유아의 수줍음, 인지능력, 어머니의 양육행동, 유아의 위축 및 불안?우울 간의 관계: 양육행동의 조절효과를 중심으로

양명재 ( Myung Jae Yang ),방희정 ( Hee Jeong Bang ) 한국정서·행동장애아교육학회(구 한국정서학습장애아교육학회) 2014 정서ㆍ행동장애연구 Vol.30 No.4

본 연구는 유아의 수줍음 기질, 인지능력, 어머니의 양육행동이 유아의 위축 및 불안·우울에 영향을 미치는 심리적 기제를 살펴보고자, 유아의 인지능력을 통제한 뒤 유아의 수줍음과 위축 및 불안·우울의 관계를 어머니의 양육행동이 유의하게 조절하는지 알아보았다. 이를 검증하기 위해 서울 및 경기 지역에 거주하는 만 2∼3세유아 104명을 대상으로 베일리 영유아발달평가(Korean-Bayley Scales of Infant Development-Ⅱ)를 통해 인지능력을 측정하였고, 유아의 수줍음 기질, 문제행동, 어머니의 양육행동 척도로 구성된 어머니 보고형 설문지를 배부하여 자료를 수집하였다. 주요 변인들에 대한 상관관계 분석 결과, 유아의 수줍음은 위축 및 불안·우울과 정적인 상관을 보였으며, 유아의 인지능력과 위축 및 불안·우울 간 관계는 부적으로 유의한 상관을 보였다. 어머니의 양육행동 하위변인 중, 적극적참여는 유아의 위축 및 불안·우울과 부적으로, 방임적허용은 정적으로 유의한 상관을 보였다. 위계적 회귀분석을 통한 조절 효과 분석 결과, 양육행동 하위변인 중 적극적 참여는 위축과 우울·불안에 대하여 수줍음과 유의한 상호작용 효과를 보였다. 즉, 유아의 인지능력, 수줍음, 어머니의 적극적 참여 양육행동의 주효과 뿐 아니라, 수줍음과 적극적 참여 양육행동의 상호작용 효과가 유의하였다. 이에 대해 도표와 단순주효과 분석을 통해 양육행동의 조절효과를 확인하였으며, 그 결과 어머니의 적극적 참여 양육행동이 낮을 경우에, 유아의 수줍음이 위축과 불안·우울을 유의하게 예측하는 것으로 나타났다. This study examined how a toddler`s shyness temperament, cognitive ability and the way he/she was nurtured by their mothers affect the toddler`s level of withdrawal as well as anxiety and depression. In order to conduct the study, the subject`s cognitive ability was controlled first. The subjects of this experiment consist of 104 children, at the age of 2∼3 residing either Seoul or Kyungki province. The results were evaluated by descriptive statistics, Pearson`s correlation analysis and hierarchical regression analysis. The results and findings are as follow: First, a positive correlation between the toddler`s shyness and level of withdrawal, anxiety and depression was found, whereas a negative correlation was witnessed between the toddler`s cognitive ability and the level of withdrawal, anxiety and depression. In addition, among the components of the mother`s parenting behaviors, a negative correlation was noted between active involvement and the level of withdrawal and anxiety/depression whereas a positive correlation was witnessed between non-interventional allowance and the level of withdrawal, anxiety and depression. Second, hierarchical regression analysis in which the dependent variables were the level of withdrawal, anxiety and depression including the toddler`s shyness and mother`s parenting behaviors as interactional variables was carried out after controlling the cognitive ability of the child. Active involvement, a component of parenting behaviors proved to have a similar interactional effect as shyness on the level of with drawal, anxiety and depression. In other words, not only the cognitive ability of the child, shyness and active involvement of the mother shared similar consequences of a parenting behavior but also did they have a similar effect. The moderation effect of a parenting behavior was further confirmed by follow-up analysis of graphs and simple main effect. As a result from this analysis, when the level of the mother`s active involvement was low, shyness of the child proved to be a meaningful indicator of the level of withdrawal, anxiety and depression.

북한이탈주민의 남한사회적응과 우울에 관한 연구

이규환,김영민,양명재,최영순,고은애,이광자,김지영 이화여자대학교 간호과학대학 2007 이화간호학회지 Vol.- No.41

안와 내 염증성 가성종양의 임상양상

이창훈,강보성,윤창현,양명재,강준명,조진희 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.1

Inflammatory pseudotumor is not malignant, but similar to malignancy lesions with respect to its clinical and radiological manifestations. It is well-known to opthalmologists and neurosurgeons, but unfamiliar to otolaryngologists. The objective of this study is to determine the diagnosis and treatment of inflammatory pseudotumor of the orbit. Subjects and Method:We reviewed 17 patients who visited Kangnam St. Mary’s hospital and were diagnosed with inflammatory pseudotumor with clinical manifestations and radiological studies between September, 1994 and December, 2006. Results:Seventeen patients were treated with high dose steroid, and of these, 12 showed clinical improvement, although 7 of these patients later showed recurrence. Of the five patients who initially showed no clinical improvement, one received radiation therapy but did not show improvement whereas two patients showed no improvement. One patient’s symptoms improved after surgical decompression. Conclusion:Our study suggests that the initial treatment of inflammatory pseudotumor should be high dose steroid treatment without improvement and the second treatment should be radiation therapy or surgical treatment. (Korean J Otorhinolaryngol- Head Neck Surg 2008;51:41-5)

비·부비동 반전동 유두종에서 인유두종 바이러스 및 Epstein-Barr바이러스의 검출과 p53단백 및 Proliferating Cell Nuclear Antigen의 발현

조진희,서병도,전범조,장한성,양명재,윤희로,노우영 대한이비인후과학회 2000 대한이비인후과학회지 두경부외과학 Vol.43 No.8

Hydroxyapatite Cement(HAC)를 이용한 선천성 내이기형에병발한 뇌척수액 유출의 치료 1예

이주형,정민교,오정훈,양명재 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.11

Cerebrospinal fluid otorrhea is a rare disease entity, especially when brought on by spontaneous causes. The site of leakageshould be identified to treat the disorder effectively. Various localizing modality was suggested in the literatures. Intrathecalgadolinium-enhanced magnetic resonance imaging identifies the small leakage site easily and correctly. Hydroxyapatite cementis a calcium phosphate-based material that forms dense paste mixed with water or sodium phosphate solution. Hydroxyapatitecement is remarkable for its excellent biocompatability in interacting with the native bone to osseointergrate with the surroundingbone. We report on our experience of successfully treating a patient with the cerebrospinal fluid leak from the congenital innerear anomaly using the hydroxyapatite cement. (Korean J Otolaryngol 2006;49:1109-12)

양성 비부비동 종양에 대한 비내시경 치료의 유용성

신지현,김수환,김성원,박찬순,조진희,양명재,강준명 대한비과학회 2009 Journal of rhinology Vol.16 No.1

Background and Objectives:There are increasing evidence suggesting that the endoscopic approach can be used successfully for the treatment of benign sinonasal tumors. In the present study, we reviewed a 12-year experience of our institution for endoscopic management of benign sinonasal tumors. Materials and Methods:We retrospectively reviewed the medical records and radiologic findings of 185 patients who underwent endonasal endoscopic resection of benign sinonasal tumors at the Catholic Medical Center between 1996 and 2007. Result:Inverted papilloma (119 cases, 64.3%) was most common, followed by hemangioma (14 cases), pyogenic granuloma (11 cases), angiofibroma (9 cases), and osteoma (7 cases). The most common symptom was nasal obstruction (70.8%). Sixteen cases (8.6%) recurred after endoscopic resection (12 cases of inverted papilloma, 2 cases of ossifying fibroma, and 2 cases of fibrous dysplasia). No major complications were reported. Conclusion:Endoscopic approach allows for successful surgical outcomes and good cosmetic effects among patients with benign sinonasal tumors. We suggest that, in selected cases, benign tumors involving the sinonasal tract can be safely and radically removed using the endoscopic technique. Background and Objectives:There are increasing evidence suggesting that the endoscopic approach can be used successfully for the treatment of benign sinonasal tumors. In the present study, we reviewed a 12-year experience of our institution for endoscopic management of benign sinonasal tumors. Materials and Methods:We retrospectively reviewed the medical records and radiologic findings of 185 patients who underwent endonasal endoscopic resection of benign sinonasal tumors at the Catholic Medical Center between 1996 and 2007. Result:Inverted papilloma (119 cases, 64.3%) was most common, followed by hemangioma (14 cases), pyogenic granuloma (11 cases), angiofibroma (9 cases), and osteoma (7 cases). The most common symptom was nasal obstruction (70.8%). Sixteen cases (8.6%) recurred after endoscopic resection (12 cases of inverted papilloma, 2 cases of ossifying fibroma, and 2 cases of fibrous dysplasia). No major complications were reported. Conclusion:Endoscopic approach allows for successful surgical outcomes and good cosmetic effects among patients with benign sinonasal tumors. We suggest that, in selected cases, benign tumors involving the sinonasal tract can be safely and radically removed using the endoscopic technique.

이명 환자에서 청각과민-청각학적 평가 및 임상적 특성

박시내,여상원,조주은,박소영,장기홍,양명재,서병도 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.10

Background and Objectives:Hyperacusis, defined as increased sound sensitivity or decreased sound tolerence, has been re-ported to be related to tinnitus. The purposes of this study are to investigate the audiometrical characterization of hyperacusis Materials and Method:A total of 128 tinitus patients, who visited the Tinnitus Clinic, Kangnam St. Marys Hospital from May, 1999 to September, 2000, were included in this study. Their audiometrical study results were analyzed, and their hearing impairment was compared with those of normal controls. Results:The prevalence of hyperacusis in the patients with tinitus were as high as 37.8% according to the patients with normal hearing, the tinnitus handicap scores between hyperacusis and non-hyperacusis patients were significantly different, though the results of tinnitogram showed no diference. Conclusion:The hyperacusis test using pure tone stimuli may scren hyperacusic patients. It is necesary to consider the presence of hyperacusis in tinnitus patients so as to understand patient discomfort and to seek appropriate treatment modality. (Korean J Otolaryngol 2002;45:946-51)