도서관 근거리 통신망의 응용에 대한 연구

유은라 한국정보관리학회 1992 정보관리학회지 Vol.9 No.2

제3세대 근거리 통신망(LAN)은 일반 이용자 수준에서 이루어질 수 있는 보다 편리 하고 보다 동일격의 커뮤니케이션을 추구한다. 이용자 서비스를 중심으로 하는 통합 정보 시스템 완성을 위하여 도서관 LAN을 계획할 때, 고려되어야 할 주요 사항들이 근간 많은 논문에서 지적되고 있다. 본 고는 이러한 LAN 구축에 관련된 전반적인 네트워크 성격과 도 서관 응용시의 주요 문제점들을 살펴보기로 한다. The lastest stagc of I, AN can bc characterized as easy of -use, peer - to -peer, and end - user trans parency connectlvlt) I, ~brar~e\ concernmg I A N for ~ntergratcd onhe ~nformation system need to un dcrstand the swer.il important features of the installation. Th~s paper descr~bes some of ttwse feature\ and how the) arc ~rnplc mentcd.

부산거주 베트남 결혼이민여성에서 결혼만족도에 따른 정신건강 비교

유은라(Eun-Ra You),김철권(Chul Kwon Kim) 대한사회정신의학회 2012 사회정신의학 Vol.17 No.1

목 적 : 베트남 결혼이민여성들을 대상으로 사회인구학적 및 정신건강 요인이 결혼만족도에 어떤 영향을 미치는 지를 알아보았다. 방 법 : 부산 여성문화회관에 등록된 베트남 결혼이민여성 63명을 대상으로 설문지와 면담을 통해 사회인구학적 특성과 정신건강 상태를 파악하였다. 설문지는 모두 베트남 언어로 재번역하여 사용하였다. 사회인구학적 특성을 알아보는 설문지는 연령, 한국 거주기간, 학력, 한국어 수준, 배우자 나이, 배우자 직업, 자녀수, 주거형태 등의 문항으로 구성되어 있다. 정신건강은 한국판 간이정신진단 검사(Symptom Checklist-90-Revision), Beck 우울척도(Beck Depression Inventory), 상태-특성 불안척도(State-Trait Anxiety Inventory), 자아존중감 척도(Self-Esteem Scale)를 이용하여 평가하였다. 그리고 사회지지척도(Social Support Scale)를 이용하여 사회지지와 사회적 갈등을 알아보았다. 결혼만족도는 48문항으로 구성된 결혼만족도 척도(Marital satisfaction inventory)를 사용하여 평가하였다. 결혼만족도 척도에서 1=‘전혀 그렇지 않다’ 혹은 2=‘대체로 그렇지 않다’에 응답한 경우, 즉 점수가 96점 이하인 경우는 결혼만족도가 낮은 군으로 분류하였고 반대로 4=‘대체로 그렇다’ 혹은 5=‘정말 그렇다’에 응답한 경우, 즉 점수가 192점 이상인 경우는 결혼만족도가 높은 군으로 분류하였다. 그리고 97점부터 191점 사이는 결혼만족도가 중간군으로 분류하였다. 그 결과 결혼만 족도가 낮은 군에는 21명, 중간 군에는 23명, 높은 군에는 19명 등 총 63명이 해당되었다. 결 과 : 결혼만족도가 높은 군은 낮은 군에 비하여 배우자의 직업이 자영업/정규직인 경우가 유의하게 많았고(p<.001), 배우자의 나이는 유의하게 낮았으며(p=.02), 불안(p<.001)과 우울 점수(p=.001)도 유의하게 낮았다. 반면 사회적지지 점수는 유의하게 높았다 (p=.004). 한국판 간이정신진단검사에서는 모든 소 영역에서 결혼만족도가 낮은 군이 중간 군 혹은 높은 군에 비하여 유의하게 높았다. 결혼이민여성의 결혼만족도에 유의한 영향을 미치는 요인으로는 상태불안, 특성불안, 사회적 지지, 배우자 나이, 배우자 직업인 것으로 나타났다. 결 론 : 베트남 결혼이민여성에서 결혼만족도가 낮은 군은 높은 군에 비하여 정신건강에서 불안, 우울 등 다양한 정신건강에서의 문제점을 보였다. Objectives : To identify various factors that might affect marital satisfaction and to compare the differences in the sociodemographic and mental health factors between high and low marital satisfaction experienced by Vietnamese marriage immigrant women from Busan. Methods : In 63 Vietnamese marriage immigrant women who were enrolled in Busan Women’s Culture Center, the sociodemographic factors and the status of mental health were evaluated using a questionnaire and an interview. A questionnaire sheet was translated into Vietnamese and then used in the current study. A questionnaire sheet about the sociodemographic factors was composed of items regarding the age, years of residency in Korea, the level of Korean fluency, the age of spouse, the occupation of spouse, the number of children and the types of residency. The mental status was evaluated using the Symptom Checklist-90-Revision, Beck depression inventory and the State-Trait Anxiety Inventory, Self-Esteem Scale, and Social Support Scale. The degree of satisfaction with marriage was evaluated using the scale comprising 48 items. On the scale about the degree of satisfaction with marriage, respondents who responded with ‘Never satisfied (1 point)’ and ‘Generally not satisfied (2 points)’, i.e, those whose total scores were lower than 96 points, were classified as the group with a lower degree of satisfaction with marriage. In contrast, respondents who responded with ‘Generally satisfied (4 points)’ and ‘Truly satisfied (5 points)’, i.e, those whose total scores were higher than 192 points, were classified as the group with a higher degree of satisfaction with marriage. Middle marital satisfaction group was classified as the total scores were from 97 to 191 points, As a result, 21 respondents were low marital satisfaction group, 23 were middle marital satisfaction group, and 19 were assigned to the high marital satisfaction group. Results : In the high marital satisfaction group, as compared with the lower group, the sociodemographic factors showed that the spouse had a higher level of occupation and lower age. Besides, the status of mental health showed that the state anxiety, the trait anxiety, and the depression were significantly lower and social support was significantly higher in the high marital satisfaction group. Symptom Checklist-90-Revision showed that the low martal satisfaction group had a significantly higher level in the all subareas as compared with the middle or high marital satisfaction group. On a multiple regression analysis, the following factors were found to be significant explanatory variables for the marital satisfaction that is experienced by Vietnamese marriage immigrant : state anxiety, trait anxiety, social support, spouse's job, and spouse's age. Conclusion : In Vietnamese marriage immigrant women, a lower degree of satisfaction with marriage was associated with various mental health problems.

자폐스펙트럼장애 아동의 치료개입시기에 영향을 미치는 요인 : 후향적 분석

유은라(Yu, Eun-ra),김지훈(Kim, Ji-hoon),민은정(Min, Eun-jeong),서비아(Seo, Bi-A),최진혁(Choi, Jin-Hyeok),최범성(Choi, Bum-Sung) 한국자폐학회 2020 자폐성 장애연구 Vol.20 No.1

본 연구의 목적은 자폐스펙트럼장애 아동의 부모가 자폐증상을 인지한 이후, 보다 빠른 치료적 개입시작에 영향을 미치는 요인을 파악하는 데 있다. 연구대상은 B 대학병원에 내원한 만 2세부터 만 6세 사이의 자폐스펙트럼장애 아동 170명을 대상으로 하였다. 연구방법은 빈도 및 기술통계분석, 독립표본 t-검정, 상관관계분석, 다중회귀분석을 실시하였다. 연구결과, 아동이 다른 아이들과 다름을 인지한 시기는 평균 생후 20개월 시점인 것으로 확인되었고, 치료를 처음 시작한 연령은 35.5개월로 아동의 증상을 인지하고 치료시작까지 걸리는 시간은 평균 14.5개월 소요되는 것으로 확인되었다. 영향요인 분석 결과, 아동의 일상생활능력 중 사회성과 부모상호작용 중 지시성이 낮고, 상동행동적인 문제가 심하며, 모의 학력이 더 높을수록 치료적 개입이 보다 조기에 이뤄지는 것을 확인하였다. 이에 영향을 미치는 요인들이 자폐스펙트럼장애 아동의 원활한 치료를 위해 활용되도록 제언하였다. The purpose of this study was to investigate the factors that affect the initiation of therapeutic intervention after parental awareness of autism symptom in children with autism spectrum disorder(ASD). We studied 170 children with ASD from 2 to 6 years old who visited B National University Hospital. The research methods were frequency, descriptive statistical analysis, independent sample t-test, correlation analysis, and multiple regression analysis. According to the results, when the average age child was about 20.8 months, the parents recognized the child s autism symptoms and the average age of starting intervention was 35.5 months. The average time to start therapeutic intervention after parents recognized the child s autism was 14.5 months on average. The timing of intervention for children with ASD was faster as the less sociality in the daily life area of the children, the lower the direction among the parent interactive behavior scale, the more severe the symptoms of stereotypic behavior patterns and the higher the mother s educational background of the children. It was suggested that the factors affecting the initiation of therapeutic intervention be used for the early intervention of children with ASD.

한국판 Kenny 무대공포증 척도의 표준화 연구

오상훈,유은라,이형준,윤동욱 대한신경정신의학회 2020 신경정신의학 Vol.59 No.3

Objectives Performance anxiety has been conceptualized as a subtype of social anxiety disorder, but is still under-recognized and under-diagnosed because of the lack of specific tools for its appropriate assessment in clinical practice. This study examined the reliability and validity of the Korean version of the Kenny Music Performance Anxiety Inventory (KMPAI). Methods Three hundred and sixty-nine students in art high school completed a battery of measures, including the Korean version of the KMPAI, State-Trait Anxiety Inventory (STAI), Liebowitz Social Anxiety Scale (LSAS), Center for Epidemiologic Studies-Depression Scale (CES-D), and Frost Multidimensional Perfectionism Scale-Korean version (FMPS-K). The construct validity of the Korean version of KMPAI was examined by performing explorative factor analysis. The reliability was assessed by the internal consistency using Cronbach’s alpha. Results Explorative factor analysis for the construct validity showed that the Korean version of KMPAI was composed of seven factors (factor 1: Worry/dread and Negative cognitions; factor 2: Proximal somatic anxiety and Worry about performance; factor 3: Depression/hopelessness; factor 4: Parental empathy–Memory–Controllability; factor 5: Generational transmission of anxiety; factor 6: Trust; factor 7: Rumination), explaining 61% of the total variance. The T Concurrent validity with the other scales (STAI, LASA, CES-D, and FMPS-K) was statistically significant. The Cronbach’s alpha value for the internal consistency of the Korean version of KMPAI was excellent (r=0.961). Conclusion The Korean version of the KMPAI is a reliable and valid instrument for measuring music performance anxiety in Korea.

신경 발달 장애에서 정신병 혹은 양극성 장애로의 전환 확률

안성은,최범성,유은라,정지운,허성영 대한조현병학회 2022 대한조현병학회지 Vol.25 No.2

Objectives: The clinical trajectories of adolescent-onset psychosis and bipolar disorder are worse than that of adult-onset cases. Although psychosis and bipolar disorder are more prevalent among those with neurodevelopmental disorders such as ADHD and autism spectrum disorder compared with the general population, the incidence during adolescence has not yet been explored. Methods: Out of 3,730 patients who visited the Department of Pediatric Psychiatry at Pusan National University Yangsan Hos- pital between November 2008 and May 2021, patients with neurodevelopmental disorders who did not meet the criteria for psy- chosis or bipolar disorder and had at least one year of the follow-up period were selected. A Kaplan-Meier analysis was performed to examine the cumulative incidence of psychosis and bipolar disorder in patients with neurodevelopmental disorders. Results: The sample included 591 patients with neurodevelopmental disorders (mean age 12.6 years, range 10-18 years). The 9-years cumulative incidences of psychosis and bipolar disorder are 1.3% (95% CI=0.2%-2.4%), 11.6% (95% CI=7.4%-15.6%), respectively. Conclusion: Patients with neurodevelopmental disorders showed a high incidence of psychosis and bipolar disorder during ado- lescence. This suggests that patients diagnosed with neurodevelopmental disorders should be continuously evaluated and moni- tored of the occurrence of comorbidities during adolescence.

소아청소년 양극성장애 환자에서 리튬 치료에 따른 소변 오스몰랄농도의 변화

정지운,최범성,김대욱,유은라,허성영,김성곤,김지훈 대한신경정신의학회 2020 신경정신의학 Vol.59 No.4

Objectives Bipolar disorder has a high rate of recurrence, which can cause problems such as declines in cognitive and social functions. Lithium is the primary medication for preventing recurrence, but the medication compliance is poor owing to side effects that include diarrhea, tremor, polyuria, polydipsia, diabetes insipidus, increased creatinine level, and weight gain. Polyuria and polydipsia also cause voluntary discontinuation of the medication. However, no domestic and international studies have evaluated the direct correlation between lithium therapy and polydipsia in pediatric patients. Therefore, we assessed this relationship by evaluating urine osmolality changes after lithium administration in pediatric patients. Methods This study focused on patients admitted to the Department of Psychiatry, Pusan National University Yangsan Hospital. Patients had bipolar disorder types I or II and other specified bipolar disorders based on the DSM-5, criteria at discharge from December 1, 2018, to April 31, 2020. Urine osmolarity changes from admission to discharge in the patients who used lithium for the first time after admission were reviewed. Results For 47 patients, the change in osmolality was statistically significant (mean, 203.32± 280.68; p<0.001) and significantly higher in those aged <14 years than in those aged ≥14 years (p=0.038). Antipsychotic use and sex-related differences did not affect urine osmolality. Conclusion The first-time users of lithium had significantly reduced urine osmolality at discharge. Considering the lithium effect on the kidneys, a prospective study to identify the relationship between lithium use and polydipsia is necessary.

무대공포증과 연관된 프로프라놀롤 복용과 스트레스 대처방식의 관련성: 예술고등학교 음악 전공 학생들을 대상으로

윤동욱(Dong-Uk Yoon),송병아(Byeong-a Song),이형준(Hyung-Jun Lee),유은라(Eun-ra Yu) 대한스트레스학회 2021 스트레스硏究 Vol.29 No.4

본 연구는 예술고등학교 학생들의 무대공포증과 연관된 프로프라놀롤 복용과 스트레스 대처방식의 관련성을 연구하고자 하였다. 먼저 스트레스 대처방식 유형을 두 집단으로 구분한 뒤, 각 집단별 특징과 프로프라놀롤 복용 여부와 관련된 연관요인의 차이를 확인하고자 하였다. 적극적 대처군이 62.4%로 소극적 대처군인 37.6%보다 많았으며 남학생이 여학생보다 적극적 대처를 하는 비율이 유의하게 높았다. 소극적 대처군의 경우 무대공포, 완벽주의, 불안, 회피가 유의하게 높았다. 프로프라놀롤 복용군은 미복용군에 비해 연습시간이 많았으며, 적극적 대처군에서 프로프라놀롤의 복용 여부와 연습시간은 양의 상관관계였으며, 소극적 대처군에서는 프로프라놀롤의 복용 여부와 회피 반응은 음의 상관관계였다. 향후 무대공포증 극복를 위한 치료개입방안과 프로프라놀롤 오남용 관련 연구와 예방이 필요할 것이다. Background: In order to verify the effect of taking propranolol to overcome music performance anxiety in art high school students, Lazarus and Folkman’s stress coping models were applied to classify stress coping types into active and passive coping groups and determine what factors influenced whether or not propranolol was taken. Methods: Descriptive statistics analysis was conducted to identify the general characteristics of 394 art high school students. Chi-square test and independent t-test were conducted to verify the difference between music performance anxiety and related factors according to the stress coping model. Binary logistic regression analysis was performed to analyze the factors influencing whether propranolol was taken according to the stress coping model. Results: The active coping group were higher at 62.4% compared to the 37.6% of the passive coping group. Male students had a significantly higher rate of active response than females. In the case of the passive coping group, music performance anxiety, perfectionism, anxiety, and avoidance were significantly higher. The propranolol-dosing group had more practice time than the non-dosing group. The active coping group showed a positive correlation with the practice time according to whether propranolol was taken, and the passive coping group showed a negative correlation with avoidance. Conclusions: It was confirmed that the use of propranolol to overcome music performance anxiety differed according to the stress coping model. Clinical suggestions were presented for the need for cognitive behavioral therapy on intervention measures to overcome music performance anxiety.

소아청소년기 발병 양극성 장애와 성인기 발병 양극성 장애의 인지 및 임상적 특성에 대한 비교 연구

김현미(Hyeonmi Kim),허성영(Sung-Young Huh),김성곤(Sung-Gon Kim),김지훈(Ji-Hoon Kim),정우영(Woo-Young Jung),유은라(Eun-ra Yu),최범성(Bum-Sung Choi),김대욱(Dae-Wook Kim),윤동욱(Dong-Uk Yoon) 대한생물치료정신의학회 2020 생물치료정신의학 Vol.26 No.2

Objectives:Childhood/adolescent-onset of bipolar disorder presents functional impairments on emotional, academic, and social aspects. These impairments could continue into adulthood. However, there are few studies comparing cognitive function between childhood/adolescent- and adult-onset using psychological test. This study aims to improve understanding of childhood/adolescent-onset of bipolar disorder by comparing differences in cognitive function, clinical and demographic features between the two groups. Methods:This study was conducted on 145 patients diagnosed with bipolar disorder type I, II, and other specified bipolar disorder by DSM 5 at the time of discharge from 2016 to 2019 at the Department of Psychiatry, Pusan National University Yangsan Hospital. Demographic information, clinical data, and results of psychological tests (K-WISC-IV, K-WAIS-IV) were collected and reviewed. Results:Childhood/adolescent-onset group was significantly low in total potential IQ and in language understanding than adult-onset group (p=0.008 and p=0.013). The childhood/adolescent group had significantly more psychiatric comorbidities than the adult group (p<0.001). The average number of prescribed antipsychotic agents was 1.18 (SD=±0.64) in the childhood/adolescent group, and 1.78 (SD=±0.82) in the adult group. The difference was statistically significant (p<0.001). Conclusion:Patients with childhood/adolescent-onset bipolar disorder have lower total potential IQ and language understanding comparing patients with adult-onset bipolar disorder. This highlights the importance of conducting a well-designed prospective study to find out more about the characteristics of childhood/adolescent-onset bipolar disorder.