• 대한간호학회지
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• 제30권3호
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• pp.694-708
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• 2000

The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

• 대한간호학회지
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• 제48권5호
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• pp.545-553
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• 2018

Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

• 아동학회지
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• 제32권4호
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• pp.147-166
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• 2011

The purpose of this study was to explore the relationship between cultural identity and the psychosocial adjustment levels of children in international marriage families by focusing on the effects that different types of cultural identity have on children's overall psychosocial adjustment. The data for this study came from a survey conducted on 122 third to sixth grades children with foreign mothers living in Seoul and Gyeonggi-Do. As a result, it was found that children's identification with Korean culture was on average higher than their identification with their mother's culture. Secondly, in terms of identity type, assimilation and separation types appeared to be the most dominant, followed by the integration and marginalization types. Finally, it was found that cultural identities had significant effects on children's psychosocial adjustment in international marriage families. In particular, the level of self-esteem was the highest for children in the integrated group, while it was the lowest for those in the marginalized group. These results indicate that identification with the mother's culture is just as important as one's Korean identity when it comes to determining the degree of psychosocial adjustment of children in international marriage families.

• 대한불안의학회지
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• 제5권2호
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• pp.103-111
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• 2009

Objectives : We examined quality of life, psychosocial adjustments to illness, changes in sexual functioning, and prevalence of psychiatric disorders in AIDS patients compared to patients with chronic hepatitis B virus infection (CHB). Methods : Thirty-one men with AIDS and 50 men with CHB were enrolled. The Short-Form 12-Item Health Survey (SF-12), the Psychosocial Adjustment to Illness Scale (PAIS), and the Changes in Sexual Functioning Questionnaire short form (CSFQ-14) were administered. Results on these assessments were compared between the 31 AIDS patients and 50 CHB patients. The Structured Clinical Interview for DSMIV (SCID) was administered to determine the psychiatric diagnosis only for the AIDS patients. Results : The Physical Component Summary score (PCS) was lower in AIDS patients than in CHB patients (p<0.001). In the section examining sexual relationships, AIDS patients exhibited a lower level of adjustment (p<0.05) and had more changes in sexual function (p<0.05) than did CHB patients. Administration of the SCID to AIDS patients indicated that the lifetime prevalence of any psychiatric disorder was 56.7% ; 43.3% for mood disorders, 33.3% for alcohol use disorders, 26.7% for anxiety disorders, and 20% for adjustment disorder. Patients who had experienced any psychiatric disorder had more severe psychosocial distress (p=0.004) and evidenced a lower level of overall psychosocial adjustment (p=0.030) than patients who had not. Conclusion : We showed that AIDS patients have a high prevalence of psychiatric disorders, and that AIDS patients with psychiatric disorders were particularly low in levels of psychosocial adjustment. Thus, careful attention should be given to psychiatric aspects of AIDS patients emphasizing the early diagnosis and treatment of psychiatric disorders.

• 한국콘텐츠학회논문지
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• 제21권12호
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• pp.595-606
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• 2021

본 연구는 다문화가정 청소년의 타인인식이 심리사회적 적응에 미치는 영향을 살펴보고, 이 관계에서 자기조절능력의 매개효과를 알아보고자 하였다. 이러한 연구목적을 달성하기 위해 부산시의 다문화 가정 중학교 청소년 127명을 대상으로 설문조사를 실시하였다. 그 결과, 다문화가정 청소년의 타인인식은 자기조절능력과 심리사회적 적응에 부(-)의 영향을 미쳤으며, 자기조절능력은 심리사회적적응에 정(+)의 영향을 미치는 것으로 나타났다. 또한 다문화청소년의 타인인식과 심리사회적적응의 관계에서 자기조절능력의 매개효과를 검증한 결과, 자기조절능력은 부분매개 효과가 있는 것으로 나타났다. 이러한 결과를 볼 때, 다문화 가정 청소년의 심리사회적 적응 향상을 위해서는 자기조절능력에 대한 다양한 프로그램들이 개발되어야 하며, 다문화가정에 대한 긍정적인 인식 제고를 위한 학교 및 지역사회의 제도적인 지원이 뒷받침 되어야 한다.

• 아동학회지
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• 제23권4호
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• pp.119-136
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• 2002

This study examined teacher's perceptions of the psychosocial adjustment and problem behaviors of institutionalized children compared with home reared children. Data were collected from the teachers of institutionalized children in elementary and secondary schools. The majority of institutionalized children were regarded as not very much different from home reared children. Still, findings from this study lead to conclusions that institutionalization is likely to elevate children's risk for adjustment problems such as social withdrawal, peer violence, and academic failure. Findings that the ratio of institutionalized children attending school decreased with age lead to speculation that failure in psychosocial adjustment may lead to to dropping out of school. Finally, a practical framework for the optimal development of institutionalized children is provided, with emphasis on school-community based interventions.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.549-562
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• 2017

본 연구에서는 사회적 낙인이 학교 밖 청소년의 심리사회적 적응에 미치는 영향을 살펴보고, 사회적 낙인과 심리사회적 적응의 관계에서 자기개념 명확성의 조절효과를 알아보고자 하였다. 이러한 연구목적을 달성하기 위해 부산시에 거주하는 학교 밖 청소년들을 대상으로 설문조사를 실시하였다. 그 결과 다음과 같은 사실이 밝혀졌다. 첫째, 사회적 낙인은 자기개념 명확성에 부(-)의 영향을 미치는 것으로 나타났다. 둘째, 사회적 낙인은 심리사회적 적응에 부(-)의 영향을 미치는 것으로 나타났다. 셋째, 자기개념 명확성은 심리사회적 적응에 정(+)의 영향을 미치는 것으로 나타났다. 넷째, 사회적 낙인과 심리사회적 적응의 관계에서 자기개념 명확성은 조절효과가 있는 것으로 나타났다. 이와 같이 본 연구는 사회적 낙인과 심리사회적응의 관계에서 자기개념 명확성의 조절효과를 알아봄으로써 학교 밖 청소년들의 심리사회적 적응 방안을 모색하고, 자기개념 명확성을 높일 수 있는 상담적 개입을 촉구하였다는 점에서 연구의 의의가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3429-3434
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• 2014

Aims: To identify the psychosocial adjustment of Turkish patients with breast cancer and the effects of perceived social support on their adjustment. Materials and Methods: The sample comprised 100 volunteering patients diagnosed with breast cancer in the last six months reporting to the Outpatient Chemotherapy Unit at the Medical Faculty Hospital in northern Turkey. The data for the study were collected through the Descriptive Information Form, the Psychosocial Adjustment to Illness Scale-Self-reflection (PAIS-SR) and the Cancer-Specific Social Support Scale and analyzed via SPSS 16.0 for Windows. Descriptive statistics, Chi square test, ANOVA and correlation were used to evaluate data. Results: There was a negative significant correlation between mean scores in the sub-scales of the social support scale and the ones in the sub-scales of the psychosocial adjustment to illness scale (p<0.05). Similarly, there was a negative significant correlation between confidence support and health care orientation as well as adjustment to social environment. Likewise, emotional support was in a negative significant correlation with health care orientation, adjustment to domestic environment, extended family relationships and adjustment to social environment. Conclusions: It was concluded that social support for patients with breast cancer had an influence on their psychosocial adjustment to illness. Holistic care should be given to breast cancer patients by oncology nurses especially in the first six months of treatment. It could be concluded that patients should be accompanied by their family/relatives in treatment and care following their diagnosis with breast cancer, that their family should be made more aware of the fact that the patient should be physically and psychologically supported, that patients with breast cancer should be provided with domiciliary care, and that they should be encouraged to participate in social support groups.

• 한국사회복지학
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• 제56권4호
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• pp.317-343
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• 2004

본 연구의 목적은 알코올 중독자를 아버지로 둔 여성 성인자녀들의 심리사회적 적응과 관련이 있는 변수들에 관한 이해를 도모하고자 한다. 즉, 아버지를 알코올 중독자로 둔 여성 ACOA들을 대상으로 아버지의 알코올 중독과 가족기능, 부모와의 애착, 심리사회적 적응간의 관계를 알아보고자 한다. 본 연구에는 463명의 여대생이 설문에 참여하였으며, 이 중에 160명이 아버지가 알코올 중독자인 것으로 조사되었다. 본 연구는 서울과 경기도 지역에서 이루어졌다. 참여자들을 대상으로 알코올 중독자 선별척도, 부모와의 애착 척도, 생활만족도 척도, 자아존중감 척도, Beck의 우울 척도, 가족환경 척도 등이 조사되었다. 연구문제를 해결하기 위해서 회귀분석을 이용한 경로분석이 사용되었다. 연구결과를 요약하면 다음과 같다. 아버지의 알코올 중독은 심리사회적 적응과 가족기능에 직접적인 영향을 미치지 못하였다. 그러나 아버지의 알코올 중독은 부모와의 애착과는 유의미한 관계가 있는 것으로 나타났다. 가족기능은 부모와의 애착뿐만 아니라 심리사회적 적응에 유의미한 영향을 미치는 것으로 나타났다. 결과적으로 가족기능은 부모와의 애착과 심리사회적 적응, 구체적으로 자존감과 생활만족도에만 중요한 영향을 미치는 것으로 나타났다. 따라서 부모와의 애착은 가족기능과 심리사회적 적응간의 관계에서 매개적 역할을 하는 것으로 나타났다. 결론적으로 말하면, 본 연구에서는 아버지의 알코올 중독 유무는 여성 ACOA의 심리사회적 적응을 예측하지 못하였다. 본 연구를 통하여 아버지의 알코올 중독 변수로만 여성 ACOA의 적응에서의 어려움을 설명하려는 가정을 재고할 필요가 있다고 보아진다. 마지막으로 알코올 중독자를 아버지로 둔 여성 ACOA들에 관한 임상적 함의와 이론적 함의들이 논의되었다.

• 한국콘텐츠학회논문지
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• 제20권1호
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• pp.539-552
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• 2020

본 연구에서는 가정 외 보호서비스 청소년을 대상으로 학대 경험이 심리사회적 적응에 미치는 영향을 살펴 보고, 자기조절능력의 매개효과를 알아보고자 하였다. 이러한 연구목적을 달성하기 위해 부산시에 거주하는 가정 외 보호서비스 청소년을 대상으로 설문조사를 실시하였다. 그 결과 다음과 같은 사실이 밝혀졌다. 첫째, 학대 경험은 자기조절능력에 부(-)의 영향을 미치는 것으로 나타났다. 둘째, 학대 경험은 심리사회적 적응에 부(-)의 영향을 미치는 것으로 나타났다. 셋째, 자기조절능력은 심리사회적 적응에 정(+)의 영향을 미치는 것으로 나타났다. 넷째, 지기조절능력은 학대 경험과 심리사회적 적응의 관계에서 매개효과가 있는 것으로 나타났다. 이러한 결과는 학대를 경험하고 있는 가정 외 보호서비스 청소년들의 심리사회적 적응 향상을 위해서는 방임과 정서적 학대를 예방하고, 가정 외 보호서비스를 받고 있는 청소년들의 자기조절능력을 높일 수 있는 상담 프로그램의 개입의 중요성을 촉구하였다는 점에서 의의를 지닌다.