Implication of Social Rejection in Cognitive Bias Modification Interpretation Training in Adolescents With Eating Disorders

김율리,이소희,조연선 대한소아청소년 정신의학회 2024 소아청소년정신의학 Vol.35 No.2

Objectives: Difficulties in interpersonal relationships intensify negative emotions and act as risk and maintenance factors for eating pathology in eating disorders. Rejection sensitivity refers to the tendency to react sensitively to a rejection. Patients with eating disorders experience difficulties in interpersonal relationships because of their high sensitivity to rejection. Cognitive bias modification interpretation (CBM-I) is a treatment developed to correct interpretation bias for social and emotional stimuli. In this review, we searched for research characteristics and trends through a systematic literature analysis of CBM-I for eating disorders. Methods: Five papers that met the selection and exclusion criteria were included in the final literature review and analyzed according to detailed topics (participant characteristics, design, and results). Results: The literature supports the efficacy of the CBM-I in reducing negative interpretation bias and eating disorder psychopathology in patients with eating disorders. CBM-I targets emotional dysregulation in adolescent patients with eating disorders and serves as an additional strengthening psychotherapy to alleviate eating disorder symptoms. Conclusion: The current findings highlight the potential of CBM-I as an individualized adjunctive treatment for adolescents with eating disorders and social functioning problems.

일본의 ‘안락사 사건’과 안락사에 대한 논의

김율리 서울대학교 일본연구소 2023 일본비평 Vol.- No.29

This paper analyzes the “euthanasia trials” that have attracted attention in Japanese society from the postwar period to the present, categorizing them into three types and examining the characteristics of each. It then investigates the current debate over euthanasia in Japan. In the first type of euthanasia trial, euthanasia is performed by a family member at the request of a patient experiencing excruciating pain. In the second type, it is performed by a doctor at a hospital without the patient’s request. In the last type, the patient themselves searches for methods of euthanasia through the internet and social media. The change in the types of euthanasia trials is partly due to changes in the society and the medical environment, but it can also be attributed to an increased discussion of what constitutes “good death” and the emphasis on patient’s right to self-determination. By 2030, it is expected that 30% of Japan’s population will be the aged. Examining the direction in which the debate on “how to die” and “good death” will progress in Japanese society would provide a clue for solving problems faced by South Korea, which is experiencing more accelerated population aging than Japan.

섭식장애의 신체적 이상과 치료

김율리 대한의사협회 2018 대한의사협회지 Vol.61 No.3

As the physical abnormalities seen in eating disorders seem to be largely secondary to these patients' disturbed eating habits and their compromised nutritional state, most physical abnormalities associated with eating disorders are reversed by restoring healthy eating habits and sound nutrition. However, some medical consequences of eating disorders are irreversible or have later repercussions on health, especially those affecting the skeleton, the reproductive system, and the brain. Early medical intervention and psychiatric treatment are particularly important for those with or at risk of severe emaciation. Eating disorders are common among adolescent girls and young women and are associated with potentially serious medical complications, yet they often go undetected and untreated. All patients with eating disorders should be evaluated and treated for medical complications of the disease at the same time that psychotherapy and nutritional counseling are undertaken.

의사조력자살을 둘러싼 윤리적 쟁점 - ‘조력존엄사’ 개정안을 중심으로 -

김율리 한국의료윤리학회 2022 한국의료윤리학회지 Vol.25 No.4

Discussions are currently underway in South Korean society about the possibility of legalizing physician-assisted suicide. There is an opinion that the legalization of physician-assisted suicide would guarantee patients’ right to a self-determined death and enable patients to die with dignity. Others contend that it would be premature at best to legalize physician-assisted suicide in South Korea since (a) there is no social consensus on the issue within Korean society, (b) the country lacks a well-established system of hospice and palliative care, and (c) the country has a relatively high suicide rate. This article analyzes several cases from countries that have already legalized physi-cian-assisted suicide in an attempt to identify the likely social and ethical implications of legalizing physician-assisted suicide in South Korea.

노년기 부부의 사회활동 참여수준이 부부관계 만족도에 미치는 영향에 대한 우울감의 매개효과: APIMeM 모형을 활용하여

김율리,주수산나,이예슬,김현경 대한가정학회 2022 Human Ecology Research(HER) Vol.60 No.3

This study aimed at examining the mediation effects of depressive symptoms on the association between social activity participation and marital satisfaction among couples in later life. The study included 1,196 married couples aged 65 or above who participated in the 7th Korean Longitudinal Study of Aging in 2018. The study variables were husbands’ and wives’ social activity participation, marital satisfaction, and depressive symptoms. Covariates were individual age, education level, subjective health, couples’ household income, and number of children. The Actor-Partner Interdependence Mediation Model (APIMeM) and bootstrapping techniques were used to test the significance of the mediating impacts of depressive symptoms based on the dyadic data structure. The results showed that for both husbands and wives, active participation in social activities had significant effects on increasing marital satisfaction through lowering depressive symptoms. However, only the participation of husbands in social activities was positively associated with their own marital satisfaction by reducing their own and their partner’s depressive symptoms. These findings suggest that the active social participation of individuals salient for promoting the quality of marital relationships in later life, particularly for preventing their own and their spouse’s depressive symptoms.

노년기 부부의 사회활동 참여수준이 부부관계 만족도에 미치는 영향에 대한 우울감의 매개효과: APIMeM 모형을 활용하여

김율리,주수산나,이예슬,김현경 가정과삶의질학회 2022 가정과삶의질학회 학술발표대회 자료집 Vol.2022 No.5

한국판 사회기능척도를 이용한 성격장애의 심각도에 따른 사회적 기능 이상

김율리,황순택,김성곤,이홍석 대한신경정신의학회 2015 신경정신의학 Vol.54 No.4

Objectives The aims of this study were to examine validity and reliability of the Korean version of the Social Function Questionnaire (SFQ) and evaluated social function with SFQ in patients with personality disorder. Methods The SFQ was administered to 186 psychiatric patients (155 patients with personality disorder and 31 patients without personality disorder), and 22 healthy men were recruited to ex¬amine the test-retest reliability of SFQ. The severity of personality disorders was determined using the proposed the International Classification of Diseases (ICD)-11th revision (ICD-11) personality disorders. All participants completed the NEO-Five Factor Inventory, Beck Depression Inventory, and Spielberger State and Trait Anxiety Inventory to examine the convergent validity of SFQ. Results The Korean version of the SFQ showed good internal consistency (Cronbach’s al¬pha=0.811) and test-retest reliability (r=0.746). Patients with personality disorder had more social dysfunction than those without personality disorder. A graded increase in social dysfunction was observed with increasing severity of personality disorder. Social dysfunction showed a strong lin¬ear relationship with the 5 factor model. Conclusion The Korean version of the SFQ has good psychometric properties. The results of our study support the severity classification of personality disorder integrated to upcoming ICD-11.

중증지속단계 섭식장애

김율리 대한소아청소년정신의학회 2018 대한소아청소년정신의학회 학술대회논문집 Vol.2018 No.11

소아청소년 신경성 식욕부진증

김율리 대한소아청소년정신의학회 2022 대한소아청소년정신의학회 학술대회논문집 Vol.2022 No.11

섭식장애의 생물학적 및 정서적 병인기전에 대한 새로운 지견

김율리,Kim, Youl-Ri 대한생물정신의학회 2013 생물정신의학 Vol.20 No.3

Objectives This paper aims to understand the emotional-biological pathogenesis of eating disorders, and translate the understanding into new brain directed treatments. Methods The first part of the review sets the eating behavior into the context of what is now understood about the central control of appetite and molecular biology. The second part of the review sees how emotion relates to the brain circuit involving eating disorders. Results In general, patients with anorexia nervosa restricting type were less sensitive to reward, whereas patients with bulimia nervosa and anorexia nervosa binge purging type were more sensitive to it. The emotional life of people with eating disorders centers on food, weight, and shape. The abnormalities in social and emotional functioning both precede and persist outside of eating disorders. Conclusions Research into understanding the biological framework of the brain in eating disorders suggests that abnormalities may exist in emotional and information processing. This aspect can be translated into novel brain-directed treatments, particularly in anorexia nervosa.