• 제목/요약/키워드: emotional difficulties

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우울장애 환자의 자살 시도 여부에 따른 심리적 특성의 차이 : MMPI-2 프로파일을 중심으로 (Comparison of Emotional and Psychological Characteristics between Suicide Attempters and Non-Attempters in Depressed Patients : Using MMPI-2 Profiles)

  • 이슬아;김근향;서신영
    • 정신신체의학
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    • 제20권1호
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    • pp.40-49
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    • 2012
  • 연구목적 : 우울장애 환자군 내에서 과거 자살 시도 여부에 따라 정서적 및 심리적 특성의 차이를 보이는 지 분석하고자 하였다. 방 법 : 정신건강의학과 입원 환자 중 주요우울장애와 달리 분류되지 않는 우울장애로 진단된 37명을 과거 자살 시도 여부에 따라 자살시도군(N=15 ; 40.54%)과 비시도군(N=22 ; 59.46%)으로 분류하였다. BDI, BAI, HDRS, HARS, MMPI-2를 사용하여, 두 집단의 증상 심각도와 심리적 특성을 비교하고자 하였다. 결 과 : 자살시도자들은 우울 증상의 임상가 평정치인 HDRS 상에서는 비시도자들과 유의한 차이를 보이지 않았으나 BDI에서는 유의하게 높은 점수를 나타냈다. 아울러 MMPI-2 소척도 중 F, Fb, Pa, RC1, DEP, HEA, PK, AAS 상에서 비시도자들에 비해 유의하게 높은 점수를 나타냈다. 이는 자살 시도의 과거력이 있는 우울장애 환자들이 현재의 삽화 중에도 객관적인 증상의 심각도와는 별개로 비시도자들에 비해 더 심한 주관적 고통감과 자살 사고를 경험하고 있으며, 타인에 대한 적대감과 불신을 더 많이 호소하고, 신체 증상에 대한 호소와 물질 사용과 관련된 문제도 더 많이 보고하는 것으로 해석될 수 있다. 결 론 : 본 연구 결과는 우울장애 환자 중 자살 시도의 과거력이 있는 환자들이 그렇지 않은 환자들과 구분되는 정서적 및 심리적 특성을 가지고 있음을 시사한다. MMPI-2는 그러한 특성을 변별하여 자살 위험성을 평가하는데 유용성을 가지는 것으로 보인다.

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IMF시대 이후 초, 중, 고, 대학생과 부모의 스트레스 경험과 대처양식 및 사회적 지원: 토착심리학적 접근 (The experience of stress, coping, and social support of students and parents after the economic crisis: The indigenous psychology approach)

  • 박영신;김의철;김묘성
    • 한국심리학회지 : 문화 및 사회문제
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    • 제8권2호
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    • pp.105-135
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    • 2002
  • 이 연구의 주된 목적은 IMF시대 이후 한국 학생과 부모의 스트레스 경험과 대처양식 및 사회적 지원을 토착심리학적 접근을 통해 분석하는데 있다. 최종분석대상은 1,476명으로서, 학생 634명(초 135명, 중 118명, 고 168명, 대 213명), 부모 842명(부 421명, 모 421명)이었다. 고통스러운 스트레스 경험으로 학생은 학업과 인간관계를, 아버지는 경제적 문제를, 어머니는 가정생활 스트레스를 가장 많이 지적하였다. 가정생활 스트레스에 포함되는 대표적인 내용은 가족관계 갈등과 자녀교육 문제였다. 스트레스 대처방법으로는 학생과 부모 모두 스스로 노력하고 인내하는 자기조절 대처를 가장 많이 하고, 그 다음으로 포기/회피 대처를 많이 하였다. 스트레스 상황에서 도움을 준 사람으로, 학생은 친구를, 부모는 배우자를 중심으로 하는 가족을 가장 많이 지적하였다. 초등학생에서 대학생으로 됨에 따라 사회적 지원의 제공자로서 친구의 중요성이 점차 부각되었다. 과반수 이상의 학생과 부모가, 사회적 지원의 내용으로서 격려와 위로로 대표되는 정서적 도움이 가장 중요하다고 응답하였다. 이러한 정서적 도움은 학업, 인간관계, 가정생활, 경제문제 등 학생과 성인의 대표적인 스트레스 경험에서 일관되게 가장 중요한 것으로 나타났다. 그동안 IMF시대 이전과 IMF지원을 받은 직후에 토착심리학적 접근방법을 통해 연구한 누적된 결과들과 이 연구에서의 결과를 종합하여, 스트레스 경험, 대처양식 및 사회적 지원에 관련하여 한국 사람들이 갖고 있는 사회적 표상을 정리하였다. 이러한 한국 사람의 스트레스 관련 토착심리에 관한 논의를 토대로, 다양한 후속연구의 방향이 모색되었다.

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우리나라 여대생의 배우자 선택 및 결혼관에 관한 조사연구 (A Study on the View of Choice of Spouse and Marriage of Unmarried Women's College Students)

  • 김영옥
    • 한국생활과학회지
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    • 제8권1호
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    • pp.29-43
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    • 1999
  • This study was carried out to investigate the view of the choice of spouse and marriage of unmarried women's college students. Most respondents in this study think that the optimum age for marriage is 27 and prefer a seniority in age of 3-4 years who feels in love as the future husband. Also, they wish that the job of future husband be a technical expert. Approximately 63% of respondents recognize the necessity of marriage but 38% of respondents do not show a positive opinion for marriage. They also expect the emotional stabilization or partnership from marriage. Majority of respondents show a negative response to the marriage as means to solve economic difficulties. However, only 25.9% of respondents strongly show the negative opinion. In the acquaintance of the opposite sex in the purpose for marriage, most respondent are negative. However, they are positive in keeping virginal purity prior to marriage. Also, it has revealed that respondents want a partnership through allotment in domestic duties including baby sitting rather than household management through patriarchal system. In household economy, they prefer sharing living expenses and having a job after marriage. In choosing an ideal husband, although the academic background is considered as an important factor, but the present occupation is more important than the academic background. Also, one of the priority to choosing a spouse is influenced by each household circumstance and economic balance. About half of respondents want their parents-in-law to be alive, however, few respondents want to live together with parents-in-law.

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중환자실 간호사의 연명치료환자 간호 경험: 현상학적 접근 (Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach)

  • 이수정;김혜영
    • 기본간호학회지
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    • 제23권2호
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    • pp.172-183
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    • 2016
  • Purpose: The purpose of this study was to explore the subjective experience of life-sustaining treatment care among nurses in intensive care units. Method: A phenomenology was used for the study. Data were collected from October to December, 2015 using open-ended questions during in-depth interviews. Participants were nurses working in intensive care units and were contacted through purposive techniques. Eight nurses participated in this study. Results: Four categories emerged from the analysis using Colaizzi's method: (a) difficulties due to life-sustaining treatment care, (b) dilemma of extension or cessation of life-sustaining treatment, (c) repressed feelings and emotional exhaustion, and (d) forming values for life-sustaining treatment from nursing experience. Conclusion: Provision of clearer guidelines on life-sustaining treatment which reflect a family-oriented culture is important for nurses in ICU and will promote nurses involvement in the decision-making process of life-sustaining treatment of patients.

불임 치료 임부의 스트레스, 우울 및 태아애착 (Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments)

  • 김미옥
    • 여성건강간호학회지
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    • 제20권2호
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    • pp.163-172
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    • 2014
  • Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

환자들의 정보요구가 e-Health 시스템 사용과 성과에 미치는 영향에 관한 연구: 유방암환자대상 수요자의료정보시스템을 중심으로 (Study on relationship of patients' information need, e-Health system use and outcomes: CHIS system in patients with breast cancer center)

  • 이석준;박성식;함유근
    • 한국정보시스템학회지:정보시스템연구
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    • 제22권2호
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    • pp.105-129
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    • 2013
  • Recently, since the interest with well-being has been getting higher than ever, people want reliable source of information related with health and medical treatment. Because of the characteristics of information related with medical care, there have been difficulties to find the information from books, television and internet surfing, for treating disease. Misinformation that can be obtained when considering dangerous situations or side effects, the role of the e-Health system is becoming more important. The objective of this study is an analysis of correlation and effect among patient's information need, e-Health system use and system outcome. To achieve the object of this study, e-Health system had been given to patients of breast cancer in Wisconsin and Detroit for 16 weeks. As a result, 282 sample was gathered and modified to meet purpose of the study. As a result, the information needs of patients due to the performance of the e-Health systems and shown to affect even the perception of patients' emotional and physical health and social support.

중년여성들의 자존감 향상을 위한 집단 독서치료 (Group Bibliotherapy for Improving the Self-esteem of Middle-aged Women)

  • 이명희
    • 한국문헌정보학회지
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    • 제51권3호
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    • pp.109-132
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    • 2017
  • 본 연구는 집단독서치료가 중년여성들의 자존감 향상에 초래하는 변화를 파악하기 위해 현상학적 방법인 Giorgi 연구방법으로 분석되었다. 중년 후기 여성 6명을 대상으로 12회에 걸친 독서치료를 실시하고, 녹음파일 속의 참여자의 진술을 221개의 의미단위, 16개의 하위상황/주제, 6개 상황/주제, 3개의 그룹으로 분석 통합하였다. 연구결과, 참여자들은 가족 관계의 어려움으로 신경증적 증상을 경험하였으나 독서치료 경험 후 자존감, 가족, 인생관에 대한 태도가 변화되었다. 참여자간의 상호작용과 독서치료의 매개체인 그림책은 참여자들의 경험을 표현하는데 긍정적인 정서적, 심리적 반응을 불러일으켰다. 또한, 중년여성들의 종교생활 참여는 마음의 상처 치유에 큰 역할을 했음을 발견하였다.

학령기아동의 친구관계에 따른 대체지지에 관한 연구 (Compensatory Support Among Children's Peer Relationships: School Friends, Nonschool Friends, and Sibilings)

  • 최용주;이재연
    • 아동학회지
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    • 제14권1호
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    • pp.109-127
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    • 1993
  • This study examined compensatory patterns of support among three types of children's peer relationships: school friendships, nonschool friendships, and sibling relationships. Specifically, this study investigated (1) the degree to which children with unsupportive school friendships turn to nonschool friends and siblings to compensate for the provisions they lack from school friends, and (2) the potential protective effects of substitute support on such children's adjustment. Subjects for this study were drawn from a sample of 297 sixth graders attending 3 public schools in Seoul. 6 teachers and 594 of parents of subjects also participated in the study. Subjects completed their questionnaires in their own classroom. The teachers and parents completed their forms within 1 week. The data were analyzed by two-way ANOVA and $Scheff{\acute{e}}$ test. The results of this study were as follows: (a) When compared with the average, aggressive children and isolated children perceived their school friendship as low support. (b) Isolated, aggressive, and average children differed in their perceptions of support from nonschool friends and their favorite siblings. (c) The children who have unsupportive school friendships experienced greater socioemotional difficulties than did children with supportive school friendships. (d) The extent that sibling and nonschool friends provided the support lacking in their school friendships, isolated and aggressive children experienced diminished emotional distress.

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부부관계의 가족심리학적 이해 (A Theoretical Study of the Marital Relationship Based on the Concepts of Family Therapeutic Psychology)

  • 정애랑
    • 가정과삶의질연구
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    • 제5권2호
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    • pp.1-10
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    • 1987
  • The society, nowadays, is in a state of transition, and the family, which must always accomodate to society, is change with it. And because of transitional difficulties , the family's major psycosocial task has become more important than ever. That is , the family sill change. but it will aso reamin because it is the best human unit for rapidly changing societies. Under the circumstances, a healthy marital interaction is still the key to optimal family process, and the marital relationship is also the basis of the parental one. This paper aims to study an conceptual schema of family functioning chiefly concerned with marital relationship base d ton the family therapeutic psychology the systematic approaches of which have been recently developed. Subsequent to the importance of spouse functions and the characteristic of a functioning family the marital tension as a cause of marital problems and the theoretical approaches that will allow to deal with these problem , are also explained in this paper. On the otherhand, the sexual dysfunction, one aspect of a wider set of marital problems, and problems of dysfunctional children are not discussed in detail , because these problems shall become specialized fields. By this paper , it is expected to find a clue to the emotional and psycosocial aspects of marital problems, which will help us have a broader viewpoint in the study of family relationship.

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학교 밖 청소년의 스마트폰 과의존에 미치는 영향요인 (The Effect of Smartphone Overdependence among Out-of-school Youths in Korea)

  • 이신애;조명선
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권3호
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    • pp.15-27
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    • 2019
  • Objectives: The purpose of this study is to investigate the effects on smartphone overdependence of out-of-school youths. Methods: This was a cross sectional study design using the out of school youth Panel Survey(2017). We conducted an empirical study consisting of 318 participants with using descriptive statistics, Pearson's correlation coefficients, hierarchical multiple regression analysis to identify factors influencing smartphone overdependence. Results: Smartphone overdependence correlated positively with depression and carrier barriers such as lack of career informations, career development anxiety and financial difficulties. The main factors of smartphone overdependence in adolescents out of school were depression (β = .22, p = .002), gender (β = .21, p <.001), future anxiety (β = .15, p = .0.0), subjective health status (β = .13, p = .028), smoking (β = .13, p = .032). Conclusion: Smartphone overdependence management programs for out-of-school youths should be included emotional and informational support to alleviate anxiety, fear of failing in one's career, as well as mental and psychological interventions to reduce level of depression.