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아동기 대인간 외상경험과 불안정 성인애착과의 관계에서 내면화된 수치심의 매개효과
문선재,한유진 한국놀이치료학회 2022 한국놀이치료학회지(놀이치료연구) Vol.25 No.3
The purposes of this study were to investigate 1) the effects of childhood interpersonal trauma experience on insecure adult attachment; and 2) the mediating effects of internalized shame in the relationship between childhood interpersonal trauma experience and insecure adult attachment. A total of 142 participants who live in Korea completed a self-reported survey online. The age of the participant ranged from 19 to 40. The collected data were analyzed using frequency analysis, descriptive statistics analysis, Pearson's correlation analysis, multiple regression analysis through SPSS 28.0. The findings of the study were as follows. First, there was a significant positive (+) correlation between all variables; and a positive (+) correlation between the sub-factors of each variable. Second, internalized shame was found to have a partial mediating effect on the relationship between childhood interpersonal trauma experience and unstable adult attachment. The present study showed that if the level of insecure adult attachment is high, there is a lot of childhood interpersonal trauma experience, and the level of internalized shame could be high. The current study’s findings can help counselors broaden their understanding clients with insecure adult attachment. Also, the findings suggest that counselors should consider the client’s interpersonal trauma and internalized shame when they develop counseling treatment plans. 본 연구의 목적은 아동기 대인간 외상경험과 불안정 성인애착과의 관계를 살펴보고, 아동기 대인간 외상경험과 불안정 성인애착 간의 관계에서 내면화된 수치심의 매개효과를 알아보는 것이다. 이를 검증하기 위해 전국에 거주하는 만 19세~40세의 초기성인기 남녀 142명을 대상으로 비대면 온라인을 통해 자기보고식 설문조사를 실시하였다. 연구 분석 자료는 SPSS 28.0을 통해 빈도분석, 기술통계분석, Pearson의 상관관계 분석, 다중회귀분석을 실시하였다. 주요 연구 결과는 다음과 같다. 첫째, 전체 변인 간 유의한 정(+)적 상관이 나타났으며, 각 변인의 하위요인 간에도 정(+)의 상관을 보였다. 둘째, 내면화된 수치심은 아동기 대인간 외상경험과 불안정 성인애착 간의 관계에서 부분매개효과를 가지는 것으로 나타났다. 본 연구는 불안정 성인애착의 수준이 높다면, 아동기 대인간 외상경험이 많고, 내면화된 수치심의 수준도 높을 수 있다는 것을 밝혀냈다. 이러한 연구 결과를 통해 상담자는 실제 상담 현장에서 불안정 성인애착을 보이는 내담자에 대한 이해의 폭을 넓힐 수 있으며, 상담계획을 수립하는 데 있어 아동기에 경험한 대인간 외상의 유무와 내면화된 수치심의 정도를 파악하는 것이 도움이 된다는 사실 등의 치료적 기초를 제공할 것이다.
Polydioxanone mesh를 이용한 구강점막의 조직 공학적 재건
문선재(Seon-Jae Moon),주소연(So-Yeon Joo),김진(Jin Kim),김학용(Hak-Yong Kim),박정극(Jung-Keug Park),차인호(In-Ho Cha) 대한구강악안면외과학회 2003 대한구강악안면외과학회지 Vol.29 No.4
The lack of sufficient oral mucosa available for intra-oral reconstruction has been dealt with by the use of skin or oral mucosa grafts harvested from donor sites but grafts requires more than one surgical procedures and could cause donor site morbidity. Many investigators have attempted to increase available soft tissue by tissue engineered skin or oral mucosa replacements for clinical applications. But, reconstructed mucosa by several methods have low physical properties such as rolling and contraction. The aims of this study were to develope an in vitro experimental model that maintains an epithelial-mesenchymal interaction by organotypic raft culture, and to characterize biologic properties of three-dimensionally cultured oral mucosa embedded with Polydioxanone mesh by histological and immunohistochemical analysis. The results were as follows; 1. Oral mucosa reconstructed by three-dimensional organotypic culture revealed similar morphologic characteristics to equvalent normal oral mucosa in the point that they show stratification and differentiation. 2. The expression of cytokeratin 10/13 and involucrin in the cultured tissue showed the same pattern with normal oral mucosa suggesting that organotypic co-culture condition is able to induce cellular differentiation. 3. After insertion of polydioxanone mesh, increased tensile strength were observed. These results suggest that three-dimensional organotypic co-culture of the oral mucosa cell lines with the dermal equvalent consisting type I collagen and fibroblasts reproduce the morphologic and immunohistochemical characteristics similar to those in vivo condition. And increased physical properties by use of polydioxanone mesh will helpful for clinical applications.