품행장애 청소년을 위한 외래집단정신치료 치료요인

이후경,김선재,차정화,봉수연,안현주 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

연구목적: 집단정신치료는 또래집단을 중요시하는 품행장애 청소년의 치료로서 매우 효과적인 것으로 알려져 있으나 한국에서는 아직 활성화되지 못하고 있다. 이에 따라 저자들은 품행장애 청소년에게 효과적으로 적용될 수 있는 폐쇄형, 동질적인, 시간제한(10회), 외래집단정신치료를 주 1회 실시하였다. 본 연구의 목적은 ①품행장애 청소년을 대상으로 집단정신치료를 시행하여 효과성을 평가하고, ②치료요인을 조사하여, ③ 집단정신치료를 품행장애 청소년에게 효과적이면서 효율적으로 적용될 수 있는 치료방법으로 정착시키는 데 있다. 대상 및방법: 본 연구는 1998년 10월붜 12월까지, 1999년 4월부터 6월까지 두차례에 걸쳐 실시하였다. 대상군은 품행장애 범주에 해당하는 H고교 2학년 여학생 총 18명(4명 도중 탈락), 대조군은 같은 범주에 해당하는 H고교 2학년 여학생 중 치료에 참여하지 않은 총 18명(4명 도중 탈락)이었다. 평가도구로는 프로그램 실시 전후에 자기보고식 비행척도, 공격성척도, 충동성척도을 시행하였고, 매 회기가 끝난 직후 Yalom의 13가지 치료요인척도, 집단치료 만족도 설문지를 시행하였으며, 종결모임시 총평가 설문지를 시행하였다. 결과: 치료요인의 변화를 집단발단단계에 따라 전후반기로 나누어 비교하였을 때, 전반기(1∼5회)에 상위를 차지한 치료요인은 순서대로 실존적인자, 보편성, 카타르시스, 리더와의 동일시, 구성원과의 동일시이었으며, 후반기(6∼10회)에 상위를 차지한 치료요인은 카타르시스, 실존적인자, 리더와의 동일시, 구성원과의 동일시, 구성원의 조언이었다. 전반기에 비해 후반기에 상대적으로 카타르시스, 구성원의 조언이 상승하였고 보편성은 하락하였다. 이타주의와 일차가족집단의 교정적 반복발달은 전후반기 모두 최하위를 기록하였다. 집단치료 만족도 설문에서 전반기는 45.7%, 후반기에는 83.3%가 도움받는 것으로 나타났고, 총평가 설문에서 85.7%가 기회가 있다면 다음에도 참여하고 싶다고 보고하였다. 결론: 시간제한 외래집단정신치료가 품행장애 청소년 에게 적용할 때 매우 효과적이면서도 만족도가 높은 것으로 나타났다. 청소년을 대상으로 외래집단정신치료를 시행하는 것은 구성상의 어려움, 동기부족, 기금부족 등, 여러 제반 문제가 있으나 확대 시행되어야 할 것으로 생각된다. Objectives: Group psychotherapy is known to be an dffective treatment program for adolescents who attach importance to peer relationship, but it is not activated in Korea. Therefore, researchers performed weekly the closed, homogeneous, time-limited(10 sessions), outpatient group psychotherapy for adolescents with conduct disorder. Objectives of this study were as follows ; first, we practiced the group psychotherapy for adolescents with conduct disorder and evaluated its effectiveness ; second, we examined the therapeutic factors which were used by participants ; third, we intended to settlee down the group psychotherapy for adolescents with CD as an effective and efficient treatment modality. Methods: This study was performed two times from October to December in 1998 and from April to June in 1999. It was sponsored by Youth Counselling Center in H city. The case group were composed of 15 female students who were second grade in H high school, and 4 students were dropped out. The control group were composed of 18 female students who were same grade in H high school and 3 students were dropped out. Before and after this program, self-report delinquency scale, aggression scale and impulsivity scale were asked to them. And just after each session, Yalom 13 therapeutic factors scale and satisfaction questionnaire for group psychotherapy were asked to them. And at last meeting, total assessment questionnaire was asked to them. Results: We compared the change of therapeutic factors between the former half sessions (1-5) and the later half session(6-10), and the results were as follows ; in the former half, the upper ranks of therapeutic factors were existential factor, universality, catharsis, identi- fication with leader, and identification with members in order. And in the later half, the upper ranks of therapeutic factors were catharsis, existential factor, identification with leader, identi - fication with members, and guidance of members in order. The rank of catharsis and guidance of members went upward and the rank of universality went downward when we compared the ranks in the former half to those in the later half. Altruism and family enactment were the lowest ranked in both half. The satisfaction questionnair for group psychotherapy showed to be helped by participants at the rate of 45.7% in former half, 83.3% in later half. The total assessment questionnaire showed the willingness of re-participation at the rate of 85.7% if future opportunity of group psychotherapy is given for them. Conclusions: The time-limited group psychotherapy for adolescents diagnosed by conduct disorder was very effectively practiced and the participants reported high level of the satisfaction. The outpatient group psychotherapy for adolescents would be expanded and practiced though there are several accompanied problems including the difficulty of structuring, the deficit of motivation, and financial problem.

한국 중년기 남녀의 건강상태 및 건강 관리 행동 : 성별, 연령집단별 차이를 중심으로 Focused on Gender and Age-group Differences

한경혜,이정화,Ryff. C.,Marks. N.,옥선화,차승은 대한가정학회 2003 Human Ecology Research(HER) Vol.41 No.1

The purpose of this study is to examine the health status and health behavior of middle-aged Korean men and women. Even though there has been increased concern about extremely high mortality rate of Korean middle-aged men and mental health problems of middle aged women, there is a dearth of empirical studies which examine the health status and health behavior of middle-aged men and women in Korea. This study atternpts to frll these gaps. Data gathered from 1,667 men and women aged between 30-59 are analyzed to examine the level of physical health, mental health, perceived health and health behavior and to explore the gender and age group differences in these aspects. The results show that there exist gender difference and age group difference in health status: Women are less healthy than men and as age increased health status declined. Women at their 50s are least healthy and most unhappy suggesting age and gender interaction in health status. There exist a gender difference in health behavior: Mne have regular check-ups more frequently than women and exercise more. These results are discussed in terms of the gender difference in the experiences, social roles and life styles over the life course.

Corn silk extract improves cholesterol metabolism in C57BL/6J mouse fed high-fat diets

Cha, Jae Hoon,Kim, Sun Rim,Kang, Hyun Joong,Kim, Myung Hwan,Ha, Ae Wha,Kim, Woo Kyoung The Korean Nutrition Society 2016 Nutrition Research and Practice Vol.10 No.5

BACKGROUNG/OBJECTIVES: Corn silk (CS) extract contains large amounts of maysin, which is a major flavonoid in CS. However, studies regarding the effect of CS extract on cholesterol metabolism is limited. Therefore, the purpose of this study was to determine the effect of CS extract on cholesterol metabolism in C57BL/6J mouse fed high-fat diets. MATERIALS/METHODS: Normal-fat group fed 7% fat diet, high-fat (HF) group fed 25% fat diet, and high-fat with corn silk (HFCS) group were orally administered CS extract (100 mg/kg body weight) daily. Serum and hepatic levels of total lipids, triglycerides, and total cholesterol as well as serum free fatty acid, glucose, and insulin levels were determined. The mRNA expression levels of acyl-CoA: cholesterol acyltransferase (ACAT), cholesterol 7-alpha hydroxylase (CYP7A1), farnesoid X receptor (FXR), lecithin cholesterol acyltransferase (LCAT), low-density lipoprotein receptor, 3-hyroxy-3-methylglutaryl-coenzyme A reductase (HMG-CoA reductase), adiponectin, leptin, and tumor necrosis factor ${\alpha}$ were determined. RESULTS: Oral administration of CS extract with HF improved serum glucose and insulin levels as well as attenuated HF-induced fatty liver. CS extracts significantly elevated mRNA expression levels of adipocytokines and reduced mRNA expression levels of HMG-CoA reductase, ACAT, and FXR. The mRNA expression levels of CYP7A1 and LCAT between the HF group and HFCS group were not statistically different. CONCLUSIONS: CS extract supplementation with a high-fat diet improves levels of adipocytokine secretion and glucose homeostasis. CS extract is also effective in decreasing the regulatory pool of hepatic cholesterol, in line with decreased blood and hepatic levels of cholesterol though modulation of mRNA expression levels of HMG-CoA reductase, ACAT, and FXR.

γ-Aminobutyric Acid가 개구리 심장활동에 미치는 영향

차영선,최태일,박재화,이계열 고려대학교 의과대학 1965 고려대 의대 잡지 Vol.2 No.1

Since GABA was identified as a normal metabolic mediator in central nervous system of mammals, many investigators are willing to make clear the functional role of it. It was reported that GABA had a depressive action of the arterial blood pressure by Takahashi, Elliot, Cha and Lee etc. To detect the depressive mechanism of blood pressure, isolated heart of frog was perfused by Ringer with GABA, acetylcholine, adrenaline, atropine according to Yaki-Straub's technique. The results obtained were as followings: 1) GABA decreased the amplitudes of 2-3 beats immediately after GABA added and increased the amplitudes gradually to the maximum by 10 percent about one minute later. 2) GMA inhibited the positive inotropic action of adrenaline. 3) The action of acetylcholine was potentiated by GABA and the action of acetylcholine after GABA was more marked than added with at the same time. 4) Atropinization did not influence for the action of GABA.

안검연외전술의 임상경험

정화선,김채주,차순철 영남대학교 의과대학 1992 Yeungnam University Journal of Medicine Vol.9 No.1

저자들은 반흔성 안검내반, 검연성 안검내반 및 안검하수교정술후 발생한 안검내반 환자 28명 54안에 대하여 안검연외전술을 시행하였다. 상안검이 28례, 하안검이 26례였으며, 성별은 여자 환자가 20명 남자환자가 8명이었고 연령은 4세에서 74세(평균 51.1세)이었다. 술후 6-48개월간 경과관찰을 하여 45례에서는 술후 피부반흔은 거의 없었고 안검연의 외전효과가 훌륭하여 만족할 만한 결과를 얻었다. 그러나 심한 첩모난생을 가진 검연성 안검내반 환자 9예에서는 첩모난생이 재발하여 이에 대한 이차적 치료가 요망되었다. Fifty-four marginal rotation procedures for cicatrical entropion and marginal entropion were performed in twenty-eight patients(8 males, 20 females). The age ranged from 4 to 74 years old(mean 51.1 years old). After the follow up periods of 6 to 48 months, excellent correction of the eyelid margin and good cosmetic appearance were noticed in most cases, but nine cases combined with severe trichiasis showed recurred trichiasis requiring reoperation.

Father's Involvement in Rearing School-age Children Affecting on Mothers' Marital Satisfaction

Donghyuk Cha,Sun Wha Ok 가정과삶의질학회 2011 한국가정관리학회 학술발표대회 자료집 Vol.2011 No.5

청소년의 여가문화활동이 자기조절능력, 학업성취도 및 자아존중감에 미치는 영향: 부의 학력에 따른 차이를 중심으로

차동혁 ( Cha Donghyuk ),옥선화 ( Ok Sun Wha ) 한국보건사회연구원 2014 保健社會硏究 Vol.34 No.1

주5일 근무제의 전면 시행 및 여가문화의 확산과 함께 청소년의 여가문화활동의 중요 성이 제기되면서 이에 대한 지원이 가족뿐만 아니라 학교와 지역사회, 정부의 정책 단위 에서도 이루어지고 있다. 본 연구에서는 이러한 청소년의 여가문화활동이 청소년의 교양을 함양하고 균형 있는 성장을 도모할 것을 목적으로 하는 문화자본으로 인식하고, 여가문화활동이 실제로 청소년의 균형 있는 성장에 영향을 미치는지를 살펴보고자 하였다. 이를 위하여 본 연구에서는 한국청소년정책연구원이 2012년에 실시한 3차 한국아 동·청소년패널조사 자료 중 중학교 3학년 1,673명을 대상으로, 여가문화활동이 자기 조절능력과 학업성취도, 자아존중감에 영향을 미치는 구조적 관계를 분석하였고, 이 관 계가 부의 학력에 따라 차이를 보이는지 확인하였다. 그 결과, 청소년의 여가문화활동은 자기조절능력과 학업성취도, 자아존중감에 모두 유의한 정적 직접효과를 가졌으며, 자기조절능력을 매개로 학업성취도와 자아존중감에 미치는 정적인 간접효과도 유의하였다. 이러한 청소년 여가문화활동의 영향력에 대한 부의 학력의 조절효과는 유의미하지 않았다. 이는 부모의 문화자본에 관계 없이 청소년의 여가문화활동이 체화된 문화자본으로 기능하여 청소년의 학업 성취와 자아존중감에 미치는 영향력이 유지된다는 의미이며, 청소년의 균형 있는 성장을 위하여 사회 계층에 관계없이 청소년이 여가문화활동에 참여할 수 있도록 적극 지원해주어야 함을 시사한다. Along with the enforcement of the five-day work week, adolescents` leisure and cultural activities have been recognized so important that families, schools, local communities, and the government are trying to provide support for these activities. In this research, we regarded adolescents` leisure and cultural activities as a kind of embodied cultural capital which have the intention to educate them as a person of culture with balanced human development. With this regard, we examined whether or not adolescents` leisure and cultural activities had an effect on their balanced growth. We chose 1,673 middle school seniors from the third wave of Korea Children and Youth Panel Survey conducted in 2012 by National Youth Policy Institute. Then, we analyzed the effects of adolescents` leisure and cultural activities as embodied cultural capital on their self-regulation, academic achievements, and self-esteem. The results showed that adolescents` leisure and cultural activities had not merely significant positive direct effects on all the three latent variables but significant positive indirect effects on the academic achievements and the self-esteem mediated by the self-regulation. The fathers` educational level did not moderate these influences of adolescents` leisure and cultural activities. This means that these influences can be maintained equally, irrespective of parents` cultural capital. It also suggests that families, schools, local communities, and the government all should highly encourage adolescents to participate leisure and cultural activities regardless of their social classes.

굴곡광원을 사용한 비강내 누기수술법

정화선(Wha Sun Chung),김일경(Il Kyung Kim),차순철(Soon Cheol Cha) 대한안과학회 1995 대한안과학회지 Vol.36 No.5

Encapsulated‐Dye All‐Organic Charged Colored Ink Nanoparticles for Electrophoretic Image Display

Oh, Sun Wha,Kim, Chang Woo,Cha, Hwa Jin,Pal, Umapada,Kang, Young Soo WILEY‐VCH Verlag 2009 Advanced Materials Vol.21 No.48

<P><B>Electrophoretic ink nanoparticles</B> with high mobility are successfully fabricated by dispersion polymerization. The color of test cells can be changed by applying a bias voltage, as shown in the figure: the lower row shows the same cells as the upper row but with an applied voltage. These all‐organic, encapsulated‐dye, electrophoretic ink particles are expected to reduce the fabrication cost of e‐ink in electrophoretic image display cells. </P>

선천성 담도폐쇄증을 동반한 총담관 낭종 1예

한광선,이익회,박치형,조병수,차성호,안창일,오수명,이태석,이선화 경희대학교 1992 慶熙醫學 Vol.8 No.4