애착손상을 경험한 유방암 여성의 부부친밀감 및 정신건강에 대한 용서의 매개효과

서미아 한국여성심리학회 2014 한국심리학회지 여성 Vol.19 No.4

The purpose of this study was to investigate the effects of attachment injury on marital intimacy and mental health and to test the mediating effects of forgiveness in breast cancer women. Total 216 women with breast cancer who had experience of attachment injury participated in this study. Data was collected at two clinics of breast cancer in general hospital in Seoul and Kyounggi province. Hypothetical model was consisted of variables with attachment injury, marital intimacy, mental health, and forgiveness. Amos 18.0 was used to identify fitness and analyze the paths of the model. The results were as follows. First, fitness indices of hypothetical model indicated that the data did not fit well and it needed to be modified. After modification model fit showed good with χ2=29.0, Normed χ2= 1.61(CMIN/DF), GFI=.97, AGFI=.93, NFI=.90, SRMR=.06, TLI=.91, RMSEA=.05. Second, four paths from attachment injury to marital intimacy, mental health, and forgiveness and from forgiveness to marital intimacy were significant. But path from forgiveness to mental health was not significant. Third, forgiveness was not a significant mediating variable between attachment injury and mental health but a significant mediating variable between attachment injury and marital intimacy. Forgiveness was the strongest influencing factor to marital intimacy in the model. Attachment injury and forgiveness explained 63% of marital intimacy and 8% of mental health. It is suggested to include forgiveness in development of education and marital therapy for breast cancer women with attachment injury.

세계의 기후와 의복

서미아 이화여자대학교 가정대학 의류직물학과 1972 의류직물연구 Vol.- No.2

정서안정성 및 정서조절력과 부-자녀 애착 관계에서 긍정정서의 매개효과-청소년 자녀를 둔 아버지를 대상으로-

서미아,정선미,이성아 한국가족치료학회 2016 가족과 가족치료 Vol.24 No.3

Objectives: This study examined the effect of positive-emotion on the relationships among emotional stability, emotional regulation and father-adolescent attachment. Methods: A total 225 pairs of fathers and their adolescent child were included in the study. The data were collected in Seoul and a metropolitan area of Kyonggi province. Drawing on previous studies, a hypothetical model (partial mediating effect) and a competing model (full meditating effect) were constructed. Results: The competing model, in which positive emotion fully affects relationships among emotional stability, emotional regulation and father-adolescent child attachment, showed good fitness indices and significant relationships among variables. Conclusions: Enhancing the positive emotions of fathers of adolescents should be considered an important component of counseling and psychoeducational efforts to improve family relationships. 본 연구는 아버지의 정서안정성 및 정서조절력과 청소년 자녀가 지각하는 부-자녀 애착과의 관계에서 긍정정서의 매개 효과를 검증함으로써 부-자녀 애착의 증진방안을 제시하고자 수행되었다. 서울, 경기 등 5개 대도시 소재 12개 중․고등학교 청소년과 그들의 아버지 228쌍을 대상으로 정서안정성, 정서조절력, 긍정정서, 부-자녀 애착을 측정하였다. 선행연구를 기반으로 연구모형(부분 매개모형)과 경쟁모형(완전 매개모형)을 설정하여 보다 적합한 모형을 규명하고자 하였다. 분석 결과 청소년 자녀를 둔 아버지의 정서안정성 및 정서조절력과 부-자녀 애착 간의 관계를 긍정정서가 완전 매개하는 경쟁모형이 지지되었다. 본 연구 결과는 아버지와 청소년 자녀의 애착 증진을 위해서 아버지의 긍정정서를 향상시킬 수 있는 상담 개입 및 프로그램 개발의 필요성을 시사한다.

공동의존과 가족상담

서미아 한국카운슬러협회 2019 相談과 指導 Vol.54 No.-

남편과 아내의 애착손상 및 정서조절력이 부부만족도에 미치는 영향 -자기-상대방 상호의존성 모델을 활용하여-

서미아 한국가족치료학회 2017 가족과 가족치료 Vol.25 No.2

Objectives: The purpose of this study was to identify the influence of attachment injury and emotion regulation on marital satisfaction. Methods: A total 228 pairs of husbands and wives were included in the study. The data were analyzed using the Actor-Partner Interdependent Model (APIM). Results: The actor effect of attachment injury on avoidant emotional regulation and marital satisfaction was found to be significant for both husbands and wives. The partner effect of attachment injury on marital satisfaction was significant in both the husbands and wives but avoidant emotional regulation was not significant for the husbands, only for the wives. The actor and partner effect of avoidant emotional regulation on marital satisfaction was different in husbands and wives. Conclusions: To enhance marital satisfaction of couples in research and couple therapy, it is necessary to consider attachment injury and avoidant emotion regulation. 본 연구는 자기-상대방 모델을 활용하여 부부간 애착손상과 정서조절력이 부부만족도에 미치는 영향을 살펴보기 위하여 수행되었다. 기혼 부부를 대상으로 하여 총 228쌍의 설문지가 분석에 이용되었다. 자료 분석은 개인의 독립변수가 개인의 종속변수에 영향을 미치면서, 더불어 상대방의 종속변수에도 미치는 영향을 분석하는 자기-상대방 상호의존성 모델을 이용하였다. 연구결과 자기효과에 있어, 남편의 애착손상이 부부만족도에 미치는 효과, 아내의 애착손상과 회피적 정서조절이 아내 자신의 부부만족도에 미치는 효과가 유의하였다. 상대방 효과에 있어서는 남편의 애착손상과 회피적 정서조절이 아내의 부부만족도에 미치는 효과가 유의하였고 아내의 애착손상이 남편의 부부만족도에 미치는 효과는 유의하였으나 아내의 회피적 정서조절이 남편의 부부만족도에 미치는 효과는 유의하지 않았다. 유기적인 부부관계에서 애착손상이 자신과 상대 배우자에게 미치는 영향을 규명한 본 연구결과는 애착손상을 경험한 부부의 만족도를 높이기 위한 효율적 상담개입의 근거를 제공할 것이다.

노년기 남성의 의복디자인 선호도 및 치수적합에 대한 만족도에 관한 연구

서미아,이선희 복식문화학회 2000 服飾文化硏究 Vol.8 No.6

The purpose of this study were to investigate clothing design preference (style, color, fabric print, kinds of fabrics) & satisfaction with the fit of ready-to-wear clothing for older Men. For this study, the questionnaires were administered to 650 older men in seoul from June to August, 1998. Employing a sample of 504 data were analyzed by mean, fiequency and percent. With respect to clothing design preference, they prefer suit the style of outdoor clothing on going-out. On distinguish clothing into formal wear & casual wear, the color preference due to seasons has difference in spring clothing. Regarding the degree of fabric pattern preference, nonpattern single color fabric has occupied in formal wear, pattern in casual wear. Regarding the degree of fabric preference, they take a serious view of shape preservation in formal wear, utility (washing, sweat absorption) in casual wear. Suit has the lowest satisfaction in the fit of ready-to-wear clothing. Sleeve length the lowest in degree of satisfaction for each part.

안양시청사의 최적입지에 관한 연구

서미아 梨花女子大學校 師範大學 社會生活科 2000 綠友硏究論集 Vol.39 No.-

본 연구에서는 안양시청사 최적 입지를 알아보고, 최적 입지와 비교하여 안양시청사의 이전이 적절하였는지 알아보았다. 이 연구를 위하여 시청사의 최적 입지기준을 설정하였고 그 최적 입지기준을 통하여 후보지를 선정한 다음, 접근의 효율성 및 형평성을 알아보았다. 이러한 입지 분석만으로 알 수 없는 실제 이용자들의 인식을 파악하기 위하여 설문조사를 실시하였다. As a city is developed, cityhall should be moved to another place for some reasons, Anyang cityhall has moved from downtown to new town area. This search paper is focused on the property of Anyang cityhall location. For this study, some standards for proper location of cityhall were selected and with these standards, 5 candidates for proper cityhall location were decided. And then, efficiency and equity of candidates were examined. After this technical analysis, the opinion of citizen who used cityhall was investigated by research.

‘온라인 교육 컨텐츠를 활용한 통합적 약물순응도 강화 프로그램’이 정신분열병 환자의 약물순응도에 미치는 영향

서미아,김현례 대한정신약물학회 2009 대한정신약물학회지 Vol.20 No.1

Objective:Schizophrenia seriously degrades the ability to function normally in those who suffer from this disease. The purpose of this study was to develop a comprehensive online medication adherence enhancement program and to test its effectiveness among schizophrenia patients who live in community relatively neglected with few inputs or oversights from community mental health centers. Methods:A nonequivalent control group with prepost test was employed during the study. Participants included fifty-two chronic schizophrenia patients, twentysix experimental, and a control group of twenty-six. The study variables were medication knowledge, perceived benefits, self efficacy, social support and medication compliance. Results:There were significant differences between two groups in perceived benefits (F=5.67, p=0.02), self-efficacy (F=6.38, p=0.01), social support (F=14.63, p=0.000) but no significant differences in medication knowledge (F=0.82, p=0.37), and medication compliance (F=0.89, p=0.35) when the program was completed. However, medication knowledge in posttest Ⅰ and posttest Ⅱ which was taken after 3 months of the program were significantly increased in the experimental group (F=8.88, p=0.00). Medication adherencein posttest Ⅱ was significantly increased in the experimental group (F= 6.10, p=0.00). Conclusion:The online medication adherence enhancement program for persons with schizophrenia was effective at increasing psychosocial variables such as perceived benefits, self efficacy, and social support. This program can be used for schizophrenic persons in community mental health centers, patients’ homes, hospitals, and community centers. 실험군과 대조군간의 동질성을 검증한 결과 대상자의 일반적 특성과 약물지식, 지각된 유익성, 자기효능감, 사회적 지지, 약물순응도는 모두 실험군과 대조군간에 유의한 차이가 없이 동질한 집단으로 확인되었다. 집단간 차이를 규명한 결과 프로그램 제공 후 실험군에서 대조군에 비해 지각된 유익성, 자기 효능감, 사회적지지가 유의하게 높았다. 약물지식과 약물순응도는 비록 집단간 차이는 없었으나 실험군의 경우 측정시점에 따라 효과가 있는 것으로 나타났다. 약물지식은 사후조사 Ⅰ에서 유의하게 증가하였고, 3개월 후에 측정한 사후조사 Ⅱ에서도 사전조사에 비해 유의하게 증가하였다. 약물순응도는 사후조사 Ⅰ에서는 유의한 차이를 보이지 않았으나 사후조사 Ⅱ에서는 사전조사에 비해 유의하게 증가하였다. 이러한 결과를 통해 볼 때 본 프로그램은 정신보건 전문기관에 참여하지 않고 가정에만 거주하는 고립형 정신분열병 환자들의 사회심리적 변인을 강화시키고 약물지식을 증진시키며 나아가 약물순응도 강화시키는 효율적인 프로그램으로 활용될 수 있을 것으로 사료된다

Development of a Structural Model Explaining Medication Compliance of Persons with Schizophrenia

서미아,민성길 연세대학교의과대학 2005 Yonsei medical journal Vol.46 No.3

The purpose of this study was to develop and test a structural model explaining medication compliance of schizophrenia. From a review of the literature, a hypothetical model was developed based on the conceptual framework of the Health Belief Model with medication knowledge, symptom severity and social support as the exogenous variables, and perceived benefits, perceived barriers, substance use and medication compliance as the endogenous variables. Data was collected at various mental health facilities, including psychiatric outpatient clinics of general hospitals and community mental health centers, between March and May, 2001. A structured questionnaire was used by one- on- one interviews to collect data on 208 schizophrenic patients. Well established measurement instruments, with confirmed reliability, were used to assess each method variable. As a result of covariance structural analysis, the hypothetical model was found not to fit the empirical data well, so a parsimonious model was adopted after modifying the model. The final model was able to explain the 33% medication compliance. Medication knowledge, social support and perceived benefits had significant effects on medication compliance. The findings of this study address the importance of medication education and social support to promote medication compliance. It is also suggested that various education programs and support groups are needed to enhance medication compliance.

정신분열증 환자의 약물이행 설명모형

서미아 연세대학교 간호정책연구소 2002 간호학탐구 Vol.11 No.1

The purpose of this study was to test and develop the structural model that explains medication compliance of schizophrenia. A hypothetical model was developed based on the through literature review and the health belief model. The exogenous variables were medication knowl-edge, perceived threat, severity of psychiatric symptoms, and social support. The endogenous variables were perceived benefits, perceived barriers, substance use and medication compliance. Data was collected from March 14 to May 26, 2001 at eight various mental health facilities including psychiatric outpatient clinics of general hospital and community mental health centers. Structured questionnaire was used to collect data using one to one interview with 208 schizophrenia patients. Well -established measurement instruments with confirmed reliability were used to assess each variable of the model. As a result of a covariance structural analysis, the hypothetical model was not fir well to the empirical data. Thus, the model was modified and parsimonious model was adopted. Medication knowledge, social support, and the social support had the strongest direct effect on medication compliance. The findings of this study addressed the importance of medication education and social support to promote the medication compliance. And it also suggests that various education program and support groups are needed for this study population.