• 제목/요약/키워드: perceived severity

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부모의 양육태도가 섭식장애의 발병과 심각도에 미치는 영향 (Parental Behavior Influence on the Onset and Severity of Anorexia Nervosa and Bulimia Nervosa)

  • 이정은;이정현;정영철;박준영;남궁기;박동화;김경란
    • 정신신체의학
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    • 제23권1호
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    • pp.3-11
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    • 2015
  • 연구목적 한국에서 신경성 식욕부진증과 신경성 폭식증을 진단받은 환자 군에서 부모 양육태도의 차이와 각 아형에서 부모 양육태도의 차이가 발병 나이와 섭식장애 증상의 심각도에 미치는 영향을 알아보고자 하였다. 방 법 167명의 섭식장애 환자(신경성 식욕부진증, N=49 ; 신경성 폭식증, N=118)를 대상으로 하였다. 자가보고식 설문지인 부모 양육행동 척도(Parental Behavior Inventory, PBI)를 시행하여 환자가 인식하는 부모님의 양육행동을 측정하였으며, 섭식장애 검사 개정판(The Eating disorder Inventory-2, EDI-2)를 통하여 증상의 심각도를 평가하였다. 결 과 신경성 식욕부진증 환자를 발병 나이에 따라 분류하였을 때, 16세 이후에 발병한 군보다 16세 이전에 조기 발병한 경우 낮은 아버지의 애정, 높은 아버지의 합리적 설명, 낮은 어머니의 과잉간섭을 보고하였다. 섭식장애 증상의 심각도(EDI-2)는 신경성 식욕부진증과 신경성 폭식증에서 어머니의 애정, 합리적 설명과 음의 상관관계를 나타내었다. 단계별 회귀분석을 시행하였을 때, 아버지의 애정, 어머니의 과잉기대와 합리적 설명이 신경성 식욕부진증의 발병 나이에 중요한 영향을 준다는 것을 확인할 수 있었으며, 두 집단에서 모두 어머니의 애정이 높을 수록 EDI-2의 점수가 낮은 것으로 나타났다. 결 론 섭식장애 환자의 평가 및 치료에서 가족의 기능과 인식된 부모의 양육태도가 중요한 역할을 할 수 있겠다. 본 연구 결과는 아버지의 양육방식이 섭식장애 발병나이에 미치는 영향을 밝힘으로써 이제까지 상대적으로 부족하게 평가되었던 아버지 역할의 중요성을 확인하였다. 이뿐 아니라, 섭식장애 증상의 심각도와 어머니의 애정과의 관련성을 확인함으로써 가족 기능에 대한 평가가 치료에 필수적임을 입증하였다. 앞으로 본 연구 결과에 대한 해석 및 적용을 위한 후속 연구들이 필요하겠다.

Abusive Language in Chinese and English

  • Zeng, Jinwen;Odhiambo, Calvin;Marlow, David
    • 비교문화연구
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    • 제28권
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    • pp.141-161
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    • 2012
  • Abusive language used by college students reflects current social attitudes and values. Adopting a comparative and cross-cultural perspective, this study examines the frequency and perceived severity of abusive language in English and Mandarin Chinese. Because abusive language often includes sexual connotations, this paper employs a particular concentration on sexism. Gender differences in the use of abusive language illustrate a male bias across cultures.

간호대학생의 아동학대 지식, 태도, 지각된 행위통제력과 아동학대 사례별 신고의도 (Nursing Students' Knowledge, Attitudes, Perceived Behavior Control and Intention to Report Cases of Child Abuse)

  • 조경미;김은주
    • Child Health Nursing Research
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    • 제22권2호
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    • pp.145-152
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    • 2016
  • Purpose: This study was designed to explore nursing students' knowledge, attitudes and intention to report cases of child abuse. Methods: A descriptive research design was used with a convenience sample of 202 nursing students. After explaining the purpose of the study, participants who signed the consent form were asked to complete a self-descriptive questionnaire, which included the Child Abuse Intension Scale (CARIS). Results: The number of correct answers for knowledge of child abuse and the law was 7.0 /13. The mean scores were, for attitude toward childrearing belief and discipline, $17.1{\pm}5.2$, for punishment and culpability of offender or victim, $24.6{\pm}4.1$, for professional responsibility, $30.5{\pm}5.1$, and for perceived behavioral control, $25.3{\pm}5.0$. The intended reporting behavior differed significantly by severity of abuse. Factors influencing the intention to report child abuse were attitude towards punishment of parents, professional responsibility, and perceived behavioral control ($R^2$=.133). Conclusion: On the basis of our finding, developing education programs to help nursing students detect child abuse and improve reporting rates is important. Thus, we suggests that nursing students be provided with educational protocol for detection and reporting of child abuse.

Do Sociodemographic Factors, Smoking Status, and Beliefs about the Health of Others Predict Attitudes about Smoke-free Air Policies in Various Settings?

  • Agley, Jon;Gassman, Ruth A.;Kolbe, Lloyd;Seo, Dong-Chul;Torabi, Mohammad R.
    • 보건교육건강증진학회지
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    • 제29권3호
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    • pp.91-101
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    • 2012
  • Objectives: This study examined the extent to which attitudes about smoke-free air policies (SFAPs) in bars/restaurants, workplaces, all public places, and motor vehicles when minors are present can be explained by individuals' sociodemographic characteristics, smoking status, and beliefs about the health of others. Methods: Data were gathered from 359 individuals age 18 or older who attended the Lawrence County Fair in Indiana, United States, in July, 2009, an area where there were no SFAPs in place at the time of survey administration. Results: Multinomial logistic regression analyses indicated that perceived severity of secondhand smoke (SHS) on others, perceived responsibility of smokers for the harm their SHS causes to others, and perceived susceptibility of others to SHS exposure, along with education level and smoking status, significantly predict opposition to SFAPs in this population. Conclusions: The results of this exploratory study suggest the need for additional research related to attitudes about health policies as well as to the practical applications of these findings for smoke-free air advocacy.

육군 병사의 수면과 피로가 건강증진행위에 미치는 영향 (Effects of Sleep and Fatigue on Soldiers Health Promoting Behaviors in Korean Army)

  • 홍은지;최스미
    • 성인간호학회지
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    • 제28권1호
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    • pp.106-115
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    • 2016
  • Purpose: This study aimed to investigate sleep, fatigue, and the level of health promoting behaviors in Korean army soldiers. The factors influencing on health promoting behaviors of soldiers were also identified. Methods: A cross-sectional descriptive survey design was used. Data was collected from 269 soldiers in four military units of Korea in July 2015. Verran and Snyder-Halpern Sleep Scale, Fatigue Severity Scale, and Health Promoting Lifestyle Profile-II were used. Results: The health promoting behaviors were significantly different by perceived health status (p<.001) and presence of fatigue (p<.001). There were significant correlations between quality of sleep, fatigue, and health promoting behaviors of the subjects. In a multiple linear regression analysis, the level of health promoting behaviors were lower in the subjects with high level of fatigue (p<.001) and with fair perceived health status (p=.003). Conclusion: In order to increase health promoting behaviors of soldiers, it takes into account of soldiers' fatigue and perceived health status. Environmental arrangement for soldiers for the break time is needed urgently to decrease their fatigue as well as to improve their sleep quality.

서울·경인지역사회 성인여성의 과민성 장 증후군 빈도와 스트레스, 정신 건강에 관한 연구 (Frequency of Irritable Bowel Syndrome, Perceived Stress, and Mental Health Among Women)

  • 박효정;임수진
    • 성인간호학회지
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    • 제20권5호
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    • pp.685-696
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    • 2008
  • Purpose: This study was performed to examine the frequency of irritable bowel syndrome(IBS), perceived stress, and mental health among community-dwelling women. Methods: This study conducted a survey to collect data on 869 women in Seoul and Gyeonggi-do. The measurements included the Rome III criteria(to diagnose IBS), the Global Assessment Recent Stress(GARS scale to evaluate perceived stress), and symptom check list 90R(SCL-90R to evaluate psychological distress). Data were analyzed using SPSS 15.0 program by frequency, $x^2$-tests, t-test, and analysis of variance(ANOVA). Results: The frequency of IBS in women was 15.1%. Eighty-six women(65.6%) had mixed constipation and diarrhea subtype of IBS. Compared to the women without IBS, those with IBS reported significantly higher scores on GARS, all subscales of GARS, SCL-90R, all subscales of SCL-90R, and the global severity index(GSI). No significant differences were observed among stress, mental health, and the IBS subtypes. Conclusion: Nursing interventions targeting women with IBS should be developed in order to reduce the associated stress and psychological distress.

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위험인식의 특성과 의미: 한국인의 기술위험 인지도에 대한 Psychometric 분석 (A Study on Risk Perception and Policy Implication : A Psychometric Analysis of Korean Perception for Technological Risks)

  • 정익재
    • 한국안전학회지
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    • 제29권1호
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    • pp.80-85
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    • 2014
  • A survey of risk perception in South Korea was conducted in 2007 to evaluate relative riskiness of typical industrial and technological risks. This article summarizes the characteristics of risk perception using psychometric analyses. The survey with a sample size of 1,194 reviews the perceived level of 25 risk items in the areas of transportation, chemicals, environment, industry, nuclear power generation, and newly-introduced risks. Six categories of risk identified by a factor analysis show that the level of perceived risk does not correspond to the statistical level. Psychometric analyses including voluntariness, severity, effect manifestation, exposure pattern, controllability, familiarity, benefit and necessity demonstrate that voluntary, familiar and immediate risks are perceived as less risky than involuntary, unfamiliar and delayed ones. Risk communication is critical in reducing the discrepance between objective and subjective level of risk. However, the amount of risk information does not always justify a successful risk communication. A safety policy, risk communication strategy in particular, should take into account diverse dimensions of risk reviewed by psychometric analyses in the study. Social policy toward safety can be improved by integrating policy, human, and social factors as well as technological advances.

Testing the Mediating Effect of Appraisal in the Model of Uncertainty in Illness

  • Kang, Younhee
    • 대한간호학회지
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    • 제33권8호
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    • pp.1127-1134
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    • 2003
  • Background. Although there have been a great number of research studies based on the model of uncertainty in illness, few studies have considered the appraisal portion of model. Purpose. The purpose of this study was to test the mediating effect of appraisal in the model of uncertainty in illness. Additionally, this study aimed to examine the relationships among uncertainty, symptom severity, appraisal, and anxiety in patients newly diagnosed with atrial fibrillation. Methods. This study employed a descriptive correlational and cross-sectional survey design using a face-to-face interview method. Patients diagnosed with atrial fibrillation within the previous 6 months prior to data collection were interviewed by Mishel Uncertainty in Illness Scale-Community Form, appraisal scale, Symptom Checklist-Severity V.3, and State Anxiety Inventory. Results. A total of 81 patients with atrial fibrillation were recruited from two large urban medical centers in Cleveland, Ohio, U.S.A.. Symptom severity was the significant variable in explaining uncertainty ($\beta$=0.34). Individuals with greater symptom severity perceived more uncertainty. Uncertainty was appraised as a danger rather than opportunity, and those with greater uncertainty appraised a greater danger (p<.0l). While the appraisal of opportunity had the negative relationship with anxiety (r=-0.25), the appraisal of danger was positively associated with anxiety (r=0.78). The measure of goodness of fit (Q) of the model was .7863, and the significant test (X$^2$) for the Q was statistically significant (df =3, p<.00l). Accordingly, the overall mediating model of uncertainty in illness was proven not to be fit to the empirical data of patients with atrial fibrillation. Consequently, the mediating effect of appraisal was not supported by the empirical data of this study. Conclusion. The findings of this study were discussed in terms of their relevance compared with those of previous studies or theoretical framework and the plausible explanations on study findings. Lastly, in order to expand the present body of knowledge on uncertainty in illness model, recommendations for the future nursing studies were included.

음성장애에 대한 음향학적 중등도 지표 (The Acoustic Severity Index in the Pathologic Voice)

  • 홍기환;김현기;양윤수
    • 음성과학
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    • 제10권4호
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    • pp.201-219
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    • 2003
  • Background: The perceptual assessment is generally performed by the voice specialist. The objective evaluation is performed in a voice laboratory. Research in voice laboratories has generated a variety of different objective tests and parameters. The perceptual evaluation is one of the most controversial topics in voice research. Review of literature reveals a wide variety of rating scales and reliability data fluctuating from study to study. Unfortunately, there is no widely accepted valid method for classifying voice disorders and assessing outcome after voice treatment. Objectives: The goals of this research were to identify important objective acoustic parameters of vocal quality, and to establish an objective and quantitative correlate of the perceived vocal quality. Materials and Methods : We evaluated the voice analyzed data from 122 dysphonic patients and 20 normal volunteers. A computerized speech lab. 4300B(CSL) was used to carry out the analysis of each voice sample. Results: Three dysphonia severity indices(DSI) were created using discriminant analysis. DSI is based on the weighted combination of the following selected set of acoustic parameters: absolute jitter(Jita in us), smoothed pitch period perturbation (sPPQ in %), amplitude perturbation quotient(APQ in %), soft phonation index(SPI), average fundamental frequency(Fo in Hz), lowest fundamental frequency(Flo in Hz), and smoothed amplitude perturbation quotient(sAPQ in %). The DSI, being the discriminating rule calculated by the logistic regression, consists of three equation based on statistically significant acoustic parameters. Three DSI were created to reflects best the degree of hoarseness as expressed by G from the GRBAS scale. The more positive this DSI is for a patient, the worse the vocal quality. The more it is negative, the better it is. The effect of sex is included implicitly in the DSI-1 and DSI-2, so that a separate DSI-1 and DSI-2 for males and females need not be used. The DSI is objective because no perceptual input is required for its calculation. Conculsion : This research demonstrates that the voice function values calculated from three different multivariate objective dysphonia severity indices are significantly associated with subjective voice assessments. These multivariate objective dysphonia severity indices may be appropriate for use in clinical trials and outcomes research on treatment effectiveness for voice disorders.

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스마트폰 사용자의 위치기반 SNS 서비스에 대한 위험인식과 수용에 관한 연구 (A Study on the Risk Perception and Acceptance of Location-based SNS Service of Smartphone Users)

  • 윤승욱
    • 디지털융복합연구
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    • 제17권2호
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    • pp.453-462
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    • 2019
  • 본 연구는 스마트폰 이용자들을 대상으로 위치기반 SNS 서비스 관련 위험요소에 대한 통제성과 심각성, 비현실적 낙관주의 및 위험인식의 관계를 규명하고자 하였다. 이를 위해 위치기반 SNS 서비스 이용 경험이 있는 대학생을 대상으로 설문조사를 실시하였다. 주요 결과를 중심으로 논의하면 다음과 같다. 첫째, 통제성의 비현실적 낙관주의에 대한 검증력은 통계적으로 유의하였다. 둘째, 심각성의 비현실적 낙관주의에 대한 검증력은 통계적으로 유의하였다. 셋째, 통제성의 위험인식에 대한 검증력은 통계적으로 유의하지 않았다. 넷째, 심각성의 위험인식에 대한 검증력은 통계적으로 유의하지 않았다. 다섯째, 비현실적 낙관주의의 위험인식에 대한 검증력은 통계적으로 유의하였다. 본 연구의 결과는 스마트폰 사용자들의 위치기반 SNS 서비스 이용에 따른 프라이버시 침해 가능성에 대한 사전예방과 보호행위를 높이는데 기여할 것이다. 헌편, 향후 후속연구에서는 비현실적 낙관주의와 위험예방이나 대처행동의 관계를 살펴볼 필요가 있을 것이다.