중복장애

현명선 대한간호학회정신간호학회 1998 정신간호학회지 Vol.7 No.1

In recent years patients with dual diagnosis have increased in America. 'Dual diagnosis' or dual disorder are terms that have been used to indicate the coexistence of a mental health disorder and substance use disorder. Patients with mental disorder are vulnerable to risk for substance use disorders, patients with substance use disorders are also vulnerable to risk for mental disorders. Even though there have been few people treated for dual diagnosis in Korea, there is need for concern about this diagnosis because a dual diagnosis makes the individual more incapicitated. In Korea, several research papers have identified that personality disorders or depression coexisting with alcoholism. There are several possible relationships between substance abuse and psychiatric disorders. Substance abuse may induce, worsen, or diminish psychiatric symptoms, complicating the diagnostic process. Sometimes, the symptoms of coexisting psychiatric disorder may be misinterpreted as poor or incomplete recovery from drug addiction. In addition, psychiatric disorders may interfere with the patients' ability and motivation to participate in addiction treatment. This article provided an overview of characteristics and assessment based on a biopsychosocial model. Indeed, the treatments for dual diagnosis are very complex and difficult and the prognosis for this disorder is very poor. In this article, pharmacologic and psychosocial treatment model also is provided. Finally, it is suggested that nurses who meet patients with mental disorders or substance use disorders can have an important role in detecting or preventing the occurrence of dual diagnosis.

전문적 지지 모임이 정신분열증 환자 가족의 자기효능감과 부담감에 미치는 영향

현명선,김혜용,윤선희,이현아,추자희 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

청소년의 성적 발달과 신체상, 문제행동 및 우울과의 관계 연구 : 경기도 지역의 중학생을 중심으로 Focused on middle school students in Kyungki-Do

현명선,남경아,공성숙 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4

This study was designed to examine the relationship between adolescents' sexual developmen, and body image, problem behavior and depression. The subjects for this study were 444 students at middle school in Kyung Ki Do. The data were collected during the period from May to November, 2000, and were obtained by use of questionnaires. The instruments used for this study were for sexual development divided by Tanner(1962), for the body image, the Body Cathexis Scale by Secord & Jourard(1953), for the problem behavior, the Child Problem Behavior list developed by Hong Kyung Ja(1986), and for the depression, the Beck Depression Inventory developed by Beck(1978). The data were analyzed by use of descriptive statistics, Pearson Correlation Coefficient, t-test, and ANOVA using the SPSS-Win program. The results of this study are as follows: 1. The mean stages of the sexual development were 2.99(genital development) and 2.76(pelvic development). The mean score of the body image was 3.32, problem behavior 1.35, and depression 26.81±5.95. 2. As for the male student, there was a significant positive correlation(r=.244, p=.001) between genital development and body image. As for the female student, there was a significant negative correlation(r=-.198, p=.009) between pelvic hair development and body image and as significant positive correlation(r=.273, p=.000) between pelvic hair development and problem behavior. 3. As for the female student, there was a significant positive correlation between sexual development and depression(r=.234, p=.001 : r=.294, p=.000). 4. For the both of male and female student, body image was negatively correlated to the problem behavior(r=-.211, p=.005 : r=-.2.99, p=.000), and depression(r=-.321, p=.000 : r=-.342, p=.000) and the problem behavior was positively correlated to the depression(r=.665, p=.000 : r=.781, p=.000). 5. The stage of the genital development(t=-3.70, p=.000) and body image(t=3.49, p=.001) was significantly different according to sex. 6. The level of the problem behavior was significantly different according to family economic status(F=5.71, p=.004), school scores(F=12.81, p=.000), and BMI(F=2.83, P=.039). In conclusion, this study showed different relationships between sexual development and body image. problem behavior according to sex. And the level of the sexual development for the male and female adolescents should be considered in school and the other field. And the depressive mood of delinquent adolescents should also be managed. Research examining the difference in psychological, affective characteristics, and coping strategies according sex is need in order to enhance their health.

인지행동적 분노관리 프로그램이 군인의 자의식과 분노에 미치는 효과

현명선,남경아,강희선 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.6

청소년의 문제행동에 영향을 미치는 관련요인에 관한 연구 : 서울지역의 중학생을 중심으로

현명선,김경희,김선아 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.2

정신장애인의 동료지원활동 경험에 대한 근거이론적 접근

현명선,남경아,김현례,김수영 한국간호과학회 2020 한국간호과학회 학술대회 Vol.2020 No.10

퇴원한 만성 정신 질환자가 지각한 가족지지와 사회적 적응과의 관계 연구

현명선 한국간호과학회 1992 Journal of Korean Academy of Nursing Vol.22 No.3

청소년건강관련 물질사용 장애 청소년의 회복과정에 대한 근거이론적 접근

현명선 연세대학교 간호정책연구소 1997 간호학탐구 Vol.6 No.1

Drug abuse in adolescents occurs within their socio-cultural network(context), therefore it cannot be dealt with without considering the social-cultural aspects. Thus, the recovery process in drug abuse is related to multivariate complex phenomena. Even though there are various opinions and views about major factors affecting the recovery process, identification and validation of those factors has not been sufficiently clarified. Also the relationship among variables is not been clarified. The purpose of this research was to develop a substantive theory about the recovery process in adolescents with substance abuse after exploring, describing, and analyzing the experience of the recovery process in the context of Korean society and culture. The research method used in this study was the Grounded Theory Method developed by Strauss & Corbin(1990) which is useful in exposing and understanding the experience of the recovery process, and in gaining a new perspective in this area. An interview with addicted adolescent was conducted to impove the theoretical sensitivity. In this interview, adolescents with drug abuse were found to be experiencing a selfannihilation. The study was performed from January 29, 1996 to October 3, 1996. The sample consist of nine adolescents, seven male and two female, who were using substances such as Bond, Gas, Rumila, and Marihuana before admission. Data collection and analysis were performed simultaneously. The findings indicate that there were 56 kinds of concepts including sensible thrill pursuit and prompt satisfaction pursuit of one's desire, and that there were 25 kinds of categories like prompt pleasure pursuit, addictive tendency etc. The term "Becoming newly born in selfexistence" was the core category in this study. Adolescents with substance abuse were hospitalized in a state of lost self-existence, and they recovered toward " Becoming newly born in self-existence" using such strategies as self introspection, self confrontation, self disclosure, intimate relationship experience, selfrecognition, and substitution under the influence of mediating variables. The analysis of the recovery process over time revealed that adolescents with substance abuse experienced the following processes, loss of self-existence, and newly born selfexistence in that order. And the basic social problem which all subjects were facing in this study indicates 'the loss of self-existence' and the basic social process which they were using to solve this problem indicates 'becoming newly born in self-existence'. Seven hypothetical statements were derived from the relationship among the core category and the other categories. The statements were validated by going back to the data. As a result, three types were observed and four hypotheses were derived from the validation. 1. Under the condition of severe psychological weight, the breaking away from family, and the psychological absence of the parents, "Becoming newly born in self-existence" proceeds through self-confrontation, self disclosure, intimate relationship experience, substitution toward reconciliation, emancipation, self-striving for realistic independence, and hope. 2. Under the condition of severe breaking away from family, and the psychological absence of the parent, "Becoming newly born in self-existence" proceeds through self introspection, self disclosure, and discovery of the drug abuse toward the conventional norm pursuit, self-striving for realistic independence, and hope. 3-1. Under the condition of the mild psychological weight, breaking away from family, and the psychological absence of the parents, "Becoming newly born in self-existence" proceeds through self introspection, and intimate relationship experience, toward the conventional norm pursuit, socialization, and self-striving for realistic independence. 3-2. Under condition of the mild psychological weight, breaking away from family, and the psychological absence of the parents, "Becoming newly born in self-existence" proceeds through self introspection, self-confrontation, intimate relationship experience, toward reconciliation and emancipation. Also in this process, being broken from the drug and surrendering is significant intervening variables. It is expected that the "Becoming newly born in self-existence" process will provide a framework for the development of the nursing interventions over time, and the suggested hypotheses make it possible to understand statements among concepts about the recovery process adolescents with substance abuse.

정신 장애인의 낙인(stigma) 경험

현명선,김영희,강희선,남경아 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.2

Purpose: The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons. Methods: Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi"s framework. Results: Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were ‘Incapable of struggling against unfair treatment", "Living as an outsider", "Being constrained by oneself", "Being in suspense over disclosure of oneself". Conclusion: The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

간호대학생의 정신건강에 영향을 미치는 요인: 생태학적 접근을 중심으로

현명선,유문숙,임지영,박지은,서은지 한국가정간호학회 2017 가정간호학회지 Vol.24 No.3

Purpose: This study investigated the factors influencing mental health among university students based on ecological perspectives. Method: The subjects for this study were 416 students in two colleges in K province. The instruments used for measurement were: Symptom Checklist (Derogatis, 1977), Ego Resilience Scale (Block & Block, 1980), Perceived Stress Inventory (Cohen, Kamarck, & Mermelstein, 1983), and Social Support Scale (Park, 2002). The data was analyzed using the IBM SPSS program. Result: Ego resilience and perceived stress as intrapersonal factors and friends’ support as interpersonal factor were the significant predictors of mental health. It was showed that these factors explained 47% of mental health. Conclusion: This study suggests that the factors influencing mental health are both intrapersonal and interpersonal factors. Thus, the findings of this study provide the basic data to develop a program for mental health of university students based on ecological perspectives.