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- 저자 : 장형윤(Hyoung Yoon Chang) (검색결과 5 건)
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장형윤(Hyoung Yoon Chang),임기영(Ki Young Lim) 대한신경정신의학회 2018 신경정신의학 Vol.57 No.4
Recently, the Korean Neuropsychiatric Association expelled one of its members on grounds of multiple ethical violations, which included a sexual boundary violation between doctor-patient relationships. However, the lack of understanding of why this is an ethical issue was found among the general population as well as psychiatric professionals. In this review article, we introduce the basic concepts of psychotherapy and psychiatrist-patient relationships, including therapeutic structure and transference/countertransference, and elaborate the reasons why boundary violations, and especially sexual boundary violations, are unethical and potentially harmful to the patient and to the psychiatric community.
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영유아에서의 스마트기기 및 영상물 노출에 대한 체계적 문헌고찰
장형윤 ( Hyoung-yoon Chang ),이지원 ( Ji-won Lee ),신윤미 ( Yun-mi Shin ),박은진 ( Eun-jin Park ),유희정 ( Hee-jeong Yoo ) 한국영유아아동정신건강학회 2016 영유아아동정신건강연구 Vol.9 No.1
영유아의 스마트폰 등 스마트기기 사용은 점차 증가하고 있는 반면, 스마트기기의 영향에 대한 연구나 정책은 부족한 실정이다. 문헌 검색을 통해 영유아에서 스마트기기 및 영상물 노출의 영향을 종단적으로 분석한 연구 13편을 선별하였다. 영유아기에 스마트기기 노출이 미치는 영향을 종단적으로 분석한 연구는 확인할 수 없었으며, 이는 아직 스마트기기가 보급된지 얼마 되지 않아 종단적 영향을 규명할 만큼의 시간이 흐르지 않았기 때문으로 파악된다. 영유아기의 영상물 노출의 영향은 비만, 언어/인지발달, 정서/행동발달, 사회성/애착 등의 분야에서 연구가 발표된 것을 확인할 수 있었다. 구체적으로는 영유아기에 영상물에 많이 노출되었을수록 비만의 비율이 높았고, 언어발달지연과 학업성취도 감소의 위험이 높았다. 또한 과활동성이 증가하였고, 사회성에도 악영향이 있는 등 전반적으로 영유아기 영상물 노출은 아동 발달에 부정적 영향을 끼치는 것으로 확인되었다. 더불어 영유아기 영상물 노출에 대한 국내외 전문가단체의 가이드라인을 정리하였다. 이어 고찰에서는 향후 국내 전향적 코호트 연구의 필요성에 대해 살펴보았다. Despite a rapid increase in usage of smartphones among infants and toddlers, research and policies regarding smartphone use is not sufficient. A systematic review of all published literature providing data on the effect of media and smart devices on infants and toddlers was done and thirteen articles, which conducted vertical analyses, were finally selected. The effects of smart devices and media were categorized as obesity, language and cognitive development, emotional and behavioral development, and social skills and attachment, which were generally negative on development. We also discussed policies and guidelines about smartphone use by infants and toddlers, and emphasized the need for a national prospective cohort study on smartphone use among infants and toddlers.
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재난 시 소아청소년 정신건강 평가 및 치료의 주요 요소
박장호(Jang-Ho Park),이미선(Mi-Sun Lee),장형윤(Hyoung Yoon Chang),황준원(Jun-Won Hwang),이주현(Ju-Hyun Lee),김지연(Ji-Youn Kim),이철순(Cheol-Soon Lee),김은지(Eunji Kim),배승민(Seung-Min Bae),방수영(Soo-Young Bhang) 대한소아청소년정신의학회 2016 소아청소년정신의학 Vol.27 No.3
Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.
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신윤미(Yun Mi Shin),김의정(Eui-Jung Kim),김윤신(Yunsin Kim),방수영(Soo Young Bhang),이은하(Eunha Lee),이철순(Cheol-Soon Lee),장형윤(Hyoung Yoon Chang),홍민하(Minha Hong),신동원(Dongwon Shin) 대한소아청소년정신의학회 2017 소아청소년정신의학 Vol.28 No.2
Attention-deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that begins in early childhood and can persist throughout adulthood. ADHD causes difficulties in various area of life, such as academic achievement, peer relationships, family functioning, employment and marriage. Although ADHD is known to respond well to medication, such treatment is more effective when combined with psychosocial (non-pharmacologic) therapy in terms of alleviating the core symptoms and improving appropriate functions. Psychosocial treatment interventions are divided into psychoeducation, behavioral parent training, school intervention, cognitive behavior therapy, social skill training, parent-child interaction therapy, play therapy, other treatments (coaching, complementary and alternative medicine), neurofeedback and Cogmed. Adult ADHD cognitive behavioral therapy is described separately. These practice parameters summarize the evidence for psychosocial treatment. Based on this evidence, specific recommendations are provided for psychosocial interventions.
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이미선(Mi-Sun Lee),황준원(Jun-Won Hwang),이철순(Cheol-Soon Lee),김지연(Ji-Youn Kim),이주현(Ju-Hyun Lee),김은지(Eunji Kim),장형윤(Hyoung Yoon Chang),배승민(Seung-Min Bae),박장호(Jang-Ho Park),방수영(Soo-Young Bhang) 대한소아청소년정신의학회 2016 소아청소년정신의학 Vol.27 No.4
Objective: The aim of this systematic literature review is to analyze the psychosocial interventions for children and adolescents after disasters. Methods: We conducted a review of the extant research literature from 1991 to 2015 via a comprehensive search of the MEDLINE, EMBASE, Cochrane CENTRAL, PubMed and PsyclNFO databases. The keywords employed in this research included: ‘child’, ‘adolescent’, ‘youth’, ‘disaster’, ‘posttraumatic’, ‘psychosocial’, ‘therapy’ and ‘intervention’. The researchers followed the PRISMA guidelines. A total of 850 articles were screened for their eligibility and fifty-nine were found to meet the study criteria. The final data analysis was performed based on the disaster type, study design, type of intervention, sample size, age, school grade, number of sessions, setting of intervention delivery, providers, approach and parent involvement. Results: Countries worldwide have experienced various kinds of disasters, including earthquakes, hurricanes, vessel accidents, tornados, tsunamis, volcanic eruptions, war, fire, terrorism, and traffic accidents. The types of psychosocial intervention that were conducted after these disasters included: psychological first aid, psychological debriefing, psychoeducation, trauma focused cognitive behavior therapy, eye movement desensitization reprocessing, prolonged exposure therapy, group play therapy and arts therapy, project interventions, school-based interventions and web-based interventions. Conclusion: The findings of the systematic literature review suggest that an appropriate psychosocial intervention could be utilized as evidence-based mental health treatment for children and adolescents after disasters.
KCI
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