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      • KCI등재

        다문화청소년의 우울 및 비행의 발달궤적: 환경적 요인과 개인적 요인의 영향을 중심으로

        신예지,전성은,강영신 한국다문화교육학회 2023 다문화교육연구 Vol.16 No.2

        This study aims to investigate the trajectories of depression and delinquent behavior among multicultural adolescents and to identify ecological and personal factors that influence these trajectories. The data was gathered from Multicultural Adolescents Panel Survey, and the data used in this study was derived from the wave 4-9 of the survey. First, the level of depression among multicultural adolescents non-linearly and moderately increased as time went by, but the level of delinquent behavior among multicultural adolescents neither increased nor decreased over time. Second, the intercept of depression could be negatively predicted by parental support and peer support and the slope of depression could be positively predicted by parental support and peer support. Third, the intercept of depression could be negatively predicted by self-resilience and the slope of depression could be positively predicted by self-resilience. Fourth, teacher support had no significant effect on depression trajectories. Fifth, the intercept of delinquent behavior could be negatively predicted by teacher support and the slope of delinquent behavior could be positively predicted by teacher support. Based on the results of this study, implications, limitations, and the suggestions for future study were also discussed. 본 연구는 다문화청소년의 우울과 비행의 발달궤적, 그리고 환경적 요인(부모지지, 교사지지, 친구지지)과 개인적 요인(자아탄력성)이 다문화청소년의 우울과 비행의 발달궤적에 미치는 영향을 알아보는데 그 목적이 있다. 이를 위해 다문화청소년패널조사(MAPS) 1기 자료 중 4차년도 자료부터 9차년도 자료(2014년-2019년)를 분석하였다. 본 연구 결과는 다음과 같다. 첫째, 다문화청소년의 우울은 비선형적으로 증가하며, 시간이 지남에 따라 더욱 완만하게 증가하는 것으로 확인되었다. 비행은 시간의 흐름에 따라 증가하거나 감소하지 않는 것으로 나타났다. 둘째, 환경적 요인 중 부모지지와 친구지지는 다문화청소년의 우울초기치를 부적으로 예측하였고, 우울의 변화율을 정적으로 예측하는 것으로 나타났다. 셋째, 개인적 요인인 자아탄력성은 다문화청소년의 우울초기치를 부적으로 예측하였고, 우울의 변화율을 정적으로 예측하는 것으로 확인되었다. 넷째, 환경적 요인 중 교사지지는 다문화청소년의 우울 발달궤적에 유의한 영향을 미치지 않는 것으로 나타났다. 다섯째, 교사지지는 다문화청소년의 비행초기치를 부적으로 예측하였고, 비행 변화율을 정적으로 예측하였다. 이와 같은 결과를 바탕으로 연구의 의의 및 제한점, 그리고 후속연구를 위한 제언을 기술하였다.

      • KCI등재

        상담 효과 및 이용편의에 관한 후기가 잠재적 내담자의 상담에 대한 태도에 미치는 영향

        신예지,김계현 한국상담학회 2016 상담학연구 Vol.17 No.1

        This experimental research analyzed the effect of reviews about counseling services on establishing a positive attitude toward counseling services of potential clients. Two different types of reviews were given to potential clients. Their attitudes toward counseling services were measured before and after reading the reviews about counseling services. According to the Construal Level Theory, reviews divided into the effectiveness (high-level construal) and the convenience (low-level construal) of using counseling services. 114 university students in Seoul who had no previous experience in using counseling services and did not intend to use counseling services in the near future were chosen to analyze the following research. The subjects were divided into two groups: one group received reviews about the effectiveness of counseling services, and the other group received reviews about the convenience of using counseling services. Using analysis of covariance (ANCOVA), the results showed that there was a statistically significant difference in changes of attitude towards counseling services between the two groups that read reviews of effectiveness of counseling services and the group that received online reviews of the convenience of using counseling services. This result suggests that online reviews about the effect of counseling services have a positive effect on the attitude toward counseling services. 본 연구는 상담 후기가 잠재적 내담자의 상담에 대한 호의적 태도 형성에 미치는 영향을 분석하기 위한 실험연구이다. 잠재적 내담자에게 두 종류의 상담 후기를 제시하고, 상담 후기를 읽기 전과 후에 상담에 대한 태도를 측정하였다. 상담 후기는 해석수준 이론에 따라 상담 효과에 관한 후기(상위 해석수준)와 상담 이용편의에 관한 후기(하위 해석수준)로 분류하였다. 상담 경험이 없고, 상담을 빠른 시일 내에 받을 계획이 없다고 응답한 서울 소재의 대학(원)생 114명의 자료가 분석되었다. 연구 참여자는 두 집단으로 나뉘어 각각 상담 효과에 관한 후기와 상담 이용편의에 관한 후기를 제시 받았다. 공분산분석(ANCOVA) 실시 결과, 상담 효과에 관한 후기를 읽은 집단과 상담 이용편의에 관한 후기를 읽은 집단 간 상담에 대한 태도 변화에 통계적으로 유의미한 차이가 나타났다. 이 결과는 상담 효과에 관한 후기가 잠재적 내담자의 상담에 대한 호의적 태도 형성에 보다 효과적임을 시사한다.

      • KCI등재

        Changes in the Laterality of Functional Connectivity Associated with Tinnitus: Resting-State fMRI Study

        신예지,류창우,장건호,박문서,변재용 대한자기공명의과학회 2019 Investigative Magnetic Resonance Imaging Vol.23 No.1

        Purpose: One of the suggested potential mechanisms of tinnitus is an alteration in perception in the neural auditory pathway. The aim of this study was to investigate the difference in laterality in functional connectivity between tinnitus patients and healthy controls using resting state functional MRI (rs-fMRI). Materials and Methods: Thirty-eight chronic tinnitus subjects and 45 age-matched healthy controls were enrolled in this study. Connectivity was investigated using independent component analysis, and the laterality index map was calculated based on auditory (AN) and dorsal attention (DAN), default mode (DMN), sensorimotor, salience (SalN), and visual networks (VNs). The laterality index (LI) of tinnitus subjects was compared with that of normal controls using region-of-interest (ROI) and voxelbased methods and a two-sample unpaired t-test. Pearson correlation was conducted to assess the associations between the LI in each network and clinical variables. Results: The AN and VN showed significant differences in LI between the two groups in ROI analysis (P < 0.05), and the tinnitus group had clusters with significantly decreased laterality of AN, SalN, and VN in voxel-based comparisons. The AN was positively correlated with tinnitus distress (tinnitus handicap inventory), and the SalN was negatively correlated with symptom duration (P < 0.05). Conclusion: The results of this study suggest that various functional networks related to psychological distress can be modified by tinnitus, and that this interrelation can present differently on the right and left sides, according to the dominance of the network.

      • KCI등재

        단일기관 소아청소년 입원환자에서의 허가 외 약물 사용 현황 분석

        신예지,김찬영,박근미,정주원,한혜원 한국병원약사회 2021 병원약사회지 Vol.38 No.3

        Background : Because of the lack of clinical research and drug evaluation for children, off-label prescribing has been widely observed in children. However, studies on the prevalence of off-label prescribing in children are rare in Korea. The purpose of this study was to investigate the characteristics of off-label prescribing in pediatric inpatients at a tertiary university hospital in Korea. Methods : All pediatric patients age 0-18 years were included Jun 1-7, 2020 at Asan Medical Center. We retrospectively collected patient characteristics and medication profiles and off-label prescriptions were defined based on the Korea Food and Drug Administration–approved labeling. Results : Of the 286 inpatients, 229 (80.1%) patients received at least one off-label drug use. Additionally, 380 drugs were used, and 129 (33.9%) drugs are not approved in children. Of 1,784 prescriptions, 722 (40.5 %) were for off-label use. The proportion (n=107, 46.7%) of children under age two was higher in the off-label group than in the No off-label group. Gastrointestinal agents (n=183, 25.3%) were the most common causative drugs, followed by cardiovascular agents (n=111, 15.4%), and anti-Infective agents (n=82, 11.4%). Conclusion : Off-label prescribing is common among pediatric patients, especially in premature and neonates. Thus, pediatric pharmacists should be actively engaged in off-label drug use for safe and effective medication use in pediatric patients. A practical guideline for off-label drug use in children, and further research on adverse drug reactions from off-label drug use is needed.

      • KCI등재

        말초성 안면마비 환자의 재발에 대한 임상적 고찰

        신예지,권나현,박현애,우현수,백용현,박동석,고형균,Shin, Ye-Ji,Kown, Na-Hyoun,Park, Hyun-Ae,Woo, Hyun-Su,Beak, Yong-Hyeon,Park, Dong-Suk,Koh, Hyung-Kyun 대한침구의학회 2009 대한침구의학회지 Vol.26 No.1

        Objectives : This study was performed to categorize and define causes of recurrent peripheral facial nerve palsy. Methods : 54 patients was identified with recurrent peripheral facial nerve palsy among 726 patients who visited the Facial Palsy Center in East-West Neo Medical Center between May 2006 and August 2008. We reviewed the medical records including gender, age, laterality, number of recurrence, primary onset age, interval between recurrences, accompanied disease(e.g. DM, HTN), and axonal loss. Results : Patients whose primary palsy onset was before their second decade had a higher possibility of recurrence and tended to recur more than twice. Double-episode ipsilaterally recurrent group showed definitely worse result of axonal loss compared with non-recurrent group and single-episode ipsilaterally recurrent group. But There was no statistically significant difference between mean axonal loss of the non-recurrent group and single-episode ipsilaterally recurrent group. Conclusions : This study was designed for 54 patients and further studies are necessary.

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