스트레스 대처방식이 의과대학생들의 주관적 안녕감에 미치는 영향

고진경,윤태영,박재현 한국의학교육학회 2007 Korean journal of medical education Vol.19 No.3

Purpose: This study aims to explore which coping strategies medical students use more often, and how coping styles account for medical students’ subjective well-being. Methods: Subjects included 249 medical students from undergraduate and Graduate Entry Programme of a medical school in Seoul, Korea. Coping style was measured using the Ways of Coping Checklist. Subjective well-being was measured with Positive/Negative Affect Scale and Satisfaction with Life Scale. Analysis of Variance(ANOVA) was used to compare four coping strategies, and stepwise multiple regression was used to analyze the accountability of each of the coping strategy for subjective well-being. Results: Medical students used avoidance and problem-focused coping strategy more often than they used emotion-focused coping strategy and seeking social support. Graduate Entry Programme students used avoidance less often and seeking social support more often than undergraduate students. Among subscales of subjective well-being, positive affect can be accounted for by problem-focused coping and seeking social support, and negative affect can be accounted for by problem-focused coping and avoidance. Life satisfaction can be accounted for by problem-focused coping as well. Conclusion: The results of this study showed that medical students had high adaptability as well as strong anxiety toward stressful situations in medical school. Moreover, three among the four coping strategies accounted for medical students’ subjective well-being. These findings should be considered as a baseline for future research looking into additional variables affecting medical students’ well-being.

정신분열병 환자의 사회인지 능력 평가척도 개발

고진경,현명호,김창윤 한국건강심리학회 2008 한국심리학회지 건강 Vol.13 No.2

In this study a simulated, sensitive video-based instrument for the evaluation of social cognition of schizophrenia was developed: The Assessment tool of Social Cognitive Ability for Schizophrenia (ASCAS). Realization of the instrument entailed the development of scripts, the scenes of the actual movie steering actors and post processing of the video clips with subsequent test-formating. The ASCAS was operationalized social cognition through video, approximating social interactions the way they actually happen in everyday life. The psychometric adequacy of ASCAS was investigated by the use of item-response model (two parameter logistic models). The data were analysed by LTM (latent trait models under IRT) 0.7-1module. The internal consistency, interrater reliability and convergent validity was analyzed by SPSS 12.0K for windows. Major findings of this study were as follows: Test of goodness-of-fit was revealed that items of ASCAS were fitted for two parameter logistic model. The item difficulty parameter of ASCAS expressed that the difficulty level of item is low and the discrimination parameter showed that items of ASCAS distinguished between subjects with low/high standing in this scale. According to the Test Information Curve the items asked in ASCAS provided information for subjects with low ability. The internal consistency(.91) and the interrater reliability(.78) were pertinent. Through the ASCAS factors related with social cognition were examined. Results showed that negative symptoms and general social functioning were correlated with social cognition. 본 연구는 동영상을 사용하여 정신분열병 환자들의 사회인지 능력을 객관적으로 평가할 수 있는 도구를 개발하고, 심리적 속성을 분석하였다. 도구개발을 위해 정신분열병 환자들이 일상생활에서 빈번하게 나타내는 상황에 부적절한 행동과 관련된 일화들을 수집하여, 동영상 제작을 위한 시나리오를 구성하고 동영상을 제작하였다. 30개의 장면으로 구성된 정신분열병 환자의 사회인지 능력 평가척도는 서울과 대전에 소재하고 있는 대학병원의 외래환자 93명과 일반인 175명에게 실시하여 신뢰도와 타당도, 문항특성을 분석하였다. 정신분열병 환자의 사회인지 능력 평가척도의 내적 일치도는 .91, 평정자간 일치도는 .79로 높은 신뢰도를 보였다. 문항난이도와 변별도에 대한 분석 결과, 정신분열병 환자의 사회인지 능력 평가척도의 문항들은 매우 쉽거나 쉬운 범주에 속하고 문항 변별도는 모든 문항이 적절한 수준 이상에 속하는 것으로 나타났으며, 피험자 능력 점수를 비교한 결과 환자집단과 통제 집단간의 유의한 차이를 보여, 정신분열병 환자의 사회인지 능력 평가척도가 두 집단을 구분할 수 있음을 보여주었다. 결론적으로 정신분열병 환자의 사회인지 능력 평가척도는 높은 신뢰도와 타당도를 갖고 있으며, 문항 특성 또한 정신분열병 환자의 사회인지 능력을 평가하는데 유용한 도구로 사용될 수 있음을 시사하고 있다.

비구조적 과제수행에서 나타나는 개인 지식창출활동의 분석

고진경,강명희 이화여자대학교 사범대학 교육과학연구소 2005 교육과학연구 Vol.36 No.1

본 연구는 비구조적과제수행에서 나타나는 개인 지식창출의 특성을 파악하기 위하여 과제수행시기와 학습자특성, 그리고 과제유형에 따라 변화되는 각 지식창출활동의 빈도를 비교하였다. 이를 위하여 과제 영역에 대한 지식수준이 다른 연구참여자들이 비구조적 형태의 협력 및 개별과제를 수행하는 30개의 사례를 선정하고, 과제수행 과정을 관찰하였다. 연구참여자들의 내적, 외적 활동의 관찰을 위해서 성찰저널, 인터뷰, 설문, 학습시스템의 게시판메시지 등 다양한 형태의 질적자료를 수집하고 내용분석을 통해 빈도자료로 변환하였다. 도출된 양적자료는 ANOVA, Mann-Whitey 검정, Kruskal-Wallis 검정을 시행하여 분석하였다. 분석결과, 30개 사례의 과제수행시기 간 지식창출활동 빈도에는 유의한 차이가 있었으며, 중기의 활동 빈도가 가장 높았다. 또한, 4개의 지식창출활동 유형 간에는 유의한 빈도차가 나타났고, 그 중에서 의미화 및 지식창출 유형의 빈도가 가장 높게 나타났다. 과제수행시기와 지식창출활동 유형 간 상호작용 효과도 있었다. 학습자의 지식수준에 따른 지식창출활동 분석결과, 초심자 집단이 전체 지식창출활용 빈도가 더 높았던 반면 경험자집단에서는 시기와 유형에 따른 빈도변화의 폭이 컸다. 마지막으로 과제유형에 따른 지식창출활동 분석 결과 협력과제를 수행할 때 학습자들에게서 보다 많은 활동이 관찰되었으며 협력과제와 개별과제 모두에서 지식창출활동의 빈도에는 유의한 차이가 있었다. This study aims to understand the individual knowledge construction phenomenon in activity-based learning environment by identifying specific activities composing the knowledge construction process and analyzing how they work differently according to participant' knowledge levels, the types of tasks, and time periods. The concrete research questions according to research purposes we as follows. When performing ill-structured task : Do the times, Participants' prior knowledge and the task types affect the utilization of activities for the individual knowledge construction? 1) Do the times affect the utilization of activities for the individual knowledge construction? 2) Do the times and participants'prior knowledge affect the utilization of activities for the individual knowledge construction? 3) Do the times and the task types affect the utilization of activities for the individual knowledge construction? In order to investigate the above questions, I selected 30 cases in which collaborative/independent tasks were performed by the participants with different levels of knowledge in educational technology, respectively. While they performed the tasks, I observed their inside knowledge construction activities. To observe knowledge construction activities, diverse kinds of data were collected, such as interviews, reflective journals, surveys, and messages on the bulletin board in the learning system. They were converted to the frequency data according to category by content analysis method. Based on the frequency data, the utilization for knowledge construction activities were analyzed by using ANOVA, Mann-Whitney test, Kruskal-Wallis test. The results of this study were summarized as follows. As for the results of the study; First, there was a significant difference in the utilization of knowledge construction activities according to the periods of time. There was also a significant difference in the utilization of knowledge construction activities according to the knowledge levels of participants and the periods of time. The Beginners Group showed a higher utilization in the sum of activity types. On the other hand, the Experience Group recorded radical change in utilization of knowledge construction activities with laps of time. There was a significant difference in the utilization in knowledge construction activities according to task type: the Collaborative Task showed higher utilization than Individual Task In both Tasks. There was significant difference in the utilization between knowledge construction activities.

양극성 장애의 신경인지기능

고진경,김병수,김창윤,주연호 대한신경정신의학회 2008 신경정신의학 Vol.47 No.2

Objectives : This study was aimed to investigate the neurocognitive functioning of patients with remitted bipolar disorder and compare with schizophrenic patients' neurocognitive functioning. Methods : This issue was addressed by comparing remitted DSM-IV diagnosed bipolar, schizophrenics patients and controls on several clinical and neurocognitive measures. Clinical state was assessed using the Positive and Negative Syndrome Scale (PANSS), Young Mania Rating Scale (YMRS), and Montgomery-Asberg Depression Rating Scale (MADRS). Neurocognitive measures included the KWIS, WMS-III, Korean California Verbal Learning Test (K-CVLT), Wisconsin Card Sorting Test (WCST), Rey-Osterrieth Complex Test (RCFT), and Color Trails Test (CTT). Thirty-two subjects with remitted bipolar disorder, twenty-four remitted schizophrenia and twelve normal controls were studied. Results : Analysis of variance (ANOVA) revealed no differences across groups on age, education and IQ. With respect to neurocognitive test performance, bipolar disorder patients and schizophrenic patients were similar and both groups were impaired compared to normal controls. Two diagnosed groups have persistent impairments in neurocognitive function, Particularly in the domains of declarative memory. Conclusion : The results provide support for the view that remitted patients with bipolar disorder suffer cognitive impairment.

직무 관련 스트레스, 문제해결양식이 소방대원의 심리적 디스트레스에 미치는 영향

고진경,박재성 한국화재소방학회 2010 한국화재소방학회논문지 Vol.24 No.6

This study is aimed to investigate the relationship between job-related stressor, problem solving style and psychological distress and the effects of job-related stress and problem solving style on psychological distress of firefighters. The Job-related Stress Scale, Problem Solving Style Questionnaire, and the Symptom Checklist-Revised (SCL-90-R) were administered to 148 firefighters working in Seoul and Gyounggi. Correlation analysis revealed that job-related stress, problem-solving styles such as helplessness and problem-solving control correlated positively with psychological distress and that problem-solving confidence and approaching style correlated negatively with it. Multiple regression analysis showed that job-related negative cognition and emotion, helplessness and approaching style accounted for 43% of the variance in the psychological distress. Among problem-solving styles, helplessness had the highest predictive power for psychological distress. Self-reported helplessness is an important determinant of firefighters' reactions to problematic situations encountered in their job. 본 연구는 소방대원의 직무 관련 스트레스, 문제해결양식과 심리적 디스트레스의 관계를 검증하고 직무관련 스트레스, 문제해결양식이 심리적 디스트레스에 미치는 영향을 살펴보고자 하였다. 이를 위해 소방대원의 스트레스의 심각도를 측정하는 스트레스 척도, 문제해결양식 척도 그리고 정신진단척도를 사용하여스트레스의 양상, 문제해결양식과 심리적 디스트레스 간의 상관분석 및 회귀분석을 시행하였다. 상관분석결과, 두 가지 직무 관련 스트레스와 심리적 디스트레스가 정적인 상관을 보이며, 문제해결양식의 무기력감과 문제에 대한 통제감이 심리적 디스트레스와 정적인 상관관계를 나타내고, 문제해결에 대한 자신감과접근적 문제해결양식은 심리적 디스트레스와 부적인 상관관계를 보였다. 직무관련 스트레스와 문제해결양식이 심리적 디스트레스를 예측하는 정도를 파악하기 위해 시행한 중다회귀 분석결과, 직무 관련 스트레스 중에 부정적 인지와 정서, 문제해결양식 중에는 무기력감과 접근적 문제해결양식이 심리적 디스트레스에 유의한 영향을 끼치는 것으로 나타났다. 문제해결양식 중 무기력감이 심리적 디스트레스를 가장 크게예측하였는데, 이는 직면한 문제를 효율적으로 해결하지 못한 것에 대한 자책과 함께 직업적 자존감(selfesteem)까지 저하시켜, 효율적인 직무수행에 부정적인 영향을 줄 수 있다.

수치심과 공격성간의 관계 : 정서조절곤란의 매개효과를 중심으로

고진경 한국디지털정책학회 2018 디지털융복합연구 Vol.16 No.9

진료수행시험에서 동일한 사례를 연기한 다수의 표준화 환자 간 채점결과 신뢰도

고진경,윤태영,박재현 한국의학교육학회 2008 Korean journal of medical education Vol.20 No.1

Purpose: The “standardization” of standardized patients (SP) is one of the most crucial factors for a successful clinical performance examination (CPX). This study aimed to examine the inter-rater reliability among SPs who portrayed the same case during a CPX. Methods: The context was a CPX conducted under the supervision of CPX Seoul-Gyeonggi Consortium in K medical school in August 2007. K medical school ran 12 stations consisting of duplicated sets of 6 cases. In total, thirty SPs participated with 5 SPs acting each of the 6 cases. The SPs evaluated the student’s performances in addition to portraying the cases. ANCOVA (analysis of covariance) was used to compare scores rated by the different SPs. The dependent variables were the case scores and the 4 subcomponent (history taking, physical examination, Clinical courtesy, and Patient-physician interaction) scores for each case; the independent variable was the SPs; and the covariate was the CPX total score. Results: The Headache and Cough stations showed an acceptable level of reliability. Otherwise, Weight Loss and Facial Flushing failed to show consistent scores in all 4 subcomponents. Diarrhea and Lt. hemiparesis showed partial consistency. In terms of the subcomponents, the physical exam scores were most consistent and the patient-physician interaction scores were most inconsistent. Conclusion: This study tested the level of “standardization” of one set of CPX cases with mixed results. The authors hope that our results will contribute to quality assurance of CPX.

간호학과 학생들의 학년별 스트레스원의 차이와 대처방식

고진경 대한의료커뮤니케이션학회 2010 의료커뮤니케이션 Vol.5 No.2

The purpose of this study was to identify the differences of stressors and perceived stress level at gradeand ways of coping in nursing students. The subjects of this study were 381 nursing students from twouniversities in Daejeon. There was no differences of stress level at grade and the common stress area atgrade was college life. Viewed from each of the categories of stressor which nursing students experienceduring clinical practice, the deficiency of nursing skills and knowledge was the main stressor andcommunication amount and depth also affect their perceived stress. In the stress area the self, the concernof self-identity was increased as the grade was developed. Those who perceived stress level high showedto use the emotional oriented coping. Effective stress management program considering various influencingfactors shall be developed to reduce stress. .

DSM-5의 변화와 문제에 대한 개관

고진경 한국심리치료학회 2013 한국심리치료학회지 Vol.5 No.2

13년간의 개정 작업 끝에 2013년 5월 출간된 DSM-5는 정신건강 분야의 임상 진단, 치료계획, 약물선택, 연구계획에 중요한 지침서로서 임상적 유용성을 향상시키는 것을 목적으로 한다. 진단준거로 많은 임상가들이 사용하고 있는 DSM-5는 이전 판에 비해 구조와 내용에서 큰 변화를 보였다. 본 논문에서는 DSM-5에서 변화된 것은 무엇이며, 변화의 이유와 변화에 따른 논쟁점은 무엇인지 살펴보고자 한다.

Markov decision process를 이용한 효율적 재고관리 모형에 관한 고찰

고진경 덕성여자대학교 경영학회 1992 경영학회지 Vol.9 No.-