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- 저자 : 정하란(Ha-Ran Jung) (검색결과 2 건)
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강한고은비(Hangoeunbi Kang),정하란(Ha-Ran Jung),이주연(Ju-Yeon Lee),김선영(Seon-Young Kim),김재민(Jae-Min Kim),윤진상(Jin-Sang Yoon),김성완(Sung-Wan Kim) 대한생물치료정신의학회 2018 생물치료정신의학 Vol.24 No.3
Objectives:The aim of this study was to examine associations between quality of life in patients with schizophrenia and their family relationships. Methods:A total of 68 patients with schizophrenia participated in the study. Socio-demographic and clinical data were collected, as well as results from the Subjective Well-being under Neuroleptic Treatment Scale-Short Form(SWNK), Family Emotional Involvement and Criticism Scale(FEICS), a visual analogue scale for evaluating the degree of perceived criticism(VAS), the Family Adaptability and Cohesion Evaluation Scale(FACES), Beck Cognitive Insight Scale(BCIS), and Rosenberg Self Esteem Scale(R-SES). Psychiatrists administered the Positive and Negative Syndrome Scale and the Calgary Depression Scale for Schizophrenia(CDSS), and collected a history of previous suicide attempts. Results:The SWN-K total scores showed significant negative correlations with scores on the FEICS perceived criticism, CDSS, and VAS measures and significant positive correlations with scores on the R-SES, FACES, and BCIS. Multiple regression analysis revealed that FEICS perceived criticism, FACES, and BCIS scores were significantly associated with SWN-K scores. The FACES total score was significantly lower in patients with a history of previous suicide attempt. Conclusion:The quality of life of patients with schizophrenia was negatively associated with greater perceived familial criticism and positively associated with better family cohesion and higher patient insight. In patients with a history of suicide attempts, family adaptability and cohesion were significantly low.
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배재훈(Jaehoon Bae),윤보현(Bo-Hyun Yoon),남석현(Seok-Hyun Nam),시영화(Yung-Hwa Sea),송제헌(Je-Heon Song),박수희,정하란(Ha-Ran Jung) 대한사회정신의학회 2016 사회정신의학 Vol.21 No.2
목 적 : 최근에 정신질환자의 인권에 대한 관심은 비단 정신과 영역뿐 아니라 다른 영역에서도 크게 증가하고 있다.본 연구는 2014년도에 홍창희 등에 의해 개발되었던 정신질환자 인권지표(IHM)의 타당도와 신뢰도를 검증하기 위해 시도되었다. 방 법 : IHM을 263명의 국립나주병원 입원환자를 대상으로 실시하여, 신뢰도를 내적일치도로 검증하고, 타당도를 탐색적 요인 분석과 모형 적합성을 통해 검증하였다. 결 과 : 탐색적 요인 분석 결과 “인간 존엄성을 추구할 권리”, “입·퇴원 과정에 대한 알 권리”, “입원 및 병동 생활에서의 투명성”, “치료 과정을 알 권리와 자기 결정권”, “사생활 보호”, “치료 환경”, “위생과 건강”의 7개 요인이 선택되었다. 문항의 내적 일치도는 우수하였다(Cronbach’s alpha=.68~.88). 확인적 요인분석에서 RMSEA값으로 본 7요인 모형의 타당도는 적합하였다. 결 론 : 본 연구를 통해 기존에 보고되었던 IHM 척도의 타당도가 개선되어 향후 정신과 영역에서 이를 좀 더 유용하게 활용할 수 있을 것으로 기대된다. Objective : Recently the human right of people with mental illness has been focused not only in the field of psychiatric practices but also in other areas such as regulatory organizations. The purpose of this study was to test the validity and reliability of questionnaire for the Indicator of Human Rights of People with Mental Illness (IHM) that was designed to assess for them (Hong et al., 2014). Methods : IHM was administered to 263 inpatients in a national psychiatric hospital. Reliability of IHM was tested by internal consistency and validity was tested by exploratory factor analysis and a fitness of the modified model. Results : The Exploratory factor analysis revealed 7 factors : 1) Right to human dignity, 2) Right to know about admission & discharge process, 3) Transparency for admission & hospital life, 4) Right to know about treatment and right to self-determination, 5) Privacy, 6) Treatment setting, and 7) Hygiene & Health. The internal consistency using Cronbach’s alpha was excellent (Cronbach’s alpha=.68-.88). The validity of seven factor structure based on confirmatory factory analysis was verified as root mean square error of approximation that was proved as significant. Conclusion : Based on results of confirmatory factor analysis, the validity and utility of the revised IHM was increased. Also, it may be useful to apply to the patients who have mental illnesses.
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