노인 낮병원의 심리사회적 치료 프로그램이 노인의 신경인지기능과 우울 증상에 미치는 효과

유계준,송정은,오병훈,안석균,이홍식,오희철,구은형,황혜숙,이은철 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5

노인에게 있어서 신경인지기능의 저하와 우울 증상은 가장 흔한 장애이며 신체적, 정신적인 면에 많은 영향을 미치고 있다. 또한 이러한 장애중 비임상군에서 심리사회적 치료개입의 효과가 보고되고 있다. 이러한 측면에서 지역사회에서 노인에게 제공되는 심리사회적 치료개입의 중요성이 높아지고 있다. 이전의 연구에서는 대상이 특정 집단이거나, 비교군이 없거나, 치료효과에 대한 추적 관찰이 이루어지지 않는 등의 제한점이 있었으며, 현재 국내의 노인 낮병원은 소수에 불과하고 이러한 낮병원의 치료효과에 대한 연구는 거의 없는 실정이다. 따라서 본 연구는 지역사회 정신보건센터에서 운영하는 노인 낮병원에 참가하는 노인들을 대상으로 낮병원의 심리사회적 프로그램이 노인들의 신경인지기능과 우울 증상에 미치는 효과와 이에 대한 유지 효과의 유무를 알아보고자 하였다. 경기도 광주군 정신보건센터의 노인 낮병원에 참여한 노인을 치료군으로, 치료를 거부하거나 치료 중 탈락한 노인을 비교군으로 하여 10주간의 낮병원 치료전후와 치료종결 후 10주에 신경인지기능은 한국형 간이 정신상태검사(이하 MMSE-K)로, 우울 증상은 단축형노인우울척도(이하 SGDS)로 평가하여 두 군을 비교하였고 치료군의 치료 직후와 치료종결 후 10주를 비교하였다. 연구결과 노인 낮병원의 심리사회적 치료가 시간에 따른 SGDS점수 변화에 통계학적으로 유의한 영향을 미쳤으며, MMSE-K점수 변화에는 통계학적으로 유의한 영향을 미치지 않았다. 또한 10주 추시가 가능했던 치료군 중 약 43%가 10주 후 SGDS가 증가하여 호전되었던 우울증상의 악화를 보였다. 본 연구 결과 노인 낮병원의 심리사회적 치료 프로그램 개입은 노인에게 있어서 우울 증상을 호전시키며 신경인지 기능에는 직접적인 영향을 미치지 않는 것을 알 수 있었다. 또한 상당수에서 심리사회적 치료 개입으로 인한 우울 증상의 호전이 유지되지 않음을 알 수 있었다. 이는 노인우울증상의 치료에 낮병원의 심리사회적 치료 프로그램이 효과적일 수 있음과 치료 후 이를 유지하기 위한 부가적인 치료개입의 필요성을 시사한다. Cognitive impairment and depression are the most common symptoms affecting the elderly on physical and mental states. Studies have shown that these symptoms in mild cases are improved by psychosocial intervention, emphasizing the importance of therapeutic intervention provided in the community. The purpose of this study was to investigate whether the psychosocial program at a geriatric day care service has any therapeutic effect on the cognitive function and depressive symptoms in the elderly and whether such effect can be maintained. The experimental group was composed of 37 elderly patients attending the day care service at the mental health center located in Kwangju county, Kyonggi province. The control group was composed of 22 elderly patients who either refused intervention or who dropped out of the program. Cognitive function was assessed with the Korean version of the Mini-Mental State Exam(MMSE-K), and depressive symptoms were assessed with the Short-form Geriatric Depression Scale(SGDS). The experimental group and the control group were compared on the score of on each test, which was administered before and after the program and 10 weeks after discontinuation of program. In the experimental group, the scores acquired immediately after the program and at 10 weeks of follow-up were also compared. The results showed that psychosocial intervention at a geriatric day care service was significantly associated with the change in SGDS scores dependent on time but not significantly associated with the change in MMSE-K scores. In the experimental group whose follow-up assessment was possible, it was further shown that 43% of patients had increased SGDS scores 10 weeks after the program ended, indicating that depressive symptoms had worsened. This study suggests that psychosocial therapeutic intervention in the geriatric day care service improve depressive symptoms but not cognitive functions in the elderly. In addition, for a considerable percentage of subjects in the experimental group, the improvements in depressive symptoms were not sustained after the intervention was withdrawn. These findings proposes a need of strengthening therapeutic intervention to maintain such effect.

치자 추출물 및 성분에 대한 부종억제 효과

구혜진,박은희 숙명여자대학교 약학연구소 2004 약학논문집-숙명여자대학교 Vol.21 No.-

Gradenia has been traditionally used as a folk medicine for centuries in Oriental countries. Its ethanolic extract (GFE) and two known constituents, genipin and geniposide, were used to elucidate its pharmacological actions. GFE, genipin and geniposide showed anti-inflammatory effects in rat paw edema test. Both genipin and geniposide contained inhibitory activites on production of exudate and nitric oxide (NO) in rat air-pouch edema model, whereas GFE inhibited the production of exudate. GFE showed inhibitory effects on acetic acid-induced vascular permeability and writhing in mice. Genipin showed antioxidant activity in lipid peroxidation (LPO) assay using rat brain homogenate. In summary, the results support anti-inflammatory and related activities of gardenia.

노인의 과거 여가활동 경험이 현재 여가심화에 미치는 영향 : Godbey의 여가정의에 따른 접근 approach of godbey's leisure definition

구교만,이은석 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This study aims at investigating the influence of past leisure activty a experience on present leisure deepening of the old. Specifically, this study aims at investigating the influence of non-participation, irregularty participation and regularity participation in past leisure activities of older adults on present leisure deepening stage from the Godbey's leisure definition. This study Were used quality research method. The subjects of this study was selected by purposeful sampling method from the non-participants and participants in leisure activities 2004 residing in Seoul area. They m re above 65 year old. The using 8 data for approach quality method. The analysis methods utilized constant comparative method form case record analysis and inductive categorical system). From the analyses of the data, this study reaches the following conclusions: Firstly, the non-participation in past leisure activities influence on present leisure deepening stage. In groups of non-participation, past leisure activities were leisure deepening stage into leisure as time. Secondly, the irregularity participation in past leisure activities influence on present leisure deepening stage. [n groups of irregularity participation past leisure activities were leisure deepening stage into a part of leisure as activity and pleasure to pursue. Thirdly, the regularity participation in past leisure activities influence on present leisure deepening stage. In groups of regularity participation past leisure activities were leisure deepening stage into value of existence definition.

청소년의 유행채택 행동 : 의복관여의 관점에서

구은영,조필교 복식문화학회 2001 服飾文化硏究 Vol.9 No.4

This study focuses on fashion adoption behavior of adolescents. The impact of their clothing involvement factors and socio-demographic factors on their fashion adoption behavior was examined. Three core issues were identified for empirical test: 1) Elements of clothing involvement for adolescents; 2) Fashion adoption behavior of adolescents; 3) Impact of clothing involvement elements on fashion adoption behavior. The Likert Type questionnaires were used to measure clothing involvement and fashion adoption behavior. The data of 472 samples drawn from middle and high school students in Taegu Metropolitan City were analyzed by factor analysis, ANOVA, Scheff□ test, t-test and regression analysis. Main results of the study are as follows. 1.Concept of the clothing involvement is composed of five dimensions: importance, fashion, self-expression, pleasure, and buying risk. 2.Socio-demographic factors do influence fashion adoption behavior. Average monthly pocket money, expenditures on clothes and household income are found to have statistically significant impacts on the adoption behavior. Female students are more fashion-oriented than male students. 3.The clothing involvement elements are found to have significant influences on fashion adoption behavior: fashion, importance and self-expression elements on fashion innovation; fashion, importance and pleasure elements on fashion information search. Key words: adolescents(청소년), fashion adoption behavior(유행채택 행동), clothing involvement(의복관여).

영미 포스트모더니즘 소설과 불확정성의 시학

구은혜 한국현대영미소설학회 2002 현대영미소설 Vol.9 No.2

This paper investigates the poetics of indeterminacy in some of the representative works of British and American postmodernist fiction published during the period of the late 1960s: John Fowles’ The French Lieutenant’s Woman (1969), Thomas Pynchon’s The Crying of Lot 49 (1966), Donald Barthelme’s Snow White (1967) and his key stories like “The Balloon” (1968), “Robert Kennedy Saved from Drowning” (1968), and “Views of My Father Weeping” (1970), and Doris Lessing’s The Golden Notebook (1962). First, Fowles’ The French Lieutenant’s Woman displays fictionality and indeterminacy structuring the novel and thus strengthens the illusion of reality by presenting Sarah as mobility or fluidity of image, by employing authorial commentary and, above all, by giving three multiple endings. Next, Pynchon’s The Crying of Lot 49 provokes epistemological and ontological indeterminacy by having its characters experience fictional reality both pervading and controlling their daily lives. For example, Oedipa, the heroine of the novel, happens to know the existence of Tristero, an alternative organization for communication, and continues her paranoiac attempts throughout the text to unveil its reality only to find nothing but some of its traces in the form of textual signs concerning Tristero. She cannot even affirm the existence of Tristero, which, despite her persistent inquiry about it, fades into the gray zone between existence and non-existence. Both Oedipa and the reader are bewildered in the multiple realities and their provisionality they face in their pursuit. Lastly, Barthelme’s aforementioned works, which consist of a series of fragmentary little episodes, deal with the splintered world characteristic of postmodern image. In “The Balloon” the balloon is used as a device by which to inquire into the nature of indeterminate reality. The balloon ‘hanging there’ eludes fixed meanings, exists inviolate and indefinable, and retains its provisional play in the realm of liberal imagination. In “Robert Kennedy Saved from Drowning,” the reader is allowed to get the information about its central character named K. but never possesses a clear picture of his identity. Like the balloon, K. proves to be illusive, undefinable, and even indeterminate. This epistemological and ontological indeterminacy is much more evident in “Views of My Father Weeping.” Not surprisingly, the story’s narrator finds it difficult to relate the bits of contradictory evidence he discovers. He is not even sure that he can identify his father. Finally, the story ends with “Etc.” without arriving at any clear picture of his father’s death. All these works demonstrate a characteristic postmodern way of perceiving reality, a perception which amplifies provisional, temporal and eluding aspects of reality. They also show that reality is indeterminate and comes to us only through interpretation and an endless signification process. Finally these texts all based on the poetics of indeterminacy close up the fact that our reality is textualized and always mediated through the play of language.

외상성 두부 손상 환자의 주관적 증상 호소 정도에 따른 다면적 인성검사와 신경심리 검사의 비교

구본훈,정은정,서완석,송창진,장혜경,배대석 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The purpose of this study was to investigate the clinical characteristics of "fake bad" and "fake good" patients with traumatic head injury in neuropsychological tests. Methods : We measured subjective symptoms by SCL-90-R and objective symptoms by McBride obstacle-valuation measure. The patient was divided into three groups according to differences between subjective and objective symptoms. We also examined their intelligence, memory, clinical characteristics, using K-WAIS, K-MAS, MMPI. Results : The group who overly expressed their subjective symptoms has its psychotic symptom exaggeratingly measured, so it will be helpful to be careful to such over-expressed symptoms in those who present a psychotic symptom in a clinical Viewpoint. An K-WAIS measurement among those who exaggerated their subjective symptoms showed less value than the actual one, which weakens the reliability of this intelligent test. Rather, for that grouP, the result of K-MAS can be used with a confidence in the estimation of their severity of symptoms. Conclusion : MMPI and neuropsychological tests are helpful to understand characteristics between subjective symptoms and objective disabilities of patients with traumatic head injury.

전문비서직에 대한 이대 비서학과 학부학생들의 의식구

구효선,김경화,윤혜정,이지연,정은희,강은정,김윤희,신해정 이화여자대학교 법정대학 비서학과 1997 비서학연구 Vol.- No.17

여성의 유방자가검진의 지식 정도

구한나,박인경,박하영,성초아,장다엘,홍은민 이화여자대학교 간호과학대학 2012 이화간호학회지 Vol.- No.46

Purpose: This study was to grasp women’s knowledge about Breast Self-examination. Methods: We collected data from 317 women who lives in certain city, Korea using structured questionnaire from 5th, August to 20th, September. The collected data was analyzed by SPSS 19.0. Results: The average score of women’ Breast Self-examination knowledge was 6.79±3.68 (of 17). There are three categories in knowledge about Breast Self-examination. Average score of category is 2.31 ± 0.71(of 4) for knowledge of breast cancer, 2.11 ± 0.57(of 5) for knowledge of breast cancer symptom, 2.37 ± 0.45(of 8) for knowledge of Breast Self-examination. Knowledge about Breast Self-examination according to general characteristics varied significantly for different age, marital status, education, and history of breast disease. Knowledge about Breast Self-examination according to characteristics related Breast examination was higher for women who received Breast Self-examination education, received Breast Self-examination education by lecture, performed Breast Self-examination, and who received Clinical Breast Examination Conclusion: People who are teenager and over sixties, their knowledge of Breast Self-examination was low. Therefore, effective Breast Self-examination education program should be provided for women who are teenager and over sixties to promote their Breast Self-examination practice regularly.

흑인 페미니스트 비평 : 이론과 현실의 경계를 뛰어 넘는 실천의 정치학 Transcending the Binary between Theory and Practice

구은숙 청주대학교 인문과학연구소 1999 人文科學論集 Vol.19 No.-

Schiff Base 리간드의 몰리브텐(0)- 니트로실 착물 합성과 분광학적 성질

구본권,윤은미 대구효성가톨릭대학교 1997 연구논문집 Vol.55 No.2

Molybdenum(0) - nitrosyl complexes of Schiff bases derived from salicylaldehyde, 3-methoxysalicylaldehyde, 5-nitrosalicylaldehyde, 5-bromosalicylaldehyde, 5,6-benzosalicylaldehyde, and 2-aminobenzenthiol have been prepared in one step by the reaction of [Mo(NO)₂(acac)₂](acac = acetylacetone) and the Schiff bases. The infrared spectral absorptions at ~1760cm-¹ and ~1640cm-¹ indicated that the nitrogene monoxide groups were coordinated as NO+ and were cis to each other. The ¹H-NMR spectral studies were also presented. The analytical and spectral data suggested that the complexes are of the type [Mo(NO)₂(LH)₂](LH=Schiff bases) in which Schiff bases behave as monobasic bidentate ligands and coordinate to molybdenum through the azomethine nitrogen and phenolic oxygen of the saicylaldehyde moiety.