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권정혜 한국임상심리학회 2002 Korean Journal of Clinical Psychology Vol.21 No.3
The purpose of this study was to examine if insecure attachment served as interpersonal vulnerability of depression and if insecure attachment affected marital functioning of depressed patients. Participants were 31 female outpatients with depression (depression group) and 32 normal women(control group). They were assessed on the measure of depression, subjective marital satisfaction, marital relationships, attachment style and general dysfunctional attitude. Specifically, interview technique was used to evaluate marital relationship and attachment style. Results indicated that insecure attachment style was significantly more prevalent in the depression group than in the control group. Among aspects of insecure attachment, depressed patients showed a higher level of the desire for engagement and anger in relationships than women in the control group. Subjective marital satisfaction, confiding in husband, quality of positive interaction with husband and security characteristics of marriage were lower in the depression group than in the control group, and the quality of negative interaction with husband was higher in the depression group than in the control group. Achievement-oriented and dependency-oriented dysfunctional attitude were higher among depressed patients than among women in the control group. Within the depression group, patients with secure attachment and those with insecure attachment group were compared. There was a significant difference in the subjective marital relationship between two groups, and active emotional support by husband tended to be lower in the insecure attachment group than in the secure attachment group. Achievement-oriented dysfunctional attitude tended to be higher among patients with insecure attachment group than those with secure attachment. Implications and limitations of this study were discussed.
청소년의 인터넷 게임 중독: 시간에 따른 변화와 이에 영향을 미치는 변인들
권정혜 한국임상심리학회 2005 Korean Journal of Clinical Psychology Vol.24 No.2
This study aimed to examine temporal changes in the internet game addiction of adolescents and related psychological variables using a prospective design. A total of 1279 middle high school students at five schools were assessed twice 6 month apart on measures of internet game addiction, self-escape tendency, real-ideal self discrepancy, negative affect, peer relationship, parent-child relationship, and parental supervision. Results indicated that the internet game addiction score of the first assessment was highly correlated with the score of the second assessment, r = .66, p < .001. In 30 % of students who demonstrated a severe level of internet game addiction at the first assessment, their score decreased more than 1 standard deviation at the second assessment. The ANCOVA analysis showed that the self-escape tendency was the only significant difference between the adolescents maintaining a severe level of internet game addiction and those with decreasing use of internet game. The multiple regression analysis showed that the internet game addiction, the self-escape tendency, negative affect at the first assessment predicted the internet game addiction of 6 months after. These results indicated that internet game addiction is a rather stable phenomenon although there was a room for change. The self-escape tendency seemed to be a stronger predictor of continued internet game use than parental supervision and other interpersonal relationships.
사회행동 배열과제의 개발과 타당도 연구: 정신분열병 환자의 사회인지 능력을 측정하는가?
권정혜,전진수,최기홍 한국임상심리학회 2003 Korean Journal of Clinical Psychology Vol.22 No.3
The purpose of this study was to develop the Social Behavior Sequencing Task (SBST) measuring social-cognitive ability of schizophrenics and examine its reliability and validity. The Social Behavior Sequencing Task was developed following the format of the Schema component sequencing task used by Corrigan, Wallas, & Green(1992). The final six items of the Social Behavior Sequencing Task were selected based on the results of the preliminary study in which 10 items were administered to 200 college students. To establish the reliability and validity, the Social Behavior Sequencing Task was then administered to 42 schizophrenics attending the community rehabilitation centers and 46 normal adults. Results demonstrated that the Cronbach alpha coefficient was .87 indicating high reliability. It was also shown that there was a significant difference between the schizophrenic group and the normal group on the mean of the SBST, t(86)=-3.40. p < .01. The results of the correlational analyses indicated that the score of the SBST was significantly correlated with the score of the picture arrangement subtest of KEDI-WISC, r=.47, p < .01 but not with the vocabulary subtest of K-WAIS, r=.14, ns. The SBST was also found to be significantly correlated with two measures of social skills(r=.44 & -.58), demonstrating high validity. Implications of the results were discussed along with its limitations.
정신분열병 환자를 위한 사회인지 재활프로그램의 효과:Ⅰ. 1차 연구
권정혜,고영 한국임상심리학회 2002 Korean Journal of Clinical Psychology Vol.21 No.2
The purpose of this study was to evaluate the effectiveness of the social-cognition enhancing rehabilitation program developed by Kwon(2000). The main components of the program were helping schizophrenic patients perceive social situations accurately, understand the interpersonal implications of given social situations, and express nonverbal and verbal behaviors which are socially appropriate. Four clinical trials were performed to evaluate the impact of social-cognition enhancing rehabilitation program on schizophrenic patients' social perception and social skills. For the first, second, third and fourth administration, participants were five, eight, six, and six chronic schizophrenic patients, respectively, who were attending community-based rehabilitation center. They attended ten weekly 60-min-sessions of social-cognition enhancing rehabilitation program. Control group of 20 patients who were institutionalized chronic schizophrenia was compared to the third and fourth treatment group. Both group were administered and rated on the picture arragemenet subtest of KEDI-WISC, Social skills inventory, Interpersonal functioning Inventory, and Social perception test before and after the program. Results of covariance analysis indicated that the social-cognition enhancing rehabilitation program was effective in increasing social skills, but not in enhancing social cognition. The implications of the results were discussed.
권정혜,백선경,김도연,김유정,이명아,최혜진,변자민,정진영,Sam H Ahmedzai,장근두 대한암학회 2021 Cancer Research and Treatment Vol.53 No.1
Purpose This study aimed to validate the Sheffield Profile for Assessment and Referral to Care (SPARC) as an effective tool for screening palliative care needs among Korean cancer patients. Materials and Methods The English version of the SPARC was translated by four Korean oncologists and reconciled by a Korean language specialist and a medical oncologist fluent in English. After the first version of the Korean SPARC (K-SPARC) was developed, back-translation into English was performed by a professional translator and bilingual oncologist. The back-translated version was reviewed by the original author (S.H.A.), and modifications were made (ver. 2). The second version of the K-SPARC was tested against other questionnaires, including the Functional Assessment of Cancer Therapy-General (FACT-G) and the Edmonton Symptom Assessment System (ESAS). Results Thirty patients were enrolled in the pilot trial. Fifteen were male, and the median age was 64.5 years. Six patients had an Eastern Cooperative Oncology Group performance status of 2 or more. All patients except one were receiving chemotherapy. Regarding internal consistency, the Cronbach’s α scores for physical symptoms, psychological issues, religious and spiritual issues, independency and activity, family and social issues, and treatment issues were 0.812, 0.804, 0.589, 0.843, 0.754, and 0.822, respectively. The correlation coefficients between the SPARC and FACT-G were 0.479 (p=0.007) for the physical domain and –0.130 (p=0.493) for the social domain. Conclusion This pilot study indicates that the K-SPARC could be a reliable tool to screen for palliative care needs among Korean cancer patients. A further study to validate our findings is ongoing.