한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

한국어판 Composite International Dianostic Interview(K-CIDI)의 개발

조맹제,함봉진,서동우,홍진표,배재남,김장규,이동우,조성진 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.1

연구목적 : 본 연구는 국제적인 정신장애 진단도구인 Composite International Diagnostic Interview(CIDI)를 한국의 사회문화적 상황에 적합하게 번역하고 신뢰도 및 타당도를 평가하여 한국어판으로 개발하기 위한 것이다. 방 법 : CIDI는 정신장애를 평가하고 진단할 수 있는 포괄적이고, 완전히 표준화된 진단도구로 훈련받은 일반인들이 적용할 수 있기 때문에 대규모 역학조사에 적합하다. 세계보건기구에서 제공하는 CIDI 번역 지침에 따라 한국어판 CIDI(K-CIDI)를 제작하였다. 영어권과 한국의 언어 및 사회문화적 차이를 고려하여 번역 및 개정을 하였고 역번역을 통하여 원본의 의미와 일치하는지를 확인하였다. 임상환자를 135명과 일반인 5명을 대상으로 신뢰도와 타당도 검사를 실시하였다. 두 명의 평가자가 K-CIDI를 이용하여 동일한 대상자를 동시에 면담하고 일주일 뒤에 재검사를 실시하였다. K-CIDI로 검사를 받은 대상자들을 정신과 전공의와 임상심리사가 한국어판 Structured Clinical Interview for DSM-Ⅳ를 이용하여 진단을 내렸다. 두 가지 진단의 일치도에 대한 kappa값을 산출하였다. 결 과 : CIDI의 번역에서 한국어 표현이 복잡하고 긴 문항은 두 개의 문장으로 분리하였고, 성과 관련된 표현과 의료체계 및 의료추구행태에서 사회문화적 차이를 반영하였다. 공포장애의 대상과 알코올 및 물질의 종류도 한국의 실정에 맞게 조정하였다. 현장 검사와 역번역 과정에서 K-CIDI가 적절하게 제작된 것으로 평가되었다. K-CIDI의 평가자간 신뢰도 검사는 140명에 대하여 이루어졌고 kappa값은 진단에 따라 0.86∼1.00범위였다. 검사/재검사 신뢰도 검사는 47명에 대해 이루어졌고 kappa값은 진단에 따라 0.42∼0.89였다. K-CIDI의 타당도 검사는 50명에 대해 이루어졌고 kappa값이 진단에 따라 0.50∼1.00의 범위였다. 결 론 : K-CIDI는 한국의 사회 문화적 배경에 적합하게 제작되었고 신뢰도 및 타당도 검사에서 역학연구에 적절한 진단도구로 평가되었다. Objectives : This study aims to develop a Korean version of the Composite International Diagnostic Interview(K-CIDI). Methods : The Composite International Diagnostic Interview(CIDI) is a comprehensive, fully standardized interview that can be used to assess psychiatric disorders and provide diagnoses. The K-CIDI was developed according to the guidelines provided by the WHO. The reliability and validity of the K-CIDI was evaluated by examining 135 psychiatric patients and five community residents. Subjects were jointly interviewed twice with a one-week interval. A psychiatric resident and clinical psychologist jointly determined clinical diagnoses using the Structured Clinical Interview for DSM-Ⅳ. Results : Notable modifications were done on sex-related expression, health system and help seeking behavior, subjects for phobic disorder, and kinds of alcohol and substance. Long and complex questions were divided into two or more questions. Field test and back-translation of the K-CIDI confirmed the appropriateness of the translation of the CIDI. The inter-rater reliability, test/retest reliability, and validity of the K-CIDI indicated kappa values ranging from 0.86-1.00, 0.42-0.89, and 0.50-1.00, respectively. Conclusion : The K-CIDI was deemed to be appropriate for the sociocultural background of Koreans. The reliability and validity of the K-CIDI were judged to be exceptionally acceptable.

한국어 판 구조화 임상면담도구 개발 : 신뢰도 연구

한오수,안준호,송선희,조맹제,김장규,배재남,조성진,정범수,서동우,함봉진,이동우,박종익,홍진표 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

연구목적: 정신장애의 정확한 진단과 평가는 임상에서뿐만 아니라 신뢰성 있는 연구를 위해서도 매우 중요하다. Structured Clinical Interview for DSM-IV(SCID)는 임상전문가들이 사용하는 진단도구로서, 비교적 짧은 시간에 정확한 진단을 내릴 수 있다. 본 연구는 한국어판SCID를 개발하고 그 신뢰도를 평가하기 위해 수행되었다. 방법: 국문학자가 포함된 번역위원회를 통하여 연구용판 SCID를 번역한 후, 정신과 의사 2인과 임상심리학자 1인에게 한국어판SCID 실시방법을 교육시킨 뒤 한국어판SCID를 이용한 면담의 평가자간 신뢰도 (interrater reliability)를 검증하였다. 면담 대상은 1999년 2월에서 3월까지 2개 병원 정신과에 치료중인 환자 90명(남:41명, 여:29명)이었다. 결과: 현재 장애(current disorder) 평가에서 주요 우울장애, 기분부전장애, 정신분열병, 알코올 남용 및 의존, 기타 물질 남용 또는 의존, 여러 불안장애들 및 섭식장애 등과 같은 대부분 장애의 kappa값은 .70이상으로 매우 높았다. 그 이외의 양극성 장애, 망상장애, 광장공포증, 감별 불능 신체화 장애 및 건강염려증의 kappa값도 .69에서 .40사이로 수용할 수 있는 정도였다. 평생 장애(lifetime disorder)에서는 양극성 장애(k=.69)와 감별 불능 신체화장애(k=.59)를 제외한 다른 모든 장애의 kappa값이 .70이상이었다. K-SCID 면담시 Ⅰ축 질환에 대하여 흔하게 다중 진단이 내려졌으며, 평균 진단 수는 1.5∼1.7개로 나타났다. 결론: 한국어판 SCID는 신뢰도가 높은 진단도구로 생각되며, 향후 정신질환의 정확한 진단과 임상연구에 유용하게 사용될 수 있다. Objectives: Accurate diagnosis and assessment for psychiatric disorders is crucial for research, as well as for clinical practice. Structured Clinical Interview for DSM-Ⅳ(SCID-RV) is a less time-consumimg and more accurate structured diagnostic interview form. It can be used by clinical professions and is known for a reliable diagnostic tool. Present study was conducted to develop Korean version of SCID-RV and to test the inter-rater reliability. Methods: The authors have translated original SCID-RV into Korean, and revised in parallel with sociocultural background of Korea. Ninety patients from two psychiatric hospitals, both outpatient and inpatient, were interviewed and rated independently by three raters. Results: The kappa coefficients for most of illnesses, such as major depressive disorder, dysthymia, schizophrenia, alcohol abuse and dependency, anxiety disorder and eating disorder were excellent(>0.70) in the evaluation of current disorders. And the kappa coefficients for bipolar disorder, delusional disorder, agoraphobia, undifferentiated somatoform disorder, and hypochondriasis were acceptable(>0.40) in the evaluation of current disorders. In the evalua-tion of lifetime disorders, the concordant rates of all the diagnoses except bipolar disorder and undifferentiated somatoform disorder were excellent. Lack of hierarchy in DSM-Ⅳ allows for multiple Axis I diagnoses. Mean numbers of Axis I diagnoses per subject assigned by the three raters were 1.5-1.7. Conclusions: Our findings confirm that SCID-RV yields highly reliable diagnoses. SCID-RV is recommended for accurate diagnosis in clinical practice and research on psychiatric disorders.

마라톤 참여동기가 운동몰입 및 여가만족에 미치는 영향

장진우,손원일 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

The purpose of this study was to analyze the effect of marathon participant motivation on exercise flow and leisure satisfaction. The subjects consisted of 295 members of marathon clubs in Kwang Won·Kung Kee provinces using stratified cluster random sampling. The survey questionnaire were used to data. The questionnaire for marathon participation motivation was Master-Ogles Marathon Scale(MOMS) developed by Master et al.(1990) and modified, simplified in Korean language by this researcher. The questionnaire for exercise flow was Expansion of the sports commitment model(ESCM) developed by Scanlan et al.(1993) and standardized in Korean language by Jung(1997). The questionnaire for leisure satisfaction was Leisure Satisfaction Scale(LSS) developed by Bearb and Ragheb(1980) and standardized in Korean language by LEE(1992). The statistical method utilized in this study for analyzing the collected data was multi regression analysis. The verified results through this study are summarized as follows. Firstly, The marathon participation motivation in marathon club runners gave generally significant influence on exercise flow. Secondly, The marathon participation motivation in marathon club runners gave generally significant influence on leisure satisfaction.

900MHz 대역 고선형 CMOS 상향 주파수 혼합기 설계

장진석,채규성,윤상응,김창우 경희-다반 ASIC 설계교육센터 2007 경희-다반 ASIC센터 논문집 Vol.8 No.-

Gilbert Cell 구조를 이용한 이중평형형 성향 주파수 혼합기를 TSMC 0.18 μm CMOS library로 설계하였다. 상향 주파수 혼합기는 Mixer Core, IF balun 과 LO balun 블록으로 이루어져있다. Mixer Core 블록과 IF balun블록에서, 4매의 source deeeneration 저항이 주파수 혼합시의 선형성을 향상시키기 위해 사용되었다 .설계된 상향주파수 흔합기는 -8 dBm의 입력전력과 0 dBm의 LO전력일 때 , 8.7dB 선형변환이득를 갖는 -0.3 dB의 실출력압축전력 얻었다.

마라톤 동호인들의 참여정도와 여가 만족도의 관계

장진우,손원일 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4

The purpose of this is to analyze the relationship between degree of involvement and leisure satisfaction in marathon club members. The subjects are composed of 295members of marathon clubs in Kwang Won·Kung Kee provinces. The result of this study is as follows. First, as a result of analyzing the leisure satisfaction among demographic characteristics in marathon clubs' members, physical satisfaction sub variable showed statistically significant difference according to sex, and the sub variable of educational·social·psychological satisfaction showed statistically significant difference according to the final education years, job, monthly income, Second, as a result of analyzing the leisure satisfaction among degree of involvement, all of sub variables showed statistically significant difference according to involvement period, running milage a week, and the sub variable of psychological · educational · social satisfaction showed statistically significant difference according to the entry frequency of marathon full course(42.l95㎞) competition a year.

컴퓨터보조수업(CAI)이 수학교과 학력신장에 미치는 영향 : 고등학교 「미분ㆍ적분」 단원을 중심으로

장진원,박달원 한국학교수학회 2000 韓國學校數學會論文集 Vol.3 No.1

Development of new and highly efficient computer technologies are providing schools and homes with faster and multi-functioning computers, and text-oriented education softwares are now being rapidly replaced by multimedia CAI. There are also increasing needs for computer-literate teachers and more effective CAI materials. The goal of this study is to present effective ways to use computers as teaching aids in mathematics classrooms and how computers affect the students' achievement, interest and attitude in mathematics. Theoretical reviews on learning theories of CAI and multimedia were made before designing teaching plans for mathematics classrooms and the plans were applied to classrooms. The result of this study shows that there is a significant difference in achievement between control group and experimental group, and also indicates that CAI increases the students' interest and altitude in mathematics to a certain extent. Although using computers in classrooms are considered to be more effective in teaching than text-oriented lectures, the number of computers in schools is limited and all the students can not take advantage of individualized drill and practice programs or tutorial programs. One way of various solutions to this problem is developing teaching materials for middle or large sized classes and providing teachers with easy-to-carry notebook computers. And also mathematics teachers should be given more chances to train themselves in developing and using CAI materials.

고선형 단축파 대역 Up-Mixer 설계

장진석,채규성,윤상웅,김창우 慶熙大學校 레이저 工學硏究所 2007 레이저공학 Vol.18 No.-

A single-side band double-balanced mixer using the Gilbert cell structure has been designed with the TSMC 0.18 μm CMOS library. The SSB Up-Mixer consists of a core, IF balun-phase shifter, and LO balun-phase shifter block. In the core block, 4-source-coupled degeneration resistors are used to improve the mixer's linearity. The SSB mixer exhibits a 6.8 dB conversion gain with a - 5.7 dBm P_(1-dB) for IF power of 11.5 dBm and LO power of 0 dBm inputs. The image rejection ratio is - 37.7 dBc at a -5.7 dBm output power.

계절 변화에 대한 초등학생의 선개념과 개념 변화 양상

장명덕,정철,정진우 한국교원대학교 과학교육연구소 2001 청람과학교육연구논총 Vol.11 No.1

이 연구는 계절 변화에 대한 초등학생의 선개념과 수업에서 나타나는 개념 변화 양상을 조사하는 것이다. 연구 대상은 인천광역시의 초등학교 5학년생 78명을 대상으로 하였다. 계절 변화에 대한 학생들의 선개념을 알아보기 위하여 그림과 글로 응답하도록 구성된 지필 검사지를 사용하였으며, 동일한 검사 문항을 이용하여 각각 수업 중의 중간 검사, 수업 후의 사후 검사, 그리고 1주일 후 지연 검사를 통하여 학생들의 개념 변화 양상을 조사하였다. 응답 결과의 분석은 3명의 본 연구자들간에 의견의 일치를 보아 분석하였다. 조사 결과, 사전 검사에서 대안 개념을 가지고 있는 일부 학생들의 경우 수업 후 또 다른 대안 개념을 형성하며, 이들이 가지고 있는 게절 변화 개념은 안정되어 있지 않은 상태로 나타났다. 또한 계절별 지구와 태양 사이의 공간 분포의 변화에서는 거리와 가열 효과가, 그리고 계절별 별자리의 변화에서는 지구의 자전 개념이 계절 변화에 대한 학생들의 올바른 개념 형성에 장애가 되는 요인으로 나타났다. This study was to investigate the preconception and phases of children's conceptual change about season through an instruction on the concept. Participants in the study were seventy-eight fifth graders in two classrooms of an elementary school located in Incheon city. Children's preconception was examined using a questionnaire, consisted of a drawing and literal explanation. The questionnaire also was used at the midterm-test, post-test, and one-week delayed-test. The results shows several findings as follows: some children (a) change their synthetic conceptions to form another synthetic conceptions through the instruction; (b) exhibit that their conceptions are unstable; and (c) are mainly influenced by distance and heating effect on the seasonal spatial distribution between the Earth and the Sun, and by the Earth's rotation on the seasonal change of constellations in acquiring the scientific concepts.

진행성 위암과 동반된 후복막 섬유화증 7예의 임상적 고찰

장재영,천영국,최우봉,김진오,조주영,이준성,이문성,심찬섭 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Background/Aims: Retroperitoneal fibrosis is a fibrosing disease process which frequently develops ureteral obstruction. Malignant retroperitoneal fibrosis has been reported that various types of cancer including cancer of the breast, stomach, prostate, lung, cervix, uteri, colon, pancreas, ovary, and even Hodgkin's disease. While the pathogenesis remains obscure, small foci of metastatic neoplasm in the retroperitoneal space can elicit a desmoplastic reaction in secondary form to malignancy. Methods: Recently we experienced 7 cases of retroperitoneal fibrosis with advanced gastric cancer. So, we report 7 cases of retroperitoneal fibrosis with clinical and radiologic characteristics. Results: The most common signs and symptoms were related irreversible renal dysfunction. The urologic finding noted medial deviation of the involved ureters and hydronephrosis Conclusions: Clinical manifestations are abdominal pain, back pain, hydronephrosis, and uremia. When sudden back pain and hydronephrosis develop in advanced malignancy, physicians should be considerd for retroperitoneal fibrosis.