학령기 아동의 기질 특성과 어머니의 양육 효능감이 양육 스트레스에 미치는 영향

손소정(So Jeong Son),김용희(Yong Hee Kim),이원혜(Won Hye Lee),김영종(Young Jong Kim),반건호(Geon Ho Bahn) 대한사회정신의학회 2006 사회정신의학 Vol.11 No.2

연구목적: 학령기 아동의 기질 특성과 어머니의 양육 효능감이 양육 스트레스에 미치는 영향을 알아보고자 하였다. 방 법: 본 연구의 대상자는 서울 시내 일 초등학교 5, 6학년 학생과 어머니였다. 대상 아동 214명은 한국판 아동 기질 및 성격 평가 척도의 아동용을 완성하였으며, 어머니 214명은 부모용 한국판 아동 기질 및 성격 평가 척도와 부모 효능감 척도, 양육 스트레스 척도 설문지를 완성하였다. 설문 경과에 대해 독립표본 T 검정, 상관분석, 회귀분석을 실시하였다. 결 과: 1) 부모용 기질 평가에서는 아동의 새로운 것을 추구하는 성향과 위해한 것을 회피하는 성향이 양육 스트레스와 정적 상관을 보였고, 사회적 민감성, 지속성은 부적 상관을 보였다. 어머니의 부모 효능감은 양육 스트레스와 부적 상관을 보였다. 2) 회귀분석 결과, 남자 아동의 어머니에서 양육 스트레스를 가장 잘 설명해주는 변인은 부모 효능감(F=33.362, p<.001)으 로, 설명 변량은 26%이었다. 남자 아동의 지속성 기질 특성(F=31.437, p<.001)은 14.1%의 설명 변량으로 양육 스트레스를 설명해주었다. 3) 여자 아동인 경우 새로운 것을 추구하는 성향(F=39.332, p<.001)이 양육 스트레스를 가장 잘 설명해주는 변인이었으며 설명변량은 25.5%였다. 그 다음은 부모 효능감(F=31.282, p<.001)이 8.1%로 설명해주었다. 결 론: 학령기 아동의 기질 특성과 어머니의 부모 효능감이 양육스트레스에 어떻게 관련되며 어떠한 영향을 주는지 알아보고 성별에 따른 차이에 대해서 알아보았다. 일부 제한점에도 불구하고 학령기 아동에서 이러한 관계를 규명한 첫 연구라는 데 본 연구의 의의가 있으며 후속 연구들이 시행된다면 본 연구의 문제점을 보완할 수 있으리라 기대한다. Objectives:The purpose of this study was to investigate the influence of school age children’s temperament and mother’s sense of competence on parenting stress. Method:214 fifth and sixth grade elementary students from a elementary school in Seoul, and their mothers were involved in this study. The mothers completed parent version JTCI, PSOC, PSI and children completed child version JTCI. To investigate the relationship among each variables, independent t-test, Pearson correlation, stepwise regression analysis were performed. Results:1) Analysis of parent JTCI, PSOC, PSI showed that children’s higher novelty seeking and harm avoidance were positively correlated with PSI, higher reward dependence and persistence were negatively correlated, and PSOC was negitively correlated with PSI. 2) Stepwise regression analysis showed that PSOC and higher persistence were significant predictive variables for parentng stress in boys, and higher novelty and PSOC were predictive variables in girls. Conclusion:Schoolage children’s temperament and mother’s parenting sense of competence were associated with parenting stress.

양극성 장애 환자에서 Apo-1/Fas Promoter 유전자 다형성

김규현,손소정,이희제,김종우,정주호,Kim, Kyu Hyun,Son, So-Jeong,Lee, Hee Jae,Kim, Jong Woo,Chung, Joo-Ho 대한생물정신의학회 2003 생물정신의학 Vol.10 No.2

Objective:Recently, many experimental evidences have been reported that psychiatric diseases are closely related with neurodevelopmental abnormalities and this can be properly explained by apoptosis. It is known that Apo-1/Fas is one of the genes in charge of apoptosis related with neurodevelopmental abnormalities. In this study, the association between bipolar disorder and functional polymorphism in Apo-1/Fas promoter gene has been investigated. Method:For 81 bipolar disorder patients and 217 healthy control subjects, MvaI restriction fragment length polymorphism(RFLP) of Apo-1/Fas promoter gene was analyzed after polymerase chain reaction(PCR) amplification. Result:There was a statistical significant difference in genotypic distribution(${\chi}^2$=16.656, df=2, p=0.0002) and allelic frequencies(${\chi}^2$=14.225, df=1, p=0.0002) between bipolar disorder patients and healthy control subjects. Conclusion:Our results suggest an association between functional polymorphism in Apo-1/Fas promoter gene and bipolar disorder and provide the important genetic information related with the pathogenesis of the disease. Further studies employing larger samples are required to clarify the present results.

정신분열병 환자에서의 흡연과 새로운 것을 추구하는 경향: 여성 정신분열병 환자에서 흡연군과 비흡연군과의 비교 연구

설재훈(Jae-Hoon Seol),김대호(Daeho Kim),손소정(So-Jeong Son),김진훈(Jin-Hun Kim) 한국중독정신의학회 2006 중독정신의학 Vol.10 No.2

Objectives:Individuals with schizophrenia in particular have extremely high rates of smoking. In addition, cigarette smoking affects symptoms and courses of schizophrenia per se in several aspects. This study compared the biogenic temperament related cigarette smoking behavior between smoking- and nonsmokingschizophrenics. Methods:Twenty-two female smoking-schizophrenics (experimental group) and 22 female nonsmoking-schizophrenics (control group) were recruited into this study. All subjects completed the temperament dimension of Temperament and Character Inventory (TCI). Independent t-test was used to compare the temperament dimension scores of TCI between the two groups. Results:There was no significant difference in baseline demographic and clinical variables between two groups. Novelty Seeking scale score was significantly higher in the experimental group compared with that in the control group. Conclusion:The results of this study suggest that cigarette smoking in patients with schizophrenia is related to the Novelty Seeking tendency, which is thought to be common characteristics in developing substance abuse including alcohol and cocaine in patients with schizophrenia. Further study with age- and intelligence-matched control group would be necessary.

알코올사용장애의 동반 유무에 따른 정신분열병 환자의 기질성격척도의 차이

김진훈(Jin-Hun Kim),장안기(An-Gi Jang)손소정(So-Jeong Son),이학승(Hak-Seung Lee),구현숙(Hyeon-Sook Goo) 한국중독정신의학회 2004 중독정신의학 Vol.8 No.1

Objectives:The purpose of this study was to investigate the difference between alcoholic schizophrenic patients and nonalcoholic schizophrenic patients on Temperament and Character Inventory profiles. Methods:We compared 47 alcoholic schizophrenic patients with 72 non-alcoholic schizophrenic patients. All subjects were assessed by demographic variables, GAF, PANSS, NAST, and TCI. Results:1) Alcoholic schizophrenic patients showed higher Novelty-Seeking scores than non-alcoholic schizophrenic patients. 2) Alcoholic schizophrenic patients have had more total number of hospitalization than non-alcoholic schizophrenic patients. Conclusion:The findings of this study suggest that alcoholic schizophrenic patients have higher Novelty-Seeking score than non-alcoholic schizophrenic patients. There exists similar temperament characteristic in patients with alcohol-related disorders between with and without schizophrenia.

한국어판 정신분열병 삶의 질 척도의 개발과 PANSS와의 관련성

김진훈,임선진,민성길,김승업,손소정,Diane J Wild,박성혁,이황빈 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.5

Objectives : The present study was performed to verify the validity and value of 4th revision of Schizophrenia Quality of Life Scale (SQLS-R4) as an assessment tool in a Korean-language version (SQLS-R4K). Methods : The subjects for present study were 174 patients with a diagnosis of schizophrenia as defined by DSM-IV. The SQLS-R4K was administered together with self-report Korean version of World Health Organization Quality of Life-Brief Scale(WHOQOL-BREF) to assess validity. A subset of respondents also completed the SQLS-R4K for a second time to assess test-retest reliability. To evaluate the relationship SQLS-R4K and clinical characteristics, psychotic symptoms and general functioning were evaluated using the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning Scale (GAF) score respectively. Results : All the scales of SQLS-R4K showed good internal consistency reliability. The correlations of items with their scale total revealed that all items were significantly correlated with their own scale score. In test-retest reliability, paired t-tests indicated that responses did not alter significantly between the two assessment. There was moderate correlation between WHOQOL-BREF sub-scores and SQLS-R4K score total. Also relevant correlations between PANSS, current GAF and SQLS-R4K were proved. Conclusion : From the results of the testing the reliability and validity of the SQLS-R4K, it is concluded that the SQLS-R4K is a simple and reliable scale for measuring quality of life in schizophrenic patients.