중년기 우울증 여성의 생활사건, 대처방식, 사회적 지지 및 가족관계

김동인,이진욱,김임,이선미,은헌정 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4

국문초록본 연구는 중년기 우울증 여성의 생활사건 스트레스, 대처 방식, 사회적 지지, 가족 관계 등의 정신사회적 요인들을 알아보기 위한 것으로 각 변인들이 어떻게 우울과 관계가 있는지를 우울증 환자 집단과 정상인 집단으로 나누어서 비교 연구하였다. 이를 위해 35세 이상 64세 이하의 116명의 우울증 환자와 113명의 정상인을 대상으로 Beck 우울 질문지(BDI), 생활사건 질문지, 대처방식 척도, 대인관계 지지 평가척도(ISEL), 가정환경척도 등의 검사를 하였고 다음과 같은 결과를 얻었다. 1) 최고 스트레스는 환자 집단의 경우 결혼생활 스트레스(42명, 36.2%), 정상인 집단의 경우는 가정생활 스트레스(44명, 38.9%)였다. 2) 소극적 대처(t=0.93, p=.35)만을 제외하고 환자 집단과 정상인 집단에서 BDI 우울 점수(t=15.94, p<.0001), 생활사건 스트레스 점수(t=4.73, p<.0001), 적극적 대처점수(t=6.29, p<.0001), 사회적 지지점수(t=7.20, p<.0001), 가족 관계 점수(t=5.75, p<.0001)에서 유의한 차이를 보였다. 3) 우울증 환자 집단에서 BDI 우울 점수는 생활사건 스트레스(r=.24, p<.01) 변인과 유의한 정적 상관을 보였고, 적극적 대처(r= -.22, p<.01) 변인, 사회적 지지(r= -.35, p<.001) 변인, 가족관계(r= -.30, p<.001) 변인과는 유의한 역 상관을 보였다. 4) 우울증 환자 집단에서 BDI 우울에 대한 각 변인들의 중다회귀분석은 사회적 지지(12.3%, β= -.281, T= -3.162, P=.002, 생활사건 스트레스(5.1%, β=.279, T=3.195, P=.002), 적극적 대처(3.5%, β= -.204, T= -2.225, P=.028) 변인이 합하여 20.9%의 설명력을 나타냈다. 5) 중년기 여성에서 생활사건 스트레스는 가족 관계에서 겪는 스트레스가 가장 큰 스트레스였고, 대처방식은 우울과의 관계에서 일관성이 부족하였으며, 사회적 지지는 우울에 영향을 주는 가장 중요한 요인이었고, 가족관계는 양 집단에서 유의한 차이는 있었으나 우울에 대하여 의미있게 설명하지 못하고 있다. ABSTRACTLife Events, Coping Styles, Social Support, and Family Relationships of Middle-Aged Depressed Women Jin-Wook Lee, M.D., Yim Kim, M.D., Sun-Mi Yi, M.S., Dong-In Kim, M.D., Heon-Jeong Eun, M.D. Department of Neuropsychiatry, Presbyterian Medical Center, Chonju The objective of this study was to explore the psychosocial factors such as life events, coping styles and family relationships in middle-aged depressed women. This study was designed to compare how different variables relate to depression in two different test groups : a depressed patient group and a normal group. The Beck Depression Inventory(BDI), The Ways of Coping Checklist, Interpersonal Support Evaluation List(ISEL), Family Environment Scale were administered to 116 depressed patients and 113 normal persons between the ages of 35 and 64. The results were as follows : 1) The highest stress was marital stress(n=42, 36.2%) in patient group and family stress(n=44, 38.9%) in normal group, respectively. 2) There were significant differences between patient group and normal group in BDI scores(t=15.94, p<.0001), life events(t=4.73, p<.0001), active copinig(t=6.29, p<.0001), social support(t=7.20, p<.0001), and family relationships(t=5.75, p<.0001) except for passive coping(t=0.93, p=.35). 3) In depressed patient group, BDI scores had a significantly positive correlation with the scores of the life events(r=.24, p<.01) and negative correlation with active coping(r= -.22, p<.01), social support(r= -.35, p<.001) and family relationships(r= -.30, p<.001). 4) In depressed patient group, multiple regression analysis showed that social support(12.3%, β= -.281, T= -3.162, P=.002), life events(5.1%, β=.279. T=3.195, P=.002), and active coping(3.5%, β= -.204, T= -2.225, P=.028) had predictability on the BDI scores and the total predictability was 20.9%. 5) Stress experienced in family relationships were highest in life events and there was a lack of consistency(in the BDI scores of the coping styles). Social support was the most important factor and there were no significant differences between the two groups in family relationships.

지난 2년간의 학회지 "신경정신의학" 심사 평가보고

김찬형,김세주,김도관,김성곤,박원명,송동호,박용천,이영문,오강섭,정영철,이상열,김주한,이동영,이헌정,함병주,김율리,김문두,김정진,이강욱,천근아,김재진,홍진표,홍승철 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

素問·脈解篇에 對한 硏究(Ⅱ)

李玗珍,鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

In Mac Hae Pyun(脈解編), pathological mechanisms are explained on the basis of the so-called "Eum-Yang (陰陽)"theory. In this paw, sentenses referred in "Hwang Je Nae Kyung(黃帝內經)" are construed as "soyue(所謂), and the six kyung diseases(六經病)-TaeYang(太陽)·YangMyung(陽明). SoYang(少陽)·TaeEum(太陰)·SoEum(少陰)·GuiIEum(厥陰)- are interpreted as elements belong to each month. Summerizing the contents of the "Mac Hae Pyun(脈解編)" in reference to the contents of successive generation note, the contents were as follows; What attracts our attention in chapter Ⅰ is pathologic explanations on the diseases which are catagorised as "the diseases of the TaeYang Meridian(太陽經脈病)", such as the edema of lumber and pain of gluteaI(종요수통), badger(跛), pain of nape(項强), sonitus(이오), insanily(顚狂), anepia(음) and anepia-badger(음비). What attracts our attention in chapter Ⅱ is pathologic explanations on the diseases which are catagorised as "the diseases of the YangMyung Meridian(陽明經脈病)", such as the pain of cardia and hypochondrium(心脇痛), cannot rotate body(不可反側), hyperpraxia(躍). What attracts our attention in chapter Ⅲ is pathologic explanations on the diseases which are catagorisedr as 'the diseases of the SoYang Meridian(少陽經脈病)", such as algor(振寒), paranalgesia(脛腫而股不收), arthma and edema(上喘而爲水), pain of thorax(胸痛少氣), pallor(??), agitated(獨閉戶??而居), psychosis(乘高而歌??依而走), headache and rhinostegnosis and edema of of celiac(頭痛????腹腫). What attracts our attention in chapter IV is pathologic explanations on the diseases which are catagorisedl as 'the diseases of the TaeEum Meridian(太陰經脈病)", such as meteorism(脹滿), eructation(噫), vomiting(嘔吐). What attracts our attention in chapter Ⅴ is pathologic explanations on the diseases which are catagorised as "the diseases of the SoEum Meridian(少陽經脈病)", such as the pain of lumber(腰痛), vomiting and tussis and arthma(구토해흠천식), vertigo(目無所見). anger(善怒), pallor(恐怖), anorexia(惡聞食臭), blackface and emptysis(面黑咳血), rhinostegnosis(????). What attracts our attention in chapter VI IS pathologic explanations on the diseases which are catagorisedl as "the diseases of the GuilEum Meridian(厥陰經脈病)", such as hernia and hypogastrium edema of female(퇴산귀인소복종), pain of lumber and vertebral(腰脊痛), hernia and dermedema(퇴륭산??창), fauces xeransis(익건).

인위 노화처리에 따른 들깨 종자의 활력변이 및 지방산 조성

이동진,김헌웅 한국국제농업개발학회 2004 韓國國際農業開發學會誌 Vol.16 No.3

본 실험은 옥동들깨와 대엽들깨를 공시하여 인위적 노화처리에 따른 발아특성, 유묘생육 및 지방산 함량을 검정하여 종자의 장기보존을 위한 기초자료를 얻기 위하여 수행하였는 바 그 결과를 요약하면 다음과 같다. 1. 옥동들깨와 대엽들깨 두 품종 공히 20, 25 및 30℃의 항온기에서 발아율, 평균 발아일수 및 발아속도가 무처리에 비하여 노화처리 기간이 길어질수록 저하되었다. 2. 초장, 근장 및 건물중은 무처리에서 가장 높았으며 노화 처리가 경과될수록 저하되는 경향으로 4일 처리에서 가장 낮았다. 3. 노화처리 기간이 길어질수록 포화지방산인 팔미트산과 스테아르산은 증가하였으나 불포화지방산인 리놀레산 및 리놀렌산은 감소하는 경향이었다. 4. 들깨종자의 발아율은 포화지방산함량과는 고도로 유의한 부의 상관을 보였으나 불포화 지방산함량과는 유의한 정상관을 나타냈다. The experiments were conducted to find changes of the germination, seedling growth and fatty acid composition as affected by artificial aging treatment in order to obtained information for the long-term conservation. The ratio of germination, average day required for germination and germination velocity were decreased with increasing duration of aging treatment. The plant height, root length, and dry weight were highest in control and lowest in four days aging treatment. The content of palmitic acid and stearic acid increased with increasing duration of aging treatment, but linoleic acid and linolenic acid decreased with increasing aging duration. The ratio of germination was highly negative correlated with the content of saturate fatty acid, while positive correlated with the content of unsaturate fatty acid.

여천공단의 대기공해문제와 대책

이진헌 인제대학교 1996 仁濟論叢 Vol.12 No.2

This study was conducted to evaluate air quality in the Youchun Industrial Complex, comparing with the air-quality-standards and large cities( Seoul and Ulsan) for five chemical species(SO2, NO2, O3, CO, TSP) and others. The monthly maximum concentrations of sulfur dioxide(SO2) and nitrogen dioxide(NO2) were 0.033-0.064 ppm and 0.054-0.128 ppm in 1994, respectively. Their levels were not compliance with annual-mean allowance levels(SO2 : 0.03ppm, NO2 : 0.05 ppm), and severer on November. The concentrations of ozone(O3) was higher than those of Seoul and Ulsan, especially above three times of 8-hr mean allowance level(0.08 ppm) on June and July. The rain were below pH 5.2 from 1991 to 1994. The concenrtations of hydrogen sulfide(H2S) were 0.012-3.8ppm. Its levels were above 10 times of the emission allowance level(0.2 ppm) at some places. The organic compoudes were detected at some places around the Youchun Industrial Complex. Especially, PAHs(polyaromatic hydrocarbons) and aromatic hydrogens were the worest air quality subjects.

GC/MS-SIM과 ³²P-postlabeling방법에 의한 염료와안료를 제조하는 사업장 근로자들의 방광암 조기발견을 위한 Biomarker개발에 관한 연구

이진선,신호상,김양호,노재훈,이범규 공주대학교 자원재활용신소재지역협력센터 2000 2차년도 센터 사업 성과집 Vol.2000 No.1

To develop the biomarker of non-invasive biomonitoring among workers who exposed benzidine-based dyes in its manufacturing and treating industries, we examined and evaluated the specific carciaogen-DNA adducts in exfoliated urothelial cells of 33 exposed workers. Samples were collected from urine of workers, and then isolated DNA from them. DNA adducts were analyzed using 32P-postlabeling, along with Nuclease P1. One adducts was predominated in those samples with 6 adducts present. It was formed in all exposed workers, but the others not. Its relative adducts level(RAL) was 73.2×107, which was statistically significantly higher than any other adducts' level(p<0.05). Analyzing regression between its RAL and employment period of workers, simple linear regression was positively increased with slop of 6.922(p<0.05, r2=0.548). And also, DNA adducts were analyzed using GC/MS-SIM, along with n-butanol extraction and trifluoroacetyl auhydride(TFA) derivatization. Standard material was synthetic N-(deoxyguanosin-8-yl)-N'-acetylbenzidine. The characteristics of sample and standard were observed on the same sites, such as M+(m/z 376) and M+(m/z 279) for benzidine-di-TFA and mono-TFA. And then, they were confirmed by analyzing with secondary ion mass(SIM). This study showed that benzidine-based dyes was formed one DNA adduct into significantly high levels in bladder of all exposed workers, its chemical formula was N-(deoxyguanosin-8-yl)-N'-acetylbenzidine. So we can do monitoring the workers with exfoliated urothelial cells of them by analyzing above DNA adduct as biomarker for preventing bladder cancer causing the exposure of the benzidine-based dyes.

한국의 서해연안 일부지역의 해양수질에 대한 조사연구

이진헌 7개 국립대학교 환경연구 논문집 공동발행 위원회 2001 환경연구논문집 Vol.1 No.1

The purpose of this study is he investigation of marine pollution at some parts of Yellow Sea. Sampling was done at eight places on May and September, and its places were divided by tow layers. One was upper layer which was 5m from the surface of sea, and another was lower layer which was 5m from the bottom of the sea. Subjects of marine pollution were temperature, pH, dissolved oxygen(DO), dissolved oxygen saturation, chemical oxygen demand(COD), suspended solid(SS), total phosphorous(T-P), total nitrogen(T-N), polychlorinated biphenyls(PCBs) and orgnanotin. The results were as follows. The marine pollution level of this area of Yellow Sea was 1st class about pH, but 3rd class about DO, DO saturation, COD, SS, T-P and T-N. Sea water quality between upper and lower layer was not statistically significant difference about DO(p=0.000) and DO saturation(p=0.02), but not significantly about temperature, pH, COD, SS, T-P and T-N. Temperature and SS were statistically significantly higher at September than May (p=0.000), but pH, DO, DO saturation and COD were significantly higher than at May than September(p=0.000). The average concentration of total PCBs was 2.1 × 10 exp(-6)㎎/L, and that of total organotin was 11.6 × 10 exp(-5) ㎎/L on May. But they not detected on September. Species of organotin was tetrabutyltin, monophenyltin, diphenyltin and triphenyltin. And Tributyltin(TBT) and others were not detected.

남제주 화력발전소의 증설과 저감대대책의 영향 분석

이화운,김유근,정우식,오은주,임헌호,노순아,반수진,최현정,김민선,김헌숙 부산대학교 환경문제연구소 2002 環境硏究報 Vol.20 No.-

In the view of the results investigated the effect of air pollutants that is emitted from a new generator facilities, the total estimated concentration which is the summation of a contributional concentration and observational concentration is much less than that of atmospheric environment criterion for the air pollutants. So we can predict that the operation of the new generator facilities with mitigation equipment don't seriously affect around environment. At the same time, we compared the contributional concentration of before mitigation equipment with that of after it to examine the decreasing amount due to mitigation equipment. The result showed that the concentration of SO2, NO2 and PM-10 is reduced to 25%, 30% and 26% of original value, respectively.

중년기 우울증 여성의 생활사건, 대처방식, 사회적 지지 및 가족관계

이진욱,김임,이선미,은헌정,김동인 예수병원 1998 예수병원학술지 Vol.19 No.-

잠복원발종양의 원발병소 진단시 내시경 유도하 생검 및 구개편도적출의 진단적 의의

김세헌,김광문,이준협,이승수,서진원,홍원표 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.3