농촌지역중학생의섭식장애와부모-자녀의사소통과의관계

김계하,양경미 한국간호과학회 2008 Journal of Korean Academy of Nursing Vol.38 No.1

Purpose: The purpose of this study was to examine the relationship between eating disorders and parent-adolescent communication in middle school students. Method: There were 267 adolescents taken as participants from two middle schools in rural areas. Data were collected from June to July 2005, using the Eating Disorder Inventory-2 questionnaire (23 items) and Parent-Adolescent Communication Inventory (10 items for open family communication, 10 items for problem in family communication). The SPSS Win version 12.0 was used for descriptive analysis, t-test, and partial correlation coefficient. Result: The mean score on the eating disorder was 2.74 (range: 1-6). Meanwhile, the mean scores on the parentadolescent communication was 3.37 (range: 1-5). There were significant differences in eating disorders according to gender, age, negative perception of the participant's body weight, family’s perception of obesity, diet experiences, and BMI. Eating disorders showed a significant negative correlation with parent-adolescent communication. Conclusion: In this study, there was a significant negative correlation between eating disorders and parent-adolescent communication. In order to prevent an eating disorder, education and training to enhance communication skills should be provided to adolescents and their parents as well. Purpose: The purpose of this study was to examine the relationship between eating disorders and parent-adolescent communication in middle school students. Method: There were 267 adolescents taken as participants from two middle schools in rural areas. Data were collected from June to July 2005, using the Eating Disorder Inventory-2 questionnaire (23 items) and Parent-Adolescent Communication Inventory (10 items for open family communication, 10 items for problem in family communication). The SPSS Win version 12.0 was used for descriptive analysis, t-test, and partial correlation coefficient. Result: The mean score on the eating disorder was 2.74 (range: 1-6). Meanwhile, the mean scores on the parentadolescent communication was 3.37 (range: 1-5). There were significant differences in eating disorders according to gender, age, negative perception of the participant's body weight, family’s perception of obesity, diet experiences, and BMI. Eating disorders showed a significant negative correlation with parent-adolescent communication. Conclusion: In this study, there was a significant negative correlation between eating disorders and parent-adolescent communication. In order to prevent an eating disorder, education and training to enhance communication skills should be provided to adolescents and their parents as well.

의사소통 장애아동을 위한 비구어적 의사소통에 관한 최근 연구 검토

이상희(Lee Sang-Hee) 한국유아교육·보육복지학회 2007 유아교육·보육복지연구 Vol.11 No.4

  의사소통이란 두 사람 또는 그 이상의 사람들 사이에서 태도와 생각, 사실과 정보를 전달하고 교환하는 상호적인 과정이다. 대부분의 비장애아동은 언어를 사용하여 의사소통을 하지만 의사소통 장애아동은 언어 외에도 매우 다양한 방법으로 의사소통을 시도한다. 본 연구는 의사소통 장애아동의 비구어적인 의사소통에 관한 최근의 연구 동향을 중심으로 알아보고자하였다. 구체적인 연구 목적은 다음과 같다. 첫째, 의사소통 기능의 의미와 분류 체계에 관하여 살며본다. 둘째, 의사소통 장애아동의 보완ㆍ 대체의사소통 기능에 관하여 살며본다. 셋째, 의사소통 장애아동의 보완ㆍ대체의사소통 중재 전략에 관하여 살펴본다.<BR>  이러한 연구 결과를 바탕으로 의사소통 장애아동의 보완ㆍ대체의사소통을 통하여 특수교육 현장에서 효과적인 중재를 실행하기 위한 기초 자료가 될 것으로 제시한다.   Communication is a mutual process of transmitting and exchanging attitudes, ideas, facts and information among two people or more. Most children without communication disorder communicate using the language but those with communication disorder attempt to communicate in very many ways in addition to using the language. This study was aimed to investigate the recent trend in non-verbal communication by children with communication disorder. The specific purpose of this study is to examine, firstly, the sifnificance and classification system of communication functions, secondly, the augmentative and alternative communication function of children with communication disorder, thirdly, the strategy for mediation in augmentative and alternative communications of children with communication disorder.<BR>  Based on the study result, this study suggests basic data to conduct intervention effectively on the field of special education through augmentative and alternative communications of children with communication disorder.

의사소통 장애와 치유의 문제

이봉원 ( Bong Won Yi ) 경희대학교 인문학연구원 2012 인문학연구 Vol.0 No.21

의사소통의 문제가 개인의 삶에 부정적인 영향을 지속적으로 주는 것이 의사소통 장애이다. 의사소통 장애의 유형은 매우 다양하지만 크게 말장애, 언어장애, 청각장애로 나누어 볼 수 있다. 의사소통 장애에 대한 학문인 언어병리학은 인접 학문과의 교류를 바탕으로 하여 짧은 시간 동안 많은 성과를 이루어냈다. 의사소통장애의 여러 문제는 적절한 진단과 치료를 통해 개선될 수 있다. 제도의 개혁과 인력 양성, 학문적 성과의 측면에서 이 분야는 계속 발전하고 있다. 의사소통 장애는 누구나 직면할 수 있으며 개인의 삶에 중대한 문제를 야기한다. 최근에는 사회의 변화에 따라 장애의 차원이 아니지만 의사소통의 문제가 사회 통합을 저해하는 여러 사례가 나타나고 있다. 의사소통은 개인적인 차원의 문제이기도 하지만 공동체의 차원에서도 해결되어야 하는 것이다. 인문학적 견지에서는 의사소통 장애를 가진 사람들이 공동체적 통합의 경험을 공유할 수 있도록 하는 것이 중요하다. 의사소통 장애의 치유는 삶의 관점에서 접근해야 하는 것이다. 언어병리학은 의사소통 장애인들이 사회와 연결될 수 있는 기본 도구를 제공할 수 있지만, 그 의사소통이 사회에서 수용되고 확장되어 의사소통의 총량이 늘어나려면 다른 차원의 문제가 해결되어야 한다. 의사소통 장애가 당사자나 관련 전문가의 영역이 아니라 우리 모두의 삶의 문제임을 공유해야 하는 것이며, 인문학의 역할을 여기에서 찾을 수 있을 것이다. Communication disorders give a negative impact on the lives of individuals. There are many different types of communication disorders, but usually can be divided into speech disorders, language disorders and hearing disorders. Speech-language pathology has made many achievements in communication disorders. Anyone can face communication disorders, which can be improved through proper diagnosis and intervention. In recent years, the dimensions of the communication problems that hinder the social integration have been appearing with according to society`s change. Communication disorders are matters of individual level but also areas of community to be resolved. It is important that people with disabilities in the community share the experience of integration. Healing of communication disorders should be approached from the perspective of life is. Speech-language pathology has provided the basic tools to approach the problems, but the solutions have to be expanded to increase the total amount of communication with others. Communication disorders and social issues are not the domain of specialists, but the challenge to be shared to all of our lives; the role of the humanities will be found here.

간호사의 노인에 대한 인식과 의사소통과의 관계

유명환,강지숙 한국노년학회 2021 한국노년학 Vol.41 No.4

This study was performed to utilize for foundation data of research related nursing communication and developing nursing intervention by examining the relationship between nurses' perception of the elderly and communication. This study is a descriptive research using a set of questionnaires that examines the relationship between nurses who provide care to the elderly by confirming their perception of the elderly, communication difficulties with the elderly, communication behavior, and satisfaction with communication. After IRB approval, data were collected either face-to-face survey or by online survey. A total of 292 nurses participated in this study. The collected data were analyzed as descriptive statistics, t-test and ANOVA, Duncan test and Pearson's Correlation Coefficients, Multiple Regression Analysis by using SPSS/WIN 26 program. As a result, a significant correlation was identified between perception of the elderly and communication disorders, communication behavior, and communication satisfaction. We found that nurses who had more positive perceptions about the elderly had less communication disorders, better communication behaviors, and higher communication satisfaction with the elderly. From this result, we suggest that nurses caring for the elderly should receive education on communication methods with elderly to improve their perception. Furthermore, we suggest future studies to improve nurse's perception of the elderly and communication. 본 연구는 간호사의 노인에 대한 인식과 의사소통과의 관계를 파악하여 간호사의 의사소통 관련 연구 및 간호 중재 개발의 기초자료로 활용되고자 하는 목적으로 시도되었다. 본 연구는 노인에게 돌봄을 제공하는 간호사를 대상으로 간호사의 노인에 대한 인식, 노인과의 의사소통 장애, 의사소통 행위, 의사소통 만족을 확인하고 그 관계를 조명하는 설문지를 이용한 서술적 조사연구이다. 자료수집은 IRB 승인을 받은 후 노인에게 돌봄을 제공하는 병원 및 관련기관에 근무하는 간호사를 대상으로 면대면 조사와 구글엔진을 통한 온라인 자료수집을 병행하여 진행되었고, 총 292명이 참여하였다. 수집된 자료는 SPSS/WIN 26 프로그램을 사용하여 기술통계, t-검정과 ANOVA, 사후검증으로 Duncan test, Pearson’s Correlation, 다중회귀분석으로 분석하였다. 그 결과, 노인에 대한 인식과 의사소통 장애, 의사소통 행위, 의사소통 만족도 간에 유의미한 상관관계를 확인할 수 있었으며, 노인에 대한 인식이 긍정적일수록 의사소통장애는 감소하고 의사소통 행위는 좋아지며 노인과 의사소통 만족도가 높아짐을 확인 할 수 있었다. 따라서 실무적으로 노인을 만나는 간호사의 의사소통 교육과 함께 노인에 대한 인식 향상과 관련된 교육 또한 이루어져야 될 것이다. 또한, 관련하여 간호사의 노인에 대한 인식 향상과 의사소통 향상에 대한 추가적인 연구가 필요할 것으로 사료된다.

사회적 의사소통장애 연구 문헌분석

이은주,오소정 한국특수아동학회 2019 특수아동교육연구 Vol.21 No.2

Purpose: A social communication disorder was added to DSM-5 as a new diagnosis name for language disorders. However, the researches on social communication disorders were not enough in Korea and abroad. The study looked at how the studies related to social communication disorders were being carried out worldwide. Method: From 2012 to 2019, the study selected 10 domestic and foreign studies for the school aged social communication disorders published in the journals and analyzed the research methods, independent variables, social language evaluation testing tools, and research results. Results: Children with social communication disorders had similar characteristics in other children with neurodevelopmental disorders (ASD, ADHD, etc.) on defective social communication skills. In this regard, the studies of children with social communication disorders were mainly conducted on the design of language ability comparison and diagnostic evaluation methods in ASD and DLD, or significant treatment methods. Conclusion: The above results show that we need to make clear the distinction between appropriate diagnostic evaluation methods and treatments for the new diagnosis name as social communication disorders. 연구목적: DSM-5에 새로운 언어장애 진단명으로 사회적 의사소통장애가 첨가되었다. 그런데 현재 국내·외적으로 사회적 의사소통장애에 대한 연구가 미비한 편이다. 이에 이번 연구를 통해 사회적 의사소통장애와 관련된 연구가 세계적으로 어떻게 진행되고 있는지를 살펴보고자 한다. 연구방법: 2012년부터 2019년까지 저널에 발표된 학령기아동 대상의 국내·외 10편의 논문을 선정하여, 연구대상 연구방법, 독립변수 종속변수, 사회적 언어평가 검사도구, 연구결과 등을 분석하여 보았다. 연구결과: 사회적 의사소통장애 아동은 다른 신경발달장애(ASD, ADHD 등)아동과 사회적 의사소통능력 결함에 있어 유사한 특징을 보인다. 이에 사회적 의사소통장애 아동들에 대한 연구들은 ASD 및 DLD 과의 언어능력 비교 및 진단평가 방법의 고안, 또는 유의미한 치료방법에 대한 연구가 주로 진행되었다. 결론: 이상의 결과를 통해 우리는 사회적 의사소통장애라는 새로운 언어장애 아동 구분법에 맞는 적합한 진단 평가방법과 치료법에 대한 구분이 명확해져야 함을 알 수 있었다.

사회적(실용적) 의사소통장애의 개념과 등장 배경

송희선 한독심리운동학회 2025 심리운동연구 Vol.11 No.1

현재 새로운 진단 범주를 완전히 뒷받침하거나 사회적(실용적) 의사소통장애를 다른 발달 상태와 구별하는 사회적 의사소통의 측면을 확인하는 데 도움이 되는 연구 증거는 아직 많이 부족하다. 사회적 의사소통 장애와 실용적 언어 결함은 본질적으로 지속될 가능성이 높고 여러 발달적 성과의 영향을 받는 광범위한 현상을 구성한다. 사회적 의사소통과 실용적 언어 기술은 반드시 하나가 아니다. 실용적 언어가 맥락에서 언어를 이해하고 사용하는 것으로 간주된다면 많은 아동이 추론 및 모호성 해결과 같은 실용적 언어 과제에서 성공하지만 성공적인 사회적 의사소통의 뉘앙스에 도전받을 것이다. Research evidence is still lacking to fully support current new diagnostic categories or to help identify aspects of social communication that distinguish social(pragmatic) communication disorders from other developmental conditions. Social communication disorders and practical language defects constitute a wide range of phenomena that are likely to persist in nature and are affected by several developmental outcomes. Social communication and practical language skills are not necessarily one. If practical language is considered to understand and use language in context, many children will be challenged by the nuances of successful but successful social communication, such as reasoning and ambiguity resolution. In order to establish the validity of social(pragmatic) communication disorders as diagnostic entities, clinical studies should be able to explain consistent clinical phenomena, and culturally and ecologically valid assessment tools with appropriate levels of inter-assessor and retest reliability should be developed to improve the consistency of diagnosis. In addition, there should be a clear comparison of practical profiles across various neurodevelopmental disorders, charting the developmental pathways of children with social(pragmatic) communication disorders, and monitoring the stability of the diagnosis over time. To do this, a family study should also be conducted to begin elucidating the relationship between the causes of this disorder and other neurodevelopmental disorders, and also interventional studies are urgently required as they provide a means to test theories on the assumed causes and consequences of social(pragmatic) communication disorders.

의사소통장애에 대한 초등 일반교사와 특수교사의 인식

신명선(Myung Sun Shin) 한국언어치료학회 2016 언어치료연구 Vol.25 No.4

Purpose: The purpose of this study was to examine regular and special education teachers’ perceptions related to communication disorders, including confirming children with communication disorders in class, as well as developing a better approach for helping children. Methods: For this purpose, a questionnaire survey was completed by 60 regular teachers and 70 special education teachers. The major content of the questionnaire included awareness of teachers about characteristics of communication disorders, importance of teachers’ roles related to communication disorders, educational experience and the like. Results: First, according to the study on perceptions of regular teachers and special education teachers in elementary school on communication disorder characteristics, special education teachers perceived characteristics of communication disorders as being more important than did regular teachers. Moreover, special education teachers perceived communication disorders of articulation and voice disorder more often than regular teachers. Second, according to role perceptions of the teachers regarding communication disorders, all teachers tended to recognize the important role of the teacher in the communication disorders. The special education teachers identified the necessity of speech-language rehabilitation and administrative support systems for treatment to prepare appropriate lessons more often than regular teachers. The regular teachers recognized the importance of avoiding imitating language issued and finding peers to help children with communication disabilities. Conclusions: This study is significant in that it gives an accurate understanding of the perception of regular and special education teachers’ perceptions of communication disorders. It is expected that these result will be helpful for finding a better direction to successfully perform speech therapy support in school settings.

예술-언어 통합 치료가 경도 신경인지장애 노인의 의사소통에 미치는 영향

천정민(Jeong Min Cheon),김화수(Wha Soo Kim) 한국언어치료학회 2016 한국언어치료학회 학술발표대회 논문집 Vol.2016 No.12

Purpose: This study targeted to investigate the effects of art and language integrated therapy on improving communication abilities by performing the program with elderly people with mild neurocognitive disorder whose levels of decline of cognition abilities are between normal aging and dementia. Methods: Looked into the effects of art and language integrated therapy on experiment group(12 elderly people with mild neurocognitive disorder) who took part in it and control group(12 elderly people with mild neurocognitive disorder) who did not took part in it. Holden Communication Scale was carried out to look into changes in communication abilities. Results: As a result of providing elderly people with mild neurocognitive disorder with art and language integrated therapy, communication abilities showed improved results in after evaluation rather than before evaluation. Thus, art and language integrated therapy appeared to have positive effects on communication abilities of elderly people with mild neurocognitive disorder. Conclusions: Art and language integrated therapy appeared to have positive effects on elderly people with mild neurocognitive disorder. On the basis of the result, the program can be utilized for rehabilitation and prevention of dementia for elderly people with mild neurocognitive disorder later in clinical scene. Also it can provide basic data to carry out specific and various programs involving rehabilitation of communication abilities of elderly people in fields of study related with mild neurocognitive disorder.

취학 전 조음·음운장애 아동의 내면적 특성 연구

조양아(Yang A Jo),김유경(Yu Kyung Kim) 한국언어치료학회 2017 언어치료연구 Vol.26 No.3

Purpose: The purpose of this study was to investigate the internal characteristics of preschool children with articulation-phonological disorder. Communication failure experienced in communication activities could lead to negative internal characteristics for children with articulation-phonological disorder. Accordingly, this study investigated differences in self-esteem, self-efficacy, and communication attitudes in 5- to 6-year-old children with articulation-phonological and normal children. Methods: Participants included a total of 30 children (mean age: 69.86 months), 15 preschool children with articulation-phonological disorder (APC) and 15 normal children (NC) matched for chronological age. To measure self-esteem, self-efficacy and communication attitudes, the experimenter asked a question directly to the child. An independent sample t-test was conducted to compare differences between APC and NC groups in total scores and sub-scale scores of self-esteem, self-efficacy and communication attitude. In addition, correlation was analyzed between self-esteem, self-efficacy, communication attitude, and PCC to investigate correlation with internal characteristics and external characteristics (PCC) or between internal characteristics in APC. Results: The results showed that there were significant differences in self-esteem, self-efficacy, and communication attitudes between groups. The self-esteem scores and self-efficacy scores of APC were lower than those of NC. The communication attitudes scores of APC were higher than NC. A Pearson correlation revealed a significant negative correlation between self-esteem and communication attitudes in APC. However there were no significant correlations between internal characteristics and PCC in APC. There were significant negative correlations between self-efficacy and communication attitudes in NC. Conclusions: Intervention and assessment in preschool children with articulation-phonological disorder need to consider internal characteristics. Early counseling for internal characteristics in APC may prevent negative secondary effects partly attributed to speech problems.

국내 의사소통장애 아동의 부모교육 효과에 관한 체계적 문헌고찰

이영미(Youngmee Lee),박희선(Heesun Park),이유진(Youjin Lee) 한국언어청각임상학회 2021 Communication Sciences and Disorders Vol.26 No.3

배경 및 목적: 본 연구는 최근 20년간 의사소통장애 아동의 부모교육에 관한 전반적인 연구 동향을 살펴보고, 향후 부모교육 연구의 시사점을 탐색하고자 시행되었다. 방법: 체계적인 문헌고찰 방법에 따라 2001년부터 2020년까지 국내 학술지에 게재된 부모교육 논문19편의 질적평가를 실시하고, 부모교육의 특성과 내용, 효과성 중심으로 분석하였다. 결과: 본 연구에서 선정된 19편의 논문은 전반적으로는 비뚤림 위험이 낮았으며, 부모교육 논문은 연간 1편 미만으로 출판이 저조하였다. 선정된 논문의 실험 참여자는 상당수가 어머니와 아동이었으며, 주로 취학전 아동을 대상으로 실시되었다. 프로그램 적용 연구에서는 실험연구를 통해서 효과성을 검증하고 있었으며, 의사소통장애 아동의 부모교육과 관련된 질적연구는 진행되지 않았다. 부모교육 프로그램의 구성 내용은 부모의 의사소통 전략향상을 통한 아동의 의사소통 행동 변화에 초점을 두고 있었으며, 중재효과는 긍정적이었다. 논의 및 결론: 의사소통장애 아동의 장애유형, 부모 요구, 사회 변화를 고려한 부모교육 프로그램의 개발과 적용 연구가 필요하며, 부모교육 프로그램의 정착과 확산을 위해서 효과적인 부모교육의 콘텐츠 및 코칭전략에 대한 개발도 필요할 것이다. Objectives: The purpose of this study was to review the research trends in regards to parent training and the speech and language development of children with communication disorders in Korea, to evaluate the effectiveness of parent training for improvement of children’s communication skills, and to provide evidence-based directions for parent training. Methods: A search of 4 databases, and manual searching resulted in the identification of 1,222 relevant articles in domestic journals. The 19 articles published from 2001 to 2020 in domestic journals were selected according to the Participants, Intervention, Comparison, and Outcomes (PICO) criteria. Three authors did article selection, data extraction, and quality assessment using the Risk of Bias for Nonrandomized studies (ROBANS). Results: First, the quality of selected articles was high overall. Second, very few studies have empirically examined the effectiveness of parent training intervention on the speech and language development of children with communication disorders. Third, most programs have been provided for mothers and no program focused on supporting fathers. Most programs focused on infants, toddlers, and preschoolers with communication disorders. Fourth, regarding studies on research type and method of data collection; most studies were conducted by experimental study. Lastly, areas of measurement involved participant interactions, development, parent perceptions, and parent experiences. The research studies reported positive effects of parent training intervention on the speech and language development of children with communication disorders. Conclusion: Based on these results, we discussed the limitations of identified studies and limitations of the current systematic review are discussed, as well as implications of the findings for research and practice for children with communication disorders regarding parent training intervention.