기획논문 : 호서선비문화가 가진 교육콘텐츠로서의 의미와 가능성

김세정 ( Sea Jeong Kim ),양선진 ( Seon Jin Yang ) 충남대학교 유학연구소 2015 儒學硏究 Vol.33 No.-

지금 21세기 사회는 인문학, 과학기술, 사회과학, 예술학 영역을 포함하는 ‘통섭적 융합문화시대’라고 평가된다. 유학(儒學)에 대한 연구도 근대적인 분과학적 입장에서 벗어나 다른 학문.문화.사유 등과 통섭적으로 융합시킬 수 있는 연결지점을 찾는 일이 필요하다. 다시 말해, 유학의 콘텐츠를 현재의 삶과 문화 등과 연결시킬 수 있는 그 무언가를 찾는 일이 요구되는 것이다. 21세기에도 유효한 유학의 사상을 발굴하여 이를 새롭게 조명하여 ‘교육적 가치를 지닌 콘텐츠’로 되살려야 할 것이다. 그 점에서 이 논문의 주제인 ‘호서선비문화가 가진 교육콘텐츠로의 의미와 가능성’을 찾는 일은 이러한 시대적 요구와 맞닿아 있다. 콘텐츠는 산업적.경제적 측면의 상품뿐만 아니라 교육적 측면에서 의미를 지닌 내용물(content)이다. 곧 교육콘텐츠는 ‘교육적 가치를 지닌 내용물’이라고 정의할 수 있다. 교육콘텐츠로서 ‘선비정신’은 유학에 대한 부정적 인식을 넘어서 이 시대에 유학의 가치를 새롭게 되살릴 수 있는 장점이 있다. 특히 선비정신은 인성교육진흥법 시행과 관련하여 그 필요성이 더욱 요청되며, ‘세방화’하는 세계적 추세와 ‘교육과정 지역화’에 들어맞는 교육콘텐츠로서 의미와 가치를 지니고 있다. 이에 충청지역의 학생들을 교육하기 위해 ‘호서선비문화의 정신’이 교육콘텐츠로서의 가능성을 탐색하는 일은 너무도 당연한 것이라 할 수 있다. 이와 같은 문제의식을 바탕으로 이 논문은 다음의 세 과정을 거쳤다. 먼저 유학의 역사와 사상을 통해 선비 정신에 대해 정리하였다. 더불어 그것이 현대적으로 어떠한 시사점을 주는지에 대해서도 논의하였다. 다음으로, 오늘날의 호서 지역에서 형성된 선비정신을 호서유학의 흐름과 사상적 특성을 통해 살펴보았다. 물론 이 두 과정을 거치면서, 선비정신과 호서의 선비문화가 교육콘텐츠로서 어떠한 의미와 가능성을 지녔는지도 검토하였다. 마지막 결론에서는 지금까지의 논의를 간략하게 정리하고 남은 문제를 짚어보았다. The current 21st century society is considered ‘the era of convergence culture’ in which different fields such as the humanities, the technology, social sciences, and science of arts etc go on reciprocal exchanges. In this context, the research on Confucianism (儒學) must liberate itself from the modern standpoint of disciplinary division and seek for points of connection on which it can combine with other disciplines, cultures, and thoughts. Thus it is necessary to carry out the search for what can connect Confucian contents with the present-day life and culture. In this 21st century, the rediscovery and consideration of useful Confucian thoughts and the revival of them as ‘contents filled with educational values’ is regarded as very important. From this point of view, the authors think that the search for ‘the significance and possibilities of educational contents in Ho-seo’s Seon-bi culture’ as the subject of this paper can meet those demands of the era. The term ‘contents’ refers not only to the goods in economics and industry, but also to the valuable things contained in the education. From this aspect, it can be said that educational contents are ‘things filled with educational values’. The Seon-bi spirit (the intellectuals’ spirit) thus can start from the point of overcoming misunderstandings of the Confucianism and reviving Confucian values. Especially, the Seon-bi spirit becomes more important in the context of the enforcement of the Law for Stimulation of Humanity Education, and can be seen as valuable educational contents appropriate to ‘the curriculum localization’. It is regarded as reasonable to investigate the significance and possibilities of constructing the ‘spirit of the Seon-bi culture in the Ho-seo area’ as educational contents to cultivate students in the Chung-cheong area. Based on that standpoint, the paper is developed into three processes as follows. Firstly, the authors try to re-define the term ‘seon-bi spirit’ by considering the Confucian history and thoughts. Together with it, the authors discuss what suggestion this spirit can give from the modern aspect. Secondly, the authors examine the Seon-bi spirit rising in the Ho-seo area nowadays, based on the theoretical characteristics of the Ho-seo Confucianism. After those considerations, the authors try to find out the significance and possibilities of the Seon-bi spirit and the Seon-bi culture in Ho-seo as the educational contents. In the conclusion, the authors summarize the above contents and point out some outstanding questions.

Multi‑tissue lipotoxicity caused by high‑fat diet feeding is attenuated by the supplementation of Korean red ginseng in mice

Seon‑A Jang,Seung Namkoong,이성률,Jin Woo Lee,Yuna Park,Gyeongseop So,Sung Hyeok Kim,Mi‑Ja Kim,Ki‑Hyo Jang,Alberto P. Avolio,Sumudu V. S. Gangoda,Hyun Jung Koo,Myung Kyum Kim,Se Chan Kang,Eun‑Hwa Sohn 대한독성 유전단백체 학회 2020 Molecular & cellular toxicology Vol.16 No.1

Background Excessive intake of fat, one of the causes of obesity, is associated with low-grade infammation in various susceptible organs and eventually causes tissue toxicity. This study examines the multifaceted suppressive efects of Korean red ginseng extract (KRG) on high-fat diet (HFD)-induced lipotoxicity and infammatory responses in the aorta, liver, and brain. Methods Male C57BL/6 mice were fed HFD with or without KRG for 12 weeks. The improvement efect in KRG on lipotoxicity and infammatory potential was determined in the blood and the aorta, liver, and brain tissues. Results KRG signifcantly inhibited 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase activity by >20% in vitro. KRG supplementation suppressed HFD-associated body weight gain, lipid profle changes, and excessive fat deposition in the liver and increased leptin, insulin, and ALT levels in the blood. Infammatory markers in the aorta, liver, and brain were also signifcantly reduced by KRG treatment. In microvascular endothelial cells, the 15% cyclic stretch-mediated upregulation of ICAM-1 and vascular cell adhesion protein-1 (VCAM-1) expression was signifcantly attenuated in the presence of KRG. Conclusion KRG supplementation attenuates HFD-mediated body weight gain, lipid profle changes, and multi-tissue infammatory responses.

한국 일 도시지역 청소년의 우울 증상 유병률과 관련요인에 대한 연구

조성진,전홍진,김무진,김장규,김선욱,류인균,조맹제 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구 목적 : 한국의 일 도시지역에 거주하는 청소년의 우울 증상의 유병률과 관련요인을 밝힘으로써 청소년 정신건강 증진을 위한 기초 자료를 수집하기 위하여 실시되었다. 방 법 : 연구 대상은 부천시에 거주하는 중학교나 고등학교에 재학중인 청소년 71,102명 가운데에서 무작위 집락 표본 추출법에 의해 선정된 2,203명이었으며, 이들에 대해서 CES-D(the Center for Epidemiologic Studies Depression Scale)와 사회인구학적 정보에 대한 문항이 들어 있는 설문을 실시하였다. 설문은 직접 학교를 방문하여 수행하였다. 선정된 2,203명의 청소년 가운데에 CES-D문항을 완성한 학생은 1,972명으로 반응률은 89.5%였다. 결 과 : 1) CES-D의 절단점을 16점으로 하여 계산한 '가능한' 우울 증상의 유병률은 중학생의 경우에 남학생 34.6%, 여학생 44.7%였으며, 고등학생의 경우에는 남학생 43.8%, 여학생 49.6%였다. 2) CES-D의 절단점을 25점으로 하여 계산한 '명확한' 우울증 증상의 유별률은 중학생의 경우에 남학생 18.4%, 여학생 20.7%였으며, 고등학생의 경우에는 남학생 21.4%, 여학생 23.9%였다. 3)종교, 인문계와 실업계의 여부에 따라서 우울 증상의 유병률에는 유의한 차이가 없었다. 4) 성,학년, 생활수준에 대한 자신의 평가, 가족의 구조, 성적에 대한 만족도의 다섯 가지 변수에 대해 CES-D점수가 16점 이상인 우울 증상의 유무에 따라서 로지스틱 회귀 분석을 시행하였을 때 성적에 대해 불만적 하는 군에서 매우 만족하는 군에 비해서 8.850배의 상대 위험도를 보였다. 생활 수준을 중하정도라고 대답한 군은 상이라고 대답한 군에 비해서 2.007배의 상대 위험도를 보였다. 여학생은 남학생에 비해서 1.307배의 상대 위험도를 보였다. 5) 우울 증상에 있어서 남학생과 여학생의 비율은 전체 군에서 1:1.38이며 중학생의 경우에는 1:1.88, 고등학생의 경우에는 1:1.13으로 나타났다. 고등학생에 있어 남학생의 우울 증상이 증가하는 것은 학업과 입시에 대한 부담과 관련된 것으로 생각되었다. 결 론 : 한국 일 도시거주 중고등학생에서 CES-D로 측정한 우울 증상은 남학생의 34.3%, 여학생의 47.5%에서 나타날 정도로 흔하다. 특히 학업 성적에 대해 불만족 하는 군에서 높은 우울 증상의 상대 위험률을 보이며, 고등학생에서 남학생의 우울증의 유병률이 높아지는 것은 이 지역 학생들이 학업에 대한 높은 부담을 가지고 있다는 것을 알 수 있었다. 따라서 이들에 대한 특별한 관심이 요구된다. Objective : We tried to see the prevalence and correlates of symptoms of depression in an adolescent population in Korea, and collected the basal data for mental health promotion of adolescents. Method : We sampled 2,203 adolescents among 71,102 adolescents living in Puchon City in Korea by the randomized clustered sampling method. The Center for Epidemiologic Studies Depression scale(CES-D) was used to measure depressive symptoms. The measurements were conducted through visiting schools. Of the 2,203 adolescents(aged 13 to 18) who were sampled, 1,972 persons completed CES-D and sociodemographic questions. The response rate was 89.5%. Result : 1) The prevalence rate of 'probable' depressive symptoms with cutoff point 16 was 34.3% in the boys and 47.5% in the girls. 2) The prevalence rate of 'definite' depression symptoms with cutoff point 25 was 17.4% in the boys and 20.6% in the girls. 3) We could not find any meaningful difference in the average of CES-D from the districts where they live, the course of their education, and their religions. 4) We used the logistic regression analysis to find the risk factor for adolescent depression in these samples. Among the variables degree, it was most important risk factor in adolescent depression to dissatisfy with their school degrees. Compared it with fully satisfied group, the odds ratio was 8.850. The group of mid to low socioeconomic status had the odds ratio 2.007 compared with high socioeconomic status. The girls had the odds ratio 1.307 compared with the boys. 5) The male versus female ratio was 1: 1.38 in the total students and 1 : 1.88 in the middle school students, and 1 : 1.13 in the high school students. The male versus female ratio was relatively low in the high school students. It was the result of the high prevalence of depressive symptoms in the high school boys, and it was due to the large burden to their school degrees. Conclusion : The depressive symptoms checked by CES-D were very common among adolescents in Korean urban area. The prevalence of depressive symptoms was 34.3% in the boys and 47.5% in the girls. The result that male versus female ratio was relatively low in the high school adolescents, and the group that were dissatisfied with the school degrees had high risk of depressive symptoms, revealed that the students had large burden to their school degrees and so they needed special concerns.

일학습병행에서 학습기업의 재참여 의사에 미치는 영향 요인 탐색

조한진(Jo, Han-Jin),이선화(Lee, Seon-Hwa),박종성(Park, Jong-Sung) 한국경영교육학회 2020 경영교육연구 Vol.35 No.2

[연구목적] 기존 일학습병행에 참여한 학습기업의 재참여 활성화 방안에 앞서 학습기업의 재참여에 미치는 영향 요인을 구명하여, 학습기업 재참여 활성화 방안에 정책적 기초자료를 제공하는 것이다. [연구방법] 독립변수는 총 11개로 범주형 4문항과 연속형 7문항으로 구성되어 있고, 종속변수는 범주형 1문항으로 구성되어 이분형 로지스틱 회귀분석을 적용하였다. [연구결과] 전체적으로 학습기업의 재참여 의사에 영향을 미치는 요인은 참여 동기, 일학습병행 전반적인 만족, 현장훈련 시간 단축 필요성, 기업현장교사 양성교육 기간 적절성, 일학습병행 훈련과정 종료 후 유지 계획 유무, 참여유형의 6가지 변수로 나타났다. 참여유형을 재직자단계와 재학생단계로 나누어 분석한 결과는 다음과 같다. 첫째, 재직자단계에서 학습기업의 재참여 의사에 영향을 미치는 요인은 참여 동기, 일학습병행 전반적인 만족, 현장훈련 시간 단축 필요성, 기업현장교사 양성교육 기간 적절성, 일학습병행 훈련과정 종료 후 유지 계획 유무의 5가지로 나타났다. 둘째, 재직자단계에서 학습기업의 재참여 의사에 영향을 미치는 요인은 참여 동기, 학습기업 선정 절차 적절성, 학습기업 선정기준 적절성, 일학습병행 전반적인 만족, 일학습병행 훈련과정 종료 후 유지계획 유무의 5가지로 나타났다. [연구의 시사점] 일학습병행의 내실화를 위하여 학습기업의 재참여 활성화 방안을 위한 정책적 시사점을 제공하였다. [Purpose] The purpose of this study is to examine the factors affecting re- participation of companies involved in apprenticeship before the revitalization of re-participation and to provide basic policy data to revitalize re-participation of companies involved in apprenticeship. [Methodology] There were 11 independent variables comprising four questions for categorical variables and seven questions for continuous variables. One dependent variable comprised one question for a categorical variable. The binomial logistic regression analysis was applied. [Findings] The factors affecting re-participation intention of companies involved in apprenticeship were six variables, including the motivation to participate, overall satisfaction about apprenticeship, need for the shortened time of on-the- job training, appropriate training period of in-company trainers, plan to maintain apprenticeship after the end of the training process, and participation type. The results of analyzing participation type First, there were five factors affecting re-participation intention of companies involved in the apprenticeship for students, including the motivation to participate, overall satisfaction about apprenticeship, need for the shortened time of on-the-job training, appropriate training period of in-company trainers, and plan to maintain apprenticeship after the end of the training process. Second, there were five factors affecting re-participation intention of companies involved in the apprenticeship for new workers, including the motivation to participate, appropriate procedure for selecting companies involved in apprenticeship, appropriate criteria for selecting companies involved in apprenticeship, overall satisfaction about apprenticeship, and plan to maintain apprenticeship after the end of the training process. [Implications] Policy implications were presented to substantialize apprenticeship and to revitalize re-participation of companies involved in apprenticeship.

중·고등학교 청소년의 자살사고 및 자살시도의 유병률과 자살시도의 위험요인에 관한 연구

조성진,전홍진,김장규,서동우,김선욱,함봉진,서동혁,정선주,조맹제 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.6

연구목적 : 지역사회에 거주하고 있는 중·고등학교 청소년들을 대상으로 자살 사고 및 자살시도의 빈도, 성별과 연령(13∼15세 vs 16∼18세)에 따른 자살사고 및 시도의 빈도에 차이가 있는지 여부, 자살사고 및 자살시도가 있는 청소년의 특징, 그리고 자살시도의 위험요인을 알아보고자 하였다. 방 법 : 부천시에 소재하고 있는 중학교 24개교 및 고등학교 20개교의 청소년 71,102명중에서 무작위 집락 표본 추출범으로 청소년 2,203명(남자 1,105명, 여자 1,098명)을 조사대상으로 선정하였다. 자살시도 및 자살사고의 정의에 관한 항목은 Moscicki가 사용한 자살행동에 관한 4항목 중 2항목을 사용하였다. 우울증에 대한 조사도구는 the Center for Epidemiologic Studies Depression Scale, 알코올 의존에 대한 조사도구는 Composite International Diagnostic Interview의 알코올 의존 관련 항목을 사용하였다. 조사자료 통계는 빈도, 백분율, chi-square test, 단변인 및 다변인 로지스틱 회귀분석을 사용하였다. 결 과 : 본 조사연구의 분석결과를 통계적으로 유의한 차이를 보인 항목으로 살펴보면 다음과 같다. 1) 전체 대상자의 자살 사고률은 30.7%, 자살 시도률은 5.3%인 것으로 조사되었다. 남자 대상자의 자살 사고률과 시도률은 26.9%, 3.4%이었고, 여자 대상자의 자살 사고률과 시도률은 34.9%, 7.3%인 것으로 조사되었다. 성별에 따라 자살 사고률과 시도률에 통계적으로 유의한 차이가 있었다. 2) 연령(학년)을 13∼15세(중학교)와 16∼18세(고등학교)의 두 연령층으로 조사하였을 때, 중학생의 자살 사고률과 시도률은 30.1%, 4.3%이었고, 고등학생의 자살 사고률과 시도률은 31.6%, 6.4%인 것으로 조사되었다. 연령에 따른 자살 사고률에는 통계적으로 유의한 차이가 없으나 자살 시도률에는 유의한 차이가 있었다. 3) 전체 조사 대상자를 대상으로 시행한 다변인 로지스틱 회귀 분석 결과에 의하면, 자살 시도의 위험요인이 여자, 알코올 의존, 중등도 및 중증 우울 증상인 것으로 조사되었다. 남녀별로 시행한 단변인 로지스틱 회귀 분석 결과에 의하면, 남자는 알코올 의존이 있을 때, 여자는 알코올 의존, 중등도 및 중증의 우울 증상이 있을 때 자살시도의 위험성이 높았다. 결 론 : 본 연구에서 자살 사고률 및 자살 시도률이 각각 29.6%(남자 25.6%, 여자 33.7%)와 5.31%(남자 3.3%, 여자 7.3%)인 점과 자살시도의 위험요인이 우울 증상의 정도, 알코올 의존인 점을 고려할 때 알코올 의존 및 우울 증상의 조기발견과 치료, 그리고 자살 사고자 및 자살 시도자에 대한 정신의학적 접근과 추적관찰에 대한 방안이 강구되어야 할 것으로 생각된다. Objectives : Aims of this study were 1) to estimate prevalence rates of suicidal ideation and suicide attempt, 2) to find out whether the gender difference and age difference(13-15 years vs 16-18 years) for suicide behaviors exist, 3) to analyse correlates of suicide attempts among junior and high school adolescents aged 13-18 years old. Methods : A self-administered questionnaire was used in a cluster random sample of 2,203 school adolescents(male 1,105, female 1,098). Data were obtained on a wide range of constructs including suicidal ideation and attempts during past 2 weeks, depressive symptoms, symptoms of DSM-IV alcohol dependence, family structure, socioeconomic status, smoking, satisfaction with school achievements, and subjective health status. Chi-square test were done for analysing gender difference and age difference of suicide behaviors. Statistical analyses including uni-variate and multi-variate logistic regression analysis were done for each sex, respectively. Results : 1) The prevalence of suicide ideation during past 2 week was 30.7% in the total sample. The prevalence rates of male and female ideators were 26.9% and 34.9% respectively. The prevalence of suicide attempt during past 2 week was 5.3% in the total sample. The prevalence of suicide attempt in males was 3.4% and 7.3% in females. 2) Gender difference was significant. That is, female respondents showed higher rate of suicidal ideation and suicide attempt. In our study age difference was found only at the rate of suicide attempt. That is, older adolescents(16-18 years) showed only statistically significant higher rate of suicide attempt than younger adolescents(13-15 years). 3) Multi-variate logistic regression analysis revealed that the correlates for suicide attempt were female, moderate to severe depressive symptoms, alcohol dependence in the total sample. In males the correlate for suicide attempt was alcohol dependence. In females, were moderate to severe depressive symptoms, and alcohol dependence. Conclusion : Depressive symptoms, alcohol dependence, presence of suicidal ideation were strong predictors for suicide attempts. This suggest that early detection of treatment of depression and alcohol dependence is important and psychiatric approach and follow-up be needed for the prevention of suicide.

간호사들에서 월경전불쾌기분장애와 삶의 질, 사회직업기능 및 장애 간의 연관성

김선영,김재민,김웅장,양수진,김성완,신일선,윤진상 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

Objectives : This study aimed to investigate the prospective associations of premenstrual dysphoric disorder (PMDD) with quality of life, socio-occupational function and disability. Methods : 170 nurses were recruited 6om two general hospitals. Interviews were made at baseline and at four follow-up points (two mid follicular phases and two late luteal phases ofthe two consecutive menstrual cycles). The baseline evaluation Consis-ted of sociodemographic characteristics and menstmal history. PMDD was diagnosed by DSM-IV criteria after observation of the two menstrual cycles. The follow-up evaluations were consisted ofthe World Health Organization Quality of Life-Brief form, the Social and Occupational Functioning Assessment Scale, and the World Health Organization Disability Assessment Scale-II. Results : PMDD was detected 15 (8.8%) of 170 participants. The PMDD group showed significantly worse quality of life and socio-occupational functioning than the none-PMDD group particularly at the late luteal phases. No significant differences were found in sociodemographic characteristics and menstrual history between those with and without PMDD. Conclusion : PMDD was prospectively associated with worse quality of life and socio-occupational functioning in this study group.

소아청소년 복합만성질환자 수 및 진료비의 변화: 2011-2021년 건강보험청구자료 분석

오정윤,조수진,정진선,조진숙,박춘선 건강보험심사평가원 2023 HIRA RESEARCH Vol.3 No.2

Background: The number of children and adolescents has decreased by more than 3 million over the past 10 years. We analyzed changes in the number of children and adolescents with complex chronic conditions (CCCs) and their medical expenditures between 2011 and 2021. Methods: We used National Health Insurance claims data of patients under the age of 20 from 2011 to 2021. CCCs were classified as pediatric CCCs by Feudtner et al. Patients who repeatedly utilize medical services due to CCCs were defined as patients who sought medical care twice or more within the past 3 years. Their sex, age, CCC categories, and the number of CCC categories were presented using descriptive analyses. Results: The number of children and adolescents with CCCs increased from 345,320 (3.04%) in 2011 to 451,238 (5.33%) in 2021. Patients who repeatedly utilized medical services due to CCCs increased by 71,889 during the same period. The proportion of patients with two or more CCC categories increased from 35.80% in 2011 to 43.67% in 2021. In 2021, patients with other congenital or genetic defect were most common. Medical expenditures associated with CCCs increased from 475,654 million won (12.34%) in 2011 to 768,467 million won (19.11%) in 2021. Conclusion: The number of patients with CCCs and their medical expenditures increased in Korea between 2011 and 2021. The results indicate that consistent national efforts are required to maintain the specialized pediatric care. Further studies are needed to identify pediatric patients who require specialized medical services through various methods.

어린이 공공전문진료센터의 진료 역량: 상급종합병원과의 비교를 중심으로

오정윤,조수진,정진선,조진숙,박춘선 건강보험심사평가원 2022 HIRA RESEARCH Vol.2 No.2

한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

노인에서 신체질환과 불면증 간의 전향적 연관성

김재민,김성완,양수진,김선영,배경열,조준영,윤탁,신일선,윤진상 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.5

Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident insomnia m a community dwelling older population. Methods : 1,204 people aged 65 or over evaluated at baseline. Insomnia was defined as difficulty in initiation or maintenance of sleep on at least three nights per week over the last month. Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were age, gender, education, housing, Past occupation, current employment, and depression. Of 879 without insomnia at baseline, 651 (74%) were followed 2 years later, and incident insomnia was evaluated. Results : Prevalent insomnia was significantly associated with 10 of 11 physical disorders. Incident insomnia was associated with 2 physical disorders : eyesight problems and hearing difficulty. Both prevalent and incident insomnia were significantly associated with increased number of physical disorders. Conclusion : Certain physical disorders were comorbid and precipitating factors of insomnia in elders.