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암 환자에서 한국어판 사기 저하 척도(DS-II-Kr)의 표준화 및 타당도
전민,김선영,김재민,김성완,신일선,이주연,이정재,곽새롬,David W. Kissane 대한신경정신의학회 2022 신경정신의학 Vol.61 No.2
Objectives Demoralization, which results from the inability to cope, is characterized by hopelessness, helplessness, and loss of the meaning and purpose of life. Although demoralization is prevalent in patients with chronic illness, including cancer, a Korean version of the scale has not been developed and validated. Thus, we translated into Korean and validated a version of the Demoralization Scale-II (DS-II-Kr) for cancer patients. Methods This cross-sectional study recruited cancer patients and survivors who visited a mental health clinic in a cancer hospital. Internal consistency, test-retest reliability, and concurrent validity of DS-II-Kr were assessed. Additionally, the construct validity of two sub-factors was evaluated using confirmatory factor analysis. The optimal DS-II-Kr cut-off point was determined by logistic regression analysis based on the distress cut-off in the Hospital Anxiety-Depression Scale (HADS). Results This study included 105 participants. The mean and standard deviation for total DS-IIKr scores were 11.9 and 7.6, respectively. The scale demonstrated good internal consistency and test-retest reliability. Goodness-of-fit analysis was moderate for the Meaning and Purpose subscale, and a good fit was found for the Distress and Coping Ability subscale. The DS-II-Kr cut-off value based on HADS was 10 (≤10 vs. >10). Conclusion The DS-II-Kr is a useful tool for assessing demoralization in clinical and research settings. However, further studies are needed to confirm the optimal DS-II-Kr cut-off score. External validation in other populations is also needed.
朴炳卓,田民 大韓神經精神醫學會 1981 신경정신의학 Vol.20 No.1
The earliest memory has been studied by many has been studied by many psychiatrists and psychologists in terms of under standing individual psychodynamism. To compare the earliest memories of two different diagnostic groups of schizophrenia and neurosis, the authors studied the reports of the memories of 245 schizophrenics and 213 neurotics who were either outpatients or inpatients of Daegu Dongsan Presbyterian Hospital, neuropsychiatric department from March, 1980 to August, 1980. In order to investigate the differences between both sexes, each group was divided into male and female subgroups. The results could be summarized as follows; 1. Events of the earliest memory took place most frequently in the oedipal period of 3 to 4 years of age. The memories of the preoedipal events were more frequent in the schizophrenic group compared to the neurotic group. 2. Affect associated with the memory was more frequently unpleasant in both groups, but pleasant affect was more frequently reported in the neurotic group as compared to the schizophrenic group. 3. The earliest memory of being alone was more frequent in the schizophrenic group, and among the neurotic group, it was more frequent in the male than the female group. The earliest memory of being with two to four persons was more frequent in the neurotic group. The persons in the memories were more frequently identified in the neurotic group. 4. The most frequent theme of the memories was dependency, occupying more than half in both groups. Aggression was also a frequent theme. There was no statistical difference between two groups. However, schizophrenics had more regressive themes in earlier ages, while neurotics had less regressive themes in later years. 5. Among the male neurotics, the denpendency theme was more frequent in the earlier ages, while in the female neurotics, it was more frequent in the later ages. Among the schizopqrenics, the aggression theme was more frequent in the male group.