• 비교교육연구
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• 제24권3호
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• pp.47-69
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• 2014

청소년기의 발달적 특성, 가족의 해체, 빈곤, 학업 스트레스 등으로 위기학생이 증가하고 있다. 이러한 위기상황은 학생 개인뿐만 아니라 사회전체에 역기능적인 영향을 미칠 가능성이 높다. 본 연구에서는 위기학생의 발생의 원인을 고찰하고 경상북도에서 시행되고 있는 위기학생 관리 지원체제 현황을 바탕으로 경상북도 위기학생 지원정책의 개선방향을 도출하였다. 경상북도의 위기 학생 지원 전략을 분석을 토대로 보완방안은 첫째는 위기학생의 예방 및 조기발견체제 구축이며, 둘째는 발견된 위기학생을 지도하기 위한 교육안전망을 구축, 셋째, 가정 지역사회와의 연계로 설정하고 각 영역별 보완 방안을 제시하였다.

• 한국가족관계학회지
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• 제21권2호
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• pp.149-167
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• 2016

Objective: The purpose of this study is to verify the effect of receptivity to multiculturalism on marriage conflict of international marriage couples and mediation effect of communication between two variables. Method: The subjects are 205 individuals of mixed couples who are living in S. Korea. The mediation analysis was based on structural equation modeling followed by bootstrapping with the use of AMOS 22.0. The demographic variables are also controlled in the data analysis. Goodness-of-fit test using RMR, GFI, IFI, TLI, and CFI was conducted. Results: The study results were as follows: first, receptivity to multiculturalism had a direct effect on marital conflict and communication; second, communication had a direct effect on marital conflict; third, communication had a mediation effect between receptivity to multiculturalism and marital conflict. Conclusions: We could verify in this study that receptivity to multiculturalism and communication is the important factor for marital conflicts of mixed couples. More specifically, communication has a critical role for marriage life of mixed couples.

• Human Ecology Research
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• 제60권3호
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• pp.459-470
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• 2022

This study analyzed the relationship between adult attachment, self-differentiation, and self-esteem in solving the fear of intimacy in interpersonal relationships experienced by adults. This study targeted people in the 20s to 50s age group, and data from 1,263 participants were analyzed using SPSS 23.0 and AMOS 23.0. The results are as follows. First, it was found that secure attachment had a negative relationship with the fear of intimacy, while the relationship between self-differentiation and self-esteem was positive. On the other hand, anxiety attachment and avoidance attachment were shown to have a positive relationship with the fear of intimacy, but a negative relationship was identified with self-differentiation and self-esteem. Second, it became evident that self-differentiation and self-esteem mediated the relationship between adult attachment and the fear of intimacy. Additionally, the findings indicated that self-differentiation and self-esteem had a dual mediating effect. The results of this study can be used as basic data for counseling and educational programs to solve the fear of intimacy in interpersonal relationships experienced by adults.

• Journal of Genetic Medicine
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• 제19권1호
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• pp.27-31
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• 2022

X-linked dominant hypophosphatemic rickets are the most common form of familial hypophosphatemic rickets resulting from hypophosphatemia caused by renal phosphate wasting, which in turn is a result of loss-of-function mutations in PHEX. Herein, we report a 39-year-old female with short stature and skeletal deformities and 12-month-old asymptomatic daughter. The female has a history of multiple surgical treatments because of lower limb deformities. Her biochemical findings revealed low serum phosphorus levels with elevated serum alkaline phosphatase activity and normal serum calcium levels, suggesting presence of hypophosphatemic rickets. To identify the molecular causes, we used a multigene testing panel and found a mutation, c.667dup (p.Asp223GlyfsTer15), in PHEX gene. To the best of our knowledge, this is a novel mutation. A heterozygous form of the same variant was detected in daughter, who showed no typical symptoms such as bow legs, frontal bossing, or waddling gate, but presented early signs of impaired mineralization in both X-ray and biochemical findings. The daughter was initiated onto early medical treatment with oral phosphate supplementation and an active vitamin D analog. Because the daughter was genetically diagnosed based on a family history before the onset of symptoms, appropriate medical management was possible from early infancy.

• Human Ecology Research
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• 제60권4호
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• pp.535-547
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• 2022

This study aimed to examine the effect of parental psychological control on adolescents' non-suicidal self-injury and verify whether this effect is mediated by depression. In the first survey of 647 middle and high school students, only those who had experiences of non-suicidal self-injury were selected (136 adolescents). For data analysis purposes, descriptive statistics for each measured variable and Pearson's correlation coefficients among research variables were calculated. In addition, Process Macro - Model 4 by Hayes (2013) was used to investigate the mediating model. Finally, the bootstrapping method was applied to confirm the significance of the mediating effect. The results of this study were as follows. First, parental psychological control and depression directly affected the frequency of non-suicidal self-injury among adolescents. Second, depression mediated the relationship between parental psychological control and non-suicidal self-injury. In conclusion, the more parents controlled their children's psychological factors, the higher the level of depression among adolescents, and as a result, the higher the frequency of non-suicidal self-injury. These findings suggest that educational intervention on parental psychological control is important to prevent and reduce non-suicidal self-injury; however, psychotherapy intervention that reduces the levels of depression should also be required.

• Journal of Yeungnam Medical Science
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• 제40권2호
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• pp.218-222
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• 2023

A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients' emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient's perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient's emotional state. Tailoring the level of advice and diabetes targets based on a patient's personal and contextual factors requires mindfulness by clinicians.

• Human Ecology Research
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• 제62권1호
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• pp.165-179
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• 2024

This study examined the effects of perceived discrimination on multicultural adolescents regarding feelings of This study examined the direct effect of socially prescribed perfectionism on interpersonal anxiety in upper elementary school students and the sequential mediating effect of dichotomous thinking and rejection sensitivity on this relationship. The sample comprised 306 upper elementary school students (grades 4 to 6; 149 boys, 48.7%) in Seoul, Incheon, and Busan. The Data were collected through an online self-report questionnaire completed by the participants and analyzed using SPSS version 27.0 and MPlus version 8.7 software. The analyses revealed three key findings. First the direct effect of socially prescribed perfectionism on interpersonal anxiety was not statistically significant. Second dichotomous thinking mediated the relationship between socially prescribed perfectionism and interpersonal anxiety, whereas rejection sensitivity did not. Finally, socially prescribed perfectionism influenced interpersonal anxiety through the sequential mediation of dichotomous thinking and rejection sensitivity. In conclusion, although socially prescribed perfectionism does not directly influence interpersonal anxiety, children may experience interpersonal anxiety in situations involving dichotomous thinking due to socially prescribed perfectionism, leading to rejection sensitivity. These findings suggest that interventions for interpersonal anxiety in upper elementary school students should focus on psychological problems attributed to socially prescribed perfectionism.

• 융합정보논문지
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• 제11권9호
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• pp.145-156
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• 2021

이 연구는 청소년 재범방지 프로그램을 진행하는 실무자의 요구를 바탕으로 기존의 프로그램을 합리성과 현장성을 갖춘 프로그램으로 개선하기 위해 수행하였다. 선행연구를 바탕으로 요구조사 설문지를 제작하였고, 청소년절도비행 예방프로그램을 진행하고 있는 전국의 보호직 공무원과 교육 강사 72명을 대상으로 설문조사를 실시하였다. 수집된 자료를 분석한 결과 실무자들은 자기통제력 부족과 높은 충동성 문제를 절도비행청소년의 주된 특징으로 보고하였으며, 또래동조 및 가정문제가 절도비행을 일으키는 원인으로 인식하고 있었다. 청소년 절도비행 재범방지 프로그램 내용에 대해서는 심리적 문제 이해, 또래 관계, 준법의식 고취, 분노 및 충동 조절, 부정적 정서 다루기, 대안 행동 찾기 등 재범방지 연습, 도덕성 발달이 가장 필요하다고 보고하였다. 이러한 결과는 청소년 절도비행 재범을 방지하기 위해 개인, 가정, 또래 등 다차원적인 개입이 필요하다는 것을 의미한다. 프로그램개선을 위한 시사점과 향후 지원 방향, 연구의 제한점 및 의의를 논의하였다.

• 한국엔터테인먼트산업학회논문지
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• 제13권7호
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• pp.549-556
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• 2019

본 연구는 거주시설 개편작업이 진행 중인 시점에 장애인과 장애인 가족들이 요구하는 다양한 미래의 거주시설 유형을 제안하기 위한 기초자료를 탐색하는 데 목적을 두었다. 주요 변인으로 장애인가족의 거주시설 만족도와 가족생활만족도의 관계에서 장애인 삶의 질에 매개효과를 확인하였다. 전국 장애인거주시설의 18세 이상 65세 미만 856명의 장애인 가족을 대상으로 설문조사를 실시하여 총 810부의 응답을 수집하였다. 연구결과, 장애인가족의 시설만족도는 가족생활만족도와 장애인 삶의 질에 유의미한 영향을 미치며 장애인 가족의 시설만족도가 높을수록 장애인 삶의 질을 이끌어내기 용이하며 가족생활만족도도 증가하였다. 장애인가족의 시설만족도와 가족생활만족도의 관계에서 장애인 삶의 질이 부분매개 효과를 나타내어, 장애인 삶의 질이 높을 때 장애인 가족의 시설만족도와 가족생활만족도에 미치는 영향이 커지는 것으로 확인되었다. 본 연구의 결과는 장애인 본인의 삶 그리고 가족의 원만한 가족융합과 더불어 새로운 패러다임의 장애인 거주시설 논의를 체계화 할 수 있는 기초자료로 활용될 수 있으며, 거주지원서비스 정책과 실천을 재구조화하는데 활용될 수 있다.

• Journal of Genetic Medicine
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• 제8권2호
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• pp.105-112
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• 2011

목적: 유전성 유방암 가계에서 BRCA 유전자 돌연변이 결과 공유의 중요성은 가족검사를 통해 돌연변이 보인자를 확인하고 적극적인 암 발생 감시와 예방적 치료를 제공하는데 있다. 본 연구를 통하여 유전성 유방암 가계에서 돌연변이 사실에 대한 공유 정도, 등친 별 의사소통 차이와 이에 영향을 미치는 요인을 확인하고자 한다. 대상 및 방법: 한국인 유전성유방암 연구에 등록되어 BRCA1 또는 BRCA2 돌연변이가 확인된 발단자 106명을 대상으로 검사 후 유전상담, 유전성 유방암 지식도 평가, 돌연변이 사실에 대한 가족간의 의사소통 과정, 가족 검사 현황에 대해 설문조사를 시행하였다. 결과: 최종 응답자 106명 중 99명은 적어도 한 명 이상의 친족에게 자신의 유전자 검사결과를 알렸으며, 일등친 가족에게만 알린 경우는 68.7%, 일등친과 이등친 이상의 가족에게 돌연변이 사실을 알린 경우는 31.3%였다. 단변량 분석결과 일등친 가족에게만 검사결과를 알린 군이 이등친 또는 삼등친 가족에게 돌연변이 사실을 알린 군에 비해 기혼자의 비율이 더 높았으며, 검사 후 유전상담일로부터 설문조사 시점까지 기간이 유의하게 짧은 것으로 나타났다. 가족에게 돌연변이 사실을 알린 이유에 대해서는 가족들에게 BRCA 유전자 돌연변이 가능성과 유방암 발병위험성을 알리기 위함에 가장 큰 비중을 차지하였다. 결론: 유전성 유방암 가계에서 BRCA 돌연변이 사실에 대한 정보를 보다 많은 가족과 공유하기 위해서는 유전상담 시 환자 개개인의 가계 구조를 파악하여 차별화된 의사소통 방법을 제시해 주어야 할 것이다.