의과대학 인문사회의학 교과목 통합교육과정 비교

구민성 ( Min Seong Koo ) 한국통합교육과정학회 2010 통합교육과정연구 Vol.4 No.1

본 연구는 고등교육의 영역 중 전문직업교육에서 교양교육이 지니는 의미를 탐구하고 발전방안을 모색함으로써 전문교육의 궁극적 원리와 방향을 제시하고자 하였다. 이를 위해 본 연구는 인문사회의학 교과목을 의과대학 전문직업 교육과정의 핵심 교양 교육과정으로 보고 그 내용을 조사하여 미국 의과대학과 비교하여 필요한 제언을 제공하고자 하였다. 인문사회의학 교과목이 의학 교육의 테두리 내에서 통합적, 통섭적 교육과정을 형성하고 있으며 이 과정을 통해 효율적이고 자율적인 자질을 연마하여 기초의학 및 임상경험 뿐 아니라 교양 교육과 문제해결 능력을 기르도록 하고 있다. 본 연구는 의학교육에서 인문사회의학이라는 교양교육이 지니는 의미와 목적에 대해 다음과 같은 결론을 도출하였다. 첫째, 교양교육의 목적은 의학적 기술 능력과 함께 비판적이고 창의적인 지적 능력을 가진 자유인의 육성을 추구해야 한다. 둘째, 전인 육성을 전제하는 교육이 되어야 한다. 전문직업교육에 있어서도 대학 교육의 목적인 지적능력을 지닌 자유인으로의 육성 뿐 아니라 동시에 이성의 범위를 확장하여 정서적, 심미적, 직관적 기술과 도덕적 태도 등을 갖춘 전체적인 발달을 추구해야 할 것이다. 이를 위해 인문사회의학 교과목이 우리나라 의과대학에서 필수적인 교양 교육 과정으로서 그 목적과 목표를 개선하고 지속적으로 개발되어야 할 것이다. This study is intended to suggest the principles and directions in medical education through inquiring the meaning and operating method of general education. The author examined the history and philosophy and the theories of general education which is expressed as liberal-social medicine, and found it`s essential meaning and purposes. For the purpose, the author compared the general education curriculum of major universities in Korea and the United States, analyzed the merits and the demerits, and made suggestion for desired curricular changes in Korean medical schools. In the study, it made conclusion about the meaning and purposes of general education as follows: First, the purpose of general education should pursue making a intellectually developed free person. It is necessary for medical school to cultivate students` intellectual abilities to adjust themselves to rapidly changing knowledge and environment. Second, the purpose of general education should pursue making a whole person. Medical schools should develop the whole of the personality through the realm of emotional, intuitive and moral attitudes for medical profession.

공항주변 주거여부에 따른 스트레스 수준 및 주관적 소음 인지도에 대한 상관성 연구

김상아,구민성,한병규,박웅섭,정상혁,Kim, Sang-A,Koo, Min-Seong,Han, Byoung-Kyu,Park, Woong-Suh,Jung, Sang-Hyuk 한국정신신체의학회 2000 정신신체의학 Vol.8 No.2

이 연구는 항공기 소음과 스트레스 수준 및 주관적 소음 인지도와의 상관성을 살펴보기 위하여, 항공기 소음 노출의 정도가 심하리라 예상되는 강릉공항에 인접한 입암동 및 학동 주민과, 대조군 송정동 주민 200명씩을 확률추출하여 전화설문을 수행하였다. 연구방법은 개인을 분석단위로 한 단면연구로 다중회귀분석 결과, 다른 모든 조사변수를 통제하여도 스트레스 수준과 소음으로 인해 생활에 지장을 받는다고 인지할 대응비가 입암동과 학동 주민이 송정동 주민에 비해 통계학적으로 유의하게 높았으며 중졸이하의 주민이 고졸학력의 주민에 비해 통계학적으로 유의하게 높았다. 이에 공항 주변 주민의 항공기 소음 폭로에 대한 지속적인 추적 및 보건관리와 보건교육, 정책 배려가 필요할 것으로 판단된다. This study describes the relationships between aircraft noise and stress and subjective noisy perception by comparing with two areas where the airport is adjacent or not. One area is Yipam-dong and Hak-dong expected to have louder aircraft noise because Kangnung Airport is near the area, and the other area is Songjung-dong as a control. For this study, we used telephone-survey which was targeted to two hundreds people of each area through the random sampling method. The design of the study is cross sectional study and the unit of analysis is a person. As the result of the multiple regression and logistic analysis, under the control of the other control variables, the both stress levels and subjective noisy perception of Yipam-dong and Hak-dong people significantly higher than that of Songjung-dong people and the people graduated middle school had significantly higher both stress levels and subjective noisy perception than the people graduated high school. In the future more studies have to be made that include concrete medical and psychiatric health problems.

여자 고등학생들의 월경주기에 따른 스트레스인자 지각 및 정신병리

고경봉,현태영,구민성,Koh, Kyung-Bong,Hyun, Tae-Young,Koo, Min-Seong 한국정신신체의학회 1999 정신신체의학 Vol.7 No.2

본 연구는 청소년 여성에서 월경전기, 월경기, 월경후기간 스트레스인자 지각 및 정신병리를 비교하기 위해 시행되었다. 여자 고등학생 341명(인문계 164명, 예능계 177명)을 대상으로 하였고, 평가도구는 스트레스인자 지각 및 정신병리를 평가하기 위해 global assessment of recent stress(GARS) scale과 symptom checklist-90-revised(SCL-90R)를 이용하였다. 월경기보다 월경전기 및 월경후기 중에 관계의 변화에 관련된 스트레스인자 지각점수가 각각 유의하게 더 높았다. 그러나 세 기간 중 정신병리는 유의한 차이를 보이지 않았다. 한편 인문계 학생들이 예능계 학생들보다 일상생활의 변화유무에 관한 스트레스인자 지각점수는 물론 강박증 척도접수와 positive symptom total(PST) 점수가 유의하게 더 높았다. 결론적으로 일부 스트레스인자지각이 월경기보다 월경전기 및 월경후기 중에 더 현저할 가능성이 높으나 정신병리는 월경주기와 관계가 없는 것으로 나타났다. 이 결과는 청소년 여성들의 정신병리가 월경주기 이외의 다른 변수들의 영향을 받을 가능성이 있음을 시사하였다. The purpose of this study was to make a comparison in perceived stressor and psychopathology among premenstrual, menstrual and postmenstrual phases, in high school girls. Three hundred forty-one high school girls(164 academic school girls, 177 art school girls) participated in this study. Global assessment of recent stress(GARS) scale and symptom checklist-90-revised(SCL-90R) were used to measure perceived stressors and psychopathology. The scores of perceived stressor relevant to change in relationships were significantly higher during the premenstrual and the postmenstrual phases than during the menstrual phase. However, no significant differences were found in psychopathology among three mentstrual phases. Scores of perceived stressor relevant to change or no change in routine were significantly higher in academic school girls than in art school girls. The scores of obsessive-compulsion subscale and positive symptom total were significantly higher in academic school girls than in art school girls. In conclusion, a perceived stressor was higher during the premenstrual and the postmenstrual phases than during the menstrual phase in adolescents, but psychopathology was not related to the menstrual cycle. These results indicated that the psychopathology in adolescent girls might be influenced by other factors than menstrual cycle.

부모의 음주문제와 자녀의 행동 및 심리사회적 특성

김석형(Seok Hyeong Kim),구민성(Min Seong Koo),오동열(Dong Yul Oh),박일호(Il Ho Park),이강수(Kang Soo Lee),김지연(Ji Yeon Kim),송정은(Jungeun Song) 대한소아청소년정신의학회 2011 소아청소년정신의학 Vol.22 No.3

Objectives:Alcohol problems of parents have an influence on not only their psychological problems but also on their children’s psychosocial adaptation. The purpose of this study was to compare the emotional and behavioral problems, including school bullying and social skills, between children of alcoholics (COAs) and children of non-alcoholics (non-COAs). Methods:We recruited 4<SUP>th</SUP> grade children (n=741) from 7 primary schools in Seoul and their parents as subjects. The self-rated psychiatric symptoms were assessed with the Korean version of the Children of Alcoholics Screening Test (CAST-K), the Children’s Depression Inventory (CDI), the Rosenberg’s Self-esteem Scale (RSES), the School Bullying Scale, the Social Skill Rating Scale and the Korean version of Alcohol Expectancy Questionnaire-Adolescent (AEQ-A). The Attention-deficit Hyperactivity Disorder Rating Scale-IV (ARS) was completed by the parents. Results:518 children were non-COAs and 223 were COAs. The COAs showed higher CDI and ARS-IV scores and lower RSES scores than the non-COAs. Especially, the COAs also showed higher school bullying scale scores and lower cooperative scale scores on the social skill rating scales. But there was no difference of alcohol expectancy between the COAs and non-COAs. Conclusion:It was plausible that the COAs had more behavioral & psychosocial problems than the non-COAs among the school aged children. It is important to identify and intervene to solve the problems of peer relationships of school age COAs in order to prevent victimization by bullying and to improve psychosocial adaptation.

우울증 탈북 여성에서 신체화 증상과 관련된 요인

유남희(Nam-Hee Yoo),이상민(Sang Min Lee),구민성(Min-Seong Koo),전진용(Jin Yong Jun) 대한사회정신의학회 2017 사회정신의학 Vol.22 No.1

목 적 : 탈북민 여성들의 신체화 증상에 영향을 미치는 요인을 알아보고자 이 연구를 수행하였다. 방 법 : 국내 입국한 북한이탈주민 중 한국판 역학연구센터 우울척도(the Center for Epidemiologic Studies-Depression scale, CES-D) 21점 이상의 우울 고위험군 242명을 대상으로 한국판 역학연구센터 우울척도(the Center for Epidemiologic Studies-Depression scale, 이하 CES-D) 점수와 간이정신진단검사(Symptom Checklist-90-Revision) 신체화 차원(이하 SCL-90R-SOM) 점수를 측정하였으며, 신체화 증상에 영향을 미치는 변수들을 측정 후 이에 대한 다중회귀분석을 실시하였다. 결 과 : 다른 변수의 영향을 통제한 다중회귀분석 결과 CES-D 점수가 높아질수록(t=5.013, p<0.001), 연령이 높아질수록(t=2.167, p=0.033) 신체화 증상의 점수가 높았다. 결 론 : 이 연구는 신체화 증상을 보이는 탈북민을 이해하는데 도움을 줄 것으로 생각된다. Objectives : This study was designed for an analysis of the related factors of somatic symptoms in depressive North Korean Refugee Women. Methods : We measured the related factors with the Center for Epidemiologic Studies-Depression scale (CES-D) scores and Symptom Checklist-90-Revision (SCL-90R-SOM) scores in North Korean Refugee Women whose CES-D scores were over 21. We performed the multiple regression test in depressive North Korean Refugee Women. Results : CES-D scores (t=5.013, p<0.001) and age (t=2.167, p=0.033) were significantly correlated with SCL-90R-SOM scores. Conclusion : This study will be helpful to understand the North Korean Refugee Women who have somatic symptoms.

관동의대 국시 및 학업 성적에 영향을 미치는 요인 분석

구민성,문동석,김상아,박웅섭 관동대학교 의과학연구소 2001 關東醫大學術誌 Vol.5 No.1

This study purposed for analysis of the factors affecting Korean Medical License Examination(KMLE) grades in Kwandong University Medical College students. Twenty-seven graduate students were evaluated with stress perception scales and socio-economic state evaluation scales. The results were as follows: 1.The students feel high stress in 'Recent pressure in past one week', 'pressure in interpersonal relationships' and 'economic pressure'. 2.The scores in 'Recent pressure in past one week', 'pressure in interpersonal relationships' and 'occupational pressure' were in significant correlations with the KMLE scores. These results suggest that the Kwandong Medical students feel stress in chiefly in the interpersonal relationships and these factors affecting KMLE scores.

정신분열병과 강박장애 : the Clinical Profiles Udy

구민성,김세주,김찬형 대한정신분열병학회 2003 정신분열병 클리닉 Vol.6 No.2

초발 정신분열증의 정신병리와 혈장 Homovanillic acid 및 5-hydroxyindoleacetic acid 와의 관계

구민성 관동대학교 의과학연구소 2000 關東醫大學術誌 Vol.4 No.1

Initial treatment of schizophrenia may not be successful due to the side effects of antipsychotic drugs and absence of insight in the patients. Schizophrenic patients go into the chronic and devastating process due to the characteristics of disease itself and making it necessary to predict therapeutic response in the initial stages of treatment. The changes of plasma metabolites, an objective method which measures therapeutic responses, is sensitive to many factors like age, disease duration, drug exposure period, and schizophrenia is made of not just one symptoms, but several symptoms. To control these confounding factors, it is necessary to study with first-episode drug-naive patients. The purposes of this study were to examine the changes of plasma homovanillic acid(HVA), 5-hydroxyindoleacetic acid(5-HIAA), and HVA/HIAA ratio during an 6-week risperidone trial and to investigate the relationship between the plasma monoamine metabolites and treatment responses. Seventeen first-episode drug naive schizophrenic patients were treated for 6 weeks with risperidone. The psychopathology was assessed at baseline just before SDA trial and then at 2 week and 6 week after SDA treatment. At the same time plasma HVA and 5-HIAA were evaluated by HPLC(high performance liquid chromatography). The results were as follows: 1.Plasma HVA and 5-HIAA levels were significantly decreased during an 6-week risperidone treatment, although plasma HVA/5-HIAA ratio showed no significant change. 2.The changes of plasma HVA levels were in significant correlations with the changes of PANSS positive scores, and the changes of plasma 5-HIAA levels were in significant correlations with the changes of PANSS negaive scores. These results suggest that the antipsychotic effect of risperidone on positive symptoms may be associated with dopaminergic blocking activity, and on negative symptoms may be associated with serotonergic blocking activity. The changes of plasma HVA and 5-HIAA levels may be useful therapeutic predictors in the treatment of risperidone. Key Words : first-episode schizophrenia, changes of psychopathology, plasma HVA, 5-HIAA, serotonin dopamine antagonist

청소년 스트레스 요인과 PC방 이용과의 관련성

김상아,전진용,구민성,박웅섭,정상혁 大韓神經精神醫學會 2003 신경정신의학 Vol.42 No.6

Objectives : This study was designed for the evaluation of relationships between PC-Bang (the place where people surf the internet, play computer games and etc) visit and stress in adolescents. Methods : 66 adolescents in city of Kangnung were interviewed in June, 2000. The independent variables were general characteristics of adolescents, the characteristics related to school activities and the length of time using PC-Bang. The amount of stress was measured by the Korean version BEPSI (Brief Encounter Psychosocial Instrument) scale. Results : The multiple regression analysis shows that the BEPSI score of female was higher than that of male by 0.18 (p<0.05) and the adolescents with more communication with their friends scored lower 4.04 (p<0.001) than others in the BEPSI. As the time used in PC bang increased, the BEPSI score was also increased 0.18 point per hour (p<0.01). Conclusion : This result shows that the time of PC-Bang usage is significantly related with the BEPSI score of adolescents.

알코올 사용과 스트레스와의 관련성

전진용,오동열,구민성,이준석,천근아,박웅섭,김상아 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.4

Objectives : This study was designed to assess the relationship between alcohol use and stress. Methods : The study subjects were 1,261 people who drink among the 2,565 people who lived in Gangneung. We investigated the sociodemographic characteristics, Short Form-12 (SF-12), Global Assessment of Recent Stress (GARS) and Alcohol Use Disorder Identification Test (AUDIT). Results : In Problem drinking group the GARS was significantly positively associated with the AUDIT (p=0.02). In Social drinking group sex (p<0.001) and age (p=0.02) is significantly associated with the AUDIT. Conclusion : This study showed the significantly positively association between stress and alcohol use. We think that the intervention and active management of the stress can prevent the alcohol problem.