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한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도
박승진,최혜라,최지혜,김건우,홍진표,Park, Seung-Jin,Choi, Hye-Ra,Choi, Ji-Hye,Kim, Kun-Woo,Hong, Jin-Pyo 대한불안의학회 2010 대한불안의학회지 Vol.6 No.2
Objective : The reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ- 9) was examined in Korean patients with depressive symptoms. Methods : Eighty six outpatients diagnosed as major depressive disorder or depressive episode of bipolar I disorder according to the DSM-IV criteria were assessed with the PHQ-9, Hamilton Depression Rating Scale (HDRS), the Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR), and the Center for Epidemiologic Studies Depression Scale (CES-D). Results : The Cronbach's alpha coefficient from the PHQ-9 was 0.81. And the correlations of each item with the total score were statistically significant (r=0.28-0.70, p<0.01). The test-retest correlation coefficient (r=0.89, p<0.01) was relatively high and correlations of the PHQ-9 with the HDRS, QIDS-SR and CES-D were 0.70, 0.81, and 0.81 respectively. Conclusion : These results demonstrated that the Korean version of PHQ-9 could be a reliable and valid tool for the screening and assessment of depressive patients. The Korean version of PHQ-9 will be a useful tool for screening depressive symptoms in Korea.
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주의력결핍 과잉행동장애 남아의 증상과 부모의 주의력결핍 과잉행동 증상 및 인격 양상과의 관련성
신승우(Woo-Seung Shin),최혜라(Hye-Ra Choi),김건우(Kynwoo Kim),이중선(Joong-Sun Lee),박수빈(Subin Park),홍진표(Jin Pyo Hong),유한익(Hanik K. Yoo) 대한소아청소년정신의학회 2009 소아청소년정신의학 Vol.20 No.1
Objectives : This study was conducted to investigate the association between the symptoms of boys with attention-deficit hyperactivity disorder (ADHD) and the attention-deficit hyperactivity symptoms, temperament and character patterns of their parents. Methods : Forty-five boys with ADHD and who met the DSM-IV criteria were evaluated by using the ADHD rating scale (ADHD-RS), and their parents completed the Korean Adult ADHD scale (K-AADHDS) and the Temperament and Character Inventory (TCI). Results : The parental K-AADHDS scores were not associated with the ADHD-RS total score and the subscale scores of their siblings. The most potent variable related to the ADHD-RS total score was the maternal self-directedness, and the second was the maternal persistence. The maternal self-directedness was the variable that was most correlated with the hyperactivity/impulsivity subscale scores of the ADHD-RS. Conclusion : The results suggest that the paternal ADHD symptoms may not be related to the ADHD symptoms of boys with ADHD. Higher maternal self-directedness and persistence may decrease overall the ADHD symptoms of these boys, and higher maternal self-directedness itself may predict lower hyperactivity/impulsivity symptoms of the boys with ADHD.
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한국판 우울과 신체 증상 평가 척도(Depression and Somatic Symptom Scale, DSSS)의 신뢰도와 타당도
김건우,홍진표,박승진,최지혜,최혜라,Kim, Kun-Woo,Hong, Jin-Pyo,Park, Seung-Jin,Choi, Ji-Hye,Choi, Hye-Ra 대한불안의학회 2011 대한불안의학회지 Vol.7 No.1
Objectives : We examined the reliability and validity of the Korean version of the Depression and Somatic Symptom Scale (DSSS) in Korean patients with depressive symptoms. Methods : Participants were 55 outpatients diagnosed with major depressive disorder, a depressive episode of bipolar I disorder, somatoform disorder, panic disorder, generalized anxiety disorder, or post-traumatic stress disorder according to the DSM-IV criteria. We assessed them using the Korean versions of the DSSS, Hamilton Depression Rating Scale (HDRS), and Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR). Results : The Korean version DSSS had a Cronbach's alpha of 0.90. Moreover, each item's correlation with the total score was statistically significant (r=0.24-0.71, p<0.01). The test-retest correlation coefficient (r=0.83, p<0.01) was relatively high, and the DSSS correlations with the HDRS and QIDS-SR were 0.77 and 0.74, respectively. Conclusion : These results demonstrate that the Korean version of the DSSS could be a reliable and valid tool for screening and assessing depressive patients. The Korean version of the DSSS will be a useful tool for screening both depressive and somatic symptoms in Korea.
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불면증 개선을 위한 인터넷기반 인지행동 자가치료 프로그램의 개발 및 효과 검증
한수미(Su-Mi Han),김환(Hwan Kim),최혜라(Hye Ra Choi) 서울사이버대학교 미래사회전략연구소 2024 미래사회 Vol.15 No.1
본 연구의 목적은 자가치료용 불면증 인지행동치료(CBTi) 프로그램을 개발하여 그 효과를 검증하는데 있다. 개발한 CBTi는 수면교육, 수면위생, 자극조절, 수면제한, 이완요법, 인지재구성의 6개 요소를 포함하였다. 총 참가자 142명을 모집하여 100명은 처치집단으로 42명은 대기자 통제집단으로 할당하였다, 처치집단 100명 중 프로그램을 마치고 사후평가까지 완료한 사람은 26명으로 완료율은 26%였다. 4개의 측정 도구(불면증 심각도, 과도한 수면 노력, 비합리적 수면 신념, 우울)에서 집단과 처치의 상호작용을 살펴보았다. 분석 결과, 집단과 처치 간상호작용은 통계적으로 유의하게 나타났다. 프로그램을 완료한 참가자들의 경우 불면증 심각도, 과도한 수면 노력, 비합리적 수면 신념, 우울의 개선이 뚜렷한 반면, 대기자 통제집단의 경우 점수 개선은 나타나지 않았다. 연구 결과, 인터넷으로 전달되는 자가치료용 CBTi도 사용자가 성실하게 활용한다면 효과를 낼 수 있음을 확인하였다. 다만, 자가치료용 프로그램의 낮은 치료이행도의 문제도 확인되어 향후 이를 보완할 방안이 필요할 것이다. This study entailed a self-administered Cognitive behavioral Therapy for Insomnia (CBTi), delivered through an internet platform. The CBTi comprised six components: sleep educa?tion, sleep hygiene, stimulus control, sleep restriction, relaxation techniques, and cognitive reconstruction. Out of 142 participants, 100 were assigned to the treatment group and 42 to the waitlist control group. However, only 26 out of 100 participants in the treatment group completed the program and post-evaluation, resulting in a completion rate of 26%. The study examined interactions between group and treatment using four measurement tools: insomnia severity, excessive sleep effort, irrational sleep beliefs, and depression. Consequently, the interaction effect was statistically significant. Participants who completed the program exhibited improvements in insomnia severity, excessive sleep effort, irrational sleep beliefs, and depression, whereas the control group did not demonstrate such enhancements. The study findings suggest that self-treatment CBTi delivered online can be effective if partic?ipants demonstrate diligence. However, the observed low adherence to the self-treatment program highlights the necessity for future improvements.
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적응체육(Adaptive Physical Education)과 특수체육(Special Physical Education)의 槪念에 관한 史的 考察
崔惠羅 龍仁大學校 1990 용인대학교 논문집 Vol.6 No.-
The central purpose of this study was to trace the evolution of ideas about adapted and special physical education within the literature of physical education, as published in the United States. The professional literature of phsical education was reviewed with reference to major expressions of ideas and concepts about programs designed to serve the needs of children and young adults who were considered unable to participate in the general program of physical deucation, Within the limits of the detailed findings of the present study, it may be concluded that concepts of adapted and special physical education have evolved within an interaction between concepts of therapy and concepts of education. It may also be concluded that these interactions are characterized by a decreasing emphasis on therapy and increasing emphasis on educa.
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