중년기 기혼 남녀의 스트레스와 정신적 웰빙과의 관계에서 결혼만족도의 조절효과

최승미,김지연 한국여성심리학회 2016 한국심리학회지 여성 Vol.21 No.4

The purpose of this study was to verify the moderating effects of marital satisfaction in the relation of everyday stressors and the mental well-being among married middle-aged adults. A survey was conducted on 295 middle-aged married men and women who are internet users ranging from 40-59 years old. Hierarchical regression was used to analyze both men and women respectively. As a result, everyday stressors were negatively related to both the marital satisfaction and the overall mental well-being in middle-aged men and women. For men, the marital satisfaction was found to have the substantial moderating effects on the relationship between everyday stressors and mental well-being, and its sub-factors such as emotional, psychological, and social well-being. For women, the marital satisfaction was found to have the substantial moderating effects on the relationship in mental well-being and its sub-factors of mental well-being except psychological well-being. Stress was the main factor threatening mental well-being of both married middle-aged men and women. However, it was found that the quality of marital satisfaction reduced negative impact of stress on mental wellbeing. Consequently, this study implied that the quality of marital relationship plays a significant role in mental health of both married middle-aged men and women.

다문화결혼 부부의 결혼 적응 과정에서의 갈등 대처에 대한 질적 연구

최승미,백지은 한국국제문화교류학회 2023 문화교류와 다문화교육 Vol.12 No.5

In this study, we conducted in-depth interviews with seven multicultural married couples who reported high levels of relationship satisfaction, aiming to explore their conflict experiences, coping strategies, and the process of marital adaptation. The content of the in-depth interviews was analyzed according to Strauss and Corbin's (1998) grounded theory approach with the standard procedures of open coding, axial coding, and selective coding to derive a total of 162 concepts, 33 subcategories, and 12 categories. Based on the paradigm, five stages of conflict coping and adaptation process for multicultural married couples were extracted: “Symbiotic Relationship”, “Acceptance Stage”, “Separation/Individuation Stage”, “Self-Growth Stage” and “Establishment of Family Identity Stage”. The study’s findings revealed that most multicultural couples initially experienced conflicts and challenges arising from cultural and expectations differences, while through the developmental tasks of childbirth and family expansion, they gradually established their independence from their original families and formed a shared marital community, leading to their marital adaptation as integral members of Korean society. Notably, the active involvement of husbands in embracing and supporting their wives' language and culture, as well as the utilization of public support systems like multicultural family support centers, played crucial roles in this process.

자궁경부암 선별검사로서 인유두종 바이러스 유전자형 검사의 경제성 평가

최승미,배덕수,김승철,김영태,남계현,김수녕,송용상,김병기,이재관,김태진,주웅,Joice Huang,오윤환,박주연 한국보건의료기술평가학회 2015 보건의료기술평가 Vol.3 No.2

Objectives: The aim of this study was to evaluate the cost-effectiveness of cervical cancer screening with a human papillomavirus (HPV) 16/18 genotyping test in Korea. Methods: We compared seven strategies with a Markov cohort model: 1) cytology with reflex HPV testing for atypical squamous cells of undetermined significance (ASC-US) (‘cytology’) (routine screening interval 1 year), 2–4) HPV with 16/18 genotyping with liquid-based cytology triage co-testing (‘co-testing’) (routine screening interval 1, 2, 3 year), and 5–7) HPV with 16/18 genotyping and reflex cytology (ASC-US threshold) (‘HPV with genotyping’) (routine screening interval 1, 2, 3 year). Screening start age was 30-year-old and screening was performed over 40 years. Screening sensitivity and specificity values for cervical intraepithelial neo- plasia 3 were obtained from ‘Addressing THE Need for Advanced HPV Diagnostics,’ trial. Screening costs and cancer treatment costs were calculated from a payer’s perspective in 2012. Costs and quality adjusted life-years (QALYs) were discounted at 5% annually. Results: Applying a KRW ￦20–30 mil- lion/QALY threshold, ‘co-testing’ with 1 year interval and “HPV with genotyping” with 1 year interval were not cost effective, but ‘co-testing’ with 2, 3 year interval and “HPV with genotyping” with 2, 3 year interval were cost effective versus ‘cytology’ with 1 year. Conclusion: Compared with the existing ‘cy- tology’ with 1 year, HPV 16/18 genotyping with 2, 3 year interval can be cost effective. Especially, ‘co- testing’ with 2 year interval was the most cost-effectiveness strategy.

신경망 기반 블록 단위 위상 홀로그램 이미지 압축

최승미,박수용,반현민,차준영,김휘용 한국방송∙미디어공학회 2023 방송공학회논문지 Vol.28 No.1

방대한 홀로그램 데이터를 디지털 형식으로 압축하는 것은 중요한 문제이다. 특히, 상용화를 위해 위상 전용 홀로그램의 압축에 관한 연구가 주목된다. 자연 영상에 최적화된 기존 표준 압축 기술은 위상 신호를 압축하는데 적합하지 않으며, 위상 신호에 대해 최적화 가능한 신경망 기반 압축 기술은 좋은 성능을 기대할 수 있으나 고해상도 홀로그램 데이터를 학습하는 데 메모리 문제가 존재한다. 본 논문에서는 메모리 문제를 해결할 수 있는 학습 가능한 신경망 기반의 블록 단위 압축 기술을 위상 전용 홀로그램에 적용해봄으로써 블록 기반이라는 동일 조건 내에서도 제안 방식이 표준 코덱보다 상당한 성능향상을 보일 수 있음을 밝혔다. 신경망 기반의 블록 단위 압축은 기존 코덱과의 호환성을 제공할 수 있으며, 메모리 문제를 해결하는 동시에 위상 전용 홀로그램 압축에 대해 월등히 좋은 성능을 보일 수 있다.

인지적, 문제해결적 행동 대처 및 사회적 지지가 외상 후 성장에 미치는 영향 : PTSD 증상 수준에 따라

최승미,김영재,권정혜 한국인지행동치료학회 2013 인지행동치료 Vol.13 No.2

본 연구에서는 소방 공무원을 대상으로 인지적 대처/문제해결적 행동 대처, 사회적 지지가 외상 후 성장에 미치는 영향을 알아보고자 하였다. 특히 이들 요인들이 외상 경험자의 증상 수준에 따라 외상 후 성장에 어떤 영향을 미치는 지 파악하고자 하였다. 이를 위해 외상 사건에 대한 노출 빈도가 높은 소방공무원들이 연구 대상으로 선정되었으며, 외상 경험자 중 증상 정도에 따라 한국판 외상 후 스트레스 진단척도(K-PDS) 점수를 기준으로 ‘PTSD 증상집단’과 ‘PTSD 비증상집단’을 구분하여 다집단 구조방정식 모형 분석을 실시하였다. 분석 결과, 외상 경험 후 보다 많은 외상 관련 증상을 경험하는 ‘PTSD 증상집단’(K-PDS>20)의 경우, 외상 경험에 대한 인지적 대처와 문제해결적 행동대처, 사회적 지지는 모두 외상 후 성장에 유의미한 영향을 미쳤으며, 사회적 지지는 외상 후 성장에 대해 직접 효과 및 인지적 대처/행동적 대처 각각을 매개한 간접 효과를 갖는 것으로 나타났다. 그러나, 외상 경험 후에도 비교적 증상 정도가 심하지 않은 ‘PTSD 비증상집단’(K-PDS<20)은 인지적 대처 및 사회적지지 요인만 외상 후 성장에 유의한 영향을 미치는 것으로 나타났다. 이러한 결과는 외상 사건 후 인지적, 행동적 대처와 사회적 지지가 외상 후 성장에 영향을 미치는 양상에 있어 증상의 심각도에 따라 차이가 있음을 시사하는 결과로, 외상 후 심리적 고통 수준이 높은 집단은 그렇지 않은 집단에 비해 인지적 대처 및 사회적지지 외에 적극적인 문제해결적 행동 대처를 통해 보다 더 외상 후 성장으로 나아갈 수 있음을 시사해주고 있다. The purpose of this study is to examine post-traumatic growth(PTG), post-traumatic stress disorder(PTSD), cognitive/behavioral coping and the relevance of social supports. The subjects of this study were fire- fighters(n=276) who are frequently exposed to the traumatic events, and they were divided into two groups - PTSD group and non-PTSD group - Using the scores of K-PDS. We performed Multi-group Structural Equation Model(MSEM) analysis. As the results of analysis, in case of PTSD group (K-PDS>20), the cognitive and behavioral coping and social support were found all have significant relationship with post-traumatic growth. However, the non-PTSD group (K-PDS<20) was found that only cognitive coping and social support have significant relationship with post-traumatic growth. The behavioral coping was not confirmed with a significant relationship with post-traumatic growth in the non-PTSD group. After a traumatic event, these results can be seen those of greatly suffering mental anguish to advance the more positive changes after trauma, are not just staying in cognitive coping but aggressive behavior coping that should be parallel parsing.

배우자의 인터넷 외도 문제를 호소하는 부부치료 사례연구

최승미 한국가족치료학회 2015 가족과 가족치료 Vol.23 No.1

Objectives: This research intended to discover the main intervention strategy and examine its effectiveness by conducting a case study on a married couple in their 30s who suffer from online infidelity. Methods: Programs that gave communication training to prevent conflicts and improve relationship, dealt with hidden issues other than infidelity, provided specific planning and action on expanding positive experiences, and developed a strategy to enhance marital commitment and bond were conducted. At the same time, a ground rule was discussed and established for the couples to follow, and the study supported and confirmed that the rule would be faithfully adhered to. The ground rule included the couple's own policy to control internet-related behaviors as well as codes of conduct that would contain factors triggering conflict. A total of 11 sessions were conducted, and K-MSI, DAS, and the level of internet/smartphone addiction were assessed before and after the therapy. Results: As the therapy progressed, the overall level of marital dissatisfaction decreased for both the husband and the wife, and the relationship adaptation level increased. All measures related to the internet usage were the same as those of the normal group both before and after the therapy. Conclusions: An overall improvement in relationship was seen through the couple’s subjective report in the final session. In particular, changes in communication and the increase in the level of bonding and commitment were recognized as the most important changes. 본 연구에서는 인터넷 외도 문제를 호소하는 30대 신혼부부에 대한 치료 사례를 분석하여, 주요 개입 전략 및 효과성을 파악하고자 하였다. 부부갈등 예방 및 관계 증진을 위해 의사소통 훈련, 외도 문제 이면에 자리 한 숨겨진 이슈 다루기, 부부의 긍정적인 경험을 계획, 실천하기, 부부 사이 헌신, 연대를 위한 전략 개발하기 등이 한 축에서 진행되었으며, 다른 한 축에서는 부부간 그라운드 룰을 설정, 이를 지켜나가는 것을 지지하고 확인하는 작업을 하였다. 그라운드 룰에는 인터넷 관련 행동 조절을 위한 부부간의 규칙 설정과 갈등 촉발 요인을 차단하기 위한 행동 규칙 등이 포함되었다. 총 11회기 동안 치료가 진행되었고, 결혼만족도, 부부관계적응도, 인터넷/스마트폰 중독 정도가 사전, 사후에 평가되었다. 평가 결과, 총 11회기가 진행되는 동안 남편과 아내 모두 결혼에 대한 전반적 불만족 수준이 감소하였고, 부부관계 적응도는 상승하는 모습을 보였다. 인터넷 사용과 관련된 척도들에서는 사전-사후 모두 정상군 수준을 보였다. 주관적인 보고에서도 전반적인 관계 향상이 보고되었으며, 특히 의사소통의 변화와 연대감, 헌신의 증진이 가장 중요한 변화로 지목되었다.

일개 지역 공공병원 간호사의 공공봉사동기, 병원조직문화유형, 직업존중감 및 이직의도간의 관계

최승미,박선아 국제문화기술진흥원 2022 The Journal of the Convergence on Culture Technolo Vol.8 No.5

본 연구의 목적은 공공병원 간호사의 공공서비스동기, 병원조직문화유형, 직업존중감과 이직의도 간의 관계를 알아보기 위함이다. 본 연구는 경기도의 4개 공공병원(이천, 안성, 수원, 파주) 간호사 124명을 대상으로 횡단적 단면연구를 실시하였다. 자료분석은 기술 통계, t-검정, ANOVA 및 Pearson 상관 계수를 사용하여 분석하였으며, 데이터가 정규분포를 하지 않는 경우에는 Mann-Whitney U 검정 및 Kruskal-Wallis 검정, Bonferroni 사후검정으로 분석하였다. 대상자의 이직의도는 공공봉사동기(r=-.30, p<.001), 친화적 조직문화(r=-.28, p=.002), 진취적 조직문화(r=-.34, p<.001), 과업적 조직문화(r=-.30, p=.001)와 음의 상관관계가 있는 것으로 나타났다. 본 연구결과를 통해 공공병원 간호사의 이직 의도를 줄이기 위해서는 공공봉사동기를 향상시키는 것이 필요함을 시사한다.

첫 자녀 출산 전후 부부의 관계 경험에 대한 질적 연구 -적응 과정에 대한 탐색

최승미,권정혜 한국여성심리학회 2012 한국심리학회지 여성 Vol.17 No.4

The purpose of this study was to have a phenomenological understanding of the experiences in the marital relationship after the first baby is born. For this purpose, thirteen couples (marriage duration of less than five years; within three years of the child birth) were recruited and semi-structured interviews were conducted. The interview data were analyzed through the open coding, axial coding, and selective coding. In the next step, we derived the marital relationship paradigm after the first baby arrived. The causal/situational conditions that caused changes in the marital relationship were the parenting burden and the marital adjustment level. The central phenomena were parenting and housework burden, which were moderated by the husbands' support. The action/interaction strategies were couple's high awareness and acceptance for their new role and pursuit of the shared meaning of the family. When the strategies were successful, a deeply satisfying feeling and shared values ​​could be obtained. Finally, we identified the core category to integrate of other categories into a conceptual framework, and that is 'the awareness and acceptance for their new role and the pursuit of a sense of We-ness'.

폴리도파민으로 코팅된 다공성 PCL/PLGA 복합 폴리머 지지체를 이용한 흉선상피세포의 3차원 세포배양

최승미,이도영,임예선,황선영,송원훈,정영훈,윤식 한국생명과학회 2023 생명과학회지 Vol.33 No.8

T-cell deficiency may occur in various clinical conditions including congenital defects, cell/organ transplantation, HIV infection and aging. In this regard, the development of artificial thymus has recently been attracting much attention. To achieve this aim, the development of techniques for 3D culture of thymic stromal cells is necessary because thymocytes grown only in a 3D thymic microenvironment can be differentiated fully to become mature, immunocompetent T cells; the same cannot be achieved for thymocytes grown in 2D. This study aimed to develop a nanotechnology-based 3D culture technique using polymeric scaffolds for thymic epithelial cells (TECs), the main component of thymic stromal cells. Scanning electron microscopic observation revealed that the pores of both PCL and PCL/PLGA scaffolds were filled with TECs. Interestingly, TECs grown in 3D on polydopamine-coated scaffolds exhibited enhanced cell attachment and proliferation compared to those grown on non-coated scaffolds. In addition, the gene expression of thymopoietic factors was upregulated in TECs cultured in 3D on polydopamine-coated scaffolds compared to those cultured in 2D. Taken together, the results of the present study demonstrate an efficient 3D culture model for TECs using polymeric scaffolds and provide new insights into a novel platform technology that can be applied to develop functional, biocompatible scaffolds for the 3D culture of thymocytes. This will eventually shed light on techniques for the in vitro development of T cells as well as the synthesis of artificial thymus.

위상 홀로그램 압축 기술 동향

최승미,차준영,반현민,이태화,김휘용 한국방송·미디어공학회 2024 방송과 미디어 Vol.29 No.2