• Asian Pacific Journal of Cancer Prevention
• /
• 제14권7호
• /
• pp.4089-4093
• /
• 2013

Objective: The rhabdomysarcoma (RMS) is most common soft tissue carcinoma in children, mostly found in the head and neck with high degree of malignancy. The current study aimed to summarize clinical data and evaluate treatment outcome of cases in a single hospital. Methods: Forty-one (24 male, 17 female) children with newly diagnosed RMS in Beijing Tong Ren Hospital were enrolled between November, 2004 and May, 2011. The. Students' t and Chi tests were then performed on retrospectively reviewed clinical data, followed by survival analysis based on the Kaplan Meier method using SPSS 17.0 software. Results: Of all cases, 32 were treated by common chemotherapy, and 3 cases with stage III RMS received high-dose chemotherapy and auto-peripheral blood stem cell transplantation (APBSCT). Side-effects in the former were: I grade for 62.5% (20/32), II grade for 28.1% (9/32), III grade account for 9.275% (3/32). Side-effects of 3 cases with APBSCT: 2 were I grade, 1 was III grade. The median follow-up time of 41 RMS cases was 41 months. Four cases were lost to follow-up, 7 cases recurred, and 5 cases died of cerebral metastasis, witha total survival rate was 86.5% (32/37). CR rate was 67.6% (25/37), PR was 18.9% (7/37). Conclusion: Multidiscipline treatment including chemotherapy, radiotherapy, surgery and auto-PBSCT is highly recommended for pediatric patients with head and neck RMS.

• 한국콘텐츠학회논문지
• /
• 제20권12호
• /
• pp.582-592
• /
• 2020

본 연구의 목적은 한강의 소설 「채식주의자」에 등장하는 인물의 심리 역동과 체계 속에서의 관계 패턴을 위니컷의 대상관계이론을 적용하여 분석하고자 한다. '채식주의자'는 이미 다양한 각도로 분석되고 재해석된 바 있으나 대상관계이론을 적용하여 살펴본다면 가족 체계 안에서의 인물 심리 분석과 부부 관계 역동, 세대간에 걸친 필연적 역사를 이해할 수 있다. 먼저 채식주의자 인물의 대사 속에서 표현되는 각 인물의 성격과 심리역동을 탐색하고 대상관계이론과 개념으로 부부관계를 분석할 것이다. 실제 임상 사례가 아닌 소설 속 인물을 이론에 근거하여 심리 분석 및 탐색하는 과정은 추후 임상 장면에서 상담자가 내담자들의 삶의 스토리를 재해석하는데 근거 자료로 사용될 수 있을 것이다. 더불어 실제 사례만이 아니라 예술을 활용하여 인물 및 관계 분석을 함으로써 윤리적이고 실천적인 임상 교육을 실현할 수 있을 것이다. 문화적으로 다양한 인물 분석을 통한 의미 탐색이 누적될 때 임상 실천의 장 또한 함께 확장된다고 제언하고자 한다.

• 동의신경정신과학회지
• /
• 제14권1호
• /
• pp.117-131
• /
• 2003

SCL-90-R is a multidimensional self-report symptom inventory devoloped by Derogatis and his coworkers. Since it was standardized into Korean version in 1978 by Won and Kim et aI., but it has been rarely studies for the clinical groups. Objectives : This study sought to define a diagnotic character of SCL-90-R of tension headache and insomnia inpatients groups. Methods : We determined a diagnotic character of 17 tension headache and 23 insomnia patients by means of SCL-90-R, and compared with normal groups in order to characterize subscale of SCL-90-R in patients with tension headache and insomnia from Neurasthenia. Results : 1. Male tension headache group has significant difference in Somatization and Depression subscales, female group in Somatization, Obsessive-Compulsive, Depression and Hostility subscales. 2. Female insomnia group has significant difference in Anxiety subscale. Although there are a little significiant, many subscales such as Somatization, Obsessive-Compulsive, Depression and Hostility are higher than normal group. 3. There are significant difference in GSI and PDSI of Global index, which means that we use that for objective index of tension headache and insomnia from Neurasthenia. Conclusions : All of these results show that SCL-90-R is useful inventory to characterize and screening for Neurasthenia.

• 동의신경정신과학회지
• /
• 제5권1호
• /
• pp.9-15
• /
• 1994

홧병은 민간에서 많이 통용되는 한국의 문화관련질환으로 그간 정신과의사와 한의사 사이에서 많은 연구가 진행되어 왔다. 정신과의사는 홧병을 특유한 병리적인 경과를 밟는 '병'으로의 의미로 설명한데 반해 한의사는 화의 양상을 가진 '증'의 개념으로 이를 해석하고 있는 것을 볼 수 있다. 저자는 기존의 홧병연구를 바탕으로 한의학적으로 해석을 하여볼 때, 발병원인은 지속된 억울된 감정으로 인한 간기울결로 말미암고, 홧병의 발생이 여성에게 많은 까닭은 여성이 스트레스를 잘 풀지 못하며 생리적, 장기적 취약점이 있으며, 화의 위로 상승하는 성질과 병이 신수가 심화를 억제하지 못하는데서 비롯하므로 증상이 화의 역동성과 연관된다는 점, 그리고 발병이 만성화의 경과를 밟는 이유는 복합감정이 문제가 되고 또 감정이 오래되어 화로 바뀌며 나이가 들어 수가 화를 억제하지 못하는 시기에 발병한다는 점으로 홧병을 해석할 수 있었다. 이는 정신과의사의 임상적 경과의 관찰과 한의사의 화에 대한 연구가 상호의 협조가 병의 경과와 병리기전 예후 및 치료대책을 정립해 나가는데 있어서 더욱 필요함을 제시해 주고 있다.

• 한국콘텐츠학회논문지
• /
• 제17권3호
• /
• pp.633-642
• /
• 2017

본 연구는 교류분석 프로그램이 육군 부적응 병사들의 개인역량과 의사소통 능력에 미치는 효과를 파악하기 위한 실험연구로 단일군 전 후 설계이다. 연구대상자는 G시에 소재한 ${\bigcirc}{\bigcirc}$부대 ${\bigcirc}{\bigcirc}$캠프에 참가하고 있는 군 복무부적응 병사 8명이었고, 자료수집기간은 2015년 10월 15일에서 10월 21일까지였다. 교류분석 프로그램은 1주일에 2회, 1회당 240분(2회기)으로 2주 동안 총 8회기로 진행하였으며, 자료 수집은 실험군에게 사전-사후 자기기입식 설문방법으로 진행하였다. 자료 분석방법은 Wilcoxon의 부호순위 검정을 이용하였고, 연구결과에서 실험군은 사전에 비해 사후에 개인역량(Z=-2.366, P=.018). 개인역량의 하위요인 중 자기효능감(Z=-2.047, P=.041), 긍정성(Z=-2.058, P=.040)이 유의하게 증가하였다. 개인역량 하위요인 중 대인관계(Z=-1.179, P=.238), 군 입대 동기의 자발성(Z=-1.518, P=.129)과 의사소통 능력은 평균점수가 높아지긴 하였으나 통계적으로 유의한 차이는 없었다(Z=-1.524, P=.128). 결론적으로 본 연구에서 사용된 교류분석 집단상담이 개인역량, 자기효능감, 긍정성을 향상시켜 군 적응을 돕는데 효과적임을 시사한다.

• 대한한방소아과학회지
• /
• 제31권1호
• /
• pp.12-24
• /
• 2017

Objectives The purpose of this study was to validate the biopsychological structure of Sasang Personality Questionnaire (SPQ) measuring Yin-Yang temperament with Junior version of Temperament and Character Inventory (JTCI) for temperament and Body Mass Index (BMI) and Pondera Index (PI) for physical constitution in elementary school students. Methods 903 Korean elementary school students (430 boys and 473 girls) completed SPQ, JTCI, and height and weight measures. Then they were analyzed by their genders and age groups. The correlation between SPQ and JTCI subscales were examined. The differences found in the SPQ and JTCI subscales, BMI and PI among high (30%), middle (40%), and low (30%) SPQ groups were investigated by analysis of variance. The profile analysis was also performed to compare JTCI subscale profiles of three SPQ total score groups. Results The SPQ score was significantly (p<0.001), and positively correlated with the JTCI Novelty-Seeking and negatively with the JTCI Harm-Avoidance. The JTCI Novelty-Seeking score of high SPQ group was significantly (p<0.001) higher than that of low SPQ group, and the JTCI Harm-Avoidance score of low SPQ group was significantly higher than that of high SPQ group. The JTCI subscale profiles for three SPQ groups were significantly (p<0.001) different for boys and girls. Significant correlations between BMI and SPQ were not found. PI and BMI of high and low SPQ groups were not significantly different. Conclusions The SPQ was shown to have robust biopsychological structure in elementary school students. It would be useful clinical measures for Sasang typology in pediatric patients.

• 동의신경정신과학회지
• /
• 제33권3호
• /
• pp.259-266
• /
• 2022

Objectives: The combination of Harm-Avoidance (HA) and Self-Directedness (SD) of Temperament and Character Inventory (TCI) has been reported pivotal for mental health; however its clinical usefulness in integrative medicine has not sufficiently reported. The purpose of this study was to illustrate multi-phasic mental health of subjective satisfaction with life, emotional well-being, and psychopathology, following the HA-SD profile groups. Methods: A total of 527 Korean university students reported HA and SD scores as to render their HA-SD profile, and multi-phasic mental health characteristics using Satisfaction with Life Scale (SWLS), Positive Affect and Negative Affect Schedule (PANAS), and Beck Depression Inventory (BDI) with composite well-being scales of SC (Sum of Self-Directedness and Cooperativeness score) and HI (Happiness Index, subtraction of Negative Affect (NA) score from Positive Affect (PA) score) as standardized. Pearson's correlation was used to report correlation coefficient, and the ANCOVA with age and sex as covariates, to show significant differences in mental health and well-being between the HA-SD profile groups. Results: The HA-SD profile groups showed distinctive multi-phasic mental health characteristics; health related scores of SWLS, PA, SC and HI decreased following the order of hS (low HA and high SD), HS (high HA and high SD), hs (low HA and low SD) and Hs (high HA and low SD) profile groups; however the non-health related scores of NA and BDI showed contrasting order. Conclusions: The HA-SD profile was found to be clinically useful for examining multi-phasic mental health and well-being status, and the TCI may be an imperative personality inventory for integrative medicine.

• 정신신체의학
• /
• 제15권1호
• /
• pp.35-43
• /
• 2007

연구목적: 고등학생을 대상으로 계절성 평가 도구인 계절성 양상 평가 설문지(Seasonal Pattern Assessment Questionnaire, SPAQ)와 인격 성향을 평가하는 기질과 성격 검사(Temperament and Character Inventory, TCI)와의 상관관계에 대해 조사하여 계절성과 인격 구조와의 유전적 요인과의 관계에 대해 알아보고자 하였다. 방법: 서울에 거주하는 600명의 고등학생을 대상으로 Rosenthal의 SPAQ와 Cloninger의 TCI 한국어판을 사용하였다. 결과 : 여학생은 harm avoidance, reward dependence, cooperativeness에서 높은 점수가 나온 반면 남학생에서는 persistence, self-transcendence에서 높은 점수가 나왔다. 총계절성 점수(Global seasonality score)와 TCI의 하부척도를 비교한 결과 harm avoidance, self-transcendence와는 정적 상관관계가 나타났으며, self-directedness, cooperativeness와는 부적 상관관계가 나타났다. 로지스틱 회귀분석 결과, SAD의 경우 회귀계수는 self-directedness와 유의한 부적 상관관계가 나타났으며 self-transcendence와는 정적 상관관계가 나타났다. S-SAD의 경우에는 cooperativeness와 부적 상관관계를 보였으며 self-transcendence와는 정적 상관관계를 보였다. GSS가 11점 이상일 경우에는 그렇지 않은 경우에 비해 self-transcendence 점수가 높게 나타났으며, 겨울에 가장 기분이 저하되는 경우에는 그렇지 않은 경우에 비해 더 낮은 cooperativeness 점수를 보였다. 계절성 변동이 중등도 이상의 문제를 일으키는 경우에는 높은 harm avoidance, self-transcendence 점수를 보였다. 결론: 계절성과 성격 및 기질적인 부분이 서로 연관성을 보였다. 이 연구가 우리나라에서 고등학생을 대상으로 한 최초의 연구로서 여기에서 보인 결과들은 임상적 적용에 도움을 줄 수 있을 것으로 보인다.

• 대한간호학회지
• /
• 제20권1호
• /
• pp.88-117
• /
• 1990

The purposes of this study are to delineate a profile of the state of a stroke patient's adaptation at 3 months after hospitalization and to explore the relationship between the level of adaptation and the variables which influence the adaptation of hemiplegic patients. To these ends, theoretical framework was derived basically from the stress adaptation model. The basic assumption underlying the level of adaptation is influenced by the presenting focal, contextual and residual stimuli. This group of stimuli is further operationalized and represented by a perception of stress. which is the perceived effect of the disability and by the mediating variables such as sociodemographic factors as an external conditioning variables and perceived social support and hardiness personality characteristics as an internal intervening variables. The dependent varibales in this study is the level of physical, psychological and social adaptation and is hypothesized to be a function of the interaction between 3 sets of variables namely, the perceived disability effect, external conditioning variables and internal intevening varibles. A total of fourty three subjects from 3 general hospitals in Seoul were observed and interviewed with the aid of 7 structured instruments. The data were collected twice on each subject : first at the pre-discharge period arid at 3 months post-discharge from hospital for the second time. The study was carried out for the period from February to August, 1988. The instruments used for the study include 4 existing scales and 3 scales developed by the researcher for this study. They are : 1) The ADL dependency scale and the scale of the clinical physical functions for the assessment of physical adaptation. 2) the SDS(self report of depression) to measure the level of psychological adaptation. 3) The scale for the amount of social activities for the measurement of the level of social adaptation. 4) The scale for the perceived effect of disability for the measurement of the focal stimuli. 5) The health related hardiness scale and the perceived interpersonal support self evaluation list(ISEL) for the measurement of the hardiness personality character and the perceived social support. The data obtained were analyzed using percentage, oneway ANOVA, Pearson coefficients correlation and stepwise multiple regression. The findings provide valuable information about the present level of physical adaptation at 3 months after discharge. The patient revealed a decreased ADL dependency and lowered limitation of physical function as compared with pre - discharge state. Psycholcgically, the average degree of depression at follow up was within normal range of depression. Socially, the amount of social activities was very low. The one way ANOVA and the correlational analysis revealed the relationship between the 3 sets of variables and the adaptation level as follows : 1) The perceived disability effect was related to the degree of the depression and the amount of social activities but was not related to the physical adaptation. 2) Among the sociodemographic variables, sex and education were related to the difference of ADL dependency and the change of physical function. These factors indicate that women more than men and educated more than the less educated were found more independent. The education was also related to the degree of depression suggesting that the higher the educational level, the more well adapted the patients were both physically and psychologically. Age, marital status and job state were not found to be related to the patient's adaptation level. 3) Among the internal intervening variables, the health related hardiness characteristic was related to the differences of ADL dependency, physical functions and the social activities, indicating that the higher the hardiness character the higher the level of physical and social adaptation. 4) The perceived social support, another internal intervening variable, was related to the degree of depression and the social activities. This data suggest that the higher the perception of social support, the better adapted the patients were psychogically and socially. In summarizing the results of the correlational analysis, the level of physical adaptation was influenced by sex, the years of education and the hardiness character. The level of psychological adaptation was influenced by the years of education, the perceived disability effect and the perceived social support. And the level of social adaptation was influenced by the perceived disability effect, the hardiness character and the perceived social support. The stepwise multiple regression analysis shows findings as follows : 1) The most important factor to explain the difference of ADL dependency was sex, indicating females were more independent than males. 2) The most important factor to explain the difference of physical function and the degree of depression was the patient's education level. 3) The strongest explaining factor for the amount of social activities was perceived self esteem(one of the subconcepts of perceived social support). Thus the most important factors influencing the level of adaptation were found to be sex, education, the hardiness character and self esteem. From the above findings, the significance of this study can be delineated as follows : 1) Corroboration of the assumed relationship between the various variables and the adaptation level as suggested in the conceptual model. 2) Support for the feasibility of the cognitive approach for nursing intervention such as hardness character training, counselling and teaching for self-care in the chronic patients.

• 대한치과기공학회지
• /
• 제28권1호
• /
• pp.121-142
• /
• 2006

Collecting materials for study on teaching efficiency and satisfaction of clinical training, it changes. Dental technology's educational procedure to many ways of a prospect. In a circumstance that needed higher level of education, this study is aimed on realizing an importance of clinical training through the various materials that previously carried out and offering basic knowledge to take better clinical training for the students. Study results below 1. This Investigation conducted on 123 of sophomores(70.3%) and 52 of juniors(29.7%) who have been taken clinical training, and men's proportion(51.45%)is a bit higher than girls(48.6%). The 64% of respondents taken largest proportion were 20 to 24 years old. As 67.9% of respondents attended daytime school and 30.3% of them attended nighttime one, their school time shows a little difference. In a question about relation ship, one answered "Harmonious" took largest proportion by 72.6% during training, and about the degree of satisfaction of campus life who answered "normal" were the most with 59.4%. 2. About the reason choosing dental technology as a major, 41.1% taken the most answered "due to the specialized job", "Getting job easily" was second with 26.9%, and third was "recommended from around" with 18.3%. 50.3% of the respondents answered "normal" about the Satisfaction of their major, student marked in grade "B" most with 51.4% 3. In a investigation result about clinical training statues and preference, most(72.6%) choose place less than 10 for clinical training, and 60.6% of them resided own home. About their commuting time from home to training place, 44% was under 30min, 40% took time 30-60min. It shows students prefer shotter distance in terms of choosing training place. 4. Each part manager took large proportion as a clinical trainer with 33.7%, Training curriculum reform and developing method were most answer as a improvement measure after completing training with 30%. 5. The average of total score about clinical training was 3.15 of 5. In the detailed question, 'satisfaction of clinical training' got 3.38 as a highest score, the lowest score was 2.86 that is about satisfaction of clinical training period. The average score about efficiency of study was 2.86 and in detailed question, 'a Role model' got 3.26 as a highest score and participation of student got 3.05 as a lowest score. 6. The result of T-test to see the difference of the satisfaction according to the general character and clinic training condition between teaching efficiency is that the degree of satisfaction of clinical training showed statistical significance only in the degree of satisfaction of campus life(p<0.05), and teaching efficiency has a statistical significance with their age, grade, and satisfaction of campus life (p<0.05). 7. The relation between of teaching efficiency of clinical training and satisfaction of clinical training of dental technologic student has a statistical meaning in significance leveler 0.01. Now, therefore we suggest following based on these result. 1. To elevate satisfaction of clinical training, it agentry needs development of consistent clinical training curriculum. 2. To grasp the satisfaction and requirement, in needs to measure anxiousness and satisfactory degree after completing training 3. To train efficiently and evaluate efficiency over the teaching activities, it needs to develop measuring tools for teaching efficiency in terms of teacher's important rules in a clinical training. 4. Strengthen the relations with the study developing and managing curriculum gathering theoretical knowledge and practice. And make an effort to apply to their students. 5. Let the trainee take a class setting a belief, sense of value, function and obtain behavior by making the students comfort over clinical training as increasing teaching efficiency.