코로나바이러스감염증-19와 관련된 정신건강 문제

심민영 ( Minyoung Sim ) 대한내과학회 2020 대한내과학회지 Vol.95 No.6

The novel coronavirus disease 2019 (COVID-19) pandemic has spread across the world, reducing social interactions and causing substantial psychological distress and economic losses. This review summarizes the psychological effects of the COVID-19 pandemic in terms of uncertainty, the loss of autonomy associated with preventive measures, and secondary stressors such as potential future economic losses. (Korean J Med 2020;95:360-363)

Wind Profile Analysis of Offshore Wind Farms Using Measurement and Satellite Data

Minyoung Sim(심민영),Minyoung Sun(선민영) 한국신재생에너지학회 2021 한국신재생에너지학회 학술대회논문집 Vol.2021 No.7

After aerodynamic design, offshore wind blades are designed for ultimate and fatigue limit states to perform commercial operations from environmental loads at sea during design life. As the size of the wind turbine increases, the hub height and rotor diameter are bigger. Accordingly, when the altitude increases, the wind speed becomes faster. Therefore the wind speed difference between the two ends of the blade increases. In this study, using one year measured data form three Met Mast in West-South Sea and long-term satellite data(ERA5). After calculating by the regression method of MCP, wind shear was derived for the 4.3 MW single wind turbine rotor height area at three offshore wind farm candidate sites near Met Mast. WindPRO, MATLAB, and spreadsheet programs were utilized to analyze data extrapolation using Power Law. As a result, the wind speed difference by wind shear at both ends of the rotor from sea level for each candidate site was calculated at least 2.21 m/s. It was found that confirm the predicted value of the wind profile.

재난심리지원 업무 종사자의 소진에 대한 이해와 대책

심민영 ( Sim Minyoung ),이나빈 ( Lee Nabin ) 한국정신병리진단분류학회 2021 精神病理學 Vol.25 No.1

Individuals who perform disaster mental health services face a variety of stresses, including workloads, time pressures, role conflicts and ambiguities, and uncertain environments. They are also exposed to the pain of the victim and are required to maintain emotional empathy. These demands placed on disaster mental health workers increase the risk of burnout. Burnout is developed within the work context and characterized by three dimensions; emotional exhaustion, depersonalization, and low personal accomplishment. According to Job demands-resources model, organization should manage work demands and support organization resources for disaster mental health workers. Given the nature of disaster-related work, efficient organizational structure, well-defined roles, supportive organizational culture, and education are important factors in preventing burnout.

화학, 생물, 방사능 사고의 정신적 영향

이다영,심민영,Lee, Da Young,Sim, Minyoung 대한불안의학회 2017 대한불안의학회지 Vol.13 No.1

We reviewed the scientific literature on psychological effects of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) disaster, which is one of the biggest threat to modern society. CBRNE disaster has the potential to cause specific physical symptoms and psychological distress in victims ; moreover, various toxic symptoms and carcinogenesis/mutation would be an important issue. Bioterrorism can cause localized outbreaks of infectious disease or pandemic disaster. Somatization as well as posttraumatic stress symptoms and depression are the characteristic psychological symptoms in CBRNE disaster's victims. CBRNE disasters could lead to large-scale public fear and social chaos due to the difficulties involved in verifying the extent of exposure and unfamiliar area to the common people. In the evacuation process, problems associated with adjustment and conflict between victims and residents should be considered.

사회복지전담공무원의 외상사건 및 스트레스 대처방식과 외상후스트레스증상 관련성

이정현,김지애,심민영,전경선,오승아,양정일,이영렬,Lee, Junghyun H.,Kim, Jiae,Sim, Minyoung,Jeon, Kyoungsun,Oh, Seunga,Yang, Jungll,Lee, Yunglyul 대한생물정신의학회 2015 생물정신의학 Vol.22 No.2

Objectives Social workers can suffer from occupational stress resulting from dealing with clients, which might lead to metal health problems. We aimed to investigate the association of duty-related traumatic experiences and stress coping strategies with post-traumatic stress symptoms among social workers in public sector. Methods A total of 110 social workers in public sector (men 30.9%, $36.5{\pm}7.6$ yrs) participated in this study. All subjects were evaluated the frequency and the impact of duty-related traumatic events. Additionally, they completed questionnaires including the Impact of Event Scale-Revised for post-traumatic stress symptoms, the Beck Depression Inventory-II for depressive symptoms, the Scale for Suicidal Ideation for suicide symptoms and the Ways of Coping Checklist for stress coping strategies. Results The most frequent traumatic events were "Violent or abusive language from a client" (95.0%) and "Client made a fuss" (94.5%). The most distressing traumatic event was "Seeing a dead body on duty" (7.6 out of 10), which predicted post-traumatic stress symptoms (odds ratio 4.04 ; 95% confidence interval, 1.79-9.11). Among 4 types of stress coping strategies, the emotion-focused coping was positively correlated with post-traumatic stress symptoms after controlling age and sex (${\beta}$ = 0.50, p < 0.001). Conclusions Social workers in public sector showed high level of post-traumatic stress symptoms. Duty-related traumatic events and the emotional-focused coping strategies were associated with the severity of post-traumatic stress symptoms. The modification of stress coping strategies would alleviate post-traumatic stress symptoms in social workers in public sector.

세월호 참사 후 재난심리지원 실무자들의 경험을 통해 본 국내 재난심리지원체계의 한계 및 개선방안

이나빈(Lee, Nabin),심기선(Sim, Kisun),한상우(Hahn, Sangwoo),이강욱(Lee, Kanguk),심민영(Sim, Minyoung),채정호(Chae, Jeong-Ho),안현의(Ahn, Hyunnie) 한국정신건강사회복지학회 2015 정신보건과 사회사업 Vol.43 No.4

본 연구는 한국의 재난심리지원체계를 개선하기 위해 세월호 참사 관련 심리지원서비스 제공자들의 시각을 통하여 기존 지원체계의 한계와 보완점을 확인하는 것이 목적이다. 이를 위해 세월호 참사 당시 심리지원을 담당했던 기관 중 3개 기관(안산시 정신건강증진센터, 국립서울병원, 안산정신건강트라우마센터)의 실무자 31명을 대상으로 심층면접을 실시하였고, 이를 녹취하여 내용분석하였다. 분석결과, 39개 개념이 도출되었고, 개념들로부터 14개 하위범주가 추출되었으며, 하위범주들은 6개 상위차원으로 기술되었다. 구체적으로 ① 행정체계(관계 부처들)와 수직적 관계에서 경험한 어려움, ② 집행체계 간 수평적 관계에서 경험한 어려움, ③ 실무자가 속한 기관에서 발생한 어려움, ④ 유가족을 지원하는 과정에서 경험한 어려움, ⑤ 실무자 개인차원에서 경험한 어려움, ⑥ 세월호 참사의 특수성 때문에 경험한 어려움들이었다. 본 연구결과를 바탕으로 실무자들의 보고를 통한 국내 재난심리지원체계의 한계점들을 극복하기 위해서 요구되는 점들을 제안하였다. The Sewol Ferry accident in April of 2014 is considered one of the biggest tragedies in modern Korean history since most victims among the 304 deceased were high school students who were going on a field trip. The Sewol Ferry accident also became a milestone in changing the national disaster response and recovery system in Korea. New laws and policies are being suggested and developed currently. We interviewed 31 crisis responders from three emergency mental health service organizations which worked on the scene immediately after the Sewol Ferry accident with the purpose of finding out how the existing emergency mental health service system actually functioned and what could be improved. After an in-depth interview, we analyzed the data using the Qualitative Content Analysis(QCA) method. Based on our data, we suggested an integrated model of disaster response systems that could be included in the new policies in Korea.

백신 망설임의 심리사회적 고찰

박혜인(Hyein Park),심민영(Minyoung Sim) 대한신경정신의학회 2021 신경정신의학 Vol.60 No.4

Achieving herd immunity against COVID-19 through vaccination is considered an important strategy for controlling the epidemic. However, as is the case for other infectious diseases, many people are hesitant to vaccinate. Underestimating the risk of disease, inconvenience of the inoculation process, concerns about effectiveness and safety, autonomy and personal belief, lack of altruism, and antipathy are psychosocial factors that lead to vaccine hesitancy. It is important to acknowledge and understand these concerns and fears rather than criticize individuals. To achieve herd immunity, the government must provide accurate information and improve accessibility through various windows to encourage individuals to make reasoned decisions.

소방공무원 대상 캠프 프로그램의 스트레스 완화 효과 추적 및 관련 요인 탐색

신정하(Jungha Shin),심민영(Minyoung Sim),이정현(Junghyun H. Lee),이다영(Da Young Lee),전경선(Kyungsun Jeon),오승아(Seunga Oh),김지애(Jiae Kim),김옥주(Okju Kim),양정일(Jungil Yang),이희봉(Heebong Lee) 대한스트레스학회 2018 스트레스硏究 Vol.26 No.2

본 연구의 목적은 캠프 프로그램에 참가한 소방공무원의 스트레스, 우울, 외상후 스트레스의 변화를 전향적으로 조사하여 캠프 프로그램의 효과를 검증하고, 스트레스 완화와 관련된 요인을 분석하는 것이다. 이를 위해 총 5회에 걸쳐 지각된 스트레스(PSS-K), 영역별 스트레스(GARS), 외상후 스트레스 증상(IES-R) 및 우울감(BDI-II)의 변화를 시간 경과에 따라 분석하고, 캠프 후 6개월 시점의 스트레스에 영향을 미치는 요인을 조사하였다. 연구결과 스트레스 수준은 캠프 참여 전보다 낮아져 캠프 후 6개월까지 지속되었으나, 우울감은 캠프 직후에만 감소를 보였다. 캠프 참여 전 직장 스트레스가 높고 질병 스트레스가 낮을수록 캠프 프로그램을 통한 스트레스 완화 효과가 큰 것으로 나타났다. Background: This study aims to test the effectiveness of a camp program and to analyze the factors related to stress relief. To this end, the present study conducted prospective research for six months on the change of stress, depression, and the level of post-traumatic stress among the firefighters who participated in the camp program. Methods: The perceived stress (PSS-K), stress by the different portion (GARS), post-traumatic stress symptoms (IES-R) and depression (BDI-II) were evaluated at five sessions over the span of six months, and the change of each measure was analyzed. Those five sessions were before the camp, right after the camp and a month, three months and six months after the camp. Moreover, this study assessed characteristics of sociodemographic, firefighting task and mental health that are related to the level of stress at six months after the camp. Results: Compared with before the camp, the level of depression was significantly lower right after the camp. However, the level did not have significant difference after a month period. At one month after the camp, the level of stress was significantly lower than before the camp, and was maintained after six months. The predictive factors of the degree of stress relief after the camp were high job stress and low disease stress. Conclusions: This study has found that the stress relief from the camp continued until six months after the camp, and the stress-relieving effect through the camp was substantial for those with higher job stress and lower disease stress.

경찰공무원에서 외상후스트레스장애와 기질 및 성격 특성의 관계

이정현,김옥주,남윤영,신정하,이희봉,김지애,심민영,Lee, Junghyun H.,Kim, Ok Joo,Nam, Yoon-Young,Shin, Jungha,Lee, Heebong,Kim, Jiae,Sim, Minyoung 대한불안의학회 2015 대한불안의학회지 Vol.11 No.1

Objective : Police officers are exposed to job-related traumatic events and have a high prevalence of post-traumatic stress disorder (PTSD). This study examined the relationship between PTSD symptoms and dimensions of temperament and character in police officers. Method : Thirty-six police officers participating in a psychological support program were enrolled. All subjects were asked to complete a demographic questionnaire, the Impact of Event Scale-Revised (IES-R), the Temperament and Character Inventory (TCI) and other self-reported symptoms scales. Results : Among all participants (age $40.8{\pm}10.2$, men 94.4%), the rate of 'post-traumatic stress symptoms group' was 47.2%. After controlling for confounding factors, lower self-directedness scores were significantly associated with higher PTSD symptoms (${\beta}=0.6$, p=0.03) in multiple regression analysis. Conclusion : Character traits, especially self-directedness, were associated with the severity of PTSD symptoms severity. These findings may provide useful information regarding personality factors related to PTSD in police officers.

재난심리지원 실무자를 통해 본 세월호 참사 유가족의 애도반응과 재난심리지원 서비스 경험에 대한 질적 연구

이나빈(Lee, Nabin),민지원(Min, Jiwon),한상우(Hahn, Sangwoo),이강욱(Lee, Kanguk),심민영(Sim, Minyoung),채정호(Chae, Jeong-Ho),안현의(Ahn, Hyunnie) 한국정신건강사회복지학회 2017 정신보건과 사회사업 Vol.45 No.3

본 연구는 재난심리지원 실무자의 보고를 통해 초기 대응단계에서 유가족이 경험한 어려움이 무엇이었으며, 초기에 제공된 재난심리지원 서비스에 대해 유가족의 경험이 어떠했는지, 이를 통해 유가족에게 도움이 된 것과 한계점은 무엇인지를 살펴보는 것을 목표로 하였다. 그리고 그 과정에서 유가족이 서비스의 어떤 측면을 긍정적으로 보았는지, 실무자는 어떤 요인을 회복과정의 촉진요인으로 인식하는지를 발견하고자 했다. 이를 위해 세월호 참사 직후 유가족에게 초기 재난심리지원 서비스를 제공했던 실무자 35명의 인터뷰자료를 질적으로 분석하였다. 분석결과, 57개 개념이 도출되었고 개념으로부터 16개 하위범주가 추출되었으며 하위범주는 6개 상위차원으로 기술되었다. 본 연구결과를 바탕으로 세월호 참사 이후 유가족의 초기 심리사회적 반응과 심리지원 서비스 제공을 통한 변화과정을 구조화하였으며 논의를 통해 차후 재난심리지원을 위한 실무자 교육이나 서비스 평가, 재난심리지원 정책 수립단계에서 중요하게 고려해야 할 요소를 제안하였다. This study aims to explore psycho-social experiences of the bereaved family during the initial response stage and how they progressed through the disaster support services by interviewing the disaster support workers. Total of thirty five responders who provided psycho-social support services after the ‘Sewol’ Ferry accident were interviewed indepth. We analyzed the data using the Qualitative Content Analysis (QCA) method. As a result, 57 meaningful concepts were derived from 57 statements, and fall into 16 categories with 6 dimensions. Based on these results of this study, we suggested the changing process an integrated model of the bereaved family’s grief and through carly psycho-social reactions to the disaster support service after the Sewol disaster. Finally, this study recommends important components in decision-making for disaster psychosocial support, its practitioner training and service evaluation. Practical implications for disaster policy issue, training program for disaster workers, support system evaluation as well as suggestions for further research were discussed.