품행장애 청소년의 음악치료 사례연구

권혜경,진혜경 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.1

요 약 : 이 사례는 1998년 6월부터 9월까지 주 1회 30분씩 서울국립정신병원에 입원한 품행장애 청소년들을 대상으로 한 음악치료 사례로, 그룹 음악치료에 참여한 환아들 중 가장 지속적으로 참여한 두명의 여자 환아(A, B)에 초점을 맞추었다. 음악치료 세션은 다음과 갈이 3부분으로 나누어진다 ; 시작할 때 부르는 인사노래, 다양한 음악적 활동, 그리고 마칠 때 하는 소리내기와 움직이기 주로 사용되었던 음악치료 기술들로는 자유로운 즉흥연주, 노래 토론, 음악 모노드라마, 그리고 소리내기와 움직이기를 들 수 있다. 자유로운 즉흥연주는 환아들의 감정과 생각을 강화시키고, 동기유발을 하며, 연주를 통해 상징적으로 자신을 볼 수 있게 하기 위해 사용되었다 노래 토론은 그들의 생각을 담아내고 지지하기 위해 사용되었다 음악 모노드라마는 그들이 가지고 있는 대인 관계적 문제에 대한 통찰력을 갖게 하기 위해 사용되었다. 소리내기와 움직이기는 그들에게 결여되어 있는 자발성을 강화하기 위해 사용되었고 이를 통해 자신들의 신체와 목소리를 표현적 도구로 탐색하게끔 만들었다 음악치료를 하는 3개월 동안 환아 A는 그룹에서 대화 기술, 사회성 그리고 행동적인 측면에서 향상을 보였다. 그녀는 음악을 상징적으로 사용할 수 있게 되었고 자신과 자신의 가족에 대한 느낌을 그룹과 공유할 수 있게 되었다. 환아 B는 자기표현 능력이 향상되었다. 그녀는 보다 더 자발적으로 그룹에서 자신의 감정에 대해 말을 할 수 있게 되었다. 비언어적이고 비위협적인 수단으로서 음악은 두 여자 환아들에게 그들이 자신을 표현하기 위해 필요한 신뢰감을 다시 회복할 수 있는 환경을 제공한 것으로 보인다. The short-term music therapy was performed for adolescents with conduct disorder admitted to Seoul National Mental Hospital for 3 months from Jun to September, 1998. This case study focused mainly on two female patients who participated regularly in the group music therapy. The music therapy process wad divided into three phases; beginning, opening up, and closing. This music therapy session consisted of three parts; hello song as beginning, various musical activities, and sound & movement activity as closing. Free musical improvisation, song discussion, musical monodrama, and sound & movement were the mainly applied techniques. Free improvisation was used to enhance, motivate, indentify and contain the adolescents' feelings and ideas. Song discussion was used to convey their thoughts and to support each other. Musical monodrama was used to make them have insights into interpersonal relationships. Sound & movement was used to enhance spontaneity. It made them explore their body and voice as an expressive medium. Throughout three months period of music therapy, patient A's communication skill, socialization, and behavior areas were assessed with improvement. She could use music as a symbolic form and was able to share her feelings about herself and her family. Patient B's self-expression and cognitive areas were assessed with improvement. She became more spontaneous and could verbalize her emotions during the group session. Music as a non-verbal and therefore often a non-threatening medium wherein so much can be expressed provided two female patients an atmosphere where a sense of trust may be regained. KEY WORDS : Music therapy·Conduct disorder·Adolescent.

여성 관상동맥질환자의 동기요인이 건강행위에 미치는 영향 요인

이혜영,정경옥,김금자 김천과학대학 2007 김천과학대학 논문집 Vol.33 No.-

Background: Misconceptions exist that coronary artery disease(CAD) is a male dominant disease, although the leading cause of death due to heart disease in women increased 7.1% from 2001 to 2004 in Korea. Lack of motivational factors to health behavior change places women at risk for subsequent CAD events. Purpose: The purpose of this study was to investigate motivational factors to health behaviors for women with coronary artery disease. Methods: Structured questionnaires survey was carried out on a convenience sample of 81 adult women in a cammunity setting. The subjects were recruited for an interview at outpatient clinic in hospitals. The data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regressions. Results; There were significant correlations between motivational factors and health behaviors(r=.664). Stepwise multiple regression revealed that 57% of variance in health behaviors was explained by self-efficacy and perceived benefits among four motivation variables(F=54.438 p<.01). However, there were no significant predicting factors of perceived barriers and emotional salience among motivational factors to health behaviors. Self-efficacy contributed the greatest amount of variance in health behaviors(β=.585), followed by perceived benefits(β=.226). Conclusions: The results of the study indicate that self-efficacy was very important in predicting health behaviors for women with coronary artery disease. Thus it would be necessary to include motivational factors in designing rehabilitation program to practice and adherence health behaviors for women with coronary artery disease.

한국판-Gilliam 자폐증 평정척도-2(K-GARS-2) 표준화 연구

진혜경,윤혜주,박진박 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

Objectives:Autism is one of the most important developmental disorder of childhood, which has been studied in many fields of research. The importance of early detection, diagnosis and early treatment of autism has been emphasized in Korea. However, appropriate diagnostic tools to meet these needs, were insufficient. With increasing number of autistic adults, a need for diagnostic tool which can cover wide range of age has emerged. The Gilliam Autism Rating Scale-2(GARS-2) is based on Autism Society of America and DSM-IV-TR(Diagnostic and Statistical Manual of Mental Disorders-fourth Edition-Text Revision) diagnostic criteria for autism. It is the only available test so far. The target age of this test is from 3 years to 22 years old with autism, therefore this test is thought to be valuable. In this study, Korean-Gilliam Autism Rating Scale-2(K-GARS-2) was standardized, and verified the reliability, validity. Methods:K-GARS-2 was standardized and the reliability, validity was evaluated for 109 patients with autism aged 3 to 22 years. Results:Cronbach’s alpha coefficient of K-GARS-2 is 0.94 in the total 42 items and reliability was verified. KGARS-2 standard scores were highly correlated with scores of CARS and also Items-discrimination coefficients also showed a high correlation. Autism subscale standard score and the Autism quotient also showed a strong correlation. When compared with the other mental disorder groups, autism group show significantly higher scores. Conclusion:With the increasing prevalence of autism, the importance of accurate diagnosis and therapeutic approach is increasing in Korea. In this perspective, K-GARS-2 standardization process is very meaningful.

태아 26예에서 신장단위의 미세구조적 발달

김혜영,주의탁,김경용,이원복 대한해부학회 1995 Anatomy & Cell Biology Vol.28 No.2

지역별 보건소 이용의 만족도에 관한 연구 : 경북지역을 중심으로

이혜영,정경옥,김금자 김천과학대학 2007 김천과학대학 논문집 Vol.33 No.-

Purpose: The purpose of this study was to investigate the satisfaction and utilization and awareness of health center and satisfaction's affecting factors. Methods: The subjects consisted of 292 adult at three health centers on middle size cities in Gyeong San Buk-Do. Data was collected from August 2006 to June 2007 using structured questionnaires. One-way ANOVA were used to test satisfaction of health centers, utilization and awareness of health center and Kruskal-Wallis and Scheffe's test were used to test recommendation of health center and Post Hoc multiple comparison by using SPSS 14.0 for windows. Results: The satisfaction of health centers for community dwellers was related to age, educational level and family income and the difference of satisfaction of health centers were in comfortable surroundings, satisfaction of facilities, generosity of staff members and full explanation. The utilization and awareness of health center were differ from community areas. Conclusions: Further studies need to be done to investigate additional effects of satisfaction of health centers for community dwellers and to investigate nursing approaches for community dwellers to improve their satisfaction of health centers.

간호학생의 자아개념과 건강상태와의 관계 연구

최혜경 서울保健大學 1995 論文集 Vol.15 No.1

This descriptive-correlational study was undertaken in order to examine if there were relationship between Self-Concept and Health Status in Nursing Students. The subject for this study were 145 Nursing Students from Seoul Health Junior College. The instruments used for this study were the Self-Concept Scale developed by Choi Chung Hun(1972) and Rosenberg(1971) which was composed of 30 items, and Cornell Medical Index(C. M. I.) developed by Brodman and modified by Nam, Ho Chang. C. M. I. is composed of 57 items which is followed by 'yes' or 'no'. A 'yes' means a health problem is present. Analysis of data was performed by use the SPSS computer program: mean, t-test, ANOVA, Pearson Correlation Coefficient were used. The results of study were as followes : 1. Test of hypothesis: "The higher Self-Concept score, the better Health Status" was accepted.(r=-.2562, p<.0l) 2. The Self-Concept of total students were positively upper middle (mean=91.89, theoretically minimum 30-maximum 120). 3. The Health Status of total students were better lower middle(mean=19.48, theoretically minimum 0-maximum 57). In conclusion, this study revealed that Self-concept is an important factor that can improve Health Status.

정상 노인과 치매 환자간 임상화학적 검사 수치의 비교

조경혜,손혜연 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1997 Journal of biomedical laboratory sciences Vol.3 No.2

나이가 들어가면서 나타나는 여러 가지 변화를 임상적으로 검사하고 측정하므로써 건강상태를 예측하는 것은 노화를 지연시키고 건강한 삶을 유지하는데 상당히 유용하고 기초적인 지표가 될 것이다. 점차 증가일로에 있는 노인성 질환의 여러 문제점을 해결하기 위해 노령인구 집단을 정상군과 치매군으로 구분하여 13종의 임상 화학 검사를 시행한 결과, 두 집단 사이에서, 임상 생화학적 검사의 양상의 다를 것이라는 예측대로의 결과를 얻을 수 있었다. 즉, serum albumin, APase, glucose, GOT, LDH 등의 수치는 정상군과 치매군 사이에서 현저한 차이를 보이는 반면, bilirubin, BUN, cholesterol, creatinine, total protein 등의 검사 수치에서는 별다른 차이를 볼 수 없었으며, 그 밖에 calcium, GPT, Pi 검사 등의 결과에서도 두 집단 사이에서 차이를 보였다. 이것은 치매가 체내에서 많은 생화학적 변화를 일으킴을 시사하고, 치매 발병에 여러 가지 환경 요인이 영향을 미치게될 것이라는 결론을 유도할 수 있게 한다. The measurement of many biochemical changes that could be appeared as aging will be resulted in the very useful and basal marker to maintain healthy life and to predict the health condition and the retardation of the aging. We classified the geriatrics into the normal and same aged dementia on the based of clinical diagnostic as well as MMSE evaluation. And then we were collected blood samples from both groups and examined 13 biochemical assays to screen any valuable biochemical index for dementia. Among 13 assays, several assay data showed the statistically significant differences between two groups. The values of serum albumin, APase, and GOT were significantly decreased in demented group compared to control. On the other hand, the values of glucose and LDH were increased in dementia compared to control. Additionally, the value of Pi was increased but the values of calcium and GPT were decreased, without significant difference (p>0.05). The values of other assays such as bilirubin, BUN, cholesterol, creatinine and total protein did not show any statistically significant differences. Conclusively it may be suggested that dementia might be resulted in the variable biochemical changes which could be affected by many environmental factors as well as dementia itself.

한국 여성장애인의 경제활동 실태와 대책

오혜경 가톨릭대학교 사회과학연구소 2002 社會科學硏究 Vol.18 No.-

여성장애인의 차별실태 및 차별해소에 관한 연구

오혜경 가톨릭대학교 사회복지연구소 2006 사회복지리뷰 Vol.11 No.-

2005년 장애인실태조사 결과, 장애인구는 2,149천명, 재가장애인은 2,101천명으로 추정되며 이중 여성장애인은 약 843천명으로 전체의 40.1%를 차지하고 있으나 더욱 확대될 것으로 전망되고 있다. 여성장애인에 대한 정책적·임상적 접근은 여성주의적 관점을 통한 성평등의 보장과 인간의 삶의 질 향상에 초점을 두는 보편주의적·인간주의적 관점에 기초한 사회통합을 전제로, 통합적으로 조명되어야 하므로 여성장애인에 대한 이중차별구조를 밝히는 단편적 접근으로부터 삶의 질을 향상하고 구체적인 복지 증진을 위한 포괄적·통합적·체계적 접근으로 이동할 필요성이 제기되고 있다. 본 연구에서는 2005년도 장애인실태조사 결과 분석을 통해, 여성장애인의 차별실태 및 복지욕구를 살펴보며 여성장애인의 차별을 해소하기 위한 방안을 제시하고자 한다. 이를 위해 지금까지 여성의 차별을 해소하기 위한 다양한 노력들을 검토하였다. This paper first acknowledges the different social sectors in which disabled women face the most problems, and later, offers substantial solutions for these discriminative problems by examining the situations of double discrimination faced by women with disabilities. In the Korean society, women in general face discrimination against their gender. Women with disabilities, however, not only experience discrimination due to their femininity, but are also the victims of discrimination against their disabilities. As a result, disabled women find themselves having to deal with a double discrimination, which has put an extreme limit on their opportunities in education, marriage, and employment. Disabled people can not be categorized as one population since disabled women, unlike disabled men, face a double discrimination due to their gender. This would mean that women with disabilities not only live inferior lives to the general public, but also live inferior lives in comparison to disabled men. Furthermore, most disabled women are expected to stay at home all day and due to this isolation from society, their quality of life is also, not unexpectedly, very limited. In order to recommend adequate solutions to this problem, it is first necessary to examine, both qualitatively and quantitatively, the real situations of Korean women with disabilities who face a two-fold discrimination aimed against their gender and their physical disabilities. However, living with disabilities is a heavy burden in our lives, as we know well. Especially Korean Disabled women's suffering is doubled because of being both female and disabled. The traditional value and religion-social ideology of Korean society have been a fatal blow in maximizing discrimination against them. Accordingly living as disabled women in Korean society means living with two disabilities such as being both women and disabled. They are biased and severely discriminated in the areas of education, jobs, culture, and religion, etc.

각국의 장애인 소득보장제도에 관한 연구 : 스웨덴, 영국, 미국, 일본 그리고 한국 Sweden, UK, USA, Japan, and Korea

오혜경 가톨릭대학교 사회과학연구소 1997 社會科學硏究 Vol.13 No.-