• 대한불안의학회지
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• 제8권2호
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• pp.71-78
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• 2012

The mass social trauma, such as organized violence, wars, oppression by dictatorships and massive terrorist attacks, exposes thousands of people to trauma in a short period of time. Therefore, the mass social trauma is distinguished from individualized trauma, such as a violent attack, rape or a traffic accident in that it results in multiple and extended consequences beyond the individual. During the Khmer Rouge regime, one quarter of the Cambodian population was killed as a result of malnutrition, forced labor and mass killings. Until now, its evil continues to affect Cambodian's physical and mental health problems. Although there is ongoing debate, to date, no consensus has been reached supporting a clear set of recommendations for the intervention and longitudinal study regarding the influence of killing field massacre being too little. And comparative cultural studies, such as comparing the East to West or other Asian cultures are also lacking. This article gives an overview of previous study results about the mental health of Cambodians, and suggests a possible research issue and therapeutic interventions to determine the impact of mass trauma to the members of society and post-traumatic recovery factors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제16권1호
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• pp.124-131
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• 2005

소아, 청소년기에 발생하는 양극성장애는 주의력결핍/과잉행동장애, 행동장애 뿐만 아니라 불안장애도 중복진단 비율이 높다. 불안장애 중 강박장애, 사회공포증, 공황장애, 분리불안장애가 많이 공존한다고 보고 되었지만 불안장애와 양극성장애 발생사이의 시간적 관련성에 관한 전향적이면서 믿을만한 연구는 드물다. 본 저자는 양극성장애에 선행한 불안증상에 대해 항우울제를 투여하였을 때 발생한 조증삽화 2예를 보고하고자 한다. 기분변화의 과거력이나 양극성장애의 가족력이 없어도 선행된 불안증상에 대해 항우울제를 사용할 때는 조증삽화의 가능성을 염두에 두고 조심스럽게 처방해야 될 필요성이 있으며 향후 소아, 청소년 양극성장애와 불안장애 사이의 시간적 연관성과 약물학적 치료 지침에 대해 포괄적이며 전향적인 연구가 필요할 것이다.

• 한국간호교육학회지
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• 제16권1호
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• pp.101-110
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• 2010

Purpose: This study was a descriptive research study that investigates nurses' beliefs concerning death anxiety and spirituality. Method: The subjects were 150 nurses working at general hospitals located in Busan city. Data collection was carried out from October 15 to November 30, 2008. The study used a 'Death Anxiety Scale' and a 'Korean Spirituality Scale.' The collected data was analyzed for frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficient with the SPSS/WIN 17.0. Result: The level of death anxiety of the subjects averaged 3.25. In each sub-factor, 'awareness of shortness of time' was the highest at 3.57 points. Spirituality level of the subjects averaged 3.51. In each sub-factor, meaning and purpose of life was the highest at 3.70 points. In differences of death anxiety followed by general characteristics, there were significant differences according to age, and educational level. For spirituality, followed by general characteristics, there were significant differences according to age, educational level, religion, working period, and understanding about death and spirituality. There was a weak inverse correlation among fear for accidents involved with death, total spirituality level and meaning, and purpose of life. Conclusion: Future research should examine relations between nurses' death anxiety and spirituality level through random sampling and research to check psychological and social variables that influence death anxiety and spirituality. Development of a program to lessen nurses' death anxiety and to raise their spirituality level would be prudent.

• 한국콘텐츠학회논문지
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• 제12권1호
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• pp.234-243
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• 2012

본 연구는 국내 최초로 배우를 대상으로 무대불안을 극복하기 위한 체계적인 심리기술훈련 프로그램을 구성하고, 이를 바탕으로 심리상담을 실시하여 그 현장 적용의 가능성과 효과성을 분석하고자 하였다. 이를 위해 직업극단 연기자로 활동하고 있는 배우 2명을 목적적 표본추출법으로 선정하였다. 심리기술훈련 프로그램을 크게 5단계 12회기로 구성하였으며, 기초 교육, 호흡 조절법, 점진적 이완법, 집단상담, 심박수 바이오피드백훈련, 자기집중훈련, 루틴훈련, 행동수정 및 자기강화훈련, 심상훈련 등으로 내용화되었다. 무대불안 극복을 위한 심리기술훈련과 상담을 적용한 결과, 신체적 인지적 상태불안요인 모두 훈련 적용 전보다는 긍정적인 변화를 보였으며, 내적 변화 역시 긍정적으로 유발되어 무대불안을 극복하는데 도움을 준 것으로 나타났다. 또한 배우의 자기발견, 배우와 배우간의 앙상블, 배우와 관객 사이의 교감 증진에 긍정적인 변화가 있었다. 결론적으로 배우의 무대불안 극복을 위한 심리기술훈련 및 상담은 현장 적용성과 효과성이 있는 것으로 나타났다.

• 대한간호학회지
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• 제40권5호
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• pp.650-661
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• 2010

Purpose: Work-related anxiety and depression are frequent work-related mental health problems. In this study the relationship between workplace violence and work-related anxiety and/or depression among Korean employees was evaluated. Methods: Data were obtained from the Korean Working Condition Survey of 2006. Participants were 9,094 Korean workers aged 15-64 yr. Multiple logistic regression using SAS version 9.1 was used. Results: The incidence of work-related anxiety, work-related depression and workplace violence were 4.5%, 3.5%, and 1.8% respectively. When personal and occupational risk factors were adjusted, workplace violence was significantly associated with work-related anxiety and depression (OR for anxiety: 4.07, CI: 2.62-6.34; OR for depression: 4.60, CI: 2.92-7.25). Work-related anxiety was significantly related to type of employment, working period at present workplace, work time, shift work, job demand, and social support from superiors. Factors influencing work-related depression were gender, education, alcohol consumption, company size, type of employment, working period at present workplace, work time, shift work, and job demand. Conclusion: To promote psychological health in workers there is a need to develop work-related anxiety and depression prevention programs and to decrease in workplace violence. In developing these programs, consideration should be given to personal factors, working conditions, and psychosocial working environments.

• 한국콘텐츠학회논문지
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• 제8권6호
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• pp.130-139
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• 2008

본 연구는 국내 최초로 배우를 대상으로 무대불안을 극복하기 위한 체계적인 심리기술훈련 프로그램을 구성하고, 이를 바탕으로 심리상담을 실시하여 그 현장 적용의 가능성과 효과성을 분석하고자 하였다. 이를 위해 직업극단 연기자로 활동하고 있는 배우 2명을 목적적 표본추출법으로 선정하였다. 심리기술훈련 프로그램을 크게 5단계 12회기로 구성하였으며, 기초 교육, 호흡 조절법, 점진적 이완법, 집단상담, 심박수 바이오피드백훈련, 자기집중훈련, 루틴훈련, 행동수정 및 자기강화훈련, 심상훈련 등으로 내용화되었다. 무대불안 극복을 위한 심리기술훈련과 상담을 적용한 결과, 신체적 인지적 상태불안요인 모두 훈련 적용전보다는 긍정적인 변화를 보였으며, 내적 변화 역시 긍정적으로 유발되어 무대불안을 극복하는데 도움을 준 것으로 나타났다. 또한 배우의 자기발견, 배우와 배우간의 앙상블, 배우와 관객 사이의 교감 증진에 긍정적인 변화가 있었다. 결론적으로 배우의 무대불안 극복을 위한 심리기술훈련 및 상담은 현장 적용성과 효과성이 있는 것으로 나타났다.

• 한국노년학
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• 제38권2호
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• pp.309-327
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• 2018

본 연구의 목적은 중 노년의 노화불안에 미치는 변인들을 통합적으로 살펴보기 위하여 2007년 2월부터 2017년 3월까지 국내에서 보고된 34편의 연구에 대한 메타분석을 실시하였다. 노화불안 관련 변인들을 6개의 변인군으로 나누고 각각 변인군에 대하여 하위변인별로 효과크기를 산출하였으며 결과는 다음과 같다. 첫째, 전체효과크기는 중간효과크기를 보였고, 변인군에 따른 효과크기는 부정심리적변인군이 가장 높게 나타났으며, 긍정심리적변인군, 사회적변인군, 신체적변인군, 가족적변인군, 인구통계적변인군의 순으로 나타났다. 둘째, 하위변인들 중에서는 심리적 안녕감, 죽음불안의 효과크기가 가장 높게 나타났다. 상기와 같이 노화불안과 관련된 변인들 중 심리적변인군에 속한 심리적 안녕감과 죽음불안의 효과크기가 높게 나타남에 따라 이러한 변인들이 노화불안 중재에 영향력이 클 수 있음을 시사하였다.

• 한국노년학
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• 제39권1호
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• pp.61-72
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• 2019

본 연구는 대학생의 노후 불안, 조부모와 유대감, 효의식 정도 및 특성에 따른 차이를 파악하고 노후 불안 영향 요인을 파악하여 노후 불안을 감소 할 수 방안을 찾고자 하는 목적으로 진행하였다. 연구대상자는 서울, 경기, 충청지역 대학생이며, 자료수집은 네이버 오피스로 작성된 온라인 설문지를 2018년 4월 2일부터 6월 15일까지 SNS로 배부하여 213부를 최종 분석하였다. 자료분석은 SPSS 20.0 Version으로 빈도, 백분율, 평균, 표준 편차, t-test, ANOVA를 구하였고, 변수간의 상관 관계는 pearson correlation coefficient, 노후 불안 영향 요인을 확인하기 위해 다중공선성을 진단한 후 Stepwise multiple regression으로 분석하였다. 연구 결과 노후 불안은 전공에 따라, 조부모와 유대감은 성별에 따라 그리고 효의식은 종교유무와 조부모와 동거여부에 따라 통계적으로 유의한 차이가 있었다. 그리고 노후 불안은 조부모와 유대감이 낮을수록, 효의식이 높을수록 높게 나타났다.

• 우울조울병
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• 제9권1호
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• pp.30-36
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• 2011

Purpose : Anxiety disorder and depressive disorder are often comorbid with each other, and the comorbidity is associated with poorer psychiatric outcome, resistance to treatment, increased risk for suicide, greater chance for recurrence. We aimed to investigate the comorbidity of anxiety disorder in Korea. Method : Subjects were total of 867 depressed patients recruited CRESCEND-K multicenter trial. We used SCID (Structured Clinical Interview for DSM - IV) to find comorbidity of anxiety disorders in depressed patient. Results : Of 867 patients, total 8.2% had anxiety disorder. Proportion of anxiety disorder Not Otherwise Specified was 3.5%, panic disorder was 1.7%, generalized anxiety disorder was 1.1%, post traumatic stress disorder was 0.9%, obsessive compulsive disorder was 0.6%, social phobia was 0.4%. Conclusion : In this study, anxiety disorder in depression were measured at a low comorbidity rate in compare to previous studies. Selection bias, use of antidepressants at registration, severity of depression symptoms, and point of SICD administration seems to have affected these results. It is probable that comorbidity evaluation would be more precise if shorter, structured interviews such as M. I.N.I.-Plus were used during first clinical interview for depression diagnosis.

• 생물정신의학
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• 제21권4호
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• pp.141-150
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• 2014

Objectives The purpose of this study is to evaluate the effects of attachment security, social support and health-related burden in the prediction of psychological distress and the mediation effects of social support and health-related burden in relationship between attachment security and psychological distress. Methods Finally, 161 patients were included for the analysis. Chi-square test and independent samples t-test were used for comparing differences between depressive/anxious group and non-depressive/non-anxious group. For evaluating the relationship among attachment security, social support, psychological distress and health-related burden, structural equation modeling analysis were performed. Results 40.7% and 32.0% of the patients have significant depressive symptoms and anxiety symptoms, respectively. In the analysis for testing the differences between groups who have psychological distress and who have not, there were no significant differences of sociodemographic factors and medical characteristics between groups, except for association between depressive symptoms and type of surgery (p = 0.01). Contrary to sociodemographic and medical characteristics, there were significant differences of health-related burden and two coping resources (attachment security and social support) between groups (all p < 0.01), except for the support from medical team in between anxious group and non-anxious group (p = 0.20). In the structural equation model analysis (Model fit : chi-square/df ratio = 0.8, root mean square error of approximation = 0.000, comparative fit index = 1.000, non-normed fit index =0.991), attachment security and social support emerged as an important predictor of psychopathology. Conclusions Attachment security and social support are important factors affecting the psychological distress. We suggest that individual attachment style and the social support state must be considered to approach the newly diagnosed breast cancer patients with psychological distress.