비자살적자해와 자살 간의 관계에서 습득된 자살잠재력의 역할 : 자살에 대한 대인관계적 심리이론에 기반하여

김초롱,박연수,장혜인,이승환,Kim, Cholong,Park, Yeonsoo,Chang, Hyein,Lee, Seung-Hwan 대한불안의학회 2017 대한불안의학회지 Vol.13 No.2

Non-suicidal self-injury (NSSI) has been noted as a significant risk factor for possible suicide attempts. According to the Interpersonal Psychological Theory of Suicide, individuals can attempt suicide after they have acquired the capability to commit it. The acquired capability for suicide can be defined as one's habituated level to the pain and fear associated with suicidal behaviors. This is obtained through constant exposure to painful and provocative events, NSSIs being a prime example. This article reviews prior related studies to determine the extent to which the acquired capability for suicide can be utilized as a predictive factor for fatal suicide attempts following NSSIs. Our review finds a total of 11 studies that directly or indirectly support the claim that the acquired capability for suicide should be considered as a relevant factor linking NSSIs and suicide attempts. Given that NSSIs are most frequently observed in clinical settings, our findings suggest that the acquired capability for suicide will be a useful indicator for clinicians to predict the risk of future suicide attempts by patients.

정신건강 실무자들의 은둔형 외톨이에 대한 낙인

강주승(Juseung Kang),장혜인(Hyein Chang),황수진(Soo Jin Hwang),안지현(Ji Hyun An),김명현(Myung Hyun Kim),홍진표(Jin Pyo Hong) 대한신경정신의학회 2021 신경정신의학 Vol.60 No.4

Objectives This study examined the stigma against social withdrawal syndrome (hikikomori) among mental health practitioners, and compared levels of stigma against social withdrawal syndrome versus mental illness. Methods The participants were 133 mental health practitioners (28 males, 105 females) with experience of social withdrawal syndrome that self-reported levels of stigma against social withdrawal syndrome and mental illness. Results Stigma against social withdrawal syndrome was generally significantly lower than stigma against mental illness. However, mental health practitioners tended to agree they would be reluctant to become personally involved with a person that had experienced social withdrawal syndrome (e.g., dating, hiring). Levels of stigma also differed across mental health occupations. Conclusion This study suggests although mental health practitioners may generally have less negative attitudes toward social withdrawal syndrome in the context of mental illness, that they may also have some reservations about personal interactions with individuals with social withdrawal syndrome.

북한이탈주민 정신건강의 종단적 추세: 외로움, 우울, 삶의 만족도에 대한 4년 추적 연구

박소희,홍진표,안지현,이혜린,김명현,장혜인,Park, So Hee,Hong, Jin Pyo,An, Ji Hyun,Lee, Hye Rin,Kim, Myung Hyun,Chang, Hyein 대한불안의학회 2021 대한불안의학회지 Vol.17 No.2

Objective : The purpose of this study was to investigate the longitudinal trajectories of life satisfaction, loneliness, and depression and to identify the factors that influence these trajectories in North Korean Defectors (NKD). Methods : NKD (n=300) who registered in the multi-regional adaptation center (Hana Center), within three years of settling in South Korea, were recruited into this study. Life satisfaction, loneliness, and depression were assessed with self-report questionnaires over a period of 4 years (7 waves of data). Latent growth modeling was conducted to assess the changes in life satisfaction, loneliness, and depression. Results : Findings from both unconditional and conditional models (with gender, South Korea settlement age, household income, marital status, and PTSD at wave 1) indicated a linear increase in loneliness and depression, and a linear decrease in life satisfaction over the 4-year period. In the conditional model, gender predicted the intercept of life satisfaction and depression. In addition, PTSD predicted the intercept of life satisfaction, loneliness, and depression and slope of depression. Conclusion : Our finding suggests that the mental health of NKD tends to deteriorate over time after settling in South Korea. Therefore, continuous support is necessary for their successful adaptation to the South Korean Society.

현대 소비자의 소비생활 결핍에 대한 질적 연구: 다차원 빈곤의 개념과 하위차원을 중심으로

이유림 ( Lee Yu Lim ),황혜선 ( Hwang Hyesun ),이욱 ( Li Xu ),최휘 ( Choi Hwee ),박찬희 ( Park Chanhee ),장혜인 ( Chang Hyein ),김지범 ( Kim Jibum ),박태영 ( Pak Tae-young ) 한국소비자학회 2024 소비자학연구 Vol.35 No.3

본 연구는 현대 소비자들이 경험하고 있는 결핍의 양상을 살펴봄으로써 사회환경의 변화를 반영한 폭넓은 생활영역의 결핍 가능성을 탐색하여 최근 사회환경의 변화를 보다 타당하게 반영한 다차원 빈곤의 지표를 설정하는 것을 그 목적으로 한다. 이를 위해 본 연구는 29명의 20~60대의 국내 소비자를 대상으로 표적집단면접조사를 실시하였으며, 다차원 빈곤에 대한 인식과 그 하위차원을 분석하기 위해 nVivo를 통해 녹취록을 분석하였다. 그 결과, 현재 국내 소비자는 빈곤을 상대적 관점에서 바라보고 있었으며 8개의 다차원 빈곤의 하위차원이 도출되었다. 이 가운데서 ‘디지털 사회의 상대적 박탈’은 선행연구에서는 드러나지 않았던 차원이었으며, ‘건강’ 차원의 경우 기존 다차원 빈곤 연구와 비교하여 확장된 형태로 나타났다. 구체적으로, 신체 건강에 더해 정서적 불안, 부정적 자기개념, 심리적 안녕감 결핍 등 주변을 통제할 수 없거나 타인과 자신을 비교함으로써 나타난 정신 불건강 문제가 두드러졌다. 이외에 ‘소득’, ‘주거’, ‘교육’, ‘사회적 관계’, ‘여가 생활’, ‘신체 안전’은 기존 연구와 본 연구에서도 유사하게 나타나 이들이 다차원 빈곤의 근본을 구성하는 틀임을 알 수 있었다. 본 연구는 현대 소비자의 상대적 결핍을 다각적으로 접근함으로써 취약 소비자 계층을 정의하고 우리 사회의 다차원적 빈곤 해결을 위한 정책 수립의 기초자료로 활용될 수 있다. The purpose of this study is to explore the potential dimensions of multidimensional poverty reflecting changes in social environments by examining deficiencies experienced by contemporary consumers. To do this, focus group interviews were conducted with 29 consumers aged 20 to 60 in South Korea. The analysis of transcripts using nVivo was employed to understand perceptions of multidimensional poverty and to dissect its subdimensions. The results indicated that Korean consumers perceive poverty from a relative perspectives, revealing eight subdimensions of multidimensional poverty. Among them, ‘relative deprivation in the digital society’ emerged as dimension not identified in previous research. The ‘health’ manifested in an expanded form in this study. Specifically, mental health issues, such as emotional anxiety, negative self-concept, and low psychological well-being, stemmed from uncontrollable external conditions and comparisons with others. In addition, ‘income,’ ‘housing,’ ‘education,’ ‘social relationships,’ ‘leisure activities,’ and ‘physical safety’ appeared consistently across both previous and current studies, implying their foundational role in constituting the framework of multidimensional poverty. By comprehensive understanding the relative deficiencies of current society, this study contributes to defining vulnerable consumers and serve as foundational data for policymaking aimed at addressing the multidimensional poverty.

외로움과 사회적 고립 척도의 개발 및 타당화 연구

황수진(Soo Jin Hwang),홍진표(Jin Pyo Hong),안지현(Ji Hyun An),김명현(Myung Hyun Kim),정서현(Seo Hyun Jeong),장혜인(Hyein Chang) 대한신경정신의학회 2021 신경정신의학 Vol.60 No.4

Objectives To develop a Loneliness and Social Isolation scale (LSIS) that can measure both social isolation and loneliness in order to understand the degree of social isolation in Korea. Exploratory and confirmatory factor analysis was used to examine the factorial validity of the scale. Methods The subjects of the study were 300 adults aged 19 or older who visited Samsung Medical Center and voluntarily expressed their willingness to participate in this research. Exploratory factor analysis (n=150) and confirmatory factor analysis (n=150) were conducted to construct the factorial structure model and to determine the model fit. Results Exploratory factor analysis showed a three-factor structure with a total variance of 65.8%; factor 1 consisted of social support, factor 2 of social networks, and factor 3 of items representing loneliness. After conducting confirmatory factor analysis on the three-factor models, a three-factor model consisting of 8 items (LSIS-8) and a three-factor model consisting of 6 items (LSIS-6) showed significant goodness-of-fit. Internal consistency for all items was good (Cronbach’s α=0.774), and correlations with existing social isolation and loneliness measures were significant. Conclusion This study is meaningful as provides a tool that comprehensively measures social support, social networks, and loneliness. We believe that the application of such tools that are relatively easy to apply in communities will aid understanding of the current state of social isolation and loneliness in Korea.