경찰공무원의 외상사건 유형과 PTSD 증상의 관계 : 스트레스 대처양식의 조절효과

김자혜,김정규 한국경찰연구학회 2013 한국경찰연구 Vol.12 No.3

본 연구에서는 국내 경찰공무원을 대상으로 외상 사건의 유형과 PTSD 증상간의 관계를 파악하고, 외상 사건에 따른 PTSD 증상에서 대처양식이 가지는 조절효과를 알아보고자 하였다. 450명의 현직 경찰공무원을 대상으로 외상 사건과 PTSD 증상 및 대처양식을 측정하기 위해 외상성 사건 경험 척도, 사건충격척도 개정판(IES-R), 스트레스 대처양식 척도를 사용하여 자료를 수집하였다. 이 가운데 결측치가 포함된 24명의 자료를 제외한 426부의 자료가 최종 분석에 사용되었으며 외상 사건의 유형과 PTSD 증상의 관계를 살펴보기 위해 상관분석과, 중다회귀분석을, 대처양식의 조절효과를 조사하기 위해 위계적 회귀분석을 실시하였다. 본 연구의 결과 첫째, 직접 외상 사건과 간접 외상 사건은 PTSD 증상에 유의한 영항을 주었다. 또한 직접 외상 사건보다 간접 외상 사건이 PTSD 증상에 더 큰 영향을 주었다. 둘째, 외상 사건 정도에 따른 PTSD 증상에서 문제중심적, 정서중심적, 역기능적 대처양식의 조절효과는 모두 유의하지 않았다. 다만, 역기능적 대처를 많이 사용할수록 PTSD 증상에 더 큰 영향을 주는 주효과만이 유의하였다. 이러한 결과는 경찰공무원의 외상 사건 유형의 정도에 따라 PTSD 증상에 미치는 영향이 차이에 주목하였으며 특히, 경찰공무원의 PTSD 증상 연구에 있어서 간접 외상 사건 경험의 중요성을 새롭게 인식하였다. 또한, PTSD 증상의 심리사회적 모형인 스트레스 과정 모델을 토대로 한 경찰공무원의 외상 사건 경험과 대처양식 간의 관계 모형을 통해 대처양식의 조절효과를 분석함으로써 국내 경찰 공무원의 정신 건강에 대한 개입 방향에 있어 본 연구의 결과 및 특성을 바탕으로 보다 실제적인 근거에 기반한 예방 및 위기 개입 프로그램에 대한 기초 연구 자료 및 추후 연구 방향에 대한 제안에 중요한 시사점을 준다.

알레르기 비염의 대체의학적 치료에 관한 최근 논문경향 분석 - Entrez Pubmed 위주

김자혜,신상호,김미보,고우신,윤화정,Kim, Ja-Hye,Shin, Sang-Ho,Kim, Mi-Bo,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2007 한방안이비인후피부과학회지 Vol.20 No.1

Background : Allergic rhinitis is the most frequently occuring immunological disorder. It affects men, women and children and represents significant cost in terms of suffering and loss of productivity. Objective & Methods : We referred to the information through Entrex Pubmed from 2004 to 2007 January about alternative medicine for allergic rhinitis, 9 treatises. Results : About 9 treatises, 2 treatises were for the acupuncture treatment, I treatise was for the acupuncture and chinese herbal medicine, 2 treatises were for the single substance(butterbur, soy sauce ingredients), 1 treatise was for the homeopathic preparation, 1 treatise was for the ayur-veda herbal treatment, 1 treatise was for the ultraviolet light phototherapy, 1 treatise was for the systematic review of alternative medicine. Except 2 treatises for the acupuncture treatment, 6 treatises used the double-blind, randomized, placebo-controlled methods. As a result, we found 5 treatises that treat group had more improvement than control group, 3 treatises that treat group had no difference control group on effect significantly. 1 review article exhibited the most of alternative medical literatures were inadequate methodologically and therapeutic efficacy alternative treatment for allergic rhinitis was not supported by currently available evidence. Conclusion : We found that treatises about the alternative medicine for allergic rhinitis were more and more published. We were supposed that many internal treatises were published adequately by methodology to prove Korean medical treatment effects for allergic rhinitis.

대구 지역 지원자의 경험으로 배우는 Post–COVID-19 장애인 포괄 공동체 회복력 탐색

김자혜,정지인,한혜빈,최현정 한국임상심리학회 2020 Korean Journal of Clinical Psychology Vol.39 No.4

This exploratory study is part of the Resilience Equality Across Disability (READY) Project, which is aimed to establish disaster response guidelines for people with disabilities and seek factors enhancing disability inclusive community resilience Post– COVID-19. This preliminary work focused on the early period of the COVID-19 pandemic, exploring the February 2020 experiences of Daegu, which faced a devastating outbreak. A qualitative analysis of in-depth interviews with four caregivers of people with disabilities was conducted. Analyses revealed seven categories, including 32 clusters of themes and 123 subthemes. The revealed categories were as follows: “Exclusion from accessing information and self-solutions,” “Collapse of people with disabilities and their families under social distancing,” “Responses and limitations in the private sector while lacking governmental responses during the early period of self-quarantine,” “Barriers to hospitalization of COVID-19 patients,” “Isolation from daily assistance while being hospitalized,” “Experience of the corona darkness and connection among people with disabilities and their caregivers,” and “Infectious disease disaster response policies in coherence with promoting disability rights.” Further, implications and suggestions were made concerning disability-inclusive disaster preparedness and response, learning from the strategies, achievements, and lessons from the community of people with disabilities.

공예중심 집단미술치료가 중년여성의 우울에 미치는 효과

김자혜,제갈선아,이근매 한국상담전공대학원협의회 2019 융합상담치료연구 Vol.2 No.2

본 연구는 공예활동중심 집단미술치료가 중년여성의 우울에 미치는 효과를 검증하는데 목적 을 두었다. 중년여성의 특성과 우울, 공예활동 집단미술치료의 치료적 근거와 매체의 효과성을 근거로 공예활동중심 집단미술치료 프로그램으로 구성하여 우울척도검사(BDI) 점수가 10점 이 상인 12명인 중년여성으로 실험집단, 통제집단에 각 6명씩 무선 배치하여 주 2회, 매 회기당 120분씩 총 10회기를 진행하였다. 프로그램의 효과성을 검증하기 위하여 BDI 우울척도 검사를 사전과 사후에 실시, SPSS 22.0을 사용하여, 윌콕슨 부호 순위 검정(Wilcoxon signed ranks test)을 통하여 실험집단과 통제집단의 사전과 사후 검사 간의 우울의 변화를 양적분석을 하였 다. 또한 질적 분석을 위하여 우울검사의 하위 요인과 관련하여 행동 및 언어에 대해 어떠한 변화가 있는지 살펴보았다. 연구결과, 공예활동중심 집단미술치료 프로그램은 중년여성의 우울 감소 효과에 유의미한 효과가 있었다. 또한 회기별 진행과정에서 본 연구의 공예활동중심 집단 미술치료 프로그램이 우울의 하위 요인인 정서적, 인지적, 동기적 증상과 관련된 우울이 있는 중년여성의 언어와 행동의 변화에 긍정적인 효과를 미치는 것으로 확인하였다. 이상의 결과로 본 연구는 공예활동중심 집단미술치료 프로그램이 중년여성의 우울에 효과적임을 검증하고, 우 울 감소를 위한 중재 프로그램 개발에 필요한 기초자료로 제공 가능성을 시사한다. The purpose of this study is to provide the basic data of intervention program, which helps the clinical field, by validating the effect of the craft activity-based collective art therapy on the depression of middle aged woman. The subjects of this study were the middle aged women from 40 to 60 years old who received 10 points or higher in the BDI (Beck Depression Inventory) and can participate in all classes were selected. 6 subjects were assigned randomly to each control group and experimental group. program was performed total 10 classes and each class was performed for 120 minutes and 2 times a week. The results of this study are summarized as follows. First, it was verified that the craft activity-based collective art therapy has effect on the depression of middle aged woman. Second, it was observed that the program brought positive change to the language and the behavior related to the emotional, cognitive and motivational symptoms, which are the sub-factors of the depression. Therefore, this study verified that the collective art therapy program is effective for the depression of middle aged woman and implies the possibility to be provided as basic data required to develop the intervention program.

한방병원에 내원한 이명환자의 특성 및 삶의 질 분석

김자혜,김민희,신상호,고우신,김훈,윤화정,Kim, Ja-Hye,Kim, Min-Hee,Shin, Sang-Ho,Ko, Woo-Shin,Kim, Hoon,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2006 한방안이비인후피부과학회지 Vol.19 No.2

Backgroun : Tinnitus is common disorder with many possible causes and a symptom of many different diseases but has no effective treatment. Approximately 20% of tinnitus patients experience the disorder to a degree that their quality of lift and productivity are impaired. Objective : This study was conducted to investigate the characteristic of the tinnitus patients and the impact of tinnitus on quality of life. Methods : 103 patients un recruited in this study who was ill with tinnitus. They wrote out the queslicumaire about tinnitus and the Tinnitus Handicap Inventory(THI). Result : THI score have relation to set the period of birth, the loudness of tinnitus and the items of attending symptoms. Conclusion In this study, tinnitus have influence on patients' quality of life. We expect this study to provide the base data for the effective treatment and the high qualify of patients' life.

의약품의 포장에 대한 소비자의 의견

김자혜 한국에프디시규제과학회(구 한국에프디시법제학회) 2009 한국에프디시법제학회 학술대회 Vol.2009 No.1

초점 - 유사석유제품 유통 근절을 위한 소비자운동은 계속돼야 한다

김자혜,Kim, Ja-Hye 대한석유협회 2009 석유와 에너지 Vol.274 No.-

Pathophysiology and clinical characteristics of hypothalamic obesity in children and adolescents

김자혜,최진호 대한소아내분비학회 2013 Annals of Pediatirc Endocrinology & Metabolism Vol.18 No.4

The hypothalamus plays a key role in the regulation of body weight by balancing the intake of food, energy expenditure, and body fat stores, as evidenced by the fact that most monogenic syndromes of morbid obesity result from mutations in genes expressed in the hypothalamus. Hypothalamic obesity is a result of impairment in the hypothalamic regulatory centers of body weight and energy expenditure, and is caused by structural damage to the hypothalamus, radiotherapy, Prader-Willi syndrome, and mutations in the LEP, LEPR, POMC, MC4R and CART genes. The pathophysiology includes loss of sensitivity to afferent peripheral humoral signals, such as leptin, dysregulated insulin secretion, and impaired activity of the sympathetic nervous system. Dysregulation of 11β-hydroxysteroid dehydrogenase 1 activity and melatonin may also have a role in the development of hypothalamic obesity. Intervention of this complex entity requires simultaneous targeting of several mechanisms that are deranged in patients with hypothalamic obesity. Despite a great deal of theoretical understanding,effective treatment for hypothalamic obesity has not yet been developed. Therefore,understanding the mechanisms that control food intake and energy homeostasis and pathophysiology of hypothalamic obesity can be the cornerstone of the development of new treatments options. Early identification of patients at-risk can relieve the severity of weight gain by the provision of dietary and behavioral modification, and antiobesity medication. This review summarizes recent advances of the pathophysiology,endocrine characteristics, and treatment strategies of hypothalamic obesity.

Efficacy of growth hormone therapy in adults with childhood-onset growth hormone deficiency

김자혜,조자향,유한욱,최진호 대한소아내분비학회 2014 Annals of Pediatirc Endocrinology & Metabolism Vol.19 No.1

Purpose: Growth hormone (GH) plays a key role in the regulation of bodycomposition, lipid metabolism, and quality of life in adults with GH deficiency (GHD). This study investigated changes in laboratory findings and body compositionafter GH recommencement for adult GHD and analyzed correlation between GHinterruption period and endocrine or anthropometric parameters. Methods: A total of 45 patients (17 females and 28 males) diagnosed withchildhood-onset GHD (CO-GHD) were investigated and all patients had organicbrain lesions. Patients diagnosed CO-GHD were retested to confirm adult GHD atage 20.4±5.0 years (18.0–32.1 years). Recombinant human GH was administered ata dose of 0.44 mg/day. Clinical and laboratory parameters such as weight, height,body mass index (BMI), serum insulin-like growth factor 1 (IGF-1), serum totalcholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein(LDL) cholesterol, and triglyceride levels, were compared between baseline and12 months after treatment using paired t-test. In addition, correlation between GHinterruption period and clinical parameters including BMI, lipid profile, IGF-1, andIGFBP-3, was analyzed. Results: Of 45 patients, 33 patients had GH interruption period of 4.3±3.6 years(0.7–12.5 years). Serum HDL-cholesterol level increased significantly, whereas LDLcholesteroldecreased after 1 year of GH replacement therapy. However, bodyweight and BMI showed no significant changes after 1 year of GH replacementtherapy. There were no significant correlations between GH interruption period andlipid profile or anthropometric parameters. Conclusion: BMI and body weight were not affected by GH replacement. However,GH replacement in adults with GHD offers benefits in lipid metabolism.

기획특집_요약 2009 낙농자조금 우유소비 촉진을 위한 조사 연구 - 우유의 구매 및 소비행태에 관한 연구 -

김자혜,Kim, Ja-Hye 한국낙농육우협회 2010 낙농·육우 Vol.30 No.2