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      • KCI등재

        직장 여성의 불안, 충동성과 음주문제

        이현재,한덕현,이영식,기백석,권해진,박두병,Lee, Hyun Jae,Han, Doug Hyun,Lee, Young Sik,Kee, Baik Seok,Kwon, Hye Jin,Park, Doo Byung 대한불안의학회 2011 대한불안의학회지 Vol.7 No.2

        본 연구 결과 여성에서의 문제음주와 알코올 의존 비율이 남성보다는 적지만 9.8%로 상당수의 여성들이 알코올 문제를 겪고 있음을 알 수 있었다. 그리고 직장 생활을 하는 여성에서 음주 노출 기회가 더 많고, 실제로 음주에 대한 문제가 더 많이 발생하며 이는 여성의 상태불안과 충동성과 관계가 있다. 여성에서는 직업을 가짐으로써 음주 노출기회가 많아지고 직장 생활에서의 불안 및 충동성이 문제 음주를 일으키는 원인이 될 수 있음을 예상해 볼 수 있겠다. 따라서 직장 여성의 음주 노출 기회와 불안 및 충동성 조절이 음주 위험 요소의 중요한 조절 요인으로 생각된다. Objectives : This study examined drinking habits, anxiety, and impulsiveness in employed women. Methods : We sampled 925 residents aged over 20 years in Gwanak-gu of Seoul. In the process, we divided subjects into employed women and unemployed women groups and then used the Korean Version of Alcohol Use Disorder Identification Test (AUDIT-K), State-Trait Anxiety Inventory (STAI), and Barratt Impulsiveness Scale (BIS) to identify patterns in subjects' alcohol drinking, anxiety and impulsiveness. Results : Among the 925 respondents, 95.7% drank alcohol, and after the analysis, female problematic drinking ($12{\leq}AUDIT-K{\leq}25$) and alcohol dependence ($AUDIT-K{\geq}26$) was apparent in 61 (9.5%) and 2 respondents (0.3%), respectively. Female respondents who had jobs tended to drink more and exhibit higher ratios of problematic drinking, with a higher exposure to alcohol than those that were unemployed. The psychological attributes related to female respondents' alcohol problems related to state of anxiety and impulsiveness. Employed women respondents also showed a higher state of anxiety and impulsiveness than unemployed women. Conclusion : Controlling the frequency of exposure to alcohol, anxiety, and impulsiveness in employed women should be considered to be crucial controlling factors related to the hazards of excessive drinking.

      • KCI등재

        공황장애 환자의 초기부적응 심리도식의 특성

        우나영,이병욱,이홍석,정명훈,이중서,Woo, Na Young,Lee, Byung Wook,Lee, Hong Seock,Jung, Myung Hoon,Yi, Jung Seo 대한불안의학회 2011 대한불안의학회지 Vol.7 No.2

        본 연구에서는 공황장애 환자의 심리도식 특성을 조사하였다. 대조군에 비해 환자군은 상태 및 특성불안, 우울 점수가 유의하게 높았으며 YSQ 중에서는 유기/불안정, 위험/질병에 대한 취약성 도식 점수가 유의하게 높았다. 환자군에서 ST-AI로 평가한 불안 수준은 모든 심리도식과, BDI로 평가한 우울 수준은 특권의식/과대성을 제외한 14개 도식과 상관관계가 있었으나 대조군에서는 훨씬 적은 수의 도식만이 상관관계를 보였다. 환자군에서 위험/질병에 대한 취약성, 유기/불안정 도식이 특성불안 수준을 가장 잘 예측하였으며 의존/무능, 유기/불안정 도식은 상태불안 수준을, 결함/수치심, 복종 도식은 우울 수준을 가장 잘 예측하였다. 이를 종합할 때, 초기부적응 심리도식은 공황장애의 발병과 경과 그리고 치료 반응에 영향을 미칠 가능성이 있다. 향후 대규모 집단을 대상으로 공황장애 환자의 심리도식 특성을 파악하고 치료에 접목시키는 작업이 필요할 것으로 생각된다. Objective : This study aimed to investigate the characteristics of the early maladaptive schemas in patients with panic disorder. Methods : Patients (n=35) included people who had met the DSM-IV-TR criteria for panic disorder. The normal control group (n=35) were those people who had no psychiatric disorder and had never experienced panic attack. The early maladaptive schemas and the severity of depression and anxiety were assessed by the Young Schema Questionnaire Short-form (YSQ-SF), the Beck Depression Inventory (BDI), and the Spielberger State-Trait Anxiety Inventory (STAI). Results : The scores on the STAI-S, STAI-T, and BDI were significantly higher in the patient group. Compared to the control group, the scores of vulnerability to harm and illness, and abandonment/instability schemas were significantly higher in the patient group. In the patient group, defectiveness/shame and subjugation schemas were found to predict BDI, dependent/incompetence, abandonment/instability schemas were found to predict STAI-S, and vulnerability to harm and illness, and abandonment/instability schemas were found to predict STAI-T. In normal controls, failure and insufficient self-control/self-discipline, failure, and emotion inhibition schemas were found to predict BDI, STAI-T, and STAI-S. Conclusions : Vulnerability to harm and illness and abandonment/instability schemas may be characteristic schema in patients with panic disorder.

      • KCI등재

        우울 및 불안장애 환자에서 리질리언스와 감사 성향의 관련성

        민정아,이원희,정영은,홍현미,채정호,Min, Jung-Ah,Lee, Won Hee,Jung, Young-Eun,Hong, Hyeonmi,Chae, Jeong-Ho 대한불안의학회 2022 대한불안의학회지 Vol.18 No.1

        Objective : The levels of resilience and gratitude were examined in psychiatric patients with depression and/or anxiety disorders and compared to those of the general population. In addition, we analyzed the associations of positive affect, negative affect, depressive and anxiety symptoms, and gratitude on resilience in this patient population. Methods : The participants included a general population sample (n=155) and psychiatric outpatients with depression and/or anxiety disorders (n=108). All participants completed self-report questionnaires, which included demographic variables, the Connor-Davidson Resilience Scale (CD-RISC), the Gratitude Questionnaire-Six-Item Form (GQ-6), the Positive Affect Negative Affect Scale (PANAS), and the Hospital Anxiety and Depression Scale (HADS). Results : The CD-RISC and GQ-6 scores of patients with depression and/or anxiety disorders were significantly lower than those of the general population. In the patient population, hierarchical regression analysis showed that gratitude was significantly associated with resilience while controlling for a range of demographic and clinical variables. Conclusion : Patients with depression and/or anxiety disorder generally had lower resilience and gratitude. Moreover, our findings showed that gratitude could influence the levels of resilience in patients with depression and/or anxiety disorders.

      • KCI등재

        북한이탈주민 정신건강의 종단적 추세: 외로움, 우울, 삶의 만족도에 대한 4년 추적 연구

        박소희,홍진표,안지현,이혜린,김명현,장혜인,Park, So Hee,Hong, Jin Pyo,An, Ji Hyun,Lee, Hye Rin,Kim, Myung Hyun,Chang, Hyein 대한불안의학회 2021 대한불안의학회지 Vol.17 No.2

        Objective : The purpose of this study was to investigate the longitudinal trajectories of life satisfaction, loneliness, and depression and to identify the factors that influence these trajectories in North Korean Defectors (NKD). Methods : NKD (n=300) who registered in the multi-regional adaptation center (Hana Center), within three years of settling in South Korea, were recruited into this study. Life satisfaction, loneliness, and depression were assessed with self-report questionnaires over a period of 4 years (7 waves of data). Latent growth modeling was conducted to assess the changes in life satisfaction, loneliness, and depression. Results : Findings from both unconditional and conditional models (with gender, South Korea settlement age, household income, marital status, and PTSD at wave 1) indicated a linear increase in loneliness and depression, and a linear decrease in life satisfaction over the 4-year period. In the conditional model, gender predicted the intercept of life satisfaction and depression. In addition, PTSD predicted the intercept of life satisfaction, loneliness, and depression and slope of depression. Conclusion : Our finding suggests that the mental health of NKD tends to deteriorate over time after settling in South Korea. Therefore, continuous support is necessary for their successful adaptation to the South Korean Society.

      • KCI등재

        P300과 반응시간을 이용한 거짓반응의 타당성에 대한 예비적 연구

        박건태,이문성,김무진,노인수,정필자,Park, Gun-Tae,Rhee, Moon-Sung,Kim, Moo-Jin,Roh, In-Soo,Jeong, Phil-Ja 대한불안의학회 2008 대한불안의학회지 Vol.4 No.2

        Objectives : The authors sought to examine the differences in the number of P300 detected by subjects in experimental and control groups when exposed to relevant stimuli. In addition, the authors tried to determinethe subjects' reaction time when asked to respond to relevant stimuli. Methods : The subjects were 20 informed female volunteers aged 22-38 years (median age : 24). Relevant stimuli (concealed information) were created by unknowingly exposing the two groups to obscene pictures and semantic questions. The number of P300 detected and the length of reaction time were compared between the two groups. Results : Contrary to theauthors' expectations, there were no significant differences in the number of P300 detected or in the length of reaction time between the two groups. Conclusions : These results indicate that, unlike a polygraph test, concealed information tests adopting P300 and reaction time as major physiological responses ofsubjects exposed to meaningful personal information might not serve as a valid practical tool in the field of criminal psychology. However, further studies involving a greater number of subjects are needed before a final conclusion regarding the validity of this new type of concealed information test can be drawn.

      • KCI등재

        공황장애와 도파민 D2 수용체 TaqI A 다형성의 관련

        임세원,김범조,오강섭,이민수,Lim, Se-Won,Kim, Bum-Jo,Oh, Kang-Seob,Lee, Min-Soo 대한불안의학회 2006 대한불안의학회지 Vol.2 No.1

        Puropse : Disturbances of dopaminergic system might be related to the possible mechanism of panic disorder. This study was aimed to examine the association of DRD2 Taq 1 polymorphism and panic disorder. Methods : One hundred and fourteen patients with panic disorder (62 male (54.4%), mean age $40.96{\pm}0.11$ years) and 200 comparison subjects (114 male (57.0%), mean age $35.57{\pm}8.81$ years)were tested for DRD2 TaqI A polymorphism. We excluded panic patients with comorbid alcohol related disorders, bipolar disorders, and any kinds of psychotic disorders because there have been some reports about association of these disease and DRD2 TaqI A polymorphism. Results : There was significant difference in the frequency of the genotype in DRD2 polymorphism between patients and controls (${\chi}^2$=6.09, df=2, p=0.048). The A1+ allele (A1A1 and A1A2) frequency analysis also showed significant association (${\chi}^2$=4.08, df=1, p=0.043). In addition, we observed a more strong and specific association between panic disorder and the A1+ allele of the DRD2 TaqI polymorphism for men (${\chi}^2$=4.71, df=1, p=0.03), but not for women (${\chi}^2$=0.45, df=1, p=0.50). Conclusion : These results in our Korean sample suggest that the DRD2 TaqI A polymorphism may be associated with panic disorder. Furthermore, we found sex-specific association of DRD2 A1 allele with panic disorder.

      • KCI등재

        기분장애 환자에서 자살 시도와 연관된 기질 및 성격

        박병선,한우상,장용이,최진숙,Park, Byoung-Sun,Han, Wou-Sang,Jang, Yong-Lee,Choi, Jin-Sook 대한불안의학회 2008 대한불안의학회지 Vol.4 No.2

        Objective : This study investigated the temperament and character traits associated with suicide attempts in patients with mood disorders. Methods : The temperament and character inventory (TCI) was administered to 150 patients who visited psychiatric clinics seeking treatment for mood symptoms. The patients were divided into three groups as follows : non-suicide ideation, suicide ideation and suicide attempt. We also gathered socio-economic data in order to rule out confounding variables. MANOVA was performed to analyze differences in personal temperament and character scores on the TCI between the three groups. Results : The self-directedness and cooperativeness subscales of the TCI are most influenced by the clinical symptoms rated by Beck Suicide Ideation Scale and Hamilton Depression Rating Scale. In the temperament scale, the suicide attempt group scored higher on the novelty seeking and harm avoidance items than the other two groups. The specific temperaments associated with suicidal behavior in patients with depression are impulsivity (NS2) and anticipatory anxiety or pessimism (HA1). Conclusion : In this study, we found that more risky patients who had previously attempted suicide had a temperament of impulsivity or pessimism. This finding suggests that a more cautious approach is needed to assess mood disorder patients with impulsive or pessimistic temperaments in order to prevent suicide attempts.

      • KCI등재

        젊은 성인에서 사회불안 증상과 아동기 외상 경험 간의 관련성에서 긍정자원의 매개효과

        정영은,오수경,정유라,김문두 대한불안의학회 2022 대한불안의학회지 Vol.18 No.2

        Objective : This study was to examine the impact of adverse childhood experiences on social anxiety symptoms in young adults and verify the mediating effects of positive resources. Methods : Data from 1,317 young adults aged to 18 to 29 years who took part in the university-based cross- sectional survey were analyzed. All participants completed Adverse Childhood Experience (ACE) scale, So- cial Avoidance and Distress Scale (SAD), and Positive Resources Test (POREST). Results : In young adults, 9.3% had severe social anxiety symptoms. Based on 10 ACE categories, 32.7% of participants reported one or more adverse childhood experience, and 4.5% reported four or more different forms of adverse childhood experiences. Young adults with higher social anxiety symptoms were likely to report more adverse childhood experiences, and less positive resources. Multivariate regression analysis indi- cated that positive resources moderated the association between adverse childhood experiences and social anxiety symptoms. Conclusion : Based on the results, professionals need to consider early detection of adverse childhood ex- periences and comorbid social anxiety symptoms. In addition, various positive psychological interventions for individuals with adverse childhood experiences are needed. (Anxiety and Mood 2022;18(2):65-71)

      • KCI등재

        미세먼지노출이 신경정신장애에 미치는 영향

        임명호,김종헌,권호장,정해관 대한불안의학회 2020 대한불안의학회지 Vol.16 No.2

        Particular matter is steadily increasing due to environmental factors at domestic and abroad such as industryand economy. Recently, the exposure particular matters has been reported to increase the risk notonly for morbidity and mortality, but also for diseases of the respiratory system, cardiovascular system andcentral nervous system/neuropsychiatric disorder. Although the causes of neuropsychiatric diseases aregenetic and environmental factors, it is necessary to pay more attention to environmental factors in terms ofprevention. We mainly describe environmental factors that affect neuropsychiatric disorders, mainly onparticular matter, which is one of harmful environmental substances. In the current study, we reviewed evidencefor the presence of particular matter or particular matter related harmful air pollutants-O3, SO2, NO2/NOx, traffic related air pollution, that may represent risk factors for the development of neuropsychiatricdisorder. (Anxiety and Mood 2020;16(2):57-75) -

      • KCI등재

        신체증상장애와 관련된 분노정서특질과 아동기 역경 경험

        강성혁,박천일,김혜원,김세주,강지인 대한불안의학회 2020 대한불안의학회지 Vol.16 No.2

        Objective : The present study aims to investigate differences in anger-related features in patients withsomatic symptom disorder (SSD) compared to healthy controls, and to examine whether anger trait and angerregulation strategy are associated with clinical characteristics in patients with SSD. In addition, we examinedthe relationship between childhood adversity and SSD. Methods : 26 patients with SSD and 28 healthy controls were included. Anger-related features were assessedwith State-Trait Anger Expression Inventory (STAXI). Clinical somatic symptoms were assessed usingthe somatization subscale of the Symptom Checklist-90-Revised and the Somatosensory AmplificationScale. Childhood adversity was assessed by the Childhood Traumatic Events Scale. Multivariate analysis ofcovariance was performed. Results : Disease status of SSD had a significant overall effect on anger-related features (Wilks λ=0.725,F(5, 44)=3.332, p=0.012). Patients with SSD showed a significantly high Trait-Anger (p=0.017) and they hada high score in both Anger-Out (p=0.013) and Anger-In (p=0.001) of anger expression styles. In particular, adirected inward style of anger expression was significantly associated with somatization symptom severity(p=0.003). Regarding childhood adversity, more childhood extreme illness was experienced by the SSDgroup than the control group (p=0.012). Within the SSD group, childhood extreme illness was associatedwith higher Trait-Anger (p=0.027) and Anger-Out (p=0.001). Conclusion : The present findings suggest that trait anger, anger expression styles, and childhood adversityof extreme illness may be involved in SSD. Further studies are needed to explore the role of anger-relatedfeatures and its relationship with childhood adversity in the pathophysiology of SSD. (Anxiety and Mood2020;16(2):49-56) -

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