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대학생의 완벽주의적 자기제시가 SNS중독경향성에 미치는 영향: 외로움을 통한 사회적 지지의 조절된 매개효과
하정은,김경미 한국상담학회 2023 상담학연구 Vol.24 No.5
본 연구는 대학생의 완벽주의적 자기제시와 SNS중독경향성 간의 관계에서 외로움의 매개효과와 사회적 지지의 조절된 매개효과를 검증하였다. 이를 위해 부산, 경상권의 대학생 343명을 대상으로 완벽주의적 자기제시, SNS중독경향성, 외로움, 사회적 지지를 측정하였으며, SPSS 25.0과 PROCESS MACRO를 사용하여 분석하였다. 연구결과 첫째, 완벽주의적 자기제시는 SNS중독경향성에 정적 영향을 미쳤다. 둘째, 완벽주의적 자기제시와 SNS중독경향성 간의 관계에서 외로움은 부분매개하였다. 셋째, 사회적 지지는 외로움과 SNS중독경향성의 관계를 유의하게 조절하였다. 넷째, 완벽주의적 자기제시와 SNS중독경향성의 관계에서 외로움을 통한 사회적 지지의 조절된 매개효과가 있었다. 이 결과는 완벽주의적 자기제시로 인한 외로움은 SNS중독경향성을 예측할 수 있으며, SNS중독경향성을 완화시키는 데 사회적 지지의 역할이 중요함을 의미한다. 본 연구는 대학생의 SNS중독경향성에 영향을 미치는 요인을 확인하고, SNS중독경향성의 예방 및 완화를 돕기 위한 개입 방안을 마련하는 데 근거자료를 제시하였다는 점에서 의의가 있다. This study verified the mediating effect of loneliness and the controlled mediating effect of social support in the relationship between college students perfectionistic self-presentation and SNS addiction tendency. To this end, 343 university students in Busan and Gyeongsang Province were surveyed for perfectionistic self-presentation, SNS addiction tendency, loneliness, and social support, and the collected data were analyzed using SPSS 25.0 and PROCESS MACRO. As a result of the study, first, perfectionistic self-presentation had a positive effect on SNS addiction tendency. Second, loneliness was partially mediated in the relationship between perfectionist self-presentation and SNS addiction tendency. Third, social support significantly controlled the relationship between loneliness and SNS addiction tendency. Fourth, in the relationship between perfectionistic self-presentation and SNS addiction tendency, there was a controlled mediating effect of social support through loneliness. This result means that loneliness caused by perfectionist self-presentation can predict SNS addiction tendency, and the role of social support is important in alleviating SNS addiction tendency. This study is significant in that it identified factors that affect college students’ SNS addiction tendency and provided evidential materials to prepare intervention strategies to help prevent and alleviate SNS addiction tendency.
국내 염증성장질환의 약물치료 및 약제비 현황: 2010-2014 국민건강보험자료 활용 연구
하정은,장은진,임슬기,손현순 한국임상약학회 2019 한국임상약학회지 Vol.29 No.2
Backgrounds: Inflammatory bowel disease (IBD) including ulcerative colitis (UC) and Crohn’s disease (CD) increased prevalence and economic burden. Objectives: This study aimed to investigate drug use pattern in IBD patients in a real world. Methods: National Health Insurance claim data from 2010 to 2014 were used in this population-based study. All IBD patients diagnosed during study period were enrolled. IBD medications included 5-aminosalicylic acid (ASA), glucocorticoid, immunomodulator and anti-tumor necrosis factor-α agent(anti TNF-α). Growth rate of IBD prevalence, prescribed drug classes, duration of drug therapy and medication cost were analyzed. Number and percentage of patients for categorical variables, and mean and median for continuous variables were presented. Results: Total numbers of patients were 131,158 and 57,286 during 5 years, and their annual growth rate were 3.2 and 5.7% for UC and CD. UC and CD were prevalent in the 40-50 (41.2%) and 20-30 age groups (36.0%). About 60% of IBD patients was prescribed any of medications. 5-ASA was the most frequently prescribed, followed by corticosteroid and immunomodulator. Anti TNF-α use was the lowest, but 5 times higher than UC in CD. Combination therapies with different class of drugs were in 29% for UC and 62% for CD. Mean prescription days per patient per year were 306 and 378, and the median medication cost per patient per year was KRW 420,000 (USD 383) and KRW 830,000 (USD755), for UC and CD, respectively. Conclusions: Increasing prevalence of IBD requires further studies to contribute to achieve better clinical outcomes of drug therapy.