시․청각 자극 제시를 통한 언어발달지체아동의복문 산출 향상 애플리케이션 개발

조서은,최상배 한국청각언어장애교육학회 2018 한국청각·언어장애교육연구 Vol.9 No.2

This study was implemented to develop visual-auditory stimulus intervention application for improving production of complex sentence of Children with language delay. To develop the intervention application, researchers made steady progress application design and development. In the design procedure, we analyzed the current commercial application to improve production of complex sentence of children with language delay. And we made flow chart of application to develop complex sentence and visual-auditory data for these applications. Through this procedures, storyboard of applications was created. In the development procedure, an application was developed using Android Studio and Java Language based on storyboard created at the design procedure. It was also registered in Google PlayStore to download and use for anyone. In the development process, an application was developed using Android Studio based on storyboard created at the design stage. It was also registered in Google PlayStore for anyone to use. We hope that this application will be helpful to teachers and speech-language pathologist for improving production of complex sentence of children with language delay. And we want that follow-up studies will be implemented to verify the intervention effect for children with language delay. We also opened source code of this application to modify and develop the new application for their students. so, teachers and speech-language pathologist who want to develop of new application regarding complex sentence also develop application for the students. 이 연구는 언어발달지체아동의 복문산출 능력 향상을 위한 시․청각 자극 제시 중재 애플리케이션을 설계하고 개발하여 언어발달지체아동의 복문산출 지도를 위한 애플리케이션 개발 가능성을 탐색하고자 실시되었다. 애플리케이션을 개발하기 위하여 애플리케이션의 설계와 개발 과정을 거쳤다. 설계 과정에서 현재 상용화되어 있는 복문 관련 애플리케이션을 분석하고, 이 애플리케이션에 들어갈 복문 및 시․청각자극을 개발하여 애플리케이션의 흐름도를 작성하였다. 개발 단계에서는 설계 단계에서 작성한 흐름도를 바탕으로, 애플리케이션 개발도구인 안드로이드스튜디오를 활용해 애플리케이션을 개발하였다. 또한 이를 구글 플레이스토어에 등록하여 누구나 활용할 수 있도록 하였다. 이를 통해 언어발달지체아동의 복문 산출 능력을 향상시킬 수 있기를 기대하며, 애플리케이션 내 소스코드를 통해 특수교사나 언어재활사가 직접 중재 프로그램을 제작하여 활용할 가능성을 제안하였다.

주관적-객관적 수면시간 차이를 보이는 불면증 환자에서 일반적 불안에 비해 불면증 관련 자극으로 인한 뇌활성에 관한 기능적 자기공명영상 연구

김남범,이재준,조서은,강승걸 대한수면의학회 2020 수면·정신생리 Vol.27 No.1

Objectives: Subjective-objective discrepancy of sleep (SODS) is a common symptom and one of the major phenotypes of insomnia. A distorted perception of sleep deficit might be related to abnormal brain reactivity to insomnia-related stimuli. We aimed to investigate differences in brain activation to insomnia-related stimuli vs. general anxiety-inducing stimuli among insomnia patients with SODS, insomnia patients without SODS, and healthy controls (HCs). Methods: All participants were evaluated for subjective sleep status using a sleep diary and questionnaires; occult sleep disorders and objective sleep status were assessed using polysomnography and actigraphy. Task functional magnetic resonance imaging was performed during insomnia-related stimuli (Ins) and general anxiety-inducing stimuli (Gen). Brain reactivity to Ins versus Gen was compared among insomnia with SODS, insomnia without SODS, and HC groups, and a combined insomnia disorder group (ID, insomnia with and without SODS) was also compared with HCs. Results: In the insomnia with SODS group compared to the insomnia without SODS group, the right precuneus and right supplementary motor areas showed significantly increased BOLD signals in response to Ins versus Gen. In the ID group compared to the HC group, the left anterior cingulate cortex showed significantly increased BOLD signals in response to Ins versus Gen. Conclusion: The insomnia with SODS and ID groups showed higher brain activity in response to Ins versus Gen, while this was not observed in the insomnia without SODS and HC groups, respectively. These results suggest that insomnia patients with sleep misperception are more sensitive to sleep-related threats than general anxiety-inducing threats. 목 적:주관적-객관적 수면시간의 차이는 불면증의 흔한 증상이자 주요한 유형이다. 본 연구는 주관적-객관적 수면시간 차이가 있는 불면증군, 주관적-객관적 수면시간 차이가 없는 불면증군, 건강대조군을 대상으로 전반적 불안- 유발 자극에 대비하여 불면-관련 자극에 대한 뇌활성의 군간 차이가 있는지를 밝히고자 하였다. 방 법:모든 피험자들은 수면일기와 임상척도로 주관적수면상태를, 수면다원검사와 활동기록기로 객관적 수면상태와 불면증 외의 수면장애를 확인하였다. 기능적 뇌영상촬영동안 불면증-관련 문장 자극과 일반 불안-유발 문장자극을 피험자들에게 주어 유발되는 뇌활성의 세 군간 차이가 있는지를 비교하였다. 뇌활성은 전체 불면증군(주관적- 객관적 수면시간의 차이 여부에 상관없이)과 건강대조군두 군간에도 비교되었다. 결 과:주관적-객관적 수면시간 차이가 없는 불면증 군에 비해 차이가 있는 불면증 군에서 일반적 불안-유발 자극대비 불면-관련 자극에 대해 우측 설전부와 보조운동영역에서 유의하게 증가된 blood oxygen level dependent (BOLD) 신호를 보였다. 또한, 같은 자극에 대해 통합 불면증군이 대조군 보다 좌측 앞 대상회 영역에서 유의하게 증가된 BOLD 신호를 보였다. 결 론:본 연구의 결과는 주관적-객관적 수면시간 차이를 가지는 불면증이 주관적-객관적 수면시간 차이가 없는불면증에 비해 일반적 불안-유발 자극보다 불면-관련 자극에 대해 더 선택적인 집중과 불안을 가지고 증가된 뇌활성을 보인다는 결과로 수면상태 오지각이 증가된 불면증 자극에 선택적인 불안을 보임을 시사한다.

Clinical Usefulness of Amisulpride Add-on Therapy in Schizophrenia Patients without Treatment Response to Second-generation Antipsychotics

Seung-Gul Kang,조서은,Kyoung-Sae Na,Chi Un Pae,조성진 대한정신약물학회 2021 CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE Vol.19 No.1

Objective: The response to antipsychotics in patients with schizophrenia is still unsatisfactory. Therefore, augmentation with other antipsychotics is common in clinical situations. The purpose of this study was to evaluate the improvement of psychiatric symptoms and side effects after amisulpride add-on therapy. Methods: Forty patients with schizophrenia or schizoaffective disorder without treatment response to second-generation antipsychotics were included in this study. Psychotic symptoms were evaluated using the Positive and Negative Syndrome Scale (PANSS) and the Korean version of Calgary Depression Scale for Schizophrenia (CDSS) at baseline, 4 weeks, and 8 weeks after the addition of amisulpride. Results: Among the 29 subjects who completed the 8-week study, 34.5% were responders according to PANSS total score. At week 8, the mean positive (p < 0.001), negative (p < 0.001), general (p < 0.001), and total (p < 0.001) PANSS scores and CDSS scores (p = 0.002) showed significant improvement compared to baseline. There was no increase in extrapyramidal side effects according to Simpson Angus Scale (p = 0.379) and Barnes Akathisia Rating Scale (p = 0.070) and no weight gain (p = 0.308) after the add-on treatment. Conclusion: The addition of amisulpride for schizophrenia patients without therapeutic response to second-generation antipsychotics is considered an effective and safe treatment. This study's results suggested that augmentation of second- generation antipsychotics with amisulpride could be a useful option for patients with schizophrenia unresponsive to second-generation antipsychotics. Further studies investigating the efficacy of amisulpride add-on therapy using placebo control are necessary to confirm these results.

난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선방안 – 임산부 및 양육모 중심으로

김장래,추경진,전승주,조서은,이택후,이승재,태철민,임준영,양정보,최안나 한국모자보건학회 2022 한국모자보건학회지 Vol.26 No.3

Purpose: This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system. Methods: Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified. Finally, a paired sample t-test was conducted to verify the effect of counseling services. Results: An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor. Conclusion: For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management—covering the periods before and after childbirth—should be provided by establishing organic ties between domestic projects.

Relationship between the Spectral Power Density of Sleep Electroencephalography and Psychiatric Symptoms in Patients with Breathing-related Sleep Disorder

Jae Myeong Kang,조서은,Gun Bae Lee,조성진,박기형,Seon Tae Kim,강승걸 대한정신약물학회 2021 CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE Vol.19 No.3

Objective: Patients with breathing-related sleep disorder (BRSD) often complain of psychiatric symptoms such as depression in addition to snoring, excessive sleepiness, and disturbed sleep. However, the relationship between psychiatric symptoms and severity of sleep apnea in BRSD is controversial. We conducted this study to investigate the relationship between psychiatric symptoms and sleep electroencephalography (EEG) findings in BRSD patients using spectral analysis. Methods: All participants underwent polysomnography and evaluation using Symptom Checklist-90-Revised (SCL-90-R) scale. We analyzed the absolute spectral power density values of standard EEG frequency bands in the participants (n = 169) with BRSD during the non-rapid eye movement (NREM) sleep period. We performed correlation analysis between the domain scores of SCL-90-R scale and the absolute values of the EEG frequency bands. Results: Significant positive correlation was observed between the absolute spectral power density values in the slow oscillation band and the degree of paranoid ideation (r = 0.226, p = 0.028) and depression (r = 0.216, p = 0.044) in SCL-90-R. The multiple linear regression model showed that higher paranoid ideation domain score (B = 0.007, p = 0.020), younger age (B = −0.011, p < 0.001), and female sex (B = 0.213, p = 0.004) were associated with higher slow oscillation power during NREM sleep. Conclusion: The results of the present study suggested a relationship between sleep EEG and psychiatric symptoms in patients with BRSD. This relationship needs to be validated with further studies.

COVID-19 유행 상황에서 자살 시도의 세대별 비교

박이레,강재명,채현아,임용수,강승걸,나경세,조서은,조성진 대한신경정신의학회 2022 신경정신의학 Vol.61 No.4

Objectives This study aimed to comparatively analyze the demographic characteristics and various other factors influencing those attempting suicide from the younger and older generations during the COVID-19 pandemic. Methods The study included subjects who visited the emergency room of the Gachon University Gil Medical Center in Incheon after attempting to cause self-harm or commit suicide. Of the total of 598 cases, the characteristics of 383 subjects belonging to the younger generation (39 years old or younger) and 215 to the older generation subject (40 years old or older) were retrospectively compared. Results The younger generation subjects who attempted suicide had significantly higher rates of psychiatric disorders such as bipolar disorder and histories of past suicide attempts compared to the older generation. Those attempting suicide among the younger generation were less planned in their attempts to commit suicide than the older generation, and the authenticity of their suicide attempts was significantly lower. Conclusion The younger generation subjects who attempted suicide were more affected by mental illnesses and more impulsive than those of the older generation, and the authenticity and medical lethality of their suicide attempts were low. An individual-centric intervention strategy for suicide prevention is needed in consideration of these generational characteristics.

난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선 방안 - 난임 환자 중심으로 -

김장래,추경진,이승재,이택후,전승주,조서은,태철민,정기현,최안나 한국모자보건학회 2020 한국모자보건학회지 Vol.24 No.4

Purpose: This study aimed to review the history and examine the current service system of the Korea Counseling Center for Fertility and Depression (KCCFD) by analyzing the characteristics of its users, and to suggest measures to improve the system. Methods: Data on 883 infertile patients counseled through the KCCFD’s counseling service over the last 2 years were collected for a demographic analysis. The clinical information of 396 female subjects who received regular counseling after registration were analyzed to investigate factors influencing depression. Finally, a matching sample t-test was conducted to verify the effects of the counseling service. Results: The screening test showed that 50.7% of the infertile patients in our study were registered at our centers and received registered counseling. A total of 27.6% of the subjects was identified as being at high-risk for depression, and 71.3% of those at high-risk received registered counseling. The logistic regression analysis showed that being a homemaker, having a history of psychiatric disorder, and having undergone in vitro fertilization three or more times were significant factors that predict moderate or more severe depression. The female infertility patients who underwent counseling showed a significant decrease in depression, anxiety, general stress, and infertility stress. Conclusion: Screening tests need to be performed prior to assisted reproductive technology if any of the 3 risk factors is present. The rate of registered counseling, regular follow-up using psychological tests, and cross-linkages with affiliated agencies should serve as the metrics for the quality control of the counseling service. Early detection of individuals at high-risk for depression calls for an activated liaison among affiliated agencies and expanded regional centers.

교육공학 분야에서 교사교육 20년 연구동향 분석

류기혁 ( Kihyeok Ryu ),이영주 ( Youngju Lee ),조서은 ( Seoeun Jo ) 한국교육공학회 2021 교육공학연구 Vol.37 No.1

교수학습에 있어 교사의 전문성이 강조되고 전면 원격수업과 같은 사회적 이슈에서 교사들의 실천적 역량이 사회적으로 조명 받고 있다. 이에 교사교육의 방법론적 접근을 주도해 온 국내 교육공학 분야에서 교사교육 연구의 동향을 살펴 교사교육을 위한 교육공학의 역할과 발전 방향을 탐색하고자 하였다. 이를 위해 2000년부터 2019년까지 최근 20년동안『교육공학연구』와『교육정보미디어연구』에 게재된 93편의 교사교육 연구를 내용분석과 네트워크 텍스트 분석 기법을 활용하여 양적 변화, 연구의 기여대상, 연구방법, 핵심 키워드 및 주요 주제의 변화를 분석하였다. 연구 결과, 1) 교육공학 분야에서 교사교육 연구의 비중은 2010년대에 들어 약 2배 이상 증가하였다. 2) 교사교육 연구는 현직교사를 위한 연구가 전반적으로 많지만, 2010년대에 들어 예비교사를 위한 연구의 비율이 대폭 증가하였다. 3) 연구방법의 비율은 전체 기간에서 조사연구의 비중이 가장 높으나, 2010년대에 들어 개발연구, (준)실험연구, 문헌연구의 비율이 점차 높아졌다. 4) 교육공학 분야 교사교육 연구의 핵심 키워드로 추출된 ‘교사’, ‘활용’, ‘교수’, ‘교수설계’의 관련 영역이 변화되었다. 5) 2000년대 주요 주제는 ‘교사의 교육매체 활용’, ‘교수설계, 교육정보화에 대한 교사의 인식’, ‘교사연수 운영’, ‘공유 기반 전문성 향상’이며, 2010년대 주요 주제는 ‘첨단학습매체의 확산과 수용’, ‘예비교사의 수업전문성 향상’, ‘학습자 중심 수업을 위한 교수설계’, ‘수업컨설팅’, ‘교육공동체 구성요인’, ‘교사의 생애주기 핵심역량’, ‘학교혁신’으로 확인되었다. 이상의 동향에 관한 분석을 바탕으로 교육공학이 교사교육의 주요 영역으로 기여하기 위해서는 예비교사 교육 내용의 현장 연계성 강화, 현장중심의 연구방법 확대 교육이론에 대한 연구의 확대가 필요함을 제언하였다. The purpose of this study is to analyze the research trends of teacher education research in the field of domestic educational technology. For this purpose, 93 teacher education articles of Journal of Educational Technology and Journal of Education Information and Media from Jan 2000 to Dec 2019 were analyzed in terms of the number of articles, contribution target, research methods, research topic by using content analysis and network text analysis. The results of this research are as follows. 1)The number of teacher education research in educational technology was more than doubled in the 2010s. 2)Teacher education researches were mostly for in-service teachers, but research for pre-service teachers increased significantly in the 2010s. 3)The ratio of investigative research was the highest in the entire period. but, that ratio decreased and the ratio of developmental studies and (quasi) experimental studies increased in the 2010s. 4)It was confirmed that teacher education's keywords in educational technology are ‘teacher’, ‘utilization’, ‘instruction’, ‘instruction design’, and that the related areas of the core keywords have changed. 5)In the 2000s, the major topics of teacher education in educational technology were ‘utilization of teacher's educational media’, ‘teachers perception of instructional design and ICT’, ‘teacher training management’, and ‘share-based teaching professionalism’. In the 2010s, they were ‘diffusion and adaptation of cutting edge learning media’, ‘improvement of pre-service teacher’s teaching professionalism’, ‘instructional design for learner-centered education’, ‘instructional consulting’, ‘constructive elements of the educational community’, and ‘the key competencies of teacher's professional life cycle’.

청소년기 및 초기 성인기의 성지식과 성인지 감수성에 영향을 미치는 요인

나혜수,이선구,백강민,임우영,강승걸,조성진,나경세,강재명,조서은,배승민 한국정신신체의학회 2023 정신신체의학 Vol.31 No.1

Objectives : This study investigated the level of sexuality knowledge and gender sensitivity and factors influencing on them among Korean high school and college students. Methods : 129 questionnaires from high school and college students with consent forms, collected from July to December of 2022, were analyzed. After identification of participants’ gender, age, major, their report of the practicality of sex education, and their experience of violence or sexual assaults, participants’ level of sexuality knowledge and gender sensitivity were compared. Results : Females showed higher gender sensitivity, regardless of age and group(p=0.004). The early adulthood group(≥ 19 years old) showed higher sexuality knowledge and gender sensitivity, compared to those adolescents(< 19 years old). Among college students, those who majored in health science were identified with higher sexuality knowledge and gender sensitivity, compared to non-health science major students(p<0.001; p=0.005). Conclusions : This study revealed the significant differences in sexuality knowledge and gender sensitivity according to sex, age, and majors in adolescents and early adults. Therefore, it seems to be necessary to consider the differences in sexuality knowledge and gender sensitivity among age, sex, and majors when establishing public policy or legislation for sex crimes, including digital sex crimes.