첫 자녀 출산 전후 부부의 관계 경험에 대한 질적 연구 -적응 과정에 대한 탐색

최승미,권정혜 한국여성심리학회 2012 한국심리학회지 여성 Vol.17 No.4

The purpose of this study was to have a phenomenological understanding of the experiences in the marital relationship after the first baby is born. For this purpose, thirteen couples (marriage duration of less than five years; within three years of the child birth) were recruited and semi-structured interviews were conducted. The interview data were analyzed through the open coding, axial coding, and selective coding. In the next step, we derived the marital relationship paradigm after the first baby arrived. The causal/situational conditions that caused changes in the marital relationship were the parenting burden and the marital adjustment level. The central phenomena were parenting and housework burden, which were moderated by the husbands' support. The action/interaction strategies were couple's high awareness and acceptance for their new role and pursuit of the shared meaning of the family. When the strategies were successful, a deeply satisfying feeling and shared values ​​could be obtained. Finally, we identified the core category to integrate of other categories into a conceptual framework, and that is 'the awareness and acceptance for their new role and the pursuit of a sense of We-ness'.

자궁경부암 선별검사로서 인유두종 바이러스 유전자형 검사의 경제성 평가

최승미,배덕수,김승철,김영태,남계현,김수녕,송용상,김병기,이재관,김태진,주웅,Joice Huang,오윤환,박주연 한국보건의료기술평가학회 2015 보건의료기술평가 Vol.3 No.2

Objectives: The aim of this study was to evaluate the cost-effectiveness of cervical cancer screening with a human papillomavirus (HPV) 16/18 genotyping test in Korea. Methods: We compared seven strategies with a Markov cohort model: 1) cytology with reflex HPV testing for atypical squamous cells of undetermined significance (ASC-US) (‘cytology’) (routine screening interval 1 year), 2–4) HPV with 16/18 genotyping with liquid-based cytology triage co-testing (‘co-testing’) (routine screening interval 1, 2, 3 year), and 5–7) HPV with 16/18 genotyping and reflex cytology (ASC-US threshold) (‘HPV with genotyping’) (routine screening interval 1, 2, 3 year). Screening start age was 30-year-old and screening was performed over 40 years. Screening sensitivity and specificity values for cervical intraepithelial neo- plasia 3 were obtained from ‘Addressing THE Need for Advanced HPV Diagnostics,’ trial. Screening costs and cancer treatment costs were calculated from a payer’s perspective in 2012. Costs and quality adjusted life-years (QALYs) were discounted at 5% annually. Results: Applying a KRW ￦20–30 mil- lion/QALY threshold, ‘co-testing’ with 1 year interval and “HPV with genotyping” with 1 year interval were not cost effective, but ‘co-testing’ with 2, 3 year interval and “HPV with genotyping” with 2, 3 year interval were cost effective versus ‘cytology’ with 1 year. Conclusion: Compared with the existing ‘cy- tology’ with 1 year, HPV 16/18 genotyping with 2, 3 year interval can be cost effective. Especially, ‘co- testing’ with 2 year interval was the most cost-effectiveness strategy.

중년기 기혼 남녀의 스트레스와 정신적 웰빙과의 관계에서 결혼만족도의 조절효과

최승미,김지연 한국여성심리학회 2016 한국심리학회지 여성 Vol.21 No.4

The purpose of this study was to verify the moderating effects of marital satisfaction in the relation of everyday stressors and the mental well-being among married middle-aged adults. A survey was conducted on 295 middle-aged married men and women who are internet users ranging from 40-59 years old. Hierarchical regression was used to analyze both men and women respectively. As a result, everyday stressors were negatively related to both the marital satisfaction and the overall mental well-being in middle-aged men and women. For men, the marital satisfaction was found to have the substantial moderating effects on the relationship between everyday stressors and mental well-being, and its sub-factors such as emotional, psychological, and social well-being. For women, the marital satisfaction was found to have the substantial moderating effects on the relationship in mental well-being and its sub-factors of mental well-being except psychological well-being. Stress was the main factor threatening mental well-being of both married middle-aged men and women. However, it was found that the quality of marital satisfaction reduced negative impact of stress on mental wellbeing. Consequently, this study implied that the quality of marital relationship plays a significant role in mental health of both married middle-aged men and women.

일개 지역 공공병원 간호사의 공공봉사동기, 병원조직문화유형, 직업존중감 및 이직의도간의 관계

최승미,박선아 국제문화기술진흥원 2022 The Journal of the Convergence on Culture Technolo Vol.8 No.5

본 연구의 목적은 공공병원 간호사의 공공서비스동기, 병원조직문화유형, 직업존중감과 이직의도 간의 관계를 알아보기 위함이다. 본 연구는 경기도의 4개 공공병원(이천, 안성, 수원, 파주) 간호사 124명을 대상으로 횡단적 단면연구를 실시하였다. 자료분석은 기술 통계, t-검정, ANOVA 및 Pearson 상관 계수를 사용하여 분석하였으며, 데이터가 정규분포를 하지 않는 경우에는 Mann-Whitney U 검정 및 Kruskal-Wallis 검정, Bonferroni 사후검정으로 분석하였다. 대상자의 이직의도는 공공봉사동기(r=-.30, p<.001), 친화적 조직문화(r=-.28, p=.002), 진취적 조직문화(r=-.34, p<.001), 과업적 조직문화(r=-.30, p=.001)와 음의 상관관계가 있는 것으로 나타났다. 본 연구결과를 통해 공공병원 간호사의 이직 의도를 줄이기 위해서는 공공봉사동기를 향상시키는 것이 필요함을 시사한다.

인지적, 문제해결적 행동 대처 및 사회적 지지가 외상 후 성장에 미치는 영향 : PTSD 증상 수준에 따라

최승미,김영재,권정혜 한국인지행동치료학회 2013 인지행동치료 Vol.13 No.2

본 연구에서는 소방 공무원을 대상으로 인지적 대처/문제해결적 행동 대처, 사회적 지지가 외상 후 성장에 미치는 영향을 알아보고자 하였다. 특히 이들 요인들이 외상 경험자의 증상 수준에 따라 외상 후 성장에 어떤 영향을 미치는 지 파악하고자 하였다. 이를 위해 외상 사건에 대한 노출 빈도가 높은 소방공무원들이 연구 대상으로 선정되었으며, 외상 경험자 중 증상 정도에 따라 한국판 외상 후 스트레스 진단척도(K-PDS) 점수를 기준으로 ‘PTSD 증상집단’과 ‘PTSD 비증상집단’을 구분하여 다집단 구조방정식 모형 분석을 실시하였다. 분석 결과, 외상 경험 후 보다 많은 외상 관련 증상을 경험하는 ‘PTSD 증상집단’(K-PDS>20)의 경우, 외상 경험에 대한 인지적 대처와 문제해결적 행동대처, 사회적 지지는 모두 외상 후 성장에 유의미한 영향을 미쳤으며, 사회적 지지는 외상 후 성장에 대해 직접 효과 및 인지적 대처/행동적 대처 각각을 매개한 간접 효과를 갖는 것으로 나타났다. 그러나, 외상 경험 후에도 비교적 증상 정도가 심하지 않은 ‘PTSD 비증상집단’(K-PDS<20)은 인지적 대처 및 사회적지지 요인만 외상 후 성장에 유의한 영향을 미치는 것으로 나타났다. 이러한 결과는 외상 사건 후 인지적, 행동적 대처와 사회적 지지가 외상 후 성장에 영향을 미치는 양상에 있어 증상의 심각도에 따라 차이가 있음을 시사하는 결과로, 외상 후 심리적 고통 수준이 높은 집단은 그렇지 않은 집단에 비해 인지적 대처 및 사회적지지 외에 적극적인 문제해결적 행동 대처를 통해 보다 더 외상 후 성장으로 나아갈 수 있음을 시사해주고 있다. The purpose of this study is to examine post-traumatic growth(PTG), post-traumatic stress disorder(PTSD), cognitive/behavioral coping and the relevance of social supports. The subjects of this study were fire- fighters(n=276) who are frequently exposed to the traumatic events, and they were divided into two groups - PTSD group and non-PTSD group - Using the scores of K-PDS. We performed Multi-group Structural Equation Model(MSEM) analysis. As the results of analysis, in case of PTSD group (K-PDS>20), the cognitive and behavioral coping and social support were found all have significant relationship with post-traumatic growth. However, the non-PTSD group (K-PDS<20) was found that only cognitive coping and social support have significant relationship with post-traumatic growth. The behavioral coping was not confirmed with a significant relationship with post-traumatic growth in the non-PTSD group. After a traumatic event, these results can be seen those of greatly suffering mental anguish to advance the more positive changes after trauma, are not just staying in cognitive coping but aggressive behavior coping that should be parallel parsing.

결혼만족도, 스마트폰 중독 및 외도태도가 인터넷 외도에 미치는 영향: 매개된 조절모형

최승미 한국여성심리학회 2015 한국심리학회지 여성 Vol.20 No.1

This paper studies the specific mechanism on the affect that marital satisfaction, smartphone addiction, and attitudes toward infidelity has on internet infidelity. Martial satisfaction, which has been known as the variable that affects infidelity, and infidelity attitude has been set up as conjugal relations and individual variable. Considering the medium characteristic of the internet infidelity, we tried to see the effect of smartphone addiction variable on internet infidelity. A mediated moderation model was introduced, which included not only the effect that each variable has on internet infidelity, but also the effect that marital satisfaction has on internet infidelity through infidelity attitude. The data on internet infidelity, smartphone addiction, marital satisfaction and attitudes toward infidelity was collected from 531 married adults (male=264, female=267). After that, mediator effect on infidelity attitude and goodness of fit test of the research model has been verified. As a result, the research model set was found to be suitable for the collected data, and marital satisfaction had significant effect on internet infidelity through full mediation. Smartphone addiction also showed direct effect on internet infidelity. Also, as a result of examining the effect of the interaction between the infidelity attitude and smartphone addiction, significant interaction effect was shown. Based on these results, we suggested a specific mechanism on how the major variables that affect internet infidelity interact with each other, and how to predict internet infidelity. Also, we provided limits of this research and suggested future research direction.

스트레스 반응 척도의 수정판 개발 및 타당화 연구 : 근로자 대상

최승미,강태영,우종민 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

Objectives : The purpose of this study is to develop and validate a modified form of the Stress Response Inventory (SRI-MF) for workers. Methods : In study I, the Stress Response Inventory was conducted in 3,420 person, who worked for public institutions andlarge corporations. They were selected from 10 areas throughout the country. After we performed experimental factor analysis in order to select the items by internal consistency and factor loadings, we developed the short form of SRI (SRI-MF). In Study II, SRI-MF was validated by showing convergent/divergent validity with other stress-measuring instruments in another samples. Results : In study I, factor analysis yielded 5 factors, and two of them were excluded because of their low internal consistency. Consequently, total 22 items in the remaining 3 factors (somatization, depression, anger) were selected for the SRI-MF. Test-retest reliability of the SRI-MF was significantly high, ranging between .67-.71. Cronbach's α was also high. In study II, convergent validity was computed by correlating scores of other scales (GARS, SCL-90-R, PSQ) score. The correlations were all at significant levels. Discriminant validity was computed by comparing the total score and scores of 3 subscales in the patient and normal group. There were significant differences in the total and scores of 3 subscales between the two groups. Conclusion : The results of identifying factor structure in the SRI indicated 5 significant factors. Among them, 3 factors can be employed for the modified form of SRI with a high internal consistency. Thus, we suggest that the SRI-MF should be a effective and valid scale to evaluate stress response in work places.

만성적인 신체질환 및 장애를 지닌 아동의 심리적 특성:자기개념 및 스트레스에 대한 양상 비교

최승미,신민섭,정진엽,김중술 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.2

목적 : 만성 신체 질환 아동의 우울, 자기 개념 및 스트레스에 대한 지각과 대처 양상에 대해 알아보고자 하였다. 방법 : 연구 대상자는 서울대학교 병원 어린이 병원에 입원해 있거나 외래에 다니는 환아 13명과 정상아동 13명으로 구성되었다. 만성 질환 아동군은 Schiffer 등(1963)이 만성 환자군으로 정의한 조작적 정의에 근거하여 최소한 3개월 이상 질환을 앓고 있거나 앓았던 적이 있으며, 현재도 그 질환으로 인해 지속적인 치료를 받고 있는 정형외과, 소아과 아동을 대상으로 하였다. 정상 아동군은 그러한 병력이 없는 아동 13명을 대상으로 하였다. 검사도구는 피어스-해리스 자기 개념 척도, 소아 우울 척도, 투사적 검사(나의 기분을 색으로 표현하기, 다른 사람으로 인한 나의 기분을 색으로 표현하기, 비속의 아이)를 실시하였다. 결과 : 만성 질환 아동군과 정상 아동군을 비교한 결과, 만성 질환 아동군이 소아 우울 척도에서 유의미하게 높은 점수를 보였으며, 자기 개념 척도에서는 보다 유의미하게 낮은 점수를 보였다. 또한 자기 개념 척도의 하위 항목인 '인기도' 및 '학습 상태'에서 유의미하게 점수가 낮았다. 투사 과제의 경우, '색으로 표현하기' 과제에서는 집단간의 유의한 차이를 보이지 않았으나, 스트레스에 대한 지각 및 대처를 평가하는 '비속의 아이'과제에서는 하위 항목(비의 양, 기간, 도구, 효율성) 모두에서 집단간의 차이를 보였다. 비속의 아이 과제와 우울 점수, 자기 개념 점수와의 상관 계수를 구한 결과, '비가 오는 기간'항목이 우울 점수와는 정적 상관을, 자기 개념 점수와는 높은 부적 상관을 보였다. 결론 : 만성 질환 아동군이 정상 아동군 보다 더 우울하며, 자기 개념이 더 부정적이었다. 또한, 이들이 지각하는 스트레스는 상당히 지속적이고 장기적이며, 이에 대해 대처할 수 있는 스스로의 능력이나 전략을 사용하는 데 있어서는 매우 무기력한 것으로 나타났다. 이러한 결과는 만성적인 신체 질환이 아동의 정신 건강 및 심리적 적응에 있어서 위험 요인이 될 수 있음을 시사해 준다. 중심 단어 : 만성 질환 아동ㆍ심리적 특성ㆍ우울ㆍ자기 개념ㆍ스트레스 Objectivity : This study was conducted to examine the depression, self-concept, perception of stress & coping strategy in children with chronic physical illness. Methods : Two groups of participants were recruited for this study, 13 children with chronic illness in outpatient or impatient treatment at Seoul National University Children's Hospital, and 13 nonpatient children. They were assessed using Korean form of the Piers-Harris Self-Concept Scale(PHSCS), Kovacs' Children's Depression Inventory(CDI) and three subscaleds ('color how you feel', 'color how others make you feel', 'A children in the rain') of Children's Self-Report and Projective Inventory(CSRPI). Result : There were significant differences between the chronic ill children and the healthy children in scores of depression and self-concept. The chronicity ill children were more depressive and had very negative self-concept, and obtained significantly lower scores than the healthy children in the subscales of PHSCS, 'intellectual/school status' and 'popularity'. Among three scales of CSRPI, there was no difference in 'color how you feel' and 'color how others make you feel'. But there were significant differences in all items of 'A child in the rain' (quantity of raining, duration of raining, tool, and effectiveness). 'Duration of raining', correlated most negatively with PHSCS scores, and correlated positively with CDI scores. Conclusion : The children with chronic illness are more depressive and have very negative self-concept. And they fuel that the stresses are more permanent, but have no appropriate coping strategy. The results suggest that the chronic illness strongly affects the psychological and emotional adjustment of children(i.e. depression, peer relation, stress coping strategy). KEY WORDS : Children with Chronic illnessㆍPsychological characteristicsㆍSelf-conceptㆍStress.

신경망 기반 블록 단위 위상 홀로그램 이미지 압축

최승미,박수용,반현민,차준영,김휘용 한국방송∙미디어공학회 2023 방송공학회논문지 Vol.28 No.1

방대한 홀로그램 데이터를 디지털 형식으로 압축하는 것은 중요한 문제이다. 특히, 상용화를 위해 위상 전용 홀로그램의 압축에 관한 연구가 주목된다. 자연 영상에 최적화된 기존 표준 압축 기술은 위상 신호를 압축하는데 적합하지 않으며, 위상 신호에 대해 최적화 가능한 신경망 기반 압축 기술은 좋은 성능을 기대할 수 있으나 고해상도 홀로그램 데이터를 학습하는 데 메모리 문제가 존재한다. 본 논문에서는 메모리 문제를 해결할 수 있는 학습 가능한 신경망 기반의 블록 단위 압축 기술을 위상 전용 홀로그램에 적용해봄으로써 블록 기반이라는 동일 조건 내에서도 제안 방식이 표준 코덱보다 상당한 성능향상을 보일 수 있음을 밝혔다. 신경망 기반의 블록 단위 압축은 기존 코덱과의 호환성을 제공할 수 있으며, 메모리 문제를 해결하는 동시에 위상 전용 홀로그램 압축에 대해 월등히 좋은 성능을 보일 수 있다.

난임 상담 체계 개발을 위한 전문가 포커스그룹면접 연구

최승미,이영선 한국모자보건학회 2020 한국모자보건학회지 Vol.24 No.1

Purpose: This study aimed to propose an effective model for the development of an infertility counseling system. Methods: We reviewed the infertility counseling system in Japan, Germany, the United States, the United Kingdom, and Australia. Additionally, we conducted a Focus Group Interview (FGI) with infertility experts and gathered their opinions about a potential counseling system tailored to the needs of infertile women and suitable for Korean context. Results: Based on the literature review and FGI, the proposed infertility counseling system aimed to promote the infertility treatment process; to build a user-friendly system, including financial support for infertility counseling; to incorporate the integrated model of providing medical information and psychological support for infertile women; and to develop a stepped care system. Additionally, the present findings revealed that, to promote infertility counseling, it is necessary to establish a central infertility counseling center that would be responsible for comprehensive planning, implementation, evaluation, research, and supervision of each counseling organization. Conclusion: The results of this study can be used as a basis for proposing a preliminary model for the development of an infertility counseling system in Korea.