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      • KCI등재

        2006-2011년의 한국의 자살생각률, 자살시도율, 자살사망률의 추세

        이기경,나리지,안명희,임아영,홍진표,Yi, Kikyoung,Na, Ri Ji,Ahn, Myung Hee,Lim, Ahyoung,Hong, Jin Pyo 대한불안의학회 2012 대한불안의학회지 Vol.8 No.2

        Objective : The purpose of this study was to describe and compare trends in suicidal ideation, suicidal attempt and suicide in Republic of Korea from 2006 to 2011. Such data are needed to guide policies to reduce suicidal behaviors. Methods : Data came from the 2006-2010 Korea National Health and Nutrition Examination Survey, Korea National Statistical Office and 2006-2011 Korean Epidemiologic Catchment Area Study Replication and 2007-2011 National Emergency Department Information System. Results : No change occurred between 2006-2011 in suicidal ideation, suicidal attempt, whereas suicide rate increased annually. Suicidal attempt events was decreased in age over 50. Suicidal attempts by poisoning and hanging have increased, although suicide caused by poisoning of insecticide have decreased. Especially, suicides caused by hanging have gradually increased in both sex. Conclusions : These finding suggest that fatal suicidal methods may influence increased suicidal rate. Instead of traditional suicidal process, investigation of other pathway about suicidal behaviors should be needed.

      • 음악을 하는 세 청년에게서 관찰된 공황발작의 의미

        이기경 ( Kikyoung Yi ) 한국분석심리학회 2022 心性硏究 Vol.37 No.1

        이 글은 음악을 하는 20대 초반 청년들에게 발생한 공황발작의 의미를 분석심리학적으로 이해해보고자 하는 시도이다. 공황발작은 주로 20대에 발생한다고 알려진 불안신경증의 일종으로 다양한 자율신경계 증상에 동반되는 극심한 공포와 두려움이 특징이다. 공황발작과 감정기복, 자살사고나 자해행동이 동반된 세 사례에서 공황발작이 나타났던 상황을 살펴보고, 각 사례에서 공황발작의 심리적 의미를 살펴보았다. 첫 번째 사례의 공황발작은 무의식적인 상태로 남아 있고자 하는 이에게 의식성을 가지고 생각하거나 사고하게끔 한다. 두 번째 사례에서 미래를 향한 삶으로의 전진을 망설이며 갈등하는 이에게 내면의 문을 열어 자신의 깊은 마음과 접촉할 수 있게 하여 갈등을 초월할 가능성을 열어주기도 한다. 세 번째 사례에서는 무의식의 실현되고자 하는 본능과 충동을 공황발작으로 경험하고, 그 충동을 의식적으로 실현해간다. 각각 다른 의미가 있는 것처럼 보이는 그들의 공황발작은 청년기 이전 시기의 의식 수준으로부터 새로워질 것을 촉구하는 무의식의 강력한 접근일 것이다. This text is an attempt to understand the psychological meaning of panic attacks occurring in the young people in their early twenties who play music. A panic attack is a type of anxiety neurosis known to occur primarily in their twenties and is characterized by extreme fear and terror accompanied by various symptoms in the autonomic nervous system. Situations with occurring panic attacks were examined in three cases combined with panic attacks and mood swings, suicidal ideation, and self-mutilating behaviors, and the psychological meaning of panic attacks was reviewed for each case. In the first case, panic attacks make one think or reflect with consciousness for someone who wants to remain unconscious. In the second case, for one who hesitates to move forward in life and finds oneself in conflict, panic attacks open the inner mind and allow one to come in touch with one’s deeper mind, thereby opening possibilities to transcend the conflict. In the third case, one experience the instinct and impulse of desiring to realize the unconsciousness as panic attacks and thereafter consciously realize the impulse as well. Their panic attacks, which all seem to have different meanings, are likely a powerful approach of the unconsciousness to urge a renewal from the consciousness level of the youth period.

      • KCI등재

        체육수업에서 지각된 학습환경이 중학생의 자기조절전략 및 학업열의에 미치는 영향

        이기경(Lee, Ki-Gyung),이실관(Lee, Sil-Kwan),남인수(Nam, In-Soo) 학습자중심교과교육학회 2017 학습자중심교과교육연구 Vol.17 No.12

        이 연구는 체육수업에서 지각된 학습환경이 중학생의 자기조절전략 및 학업열의에 미치는 영향을 규명하는데 있다. 이를 위해 자료 수집은 2015년 11월 2일부터 11 월 27일까지였으며, G시에 소재하고 있는 O와 D중학교 2개교를 임의로 선정하여 해당학교 재학생을 대상으로 할당표집방법에 의해 각각 300명(남학생 150명, 여학생 150명) 총 600명의 표집 자료 중에서 575명(남학생 279명, 여학생 296명)의 설문자료 만을 최종적으로 분석에 이용하였다. 이 연구에 사용된 연구도구는 체육학습환경, 체육학습동기화전략의 자기조절전략, 학업열의를 측정하는 검사지를 이용하였다. 자료처리는 빈도분석, 기술통계, 확인적 요인분석, 상관분석, 중다회귀분석을 이용하였 다. 분석한 연구 결과는 다음과 같다. 첫째, 학습환경과 자기조절전략과의 관계에서 도전지각 환경과 유능지각 환경이 인지조절사용에 정적 영향을 주며, 도전지각 환경이 자기조절에 정적 영향을 주는 것으로 나타났다. 둘째, 학습환경과 학업열의와의 관계에서 도전지각 환경은 활기, 효능감, 헌신, 몰두에 정적 영향을 주며, 유능지각 환경은 효능감과 헌신에 정적 영향을 주는 것으로 나타났다. 그러나 위협지각 환경은 활기, 효능감, 헌신, 몰두에 부적 영향을 주는 것으로 나타났다. 셋째, 자기조절전 략과 학업열의와의 관계에서 인지조절사용과 자기조절이 활기, 효능감, 헌신, 몰두 모두에 정적 영향을 주는 것으로 나타났다. 이상의 결론을 종합해 볼 때, 체육수업에서 지각된 학습환경과 중학생의 자기조절전략 및 학업열의 간에 밀접한 관련이 있는 것으로 확인되었다. The purpose of this study was to investigate the effect of perceived learning environment, self-regulation strategies and academic engagement of middle school students in physical education class. The subjects of this study consisted of 575(boys 279, girls 296) middle school students. The data was collected by quota sampling method. The used instruments of this study were the Lyu(2013) for measuring physical education learning environment scale, Jung & Park(2013) for measuring self-regulation strategies scale, and Lee & Lee(2012) for measuring academic engagement scale. The data were analyzed by descriptive statistics, frequency analysis, factor analysis, correlation analysis, multiple regression analysis as a statical method. The results of this study was as follows. First, in the relationships between physical education learning environment and self-regulation strategies, perceived challenge environment and perceived competence environment positively influenced to use of cognitive strategy but, perceived challenge environment positively influenced to self-regulation. Second, in the relationships between physical education learning environment and academic engagement, perceived challenge environment positively influenced to vigor, professional efficacy, dedication, and absorption. And perceived competence environment positively influenced to vigor, professional efficacy, dedication, and absorption. But perceived threat environment negatively influenced to it. Third, in the relationships between self-regulation strategies and academic engagement, use of cognitive strategy and self-regulation positively influenced to vigor, professional efficacy, dedication, and absorption. In conclusions of this study, it demonstrated that perceived physical education learning environment was closely related to self-regulation strategies and academic engagement in the physical education class.

      • KCI등재

        Perceptions of Coronavirus Disease 2019 (COVID-19) in Patients With Schizophrenia

        박소연,이기경,서혜진,강유리,Ha Rayeon 대한조현병학회 2023 대한조현병학회지 Vol.26 No.2

        Objectives: The aim of this study was to investigate whether patients with schizophrenia are aware of the current status and have accurate information about COVID-19.Methods: The participants consisted of 161 inpatients and 117 outpatients with schizophrenia and 40 normal controls. The subjects completed self-report questionnaires measuring changes in their daily life, their perceptions of the current status of COVID-19 and their basic knowledge about the disease.Results: Compared to the normal control group, the inpatients and outpatients with schizophrenia underestimated the cumulative number of confirmed COVID-19 cases and overestimated the mortality rate of COVID-19. The mortality rates of COVID-19 and the common cold were higher in the order of inpatients, outpatients, and normal controls. The main route of SARS-CoV-2 infection and the main symptoms of COVID-19 were accurately recognized by more than 95% in the normal group and more than 80% in outpatients, but inpatients chose the correct answers at a lower rate. In the questions about misperceptions about COVID-19, the correct answer rate was high in the order of normal controls, outpatients, and inpatients. Most patients with schizophrenia obtained information about COVID-19 on TV, while most normal controls collected information through the internet.Conclusion: This study showed that awareness of COVID-19 among patients with schizophrenia is insufficient. Additional measures are needed to provide accurate information and the current status of COVID-19 to patients with schizophrenia.

      • KCI등재

        There Is No Difference in IQ between Suicide and Non-Suicide Psychiatric Patients: A Retrospective Case-Control Study

        박성진,이기경,이준득,홍진표 대한신경정신의학회 2015 PSYCHIATRY INVESTIGATION Vol.12 No.3

        ObjectiveaaThe goal of this study was to examine the association between IQ and suicide in psychiatric patients. MethodsaaWe conducted a nested case-control study using data obtained from psychiatric patients affiliated with a general hospital in Seoul, Korea. In a one-to-two ratio the psychiatric patients who died of suicide (Suicide Group; n=35) were matched to those who didn’t (Non-suicide Group; n=70) by age, gender, psychiatric diagnosis and approximate time of first treatment. IQ was measured using the Korean version of the Wechsler Adult Intelligence Scale-Revised. ResultsaaThere were no significant differences in any type of IQ between suicide patients and non-suicide patients. Logistic regression showed no evidence of an association between IQ and suicide. ConclusionaaThese results do not support the existence of an association between IQ and suicide.

      • KCI등재

        The Prevalence of Depression among Patients with the Top Ten Most Common Cancers in South Korea

        박보람,윤소영,이기경,이수연,이정선,정석훈 대한신경정신의학회 2017 PSYCHIATRY INVESTIGATION Vol.14 No.5

        Objective: Among the various psychiatric disorders, depression is a common comorbid condition in cancer patients. Due to the distinct and diverse nature of cancer, the prevalence of depression may be assumed to be affected by differences in primary cancer sites. In this study, we explored the prevalence rates of depression among the ten most prevalent cancers in South Korea using a national patient sample. Methods: This was a 1-year cross-sectional study using a national patient sample provided by the South Korean National Health Insurance in 2011. We selected all patients who had received ICD-10 codes of the 10 most prevalent cancers and major depressive disorder. Afterwards, the cancer and depression groups were merged and analyzed. Results: The MDD prevalence rate was highest in lung cancer (11.0%), followed by non-Hodgkin’s lymphoma (9.2%), prostate (9.1%), bladder (8.8%), breast (7.8%), cervix (7.8%), colorectal (7.7%), stomach (6.9%), liver (6.5%), and thyroid cancer (5.6%). Within all cancer groups, patients with a MDD diagnosis were significantly older (p<0.05) than non-MDD patients. Colorectal, stomach, and thyroid cancer displayed a higher female proportion in the MDD group than the non-MDD group. In the subgroup analysis, the prevalence rate differed by age and sex. Conclusion: The prevalence of depression varied according to cancer types. Patients with lung cancer were the most prone to experience depression. Because clinical and psychological factors may influence MDD prevalence, these factors will need to be studied more closely in the future.

      • KCI등재

        지도자의 코칭행동이 중·고교 검도선수들의 팀 침묵현상 및 대처효율성에 미치는 영향

        이실관(Lee Sil Kwan),이기경(Lee Ki Kyung),남인수(Nam In Soo) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.3

        이 연구는 지도자의 코칭행동이 중 고교 검도선수들의 팀 침묵현상 및 대처효율성에 미치는 영향을 규명하는 데에 그 목적을 두었다. 이를 위해 자료 수집은 2016년 6월 3일부터 6월 5일까지 제25회 회장기 전국 중 고교 검도대회에 참여한 중 고교검도선수들을 대상으로 하였으며, 표본추출방법은 집락표집방법을 이용하였다. 수집된 설문 자료 중에서 507명의 자료를 최종적으로 분석에 이용하였다. 분석한 결과는 다음과 같다. 첫째, 지도자의 코칭행동과 팀 침묵현상의 관계에서 자율적 코칭행동은 방어적 침묵과 체념적 침묵에 부적 영향을 주는 반면에, 통제적 코칭행동은 방어적 침묵과 체념적 침묵에 정적 영향을 주는 것으로 나타났다. 둘째, 지도자의 코칭행동과 대처효율성의 관계에서 자율적 코칭행동은 문제중심적 대처, 초연 대처, 정서중심적 대처에 정적 영향을 주는 것으로 나타났다. 자율적 코칭행동은 회피 대처에 부적 영향을 주는 반면에, 통제적 코칭행동은 회피 대처에 정적 영향을 주는 것으로 나타났다. 셋째, 팀 침묵현상과 대처효율성의 관계에서 방어적 침묵과 체념적 침묵은 문제중심적 대처와 초연 대처에 부적 영향을 주는 반면에, 회피 대처에 정적 영향을 주는 것으로 나타났다. 이 연구의 결론에 미루어 볼 때, 지도자의 코칭행동은 검도선수들의 팀 침묵현상과 대처효율성 간에 밀접한 관련성이 있음을 확인하였다. The purpose of this study is to identify the effect of leaders coaching behavior on team silence and copy effectiveness of a middle and high school kumdo players. The subjects of this study consisted of 507 middle and high school kumdo players. The used instruments were the Park & Kim(2013) for measuring coaching behaviors scales, the Ko(2014) for measuring team silence scales, and the Kang(2012) for measuring copy effectiveness scales. The data were analyzed by descriptive statistics, frequency analysis, correlation analysis, reliability analysis, factor analysis, and multiple regression analysis as a statistical method. The result of this study were as follows. First, in the relationship between coaching behavior and team silence, autonomy coaching behaviors negatively influenced to defensive silence and acquiescent silence. But, controlled coaching behaviors positively influenced to defensive silence and acquiescent silence. Second, in the relationship between coaching behavior and copy effectiveness, autonomy coaching behaviors positively influenced to problem focused coping, detached coping, emotional focused coping. And autonomy coaching behaviors negatively influenced to avoidance coping but, controlled coaching behaviors positively influenced to avoidance coping. Third, in the relationship between team silence and copy effectiveness, defensive silence and acquiescent silence negatively influenced to problem focused coping and detached coping. defensive silence and acquiescent silence positively influenced to avoidance coping. In conclusions of this study, it demonstrated that leaders coaching behavior was closely related to team silence and copy effectiveness of kumdo players.

      • KCI등재

        우리나라 외래치료명령제의 시행과 개선방향

        이유진,용효중,김건우,나리지,이기경,황태연,이종국,홍진표 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

        Objectives:Since the order for medical treatment as outpatient has begun in Korea, there have been no requests due to the absence of specific details relating to its enforcement and lack of understanding of related specialists. We reviewed current guidelines and administrative conditions for order for medical treatment as outpatient in Korea, and examined examples of operation and related regulations of developed countries. Methods:Korean studies concerning development of the order for medical treatment as outpatient were inquired. We investigated the guidelines of other countries including U.S.A., Australia, United Kingdom and Canada. The survey of related specialists for the improvement of order for medical treatment as outpatient was performed. Results:Related specialists agreed that current order for medical treatment as outpatient needed more detailed guidelines for candidate patients, processes and management for noncompliance. Additionally, majority of the specialists suggested that candidates for order for medical treatment as outpatient should be extended for not only hospitalized patients but also patients in community. Conclusions:We reviewed detailed considerations regarding candidate recipients within current legislation, complemented post-enforcement report, management procedures, and stipulated actions for noncompliance, to be used as practical guidelines for application. More fundamental measures than complementation of guidelines, such as modification of related legislature will be needed to increase usage, and further details with reference to confidentiality of recipients and safety measures and financial support of treatment personnel will be needed.

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