• 정신신체의학
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• 제12권2호
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• pp.122-134
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• 2004

연구목적 : 본 연구의 목적은 분노반응 척도를 개발하고 임상에 적용하고자 하는 데 있다. 방법: 성인 정상인 123명을 대상으로 분노반응 척도 예비설문을 시행하여 16개 문항을 추출하였다. 그 다음에 이 문항들이 포함된 설문을 정상인 258명을 대상으로 실시하였다. 상기 척도의 임상적 적용은 환자군 189명(불안장애 59명, 우울장애 72명, 신체형장애 58명)을 대상으로 하였다. 결과: 이 자료들을 요인분석한 결과 4개의 하위요인 즉 공격성반응, 짜증반응, 도피반응, 분노억압반응이 추출되었다. 상기 척도의 신뢰도는 정상인 53명에게 2주 간격으로 검사-재검사를 시행, 분석한 결과 4개 하위척도 점수와 척도 전체 점수간의 상관계수가 .53-.71로 모두 유의한 상관성을 보였다. 한편 내적 일치도는 4개 하위척도의 Cronbach's ${\alpha}$가 .62-.72, 척도 전체의 Cronbach's ${\alpha}$가 .76로 유의한 수준을 보였다. 공존 타당도의 평가는 공격성질문지 (Aggression Questionnaire) 총점, 상태-특성분노표출척도(State-Trait Anger Expression Inventory), 스트레스반응척도(Stress Response Inventory)의 분노 및 공격성 하위척도, Symptom Checklist-90-Revised (SCL-90-R)의 적대감 하위척도를 사용하였다. 환자군과 정상군 간에 척도의 전체 점수와 하위척도 점수를 비교한 결과 도피반응과 분노억압반응 하위척도에서만 각각 유의한 차이를 보였고 공격성 및 짜증반응, 척도 전체 점수에서는 유의한 차이를 보이지 않았다. 도피반응 하위척도 점수에서 우울장애군과 신체형장애군은 각각 정상군보다 유의하게 더 높았다. 결론: 이상의 결과들은 분노반응 척도가 신뢰도 및 타당도가 모두 유의한 수준의 도구이고, 특히 도피반응은 우울장애군 및 신체형장애군의 특징적인 분노반응일 가능성을 시사해 준다.

• 대한간호학회지
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• 제26권1호
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• pp.94-106
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• 1996

Nursing literature suggests that the self-concept of nurses gives an important implications to educators and administrators as well as clinicians for their professional development. With a view to exploring how nurses view themselves, the Professional Self-Concept of Nurses Instrument (PSCNI) using 27 Likert items was developed by Arthur in Australia in 1990. This study is an extension of the PSCNI using Korean samples with some modifications. A convenience sample was drawn from 800 nurses working in three university hospitals in Seoul ; three university hospitals in Kyonggi-do and a university hospital and a psychiatric hospital in Kangwon-do. Seven hundred questionnaires were analyzed using the statistical analysis system(SAS). The reliability of the scale was tested by test-retest and Cronbach's alpha. Differences in the PSCNI, which are closely related to demographic variables, were examined by t-test, ANOVA and the Duncan's multiple range test. Factor analysis was employed so as to examine component factors. The results are summarized as follows : 1. The test-retest reliability of the PSCNI was .79 and Cronbach's alpha was .85. Item correlations with total revealed consistent correlations and subscale reliability varied from .49 to .85. 2. The average score of PSCNI was 75.21 and average item score was 2.79. 3. Twenty four items were derived from the PSCNI 27 items and these items clustered in three component factors. The cumulative percent of variance was 38.12％ and for factor 1 was 22.81％, for factor 2, 9.79％ and for factor 3, 5.51％ respectively 4. A comparison of the scores for the dimensions of the PSCNI shows a relative difference in terms of mean item scores and in descending order, professional practice（m=2.83）, communication （m=2.82） and satisfaction（m=2.70）. 5. Professional self-concept of nurses was found to vary significantly according to age（P=.0001）, religion（P=.0001）, academic background（P= .0109）, marital status（P=.0001）, career（P= .0001） and position（P=.0001）. In conclusion, there was a correlation between professional self-concept of nurses, and life and work variables. This study provides an important message for administrators and nurse educators by highlighting factors which can be addressed by education programs, staff development and appraisal. While the test results largely confirm the Australian and Canadian tests, further research is necessary to improve the cumulative percent of variance instead of applying Arthur's PSCNI directly to Korean nurses.

• 부모자녀건강학회지
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• 제5권2호
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• pp.253-276
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• 2002

Mother and infant relationship has a great influence on child's developments. Expecially, mother and infant relationship is affected by mother and infant interactions during one year after birth and an omen of mother-infant interaction after birth is mother-fetus interaction. This study was conducted to develop mother-fetus interaction promotion program of talking and tactual stimulation aimed at enhancing sensitivity of primiparas and to evaluate the effect of the nursing intervention program on mother-fetus interaction and mother-infant play interaction. Non-eguivalent control group posttest design was used, and Blumer's symbolic interaction theory and Barnard's mother-infant interaction model was used a conceptual framework of this study. Fifty primiparas and infant(26 mother-infant dyads for intervention group and 24 dyads for control group) were recruited from three general hospital and an OBGY clinic located in Kwang Nung city. Data was collected from January 30th to December 20th in 2001. For the intervention group, programed education which focused on mother-fetus interaction in the 1st trimester. Telephone counselling was provided with interval of two weeks. For two groups, home visiting for data collection of mother- fetus interaction was conducted at 36 to 38 weeks of gestational age. And mother-infant play interactions were assessed at 4 to 6 weeks after birth using videotapes. Play situations were videotaped and two trained observers analyzed the tapes. The data were analyzed using chi-square test and Fisher's Exact Test to test the equivalence of two groups, and the effect of intervention progrom was determined with t-test and Wilcoxon Rank Sum test. The results were as follows: 1. The significant difference was found in mother-fetus interaction between two groups(t=2.085, P=0.0425). It indicated that intervention progrom was effective in improving mother-fetus interaction. 2. The significant difference was found in mother-infant play interaction between two groups(W=347.5, P=0.0001). In subscale analysis, three subscales showed significant differences between the groups: interactional behavior of mother(t=5.921, P=0.0001), interactional behavior of infant(t=5.736, P= 0.0000), and synchronic interactional behavior of mother and infant(t=7.940, P= 0.0000). In conclusion, this study has shown that the applied nursing intervention aimed at enhancing sensitivity of primiparas promoted mother-fetus interaction and mother-infant play interaction. Therefore, this study suggests that this nursing interventions to increase maternal sensitivity to the fetus's movement should be broadly applied to primiparas, which can be beneficial for formation of mother - infant relationship, and for promotion the social, affective, and cognitive developments of their children.

• 생물정신의학
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• 제17권3호
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• pp.136-144
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• 2010

Objectives : The $2^{nd}$ to $4^{th}$ digit length(2D : 4D) ratio reflects the amount of exposure and sensitivity to the prenatal sex hormone and it is considered to be the most convenient and useful way to understand the influence of sex hormone in the determination of human behavioral traits. This study was carried out to find the correlation between the 2D : 4D ratio and characteristics of temperament and character in Korean university students. We assumed that 2D : 4D ratio would show a strong correlation with temperament which is defined to be an inclination of an automatical emotional response to a stimulus. Methods : Participants were 104 university students who completed 2 self-report measures : Temperament and Character Inventory(TCI), Temperament Test. We examined the 2D : 4D ratio of each subject by measuring the lengths of the $2^{nd}$ and $4^{th}$ fingers using a photocopy measurement. We performed statistical analyses using correlation test and t-test to examine the relationship between 2D : 4D ratio and psychological characteristics. Results : We found out the typical sex difference in 2D : 4D ratio. Women had significantly higher 2D : 4D ratio than men. TCI-Character factor(TCI-C) didn't show any significant correlation with the 2D : 4D ratio. TCI-Tempterament factor(TCI-T) and the item of Temperament Test showed a significant correlation with the 2D : 4D ratio. In correlation analysis of the total group including all women and men, the 2D : 4D ratio showed a significant positive correlation in a subscale(shyness with stranger) of harm avoidance scales in TCI-T. In correlation analysis of women's group, the 2D : 4D ratio showed a significant positive correlation in two subscales( fear of uncertainty) and[shyness to stranger] of harm avoidance scales in TCI-T. In correlation analysis of men's group, the 2D : 4D ratio showed a significant negative correlation with a sanguine temperament item of the Temperament Test. Conclusion : The results suggest that the amount of exposure to sex hormone in the prenatal period seems to have an impact on the determination of temperament and characteristics.

• Journal of Oral Medicine and Pain
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• 제33권4호
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• pp.323-338
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• 2008

한국어판 측두하악장애 연구진단기준(RDC/TMD) 설문지의 신뢰도를 분석하기 위하여 서울대학교 치과병원 구강내과에 내원한 154명의 턱관절장애 환자들(남자 31명, 여자 123명)에게 한국어판 RDC/TMD 설문지를 작성하게 하였다. 검사-재검사 신뢰도는 동일한 피검자에게 1주 내지 2주 간격으로 같은 설문지를 작성토록 하였다. 설문지의 검사-재검사가 완료되기 전까지는 환자에게 어떠한 치료도 제공되지 않았다. 첫번째 검사로 본 통증강도(pain intensity), 장애점수(disability score), 악기능장애(jaw disability) 및 심리사회적 상태(psychosocial status)의 내적 일관성(internal consistency)의 신뢰도는 크론바흐-알파(Cronbach’s alpha) 계수로 각각 0.92, 0.94, 0.68, 0.94 였다. 검사-재검사 신뢰도의 각 설문항목별 상관계수는 0.40에서 0.94까지의 범위로 나타났으며, 각각의 세부 항목별 등급내 상관계수(intra-class correlation coefficient; ICC)는 0.81에서 0.93의 범위로 나타났다. 만성통증척도(Graded Chronic Pain)의 검사-재검사 신뢰도계수는 0.63이었다. 한국어판 RDC/TMD 설문지는 좋은 신뢰도를 보였으며, 한국인의 측두하악장애 환자들에서 심리사회적측면을 분석하는데 유용하게 사용될 수 있다.

• 대한간호학회지
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• 제45권3호
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• pp.439-448
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• 2015

Purpose: The purpose of this study was to examine validity and reliability of Webel and colleagues'HIV Self-Management Scale when used with a Korean sample. Methods: The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients'self-rating as a "mart patient"measured using a visual analogue scale. Internal consistency was tested by Cronbach' alpha coefficients. Results: All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (${\chi}^2/df_{(164)}=1.66$, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients'self-rated smart patient (r=.41). The subscale Cronbach' alpha coefficients ranged from .78 to .81; alpha for the total scale was .89. Conclusion: The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.

• Journal of Preventive Medicine and Public Health
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• 제53권4호
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• pp.275-284
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• 2020

Objectives: Police officers may be at a greater risk for cardiovascular disease (CVD) than the general population due to their highstress occupation. This study evaluated how an educational program based on the health belief model (HBM) may protect police officers from developing CVD. Methods: In this single-group experimental study, 58 police officers in Iran participated in a 5-week intervention based on HBM principles. Outcomes included changes in scores on an HBM scale, time spent on moderate to vigorous physical activity (International Physical Activity Questionnaire), body mass index (BMI), blood lipid profile, blood glucose, and blood pressure. The intervention consisted of 5 HBM-based educational sessions. Follow-up was conducted at 3 months post-intervention. The paired t-test was used to examine differences between baseline and follow-up scores. Results: All aspects of the HBM scale improved between baseline and follow-up (p<0.05), except the cues to action subscale. Self-efficacy and preventive behaviors improved the most. BMI decreased from 26.7±2.9 kg/㎡ at baseline to 25.8±2.4 kg/㎡ at follow-up. All components of the lipid profile, including triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein, showed significant improvements post-intervention. Blood glucose and blood pressure also decreased, but not significantly. Nearly 25% of participants who were not physically active at baseline increased their physical activity above or beyond the healthy threshold. Conclusions: A relatively brief educational intervention based on HBM principles led to a significant improvement in CVD risk factors among police officers. Further research is needed to corroborate the effectiveness of this intervention.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권1호
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• pp.17-22
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• 2009

Objectives : A higher level of aggression has been reported for children with attention-deficit/hyperactivity disorder (ADHD) than for non-ADHD children. Aggression was shown to have a negative effect on the social functioning of children with ADHD. The ability to recognize facial emotion expression has also been related to aggression. In this study, we examined whether impulsivity and dysfunctional recognition of facial emotion expression could explain the aggressiveness of children with ADHD. Methods : 67 children with ADHD participated in this study. We measured the ability to recognize facial emotion expression by using the Emotion Recognition Test (ERT) and we measured aggression by the T score of the aggression subscale of the Child Behavior Checklist (CBCL). Impulsivity was measured by the ADHD diagnostic system (ADS). Results : The teacher rated level of aggression was related to the score of recognizing negative affect. After controlling for the effect of impulsivity, this relationship is not significant. Only the score of the visual commission errors ex plained the level of aggression of children with ADHD. Conclusion : Impulsivity seems to have a major role in explaining the aggression of children with ADHD. The clinical implication of this study is that effective intervention for controlling impulsivity may be expected to reduce the aggression of children with ADHD.

• Child Health Nursing Research
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• 제4권1호
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• pp.105-115
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• 1998

The purpose of the study was to test the reliability and validity of the Korean version of Children's Health Locus of Control Scale (CHLC), an instrument designed to measure health locus of control in children aged 7 to 12. The scale was administered to 467 children in grades 4 to 6, enrolled in 2 elementary schools located in city. The mean age of the subject was 10.03 (SD=1.33). The findings were as follows: 1. Cronbach alpha coefficient for internal consistency was .69 for the total, and .67, .65, and .56 on the respective subscales. 2. Construct validity was supported through factorial isolation of three theory consistent subscales : internal, chance, and powerful others. Two items did not fit well with the originally developed subscale. The total percent of varience explained by 3 factors was 34.5%. The result of the factor analysis according to Kaiser's criterion revealed that the scale was consisted of 5 factors. But, The items of the subscales were rather inconsistent with the dimensions of the locus of control concept. 3. There were significant differences according to parent's educational level and occupation, and birth order on the scores of the CHLC. There were no significant differences according to grade level and sex. 4. The score of the CHLC was significantly correlated with the self concept of the children(r=.14, p<.001). The result indicated that the Korean version of Children's Health Locus of Control Scale was valid and reliable in measuring health locus of control concept in children, even though luther research is required to reconfirm and increase the reliability of the instrument. CHLC could be used for study explaining the health related behavior of the children and research project related to health education program.

• 한국생활과학회지
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• 제24권4호
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• pp.463-476
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• 2015

The purpose of this study was to examine the effects of paternal parenting sense of competence, paternal satisfaction, conflict-coping behaviors, and preschooler's emotional regulation on preschooler's social skills. Participants were 85 5- to 6-year-old preschoolers(41 boys, 44 girls) and their fathers. The Social Skill Rating Scale(Suh, 2004), the Parenting Sense of Competence(Shin & Chung, 1998), the Parental Satisfaction Scale(Seo & Lee, 2002), Conflict-coping behaviors(Cho & Kim, 2000) and the Emotional regulation(Kim & Kim, 1999) were used. Collected data were analyzed by descriptive statistics, t-test, correlation analysis and multiple regression analysis. The major findings were summarized as follows: (1) there were no differences between the boys' and girls' social skills. (2) parental satisfaction and emotional regulation explained social skills - cooperation. (3) conflict-coping behaviors(rationality and request for others) and emotional regulation explained social skills - self-control. (4) emotional regulation explained social skills - assertion. In conclusion, parental satisfaction, conflict-coping behaviors, and preschooler's emotional regulation influence differently according to the subscale of preschooler's social skills.