• 대한간호학회지
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• 제45권2호
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• pp.169-182
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• 2015

Purpose: This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea. Methods: Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis. Results: Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

• 한국융합학회논문지
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• 제11권6호
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• pp.51-57
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• 2020

언어발달 장애를 가진 아동들은 일상생활 및 사회생활에서 많은 어려움을 겪으며 이는 생애 전반을 걸쳐 지속된다. 언어발달 장애 아동들은 의사소통 수단인 언어를 이해하거나 사용하는 데에 어려움을 겪기 때문에 종종 사회적 활동에 참여할 기회를 박탈당하곤 한다. 이와 관련해서 Augmentative and Alternative Communication(AAC, 보완대체 의사소통)는 언어장애를 앓는 이들에게 실직적인 의사소통 수단으로 사용될 수 있다. 본 논문은 픽토그램을 AAC의 수단으로써 최대한 활용하여 언어발달 장애 아동이 타인과 의사소통하고 언어 이해 능력을 향상시킬 수 있도록 돕는 딥러닝 기반 인공지능 서비스를 제안한다. 본 서비스를 통해 언어 문제를 겪고 있는 이들이 자신의 의도 혹은 욕구를 보다 수월하게 표현하여 삶의 질이 향상 될 수 있을 것으로 기대한다.

• 인지과학
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• 제26권1호
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• pp.97-123
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• 2015

이 연구는 재난의 미디어 매개와 공감의 정치를 이론적으로 고찰하고, 이를 문화정치적 이슈로 새롭게 재구성할 수 있는 가능성을 모색한다. 인류의 삶과 뗄 수 없는 재난의 경험은 오랫동안 사람들이 주목하고 감정적 반응을 야기하였던 중요한 대상이었다. 하지만 현대사회는 재난의 의미를 한층 정치적인 것으로 변화시키고, 이에 대한 감정적 반응을 새롭게 재구성한다. 이 연구는 재난과 고통의 소재들이 미디어 매개 과정을 거쳐 새로운 사회적 의미를 구성해 나가는 과정에 주목한다. 그리고 미디어를 통해 매개된 공감의 경험이 바로 21세기의 미디어 환경에서 새롭게 정초해야 할 미디어 연구의 도덕적 윤리적 전환, 그리고 글로벌 시민사회의 감수성 형성이라는 문화정치적 잠재력의 원천임을 주장한다. 동시에 이 연구는 타인들이 겪는 고통의 매개 과정이 수용자들의 새로운 공적 행위를 유발시키는 중요한 계기로 기능한다는 점에 주목하고, 그것의 함의를 포착하고자 시도한다.

• 한국학교보건학회지
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• 제31권1호
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• pp.18-28
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• 2018

Purpose: The purpose of this study was to investigate the factors that influence ego-resilience among adolescents who have experienced abuse by parents in South Korea. Methods: This correlational study used the 4th year cross-sectional data of the seventh-grade middle school students who participated in the Korean Children and Youth Panel Survey (KCYPS) in fourth grade. Data analysis was performed by using SPSS/WIN 23.0 program, which included descriptive statistics, Pearson's correlations coefficient, and hierarchical regression. Results: The results of the hierarchical regression of model 5 revealed that the quality of peer relations played the most significant role in predicting ego-resilience of abused adolescents, followed by self-identity. Also, self-esteem, the quality of teacher-student relationships, excessive expectations from parents, and community awareness had a significant impact on the variance of self-resilience in abused adolescents. This regression model explained 42% of the variance. Conclusion: This study showed that ego-resilience, an asset and resource to help adolescents overcome adverse effects of abuse, was influenced by social environment as well as individual factors. In addition, social support from peers and teachers had greater influence on ego-resilience than support from family members. Thus, the factors identified in this study need to be considered in programs designed to improve ego-resilience as well as in policies for abused adolescents.

• 가정과삶의질연구
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• 제31권5호
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• pp.47-63
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• 2013

This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.

• 한국콘텐츠학회논문지
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• 제15권10호
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• pp.56-65
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• 2015

본 연구는 현대의 미술관이 갖는 여러 기능 중 치유적 기능의 가능성을 선행연구를 통해 탐색함으로 '미술관의 치유적 기능'이라는 개념을 새롭게 제안하는데 연구의 목적이 있다. 미술관에서는 이미 알츠하이머 환자, 학습부진자, 노인 등을 대상으로 한 다양한 치유적 프로그램이 진행되어 왔으며, 이러한 미술관이 갖는 치유적 잠재력은 미술감상과 공간, 소통이라는 세 가지 차원으로 찾을 수 있었다. 또한 실제적으로 미술관에서의 경험을 다룬 선행연구에서 치유적 기능의 가능성을 확인하였다. 지금까지는 "미술관의 치유적 기능"은 국내에서 적극적으로 논의되어지지 못하였다. 이에 본 연구는 미술관 관계자들에게 미술관에 대한 새로운 시각을 갖게 해 줄 것이며, 현대에 스트레스에 노출되어 있는 직장인, 학생 및 사람을 상대로 하는 전문직 종사자들에게 미술관을 문화 교양 뿐 아니라 자신의 내면을 보살피고 치유하는 공간으로 인식하도록 도와 미술관에 대한 더 많은 사회적 관심을 이끄는데 기여할 것으로 기대된다.

• 무역상무연구
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• 제66권
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• pp.285-312
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• 2015

Export and import of food, agriculture, forestry, fishery products are suffering from low growth rate due to the European financial crisis, global recession, and Japan's 2012 export expansion following the aftermath of 2011 earthquake. Upon the signing and enactment of Free Trade Agreement with the U.S. and the EU, agriculture and fishery product have become the center of attention. Agriculture and fishery was reported to be 80million dollars, 1.46% of total national export, in 2012. Starting from2000, South Korea's government began its effort to expand agriculture and fishery export and as a result, export has steadily increased despite decreased consumption led by global recession. K-Sure has started an insurance program with the purpose of promoting SME business's export. It protects SME business against risk arising from credit, emergency, bad debt, and domestic price increase. This study aims to evaluate the service quality of K-Sure's insurance program via surveying SME businesses in the agriculture and fishery industry. Also this study will identify key service factors for SME businesses and explore ways to expand SME exports of agriculture and fishery by analyzing consumer satisfaction index. Results indicated service product quality factor, service communication quality factor, and social quality factor was key to improving consumer satisfaction for SME businesses in agriculture and fishery industry. Service product quality factor had a negative effect on consumer satisfaction in term of variety and results indicated that service communication quality factor's responsiveness element had minimal impact on consumer satisfaction. Conversely, all elements for social quality factor had positive effects on consumer satisfaction. Thus, leading to the conclusion that improvements in service product quality factor and service communication quality factor will indeed increase consumer satisfaction.

• The Korean Journal of Pain
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• 제12권1호
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• pp.101-107
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• 1999

Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

• 보건행정학회지
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• 제26권4호
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• pp.256-264
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• 2016

Equity-focused public health policy has solid theoretical and practical basis, in addition to ethical one. In the Republic of Korea (hereafter Korea), however, equity in health has not had a high priority in policy goals, regardless of policy areas and particular actors or approaches. Equitable health has been only a minor concern in most public health issues and their decision-making. Generic public health policies are needed to reduce inequity in health, but the importance of a firm basis for sound policy-making cannot be overemphasized. Health equity should be 'mainstreamed' in all public health policies. Potential approaches include intersectoral collaboration, health impact assessment, and 'Health in All Policies.' Public policy agendas for equitable health cannot be formulated without measurement and recognition of the problem. Korea is still suffering from the lack of reliable information on the current status of health inequity, resulting in a relatively weak awareness of the problem among both the general public and policy-makers. More information is needed to increase recognition and awareness that will increase intervention and actions. The absence of decision-making and actions should not be justified even by the lack of information on determinants and pathways of health inequities. Generic plausible solutions can often work in the real world according to political and social commitment. I have discussed several aspects of public health policy from the perspective of health equity, focusing on current status and plausible explanation. Policy process, agenda setting in particular, is highlighted and theories and concepts are presented along with analysis and description of current situation.

• 대한간호학회지
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• 제47권3호
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• pp.289-304
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• 2017

Purpose: The purpose of this study was to understand and describe the illness experience of married Korean women with epilepsy. Methods: Data were collected during 2015~2016 through individual in-depth interviews with 12 married women with epilepsy. Verbatim transcripts were analyzed using Giorgi's phenomenological analysis to uncover the meaning of the illness experience of the participants. Results: The study results showed that the illness experience of married Korean women with epilepsy was clustered into a specific description of situated structure and a general description of situated structure. Six themes from 20 meaning units were identified: 1) Undermined self-esteem with stigma of being epileptic; 2) Limited social interaction; 3) Suffering sorrow as a 'disqualified being'; 4) Shuttling back and forth across the boundary between healthy and epileptic; 5) Desperate struggle to meet the expectation of given role; 6) Self-empowering through self-restriction and realization. Conclusion: The findings from this study show that both the enacted and felt stigma of epilepsy impact on the life of married Korean women with epilepsy. Although the participants face social and interpersonal restriction and prejudices, they try their best to fulfill their role rather than to be cared for as patients. As the stigma and hardships of the participants are related to lack of knowledge, health professionals should focus not just on clinical intervention but also on providing targeted educational programs and counseling for these women to dispel the stigma of the disease and to increase their quality of life.