창간사

성종호 한국국방연구원 1985 국방정책연구 Vol.1 No.-

지역사회 통합돌봄(커뮤니티케어), 지역의사회가 중심이 되는 모델로 만들어져야

성종호 대한의사협회 의료정책연구소 2019 의료정책포럼 Vol.17 No.1

정부 건강보험 보장성 확대방안의 주요내용과 문제점

성종호 한국보건행정학회 2018 한국보건행정학회 학술대회 논문집 Vol.2018 No.1

촉탁의 제도 개편과 평가

성종호 대한의사협회 의료정책연구소 2017 의료정책포럼 Vol.15 No.2

한국 내 공공보건의료 개념의 문제점과 재설정

성종호,김정하 연세대학교 의과대학 2022 의학교육논단 Vol.24 No.1

The concept of “public health care (public health and medical services)” as discussed in South Korea is used in an unclear sense, with a meaning unlike the terminology used worldwide. The terms “public health care (public health and medical services)” and “health care (health and medical services)” have the same legal definition in Korea. Globally, “public health care (public health and medical services)” refers to medical services provided to the public that are operated as publicly funded resources, but in Korea, this term is confined to limited medical services prescribed by the government. The following considerations regarding “public health care (public health and medical services)” in Korea are proposed: All medical services performed by the state, regional governments, health care institutions, or health care workers to protect and promote the health of the people should be clearly established as “public health care (public health and medical services)” by definition. The financial burden borne by the state through national health insurance should be increased to an appropriate level to clarify the state's responsibility. Improving public health is an urgent priority in Korea, and this goal can be achieved by improving regional public health through systematic relationships between the state and regional governments, establishing a Ministry of Health, and efficiently allocating public health doctors who are important for providing regional medical care in rural and remote areas. It will be possible to actively deal with infectious diseases at the national level through establishment of a Ministry of Disease Control and Prevention.

건강보험 한방급여의 문제점

성종호 대한의사협회 의료정책연구소 2017 의료정책포럼 Vol.15 No.1

특집논총 : 월남에 있어서의 게릴라전

성종호 ( Jong Ho Sung ) 국방대학교 안보문제연구소 1969 국방연구 Vol.27 No.-

니코틴 의존자에서 인지행동 단독치료와 Naltrexone 추가치료 간의 흡연행동 비교

성종호(Jong-Ho Sung),이영식(Young-Sik Lee),조근호(Keun-Ho Joe),나 철(Chul Na) 한국중독정신의학회 2003 중독정신의학 Vol.7 No.1

Objectives:The present study was performed to evaluate the effectiveness of naltrexone combined CBT(cognitive behavior therapy). Method:This study design was double blind placebo controlled method. Naltrexone(n=13) and placebo(n=12) were added to CBT for 2 weeks in 25 subjects. Administered Naltrexone dosage was 23.4 mg/day in 1st week and 37.1 mg/day in 2nd week. Multimodal CBT technique was conducted for three times once every week. Total cigarette consumption amounts per a week, Brief Questionnaire for Smoking Urge (B-QSU), and expiratory CO levels, Fagerstrom Tolerance Questionnaire (FTQ) were checked at baseline and 4 weeks later. Results: 1) There were no differences between naltrexone add-on CBT group and CBT alone group in nicotine withdrawal symptoms and drug side effects containing GOT/GPT levels. 2) In Naltrexone add-on CBT group, total cigarette consumptions (p=0.021), the expiratory CO levels (p=0.039), B-QSU score (p=0.036), and FIQ scores (p=0.028) were significantly lower than CBT alone group. 3) Subjective reports about the smoking reduction are greater in naltrexone add-on CBT group than CBT alone (53.0% vs. 16.7%). Conclusions: Naltrexone and CBT combined therapy could be a effective and safe treatment in nicotine dependence.

청소년의 시험불안에 영향을 미치는 개인 및 사회환경적 변인

성종호,이영식,이길홍 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.3

연구목적: 시험 불안의 인지적, 감정적 두 요소와 상호 관련이 있으리라 예상되는 수험생들의 개인적 변인과 수험생들을 둘러싼 환경적 변인간의 상호 관련성 여부를 알아보고자 하였다. 개인적 변인으로는 성별, 나이, 학업 성적, 지능(I.Q), 심리 상태(자존심, 강박 성향, 일반적 불안 성향, 사회적 인정 욕구)이며, 환경적 변인으로는 수험생의 거주 지역, 학교 특성(인문계/실업계), 부모의 학력, 직업, 경제 상태이다. 또한 본 연구를 통해 시험 불안의 인지적, 감정적 두 요소가 명확히 구분되는 것인지에 대해 알아보고자 하였고, 시험 불안이란 시험에 국한된 특수 불안인지 아니면 일반적 불안의 한 단면인지에 대해 알아보고자 하였다. 방 법: 서울 시내의 강남과 강북에 소재한 남·녀 중학교, 고등학교 그리고 실업계 고등학교에 재학 중인 학생 880명을 대상으로 하였다. 검사 도구는 Spielberger의 시험 불안 목록(Test Anxiety Inventory), 심리적 요인을 평가하기 위해 Rosenberg의 자존심 척도(Self-Esteem Scale), Hodgson과 Rachman의 Maudsley Obessive-Compulsive Inventory, 이영식과 이철원의 한국형 소아 공포-불안 주제 목록, Ellis의 비합리적 신념(Irrational Belief)중 사회적 인정 욕구(Demand for Approval)의 척도를 사용하였다. 결 과: 1) 시험불안의 감정적 요소, 인지적 요소, 총점 모두 여학생이 남학생보다 높은 점수를 보였다. 2) 시험불안은 인문계와 실업계간, 강남과 강북간에 유의한 차이를 보이지 않았다. 3) 시험불안은 중학교 1학년이 2학년보다 높은 점수를 보였으며, 고교 1학년과 2학년 사이에는 유의한 차이를 보이지 않았다. 4) 시험불안은 자존심 척도, 지능지수와 부적 상관관계를 보이고, 강박 장애 척도, 사회적 인정 욕구 척도, 소아불안 척도와 정적 상관관계를 보였으며, 그 중에서 소아 불안 척도와 가장 큰 상관 관계를 보였다. 5) 시험 불안의 인지적 요소, 감정적 요소, 총점 모두는 어머니의 학력과는 의미 있는 관계를 보였고, 경계 상태와는 시험 불안의 감정적 요소가 의미있는 관계를 보였다. 6) 시험 불안의 인지적 요소와 학업 성적 사이에는 의미있는 관계를 보였다. 결 론: 상기 결과들을 종합하여 본다면, 첫째, 시험 불안의 인지적 요소, 감정적 요소가 청소년의 심리적 요소, 환경적 요소에 따라 명확히 구분되는 것이 아니지만, 학업 성취 면에서는 인지적 요소가 유의한 상관관계를 보이고 있다. 둘째, 시험 불안은 시험이라는 특정한 상황에서 발생한다고 하지만 개인의 전반적인 심리적 상황에 의하여 영향을 받는 특성 불안의 요소를 가자고 있으며, 소아, 청소년에서 나타나는 불안 장애의 일종이라고 정의 내릴 수가 있다. 셋째, 시험 불안의 인지적 요소만이 청소년의 학업 능력과 상관관계를 보이며, 인지적 요소와 감정적 요소 모두는 심리적 요인과 유의한 상관 관계를 보였다. 넷째, 청소년의 환경적 변인 중 어머니의 학력이 시험 불안에 의미있는 상관관계를 보이고 있으며, 이것은 어머니가 자녀를 통해 보상을 받고자 하는 욕구를 가지고 있으며, 따라서 자녀의 심리 상태에 가장 큰 영향을 미친다고 할 수 있다. 그 외의 환경적 변인은 큰 상관을 보이지 않았다. Objectives : This study was done to investigate the relationship between test anxiety and individual, socioenvironmental factors in adolescents. Also, this study assessed whether two components, worry and emotionality, of test anxiety were distinctly distinguished or not, and whether test anxiety was specific state anxiety limited to test situation or a part of general trait anxiety. Methods : The subjects of this study were 880 middle and high school students in Seoul. To evaluate test anxiety level, we used Spielberg's Test Anxiety Inventory. For the evaluation of individual psychological factors, Rosenberg's self-esteem scale, Maudsley's Obsessive-Compulsive Inventory, Lee's the Korean version of Fear-Anxiety Survey Schedule for Children, and Ellis' Demand for Approval scale were applied. Results : The results were as follows, 1) Test anxiety level was higher in girls, first grade middle school students, offspring's of high school graduate mother, and high economic class but there was no significant difference in school graduate mother, and high economic class but there was no significant difference in school characteristics and residence location. 2) Test anxiety was correlated negatively with self-esteem, I.Q. and correlated positively with obsessive-compulsiveness, demand for approveness, especially general fear-anxiety(r=0.47). So although test anxiety occurs in test situation, test anxiety is a part of general trait anxiety affected by individual psychologic factors. 3) The better school achievement subjects showed the lower worry component of test anxiety. 4) Two components, worry and emotionality, of test anxiety were not distinctly distinguished in this study. Conclusion : In summary, first, Worry and Emotionality of test anxiety were not markedly different from according to adolescent's psychological factor, sociodemographic factor but performance achievement was significantlycorrelated with Worry of test anxiety. Second, although test anxiety was occurred in specific situations as test, test anxiety was affected individual psychological factor so defined by a series of anxiety disorder. Third, only Worry of test anxiety was correlated with performance achievement and Worry and Emotionality were correlated with psychological factor. Forth, mother's education level was significantly correlated with test anxiety, this means that mother has the wish to compensate the her inferiority through her offspring and mother strongly affect to adolescent's psychological state.

지역사회 청소년에서 비행성향에 대한 정서 및 행동상의 관련인자

송동호,성종호,송정은 대한신경정신의학회 2004 신경정신의학 Vol.43 No.1

Objectives:This study aimed to investigate predictive emotional and behavioral factors of adolescent delinquents among students. Methods:We assessed and analyzed 1377 students aged 13-18 using the following instruments:Center for Epidemiologic Study for Depression (CES-D), Revised Children’s Manifest Anxiety Scale (RCMAS), Youth Self Report (YSR), Psychological self-1 of Offer’s Self Image Questionnaire (PS-1 of OSIQ) and Suicide Ideation Questionnaire (SIQ). With collected data we compared the delinquent group with the control group. Results:The prevalence of delinquent adolescents was 4.7%. The prevalence among of high school students was higher (8.7%) than that of middle school students (3.4%). Comparing with the control group, delinquent group showed significantly higher scores of CES-D (Delinquent 25.55 vs Control 13.07), RCMAS (Delinquent 15.60 vs Control 9.17), PS-1 of OSIQ (Delinquent 33.70 vs Control 28.87), SIQ (Delinquent 88.89 vs Control 46.89) and all subscales of YSR. Adolescent delinquency can be predicted in the order of RCMAS, Somatic complaints, CES-D and Withdrawn. Conclusion:We found that both emotional and behavioral factors could predict adolescent delinquency in school community. Most potent predictor was anxiety. Additional predictors were neurotic characteristics such as somatic complaints, depressive symptoms and social withdrawal. It is hypothesized that early intervention of adolescent neuroticism may be able to prevent adolescent delinquency