기질-정서 특성에서 본 강박증의 취약인자 및 단기 약물치료의 영향

박혜연,박혜윤,심금숙,장준환,장고은,권준수 대한정신약물학회 2010 대한정신약물학회지 Vol.21 No.4

Objective Recently some behavioral features and affective traits are considered important for the phenotype of obsessive-compulsive disorder (OCD). The purpose of this study was to assess some specific behavioral, temperamental, emotional features of OCD patients and to investigate if there is any change in patterns of temperament-character after 4-month pharmacotherapy. Methods Fifty-six patients with OCD and 70 normal controls were enrolled in this study. Four self-report questionnaires were employed to assess temperamental characteristics and affective traits: The behavioral inhibition system and behavioral activation system scale, the Baratt impulsiveness scale, state-trait anger expression inventory, emotional intelligence inventory. Among 56 OCD patients, 21 subjects started pharmacotherapy and 4 months later, they repeated 4 self-report tests as the same above and Yale-Brown obsessive compulsive scale (Y-BOCS). And then we investigated the changes from initial results. Results Patients with OCD showed significantly greater expression of behavioral inhibition system (p˂0.0001), more cognitive impulsiveness (p˂0.0001), motor impulsiveness (p=0.0067) and increased level of state anger (p˂0.0001), trait anger (p˂0.0001) than healthy controls. Compared to the controls, the OCD patients also expressed significantly lower level of emotional intelligence for using to facilitate thinking (p˂0.0001) and managing emotions (p˂0.0001). After 4-month pharmacotherapy for 21 OCD patients, Y-BOCS scores significantly decreased while self-report tests showed no meaningful differences from baseline assessments. Conclusion Our results suggest that patients with OCD may have some differences in behavioral and affective tendencies including behavioral inhibition, impulsiveness, anger experiences, and emotional patterns. And short term pharmacotherapy during 4 months improved the severity of obsessive-compulsive symptoms but didn’t influence these traits. These results provide some perspectives about possible vulnerability or trait markers of OCD. Further research is needed to examine the effects of long term treatment and other investigation might be helpful to assess the relationships between these behavioral and affective aspects and clinical phenotypes of OCD. 이번 연구에서는 56명의 강박증 환자와 70명의 정상 대조군을 대상으로 기질-정서-행동 특성에 대한 자기 보고식 검사를 시행, 결과를 비교하였다. 강박증 환자들이 사고 촉진과 정서 조절 영역의 정서 지능이 저하되어 있고, 행동 억제화 민감도는 높으며 충동성 및 분노 경험이 많은 것으로 측정되었으며, 4개월의 약물 치료 후 증상의 호전이 있었음에도 이들 특성은 별 다른 변화가 없었음을 확인하였다. 이는 상기 인자들이 특성 의존적이며, 강박증의 취약인자가 될 가능성이 있음을 시사한다고 본다.

마음의 춤은 어떻게 가르치는가?

박혜연,최의창,홍애령,김나이,임수진 한국스포츠교육학회 2011 한국스포츠교육학회 학술발표논문집 Vol.2011 No.12

이야기회상 검사의 신경학적 타당성 연구

박혜연,최진영,김상은 한국임상심리학회 2013 Korean Journal of Clinical Psychology Vol.32 No.3

Story recall resembles everyday memory and story recall tests assess language processing and executive function as well as memory. Although they are useful for evaluating verbal memory in older adults, the neurological validity of story recall tests have been scarcely studied. To elucidate the neurological validity of story recall, we investigated the brain metabolic correlates of the qualitative and quantitative measures in the Story Recall Test(SRT) in elderly female Koreans. Forty-five right-handed normal elderly female participants received the SRT testing and the [18F] fluorodeoxyglucose PET scanning during resting state. Correlations between the regional brain glucose metabolic rates and the SRT measures were tested using SPM2. Significant positive correlations between the SRT scores and the regional brain glucose metabolic rates were observed in several frontal regions such as the left ventrolateral prefrontal cortex(BA 45) and the left/right precentral(BA 6) gyri(p < .001, uncorrected, k=50). The thematic unit scores, especially were significantly correlated with regional brain glucose metabolic rates in more frontal regions than the story unit scores were. These results suggest that the SRT performance represents basal neuronal functions in the regions related to higher language processing and executive control functions in normal elderly people. Further, this study demonstrated that qualitative scoring of the story recall test might be a useful measure for assessing cognitive aging.

월경 전 불쾌 증상 집단의 신체 감각에 대한 인지 특성: 미혼여성들을 대상으로

박혜연,안창일 한국임상심리학회 2004 Korean Journal of Clinical Psychology Vol.23 No.4

The propose of present study is to find the cognitive way how the women suffering from premenstrual dysphoric symptoms(PMDS) perceive their physical symptoms as well as to confirm that PMDS has a cognitive factor. For this purpose, this study screened 202 unmarried females for PMDS and analyzed their cognitive style of somatic symptoms. The participants wrote out Somatosensory Amplification Scale(SSAS), Symptom Interpretation Questionnaire(SIQ). As well, they rated their symptoms related to PMDS prospectively during 39 days. The daily rating operated on the web. The results show that the women suffering from PMDS are different from non-PMDS women in the respect of cognition of physical symptoms; they attributed their symptoms to emotional causes more than non-PMDS women did(p<.001) and they perceived common somatosensory exaggeratedly(p<.05). The logistic regression analysis also revealed that PMDS could be effectively predicted from the emotional attribution style. The strengths of this study include application of the prospective assessment through a computer program. Also, the result of this study supports the cognitive theory of premenstrual syndrome. However, this result is limited to be generalized to the women who suffer from premenstrual dysphoric symptoms. Thus, future studies should examine whether the result of this study can be applied to women who suffer from premenstrual dysphoric disorder.

DSS/ES/AI 및 지식경영과 BI ; 공급자 선정을 위한 e-마켓플레이스의 의사결정 시스템 도입 및 효과

박혜연,이준기,이상구 한국경영정보학회 2004 한국경영정보학회 학술대회논문집 Vol.2004 No.-

아동 발현 불안 척도(Revised Children's Manifest Anxiety Scale)의 요인구조 분석

박혜연,김지혜,고혜정,홍세희 한국임상심리학회 2005 Korean Journal of Clinical Psychology Vol.24 No.2

This study investigated the factor structure of RCMAS(Revised Children's Manifest Anxiety Scale) using Mplus software that supplies estimation method(WLSMV) for categorical data. The participants consisted of 1614 children and adolescents aged 10-17. The results showed that children's anxiety accessed by RCMAS has four factors: worry, oversensitivity, physical․sleep problems, negative affect/attention problem. The strengths of this study include the application of more rigorous quantitative methodology than has been used in previous studies. Also, this result that children's anxiety assessed by RCMAS has four factors is possible to used in clinical settings as well as future researches.

메타인지 전략 학습을 통한 수학적 사고력 신장 방안 연구

박혜연,정순모,김응환 한국학교수학회 2014 韓國學校數學會論文集 Vol.17 No.4

21세기 지식 기반 사회에 적합한 인재는 자기주도적으로 지적 가치를 창출할 수 있는 자 율적이고 창의적인 사고력을 갖춘 사람으로, 수학교육 현장에서는 학생들의 창의사고력이 강 조되고 있다. 이러한 창의사고력은 자신의 사고과정을 모니터하고 조절·통제하는 메타인지 능력과 밀접한 관련이 있다. 이에 본고에서는 메타인지와 관련된 여러 연구결과들의 통합을 통해 ‘메타인지능력과 수학적 사고력과의 상관관계, 메타인지 전략을 활용한 교수·학습 방법 및 그 효과, 메타인지 능력 향상을 통한 수학적 사고력 신장 방안’을 고찰하고자 하였다. The study aimed to explore how to improve mathematical thinking through metacognitive learning by stressing metacognitive abilities as a core strategy to increase mathematical creativity and problem-solving abilities. Theoretical exploration was followed by an analysis of correlations between metacognitive abilities and various ways of mathematical thinking. Various metacognitive teaching and learning methods used by many teachers at school were integrated for sharing. Also, the methods of learning application and assessment of metacognitive thinking were explored. The results are as follows: First, metacognitive abilities were positively related to 'reasoning, communication, creative problem solving and commitment' with direct and indirect effects on mathematical thinking. Second, various megacognitive ability-applied teaching and learning methods had positive impacts on definitive areas such as 'anxiety over Mathematics, self-efficacy, learning habit, interest, confidence and trust' as well as cognitive areas such as 'learning performance, reasoning, problem solving, metacognitive ability, communication and expression', which is a result applicable to top, middle and low-performance students at primary and secondary education facilities. Third, 'metacognitive activities, metaproblem-solving process, personal strength and weakness management project, metacognitive notes, observation tables and metacognitive checklists' for metacognitive learning were suggested as alternatives to performance assessment covering problem-solving and thinking processes. Various metacognitive learning methods helped to improve creative and systemic problem solving and increase mathematical thinking. They did not only imitate uniform problem-solving methods suggested by a teacher but also induced direct experiences of mathematical thinking as well as adjustment and control of the thinking process. The study will help teachers recognize the importance of metacognition, devise and apply teaching or learning models for their teaching environments, improving students' metacognitive ability as well as mathematical and creative thinking.

COVID-19 팬데믹 시대의 한국 소방공무원의 업무 실태와 우울증 위험 요인

박혜연,이지혜,민범준,김정현 한국콘텐츠학회 2022 한국콘텐츠학회논문지 Vol.22 No.5

본 연구는 우리나라 소방공무원의 코로나바이러스감염증-19(COVID-19) 대응 업무 실태를 파악하고 COVID-19와 관련된 경험이 우울증에 미치는 영향을 알아보았다. 소방공무원 53,557명이 온라인 설문조사에 참여하여, 본인 및 동료의 COVID-19 감염 경험, COVID-19 대응 업무 경험 및 업무 강도, 사회적 낙인의 두려움, 불안 및 우울 증상에 대한 설문에 답했다. 자료 분석 결과, 2021년 3월 기준으로 전체 53,557명 중 45.76%가 COVID-19 대응 업무 경험을 한 것으로 나타났다. 주요 직무군 별로는 구급 업무군에서 COVID-19 대응 업무의 수행 비율이 가장 높았고, 대응 업무 강도와 사회적 낙인의 두려움 역시 다른 직무군에 비해 컸다. 위계적 회귀분석 결과, 동료의 감염, 대응 업무 강도, 사회적 낙인의 두려움이 COVID-19 팬데믹 중 소방공무원의 우울증을 설명하는 유의한 변수인 것으로 확인되었다. 본 연구 결과는 COVID-19 팬데믹 시대에 소방공무원들에게서 우울증을 발생시킬 수 있는 위험 요인을 제시하며, 감염병과 관련된 소방공무원 직군의 우울증 발생 예방과 증상 완화를 위한 노력에 실질적인 토대를 제공한다. This study investigated work experience of firefighters and risk factors for their depression during COVID-19 pandemic. We analyzed data of 53,557 firefighters who participated in the online mental health status survey. Data included experiences of COVID-19 infection, experience of COVID-19 response work, fear of social stigma, and anxiety and depression symptoms. Results showed that 45.76% of participants had experience of COVID-19 response work. Emergency job group had the highest percentage of COVID-19 related work and the greater intensity of the work and fear of social stigma than those of other job groups. Hierarchical multiple regression showed that co-workers’ infection, COVID-19 related work intensity and fear of social stigma were significantly associated to the severity of depression. The findings in this study demonstrated COVID-19 related work experience can link to the development of depression in firefighters. Effort to reduce COVID-19 related work intensity and fear of social stigma could help prevent depression among firefighters.

만성콩팥병 환자의 투석 적응경험에 관한 질적 사례연구

박혜연,남석인 한국사회복지질적연구학회 2021 한국사회복지질적연구 Vol.15 No.3

This study aims to investigate change in life of patients with chronic kidney disease between before and after dialysis as well as their common issues being newly experienced, and identify needs of social work services required at each stage of before and after dialysis. With in-depth consideration of adjustment experiences of patients with chronic kidney disease, difficulty in adjustment process and change in life have been examined. Discussion points of social work services required at each stage have been found to be strengthening treatment expense support; encouraging treatment continuation through team communication with a multidisciplinary approach; determination support of treatment method through participation in mentoring and group programs; and safety net establishment of community economic system. Also, identified social work services required for patients having started dialysis treatment included enlargement of mobility support for kidney patients; living and economic supports; interpersonal relationship recovery activity; and support for rehabilitation to the society. This study has significance in that support plans of community level social work services in out-of-hospital settings as well as of medical social work services adequate for each stage of before and after dialysis treatment in-hospital settings have been examined based on dialysis adjustment experience of patients with chronic kidney disease. 만성콩팥병 환자는 투석치료로 인해 생활양식이 이전과 크게 바뀌어 삶의 질이 낮은 것으로 알려져 있다. 본 연구는 질적 사례연구로 투석 전⋅후 삶의 변화와 공통의 새로운 이슈들을 확인하고 투석 적응경험에 대한 심층적 고찰을 통해 적응 과정에서의 어려움과 삶의 변화를 확인하고자 하였으며, 치료 시기별로 필요한 의료사회복지서비스에 대해 파악하고자 하였다. 만성콩팥병 환자 6명의 사례선정 후 심층면접을 통해 사례 내 분석 및 사례 간 분석을 실시하였다. 시기별에 따른 연구결과로 투석 전에는 시술비 지원 강화, 다학제간 팀 소통을 통한 치료독려, 멘토링 및 집단프로그램을 통한 치료방법 결정지원, 지역사회 안전망 구축이 필요하였다. 투석 시작 후에는 이동서비스 확대, 경제적 지원, 대인관계 회복 및 사회활동, 사회복귀 지원으로 나타났다. 이러한 연구결과를 바탕으로 본 연구는 투석 전⋅후 시기에 따른 적응경험을 파악하고 병원 내 의료사회복지서비스와 병원 밖 지역사회 서비스 지원 방안을 모색했다는 점에서 의의를 가진다.

청소년 자녀가 지각한 어머니 훈육방식과 자기통제

박혜연,이숙 전남대학교 생활과학연구소 2004 生活科學硏究 Vol.14 No.-

The purpose of this study is to examine the differences between the perceived maternal discipline style and self-control of adolescents according to socio-demographic variables. The purpose of this study is to find out the influence of the socio-demographic variables and the perceived maternal discipline style on self-control of adolescents. Data of 428 first and second grade students was collected from 3 middle schools in Gwangju by questionnaires. Cronbach’s α coefficient was calculated to analyze the reliability. In addition, the t-test and ANOVA, multiple regression analysis were conducted. The results are as follows : First, the positive discipline style is higher than the negative one on an average. Impulse, self-centeredness, and angry temper were lower than mean point (3.00). But task attainment was higher than mean point. Second, the variable factors having an influence on the impulsive character were the negative discipline style and the children’s distinction of sex. These factors had explainable abilities of 12%. The variable factors having an influence on task attainment and self-centeredness were negative discipline style and father’s academic career. These factors had explainable abilities of 5%. The variable factors having an influence on angry temper were the negative discipline style and the children’s distinction of sex. These factors had explainable abilities of 6%. The variable factor of the entire self-control was the negative discipline style and it had explainable abilities of 13%.