• 생물정신의학
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• 제14권2호
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• pp.106-114
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• 2007

Objective : It is suggested that disturbance of dopaminergic system might be related to the possible mechanism of social phobia. The aim of this study was to investigate the possible association of DRD2 TaqI polymorphism and social phobia. Method : Fifty-one patients with social phobia and 200 comparison subjects were tested for DRD2 TaqI A polymorphism. The severity of social phobic symptoms was measured by self-report version of the Liebowitz Social Anxiety Scale(LSAS-SR) and Hamilton anxiety scale(HAM-A). Results : There was no signigicant difference in the genotype, allele frequency, A1 carrier frequency, and heterozygote frequency DRD2 TaqI A polymorphism between the social phobia patients and the control groups. However, we found significant decrease in somatic anxiety of the HAM-A in the patients having A2A2 homozygotes(p=0.014). In addition, patients having A1A2 heterozygotes showed more anxiety in two subscales (p=0.042 in anxiety, p=0.019 in performance) of the LSAS-SR. Conclusion : These results suggest that DRD2 A2 homozygote might have a protective role against somatic anxiety, and molecular heterosis of DRD2 TaqI A polymorphism might be related with more severe anxiety in social phobia.

• 대한불안의학회지
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• 제19권2호
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• pp.69-76
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• 2023

Objective : This study aimed to find out whether the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scales are useful in distinguishing social anxiety disorder, panic disorder, and major depressive disorder. Methods : The study sample included 118 patients: 33 with social anxiety disorder, 53 with major depressive disorder, and 32 with panic disorder. Participants were classified according to the diagnosis indicated on their medical records. MMPI-2-RF scores were derived from MMPI-2 protocols. Results : The results of multivariate analysis of variance showed that the elevated scales were consistent with the diagnostic and clinical characteristics of each diafnostic group. Logistic regression analyses identified several scales that were useful in differentiating the diagnostic groups. The higher Cognitive Complaints (COG) scale significantly differentiated major depressive disorder from the other groups. The higher Self-Doubt (SFD) scale and Somatic Complaints (RC1) scale were useful in differentiating social anxiety disorder and panic disorder respectively. The lower Cynicism (RC3) scale was also useful in differentiating social anxiety disorder. Other scales that were useful in distinguishing between pairs of groups were also identified. Conclusion : The results of this study suggest that the MMPI-2-RF scales can be useful for discriminating anxiety disorders.

• 대한불안의학회지
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• 제10권1호
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• pp.44-51
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• 2014

Objective : The amygdala has been considered to be a critical region in the pathophysiology of social anxiety disorder, but subregional connectivity pattern has not been examined yet despite lots of previous functional neuroimaging studies. Methods : Resting-state functional magnetic resonance imaging data was obtained in 19 patients with social anxiety disorder and 20 normal controls, and default mode functional connectivity with each of basolateral, centromedial and superficial areas of the amygdala was measured and compared between the two groups. Results : Differential amygdala-based networks between the two groups were distributed to all over the brain. In particular, however, a bias on the amygdala-cingulate pathway was observed in the superficial amygdala only. Connectivity strengths between the superficial amygdala and perigenual anterior cingulate cortex were correlated with scores of social interaction and avoidance. Conclusion : Our findings provide new insights into understanding of the intrinsic cognitive bias model of social anxiety disorder. An abnormality in superficial amygdala-anterior cingulate connectivity may influence on cognitive processing of socially-relevant information in social anxiety disorder.

• 동의신경정신과학회지
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• 제34권1호
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• pp.33-42
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• 2023

Objectives: This study was conducted to observe the progression of symptoms according to the treatment period of patients with social anxiety disorder who received complex Korean medicine treatment. Methods: The medical records of 25 patients who were diagnosed with social anxiety disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and received complex Korean medicine treatment (herbal medicine, acupuncture, and Korean psychotherapy) for 12 weeks were analyzed. The State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory-II (BDI-II), the Beck Anxiety Inventory (BAI), the Korean-Social Avoidance and Distress scale (K-SAD), and the Korean-Fear of Negative Evaluation (K-FNE) were measured at the initial hospital visit and during the 4, 8, and 12 weeks of treatment to evaluate the effectiveness of treatment. Missing values were replaced with the average evaluation index value at that time. Results: 1) Statistically significant changes in STAI-X1, STAI-X2, BDI-II, BAI, K-SAD, and K-FNE scores were seen according to the time of treatment. 2) When scores were compared between each treatment time point, STAI-X2 and BDI-II showed statistically significant changes between the initial visit and four weeks of treatment, the initial visit and eight weeks of treatment, and the initial visit and 12 weeks of treatment. STAI-X1 and K-FNE showed statistically significant changes between the initial visit and eight weeks of treatment and the initial visit and 12 weeks of treatment. There was a statistically significant change in BAI scores between the initial visit and the 12th week of treatment. Conclusions: Complex Korean medicine treatment alleviated anxiety, depression, fear, and avoidance of social situation symptoms in patients with social anxiety disorder. The longer the treatment period, the more symptoms tended to be alleviated. However, the evidence should be supplemented with prospective, controlled research.

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.210-222
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• 2015

본 연구의 목적은 노인의 노화불안이 성공적 노화에 미치는 영향에서 사회적 지지의 매개효과를 검증하는 것이다. 연구결과, 첫째, 노인의 노화불안이 증가할수록 성공적 노화는 감소되는 것으로 나타났다. 둘째, 노인의 노화불안과 사회적 지지 관계에서 노화불안이 증가할수록 사회적 지지는 감소되는 것으로 나타났다. 셋째, 사회적 지지와 성공적 노화 관계에서 사회적 지지의 증가는 성공적 노화를 증가시키는 것으로 나타났다. 넷째, 노인의 노화불안과 성공적 노화의 관계에서 사회적 지지의 부분매개효과를 확인하였다. 이에 본 연구는 고령화 사회에서 노인의 노화불안 감소와 성공적 노화를 위한 방안과 후속연구를 위한 제언을 하였다.

• 한국산학기술학회논문지
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• 제19권11호
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• pp.68-77
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• 2018

본 연구는 중학생의 행동억제기질과 정서표현 양가성 그리고 사회불안의 관계를 살펴보고, 행동억제기질과 사회불안의 관계에서 정서표현 양가성이 매개하는지 알아보고자 하였다. 이를 위해 5개 도시(원주, 서울, 수원, 순천, 광주)에 소재하는 6개 중학교 1~3학년 학생 370명을 대상으로 설문을 실시하였다. 수집된 자료는 SPSS/WIN 19.0 프로그램을 사용하여 기술통계, 상관분석, 회귀분석, sobel test를 실시하였다. 본 연구의 주요결과는 다음과 같다. 첫째, 행동억제기질과 사회불안, 정서표현 양가성 모두는 서로 정적인 상관을 보였다. 둘째, 행동억제기질과 대인불안, 행동억제기질과 수행불안의 관계에서 정서표현 양가성이 부분 매개하는 것으로 나타났다. 이는 행동억제기질이 대인불안과 수행불안에 직접적인 영향을 미치기도 하지만 행동억제기질이 정서표현 양가성 수준을 증가시켜 대인불안과 수행불안이 높아진다는 것을 의미한다. 이러한 결과는 타고난 행동억제기질로 인해 사회불안을 호소하는 중학생을 상담할 때 정서표현 양가성 수준을 낮춰줌으로써 사회불안을 감소시킬 수 있도록 도와줄 수 있음을 시사한다.

• 한국간호교육학회지
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• 제27권3호
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• pp.298-305
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• 2021

Purpose: This study aims to identify the relationship between nursing students' social anxiety and communication ability, and in particular, to determine the mediating effect of self-efficacy. Methods: A total of 187 nursing students enrolled at four universities in Korea completed surveys between August and September 2020. The measurements included the Global Interpersonal Communication Competence Scale, self-efficacy scales, and interaction anxiousness scales. Data were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson's correlation, multiple regression following the Baron and Kenny method, and bootstrapping for mediation. Results: Communication ability was significantly negatively correlated with social anxiety (r=-.61, p<.001) and significantly positively correlated with self-efficacy (r=.77, p<.001). Furthermore, self-efficacy had a partial mediating effect on the relationship between social anxiety and communication ability. Conclusion: The findings of this study suggest that communication ability can be improved if individual characteristics such as social anxiety and self-efficacy are considered. Therefore, when developing communication ability improvement programs for nursing students in the future, it is considered important to actively consider these personal characteristics.

• 대한불안의학회지
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• 제7권1호
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• pp.22-28
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• 2011

Objective : Social anxiety disorder (SAD) has been characterized by a marked sense of anxiety provoked by exposure to one or more social situations. It has been well-known that the cultural characteristics of a society strongly affect the expression of SAD symptoms. The current study attempted to explore clinical and cultural characteristics of social anxiety symptoms in the Korean nonclinical population. Methods : 801 volunteers who participated in the national social anxiety screening day, which was held by Korean academy of anxiety disorders, were invited to complete the self-report version of Liebowitz social anxiety scale (LSAS-SR). A total of 691 participants completed the LSAS-SR and other information related to this study. Results : Social anxiety symptoms were reported by a great percentage of subjects, as displayed by the relatively high mean LSAS scores (44.58 ; SD=25.60). There were no significant differences in total LSAS score according to sex, education, or marital status. The three most fearful or avoided situations for participants, as measured by the percentage of subjects who had a score of more than 3 on each LSAS item were as follows: item 6 (acting, performing, or giving a talk in front of an audience ; 29.67% for fear and 22.72% for avoidance), item 16 (speaking up in a meeting ; 25.62% for fear and 21.56% for avoidance), and item 15 (being the center of attention; 13.89% for fear and 9.70% for avoidance). Conclusion : The Korean participants in this study demonstrated a high level of SAD symptoms. Our subjects reported that they were more likely to be fearful or avoid passive situations such as being the center of attention as compared with results from a study of western society which indicated that western people were more likely to be fearful or avoid active situations. These findings emphasize the importance of considering a patient's cultural background when evaluating SAD symptoms.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.63-73
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• 2019

본 연구는 학령후기 아동의 사회불안 정도와 사회불안에 영향을 미치는 요인을 파악하기 위한 것이다. 설문지를 이용한 서술적 조사연구 방법으로 초등학교에 재학 중인 6학년 아동 278명을 연구대상자로 하였으며, 연구도구는 SASCA-K(Korean Social Anxiety Scale for children and adolescents, 사회불안 척도), SES(Self-esteem Scale, 자아존중감 척도), CAPS(Child and Adolescent Perfectionism Scale, 완벽주의 척도), DSRS-C(Depression Self-Rating Scale for Children, 아동우울 척도), IPPA-R(Inventory of Parent and Peer Attachment-Revised version부모 및 또래애착 척도)을 사용하였다. 수집된 자료는 SPSS WIN 23.0을 이용하여 기술통계, t-test, One-way ANOVA, Pearson correlation, stepwise multiple regression을 실시하였다. 연구결과 학령후기 아동의 사회 불안과 완벽주의, 우울은 긍정적인 상관관계가 있는 반면, 자아존중감, 애착안정성은 부정적인 상관관계가 있었다. 단계적 다중회귀 분석에서는 자아존중감, 자기 지향적 완벽주의, 우울, 부 애착 의사소통이 사회불안에 영향을 주는 요인으로 38% 설명하는 것으로 나타났으며, 사회불안에 가장 영향을 미치는 요인은 자아존중감으로 분석되었다. 학교, 가족, 지역사회의 통합적인 개입을 통해 학령후기 아동의 정신문제를 예방하고 중재하기 위해 건강교육, 상담 및 학교기반 보건교육 프로그램 확대가 필요하다.

• 한국콘텐츠학회논문지
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• 제20권4호
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• pp.475-486
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• 2020

본 연구에서는 부정적 평가에 대한 두려움과 사회적 상호작용 불안의 관계에서 자기낙담, 자기격려가 매개역할을 하는지 알아보고자 하였다. 이를 위해 광주, 전남에 소재한 3곳의 대학교에 재학 중인 학생 319명을 대상으로 설문조사를 실시하였고, 매개효과를 알아보기 위해 상관분석과 회귀분석을 실시했다. 결과는 다음과 같다. 첫째, 상관분석을 실시한 결과 부정적 평가에 대한 두려움과 사회적 상호작용 불안 간에 유의미한 정적상관이 존재하였고 자기낙담은 부정적 평가에 대한 두려움과 사회적 상호작용 불안 간에 정적상관이 존재하였다. 그러나 자기격려는 부정적 평가에 대한 두려움과 사회적 상호작용 불안 간에 부적상관이 존재하였다. 둘째, 회귀분석을 통해 매개 검증을 실시한 결과 부정적 평가에 대한 두려움과 사회적 상호작용 불안 간의 관계에서 자기낙담은 완전매개효과를 보였고 자기격려는 부정적 평가에 대한 두려움과 사회적 상호작용 불안 간의 관계에서 부분매개효과를 보였다. 본 연구 결과는 부정적 평가에 대한 두려움으로 인한 사회적 상호작용 불안을 경험하는 대학생들에게 상담자의 조력이나 안내를 통해 변화가능성이 있는 자기격려를 신장시켜줌으로써 사회적 상호작용 불안을 지닌 내담자를 보다 효율적으로 치유할 수 있음을 시사한다.