을수록, 자국민모임참여가 없는 경우에 높았다. 자녀양육 및 교육관련 욕구는 연령이 낮을수록 베트남 출신 이주여성이 욕구가 상대적으로 높았다. 취업교육욕구는 필리핀, 중국(한족) 출신이주여성이 낮았고, 가족이해정도가 낮을수록 욕구가 높았다. 취업알선욕구는 연령이 높을수록, 지역주민으로서의 소속감이 낮을수록 높았으며, 필리핀 출신 이주여성들이 낮았다. 이러한 결과 등을 고려하여, 이주여성의 연령과 학력, 국적, 지역사회자원 등에 따라 복지서비스를 차별화하여 제공해야 함과 동시에 이주여성의 정신건강에 대해 좀 더 관심과 지원을 기울여야 할 필요성이 제기되었다.

• 한국심리학회지:학교
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• 제8권2호
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• pp.133-152
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• 2011

본 연구는 중학생의 정신건강과 학업소진의 변화 간의 관계를 살펴본 단기종단연구이다. 연구대상은 서울지역 중학교 남학생 161명, 여학생 216명, 성별무응답 32명으로 총 409명이며, 측정도구는 간이정신진단검사 척도(SCL-47)와 학업소진 척도(MBI-SS)를 사용하였다. 중학생의 정신건강과 학업소진에 있어서 개인 내적인 변화의 양상을 파악하기 위하여 회귀방정식을 통해 표준화된 잔차를 산출하였고, 이를 변화량으로 사용하여 정준상관분석을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, 함수 1에서 정신건강의 하위요인들 가운데 특히 우울, 강박, 불안, 적대감이 모두 함께 감소할 때는 학업소진의 하위요인 중 탈진과 냉소가 함께 감소하였다. 다시 말해, 우울, 강박, 불안, 적대감의 증가는 학업 탈진과 냉소의 증가와 관련성 있게 나타난다. 둘째, 함수 2에서 정신건강 하위요인들 가운데 강박은 증가하면서 불안과 우울이 감소할 때는 탈진은 감소하고 냉소는 증가하였다. 이 결과를 러셀의 정서차원 이론에 적용해 보면, 중학생의 정신건강에서 비각성과 각성영역의 두 차원 모두의 증상이 증가할 때엔 학업 탈진과 냉소가 함께 증가하였으며, 각성 영역에서 공포불안과 강박이 증가하고, 또 각성 영역의 불안과 비각성 영역의 우울이 감소할 때엔 탈진은 감소하고 냉소는 증가하는 것으로 나타났다. 따라서 학업 탈진과 냉소를 함께 경험하는 중학생들에게는 각성 정서와 비각성 정서에 대한 종합적인 개입이 필요하고, 탈진은 감소하고 냉소만 증가하는 중학생들에게는 각성 정서의 완화에 초점을 둔 개입이 적절할 것으로 보인다. 본 연구는 청소년의 정신건강과 학업소진의 관련성을 밝힘으로써 학교와 상담 현장에서 학생들에 대한 이해를 높이고 차별화된 상담개입방법을 마련했다는 데 의의가 있다.