인터넷 중독 청소년들의 정신병리 및 대처 방식

안영균(Young Kyun Ahn),신영철(Young Chul Shin),고복자(Bok Ja Koh),심진현(Jin Hyun Shim),김범조(Bum Jo Kim),이승민(Seung Min Lee),이길홍(Kil Hong Lee) 한국중독정신의학회 2005 중독정신의학 Vol.9 No.1

This study was conducted to investigate the differences in psychopathology and coping strategies among internet addictors, over users and non addictors in high school students. Subjects were 273 high school students in Seoul city. Self rating questionnaires included demographic data, Young’s Internet Addiction Scale, SCL-90-R, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory, and The Way of Coping Strategy. Subjects were classified into 3 groups (addiction, over use, non addiction) by Internet Addiction Scale score. Prevalence of internet addiction was 4.3% and male adolescents were more addictive than female. Students who were mainly involved with internet chatting or game showed higher internet addiction score. The addiction group and over use group showed higher level of somatization, obsession, interpersonal sensitivity, depression, anxiety, hostility, and paranoia than non-addicted group. Addiction group and over use group used passive coping strategies more frequently in the stressful situation than nonaddicted group. Also, the regression analysis for finding out causal factors that predicts internet addiction showed that emotion relieving strategy were important variable which predict internet addiction. Interpersonal sensitivity and emotion relieving coping strategy was important to predict addiction. This study showed that problematic internet use was closely associated with psychopathology and psychiatric comorbidity. And high interpersonal sensitivity and emotion relieving coping strategy were related with internet addiction in adolescence.

청소년 식이태도와 식이행동의 횡문화적 연구

백영석,안동현,조연규,남정현,최보율,강윤주,고복자 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.3

연구목적 : 청소년을 대상으로 장애가 있는 식이태도 및 식이행동과 관련된 요인들에서 인종과 문화적 차이가 있는가를 보는 것이다. 방 법 : 1996년도에 3129명의 중고등학교 남녀 학생을 대상으로 학교 장면에서 신체 계측과 설문지를 통하여 수집하였으며 연령은 13세부터 16세 사이의 학생들로 분포되었다. 학생들의 분포는 서울 지역의 663명, 양평 지역의 821명, 조선족이 사는 연길 지역의 830명 그리고 한족이 사는 길림 지역의 815명이었으며, 그들은 모두 키, 몸무게, 신체질량지수, 부모의 수입, 아버지의 학력, 체중조절 설문지, 신체상 척도 및 식이태도검사 등의 내용을 완성하였다. 결 과 : 신체질량지수(BMI)에서는 지역, 성별, 사회경제적 상태에 따른 차이가 없었다. 연길과 길림 지역의 학생들이 서울과 양평 지역의 학생들보다 심한 저체중과 심한 과체중을 갖는 학생들이 많았다. 연길과 길림 지역의 학생들이 서울과 양평의 학생들보다 식이태도검사(EAT-26)의 평균치가 높아 식이태도와 식이행동이 나빴다. EAT-26의 20점 이상인 식이장애의 고위험군은 연길 지역의 학생이 6.9%로 네 집단 중에서 가장 많았다. 한국의 양평지역과 서울 지역의 학생들이 신체상 척도(BIS)의 평균치가 연길 지역과 길림 지역의 학생들보다 의미있게 높았다. 즉 한국의 학생들이 중국의 학생들보다 자신의 신체에 대하여 부정적인 생각을 갖고 있었다. 체중조절 행동의 유병율은 서울 지역 학생들이 26.7%, 양평 지역 학생들이 23.2%, 연길 지역 학생들이 10.6%, 그리고 길림 지역 학생들이 4.6%이었다. 식이조절과 운동은 한국의 학생들이, 식이조절과 약물사용은 중국의 학생들이 가장 많이 하는 방법이었다. 결 론 : 본 연구를 통하여 한국과 중국에서도 식이장애가 결코 적지 않을 것이라는 사실을 확인하였고, 식이장애는 인종과 사회문화적 요인에 의해 크게 영향을 받는다는 것, 마지막으로 식이태도와 식이행동 및 그와 관련된 요인들을 통해서 네 지역간의 문화전이 상태를 확인할 수 있었다. Objectives : The goal of this research was to attempt to examine ethnic and cultural differences in factors associated with disordered eating attitudes and behaviors. Methods : Data were collected from the four groups of 3,129 high school students aged between 13 and 16 years who completed school-based survey conducted in 1996. The students (663 Korean urban, 821 Korean rural, 830 Korean-Chinese and 815 Chinese adolescents) completed an instrument which assessed weight, height, Body Mass Index(BMI), parental income, father's level of education, weight control questionnaire, Body Image Scale(BIS), and eating attitudes and behaviors using the Eating Attitude Test-26(EAT-26). Results : BMI did not vary significantly by race, sex, and socioeconomic status. There were many severely underweight and severely overweight students among Korean-Chinese and Chinese than among Korean urban and Koran rural students. The EAT-26 mean scores of Korean-Chinese and Chinese subjects were significantly higher than those of Korean urban and Korean rural subjects. The EAT-26 mean score of Korean-Chinese was the highest among the four racial groups. The prevalence of high risk EAT-26(EAT-26≥20) students of Korean-Chinese was 6.9% which was the highest among the four groups. The BIS mean scores of Korean rural and Korean urban subjects were significantly higher than those of Korean-Chinese and Chinese subjects. The Korean subjects were more dissatisfied with their body than the Chinese. The prevalences of weight control behaviors were 26.7% in Korean urban, 23.2% in Korean rural, 10.6% in Korean-Chinese, and 4.6% in Chinese subjects. Dieting and exercise were most popular for weight reducing in Korean subjects. Dieting and drug use were most popular in Chinese subjects. Conclusion : These data suggest that there must be many eating disorder patients in Korea and China, and the eating attitudes and behaviors are influenced by ethnic and cultural factors. Implications for understanding sociocultural influence on eating attitudes and behaviors and acculturation are discussed.

중국, 한국, 조선족 중고등학생의 학교따돌림 피해실태에 대한 비교연구

최미경,김광일,박용천,이동근,고복자 關東大學校 醫科大學 醫科學硏究所 2004 關東醫大學術誌 Vol.8 No.2

This study was attempted to compare the aspects of victims including incidence rate of bullying victims, type of bullying and period and place of bullying for the past one year among Chinese, Korean and Korean-Chinese juveniles of 605, 683 and 617, respectively. Investigation with the self-administered questionnaire was conducted, which was for Korean, Chinese and Korean-Chinese junior high and high school students(12 schools in total of each 2 junior high schools and each 2 high schools) in Seoul and Yanbian between Oct. 2001 and Mar. 2002. Findings of this study are as follows: The definite characteristics of Korean victims were found: Generally, they showed low incidence rate of bullying victims but they showed more "alienated follower type" bullying, more period and frequency of bullying, and more collective bullying than Chinese and Korean-Chinese students. Also, they showed more severe psychological pain and lethargy - a state of sluggishness when other students are bullied - compared to Chinese and Korean-Chinese students. The other side, most of Korean-Chinese victims replied "They wanted revenge" as a feeling after being bullied like Korean victims but significant numbers of them replied "They endured" as a coping method, suggesting their psychological pain. On the other hand, Korean-Chinese students showed more bullying victims "outside the school" than Korean and Chinese students, suggesting difficulty in intervention. It is concluded that comparative studies on individual conditions and cultural characteristics of the victims are further needed in order to make the above-mentioned differences clear.

청소년의 식이행태 조사 : 서울·양평 두 지역간 비교 The Comparison of Urban and Rural Areas

최준호,안동현,최보율,강윤주,백영석,조연규,고복자,남정현 漢陽大學校 精神健康硏究 1998 精神健康硏究 Vol.17 No.-

한국어판 소아용 진단적 면담검사의 개발과 타당도 조사

송동호,김병후,남궁기,이혜련,신승철,이성훈,고복자,김경희,이만홍,노경선 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.4

National Institute of Mental Health Diagnostic Interview Schedule for Children (NIMH-DISC) was translated into Korean version through several times of back-translation and expert-review. We studied the validity of NIMH-DISC Korean Version by examining agreements between DISC diagnoses and clinical diagnoses. 52 subjects and their parents were concurrently interviewed by lay-interviewers using the DISC, who had been trained for 10 weeks. Of the all subjects, 27 were outpatients or inpatients at child psychiatric clinic of Yonsei Hospital and 25 were the psychiatric outpatients at School Health Center. The results were as follow; 1) It was necessary to several times of back-translation and expert-review in developing the Korean Version of DISC. 2) Kappa values of agreement between DISC diagnoses and clinical diagnoses were low except schizophrenic disorder, so DISC does not seem to be useful to diagnose the child psychiatric disorders.