대학생의 자아분화, 스트레스 대처방식, 정신건강이 대학생활적응에 미치는 영향

윤향숙(Yoon Hyang Suk),황윤미(Hwang Yoon Mee),김덕범(Kim Duck Bum),장성화(Jang Sung Hwa) 한국교육포럼(아시아태평양교육학회) 2011 韓國敎育論壇 Vol.10 No.2

이 연구는 대학생의 자아분화, 스트레스 대처방식, 정신건강이 대학생활적응에 미치는 영향을 알아보고자 하였다. 이를 위해 대전과 천안에 소재한 사립 대학교에 재학 중인 P대학교 173명, N대학교 156명의 1, 2, 3, 4학년 총 329명 중 부적합한 43부를 제외한 286명을 대상으로 상관계수와 중다회귀분석을 사용하였다. 연구결과에 따르면 첫째, 대학생의 자아분화, 스트레스 대처방식, 정신건강, 대학생활적응의 하위변인 간의 관계를 살펴 본 결과, 각 변인들 간에는 유의미한 상관이 있는 것으로 나타났다. 둘째, 대학생의 자아분화, 스트레스 대처방식, 정신건강이 대학생활적응에 미치는 영향력을 살펴본결과, 정신건강의 하위변인 중 우울증이, 가족분화 하위변인 중 가족투사과정이, 스트레스 대처방식의 하위변인 중 적극적대처가 대학생활적응에 유의미한 영향을 미치는 것으로 나타났다. 그러므로 대학생활 부적응의 예방과 대학생 지도에 활용할 수 있는 심층적인 프로그램의 개발과 다양한 정책적인 연구 등의 필요성을 시사하고자 한다. This study investigated university students self-differentiation, stress coping methods, and mental health impact of adjusting to university life. Data were obtained from a sample 329(P university, 173; N university, 156) students at two universities in Dae-jeon and Cheon-an. Only 286 students of all grade were used for a correlation coefficient and Muiltiful Regession analysis. The results are as follows: First, Self-differentiation of university students, stress coping methods, mental health, adjustment to university life by examining the relationship between the sub-factors of this result, Each of the correlations between variables were found to be. Second, Self-differentiation of university students, stress coping methods, mental health, adjustment to university life and examining their impact on the results, of child mental health variables of depression, a family of differentiation factors of the sub-family projection process, stress coping methods of the sub-factors in coping with adjustment to university was a significant effect. Therefore, prevention of misfit university students can use to map the development of programs and a variety of in-depth policy research is to suggest the need for such.

감염병 대유행(코로나-19) 시대의 비대면 집단상담 사례연구 : 교사들의 직무 스트레스를 중심으로

윤향숙(Hyang-Suk YOON),고희경(Hee-Kyung KO),장성화(Sung-Hwa JANG),김신권(Shin-Kwon KIM) 한국상담심리교육복지학회 2021 상담심리교육복지 Vol.8 No.3

이 연구는 2019년부터 시작된 COVID-19라는 감염병 시대의 비대면 집단상담 사례연구로 교사들의 직무 스트레스 대처에 대한 효과성과 가능성을 살펴보는데 목적이 있다. 최근 감염병 대유행으로 인한 사회적인 거리두기, 집합금지 등의 조치가 육체적, 정신적 고립을 만들고 이에 따르는 우울과 불안이라는 정신건강의 위기를 초래하는 상황에서 사회적 단절의 문제점을 해결하기 위한 여러 가지 방법이 요청되고 있다. 그 가운데 감염의 위험을 최소화 하는 비대면 집단상담이 정신건강과 감염병의 문제를 함께 대처하는 중요한 상담 방식으로 인식되고 있다. 이 연구는 비대면이라는 특정한 환경과 줌(zoom)이라는 플랫폼을 통해 교사대상의 집단상담을 진행하였다. 심리검사와 교사들의 주관적 평가를 종합적으로 고려하였을 때, 이 집단에게서 비대면 집단상담의 효과를 확인할 수 있었다. 이 결과를 바탕으로 감염병 대유행 시대에 비대면 집단상담이 가지는 의의와 후속 연구를 위한 방안을 제안하였다. The purpose of this research is to examine practical efficacy of online group psychotherapies that were conducted for school teachers who were suffering from rapid increase of work stress level by the COVID-19 that broke out in 2019. The pandemic has influenced the mental health of general public by imposing strict social-distancing policies for preventing the epidemic, which makes people suffer from significant levels of depression and anxiety issues. Therefore, the practice of online group psychotherapy is requested to help people who are experiencing mental issues caused by social isolation without worries of contagion. This research investigates the possibilities of online group psychotherapy by focusing on psychological tests and personal evaluations of participants who had to encounter a particular online platform(zoom) that made group psychotherapy sessions without physical contact. As a result, the research confirms effectiveness of the online group therapy and suggests the practical ways in which further researches can be conducted.

집단미술치료가 여자소년원 재소 비행청소년의 공격성에 미치는 영향

윤향숙,정윤정 용인대학교 학생생활연구소 2010 학생생활연구 Vol.18 No.-

The purpose of this research is to examine the effects of group art therapy on the aggression of female juvenile delinquents. I monitored 20 female juvenile delinquents of a OO female information industrial school at a juvenile detention facility in the city A who are aged from 15 to 19. 10 of them are in a test group and the remaining 10 students are in a control group. I performed 14 sessions of 90 minute-long group art therapy twice a week from July to August 2010. The therapies were carried out in an education room in the facility which was bright, silent and equipped with big desks and chairs. The measure of aggression(BDH) and DAS painting examination were applied as research tools before and after the test period in order to evaluate the aggression, The quantitative data was analyzed through the SPSS WIN 12.0. I also took an qualitative analysis of the changes along the steps of group art therapy program. I obtained the following results from the research project. The group art therapy was found out to be effective in reducing the aggression of female juvenile delinquents. The level of aggression of the test group has declined after the therapy program, and the decrease was statistically significant under the P<.05. The research results suggest that the group art therapy program is effective in reducing the aggression of female juvenile delinquents. The results also demonstrate that the program has positive effects.

말기 신부전 환자에서 투여 경로에 따른 유전자 재조합 인 Erythropoietin(Epokine^(�))의 효과와 안정성에 대한 연구 : 제 4상 연구 A Phase 4 Single Center Study

송현용,윤향숙,강신욱,최규헌,하성규,이호영,한대석 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.2

목 적 : 국내 독자적 기술로 첫 개발된 유전자 재조합 인 에리트로포에틴(Epokineⓡ)의 투여방법에 따른 유효성과 안정성을 알아보고자 하였다. 방 법 : Epokineⓡ을 주당 100-150 U/kg, 주 2회, 12주간 피하 주사하여 목표 또는 안정된 혈색소치 유지 후 무작위로 피하 및 정맥 주사군으로 나누어 12주간 혈액투석 및 복막투석 환자13명, 28명에서 유효성, 안정성을 분석하였다. 결 과 : 양군에서 혈색소치와 헤마토크릿은 Epokineⓡ 투여 2주 후부터 증가, 혈색소치가 혈액투석 환자는 투여 전 7.3 g/dL, 투여 12주 9.5 g/dL, 24주 10.6 g/dL로, 복막투석 환자는 6.8g/dL에서 12주 10.2 g/dL, 24주 10.8 g/dL로 증가하였다. 양군에서 교정 망상적혈구수(%)는투여 1주 후부터 전 기간동안 증가하였다. 혈청 내 철분, ferritin치는 양군에서 투여 2주 후부터감소, 총 철분 결합능은 투여 2주 후부터 증가하였다. 12주째 혈액투석 환자에서 많은 Epokineⓡ용량이 필요했으나(142.2±20.5 vs 117.3±33.6 U/kg/wk, p<0.001) 24주 후 양군의 용량차이는 없었다(123.6±41.5 vs 99.2±49.3 U/kg/wk, p>0.05). 혈액투석 환자에서 피하 주사가Epokineⓡ 투여용량이 더 적었으나(97.4±15.4 vs 145.4±2.9 U/kg/wk, p<0.002) 복막투석 환자는 차이가 없었다(93.0±60.2 vs 105.4±9.7 U/kg/wk, p>0.05) 연구기간 중 9명(18.8%)에서혈압강하제 추가가 필요한 혈압상승, 근육통 동반 상기도 감염 유사증상 및 두통 등의 부작용이 있었다. 대부분 자연소실 혹은 대증요법으로 치유되었고 2명이 부작용으로 탈락하였다. 결 론 : 말기 신부전 환자의 빈혈 개선에 사용하는 Epokineⓡ의 효과는 복막투석 환자에서 더 좋았으며 투여 경로는 정맥주사보다 피하주사가 높음을 알 수 있었다. Background : We evaluated the clinical efficacy and safety of recombinant human erythropoietin(Epokine^(ⓡ)). Methods : A comparative prospective study of intravenously and subcutaneously administrated Epokine^(ⓡ) conducted 13 patients performing hemodialysis and 28 patients performing continuous ambulatory peritoneal dialysis with end-stage renal disease. Epokine^(ⓡ) was given initially at a dosage of 100 unit/kg, subcutaneously, two times a week. The patients had achieved stable or more than 10 g/dL of hemoglobin level for 12 weeks and then we randomized switching intravenously or subcutaneously administrated Epokine^(ⓡ) for another 12 weeks. Results : Hemoglobin(g/dL) and hematocrit(%) increased significantly from baseline levels beginning from 2 weeks after Epokine^(ⓡ) administration. In HD patients, hemoglobin increased significantly from 7.3 to 9.5 after 12 weeks and to 10.6 after 24 weeks. In CAPD patients, hemoglobin increased significantly from 6.8 to 10.2 after 12 weeks and then 10.8 after 24 weeks(p<0.05). Corrected reticulocyte count(%) was significantly increased from baseline levels beginning from 1 week after Epokine^(ⓡ) administration and continuously increased during study period in both group. Serum ferritin and serum iron decreased significantly and total iron binding capacity increased significantly after 2 weeks. At 12 weeks, HD patients were significantly needed more dosage of Epokine^(ⓡ) than CAPD patients(142.2±20.5 vs 117.3±33.6 U/kg/wk, p<0.001), but at 24 weeks, the dosage was not different(123.6±41.5 vs 99.2±49.3 U/kg/wk, p> 0.05). In HD patients, intravenously administrated Epokine^(ⓡ) group was more dosage than subcutaneously group(97.4±15.4 vs 145.4±2.9 U/kg/wk, p< 0.002), but CAPD patients were not different by administration method(93.0±60.2 vs 105.4±9.7 U/kg/ wk, p>0.05). The 9 cases(18.8%) were suffered from headache and flu-like syndrome, but these side effects were not severe and disappeared from conventional therapy. Conclusion : Epokine^(ⓡ) administration is safe and effective in treating anemia of ESRD patients and subcutaneously administration is significantly more effective than intravenously. (Korean J Nephrol 2002;21(2):190-198)

이야기치료를 통한 성경적 상담의 적용

최정환,윤향숙 용인대학교 학생생활연구소 2010 학생생활연구 Vol.18 No.-

Stories have always existed in people's lives and world's history. Stories in counselling have made people identify themselves, behave with integrity and experience the healing. This story is based on the client's personal story. After searching his autobiographical story with Mac Adam's 7-step theory, I will apply the story therapy to Biblical counselling with Biblical counselling perspective in the history of redemption. An integration of narrative therapy and Biblical counselling can offer clients two valuable meanings. One is insight. This can make them acknowledge their own responses and strategies in profound problems of life. The other is God centered perspective. Through this perspective, clients will have an eye for knowledge about a story of pains, controls, regulations, worship and eternity in rewriting of the history of redemption. Through this process of integration, the story of client will have hope for apocalyptic life is a future story of vision by changing the point of view fro m himself to God.