생리주기가 열쾌적성을 위한 착의행동에 미치는 영향

정운선 한국의류학회 2001 한국의류학회지 Vol.25 No.2

This study was conducted to investigate preferred clothing selected by females for thermal comfort in follicular phase (FP) and luteal phase (LP) of the menstrual cycle. Eight healthy college students volunteered as subjects. They stayed for 60 minutes at 25℃, 55%RH (stage 1) for baseline followed by a 60 minute stay at 20℃, 55%RH (stage 2) in a climatic chamber. Obtained results were analyzed using paired t-test and repeated measures of ANOVA. Arm and hand skin temperatures were maintained higher in FP than in LP, while mean skin temperature did not show any significant difference between FP and LP. The subjects selected additional clothing faster in FP than in LP. Six of the subjects wore heavier clothing in FP than in LP, while two of them wore heavier in LP than in FP.

정신건강의학과 의사가 문화적 역량을 갖추고 다양한 문화적 배경을 가진 소아청소년 환자와 가족을 면담하는 법

정운선 대한신경정신의학회 2020 신경정신의학 Vol.59 No.3

Psychiatry is heavily influenced by culture with varying degrees of tolerance and stigma regarding mental illness. It is important to understand child and adolescent psychiatric patients in terms of cultural competence. Cultural competency is more important for psychiatrists since diagnoses are made and many treatments are delivered strictly based on verbal communication in mental healthcare. Culture provides the analytic frame to understanding patients’ expressions, behaviors, and symptoms based on language, norms, and values of community and family for psychiatric diagnoses. Difficulties in evaluating, diagnosing, and treating patients are escalated when psychiatrists have different cultural backgrounds. Korea faces a rapidly changing demographic and cultural landscape, with its population becoming increasingly multiracial and multicultural. Psychiatrists tend to have trouble stemming from children’s limited language and cognitive abilities for understanding other’s views and limited language fluency among multicultural families. Even with a family has the same cultural background, the increasing generational gap between children and their parents makes it difficult for parents to understand their children’s subcultures. The DSM-5 includes the ‘cultural formulation interview (CFI)’ for psychiatrists to better understand, diagnose, and treat psychiatric patients and families with diverse backgrounds. The author detail how to interview child and adolescent psychiatric patients as well as their families with cultural competency. Psychiatrists can be more culturally competent after practicing how to adapt the semi-structured CFI in a clinical setting in the Korean language. Moreover, it is time to introduce more culturally competent training for medical students and psychiatric trainees.

그물망 연결성을 통한 해양표면온도의 특성에 관한 연구

정운선,이동인,김경식 한국물리학회 2013 새물리 Vol.63 No.12

We construct networks of the sea surface temperatures collected for five years in a restricted area around the Korean peninsula. These networks of three seas (East, Yellow, and South Seas) are investigated numerically and analytically using merged satellite and in-situ global daily sea-surface-temperature data. Sea-surface-temperature data taken in the three seas are mapped to random networks via the distribution of Hurst exponents obtained from the rescaled range analysis. We ascertain how the present network approach a reflects the complexity of sea surface temperatures. From the average value of the Hurst exponent, we have found that the processes have a long-time behavior for all seasons. We also find that the sea surface temperature apparently exhibits the same hub cell in the three ranges of the Hurst exponent for winter in the East Sea. 대한민국 반도의 세바다 (동해, 황해, 남해)의 제한된 지역에서 해양표면온도의 그물망을 구성하여 연구한다. 해양표면온도의 5년간의 인공위성 데이터로부터 재축척범위분석으로 얻어진 허스트지수의 분포에 대한 세바다의 그물망을 수치해석적으로 논의한다. 현 그물망이 해양표면온도의 복잡성을 대면하는 역할을 나타낼 것이며, 허스트지수 값들로부터 사계절의 짧은 시간과 긴 시간 거동을 보여 줄 수 있다. 특히 본 논문의 결과로서 동해에서 허브셀이 같은 지점들이 명백하게 겨울철에 주요하게 나타남을 알 수 있었다.

비만아동의 의생활, 식생활 및 심리적 특성

정운선,이혜상,박응임 대한가정학회 2003 Human Ecology Research(HER) Vol.41 No.1

This study was conducted to investigate the effects of wearing behavior of clothing and dietary bahavior, and paychological characteristics on the obese childred. For this purpose, the questionnaire method was used and the subjects were 1,501 elementary school children in th 4th to th 6th grade and their mothers(1,459), in Seoul, Busan, Daegu, Gwangju, and Andong cities. The children were divided into two groups, such as a normal weight group(NWG) an obese group(OG). There were significant differences in adaptability to the cold and the heat, and in wearing behavior of clothing for body shape between NWG and OG. Scores for balanced dietary behavior was higher in OG than in NWG while dietary control perceived by their mothers was better in NWG than in OG. Stress was lower and self-esteem was higher in NWG than in OG. Experimental tests are needed to analyze the behavior of obese children on the basis of the obtained results of this study.

Post-Traumatic Stress Disorder Is an Important Issue for Korea in 2015

정운선 대한의학회 2015 Journal of Korean medical science Vol.30 No.3

For several years, our society, South Korea, has witnessed manytraumas including severe cases of child sexual abuse, children’sdeath by physical abuse, suicides of bullied adolescents, students’death on school trips, soldiers’ death by shooting in themilitary, and last year’s Sewel ferry sinking disaster where morethan 300 people died or are still missing. As a result, the termPost-Traumatic Stress Disorder (PTSD), a recognized psychiatricdisorder, has been cited frequently in Korea. PTSD was firstintroduced in the Diagnostic Statistical Manual of Mental Disorders,3rd edition (DSM-III) by American Psychiatric Associationin 1980 (1). PTSD is one of a few psychiatric disorders witha recognizable etiologic agent, trauma before its onset. Traumawas previously defined as a horrific event “beyond the scope ofnormal human experience”, direct response after severe sudden,terrifying, shocking life event such as car accident, housefire, natural disaster, war, man-made disaster, rape and otherforms of interpersonal violence. It has been expanded to includeemotional abuse, medical trauma like intrusive procedures andsurgery, sudden or violent death of someone close and indirecttrauma, witnessing someone else’s trauma. Although the term‘trauma’ had been used to describe only physical trauma untiljust few years ago, people now think of ‘psychic’ trauma firstwhen they hear the term. Although PTSD had been one of theanxiety disorders, it has been reclassified as a trauma- and stressrelateddisorder in the DSM-V in 2013 (2). The prevalence ofPTSD may vary across age and cultural groups. Twelve-monthprevalence among U.S. adults is about 3.5% (3). The older generationexperienced the Korean War and veterans who foughtin the Vietnam War may have higher rates because PTSD ismore prevalent in the combat soldiers. In the DSM-V, secondarytraumatization has been included as a cause of PTSD, likepolice officers who have been repeatedly exposed to details ofchild abuse (2). This change acknowledges the notion that repetitiverelatively small trauma can also cause PTSD as well asone big trauma.

3대양에서의 해수면 온도 네트워크 분포 특성

정운선,이동인,김경식 한국기상학회 2012 한국기상학회 학술대회 논문집 Vol.2012 No.5

통합교육연수의 필요성 및 개선방안에 대한 현장교사의 인식

정운선 한국질적탐구학회 2017 질적탐구 Vol.3 No.2

This study was aimed to analyze elementary school teachers' perception on the necessity and improvement measures of inclusive education training through in-depth interviews. The results indicated that the teachers experienced difficulties as activities in inclusive education were implemented as one-size-fits-for-all for all groups of students. They perceived that inclusive education was not differentiated from special education. They also responded that the special education itself could not effectively support the inclusive education because teachers rarely collaborated or coordinated for curriculum for more inclusive teaching and learning. In order to promote the teachers’ competencies to perform inclusive education, it is necessary to design and implement teacher training programs on inclusive education by converging general education and special education together. In addition, in-service training on inclusive education must be assorted, departmentalized, phased and systematized and be done on a regular and mandatory basis. This study is expected to contribute to expanding teachers’ understanding of inclusive education and to triggering further discussions on changes in legal and regulatory framework to establish more supportive environments for inclusive education. 이 연구는 통합교육연수에 대한 초등 통합학급교사와 특수학급교사의 인식을 살펴보고, 그것의 필요성과 개선방안을 심층면담을 통하여 알아보고자 하였다. 연구의 결과 및 결론을 간략하게 제시하면 다음과 같다. 현장교사들은 통합교육이 모든 학생을 대상으로 같은 교육활동을 한다는 점에 어려움을 가지고 있으며 통합교육개념에 대한 인식은 특수 교육적 차원에 머무르고 있었다. 특수학급은 통합을 지원하는 것이 아닌 통합학급교사를 지원한다는 의존적 성향과 교수·학습 활동을 위한 협력교수 및 교육과정조정이 이루어지지 않았다. 개선방안으로 교사의 통합교육수행능력을 향상시키려면 일반교육과 특수교육이 융화된 통합교육연수 프로그램이 필요하며 통합학급교사와 특수학급교사가 협력교수를 해나가는 것을 바탕으로 세트화, 세분화, 단계화, 체계화 된 연수내용이 사례중심으로 연결되도록 설계되어야한다. 이 연구 결과는 통합교육연수 프로그램에 현장교사들의 요구를 반영하여 교사의 통합교육수행능력을 향상시키고 통합교육이 모든 학생을 위한 교육이라는 인식변화가 현장교육에 직접적 영향을 주며, 학교를 재구조화 할 수 있는 방향으로 제도와 법이 바뀌어 통합교육환경을 변화시키는데 기여할 수 있을 것이다.

안나 프로이트의 정상 발달의 정신분석학적 심리학

정운선 대한소아청소년정신의학회 2011 대한소아청소년정신의학회 학술대회논문집 Vol.2011 No.4

한랭환경에서 손발노출에 의한 청년과 노인의 체온조절반응 비교

정운선,W.L. Kenney 한국의류학회 1998 한국의류학회지 Vol.22 No.7

A study was conducted to investigate the effect of cooling hands of feet on human thermoregulation in the cold. Eight young (22$\pm$1 yr) and eight aged (69$\pm$4 yr) men volun-teered as subjects They stayed at 1$0^{\circ}C$ in the supine posture during the experiment which included hands or feet exposure to the air for 20 minutes. Hand Exposure (HE) and Foot Exposure (FE) were conducted in radomized order and the baseline was kept before HE and FE. Core temperatures, limb skin temperatures adn thermal sensations were measured. Obtained data were analyze using t-test and correlation. Rectal and esophageal tem-peratures increased in the young (YG) and in aged (AG). Change rate of esophageal temperature (Tes) was maintained higher during FE than HE while rectal temperature showed no differences between YG and AG, and between HE and FE. Hand and foot skintemperature in YG and AG decreased similarly during HE and Fe. Forearm skin temperature during HE decreased while leg skin temperature during FE showed no change HE and Fe. It was concluded that the lower cooling. Furthermore, the increase of Tes was greater in young men than aged men. It is also suggested that the wearing behavior can be differently modified between young and aged men.

TAS-20의 한국판 3종간의 신뢰도 및 타당도 비교

정운선,임효덕,이양현,김상헌,Chung, Un-Sun,Rim, Hyo-Deog,Lee, Yang-Hyun,Kim, Sang-Heon 한국정신신체의학회 2003 정신신체의학 Vol.11 No.1

연구목적: 1985년 Taylor 등이 발표한 TAS는 감정표현불능증을 측정하는 도구로서 1992년 TAS-20으로 개정되어 여러 나라에서 신뢰도와 타당도가 검증되었다. 본 연구는 혼재되어 쓰이고 있는 세 가지 TAS 한국판 감정표현불능증 척도를 비교하여 가장 신뢰도와 타당도가 높은 척도를 통일하여 사용하고자 시도되었다. 첫 번째 척도는 1996년 이양현 등이 개발한 것{이후 TAS-20K(1996)}이다. 두 번째 척도는 위 연구에서 "어떤 문제를 묘사하기보다는 분석하는 편이다"라고 직역한 5번 항목의 결과가 예측치와 상반되어 '분석하다'라는 단어에 대한 우리나라와 서양의 문화적 견해 차이를 고려하여 5번 문항을 수정 제안한 것{이후 TAS-20K(2003)}으로서, 타당도와 신뢰도의 호전을 검증하지 않은 것이다. 세 번째 척도는 1997년 신현균과 원호택이 TAS-20을 번역한 것(이후 S-TAS)으로 20항목의 원래 항목 수를 23개로 수정 번역한 특성을 지니고 있다. 방 법: 의학과 학생 408명을 대상으로 세 가지 척도의 서로 다른 항목, 즉 TAS-20K(1996)의 20항목, TAS-20K(2003)의 수정 제안된 1항목, S-TAS의 23항목을 무작위로 배열하여 구성된 하나의 척도를 사용하여 검사를 시행하였다. 세 가지 척도의 신뢰도를 비교하기 위해 내적 일치도(Cronbach $\alpha$ coefficients)를 구하였고 타당도를 비교하기 위해 확증적 요인 분석(confirmatory factor analysis)을 실시하였다. 결 과: TAS-20K(2003)은 TAS-20K(1996)보다 내적 일치도가 호전되었다. TAS-20K(2003)과 S-TAS는 모두 원척도의 세 요인 구조를 재현하였고, 우수한 내적 일치도와 받아들일 만한 타당도를 보여 주었다. 그러나 S-TAS는 19번 항목이 요인 2와 상관성이 낮게 나타났고, 이전 연구에서와 같이 2번 항목과 요인 1간의 상관성이 재현되지 않아 본래 요인 2에 속한 19번 항목을 요인 1에도 포함시키는 것이 타당하지 않았다. 결 론: TAS-20K(2003)과 S-TAS는 모두 원본 TAS-20의 번역판으로서 우수한 타당도와 받아들일만한 신뢰도를 보였다. 그러나 TAS-20K(2003)은 원본과 동일한 항목 수와 구조, 동일한 점수 체계를 유지하고 있으며 TAS-20은 이미 15개 이상의 언어로 번역되어 있는 도구이나, S-TAS는 항목 수 및 점수 체계, 요인 구조를 원본 TAS-20과 다르게 변형시켜 국제적인 비교 연구를 위해서는 제한점이 있다고 하겠다. 따라서 향후 감정표현불능증의 국내 연구에서 TAS-20K(2003), 즉 TAS-20K를 사용하는 것이 더 적절할 것으로 제안한다. Objectives: The purpose of this study was to compare reliability and validity of three Korean versions of the 20-item Toronto Alexithymia scale and to confirm the most reliable and validated Korean translation of the 20-item Toronto Alexithymia Scale for both clinical and research purpose in Korea. The first one was a Korean version of the 20-Item Toronto Alexithymia Scale developed by Lee YH et al in 1996 which was designated as TAS-20K(1996) in this study. This scale had a problem with one item due to the cultural difference regarding the word 'analyzing' between western culture and Korean culture. The second one was the revised version of TAS-20K(1996) on that point by Lee YH et al in 1996 without validation which was designated as TAS-20K(2003) in this study. The third one was a 23-item Korean version developed by Sin HG and Won HT in 1997, which was somewhat different from the 20-item Toronto Alexithymia Scale(TAS-20) in the number of total item, the content of some items and the scoring method. This scale was designated as S-TAS here. Methods: 408 medical students were tested with one scale composed of all the different items randomly arranged from the three versions. We evaluated goodness-of-fit and Cronbach $\alpha$ coefficients of three scales for reliability. We used confirmatory factor analysis to compare validity. Results: TAS-20K(2003) showed that it had better internal consistency than TAS-20K(1996), which implied that the cultural difference should be considered in the Korean translation. Both TAS-20K(2003) and S-TAS replicated three-factor structures and had adequacy of fit, good internal consistency and acceptable validity. However, S-TAS had one item with poor item-factor correlation and didn't show high correlation between item 2 and factor 1 as before in 1997. Conclusion: Although S-TAS had added 3 items and changed the content of two items, it didn't show better reliability and validity than TAS-20K(2003). Therefore it is proposed to use TAS-20K (2003) as the Korean version of the 20-item Toronto Alexithymia Scale(TAS-20K) for international communication of results of Alexithymia research. It has good internal consistency and validity and maintains original items, the same construct and scoring method as the 20-item Toronto Alexithymia Scale.