• 제목/요약/키워드: psychotherapy

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Effects of Dental Hygienists Job Stress on Somatization in an Area

  • Kim, Mi-Jeong;Kim, Hyeon-Sun;Lim, Cha-Young
    • 치위생과학회지
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    • 제20권1호
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    • pp.59-66
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    • 2020
  • Background: This study aims to analyze the job stress of dental hygienists and the factors affecting somatization and to provide basic data for effectively managing job stress and somatization of dental hygienists. Methods: In this study, the data collected from 208 dental hygienists working in Jeollabuk-do Province were analyzed. Job stress was investigated using a questionnaire with 43 questions. In addition, the degree of somatization was evaluated through a simplified psychotherapy examination (Symptom Check List-90-Revision). Results: Age, employment history, position, average monthly income, night duty execution status, and perceived health status were significantly associated with job stress (p<0.05). The job stress sub-items scores based on general characteristics showed significance in 'workload' for those working a five-day workweek and perceived health status (p<0.05). Age, average monthly income, and perceived health status were noted in 'role conflict as a professional'. In 'lack of expertise and skill', it was noted that age, employment history, position, income, and night clinic were implemented. In 'improper treatment and interpersonal issues', level of education and perceived health status were significant (p<0.05). The higher the job stress, the higher the somatization symptom score (p<0.05), and the higher the job stress component, the higher the somatization symptom score (p<0.01). Conclusion: The job stress of dental hygienists should be reduced, and the symptoms of somatization should be mitigated. To improve the quality of medical services and the work efficiency of dental hygienists, proper treatment and compensation systems should be implemented for them to take pride as professional. Further, programs and regulations on mitigating job stress and somatization symptoms should be developed.

실종 대응체계 개선방안에 관한 연구: 언론기사분석을 중심으로 (Proposal for enhancement of managing missing cases: through analysis of newspaper articles)

  • 이영림;이권철
    • 디지털융복합연구
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    • 제18권4호
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    • pp.91-100
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    • 2020
  • 본 논문은 실종사건에 대한 대응체계의 개선방안을 제시하기 위해 수행되었다. 기존 관련 연구는 대부분 경찰 내부의 실종 대응현황에 대한 검토와 분석을 통하여 개선방안을 제시하는 방법을 활용하였으나, 본 연구는 외부 일반사회의 시각에서 제기하는 현행 실종 대응체계에 대한 우려 또는 비판을 분석하였다. 이를 위하여 지난 5개년 동안 보도된 실종 관련 기사를 질적 연구 프로그램으로 분석한 결과, 초기대응의 비효율, 실종 대응절차별 전문성 부족, 실종 대응 종합관리의 미흡 및 지역사회의 협력 부족 등에 대한 우려가 있음을 발견하였다. 이에 대하여 실종 초기대응의 개선안으로 실종 위험성 판단절차의 정비, 대응절차별 전문성 확보방안으로 실종전담팀의 확충과 프로파일링 입력시스템의 개선 및 실종자 가족 대상 업무의 설정 및 전문화, 실종 대응 종합체계의 구축방안으로 컨트롤타워의 역할 강화 및 체계적 정보관리체계 구축 등을 제시하였다. 제시된 방안을 보다 구체적이고 종합적으로 후속 연구하고 실무의 측면에서 이를 분석 및 검토하여 실종 대응에 대한 지속적인 개선이 도출되어야 한다.

융복합 시대 대학생의 사적/공적 자의식이 진로정체감에 미치는 영향: 학업효능감의 매개효과검증 (The Influence of Private and Public Self-Consciousness of College Students on Vocational Identity in Convergence era: Testing the Mediating Effects of Academic Self-Efficacy)

  • 윤준현;손영미
    • 디지털융복합연구
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    • 제18권7호
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    • pp.339-346
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    • 2020
  • 본 연구는 대학생의 사적 자의식과 공적 자의식에 따른 학업효능감 및 진로정체감과의 관계를 파악하고자 하였다. 이를 위해 4년제 대학 263명의 학생들을 대상으로 설문조사를 실시하였으며, SPSS 22.0과 AMOS 22.0을 활용하여 자료를 분석하였다. 연구결과, 사적 자의식과 공적 자의식은 모두 진로정체감과 학업효능감에 유의한 정적 상관을 보였다. 둘째, 사적 자의식과 공적 자의식이 학업효능감을 거쳐 진로정체감(진로탐색, 진로몰입, 진로재고)로 이어지는 경로에 차이가 있음을 확인하였다. 구체적으로, 사적 자의식은 진로정체감 하위요인 중 진로재고 요인에 대해 직접 영향을 미치고 있었으며, 공적 자의식은 학업효능감을 부분 매개하여 진로탐색에, 학업효능감을 완전 매개하여 진로몰입에 영향을 미치고 있었다. 이러한 결과를 토대로 융·복합시대의 진로 교육 및 상담에 대하여 논하였으며, 향후 연구에 대해 제언하였다.

호텔 종사자들에서 불안 및 우울과 24시간 활동혈압 관련성 (The Relationship between Anxiety, Depression and 24-hour Ambulatory Blood Pressure in Hotel Employees)

  • 배준호;사공정규;김상규
    • 농촌의학ㆍ지역보건
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    • 제36권3호
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    • pp.157-166
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    • 2011
  • 이번 연구는 일개 사업장 근로자를 대상으로 24시간 활동혈압에 따른 고혈압군과 정상군의 불안과 우울정도를 비교하고 불안증상과 우울증상에 따른 혈압 양상을 비교 분석하고자 하였다. 일개 사업장 근로자 107명을 대상으로 2009년 12월 10일부터 2010년 3월 20일까지 사업장을 방문하여 BAI와 BDI로 불안과 우울정도를 조사하였고 임상혈압과 24시간 AMBP로 활동혈압을 측정하였다. 임상혈압과 24시간 AMBP에서 고혈압군과 정상군의 BAI와 BDI 점수는 모두 유의한 차이가 없었지만, 우울증상군에서 정상군보다 야간 이완기혈압 비강하 발생위험도가 6.85배 (CI 1.50-30.01)높았다. 고혈압 치료를 시작하거나 치료 중인 환자에서 치료순응율을 향상시키고 심혈관계 질환 예방을 위해서는 심리적인 중재도 필요하다고 판단되어진다.

사이버 집단상담이 인터넷 중독 아동의 우울증에 미치는 효과 (The Effect of Cyber Group Counseling on the Depression of Internet Addiction Children)

  • 한은수
    • 초등상담연구
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    • 제4권1호
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    • pp.191-214
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    • 2005
  • This study aimed to examine the effect of Cyber Group Counseling on the depression of internet addiction children in elementary school. In this study, the following questions were posed: How effective is the Cyber Group Counseling on the depression of internet addiction children? In this study, subjects were 24 students who got 14 points over in KAIS and got 11 points over in CDI among 245 of 5th, 6th grade students in Daegu and Chongdo Kyungbuk who did Internet addiction scale for Korean Adolescent(KAIS) and Children's Depression Inventory(CDI). They were divided into experimental group and comparative group. Subjects in experimental group practiced Cyber Group Counseling for 12 sessions(60 minutes per session) for 6 weeks. But the control group had no treatment during the period. During the experiment, 2 of each groups were left out. The counseling schedule and hor· to join the Cyber Group Counseling clinic were notified by e-mail. The Cyber Group Counseling was on every Monday and Thursday. The Cyber Group Counseling progressed by internet chatting, bulletin board, e-mail and a slip paper counsel. The collected data were analyzed with SPSS/PC+ (statistical package for the social science/personal computer) program and t -test. The findings of this study were as follows: First, the depression of internet addiction children who joined in Cyber Group Counseling was significantly reduced than the others. So, Cyber Group Counseling was proved one of the useful psychotherapy approach. Second, the subordinate of depression including behavioral disturbance and anhedonia was significantly reduced. Third, the subordinate of depression including the dysphoric mood, the self-deprecation and physiological symptoms was reduced. But it was not statistically significant.

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모-자녀 기질 적합성과 자녀의 문제행동간의 관련성 연구 (Studies on Relations between Goodness of Fit in Mother-children Temperament Interaction and Problem Behaviors of Children)

  • 하현이;정해리;이수진;채한
    • 대한한방소아과학회지
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    • 제27권2호
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    • pp.11-19
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    • 2013
  • Objectives The purpose of this study was to identify the importance of goodness of fit in mother-child temperamental interaction (MCTI) and the child problem behaviors. Methods The behavior problem of 180 child outpatients from traditional Korean medical clinic was measured with Korean version of Child Behavior Checklists, and the temperament of child and their mother was measured with Junior Temperament and Character Inventory and Temperament and Character Inventory-Revised-Short. The MCTI was calculated as the difference of the temperament score between mother and child. The correlation and linear regression analysis was performed to examine the effects of temperament on Child Behavior Checklists. Results The MCTI on Harm-Avoidance was the significant factor for explaining the internalizing problem (B=-.154, t=-10.130, p<.001), externalizing problem (B=-.045, t=-3.340, p=.001) and total problem (B=-.298, t=-7.574, p<.001). We also confirmed that the temperament of mother and child significantly correlated with the child behavior problems as provided previously. Conclusions These results showed that the temperament interaction between mother and child is an important factor for predicting problem behaviors in child clinical sample. The goodness of fit in MCTI and problem behavior should be considered as pivotal element in traditional Korean pediatrics.

부모의 양육태도가 유아 행동평가 척도에 미치는 영향 연구 (Effects of Parenting Attitude on K-CBCL Scales)

  • 정해리;하현이;이수진;채한
    • 대한한방소아과학회지
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    • 제27권2호
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    • pp.1-10
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    • 2013
  • Objectives The aim of this study was to explore the effect of parental attitude on the behavioral problems in children who visited the traditional Korean pediatrics clinic. Methods The subjects were consist of 190 outpatients ($56.6{\pm}12.9$ months) and their mother. The Behavior problems of children were measured with Korean version of Child Behavior Checklist for Ages 1.5-5 (K-CBCL1.5-5) while parental perception of child vulnerability, parent overprotection, parenting stress were measured by Child Vulnerability Scale (CVS), Parent Protection Scale (PPS), Korean-Parenting Stress Index-Short Form scale (K-PSI-SF), respectively. Correlation and multiple regression were conducted for the analysis. Results Significant correlations between child total problems score and child vulnerability (r=.272, p<.001), parent overprotection (r=.243, p=.001), and parenting stress (r=.597, p<.001) were reported. Multiple regression analysis revealed that the parenting stress (${\beta}$=.548, p<.001) was a major predictor for the child behavior problems rather than child vulnerability and parent overprotection. Conclusions It was shown that the parenting stress has a significant influence on the emotional and behavioral development of children. These results can be useful for improving clinical diagnosis and treatment in traditional Korean pediatrics.

한의학증례보고에서 가치 있는 증례는 무엇일까? (What Cases Are Worth Publishing in the Korean Medical Case Report?)

  • 한가진;김송이
    • Korean Journal of Acupuncture
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    • 제37권3호
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    • pp.159-171
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    • 2020
  • Objectives : This study aimed to understand the characteristics of the cases covered in the case studies on traditional Korean medicine (TKM) and furthermore, to provide basic information that can lead the discussion on 'what cases are worth reporting' in future case reports. Methods : Case reports on TKM were searched using the OASIS. The searched researches were analyzed according to the type of case, including information on disease/symptoms and intervention. Results : A total of 940 researches were searched. The most frequently reported type of case study was the report on the effectiveness of intervention. Case reports, which were only two cases in the 1970s, increased rapidly in the 2000s, and in particular, 314 cases within the last five years accounted for about 33% of the total literature. As for the number of studies by disease, the cases dealing with musculoskeletal diseases such as spine, shoulder and knee joint disorders were the most prevalent. Besides, there were many case reports related to cardiovascular, gynecological, cancer, psychiatric, and dermatological diseases. In a total of 51.9% of the included case reports, a combination of two or more Korean medical treatments such as acupuncture and herbal medicine was used at once, and western treatment was used with Korean medical treatment in 28.2% of the studies. The types of Korean medical treatments were varied, such as acupuncture, moxibustion, pharmacopuncture, electroacupuncture, Chuna, acupotomy, herbal medicine, external preparation, and psychotherapy. The main purpose of the publication of the included case reports was analyzed as a report of TKM treatment for rare diseases, or the application of TKM treatment to diseases or symptoms that are "uncommon in TKM treatment" even if it is not a rare disease. Conclusions : Case reports have the strength of generating new scientific hypotheses by detecting the basic needs and novelty of medicine. The current case studies of TKM do not seem to be sufficient to highlight these strengths. It is necessary to discuss which cases are reported as cases of patients worth publishing, and based on this, it is necessary to activate case studies of TKM by utilizing diagnostic tools and science technology.

외상후 스트레스 장애 이외의 정신 장애에 대한 EMDR 전후의 치료 반응 및 증상 변화 (Treatment Response and Symptomatic Changes after Eye Movement Desensitization and Reprocessing in Psychiatric Disorders Other than Posttraumatic Stress Disorder)

  • 이해원;김대호;배활립;최준호;오동훈;박용천
    • 대한불안의학회지
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    • 제4권1호
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    • pp.55-61
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    • 2008
  • Objective : Eye movement desensitization and reprocessing (EMDR) has been established as an effective treatment for patients with posttraumatic stress disorder (PTSD). However, the literature is unclear as to whether EMDR is effective in the treatment of other psychiatric disorders. The purpose of this study was to evaluate the potential use of EMDR in the treatment of psychiatric disorders other than PTSD by using a clinician's impression of patient response and a subjective symptom evaluation. Methods : Seventeen diagnostically heterogenous patients without PTSD underwent an average of 4.3 sessions of EMDR. Symptom severity was assessed by the Clinical Global Impression-Change Scale (CGIC), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Symptom Checklist-90- Revised (SCL-90-R) before and after EMDR. Those whose CGI-C scores were 'very much improved' and 'much improved' after EMDR were classified as 'responders.' The patients' before and after treatment scores of symptom severity and group differences were compared. Results : Twelve of the 17 participants (12/17, 71%) were classified as 'responders.' The patients' scores on all of the scales, with the exception of the trait anxiety scale and obsession-compulsion scale of the SCL- 90-R, significantly decreased after treatment. There was no difference in sociodemographic and clinical variables between the responders and non-responders. Conclusion : The results of our study suggest that EMDR can be a promising candidate for the treatment of patients with psychiatric disorders other than PTSD, and thus further controlled studies are needed to determine whether EMDR can be applied to various psychiatric populations.

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대학생의 내현적 자기애가 우울에 미치는 영향: 정서인식 명확성과 정서표현 양가성의 매개효과 (The Mediating Effect of Emotional Clarity and Ambivalence over Emotional Expressiveness in the Relationship between College Student's Covert Narcissism and Depression)

  • 유현아;송원영
    • 융합정보논문지
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    • 제8권3호
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    • pp.161-168
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    • 2018
  • 본 연구는 내현적 자기애가 정서인식 명확성과 정서표현 양가성을 매개로 우울에 미치는 영향을 검증하였다. 이를 위해 중부권에 거주하고 있는 대학생 343명을 대상으로 내현적 자기애 척도(CNS), 우울척도(BDI), 특질-상위 기분 척도(TMMS), 정서표현 양가성 척도(AEQ-K)를 사용하여 설문을 실시하였다. 연구 결과, 첫째, 내현적 자기애는 정서인식 명확성과 부적 상관을, 정서표현 양가성, 우울과는 정적 상관을 보였다. 둘째, 내현적 자기애가 우울에 영향을 미치는 과정에서 정서인식 명확성과 정서표현 양가성이 이를 완전매개 하였다. 셋째, 내현적 자기애가 우울에 미치는 영향에서 정서인식 명확성과 정서표현 양가성의 간접효과는 유의미하였다. 이러한 연구 결과는 내현적 자기애 성향을 가지고 있는 대학생이 우울해 하는데 있어 정서인식 명확성과 정서표현 양가성이 영향을 미치는 변인임을 시사한다. 이러한 결과를 바탕으로 내현적 자기애성향의 대학생을 위한 효율적인 상담 개입방법과 연구의 시사점과 제한점, 추후연구를 위한 제언들에 대해 논의하였다.