Beta₂-agonist의 장기적, 규칙적 사용에 따른 부작용

권정혜,고영률 中央醫學社 1996 中央醫學 Vol.61 No.2

사회공포증 인지행동치료의 최근동향

권정혜 한국인지행동치료학회 2007 인지행동치료 Vol.7 No.1

본고에서는 사회공포증의 발병과 유지를 설명하는 여러 이론들을 고찰하고, 이러한 인지적 개념화가 치료에 어떤 함의를 가지는지 살펴보았다. 그리고 사회공포증에 대한 인지행동치료의 주요 치료요소인 인지재구성 작업과 노출훈련의 기본원리를 기술하였으며, 사회공포증의 치료에 이들 기법이 어떻게 효과적으로 적용될 수 있는지 논의하였다. 다음으로 사회공포증에 대한 인지행동치료의 효과를 검증한 국내외 연구들을 살펴보고, 최근의 동향을 고찰하였다. 문헌 고찰에 따르면, 여러 편의 메타분석이 사회공포증에 인지행동치료의 효과를 지지하였으나, 인지재구성기법과 노출훈련이 결합된 인지행동치료가 노출치료에 비해 더 월등한 효과를 나타나는지에 대해서는 일관된 결과가 나타나지 않은 것으로 밝혀졌다. 국내에서도 여러 편의 연구에서 인지행동치료의 효과가 입증된 것으로 보고되었다. 마지막으로 사회공포증에 대한 인지행동치료의 최근 동향을 살펴보고, 앞으로 나아가야 할 방향에 대해 논의하였다. Social phobia is a common and underdiagnosed disorder that is associated with considerable social and occupational handicap. This article provided an overview of cognitive models of social phobia and described two major techniques, cognitive restructuring and exposure training. It also summarized the current literature on treatment outcomes of cognitive behavioral therapy(CBT) for social phobia. Numerous studies have demonstrated the efficacy of CBT and meta-analyses have indicated that both CBT and exposure therapy produce very similar effect sizes in the moderate range. Although CBT appears well-established in regard to their effects on social phobia, a number of questions remain to be answered, including the search for predictors of who will benefit from which treatment and clarification of the mechanism of treatment changes. New trends and future directions were also discussed.

사회행동 배열과제의 개발과 타당도 연구: 정신분열병 환자의 사회인지 능력을 측정하는가?

권정혜,전진수,최기홍 한국임상심리학회 2003 Korean Journal of Clinical Psychology Vol.22 No.3

The purpose of this study was to develop the Social Behavior Sequencing Task (SBST) measuring social-cognitive ability of schizophrenics and examine its reliability and validity. The Social Behavior Sequencing Task was developed following the format of the Schema component sequencing task used by Corrigan, Wallas, & Green(1992). The final six items of the Social Behavior Sequencing Task were selected based on the results of the preliminary study in which 10 items were administered to 200 college students. To establish the reliability and validity, the Social Behavior Sequencing Task was then administered to 42 schizophrenics attending the community rehabilitation centers and 46 normal adults. Results demonstrated that the Cronbach alpha coefficient was .87 indicating high reliability. It was also shown that there was a significant difference between the schizophrenic group and the normal group on the mean of the SBST, t(86)=-3.40. p < .01. The results of the correlational analyses indicated that the score of the SBST was significantly correlated with the score of the picture arrangement subtest of KEDI-WISC, r=.47, p < .01 but not with the vocabulary subtest of K-WAIS, r=.14, ns. The SBST was also found to be significantly correlated with two measures of social skills(r=.44 & -.58), demonstrating high validity. Implications of the results were discussed along with its limitations.

우울증 환자의 역기능적 대인관계 특성

권정혜 한국임상심리학회 2002 Korean Journal of Clinical Psychology Vol.21 No.3

The purpose of this study was to examine if insecure attachment served as interpersonal vulnerability of depression and if insecure attachment affected marital functioning of depressed patients. Participants were 31 female outpatients with depression (depression group) and 32 normal women(control group). They were assessed on the measure of depression, subjective marital satisfaction, marital relationships, attachment style and general dysfunctional attitude. Specifically, interview technique was used to evaluate marital relationship and attachment style. Results indicated that insecure attachment style was significantly more prevalent in the depression group than in the control group. Among aspects of insecure attachment, depressed patients showed a higher level of the desire for engagement and anger in relationships than women in the control group. Subjective marital satisfaction, confiding in husband, quality of positive interaction with husband and security characteristics of marriage were lower in the depression group than in the control group, and the quality of negative interaction with husband was higher in the depression group than in the control group. Achievement-oriented and dependency-oriented dysfunctional attitude were higher among depressed patients than among women in the control group. Within the depression group, patients with secure attachment and those with insecure attachment group were compared. There was a significant difference in the subjective marital relationship between two groups, and active emotional support by husband tended to be lower in the insecure attachment group than in the secure attachment group. Achievement-oriented dysfunctional attitude tended to be higher among patients with insecure attachment group than those with secure attachment. Implications and limitations of this study were discussed.

선진국에서의 정신보건법 현황 및 시사점

권정혜 한국임상심리학회 1995 정신보건법에 관한 임상심리학회 토론회 Vol.- No.-

근거기반실무로서 난임상담의 실제

권정혜 한국여성심리학회 2019 한국심리학회지 여성 Vol.24 No.2

Given the high percentage of women who experience mental health problems and the great demand for infertility counseling, there is an urgent need to develop infertility counseling as evidence-based practice in Korea in near future. The purpose of this study was to review the current status of infertility counseling as evidence-based practice and provide suggestions and policy directions for infertility counseling in Korea. First, psychological distress and mental health status of infertile women or couples were briefly reviewed. Second, the purposes and content of infertility counseling were presented. Third, the empirical evidence of the efficacy of infertility counseling was reviewed. Forth, the requirements and training of infertility counselors in countries where infertility counseling has been integrated as a necessary component of infertility treatment such as UK, Germany, and Australia were reviewed. We need to develop cost-effective infertility counseling to meet the needs of Korean women and couples and monitor outcomes of the counseling which will be used as evidence and utilized to improve the efficacy of infertility counseling.

화병척도의 개발과 타당도 연구

권정혜,박동건,민성길,김종우,권호인,이민수 한국임상심리학회 2008 Korean Journal of Clinical Psychology Vol.27 No.1

화병은 한국 고유의 사회문화적 배경에서 나타나는 특유한 증상양상을 보이며, DSM-IV에 한국의 문화관련 증후군으로 분류되어있다. 본 연구에서는 국내에서 처음으로 화병을 측정하는 자기보고형 검사를 개발하고, 그 심리측정적 속성을 살펴보았다. 이를 위해 연구 1에서는 먼저 기존 문헌들을 고찰하고 화병 환자들을 심층 면담하여 화병을 측정하는 예비문항 70개를 작성하였다. 그 다음 화병환자 30명, 우울증 환자 28명, 정상인 33명에게 실시한 후 차이검증을 통해 화병 집단과 정상 집단, 화병 집단과 우울증 집단을 변별해주는 1차 문항 39개를 선정하였다. 연구 2에서는 1차 문항을 2차 표본인 화병 환자 63명에게 실시한 자료를 요인 분석하여 최종적으로 31문항의 화병척도를 제작하였다. 화병 척도의 내적 일치도는 .92로 나타났으며, 화병 성격과 화병 증상 하위 척도의 내적 일치도는 각각 .85, .93으로 적절한 수준으로 나타났다. 마지막으로 최종 화병 척도가 우울증과 화병, 정상 집단을 구별해주는지를 살펴보고, 화병척도가 다른 두 집단을 변별해주는 민감도와 특이도를 평가하였다. 그 결과, 화병 증상척도는 화병 집단과 우울증 집단 간에 유의한 차이를 보인 반면 화병 성격척도는 연구자들이 예상한 바와 달리, 화병 집단과 우울증 집단에 차이가 없는 것으로 나타났다. 화병 증상척도의 AUC는 .78로 나타나 화병 증상척도가 화병에 대한 1차 선별도구로 유용함을 시사하였다. 본 연구의 의의 및 제한점과 후속연구 방향에 대하여 논의하였다.

진행성 비소세포폐암에서 Cisplatin과 Etoposide가 포함된 3제 복합항암화학요법의 결과

권정혜,신종욱,김재열,정형원,박인원,최병휘,이상재,손동섭,허성호 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.3

Purpose:Treatment of non-small cell lung cancer(NSCLC)have made modest prolongation of survial and improvement in quality of life. Although many studies have tried to treat the non-small cell lung cancer with combination chemotherapy based on cisplatin and etoposide, it remains to be certain what kind of assitional drugs and schedules can be applied. Thus, we conducted this study to assess the therapeutic effects of three different chemotheraeputic regimens, all containing cisplatin and etoposide, in patients with advanced NSCLC. Materias and Methoods: Eighty patients were enrolled who had histologically confirmed NSCLC with advanced stage, normal renal and bone marrow function. Sixteen patients were treated with FVP(cisplatin 20 mg/㎟ i.v. days 1∼5, etoposide 60mg/㎡ i.v. days 1∼5, 5-fluorouracil 800mg/㎟ i.v. days 1∼5), 36 patients with CVP(cisplatin 60mg/㎡ i.v. day 1, etoposide 80g/㎡ i.v. days 1∼5, cyclophosphamide 1000mg/㎡ i.v. day 1), and 28 patients with VIP(cisplatin 20mg/㎟ i.v. days 1∼5, etoposide 60mg/㎡ i.v. days 1∼5, ifosfamide1000mg/㎡ i.v. day 1∼5). Each cycle was repected every 3 or 4 weeks. We evaluated response rates, duration of remission, survival time, treatment-related toxicity and prognostic factors for survival. Results: One patient treated with VIP showed complete respose. Response rate of FVP(37.5%) and VIP(39.3%) were significantly higher than that of CVP(16.7%)(p=0.04). Median duration of remission was not significantly different among three groups(FVP14.9, CVP5.8, VIP7.3 months). No significant difference was found in overall median survival time among three groups(16.0 momths in FVP,14.3in CVP,17.3 in VIPgroup). In respoders to each therapeutic regimen, median survival times of FVP(21.5 months),VIP(undefined were significantly prolonged than 9.3 months of CVP group(p=0.016). We found that divided administration of cisplatin had relieved severe nausea and vomiting. Finally, as a result of prognostic factor analysis with Coxs proportional hazard model, chemotherapy was found to be significant prognostic factor for survival benefit in advanced NSCLC. Conciusion: Higher response rate and significant prolongation of survival time had been acquired as results of addition of ifosfamide or 5-fluorouracil to cisplatin and etoposide-based chemotherapy. In accordance with these data,it is warranted to conduct further prospective randomized study with combination of cisplatin, etoposide, ifosfamide and 5-fluorouracil.

事例硏究에 대한 方法論的 考察

권정혜 서울대학교 의과대학 정신과학교실 1982 精神醫學報 Vol.6 No.7

한국 임상심리학자들의 역할과 활동: 2007년 조사 보고서

권정혜 한국임상심리학회 2008 Korean Journal of Clinical Psychology Vol.27 No.2

The present study examined the current status, major rolesand activities of Korean clinical psychologists. A questionnaire was e-mailed to 457 members of the KCPA (Korean Clinical Psychology Association). The response rate was approximately 33%, and 150 people completed the questionnaires. The participants were asked to complete 8 items on the demographic characteristics, educational experiences, employment settings, professional activities, theoretical orientation and career satisfaction. The results showed that the majority (74.7%) identified themselves primarily as clinical practitioners, followed by academicians and researchers. The psychologists' primary employment settings were universities, psychiatric hospitals and private practice. The major professional activities of the Korean clinical psychologists were psychotherapy (35.4%), diagnosis/assessment (33.0%), research/writing (21.0%), teaching (19.2%), clinical supervision (18.1%) and administration (10.5%). Among various theoretical orientations, eclecticism/integration (50.0%) was the most popular orientation and the next-most-popular orientation was a cognitive-behavioral orientation (32.0%). The level of subjective satisfaction with their career was moderate (Mean: 3.27, SD: 1.14 on the 5-point scale). The implications and future direction was discussed.