부모화의 두 요인과 대인관계문제의 관계: 자기침묵의 매개효과

양현종,허재홍 한국청소년상담복지개발원 2022 청소년상담연구 Vol.30 No.2

The purpose of this study was to examine the mediating effects of self-silencing on the relationship between two factors of parentification and interpersonal problems. For this purpose, a self-report questionnaire was conducted with 295 college students attending local universities, using scales that measure caregiving, unfiarness, interpersonal problems, and self-silencing. Data were analyzed using SPSS 26.0 and AMOS 26.0. Results are as follows. First, correlation analyses showed that caregiving, unfairness, interpersonal problems, and self-silencing were all significantly positively corrected with one another. Second, caregiving had negative direct effects on interpersonal problems, and self-silencing mediated the relationship between caregiving and interpersonal problems. Third, self-silencing mediated the relationship between unfairness and interpersonal problems. Based on the results of this study, counseling intervention strategies for parentified children who experience interpersonal problems in college were discussed, particularly related to the two factors of parentification, self-silencing, and interpersonal problems. Suggestions for follow-up research were also addressed. 본 연구는 부모화의 두 요인과 대인관계문제의 관계에서 자기침묵의 매개효과를 검증하고자 하였다. 이를 위해 지방 소재 대학에 재학 중인 대학생 295명을 대상으로 부모화, 대인관계문제, 자기침묵을 측정하는 자기보고식 설문지를 실시하고 SPSS 26.0과 AMOS 26.0을 사용하여 분석하였다. 먼저, 상관분석 결과 부모화돌봄, 불공평, 대인관계문제, 자기침묵은 모두 유의한 정적상관을 보였다. 둘째, 부모화돌봄과 대인관계문제의 관계에서 자기침묵이 매개하는지 검증한 결과, 부모화돌봄은 대인관계문제에 부적으로 직접적인 영향이 있었고, 부모화돌봄과 대인관계문제의 관계를 자기침묵이 정적으로 매개하는 비일관적 매개효과가 있었다. 셋째, 불공평과 대인관계문제의 관계에서 자기침묵이 매개하는지 검증한 결과 자기침묵은 불공평과 대인관계문제간의 관계를 부분 매개하였다. 본 연구 결과를 바탕으로 대학생 시기에 대인관계문제를 경험하는 부모화된 자녀를 위한 상담적 개입방법을 부모화의 두 요인과 자기침묵 대인관계문제의 측면에서 논의하였고 후속연구를 위한 제언을 하였다.

입원 환자를 대상으로 한 영유아 건강검진의 연계 및 활용

양현종,노영화,변경남,김민정,김도란,이예진 한국의료QA학회 2009 가을학술대회 Vol.2009 No.3

실감형 원격 영상회의를 위한시선 맞춤 기술

양현종,오현명 대한전자공학회 2015 전자공학회지 Vol.42 No.5

진료 현장에서 소아 마이코플라스마 폐렴을 어떻게 치료할 것인가?

양현종 대한 소아알레르기 호흡기학회 2020 Allergy Asthma & Respiratory Disease Vol.8 No.2

. 마크로라이드 내성 소아 마이코플라스마 폐렴의 최선의 치료는 무엇인가? 매 3–4년 주기의 대유행으로 인한 심각한 보건학적 문제 극복을 위해 우리는 무엇을 어떻게 하여야 하는가? 마크로라이드제로 쉽게 치료되던 마이코플라스마 폐렴 치료는 2000년을 기점으로 치료하기 어려운 질환으로 패러다임의 변화를 맞이하고 있다. 마이코플라스마 폐렴은 소아청소년 연령에서 가장 흔한 세균성폐렴으로, 2000년대 이후 전 세계적인 마크로라이드 내성 마이코플라스마 균주의 출현으로 심각한 보건학적 문제가 되고 있다.1 마이코플라스마 폐렴은 일반적으로 생명을 위협하지 않는 경증 질환이나, 직접적인 기도 상피 손상 또는 이차적인 숙주 면역 반응을 통한 과도한 염증 반응을 통해 0.5%–2.0%에서 심각한 질환으로 진행할 수 있다.2 이러한 기전을 기반으로 국내외 치료지침에서는 마크로라이드제를 일차 치료제로, 마크로라이드제에 내성인 중증 폐렴에 한하여 이차적으로 이차 항생제(플루오로퀴놀론제 또는 테트라사이클린제) 또는 코르티코스테로이드제 치료를 권고하고 있다.3

급성 설사 질환에서의 식이요법에 따른 치료 효과

양현종,정필주,반성환,민용식,박재옥,Yang, Hyeon-Jong,Jeong, Pil-Ju,Ban, Seong-Hwan,Min, Yong-Sik,Park, Jae-Ock 대한소아소화기영양학회 2001 Pediatric gastroenterology, hepatology & nutrition Vol.4 No.1

목 적: 본 연구에서는 급성 설사 환아에서 식이요법에 따른 설사의 횟수와 지속 기간, 그리고 영양 상태의 회복등에 미치는 영향을 알아보고자 하였다. 방 법: 본원에 입원한 총 76명의 환아를 대상으로 35명의 전유군, 29명의 희석 분유군, 그리고 12명의 모유군으로 나누어 각 군간의 설사 횟수, 구토 횟수, 열량 섭취량, 몸무게의 증가, 그리고 설사기간을 관찰하여 비교하였다. 결 과: 1) 입원 당시 평균 월령은 12.9개월, 평균 체중은 9 kg, 설사 지속 기간은 2.29일로 각 군간에 유의한 차이는 없었다(p>0.05). 2) 입원 후 설사의 횟수는 각 군간에 유의한 차이를 보이지 않았다(p>0.05). 3) 입원 후 열량의 섭취는 전유군과 모유군에서 희석유보다 유의하게 높았다(p<0.05). 4) 입원 후 몸무게의 증가는 전유군과 모유군간에는 유의한 차이를 보이지 않았으나, 희석 분유군은 유의하게 낮았다(p<0.05). 5) 입원 후 설사의 지속 기간은 각 군간에 유의한 차이를 보이지 않았다(p>0.05). 결 론: 급성 설사 질환의 식이 요법은 처음부터 전유나 모유를 먹이는 것이 희석한 우유를 단계적으로 먹이는 방법에 비해 설사를 악화시키거나 지연시키지 않으며, 오히려 체중 증가와 열량 섭취증가에 이로운 장점이 있었으나 원인균에 따른 식이 요법의 효과에 대해서는 좀더 연구가 필요하리라 사료된다. Purpose: We studied to know the effect of early feeding on the course and the recovery of acute diarrheal disease. Methods: The study was conducted on 76 patients who admitted to the Soonchunhyang university hospital for acute diarrhea. We divided 76 patients into 3 dietary groups (whole milk group (WMG): 35, diluted milk group (DMG): 29, breast milk group (BMG): 12). We compared three groups by numbers of diarrhea, numbers of vomiting, calory intake, weight increments, and duration of diarrhea. Results: 1) The mean age was $16.45{\pm}18.20$, $11.53{\pm}9.80$, $5.38{\pm}5.01$ months for WMG, DMG, and BMG, respectively. The mean weight was 9 kg and the mean duration of diarrhea was 2.29 days. 2) The numbers of diarrhea during admission was not significantly different in the three groups. 3) The calory intake during admission was significantly low in DMG. 4) The weight increments during admission was significantly low in DMG. 5) The duration of diarrhea during admission was not significantly different in the three gourps. Conclusion: Early refeeding with whole milk or breast milk did not prolong or worsen the course or symptoms of diarrhea compared with gradual reintroduction with diluted milk. But there were advantages of improved nutrition and weight increments. Futher study is necessary to demonstrate the effect of diet according to the causative organisms.

Unmet Primary Physicians’ Needs for Allergic Rhinitis Care in Korea

양현종,김영효,이보라,공도윤,김동규,김미애,김봉성,김원영,김정희,박양,박소연,배우용,송기재,양민석,이상민,이영목,이현종,조재홍,지혜미,최정희,유영,고영일 대한천식알레르기학회 2017 Allergy, Asthma & Immunology Research Vol.9 No.3

Allergic rhinitis (AR) is one of the most common chronic allergic respiratory diseases worldwide. Various practical guidelines for AR have been developed and updated to improve the care of AR patients; however, up to 40% patients remain symptomatic. The unmet need for AR care is one of the greatest public health problems in the world. The gaps between guideline and real-world practice, and differences according to the region, culture, and medical environments may be the causes of unmet needs for AR care. Because there is no evidence-based AR practical guideline reflecting the Korean particularity, various needs are increasing. The purpose of the study was to evaluate whether existing guidelines are sufficient for AR patient management in real practice and whether development of regional guidelines to reflect regional differences is needed in Korea. A total of 99 primary physicians comprising internists, pediatricians, and otolaryngologists (n=33 for each) were surveyed by a questionnaire relating to unmet needs for AR care between June 2 and June 16 of 2014. Among 39 question items, participants strongly agreed on 15 items that existing guidelines were highly insufficient and needed new guidelines. However, there was some disagreement according to specialties for another 24 items. In conclusion, the survey results demonstrated that many physicians did not agree with the current AR guideline, and a new guideline reflecting Korean particularity was needed.

Benefits and risks of therapeutic alternatives for macrolide resistant Mycoplasma pneumoniae pneumonia in children

양현종 대한소아청소년과학회 2019 Clinical and Experimental Pediatrics (CEP) Vol.62 No.6

Although Mycoplasma pneumoniae pneumonia (MPP) has been generally susceptible to macrolides, the emergence of macrolide-resistant MPP (MRMP) has made its treatment challenging. MRMP rapidly spread after the 2000s, especially in East Asia. MRMP is more common in children and adolescents than in adults, which is likely related to the frequent use of macrolides for treating M. pneumoniae infections in children. MRMP is unlikely to be related to clinical, laboratory, or radiological severity, although it likely prolongs the persistence of symptoms and the length of hospital stay. Thereby, it causes an increased burden of the disease and poor quality of life for the patient as well as a societal socioeconomic burden. To date, the only alternative treatments for MRMP are secondary antimicrobials such as tetracyclines (TCs) or fluoroquinolones (FQs) or systemic corticosteroids; however, the former are contraindicated in children because of concerns about potential adverse events (i.e., tooth discoloration or tendinopathy). A few guidelines recommended TCs or FQs as the second-line drug of choice for treating MRMP. However, there have been no evidence-based guidelines. Furthermore, safety issues have not yet been resolved. Therefore, this article aimed to review the benefits and risks of therapeutic alternatives for treating MRMP in children and review the recommendations of international or regional guidelines and specific considerations for their practical application.

제주도 고등학교 학생의 톡소포자충 항체 양성률 및 감염 위험요인

양현종,배종면,최현식,황환식,오훈규,윤동헌,홍성철,Yang, Hyun-Jong,Bae, Jong-Myon,Choi, Hyun-Sik,Hwang, Hwan-Sik,Oh, Hoon-Kyu,Yun, Dong-Hyun,Hong, Seong-Chul 대한예방의학회 2000 예방의학회지 Vol.33 No.3

Objectives : To assess the seroprevalence and risk factors of toxoplasmosis in high school students in Cheju Province, Korea. Methods : A total of 4,570 high school students from 18 schools in Cheju Province were investigated for Toxoplasma gondii antibodies(IgG) by enzyme linked immunosorbent assay (ELISA). Risk factors for toxoplasmosis, such as place of residence, type of house, contact with cats and other pets, and rare meat consumption, were examined by questionnaire. Results . The overall antibody positive rate was 5.5% and ranged from 2.6 to 11.5% by school. There was no significant difference between males and females. Statistical analyses of the questionnaire data indicated that the risk factors for seropositivity were: (1) birth place (Cheju/others), (2) place of residence (rural/urban), (3) dietary habits (vegetarian/non vegetarian), (4) eating rare meat, (5) exposure to pets and (6) hepatitis B. Conclusion : We confirmed that the prevalence of the anti-Toxoplasma gondii antibody in a population of high school students in Cheju Province was to the previously reported prevalence.

제주도 가임연령 여교사의 톡소포자충 항체 양성률

양현종,홍성철,배종면,Yang, Hyun-Jong,Hong, Seong-Chul,Bae, Jong-Myon 대한예방의학회 2001 Journal of Preventive Medicine and Public Health Vol.34 No.4

Objectives : Toxoplasmosis is a member of the zoonosis group and may cause congenital infection . Antibody positive rates of toxoplasmosis were examined in high school students in Cheju, Korea to facilitate the study aim of examining the seroprevalence of Toxoplasma gondii in school teachers of child-bearing age in Cheju Island. Methods : The study population comprised teachers of child-bearing age in primary, middle and high schools, aged 35 years and younger, who wished to be tested for Toxoplasma gondii antibodies (IgG) by the indirect latex agglutination test (ILA) and the enzyme-linked immunosorbent assay (ELISA) method. Results : The overall antibody positive rate was 3.8% in the study subjects (n=314), a rate which showed no significant difference due to birth place, history of bringing up pets, or history of contacting a cat. Conclusion : We confirmed that the seroprevalence of Toxoplasma gondii in a population of child-bearing teachers in Cheju Island was the same as that previously reported in other parts of Korea.

제주도 가임 여교직원의 풍진 항체 보유율 조사

양현종,홍성철,배종면,Yang, Hyun-Jong,Hong, Seong-Chul,Bae, Jong-Myon 대한예방의학회 2000 Journal of Preventive Medicine and Public Health Vol.33 No.3

Background : Congenital rubella syndrome (CRS) can be controlled by vaccination. Because rubella is typically a childhood disease, occurring predominantly in the 5 to 14 year age group, female school teachers nay be a high-risk population for CRS. Objectives : To determine the prevalence rate of rubella antibodies in school teachers of child bearing age. Methods : The study population consisted of primary, middle and high school teachers of child bearing age. The subjects were aged 35 years and younger, and consented to immunoglobulin (Ig) level testing using the ELISA method. Results : The positive rate of IgG was 77.9% in the study subjects (n=314). Sixty-three teachers (21.4%) were susceptible to rubella infection. Thirty-seven teachers (11.8%) had a history of rubella vaccination. Among the female teachers with no vaccination history, the proportion of negative IgM and IgG was 21.7%, and the proportion of positive IgM was 2.9%. Seventy-nine percent of the study subjects did not know that they should not become pregnant for three months after receiving the rubella vaccine. Conclusion : School teachers of child bearing age should be considered a high risk group for CRS, and should be vaccinated if they are found to be seronegative.