발달장애인 자녀의 장애특성과 부모의 건강특성이 부모의 돌봄 부담에 미치는 영향: 부모 연령대별 차이

전해숙,강상경 강원대학교 사회과학연구원 2020 사회과학연구 Vol.59 No.1

This study aims to examine the careburdens of parents who care for their children with developmental disabilities. Specifically, this study examines whether parents’ health conditions and children’s disability characteristics affects careburdens and further examines whether these effects vary by age of parents. For these purposes, descriptive data analyses, structural equational modeling(SEM), and multi-group SEM between parents aged 60 and over and those 60 or less were performed involving 689 parent caregivers participated in the National Survey on Supportive Service Needs Assessment for Individuals with Developmental Disabilities. The results of descriptive analyses showed that the level of depressive symptoms and careburdens among caregivers aged 60 and over were significantly higher than that of parents aged 60 or less. The levels of children’s IADL and ADL constraints did not differ by age groups. The results of SEM revealed that parents with higher levels of depressive symptoms and those caring for children with more IADL/ADL constraints presented higher levels of careburdens. Finally, the results of multi-group SEM showed that the effect of depressive symptoms on careburdens among parents aged 60 or less were significantly stronger than that among parents aged 60 and over. The effects of parents physical health conditions or children’s disability characteristics did not differ by parents’ age. Based on these results, implications for addressing parents’ careburdens and strategies for age specific approaches were discussed in terms of theory and practice. 연구의 목적은 발달장애인 부모 돌봄제공자의 돌봄 부담 수준을 살펴보고, 자녀의 장애정도 및 일상생활기능수준과 부모의 건강상태에 따라서 돌봄 부담이 달라지는지와 이러한 관계가 부모의 연령대별로 차이가 있는지를 고찰하는 것이다. 본 연구는 발달장애인 활동지원 욕구조사에 참여한 부모 돌봄제공자 689명을 대상으로 기술통계 분석 및 구조방정식 다중집단 분석을 실시하였다. 기술통계 분석결과 60세 이상 부모 돌봄제공자의 돌봄 부담, 우울수준, 건강우려 수준, 자녀의 장애정도가 상대적으로 높았고, 자녀의 수단적 일상생활기능(IADL) 제약이나 일상생활기능(ADL) 제약은 연령대에 따라 유의한 차이는 없었다. 구조방정식 분석결과 부모의 우울수준, 자녀의 IADL 제약과 ADL 제약 수준이 높을수록 돌봄 부담도 높게 나타났으나 부모의 건강상태나 자녀의 장애정도는 돌봄 부담에 유의한 영향을 나타내지 않았다. 연령에 따른 다집단분석 결과, 60세 미만에서 우울이 돌봄 부담에 주는 영향력이 60세 이상에서 보다 유의하게 크게 나타났지만, 나머지 부모특성 및 자녀특성 변수들과 돌봄 부담 간에는 연령대별로 유의한 차이가 없었다. 결과를 바탕으로 발달장애인 부모 돌봄제공자의 돌봄 부담 해소를 위한 전략과 이러한 전략의 연령대별 차이에 대한 이론 및 실천적 함의를 논의하였다.

노인의 체질량지수와 삶의 만족도 간 관계: 우울증상 수준의 매개효과를 중심으로

전해숙 한국보건교육건강증진학회 2019 보건교육건강증진학회지 Vol.36 No.3

Objectives: This study aims to examine (1) the relationship between BMI and depressive symptoms among older adults, (2) the association between depressive symptoms and life satisfaction (LS), (3) mediating effect of depression in the associations between BMI and LS, (4) age difference in these relationships between elders 85 or younger and those 85 and older. Methods: Sample consists of 5,685 individuals aged 60 and older who participated in the 6th Korean Longitudinal Study of Aging (KLoSA). Data were analyzed through the Structural Equational Modeling (SEM) and multi-group SEM. Results: (1) Compared to the normal weight elders, overweight and obese elders showed lower levels of depressive symptoms. (2) The levels of depressive symptoms were positively associated with higher levels of LS. (3) Compared to the normal weight elders, overweight and obese elders showed significantly positive indirect effects on LS via its effects on depressive symptoms. (4) Some of these relationships varied by age groups. Conclusions: Underweight and extreme obesity are considered as risk factors for LS among older adults while obesity plays a protective role in LS. BMI differences should be considered in developing interventions and policy for quality of life of the elderly.

장애자녀 특성과 부모건강이 발달장애인 부모의 공공후견인식에 미치는 영향: 돌봄 부담의 매개효과를 중심으로

전해숙,강상경 한국사회복지연구회 2020 사회복지연구 Vol.51 No.2

This study aims to examine the effects of children and parents’ characteristics on parents’ perceptions of guardianship. Specifically, it examines the effects of both children’s daily life functioning and parents’ health conditions on their perceptions of guardianship. It further tests whether the effects of the exogenous variables on perceptions of guardianship are mediated by parents’ care-burdens. For these purposes, structural equational modeling(SEM) and indirect effects tests were performed involving 689 parents who participated in the National Survey. Regarding the results of SEM, parents with higher levels of depressive symptoms and children with impaired daily function presented more care-burdens and more negative perceptions of guardianship. Indirect effect test showed the effects of depressive symptoms and children’s function on parental perceptions of guardianship are mediated by care-burdens. Based on these results, possible strategies were discussed to relieve parents’ care-burdens and to stabilize public guardianship systems for individuals with developmental disabilities. 본 연구의 목적은 발달장애인 부모의 공공후견인식에 영향을 미치는 요인을 장애자녀의 장애정도와 기능수준 및 부모의 우울과 건강상태를 중심으로 고찰하고, 이들의 관계에 대한 돌봄 부담의 간접효과의 유의도를 검증하는 것이다. 이들 관계 검증을 위해 발달장애인 활동지원욕구조사에 참여한 돌봄 제공자들 중 발달장애인 부모 689명을 대상으로 구조방정식 분석과 매개효과 검증을 위한 간접효과 분석을 실시하였다. 구조방정식 분석 결과 부모의 우울수준이 높을수록, 자녀의 일상생활기능 제약이 심할수록 돌봄 부담이 높았고, 돌봄 부담이 많을수록 공공후견제도에 대한 부정적 인식이 높았다. 하지만 부모의 건강상태나 자녀의 장애정도는 돌봄 부담이나 후견인식에 유의한 직접효과를 나타내지 않았다. 간접효과 분석 결과 부모의 우울 수준과 자녀의 일상생활기능 제약 수준이 부모의 후견에 대한 부정적 태도에 미치는 영향을 돌봄 부담이 매개하는 것으로 확인되었다. 결과를 바탕으로 부모 돌봄 부담 완화 및 발달장애인 후견제도 활성화를 위한 실천적 방안에 대한 논의를 통해 향후 발달장애인 후견제도 정착을 위한 함의를 논의하였다.

어린 왕자였을 파리

전해숙 수필미학 2023 수필미학 Vol.42 No.-

글쓰기가 준 선물

전해숙 문예운동사 2023 문예운동 Vol.- No.159

Isolation of Lichen-forming Fungi from Hungarian Lichens and Their Antifungal Activity Against Fungal Pathogens of Hot Pepper Anthracnose

전해숙,László Lökös,Keon Seon Han,류정애,김정아,고영진,허재선 한국식물병리학회 2009 Plant Pathology Journal Vol.25 No.1

Lichen-forming fungi (LEF) were isolated from 67 Hungarian lichen species from ascospores or thallus fragments. LFF were successfully isolated from 26 species with isolation rate of 38.8%. Of the total number of isolation from ascospores (27 species) and thallus fragments (40 species), 48% and 32.5% of the species were successfully isolated, respectively. Comparison of rDNA sequences of ITS regions between the isolated LFF and the original thallus confirmed that all the isolates originated from the thallus fragments were LEF. The following 14 species of LEF were newly isolated in this study; Acarospora cervina, Bacidia rubella, Cladonia pyxidata, Lasallia pustulata, Lecania hyaline, Lecanora argentata, Parmelina tiliacea, Parmotrema chinense, Physconia distorta, Protoparmeliopsis muralis, Ramalina pollinaria, Sarcogyne regularis, Umbilicaria hirsuta, Xanthoparmelia conspersa and X. stenophylla. Antifungal activity of the Hungarian LFF was evaluated against plant pathogenic fungi of Colletotrichum acutatum, C. coccodes and C. gloeosporioides, causal agent of anthracnose on hot pepper. Among the 26 isolates, 11 LFF showed more than 50% of inhibition rates of mycelial growth of at least one target pathogen. Especially, LFF of Evernia prunastri, Lecania hyalina and Lecanora argentata were remarkably effective in inhibition of mycelial growth of all the tested pathogens with antibiotic mode of action. On the other hands, five isolates of Cladonia furcata, Hypogymnia physodes, Lasallia pustulata, Ramalina fastigiata and Ramalina pollinaria exhibited fungal lytic activity against all the three pathogens. Among the tested fungal pathogens, C. coccodes seemed to be most sensitive to the LFF. The Hungarian LFF firstly isolated in this study can be served as novel bioresources to develop new biofungicides alternative to current fungicides to control hot pepper anthracnose pathogenic fungi.

장애인의 소득과 건강의 종단적 관계 : 노령인구와 비노령인구의 비교

전해숙 한국장애인고용공단 고용개발원 2014 장애와 고용 Vol.24 No.4

Although it is critical to identify causal relationships between income and health to develop an effective social welfare policy, very little is known about the causal relationships among individuals with disabilities. In order to address the gaps, the current study tested two competitive hypotheses of social causation and social selection involving individuals with disabilities. It further examined whether the causal relationships of those aged 65 and over differ from that of 65 or less. The study used first (year of 2008) and second (year of 2011) wave of the Survey on Individuals with Disabilities that performed as a part of the Korean Welfare Panel Study. Sample included adult individuals with disabilities aged 19 and over (376 aged 65 and over; 479 aged 65 or less). Using a Structural Equation Modeling, Autoregressive Cross-lagged Model was performed. Major findings are as follows. (1) Social causation hypothesis explaining income influences health was supported for the total sample. (2) Social selection hypothesis explaining health influences income was not supported. (3) There was no age differences in the effects size of income influencing health. (4) However, there was significant age differences in the effects size of health influencing income. Based on the results, future directions of social welfare policy and services for individuals with disabilities and implications were discussed. 효과적인 사회복지정책의 확립을 위해서는 소득과 건강의 인과적 관계를 파악하는 것이 우선되어야 한다. 그러나 아직까지 다각적 차원에서 소득과 건강간의 인과적 관계는 명확하게 밝혀지지 않았다. 더구나 장애인의 소득과 건강의 인과적 관계에 대해서는 더욱 알려진 바가 없다. 이러한 한계를 염두에 두고 본 연구는 소득과 건강의 인과적 관계를 설명하는 두 대표적인 가설인 사회원인론과 사회선택론을 장애인을 대상으로 검증하고, 65세 이상의 장애노인과 65세 미만 장애인 간에 차이가 있는지를 확인하고자 하였다. 분석자료는 한국복지패널 장애인부가조사 1차년도(2008)와 2차년도(2011) 자료이고, 분석대상은 1차년도 기준으로 19세 이상 성인 장애인 총 855명으로, 연령대 별로 65세 이상 장애인 376명과 65세 미만 장애인 479명이다. 분석은 자기회귀 교차지연모델을 활용하여 구조방정식을 통해 분석하였다. 주요 결과는 다음과 같다. (1) 19세 이상 전체 장애인에서는 이전시기 소득이 이후 시기 건강에 미치는 영향은 유의하여 사회원인론은 지지되었지만, (2) 이전시기 건강이 이후시기 소득에 미치는 영향은 유의하지 않아 사회선택론은 지지되지 않았다. (3) 이전시기 소득이 이후시기 건강에 미치는 영향의 연령대별 차이는 없었으나, (4) 이전시기 건강이 이후시기 소득에 미치는 영향은 연령대별 차이가 있었다. 이러한 결과를 바탕으로 장애인 대상의 사회복지정책이나 서비스의 기본 방향과 향후 연구를 위한 함의를 논의하였다.

Annealed Neural Network을 이용한 한글 초성의 인식과 분할

전해숙,이원돈 충남대학교 기초과학연구소 1994 忠南科學硏究誌 Vol.21 No.1

This paper uses an one to one, point to point matching algorithm in order to recognize and segment hand-written Korean composite characters based on a graph matching. It is a form of elastic matching with a mean field annealing (MFA) algorithm that combines characteristics of the simulated annealing(SA) algorithm and the Hopfield neural network. Even if a composite stimulus consisting of two patterns is presented, this syatem can recognize and segment separately without preprocessing such as thinning, scaling and segmentation. Some preliminary experiments demonstrate that this can be a promising method in character recognition and segmentation.

정신재활시설 이용자 삶의 만족도 영향요인과 미충족 욕구의 매개효과 : 개인 맞춤형 시설환경 또는 인권 친화적 시설환경?

전해숙,강상경 이화여자대학교 사회복지연구소 2023 사회복지 실천과 연구 Vol.20 No.2

This study aimed to examine the relationship between facility environment perception and life satisfaction among individuals with psychiatric disabilities (IPD) using mental rehabilitation facilities, focusing on the mediating effect of the unmet needs perceived by IPD. IPD’s perception of the facility environment was measured by ① the perception of how much the rehabilitation facility provided customized services to IPD and ② the perception of how the rehabilitation facility performed human rights-based practices. Unmet needs were measured by calculating the differences between the degree of necessity and sufficiency for a specific service perceived by IPD. A structural equation analysis of the data of 607 IPD using rehabilitation facilities who participated in the 2020 Human Rights Survey conducted by the National Human Rights Commission of Korea was conducted to address the research questions. The key findings are as follows. ① The total effect of IPD’s perceptions that the facility provided customized services to IPD on life satisfaction was significant, but the total effect on their perception of the human rights-friendly practice environment of the facility was not significant. The effect decomposition results showed that ② the direct and indirect effects of customized service recognition were both significant, showing a partial mediating effect of unmet needs. ③ The direct and indirect effects of human rights-based practice perception were also significant. The indirect effect was not a mediating effect but a deterring effect, showing that the total effect between independent and dependent variables was insignificant.Theoretical and practical implications for constructing a human rights-friendly rehabilitation facility environment were discussed based on these results.

또 다른 주인들

전해숙 수필미학 2022 수필미학 Vol.38 No.-