자기생성논리를 이용한 공동임대 주거커뮤니티의 제안

하은혜,이동언 대한건축학회지회연합회 2008 대한건축학회지회연합회 학술발표대회논문집 Vol.2008 No.1

This study proposes the course of obsolete dwelling site. 'Complexity theory' is brought not for making the city, but the ground of explaining the site. Soo-Jung dong has characteristics which is steep and obsolete dwelling area. The outside space of residence with having a public character produces various meanings through daily life. As gathered them having a complexity, it forms a community relationship with neighborhood. For accepting this actively, this study sees soo-jung dong, busan city which is metropolis site condition to understand with 'complextiy system', diagnose with 'voronoi diagram'. Therefore this study propose the 'public rental housing community' that can change isolated human relations to community that mutual understanding is possible for evolving steep and obsolete dwelling site.

유방암 환자의 삶의 질 예측요인

하은혜,이선희,정준,이희대,이정언,남석진,양정현 한국유방암학회 2010 Journal of breast cancer Vol.13 No.2

Purpose: The purpose of this study was to identify biopsychosocial predictors of the quality of life in breast cancer patients. Disease factors (disease stage, type of surgery, type of treatment, family history), personal factors (age,education level, income), and psychosocial factors (psychological symptoms, optimism, self-esteem, husband’s support, cancer coping) were included in biopsychosocial predictors. Methods: A total of 128 breast cancer patients were recruited. Subjects were assessed by the Optimism Scale, the Selfesteem Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Breast Cancer Module (EORTC QLQ-BR23), the Symptom Checklist-90-Revision (SCL-90-R), and the Korean Cancer Coping Questionnaire (KCCQ). Results: Disease factors and personal factors were not different between the high and low quality of life group. But the psychosocial factors were significantly different. Somatization, anxiety, depression, interpersonal sensitivity, hostility, and phobic anxiety showed significantly lower scores in the high quality of life group than the low group. Optimism, self-esteem and husband’s support showed significantly higher score in the high quality of life group than the low group. In a stepwise multiple regression analysis, not disease factors and personal factors but the psychosocial factors significantly predicted the quality of life in breast cancer patients. Especially, somatization and depression significantly predicted the quality of life. Conclusion: Among psychosocial factors, somatization and depression were the most significant predictors of the quality of life in breast cancer patients. These results supported psychosocial intervention should be needed to breast cancer patients, in order to improve the quality of life.

학교폭력 청소년의 부모 모니터링과 청소년의 냉담-무정서 특질에 따른 학교폭력 경험 유형의 차이

하은혜,김효은 한국아동심리치료학회 2017 한국아동심리치료학회지 Vol.12 No.1

The purpose of this study was to examine the differences in the type of school violence among adolescents according to the parental monitoring level and the callous-unemotional traits level. The subjects were 379 students (244 male, 135 female) between the ages of 13 to 18 who were referred to the counseling center due to acts of school violence. The results were as follows: first, the tendency toward violence was higher in the bully facing disciplinary guidance and parental concern in the high the parental monitoring groups and the rate of victimization was higher in the victim side for the low parental monitoring group. And the rate of the victimization was much higher considering the parents’ daily lives in both low and high groups of parental monitoring. Second, the low parental monitoring group with the higher levels in uncaring and callousness in the callous-unemotional traits showed a higher rate in school bullying and the group with low levels of the same traits showed a higher tendency rate of becoming victims. In addition the rate for the victim was higher in the low parental monitoring group regardless of their callous-unemotional traits.

청소년기 부정적 자동적 사고의 내용특수성 검증:내재화 장애와 외현화 장애를 변별하는가?

하은혜 한국임상심리학회 2006 Korean Journal of Clinical Psychology Vol.25 No.2

This study examined the influences of the adolescent‘s negative automatic thoughts on the internalizing and externalizing problems. And it also tested whether negative automatic thoughts are broadband specific features that distinguish internalizing disorders from externalizing disorders, and are narrowband specific features that distinguish depression from delinquent problems. The study sample was 1982 adolescents(916 boys and 966 girls) from junior and high school, and they completed self administered questionnaires such as K-YSR, CES-D and LDQ. The regression analysis showed that the externalizing problems as well as internalizing problems were predicted by the negative automatic thoughts in linear and quadratic terms. But it showed the negative automatic thoughts had much more explanations on the internalizing problems. Both the internalizing only and comorbid with externalizing problem groups reported significantly more negative automatic thoughts. And both the depressive only and comorbid with delinquent problem groups reported significantly more negative automatic thoughts. These showed that the negative automatic thoughts are narrowband specific as well as broadband specific features in adolescent's psychological disorders.

영유아 발달지체 선별에 대한 CBCL 1.5-5 유아행동평가척도-부모용의 변별력

하은혜 한국임상심리학회 2011 Korean Journal of Clinical Psychology Vol.30 No.1

The purpose of this study was to verify the validity and clinical utility of Korean version of the Child Behavior Checklist 1.5-5 in the screening of developmental delayed infants. The participants, who were screened by the Denver-II, included 40 developmental delayed infants(25 boys, 15 girls) and 326 normal infants(165 boys, 161 girls). Results indicated that the only 25 items among the CBCL 1.5-5 of total groups, 19 items of boys and 15 items of girls discriminate developmental delayed infants well. Further, discriminant validity was confirmed by mean differences on the subscales of Withdrawn, Attention Problems, Internalizing Problems, DSM Pervasive Developmental Problems and DSM ADHD between the two groups. Additionally, ROC analyses demonstrated that Withdrawn, Attention Problems, Internalizing Problems, Total Behavior Problems and DSM Pervasive Developmental Problems significantly predicted developmental delayed infants compared to normal infants. Also, the clinical cuttoff score criteria adopted in the Korean version of CBCL 1.5-5 for subscales of Withdrawn, Attention Problems and DSM Pervasive Developmental Problems were shown to be valid. However, the cutoff scores criteria for Internalizing Problems and Total Behavior Problems need to be lower by 55T. The implications of using the CBCL 1.5-5 in the screening of developmentally delayed infants and clinical suggestions were discussed. 본 연구에서는 Denver-II에 따른 발달지체 판정결과를 기준으로 CBCL 1.5-5 유아행동평가척도 부모용의 변별력을 확인하였다. 서울 및 경기 지역의 18개월-36개월 영유아와 어머니 366명을 대상으로 한국형 Denver-II와 CBCL 1.5-5를 실시하였고 Denver-Ⅱ 결과에 따라 발달지체 40명, 정상집단 326명이 분류되었다. 결과를 보면 첫째, 99개 행동문제 문항 중 전체 영유아에서 25문항, 남아 19문항, 여아는 15문항에서만 발달지체 집단이 정상집단에 비해 높아서 개별 문항의 변별력은 비교적 낮은 것으로 확인되었다. 둘째, 10개 문제행동 증후군 척도와 5개 DSM 진단방식 척도의 발달지체 집단과 정상집단 간 차이를 검증한 결과 발달지체 집단에서 위축, 주의집중문제, 내재화 문제, DSM 전반적 발달문제, DSM ADHD 척도의 점수가 높았다. 셋째, ROC분석을 통해 발달지체 집단 예측력이 높은 척도를 확인하고 각 하위척도들의 발달지체 예측력을 비교한 결과 공통적으로 위축, 주의집중문제, 내재화 문제, 총 문제행동 척도, DSM 전반적 발달문제 척도의 변별력이 높았다. 넷째, 표준화 규준의 절단점에 근거한 CBCL 1.5-5의 발달지체 변별능력을 확인한 결과 변별력이 대체로 적절하였으나 일부 척도에서는 선별 목적에 따라 규준을 하향 조정할 필요성이 제기되었다. 즉, 위축, 주의집중문제, DSM 전반적 발달지체 척도의 경우 임상장애 절단점인 70T일 때 민감도와 특이도가 가장 높았으나 포괄적 척도인 내재화 문제, 총 문제행동 척도의 경우 규준을 55T점까지 하향 조정할 필요성이 제기되었다. 이와 같이 본 연구에서 확인된 CBCL 1.5-5의 발달지체 변별력 및 임상적 시사점, 그리고 제한점이 논의되었다.

청소년기 부정적 자동적 사고가 우울증상에 미치는 영향

하은혜,송동호 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.1

Objectives : The purpose of this study was to investigate the effects of negative automatic thoughts on depression in adoles-cence. Methods : The participants were 1037 middle school students (521 boys and 516 girls) and 872 high school students (415 boys and 457 girls). They completed self administered questionnaires ; The CES-D and the K-CATS. The ANOVA tests were conducted with gender (2 levels) and grade (5 levels) as independent variables, and Pearson correlation analysis and stepwise multiple regression analysis also were conducted. Results : The results showed that both depression and negative automatic thoughts are very high in females with significant age differences ; highest in the age of 17, the late adolescence. And depression was significantly predicted by the combination of depression cognition, social anxiety cognition, and physical threat cognition, with 51% estimation. Depression cognition and social anxiety cognition significantly predicted predicted depression in males in 45%. In females, depression cognition, social anxiety cognition, and physical threat cognition predicted depression in 57%. Conclusion : Negative thoughts have high impacts on depression, and depression cognition has a significant impact Par-ticularly on the depressinon of females. The limitations of the present study and directions for the future research were dis-cussed.

아동의 완벽주의와 시험불안의 관계에서 자기효능감의 중재효과

하은혜 한국심리학회산하학교심리학회 2008 한국심리학회지 학교 Vol.5 No.3

유방암 환자의 우울장애 예측변인

하은혜,서주은,정준,양정현,남석진,백혜진,이정언 한국임상심리학회 2008 Korean Journal of Clinical Psychology Vol.27 No.4

The purpose of this study was to examine the prevalence and analyze the various predictors of depressive disorder in women with breast cancer on the basis of biopsychosocial model. A total of 128 breast cancer patients were recruited, and they were assessed on the basis of cancer-related variables, sociodemopraphic variables, symptoms of depression, cancer-related somatic symptoms, and psychosocial variables (optimism, self esteem, husband support). The results showed that 31% of the patients exhibited a high level of depressive symptoms, and 14% of the patients were classified as having depressive disorder. The 4-step hierarchical binary logistic regression analysis was significant, and the rate of correct prediction was 94.9%. Before entering the psychosocial variables, none of the cancer-related variables, sociodemographic variables or cancer-related somatic symptoms was significant. The high risk of depressive disorder in breast cancer patients was associated with a personality trait. The results supported that depressive symptomatology in breast cancer patients is not associated with objective variables, but rather that it is very strongly linked with psychological variables. Finally, the implications for the identification of and psychosocial intervention for depressive disorder in breast cancer patients were discussed.

한국반 CBCL의 문제 행동 증후군 지도 재구성을 위한 연구

하은혜,오경자,이혜련,홍강의 서울大學校 醫科大學 精神科學敎室 1995 精神 醫學 Vol.20 No.1

청소년 사이버폭력 가해 척도개발 및 타당화

하은혜,정여주,김한별 한국상담학회 2016 한국상담학회 학술대회 논문집 Vol.2016 No.8