만성조현병 환자의 장기입원 요인에 대한 연구

장옥진,이병대,정영인 대한신경정신의학회 2015 신경정신의학 Vol.54 No.1

Objectives ZZThe purpose of this study is to investigate the factors related to long-term hospitalization of schizophrenia. MethodsZZThe subjects were inpatients with schizophrenia who were constantly hospitalized for more than 12 months and their caregivers. They were compared with schizophrenia with no previous experience of sustained hospitalization for more than 12 months and their caregivers. Demographic and clinical data, Korea version of the Positive and Negative Symptom Scale, functional disability and family burden scale were analyzed. ResultsZZIn this study long-term hospitalization of schizophrenia was influenced by the following measures. First, primary caregivers variables such as parents/non-parents and cohabitation with patients, second, negative symptom severity of passive/apathetic social withdrawal and lack of spontaneity and flow of conversation, and third, functional disability of go to hospital/take a dose regularly and using public transportation/facilities were associated with long-term hospitalization. And they were significant in logistic regression analysis. ConclusionZZThe above results suggest that long-term hospitalization of schizophrenic patients in Korea might be affected by caregiver’s factor, negative symptoms, and functional disability.

졸피뎀은 내성과 의존에서 안전한 약물인가?

장옥진(Og-Jin Jang),김호찬(Ho-Chan Kim) 한국중독정신의학회 2022 중독정신의학 Vol.26 No.1

Zolpidem is a short-acting non-benzodiazepine hypnotics and has a short elimination half-life that was introduced in the 1980s. It has an favorable and safe profile compared to short-acting benzodiazepines (BZD), so it was expected that the disadvantages of BZD, such as sedation the next day and daytime sleepiness, as well as dependence and withdrawal symptoms, could be overcome. However, there is a growing body of case reports on zolpidem abuse and dependence, as well as withdrawal syndrome and epileptic seizures related to zolpidem discontinuation. Many subsequent studies have revealed that increasing concentrations of zolpidem result in loss of receptor selectivity, and binds to other subunits of the GABA-A receptor, similar to benzodiazepine. Nevertheless, zolpidem is one of the most commonly prescribed hypnotics in Korea, and related abuse and dependence cases are increasing. Thus, it is necessary to understand the developing mechanism of abuse and dependence related zolpidem, and be prepared with strategies to detoxify or intervene in any related condition.

위험음주와 음주문제의 주관적 인식에 따른 한국어판 알코올사용장애 선별검사(AUDIT-K)와 변화준비도 검사(RCQ)의 차이

장옥진(Og-Jin Jang),최화경(Hwa-Kyung Choi,),이영렬(Young-Ryeol Lee),김세훈(Se-Hoon Kim) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.2

Objective : This study was conducted to evaluate the differences in sub-scores for the AUDIT-K and Readiness to Change Questionnaires (RCQ) relative to hazardous drinking and subjective perceptions of alcohol problems. Methods : A total of 162 male participants were recruited and responded to the questionnaire. Subsequently, respondents were classified in the following groups depending on the presence of hazardous drinking and subjective perception of alcohol problems. HP group : Hazardous drinkers with subjective perception of alcohol problems. HD group : Hazardous drinkers with subjective denial of alcohol problems. NP group : Non-hazardous drinkers with subjective perception of alcohol problems.ND group : Non-hazardous drinkers with subjective denial of alcohol problems. Results : In the HP group (the highest AUDIT-K score), high consumption and dependence sub-scores and RCQ scores were observed. In the HD group (the second highest AUDIT-K scores), high consumption and dependence sub-scores were observed, but the RCQ score was low. In the NP group, AUDIT-K, consumption and dependence sub-scores were low but the highest harmful alcohol use sub-score and second highest RCQ score was observed. In the ND group, the lowest scores were observed for all mea-sures. Conclusion : Our findings suggest that there are differences in AUDIT-K and RCQ sub-scores associated with hazardous drinking and subjective perception of alcohol problems.

청소년 중독의 이해 : 마약중독

장옥진(Jang Og-Jin) 대한소아청소년정신의학회 2023 대한소아청소년정신의학회 학술대회논문집 Vol.2023 No.11

The Relationship between Compensation and Job Satisfaction

Yit Chin Teo(장옥진),Jeong Eon Lee(이정언) 한국콘텐츠학회 2017 한국콘텐츠학회논문지 Vol.17 No.6

본 연구는 기업 조직구성원에 대한 보상이 내적공정성과 직무만족에 미치는 영향을 분석하는 것을 목적으로 하였다. 보상의 요인은 내적 보상과 외적 보상의 두 하위차원으로, 내적 공정성은 분배공정성과 상호작용 공정성으로 구분하였다. 이와 더불어 기업 구성원에 대한 보상이 상사의 지원에 따라 지각된 내적 공정성이 달라질 수 있는지 그 조절 효과를 분석하였다. 실증연구는 다양한 기업의 157명으로부터 획득된 자료를 활용하여 이루어졌다. 실증자료의 분석 결과, 외적 및 내적 보상은 직무만족, 지각된 내적 공정성, 상사의 지원에 정(+)의 영향을 미쳤으며, 보상과 직무만족의 관계는 구성원의 심리적 영역인 내적 공정성의 지각을 통해 영향관계가 형성되고 있음이 나타났다. 한편 구성원에 대한 보상과 지각된 내적 공정성의 관계에서 상사의 지원은 조절역할을 하지 않는 것으로 밝혀졌다. 본 연구에서는 보상관리의 중요성에 대한 인식을 바탕으로 보상의 공정성에 주목하여 개인간 상대적인 보상 차이에 대한 합리적인 논리와 메커니즘을 제공하여야 한다는 관리적 · 실천적 시사점을 제공하였다. The main purpose of this research is to investigate the impact of compensation on job satisfaction. The study is designed to determine whether perceived internal equity acts as a mediation role in affecting the relationship between compensation and job satisfaction. This study also aims to explore the role of supervisor support in affecting employees’ perception of equity toward the compensation. A total of 157 samples was obtained for the data analysis as a quantitative approach. The results of the data analyses revealed that both extrinsic and intrinsic rewards are positively correlated with job satisfaction. The results also showed that perceived internal equity acts as a mediating role in predicting variables of compensation and job satisfaction. The supervisor support does not moderate the relationship between compensation and perceived internal equity. It is suggested that management’s efforts must be made in compensation management in order to increase employees’ job satisfaction and to improve employees’ perception of equity.

Compensation, Perceived Equity, and Performance

Yit Chin Teo(장옥진),Jeong Eon Lee(이정언) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.9

본 연구는 직무만족, 이직의도 및 보상시스템에 관련된 선행연구를 포괄적으로 고찰하여 향후 연구를 위한 이론적 시사점의 도출을 목적으로 하였다. 연구의 목적을 달성하기 위해, 보상시스템과 성과와의 관계를 분석한 선행연구를 체계적으로 논의하였다. 선행연구의 분석결과, 기업이 구성원에게 제공하는 내적·외적 보상은 직무만족과 긍정적인 관계, 이직의도와는 부정적인 관계가 있음이 확인되었다. 구성원이 지각하는 보상의 공정성은 직무만족에 긍정적, 이직의도에는 부정적인 영향을 미치는 것으로 제시되었다. 특히 보상의 공정성은 기업의 보상시스템과 성과와의 관계에서 매개적인 역할을 한다는 사실이 다수의 선행연구를 통해서 파악되었다. 본 연구에서는 선행연구의 리뷰를 바탕으로 보상시스템과 성과와의 관계에 관련된 명제를 제시하였으며, 후속연구를 위해 이론적 차원에서 관련 연구 영역의 방향성을 제시하였다. The main purpose of this study is the comprehensive review of the compensation system that affects the employee’s job satisfaction and turnover intention. This study is mainly designed to review previous studies of the impact of compensation system, and suggest meaningful implications in relation to firm’s performance. It is clarified that compensation is positively related to firm’s performance, and the perceived equity mediates the relationship between compensation and performance. It is suggested that an empirical research should be done based on the formulated propositions of this research.

물질사용장애 환자와 정신병 환자에서 관찰된 기능손상과 심리적 고통의 비교

안규,장옥진,이해국,이승엽,김장래,임현우,정현숙,정영인 한국중독정신의학회 2022 중독정신의학 Vol.26 No.2

Objectives: The purpose of this study was to compare the functional disability and psychological distress, observed in patents with substance use disorder (SUD) and psychosis. Methods: As a multicenter study, 17 patients with SUD and 49 patients with psychosis, participated in this study. All participants were assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS) as well as the Kessler Psychological Distress Scale (K10). Results: In patients with SUD, functional disability was observed in approximately 8.5%. In the WHODAS total and all sub-scales scores, patients with SUD showed less severe functional impairment, compared to patients with psychosis. However, psychological distress was more severe in patients with SUD, and was at a very high level. This study confirmed that the psychological distress of patients with SUD, had a significant correlation with functional disability of cognition, interacting with others, and participation. Conclusion: In this study, patients with SUD were identified with distinct clinical features, compared to patients with psychosis.

음주심리와 정서상태가 알코올사용장애에 미치는 영향

주현수,장옥진,이재우,정영인 한국중독정신의학회 2019 중독정신의학 Vol.23 No.2

Objectives : This study was conducted in an effort to evaluate the effects of drinking psychology and emotional state on alcohol use disorder (AUD) in male adults drinking alcohol. Methods : Participants consisting of male alcohol drinkers between 18 and 65 years of age were recruited through advertisements from January 2018 to November 2018. Participants who were diagnosed with cognitive disorders such as dementia and damaged brains were excluded. In total, 197 participants were recruited, and these were divided into three groups of social drinking, hazardous drinking, and AUD. The comparison of drinking psychology was conducted using the Motivational Structure Questionnaire for Alcoholics (MSQ-A), Views of Drinking, and the Alcohol Outcome Expectancies Scale (AES). The comparison of emotional state was conducted using the Self-Esteem Scale (SES), the Self-rating Depression Scale (SDS), the State-Trait Anxiety Inventory (STAI), and the State-Trait Anger Expression Inventory (STAXI). Results : The scores of STAI and negative expectation of AES were higher in the AUD group than in the social drinking and hazardous drinking groups. In addition, the scores of the factors of enhancement, coping, and socialization in MSQ-A were found to be high in both the hazardous drinking and AUD groups. Further, the scores of the factors of cohesive and entertaining in Views of Drinking were found to be high in both the hazardous drinking and AUD groups. Conclusion : Our findings suggest that drinking psychology and emotional state have a significant influence on AUD.

Network Analysis of Language Disorganization in Patients with Schizophrenia

박선철,김기원,장옥진,윤형준,장승호,김성완,이봉주,박재홍,이강욱,최준호 연세대학교의과대학 2020 Yonsei medical journal Vol.61 No.8

Language disorganization, an objective component of formal thought process abnormality, has been regarded as a core symptomof schizophrenia from an evolutionary psychopathology perspective. However, to the best of our knowledge, the network structureof language disorganization has rarely been examined in patients with schizophrenia. Thus, our preliminary study aimed to evaluatethe network structure using the Clinical Language Disorder Rating Scale (CLANG) in 167 inpatients with schizophrenia. All 17of the CLANG items were considered to be ordered categorical variables ranging from 0 to 3. Our results indicated that disclosurefailure, excess syntactic constraints, abnormal prosody, and aprosodic speech rank among the top five central domains within thenetwork structure. We deemed that disclosure failure and prosody problems are the most important symptoms of language disorderin schizophrenia. Thus, reduced top-down processing of linguistic information may be a core neurobiological underpinning oflanguage disorganization in schizophrenia. Further studies controlling for the potential effects of confounding factors (i.e., durationof illness) on network analyses of language disorder and formal thought disorder are warranted in patients with schizophrenia.

알코올 의존 환자에서 시점간 선택에 관한 연구

최성원(Sungwon Choi),장옥진(Ok-Jin Jang),김양태(Yang-Tae Kim) 한국중독정신의학회 2014 중독정신의학 Vol.18 No.2

Objectives : The objectives of this study were to investigate intertemporal choice in patients with alcohol dependence and to examine whether impulsivity or working memory is related to intertemporal choice in patients with alcohol dependence. Methods : Fifty alcohol dependence patients and fifity healthy controls were recruited in this study. All participants were male. All patients were subjected to the following tests : Delay Discount-ing Task (DDT), the Wisconsin Card Sorting Test (WCST), the Barratt Impulsiveness Scale-11 (BIS-11), and the Korean version of Michigan Alcohol Screening Test (MAST-K). Results : Com-pared to the control group, the alcohol dependence group showed higher delayed reward discounting rate in DDT. The performance on the WCST of alcohol dependence group was significantly poorer than that of the control group. Alcohol dependence group scored higher than controls in the total score of the BIS-11 and the motor subscale scores. The perseverative error in WCST was significantly correlated with the 1 day indifference point (r=-0.505, p<0.01) and 2 day indifference point(r=-0.388,p<0.01) in DDT. However, the indifference point in DDT did not show significant relationships with the score of BIS-11 or MAST-K within the alcohol dependence group. Conclusion : Intertemporal choice in patients with alcohol dependence had more delayed reward discounting compared to the control group. Delayed discounting and impaired working memory were significantly correlated. Delayed discounting and self-report mea-sure of impulsivity or alcohol dependence were not correlated.