• 제목/요약/키워드: social avoidance/anxiety

검색결과 48건 처리시간 0.022초

사회적 지지모임이 발달지연아 어머니의 부담과 안녕에 미치는 영향 (Effects of a Social Support Group on Burden and Well-being of Mothers of Developmentally Delayed Children)

  • 오가실
    • 대한간호학회지
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    • 제27권2호
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    • pp.389-400
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    • 1997
  • This study examined the effects of group social support on the reduction of burden and increase in well-being of mothers of developmentally delayed children. The research used a one group pre-pose experimental design. The independent variable in the experiment was group social support. Two series of 4-weekly meetings for group social support were conducted by the researcher with the intention of developing a self-help group. The dependent variables were burden and well-being. Well-being was operationalized as physical symptoms and quality of life. Thirty mothers of developmentally delayed infants from the rehabilitation center of a medical center participated in the study. Data were collected by interviews and a self-administered questionnaire. The mean age of the subjects was 29.9 years. Changes of the dependent variables between pre and post tests were compared using the t-test. Even though there was a slight improvement in the scores for the dependent variables, they were not statistically significant. The items, "I resent my baby". "I feel angry about my interactions with my baby", "I feel guilty in my relationship with my baby" showed a significant decrease in burden score and were statistically significant. Symptoms of loneliness, constipation, anxiety, restlessness were less and feeling of happiness was greater after participation in the group social support, than on the pretest. The mothers showed emotional instability and frustrations during the group sessions but their reactions in general were positive. Emotional support, stress management and information provided were identified as the most valuable content of the sessions. However, participation was not active due to the mother's denial, delayed acceptance and /or avoidance of their infants' problems. It can be seen that group social support for the mothers with developmentally delayed children should be provided after infancy when the mothers have time to accept their children's conditions and are ready to receive support. The use of comprehensive instruments which measure burden in both families and mothers needs to be developed for future research.

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Correlation with Psychosocial, Workplace Coping Skills, Pain, and Degree of Disability of Office Workers with Non-Specific Chronic Neck Pain

  • Ki-young Moon;Won-Jun Choi;Sangjun Son;Seyeon Jung;Sijin Lee;Doochul Shin
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.565-570
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    • 2022
  • Objective: The purpose of this study was to investigate the correlation between activity of daily living and social psychology and work mind of office workers with non-specific chronic neck pain (NSCNP). Design: Crossed-sectional study Methods: 86 patients with NSCNP were recruited for this study. Neck disability index (NDI) and Numerical pain rating scale (NPRS) were used to check the pain intensity and disability of patients with neck pain. To find out the occupational factors of the subjects, the Korean version of Latack Coping Scale was used. And,To find out the socio-psychological factors of the subjects, the Korean version of depression anxiety stress scale (DASS-21) was used. We performed correlation for each variable. Results: The correlation between NPRS and NDI and DASS-21 Scale were clear positive correlation (p<0.05). There was no statistical significance between the LATACK control group and the pain and disability index (p>0.05). A clear positive correlation was established between the avoidance group of LATACK and pain (p<0.01). Conclusions: Through this study, it is necessary to have time to manage depression, anxiety, and stress in the treatment of neck pain in office workers who spend a lot of time sitting. In addition, it is thought that there should be the ability to control oneself about one's duties in the workplace.

외상 후 스트레스장애 환자의 악몽치료에서 Terazosin의 효과 : 예비 연구 (Effect of Terazosin on Posttraumatic Nightmares : A Pilot Study)

  • 정문용;정지영;이태영;강석훈;김태용;최진희;정혜경
    • 대한불안의학회지
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    • 제2권1호
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    • pp.39-44
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    • 2006
  • Objective : Chronic posttraumatic stress disorder (PTSD) is defined by the coexistence of symptoms (reexperiencing, avoidance and hyperarousal), persisting for more than months or years that causes significant impairment in social occupational functioning. This study was conducted to evaluate the effects of terazosin on posttraumatic nightmares which is one of chronic PTSD symptoms. Methods : Twenty patients with chronic PTSD and severe trauma-related nightmares were treated with terazosin (3-7 mg/day) for 8 weeks. Recurrent distressing dreams item of the Clinician administered PTSD Scale (CAPS), Total CAPS score, Clinical Global Impressions-Severity Scale (CGI-S) and Clinical Global Impressions-Change Scale (CGI-C) were performed at baseline, 4-week and 8-week. Mississippi Scale for Combat-Related PTSD and Combat Exposure Scale (CES) were used to evaluate PTSD symptom pattern and degree of exposure. Results : Significant decrease in recurrent distressing dreams item, reexperiencing, avoidance and hyperarousal symptom score and total CAPS score were at 4-week and 8-week treatment compared to baseline (recurrent distressing dreams item : $2.70{\pm}1.88$ and $1.25{\pm}1.49$ ; reexperiencing, avoidance and hyperarousal symptom score : $2.30{\pm}2.49$, $1.20{\pm}1.05$, $3.10{\pm}1.68$ and $4.00{\pm}3.59$, $1.55{\pm}1.50$, $5.60{\pm}3.23$ ; total CAPS score : $8.20{\pm}6.26$ and $5.40{\pm}5.89$). There were significant correlation between dosage of terazosin and improvement of PTSD symptoms. Adverse effects such as fatigue and orthostatic hypotension were showed, which were mild and self-limited. Conclusion : These results suggest that terazosin may improve severe trauma-related nightmares and overall PTSD symptoms. Randomized controlled study with more subjects would be necessary in the future.

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대인공포증의 치료를 위한 가상 연설 시뮬레이터의 실험적 제작 (Construction of Virtual Public Speaking Simulator for Treatment of Social Phobia)

  • 구정훈;장동표;신민보;조항준;안희범;조백환;김인영;김선일
    • 대한의용생체공학회:의공학회지
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    • 제21권6호
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    • pp.615-621
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    • 2000
  • 대인공포증은 사람과의 대면을 무서워하여 그 상황을 회피하는 증상을 말한다. 이 공포증을 치료하기 위해서는 약물치료방법과 인지·행동 치료방법이 주로 사용되었다. 이런 기존의 방법들은 치료 효율이 떨어지며, 치료시 어려움이 있다는 단점을 가지고 있다. 최근에는 기존의 치료방법의 단점을 극복하기 위해 많은 연구에서 가상현실을 정신치료에 적용하고 있다. 가상환경은 환자에게 적절한 자극을 제공하여 환자로 하여금 공포감을 느끼도록 하고, 환자는 이러한 공포상황에 체계적으로 노출됨으로써 공포증을 극복할 수 있게 된다. 본 연구에서는 개인용 컴퓨터를 기반으로 가상 연설 시뮬레이터를 개발하여 대인공포증 치료에 이용하고자 한다. 가상 연설 시뮬레이터를 구성하기 위해 위치센서, 머리 부착형 디스플레이장치와 사운드 시스템을 사용하였고, 치료를 위한 가상환경은 가상청중 8명이 있는 세미나실을 배경으로 구성하였다. 또한 가상현실 정신치료에서 중요한 요소로 작용하는 몰입감을 높이기 위해 머리 부착형 디스플레이 장치에 위치센서를 부착함으로써 환자의 머리이동이 가상환경에 적용되도록 하였고, 여기에 삼차원 사운드를 적용함으로써 목소리나 박수소리 등 여러 가지 소리들이 사실적으로 느껴지도록 하였다. 또한 가상청중이 환자의 발표내용에 맞게 여러 가지 행동과 표정을 변하게 하였다. 본 연구에서 개발한 가상연설 시뮬레이터는 경제적이고 안전한 정신치료에 이용되는 것에 목적이 있으며, 앞으로의 임상실험을 통한 몰입과 공포유발 인자 및 치료효과의 에 관한 정보를 얻고, 이를 시뮬레이터에 계속 적용하는 연구가 필요할 것이다.

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학령전기 아동의 정서인지행동특성과 양육스트레스 (The Relationship of the Parenting Stress with Child's Characteristics in Preschool Children)

  • 박장호;정석훈;김효원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제22권4호
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    • pp.236-245
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    • 2011
  • Objectives : The objective of this study was to evaluate the relationship of the parenting stress with their children's characteristics for typically developing preschool children. Methods : Parents of 38 preschool children (mean age : 4.4${\pm}$0.7 years, 22 boys) completed the Korean Parenting Stress Index, the Korean Child Behavior Checklist, the Conners Parent and Teacher Rating Scale-Abbreviated form (CPRS and CTRS), the Junior Temperament and Character Inventory, the Children's Sleep Habit Questionnaire and the Social Responsiveness Scale. All 38 children performed the Comprehensive Attention Test (CAT). Results : The children's inattentive and hyperactive problems, as measured by the CBCL, CPRS and CAT, had positive correlation with parenting stress. Both internalizing and externalizing behavioral problems were associated with parenting stress. Of the child's temperament dimensions, Novelty Seeking and Harm Avoidance were positively correlated with parenting stress, but Persistence and Cooperativeness were negatively correlated with parenting stress. Sleep anxiety and other sleep characteristics showed a correlation with parenting stress. Social Motivation and Communication were also positively related to parenting stress. Conclusion : Our results suggest that parenting stress could be related to the children's cognition, emotion, behavioral characteristics, sleep habits and social development. These results could assist in the development of interventions to improve the parental well-being in typically developing preschool children.

한국판 신체 이형장애 자가 평가척도의 표준화 연구 : 대학생들을 대상으로 (Korean Version of Body Image Dysmorphic Disorder Examination Self Report(BDDE-SR) with College Students)

  • 이혜진;최은영;도진아;임명호;백기청;이경규;김현우
    • 대한불안의학회지
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    • 제5권2호
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    • pp.112-119
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    • 2009
  • Objective : Recently, there is an increasing trend of attachment to physical appearance of individuals in many persons with spread of social concern through mass communication. Domestically, several studies has been performed, but they were limited to obesity mainly for juveniles or female college students. Therefore, purpose of this study were to standardize Body image dysmorphic disorder examination self report with male and female college students in Cheonnan area. Methods : This study were total 825 college students in Cheonan area. Subject group are consist of 393 males (47.6%) and 427 females (51.8%), and the mean age was $22.28{\pm}3.24$ years old. Results : The BDDE-SR had adequate internal consistency (Cronbach's alpha=.93) and test-retest (r=.82) and interator reliability. Four factors were extracted by factor analysis with the Varimax rotation. They were 'the camouflage and comparison factor', 'the self-consciousness and negative self-evaluation factor', 'the avoidance factor', and 'the distressing and embarassment factor'. The total score of BDDE-SR was $50.8{\pm}27.1$, female's score ($59.2{\pm}25.5$) was statistically higher than male's score ($41.85{\pm}25.84$). Conclusion : It is considered that BDDE-SR is reliable instrument for body image dissatisfaction, provided correct information in predicting clinical status of Body dysmorphic disorder that is most largely influenced by individual psychologic factor and family system.

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노숙자의 삶의 경험 - 시설 노숙자를 중심으로 - (The Life Experiences of the Sheltered Homeless)

  • 원정숙
    • 성인간호학회지
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    • 제15권1호
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    • pp.56-66
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    • 2003
  • Purpose: The purpose of this study is to describe the psychological aspects of experiences of men living in a homeless shelter in Seoul. This study focused on understanding about the life of the homeless in the shelter by Phenomenological method. Method: The participants in this study were seven men who are living in a homeless shelter in Seoul. The following data were collected though the in-depth interviews and analyzed by the Phenomenological analytic method of Giorgi. Result: There are five focal significances about the life of the homeless. (1) Unplanned Life : Difficult life comes from outside situation, Freedom, The acceptance of unconsciousness life, Laziness, Unreliability, The dissolute life, No purpose to life, Relying on drinking, (2) Self-rationalization : Feeling of defeat, Give up, Desire for a support system, Lack of willingness, Anxiety, Chivalry, Falsehoods, (3) Superficial Interpersonal Relationships : Ignorance, Pressure, Discord, Hiding from one anther, avoidance. (4) A sense of devestation : Negative perspective, Mental weakness, Difficulties in employment, ambivalance with social structure, The place to escape, Complaining against the opposite sex, Sense of regret, Lack of relationship with family, The lack of self-confidence, Loss of volition (5) The Hope of new life : Realization, Desire for change, Dreaming of married life, Dependence in God Conclusion: The conclusion of this study shows that the men in the shelter had various psychological reasons for being in the homeless shelter. Further studies need to be done to validate this information and formulate ways to assist these men with their psychological needs.

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독일과 한국 청소년의 기질 및 성격 특성의 차이 (Differences in basal personality development of Korean and German adolescents according to JTCI 12-18)

  • 오현숙;;민병배
    • 한국심리학회지 : 문화 및 사회문제
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    • 제14권1호_spc
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    • pp.391-407
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    • 2008
  • 본 연구에서는 독일 청소년과 한국 청소년의 기질 및 성격 특성을 비교문화적 관점에서 비교하고자 하였다. 이 목적을 위하여 만 12-18세의 715명의 독일 청소년 (M=14.70, SD=1.80)과 1411명의 한국 청소년들(M=15.18, SD=1.69)이 청소년용 기질 및 성격검사를 통해 관찰되었다. t-검증 결과, '자기초월' 척도를 제외하곤 나머지 6개의 전 기질 및 성격척도에서 독일과 한국 청소년 집단간 유의한 차이가 발견되었다. 그러나 집단의 크기가 클 경우 작은 평균 차이에도 통계적 유의한 결과가 나오는 점을 고려하여 크기 효과를 검증하는 effect size를 분석하였을 때, 기질 차원에서는 위험회피에서, 성격차원에서는 자율성 척도에서만 유의한 차이가 나타났다. 즉, 한국 청소년 집단이 독일청소년 집단에 비해 억제와 불안 차원의 높은 위험회피 기질 특성과 아울러 자기수용, 자기신뢰, 목적의식, 유능감 차원에서 낮은 자율성 성격특성을 나타내었다. 두 문화에 나타난 성차를 effect size를 통해 분석하였을 때는, 독일과 한국청소년 집단 모두에서 여성 청소년이 남성 청소년보다 사회적 민감성 기질 특성이 유의하게 높은 것으로 나타났다. 나타난 결과는 동양과 서양을 비교하는데 사용되는 개인주의와 집단주의의 틀에서 논의되었으며 각 문화권의 교육정책 및 사회적 분위기와도 관련지어 살펴보는 것이 제안되었다.

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영아의 기질, 아버지의 양육참여와 영아의 사회·정서 행동발달간의 구조적 관계 (Structural Relations among Infants' Temperament, Fathers' Parenting Participation, and Infants' Social and Emotional Behavior Development)

  • 유지은;신애선;김경후;송미정
    • 한국산학기술학회논문지
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    • 제17권9호
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    • pp.279-291
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    • 2016
  • 본 연구의 목적은 영아의 기질, 아버지의 양육 참여와 영아의 사회 정서 행동발달간의 구조적 관계를 알아보기 위한 것이다. 이를 위해 J지역에 소재하고 있는 55개 어린이집의 만 1~2세 영아의 부모 330명을 대상으로 실시하였다. 자료 분석은 SPSS 21.0과 AMOS 21.0을 이용하여 빈도분석, 신뢰도분석, 상관분석, 확인적 요인분석, 구조방정식 모형분석을 실시하였으며, 연구 결과는 다음과 같다. 첫째, 영아기질은 아버지 양육참여 중 여가지도, 생활지도와 부적 상관이 나타났고, 사회 정서행동의 외현적 문제행동인 활동성/충동성과 정적인 상관이 나타났다. 아버지의 양육 참여는 사회 정서행동의 주의집중, 모방/놀이와 정적 상관이 나타났으며, 사회 정서행동은 영아기질 접근회피와 정적 상관이 나타났다. 둘째, 최종모형의 변인 간 경로계수를 통한 적합도 검증결과, 영아기질은 아버지 양육참여와 사회 정서행동에 부적영향을 미치는 유의한 경로임이 검증되었다. 본 연구의 결과로 영아의 사회 정서행동에 영향을 미치는 영아기질과 아버지 양육참여의 역할을 확인하고, 영아기 자녀의 사회 정서행동에 영향을 미치는 아버지 양육참여에 대한 올바른 이해와 교육적 시사점을 제공하고자 한다.

운전행동 결정요인을 이용한 위험운전자의 판별 (Discriminating Risky Drivers Using Driving Behavior Determinants)

  • 오주석 ;이순철
    • 한국심리학회지 : 문화 및 사회문제
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    • 제18권3호
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    • pp.415-433
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    • 2012
  • 본 연구는 위험한 운전행동을 일으킬 수 있는 운전자의 성격과 태도요인, 즉 운전행동 결정요인의 영향력을 밝히고, 이들 요인을 통해 위험운전자를 판별해낼 수 있는 타당한 방법을 개발하기 위해 시행되었다. 성인 운전자 534명을 대상으로 조사한 결과, 다섯 가지의 운전행동 결정요인들(문제회피성향, 이익/자극 추구, 대인불안, 대인분노, 공격성)은 운전자의 다양한 위험운전행동들에 통계적으로 유의한 수준의 영향력을 미치는 것으로 확인되었으며, 이들 요인을 이용하여 운전자들을 위험도에 따라 별개의 집단(일반운전자, 비의도적 위험운전자, 의도적 위험운전자)으로 구분할 수 있었다. 이 같은 결과는 운전자의 성격과 태도와 같은 심리적 요인들을 통해 운전자의 위험행동 수준을 예측하는 것이 가능하다는 것을 의미한다. 따라서 추후 연구들을 통해 본 연구에서 다룬 운전행동 결정요인 모델과 그 기준 점수체계를 보완한다면, 운전자의 위험성향을 사전에 예측하고 문제점을 확인하여 그에 따른 차별적 안전운전 교육서비스를 제공하는데 도움이 될 것으로 기대한다.