기억의 신경심리학

이민규,Rhee, Min-Kyu 대한수면의학회 1997 수면·정신생리 Vol.4 No.1

This paper reviewed models to explain memory and neuropsychological tests to assess memory. Memory was explained in cognitive and neuroanatomical perspectives, Cognitive model describes memory as structure and process. In structure model, memory is divided into three systems: sensory memory, short-term memory(working memory), and long-term memory. In process model, there are broadly three categories of memory process: encoding, storage, and retrieval. Memory process work in memory structure. There are two prominent models of the neuroanatomy of memory, derived from the work of Mishkin and Appenzeller and that of Squire and Zola-Morgan. These two models are the most useful for the clinician in part because they take into account the connections between the limbic and frontal cortical regions. The major difference between the two models concerns the role of the amygdala in memory processess. Mishkin and his colleagues believe that the amygdala plays a significant role while Squire and his colleagues do not. The most popular and widely used tests of memory ability such as WMS-R, AVLT, CVLT, HVLT. RBMT, CFT, and BVRT-R, were reviewed.

한국판 식사태도검사-26(The Korean Version of Eating Attitudes Test-26 : KEAT-26) 표준화 연구 I : 신뢰도 및 요인분석

이민규,이영호,박세현,손창호,정영조,홍성국,이병관,장필립,윤애리,Rhee, Min-Kyu,Lee, Young-Ho,Park, Se-Hyun,Sohn, Chang-Ho,Chung, Young-Cho,Hong, Sung-Kook,Lee, Byung-Kwan,Chang, Phi-Lip,Yoon, A-Rhee 한국정신신체의학회 1998 정신신체의학 Vol.6 No.2

The purpose of this study was to test a reliability and validity of the Korean version of Eating Attitudes Test-26(KEAT-26). Using multi-stage sampling, we finally got 3,496 subjects(1422 males and 2074 females) who were available for analysis from target 4,400 Korean adults over 18 in the nationwide areas of9 kus, 10 middle or small cities, and 17 kuns. We tried to make T score norm of the KEAT-26 as a cutoff score and STEN score norm as a index of severity for disordered eating behaviors. For the male group, Cronhach's internal consistency was .83 and Spearman-Brown split half correlation coefficiency was .75. For the female group, each of them was .81 and .75, and .81, .75 for the grand total group respectively. Validity test was performed by construct validation analysis. By a iterated principal axis factoring, 4 factors were extracted. There were some differences in the factors of the KEAT-26 by sex. In the male group, factor I was 'self-control of eating and bulimic symptom', factor II was 'food preoccupation and dieting', factor III was 'preoccupation with being thinner', factor N was 'avoidance of sweet foods'. In contrast with the male group, factor I was 'self-control of eating and bulimic symptom', factor II was 'preoccupation with being thinner', factor III was 'food preoccupation' and factor N was 'dieting' in the female group. We used T score 65 as a cutoff score. T score 65 corresponded to raw score 19 in the male group, 22 in the female group and 21 in the grand total group. Severity of disordered eating behaviors was measured by a STEN score. In the male group, each of the score range of 0-10, 11-14, 15-18, 19-22 and over 23 represented the degree of none, subclinical, manifest, moderate and severe severity respectively. Each of the score range of 0-13, 14-17, 18-21, 22-26 and over 27 in the female group, and the score range of 0-12, 13-16, 17-20, 21-25 and over 26 in the grand total group also represented the same degree of severity as like in the male group. These results support that KEAT-26 is a reliable and valid scale for evaluating disordered eating behaviors and eating problems.

한국판 식사태도검사-26(The Eating Attitude Test-26 : KEAT-26) 의 타당화

이민규,고영택,이혜경,황을지,이영호,Rhee, Min-Kyu,Go, Young-Taek,Lee, Hye-Kyung,Whang, Eul-Ji,Lee, Young-Ho 한국정신신체의학회 2001 정신신체의학 Vol.9 No.2

본 연구는 KEAT-26의 변별 타당도를 알아보고 이 척도의 진단적(분류적) 효율성을 알아보기 위해서 이루어졌다. 참여자는 여성 식사장애 환자 108명, 체형관리센터에서 체형관리프로그램에 참여하고 있는 여성 179명, 체대운동여학생 120명, 일반여자대학생 227명 그리고 일반여자 183명(총 817명)이었다. 변량분석과 ROC(Receiver Operating Characteristic Curve) 곡선 분석을 통해서 이 척도의 타당화를 시도하였다. 그 결과 KEAT-26 총점수가 집단간에 통계적으로 유의한 차이를 보였으며, 사후 검증에서 식사장애 환자집단이 다른 모든 집단보다 KEAT-26 점수가 유의하게 높았다. 그리고 각 집단에 따른 KEAT-26의 4 개 하위 요인점수의 차이 검증에서 모든 하위요인들에서 집단의 주 효과가 유의하였으나, 사후검증에서 요인 IV의 변별력이 떨어졌다. ROC 곡선 분석을 통하여 이 척도의 분류적인 효용성과 최대의 가질 때의 절단접수를 알아본 결과 식사장애 환자와 정상인 집단을 분류할 때 평균 약 80%이상의 효용성이 있으나 식사장애 고위험 집단을 변별할 때는 평균 약 69%의 효용성을 보였다. 특히, 최고의 효용성을 보일 때의 절단점수를 효면, 식사장애환자와 체형관리자를 분류할 때 절단점이 25점, 식사장애환자와 일반 여자를 분류할 때 분류점수는 19 점, 삭사장애환자 대 체대운동여학생의 분류 점수는 23점, 식사장애환자 대 일반여대생의 절단점은 21점이었다. 이민규 등(1998)이 제안한 T점수 65에 해당하는 KEAT-26의 총점 22점을 절단점수로 했을 때 이 척도의 민감도 54%, 특이도 84%, 효율성은 평균 80% 이었다. 본 연구 결과 KEAT-26온 한국 사람이 겪고 있는 식사문제에 관련된 연구에 필요한 신뢰롭고 타당한 도구임을 밝혀졌다. 또한 본 연구결과는 이 척도가 임상적인 이용 뿐 만 아니라 역학조사 동의 목적으로 식사문제가 있는 사람을 선별하는데도 유용한 도구임을 지지해 준다. This study was attempted to investigate the discriminant validity of Korean version of Eating Attitude Test-26(KEAT-26) and to provide the sensitivity, specificity and efficiency according to cutting score, which may be useful to determine the optimal cutoff point on various purposes. The KEAT-26 was administered to 108 female patients with eating disorders, 179 female participants in body slimming center, 120 female athletic college students, 227 female college students, and 183 healthy normal women. Validity was tested by ANOVA and ROC curve analysis. The results revealed that the total score of the KEAT-26 showed a statistically significance between groups and that the score of the KEAT-26 of eating disorders group was significantly higher than that of the other groups in post hoc test. In comparison of the 4 subfactor score of the KEAT-26 between groups, significant differences in main effect within groups were found in all subfactors except factor IV. ROC curve analysis showed 80% of efficiency to discriminate eating disorders group from normal control group using cutoff score on maximum discriminant efficiency and 69% of efficiency to discriminate eating disorders group from high risk groups for eating disorders. Each cutoff score on maximum in efficiency was as follows ; 25 between eating disorders group and participants in body slimming center, 19 between eating disorders group and healthy normal woman, 23 between eating disorders group and athletic college students, 21 between eating disorders group and college students. Using 22(T score 65) of the KEAT-26 as the cutoff score, sensitivity was 54%, specificity was 84%, and overall efficiency was 80%. These results indicate that the KEAT-26 has a good discriminant validity in Korean population and also suggest that the KEAT-26 may be useful assessment tool to screen the disordered eating problems on clinical and epidemiological purposes.

한국판 Beck 우울증 척도 표준화 연구 2 : 타당화연구 -

이민규(Min Kyu Rhee),이영호(Young Ho Lee),정한용(Han Yong Jung),최종현(Jong Hyuck Choi),김승현(Seung Hyung Kim),김용구(Young Ku Kim),이수경(Soo Kyung Lee) 한국정신병리진단분류학회 1995 精神病理學 Vol.4 No.1

N/A N/A

정신질환자들의 역기능적 태도, 스트레스 대처 방식 및 우울증상 간의 관계

박찬무,서경란,이민규,Park, Chan-Moo,Seo, Kyung-Ran,Rhee, Min-Kyu 한국정신신체의학회 1997 정신신체의학 Vol.5 No.1

This study was aimed to investigate dysfunctional attitudes, stress coping strategies and depressive symptoms in psychiatric patients. The subjects of this study consisted of 210 patients(138 schizophrenic patients, 29 depression patients, 43 alcohol dependence patients) according to DSM-IV criteria. Futhermore, the instruments were K-BDI(Beck Depression Inventory-Korean version), DAS(Dysfunctional Attitude Scale) and multidimensional coping strategy scale. The results were the following. 1) There were statistically significant correlations between depressive symptoms and dysfunctional attitudes in psychiatric patients. 2) In terms of coping strategies, there were positive correlations between depressive symptoms and focus on and venting emotions, accommodation, active forgetting, self-criticism, positive comparison, fatalism, passive withdrawal. Whereas, there was significant negative correlation between depressive symptom and active coping. 3) In terms of coping strategies, there were significant correlations between dysfunctional attitudes and focus on and venting emotions, active forgetting, self-criticism, positive comparison, fatalism, passive withdrawal. 4) Depression groups reported significantly higher BDI scores than schizophrenia groups. 5) In depression groups, DAS scores were significantly higher than those in schizophrenia groups. 6) In terms of coping strategies according to diagnosis, there were significant differences in venting emotions, active forgetting and self-criticism. As for venting emotions, alcoholic groups were scored significantly higher than schizophrenic groups. As for active forgetting, depression groups were scored significantly higher than schizophrenic groups. In self-criticism, depression groups and alcohol dependence groups reported significantly higher scores than schizophrenic groups.

한국판(韓國版) 식사태도(食事態度) 검사(檢査)-26에서 고득점(高得點)을 보인 한국(韓國) 일반(一般) 남성군(男性群)의 식사특성(食事特性)과 일반정신병리(一般精神病理)

한기석,이영호,이민규,박세현,손창호,정영조,홍성국,이병관,장필립,윤애리,Han, Ki-Seok,Lee, Young-Ho,Rhee, Min-Kyu,Park, Se-Hyun,Sohn, Chang-Ho,Chung, Young-Cho,Hong, Sung-Kook,Lee, Byung-Kwan,Chang, Phi-Lip,Yoon, A-Rhee 한국정신신체의학회 1999 정신신체의학 Vol.7 No.1

연구목적 : 본 연구의 목적은 한국 일반인구에서 식사 장애에 대한 고위험 남성 군(high risk male group for the eating disorders)의 유병율을 알아보고 이들의 인구학적 특징, 식사 행동과 연관된 특정 및 일반 정신 병리에 있어 특징을 알아 보는데 있다. 대상 및 방법 : 한국 일반 인구를 대상으로 한국판 식사 태도 경사(the Korean version of Eating Attitude Test-26 : KEAT-26)상 절단점 이상의 고득점을 보인 남성 군 52명을 최종 대상으로 여성 고득점군 208명과 비교하여 다음과 같은 결과를 얻었다. 결과 : 1) KEAT-26상 절단점 21 점 이상을 보였던 대상은 총 260/3062(8.5%)로 이중 남성이 52/260(20.0%), 여성이 208/260(80.0%) 이었으며(남성 대 여성의 비율 1 : 4) 전체 연구에 대한 비율은 남성이 52/3062(1.7%), 여성이 208/3062(6.8%) 이었다. 2) 인구학적 특정으로 평균 연령은 유의한 수준은 아니었으나 남성 군이 $29.13\pm7.87$세로 여성 군의 $27.00\pm6.81$세 보다 높은 경향을 보였다(p=0.0514). 평균 신체 질량 지수(Body Mass Index : BMI)는 남성 군이 $23.05\pm3.12$로 여성 군의 $20.40\pm2.31$보다 유의하게 높았고(p<0.01), 분포 또한 신체 질량 지수가 20이하인 경우도 남성 군은 7/52명 03.5%) 인데 반해 여성 군은103/208명(49.5%)으로 유의한 차이를 보였다(p<0.01). 신체 질병의 과거력은 두 군간에 유의한 차이를 보이지 않았으나 흡연율(p<0.01), 알코올 사용율(p<0.01) 및 한달 평균 알코올 사용량(p<0.01) 등은 모두 남성 군에서 여성 군보다 유의하게 높았다. 3) 사회 경제적인 특징 중 직업을 제외하고는 경제 상태, 교육 기간, 가족 수, 결혼 상태, 종교 및 대도시, 중간 크기의 도시, 소도시 및 시골지역 등으로 나누어 본 거주지역 등이 모두 두 군간에 유의한 차이를 보이지 않았다. 4) 식사 특성으로 식습관 척도 점수는 남성 군이 $7.25\pm3.15$로 여성 군의 $8.88\pm3.91$보다 유의하게 낮았으며(p<0.01), KEAT-26상 총 접수는 남성 군이 $25.80\pm4.87$ 여성 군이 $26.39\pm5.78$로 두 군 사이에 유의한 차이를 보이지 않았으나, 이 검사의 하위 척도인 마름에 대한 욕망(desire for thinness) 척도에서는 여성 군이 남성 군보다 유의하게 높았고(p<0.01), 음식에 대한 집착 척도(food preoccupation) 남성 군에서 여성 군보다 유의하게 높은 결과를 보여(p<0.05) 두 군 모두 식사 태도 검사 상 높은 점수를 보이고 있어도 질적인 내용에는 성에 따라 차이가 있음을 보여 주었다. 이외에 체중에 대한 통제 소재는 두군 사이에 유의한 차이를 보이지 않았으나 음식 선호도에 있어 남성 군이 여성 군에 비해 야채 및 생선을 더 싫어하고 단음식을 더 좋아하는 특정을 보여 주었다(p<0.01). 5) Eysenck성격 척도 상 남성 군이 정신병적 경향성에서 여성 군보다 유의하게 높은 접수를 보였다(p<0.01). 이외에 다른 성격 차원 및 Beck우울 척도 및 건강 염려증 척도로 측정한 일반 정신 병리 상의 특정은 두 군간에 유의한 차이를 보이지 않았다. 결론 : 상기 결과들은 우리 나라에서도 선진 외국과 비슷한 수준의 남성 식사 장애 환자들이 있을 가능성을 보여 주고 있다. 또한 상기 결과들은 식사 태도 검사 상 같은 고득점을 보여도 식사 관련 병리는 성에 따라 차이를 보일 수 있음을 보여 주고 있고, 남성 식사 장애 환자는 여성 식사 장애 환자보다 좀더 깊은 성격 병리를 가지고 있을 가능성을 보여 준다. Objectives : The purposes of this study were to estimate the prevalence rate of eating disorders in Korean males and to clarify their characteristics in sociodemograhic data, the eating traits, and general psychopathology through the comparison with those of female high scored group on the Korean version of Eating Attitudes Test-26(KEAT-26). Methods : Using a multi-stage questionnaire sampling method including area sampling, proportionated stratified sampling, and quota sampling, we surveyed a total of 4,400 Korean adults over 18 in a nationwide area(9 kus, 10 middle or small cities, and 17 kuns), obtaining usable responses on 3,896. Of the 3,062 subjects(1249 males and 1813 females) who were available for analysis, we ascertained 52 males and 208 females who had high score($\geq$ cutoff point 21) on the KEAT-26. Results : 1) The proportion of this high score group was 1.7% in male and 6.8% in female with a sex ratio(male versus female) of 1 : 4. 2) The mean age was higher in the male group than in the female group, although it was not statistically significant(p=0.0514). Mean Body Mass Index(BMI) of the male group was significantly higher than that of female group, and the number of male subjects with below 20 of BMI was also significantly lower than in the female group. 3) There were no significant difference in past history of physical illness between two groups. However, frequency of smoking and alcohol use, and mean amount of alcohol consumption per month were significantly higher in the male group than in the female group. There were no significant differences between the two groups on various socio-demographic correlates such as economic status, total duration of education, number of family, marital status, religious status, and area of residence, but the exception of being occupational status. 4) The 'Eating Habits Scale' score and score of 'preference for vegetables and fish, and dislike for sweet-tasting food' of the male group were significantly lower than those of the female group. Although there was no significant difference between the two groups in total scores of the KEAT-26, the mean score on 'pursuit of thinness' subscale was higher in the female group than in the male group, while scores of 'food preoccupation' and 'self-control' subscales were higher in the male group than in the female group. 5) Scores on 'psychoticism' was significantly higher in the male group than in the female group, although there were no significant differences between the two groups on 'locus of control for weight', 'depression' and 'hypochondriasis'. Conclusion : These results support a possibility of a high prevalence of eating disorders in Korean males. These results suggest that eating related characteristics of high scorer on the EAT are different by sex in spite of the same high score on the EAT, and also suggest that male patients with eating disorders have more serious personality pathology than female patients with eating disorders.

아동ㆍ청소년기 복합외상경험과 성인기 대인외상의 관계: 해리경험, 관계중독, 내면화된 수치심의 매개효과

오유미(Yumi Oh),이민규(Min Kyu Rhee) 대한스트레스학회 2021 스트레스硏究 Vol.29 No.1

본 연구에서는 아동ㆍ청소년기 복합외상경험과 성인기 대인외상과의 관계에서 해리경험, 관계중독, 내면화된 수치심의 매개효과를 검증하였다. 성인 238명을 대상으로 외상경험 척도, 한국판 사건충격척도 수정판, 해리 경험 척도, 관계중독질문지, 내면화된 수치심 척도로 설문을 실시했고 자료 분석은 기술 통계분석, 상관 분석, 신뢰도 분석, 구조방정식 모델이 사용되었다. 연구 결과, 아동ㆍ청소년기 복합외상경험에서 해리경험, 관계중독, 내면화된 수치심을 매개로 하여 성인기 대인외상에 영향을 미치는 삼중 매개효과가 유의한 것으로 확인되었다. 본 연구의 의의와 제한점을 논의하였고, 추후 연구에 필요한 시사점을 제안하였다. Background: The purpose of this study is to verify the mediating effects of dissociation experience, relationship addiction, and internalized shame in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Methods: Two hundred and thirty-eight adults participated in this study. They were administered the Korean versions of the Trauma Antecedents Questionnaire, Impact of Event Scale-Revised, Dissociative Experiences Scale, Relationship Addiction Questionnaire, and Internalized Shame Scale. The data were analyzed with descriptive statistics, correlation analysis, reliability analysis, and structural equation modeling. Results: First, dissociation and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Second, relationship addiction and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Third, dissociation, relationship addiction, and internalized shame had a triple mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Conclusions: Therapeutic intervention for revictimization should address symptoms such as dissociation, relationship addiction, and internalized shame. In addition, people with complex trauma experiences in childhood-adolescence require preventive intervention to avoid further exposure to interpersonal trauma.

알코올 중독 환자들의 성격 특성에 관한 탐색

윤해주(Hai-Joo Yoon),이민규(Min-Kyu Rhee),이태경(Tae-Kyung Lee),이종일(Jong-Il Lee) 한국중독정신의학회 2004 중독정신의학 Vol.8 No.2

The purpose of this study was to explore the influences of personality trait and behavioral aspects in alcoholics. A shorter version of Tridementional Personality Questionnaire, Aggression Questionnaire, Beck Depression Inventory-Korean version were administered to 156 male alcoholics. In doing so, this participants were distinguished by a difference of means from normal norms. In increasing age, sensation seeking tendency or behavioral undercontrol was on the decrease, and direct aggression showed a tendency to decrease, but overall aggressive level didn’t show significant relation with age. Using the K-means Cluster Analysis, four subgroups were extracted;that is, a depressiondirect aggression-verbal aggression-anger-hostility profile (n= 30), a depression-hostility profile (n=44), a verbal aggressionanger-hostility profile (n=44), a normal profile (n=41). At the conclusion, implication and limitations of this study were discussed.

감사성향, 정서조절곤란, 우울이 수형자의 자살생각에 미치는 영향

최지영(Ji Young Choi),이민규(Min Kyu Rhee) 한국교정복지학회 2016 교정복지연구 Vol.- No.42

본 연구는 감사성향, 정서조절곤란, 우울이 수형자의 자살생각에 미치는 영향을 알아보고자 하였다. 이에 경상도에 위치한 교도소 두 곳과 구치소 한 곳의 수형자 204명(남자 204명)을 대상으로 설문조사를 실시하였다. 측정도구로는 한국판감사성향척도, 정서조절곤란척도, 한국우울증척도, 자살생각척도가 사용 되었으며,구조방정식모형을 통해 분석하였다. 연구 결과는 다음과 같다. 첫째, 감사성향은 다른 모든 척도와 부적상관을 보였고, 우울은 정서조절곤란, 자살생각과 정적상관을 보였으며, 정서조절곤란은 자살생각과 정적상관을 보였다. 둘째, 구조방정식모형을 통해 각 경로를 검증해본 결과, 우울이 감사성향과 자살생각, 정서조절곤란과 자살생각을 완전매개하였다. 그러나 감사성향과 자살생각 간의 직접효과는 유의미하지 않았다. 이러한 결과는 감사성향이 있음에도 촉발사건이나 우울이 크면 영향을 미친다고 할 수 있다. 마지막으로 본 연구의 의의와 제한점, 후속연구에 대해 논의하였다. The purpose of this study was to investigate effects of Gratitude, Emotion Dysregulation, Depression on Suicidal Ideation. The participants in this study were 204 incarcerated offenders from a jail and two prisons in Gyeongsang-Do. Each participant read and signed a written informed consent document before proceeding with the study and administered questionnaires. The questionnaires used in the study were Suicidal Ideation Questionnaire (SIQ), Korea Depression Scale(KDS), Difficulties in Emotional Regulation (DERS), Korean Version of Gratitude Questionnaire(K-GQ-6). The results are as follows: first, the result of the correlation analysis showed that each variable was correlated one another. Second, the result of Structural Equation Modeling(SEM) showed that Depression fully mediated between Gratitude and Suicidal Ideation and between Emotion Dysregulation and Suicidal Ideation. Yet, Gratitude did not directly affect Suicidal Ideation. Implications and limitations of this study were discussed. In addition, suggestions for future study were presented.

원저 : 한국판 식사장애 검사의 신뢰도 및 요인분석

허시영 ( Si Young Heo ),이민규 ( Min Kyu Rhee ),최영민 ( Young Min Choi ),손창호 ( Chang Ho Sohn ),이혜경 ( Hye Kyung Lee ),이영호 ( Young Ho Lee ) 대한비만학회 2004 The Korean journal of obesity Vol.13 No.1

연구배경: 본 연구는 한국판 식사장애 검사(The Korean Version of Eating Disorder Examination: KEDE)의 신뢰도와 요인분석 및 규준(norms)을 구하기 위하여 시도되었다. 방법: 연구대상은 식사장애 여성 환자 106명, 정상 여자 대학생 101명(총 207명)이었고 검사는 두 명의 검사자에 의해 시도되었다. 구성 타당도는 탐색적 요인분석을 이용하여 알아보았고, 검사자간 신뢰도는 피어슨 상관계수(Pearson`s Background: This study was attempted to investigate the reliability, factor analysis and norms of the Korean Version of Eating Disorder Examination (KEDE). Methods: The KEDE was administered to 106 female patients with eating disorders and 101 normal fema