자기보고식 간이인지기능척도 개발

정숙회(Jeong, Sook-Hwae) 한국노년학회 2015 한국노년학 Vol.35 No.2

본 연구는 노인들의 자기보고식 인지기능 척도를 개발하고 정상노인군과 치매노인군을 비교해 보고자 하였다. 서울과 경기도 소재 노인복지관을 이용하는 55세 이상 113명을 대상으로 자기보고식 간이 인지기능 척도를 개발하여 타당화하였고 정상 노인군(38명), 치매노인군(36명)을 대상으로 비교분석하였다. 자기보고식 간이 인지기능 척도 요인분석 결과, 인지적 판단력(COG), 정서통제력(EMO), 기억력(MEM)의 3개 요인으로 나타났으며, 척도의 Cronbach's-⍺ .922로 높은 신뢰도를 보였다. 3요인 모형의 적합도 지수는 RMSEA .074, TLI .803, CFI .818등으로 나타나 요인구조가 자료에 적합한 것으로 판단되었다. 노인의 주관적 기억저하 호소에서 정상 노인군과 치매노인군 간의 자기보고식 간이 인지기능 척도의 하위 요인별 상관을 살펴보면, ‘인지적 판단력과 정서통제력‘ .407, ’인지적 판단력과 기억력‘ .653, ’정서통제력과 기억력‘이 .456으로 상관성을 지니고 있는 것으로 나타났다. 요인별로 관련성의 정도는 모두 통계적으로 유의하게 관련성이 있는 것으로 나타났다. 본 연구의 의의는 임상 장면에서 사용하고 있는 검사가 이미 활용되고 있으나 의사소통이 적절치 않은 편마비 환자에게 검사실시가 가능한 간이 인지기능 검사를 개발하였다는 점에서 그 의의가 있다고 하겠다. The purpose of this study is to develop and compare the scale of Self-report Cognitive Function for normal elderly people with dementia patient. Method is, First, the Self-report Cognitive Function scale was developed. Then, we analyzed the validity and factors in a group of 38 normal elderly people and a group of 36 with dementia patient. Factor analysis revealed three factors-Cognitive Jugement(COG), Emotional Control(EMO), Memory(MEM)-and suggested high validity(Crombahc's-⍺= .922). The goodness of fit index in three-factor model was appear that RMSEA .074, .TLI .803, CFI .818, and the data is suitable for factor structure. Although tests are already being utilized in the clinical scene, there is a need for hemiplegia patients. So the implications of the present study is development of Self-report brief Cognitive Function scale.

청소년이 지각한 부모양육태도, 또래애착 및 탄력성과 삶의 의미간의 구조적 관계

정숙회 ( Jung Sukhae ) 한국가족관계학회 2017 한국가족관계학회지 Vol.22 No.1

Objectives: The major purpose of the study is to examine structural relation among teenager`s perception of parenting attitudes, peer attachment, resilience and meaning in life. In order to achieve purpose of the study, we will develop reliable criterion which can measure variable. Method: We will set up structural relational model from relationship between internal and external variables that can influence teenager`s meaning in life and we will examine the relationship between variables through structural equation analysis. we will find structural relationship among parenting attitudes, peer attachment, resilience and meaning in life. Results: We analyzed structural relationship among variables targeting 744 middle school and high school students. Teenager`s perception of parenting attitudes have positive influence on peer attachment. This shows that teenager perception of fostering attitude have a positive influence even though teenager percepts parent`s foster attitude as overprotective or compassionate. However, if teenager percept fostering attitude as overprotective, teenager perception of parenting attitudes doesn`t have influence on resilience. Parent`s compassionate attitude not only directly influence resilience but also influence resilience through peer attachment. This validates that individual psychological factor, such as how teenager accept and interpret surrounding environment can influence resilience. Peer attachment relationship not only directly influence resilience but also influence meaning of life through resilience. The resilience has direct effect on meaning in life. Conclusions: When one of education goal is to help teenager to find meaning in life and to reach self-realization, We need to have interest in resilience which is known factor for contributing meaning in life. As previous teenager studies has approached this problem, such as maladjustment, delinquency, and depression, it is significant that this study is examined in positive a psychological perspective which focus on healthy adjustment, such as meaning in life based on teenager`s resilience and happiness.

MMPI의 긍정왜곡 반응에 관한 연구

김연,정숙회 인제대학교 1994 仁濟醫學 Vol.15 No.2

본 연구는 정상인 집단과 정신분열증 환자집단의 MMPI 반응에서 긍정왜곡에 관한 차이를 알아보기 위한 것으로 329명의 정상군과 110명의 정신분열증 환자군의 MMPI의 결과를 비교하였다. 정상군과 정신분열증 환자군의 긍정왜곡 반응은 통계적으로 유의한 차이를 보이지 않았다. The present study attempted to detect the difference between the normal group and schizophrenic patient group, in faking-good attitude in MMPI responses. Four hundred thirty none subjects were selected and administered the MMPI. The results of 329 normal group were compared to 110 schizophrenic patients. The result reveals the normal group did more faking-good than the schizophrenic group but not significant statistically. On the other hand when L equals or excells 9, K equals or excells 17 and F-K is less than -11, the two groups showed a great difference among the clinical scales, that is, the scale of psychopathic deviates at the significant level P<.05, the scales of psychasthenia, schizophrenia and social introversion at the significant level P<.001. It is recommended that the clinical scales should be used in diagnosing neuropsychiatric diseases.

비외상성 피질하 뇌혈관질환 환자에서 병소의 편측성에 따른 인지기능, 정신행동증상 및 일상생활기능의 차이에 대한 연구

박영수,이영호,최영희,고대관,정영조,박병관,김수지,정숙회,고병희,송병일,박건우,이대희,Park, Young-Soo,Lee, Young-Ho,Choi, Young-Hee,Ko, Dae-Kwan,Chung, Young-Cho,Park, Byoung-Kwan,Kim, Soo-Ji,Chung, Suk-Haui,Ko, Byoung-Hee,Song, Il-Byoung 대한수면의학회 1996 수면·정신생리 Vol.3 No.1

Objectives : This study was designed to find clinical factors that could be differentiated by the lateralization of lesion and also find clinical factors to predict the lateralization of lesion. Methods : The subjects were 65 cooperative inpatients and outpatients with non-traumatic subcortical cerebrovascular disease without neurologic and psychiatric history from January 1995 to September 1995 ; 48 patients in Kyung Hee University, Oriental Medicine Hospital, 35 patients in Anam Hospital, Korea University were examined as subjects, but authors excluded 20 patients whose data were incomplete or who had uncertain lesions on brain CT or MRI. The 65 patients were divided into three groups-group with left hemispheric lesion, group with right hemispheric lesion, group with both hemispheric lesion-according to the finding of brain imaging study. Their cognitive functions were evaluated by the Benton Neuropsychological Assessment(BNA), their subjective neurobehavioral symptoms by Symptom Check List-90-R(SCL-90-R), their objective neurobehavioral symptoms by Neurobehavioral Rating Scale, and their daily living functions by Geriatric Evaluation by Relative's Rating Instrument(GERRl) and Instrumental Activities of Daily Living Scale(IADLs). Results : The results were as follows : 1) The results of cognitive function test indicated that the group with right hemispheric lesion showed low functions in Tactile Form Perception(left), the group with left hemispheric lesion showed low functions in Finger localization(right), the group with right hemispheric lesion showed low functions in Finger Localization(left). 2) Though, there were little significant differences in subjective neurobehavioral symptoms, the group with right hemispheric lesion showed higher scores in all symptoms except hostility. 3) Though, there were little significant differences in objective neurobehavioral symptoms, the group with both hemispheric lesion showed higher scores in cognition, guilty/disinhibition, the group with left hemispheric lesion showed higher scores in lability of mood, the group with right hemispheric lesion showed highest scores in psychotism, neurotism, agitation-hostility and decreased motivation/emotional withdrawal. 4) There were little significant differences among three groups in Daily Living Functions, but the group with right hemispheric lesion showed the lowest functions in Instrumental Activities of Daily Living. 5) As a result of discriminant analysis on each factor's contribution to the prediction of lesion, Finger Localization(left), Phoneme Discrimination and Tactile Form Perception(right) showed that they had the potentiality to predict lesion. Conclusion : The results suggest that there are little significant differences among the groups of three non-traumatic subcortical cerebrovascular disease in cognitive functions, but the group with right hemispheric lesion showed more serious and various changes in subjective and objective neurobehavioral symptoms, and showed low functions in Instrumental Activities of Daily Living. This results suggest the possibility that the decline of the daily living function in the group with right hemispheric lesion were due to various symptoms, not due to cognitive dysfunction. The confirmation of the possibility should be worked out through the follow-up study of some groups containing cortical lesion. Apart from these findings, Finger Localization, Tactile Form Perception(right) and Phoneme Discrimination suggest that they can be used as clinically valuable cognitive parameters that predict the lateralization of lesion in non-traumatic cerebrovascular disease.

경직형과 이완형 마비말장애아동에서 조음속도와 말명료도 및 작업기억능력 간의 관계

정필연(Jeong, Pil Yeon),심현섭(Sim, Hyun Sub),정숙회(Jeong, Sook Hwae),임동선(Yim, Dongsun) 한국음성학회 2016 말소리와 음성과학 Vol.8 No.2

The purpose of this study is to evaluate the association among articulation rate, speech intelligibility and working memory in children with dysarthria. Two subject groups of 11 spastic and 11 flaccid dysarthria, respectively, aged between 8 and 17 years of age participated in this study. All participants were administered the following tests: K-WISC III PIQ test, speech intelligibility, working memory and articulation rate. Group differences were compared by an independent t-test. Pearson correlation were computed between all measures. The results of this study are as follows: First, articulation rate and intelligibility were significantly lower for the spastic dysarthria than for the flaccid dysarthria. Second, there was a significant correlation between articulation rate and intelligibility in children with flaccid dysarthria. Lastly, there was no significant correlation between articulation rate and working memory in both groups. The results suggest that articulation rate is not necessarily accompanied by working memory capacity in children with dysarthria, and there are differences in the effect of articulation rate on intelligibility depending on the type of dysarthria.