• 한국환경보건학회지
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• 제32권6호
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• pp.560-565
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• 2006

Extract of DNA for analysis of fragile X syndrome is usually performed by blood, the researches using hair root as specimen have been gradually spread. In this study, analyze fra X gene of the patients in mentally retarded children facilities was conducted using hair root DNA with molecular biologic test (PCR). The number of total subjects was 24, boys were 12, the average age was $17({\pm}3)$, and girls were 12, the average age was $18({\pm}2)$. In girls, normal size of band of 222 bp appeared in all lanes. Also, in all lanes except control in 517 bp, micro band appeared. Moreover, with appearance of band of 1198bp in lanes 2, 3, 4, 5, it is estimated that it is the band of full mutation whose CGG repeated sequences are more than 200. But it showed the peculiarity that it appeared with normal band in all the same lanes, thus it is not reasonable to judge it is the band of full mutation and further studies are needed. These results appeared in 50%, 6 of 12 mentally retarded girls. As the result of mentally retarded boys, normal band appeared in about 222 bp in control, however in experiment group, normal band did not appear. In 43%, 7 out of 12 boys, band did not either appeared in 1198bp, which showed different patterns from that of girls.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
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• pp.259-260
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• 2015

• Journal of Preventive Medicine and Public Health
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• 제22권1호
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• pp.125-135
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• 1989

정신지체아 발생의 환경인자로서의 납의 영향을 관찰하기 위하여 인제조직내의 축적된 납과 아연의 함량과 정신장애 정도와의 상관성을 보았다. 대상은 정신지체아 교육기관 2곳의 계 297명을 택하였다(부모가 있는 군 132명, 없는 군 165명). 대조군은 시내 모 국민학교에 정상적으로 수업을 받는 63명을 심의로 선택하였다. 재료는 대상자의 후두부의 모발을 채취하여 원자흡광분광광도계로 분석하였다. 두발중 납의 평균함량은 정신지체아에서 $14.97{\pm}3.71ppm$으로 정상아의 $11.36{\pm}2.83ppm$보다 유의하게 높았으며 아연 함량은 유의한 차이가 없었다. 납은 장애자 중 연령과 성별 그리고 가정이 있는 경우와 없는 경우 간에 유의한 차이가 없었으나 지능지수와는 유의한 역상관을 나타내었다. 아연은 연령에 따라서는 유의한 상관성을 보였으나 지능지수와는 유의한 상관성이 없었다. 정신지체아에 수반된 장애로 언어장애, 정서장애, 지체부자유, 이중 및 삼중장애, 감각이상, 식습관이상 등이 있으나 감각이상과 식습성을 제외하고 모두 정상군에 비하여 평균 납함량이 유의하게 높으나 정신지체아이면서 수반된 장애가 없는 군과는 유의한 차이가 없었다. 정신지체아에 수반된 질병은 몽고증, 자폐증, 뇌성마비, 간질 및 소뇌증이 있었으나 몽고증의 평균 납 함량에 비하여 뇌성마비와 수반된 질병이 없는 경우와는 유의하게 높은 차이가 있었다. 그들의 병력을 외적 요인과 내적 요인으로 구별해 보았으나 상호 유의한 차이는 없었다. 이상의 결과로 보아 정신지체와 납 사이에는 어느 정도 관계가 있는 것으로 추측되므로 이때의 접촉 기회에 대한 고찰은 모자보건학 상 중요한 과제가 된다고 생각되며 추후 계속 연구해 보아야 할 것 같다.

• 대한가정학회지
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• 제38권7호
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• pp.53-65
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• 2000

This study is for examining the differences of perceived stresses and family strengths between the parents according to socio-demographic backgrounds(age, educational level, income and the degree of disorder) of the parents having mentally retarded children. The results were as follows. First, in the overall perceived stress level, there was no difference between fathers and mothers, but when compared in stress areas, fathers experience more distresses in general interpersonal areas than mothers. Fathers also shows differences according to the degrees of their income and their perception about disorder compared with mothers showing differences according to the degree of income. Second, there were no differences in family strengths perceived by both fathers and mothers, but were significant differences according to the level of education and income. Another words, higher the education and income level, higher is their family strengths level. Third, there were positive correlations between the perceived stresses and family strengths, and significant differences in family strengths according to the stress level(higher/lower part of the group). In other words, when the perceived stress level is high, the level of perceived family strengths is low.

• 대한지역사회영양학회지
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• 제7권5호
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• pp.628-638
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• 2002

The handicapped frequently suffer from inappropriate food intake often resulting in overweightness, malnutrition, and poor growth and development. Our study was done on 7 to 12 year old mentally retarded children attending a special education school in Seoul. We administered questionnaire surveys and 3-day dietary recalls of the subjects, with help when needed from their stay-at home or their care-giving teachers. The questionnaires covered the general characteristics and dietary behaviors of the subjects. The degrees of handicap of the 142 children ranged from the trainable (54.9%), the educable (31.0%), and the non-trainable (14.1%). Of the children studied, 70.4% had ‘breakfast always’, which was higher than normal. Appetites were highest in the Down's Syndrome group. We found that the more serious the handicap, the higher the breakfast eating ratio and appetite level. The main reason for their missing breakfast differed according to the handicap level: ‘late rising’in the educable and non-trainable groups but ‘no appetite’in the trainable group. Most of the children (52.2%) spent less than 20 minutes eating their meals, the parents described their children's dietary habit problems as a pica (22:3%) or overeating (17.3%) , and they indicated that teaching the children how to use spoons and chopsticks (33.1%) was the most stressful. Actually more than 85% of the subjects could not use chopsticks, and skill of using cutlery was significantly different according to the degree of handicap. The food preference for milk products was the highest. It was interesting that the handicapped who had serious food pica didn't like food groups such as grains/starches, meats/fishes/eggs/beans or vegetables/fruits.

• 대한지역사회영양학회지
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• 제12권6호
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• pp.790-797
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• 2007

This study was conducted to evaluate the nutrient intakes and the physical activities of mentally retarded persons (MRPs) accommodated in welfare institutions. A total of 194 cases of MRPs (130 males and 64 females) were surveyed through interviews of the 35 caregivers of the institutions during the period from March 2 to 12, 2005. The mean age of the 2nd degree is the highest, and the duration of institution stay of the 2nd degree is the longest. There were no significant differences in height, weight, but there were still significant differences in BMI by the degree of handicap. The MRPs with the 1st degree handicap consumed less nutrients than the MRPs with 2nd or 3rd degree handicaps, except for vitamins C and E. The mean activity factor was $1.737{\pm}0.422$ meaning 'active'. Among the comparative groups, the activity factor of the 2nd handicap degree MRPs was the highest. Note that the percentage of protein is the lowest in the case of the 1st degree handicap. The intake of the folic acid, in particular, was less than the Estimated Average Requirement (EAR) in case of all the MRPs while that of vitamin C, riboflavin and calcium was less than the EAR in case of $65{\sim}80%$ of the MRPs. MRPs with higher activity factors showed higher intakes of most nutrients except vitamin C. MRPs with higher marks in the 'balanced dietary habit' field showed more nutrient intakes. More consumption of vegetables and fruits by the MRPs was recommended. Also, more efficient dietary guidance was recommended for the MRPs.

• 한국콘텐츠학회논문지
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• 제15권6호
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• pp.392-398
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• 2015

지적장애인들이 성인으로 새로운 환경에 사회적응하기 위해 내재되어 있는 불안을 감소해 줄 필요가 있다. 이를 위하여 정서적으로 안정되어있는 차문화의 분위기 속에서 불안을 자연스럽게 감소하여 자신을 이해하고 존중하며 사랑할 수 있게 도와주는 차문화치료 프로그램을 구성하고 실시하였다. 연구대상자는 프로그램 참가를 지원한 P시 지역의 장애인 복지관에 소속된 장애인 1-3등급(사회적응반 소속) 22명(실험군 11명, 대조군 11명)으로 하였다. 연구결과, 실험군의 불안 척도 점수는 사전검사에서 평균 46.82(표준편차 2.32) 였으며, 사후검사에서는 평균 34.55(표준편차 2.98)로 나타나 12.27점이 낮아졌다. 차문화치료 프로그램에 참여한 지적장애인들의 불안 척도 점수는 프로그램 이후 통계적으로 유의하게 감소된 것으로 나타났다.

• 한국사회복지학
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• 제55권
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• pp.83-102
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• 2003

본 연구는 활동이 가능한 만 18세 이상의 성인정신지체인을 대상으로 그들의 음주행위를 살펴보고, 성, 연령, 고용유형에 따른 음주행위의 차이, 음주행위 변인들간의 상관관계 등을 살펴보았다. 연구결과 성인정신지체인의 58.2%가 음주경험이 있다고 응답하였으며, 최초음주 평균연령은 22세, 음주평균연령은 26.357세, 그리고 1회 평균 음주량은 1.494잔으로 조사되었다. 음주빈도는 한 달에 한번 마신다가 39.2%로 가장 높게 나타났으며, 선호하는 술은 맥주가 54.2%로 가장 높았다. 성별에 따른 음주경험에서는 남성 64.2%, 여성 43.6%가 음주경험이 있다고 응답하였으며, 연령에 따른 음주행위의 유의미한 차이는 나타나지 않았다. 고용유형에서는 보호고용자의 음주행위가 78.6%로 가장 높게 나타났다. 유의미한 정적 상관관계를 보여준 음주변인들은 음주빈도와 음주량, 그리고 음주일수와 AUDIT, Family CAGE로 음주빈도가 잦을수록 음주량이 많아지며 자신이나 가족원에게 음주문제가 더 있다고 생각하였으며, 음주일수 역시 자신이나 가족원에게 음주문제가 더 있다고 생각하도록 하였다.

• 대한간호학회지
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• 제26권1호
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• pp.165-176
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• 1996

The purpose of this study was to contribute to family nursing in the areas of reducing stress and improving coping for parents of mentally retarded children. Data were collected through self-report questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 176 parents (88 mothers and 88 fathers) of mentally retarded children attending schools for the handicapped. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively. The coping scale developed by Folkman ＆ LaZarus was adopted to measure the level of coping, and the patterns of adaptation scale developed by Damrosch ＆ Perry was adopted to measure the patterns of adaptation. The data were analyzed by a SAS program using Fisher's exact test, paired t-test, and oneway ANOVA. The results are as follows ; 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced a significantly greater level of parental role stress than fathers did. No significant difference in the level of coping was observed between mothers and fathers. There were differences in maternal and paternal patterns of adaptation. 2. The adaptation pattern of fathers was different according to their level of general stress, parental role stress and coping. The adaptation pattern of mothers was not different according to their level of general stress and parental role stress, but was according to their level of coping. 3. General stress experienced by fathers was different according to education, health status and support from their spouses. Satisfaction with family life, satisfaction with spouse and the support from spouse influenced coping used by fathers. Their level of parental role stress was not associated with any of their general characteristics. 4. In mothers, the level of general stress was different according to their health status, the level of parental role stress was related to satisfaction with family life and satisfaction with spouse. Their level of coping was associated with the sup port from spouse. The above findings indicate that mothers did not have more coping strategies than fathers did, despite the results which showed that mothers experienced greater stress than fathers did. Especially, the adaptation pattern of mothers was different according to their level of coping. Hence, nursing interventions directed at managing stress and improving coping should be used with mothers who use adaptation pattern 1. In particular, fathers should actively participate in parenting, and support their spouses.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제10권1호
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• pp.100-112
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• 1999

이 연구는 정신지체와 자폐장애 아동의 장기적인 치료와 그 가족의 삶의 질을 향상시키는, 보다 효과적인 개입방향을 모색하고자, 1998년 9월부터 1999년 1월까지 인천광역시에 위치한 가천의대 길병원 소아정신과에 내원하여 DSM-IV에 의거한 자폐 장애 또는 정신지체 진단 기준을 만족시키며 KEDI-WISC full-scale score에 의해 장애진단서를 발급받은 만5세에서 12세 아동 41명과 그들의 어머니를 대상으로 하여, 어머니의 삶의 질과 정서적 우울에 영향을 주는 장애아동의 행동 특성과 가족환경 특성을 조사하였다. 정상대조군은 연령과 성별, 그리고 사회경제상태를 고려한 37명을 선정하였다. 어머니의 삶의 질과 정서적 우울은 한국판 스미스클라인 비챰 삶의 질 척도(K-SBQOL)와 K-BDI에 의해, 아동의 행동 특성은 KCBCL, 그리고 가정환경특성은 한국판 가정환경척도(K-FES)에 의해 각각 측정하였다. 그 결과, 어머니의 삶의 질 척도(K-SBQOL) 총점은 장애아동군이 $127.51{\pm}42.90$, 정상대조군이 $167.20{\pm}31.07$으로 통계적으로 유의한 차이를 보였다(p＝.000). 어머니의 K-BDI 점수는 장애아동군이 $15.29{\pm}10.67$, 정상대조군이 $8.71{\pm}6.91$로 유의한 차이가 있었다(p＝.003). 가정환경척도에서는 장애아동군이 정상대조군에 비하여 자립성, 지적/문화적 지향성, 그리고 능동적-여가 활동이 통계적으로 유의하게 낮았다(p<.05). 장애아동 어머니의 삶의 질은 아동의 주의집중력 문제와 가장 높은 관련성이 있었고, 가정환경척도의 응집력 소척도와 K-CBCL의 사회성 소척도가 유의한 관련성을 보였다. 장애아동 어머니의 우울은 아동의 내향화 증상과 사고장애, 그리고 가족환경척도의 응집력 소척도와 유의한 관련성을 보였다. 이상의 결과들은 장애아동의 진료에서, 아동의 주의집중력 장애와 정서적 불안정에 대한 지속적인 치료와 가정에 대한 조정이 장기적으로 부모의 삶의 질과 장애아동의 예후에 중요하다는 것을 시사한다.