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      • KCI등재
      • KCI등재

        알코올중독자의 병식 수준과 심리적 특성의 관계

        김석산(Seog-San Kim),신재정(Jae-Jung Shin),황인복(In-Bok Whang),채숙희(Suk-Hi Chai) 한국중독정신의학회 2002 중독정신의학 Vol.6 No.1

        Objectives:When we treat alcoholism, we frequently meet the alcoholic patients’ defense mechanism such as denial, minimization, projection, rationalization and so on. For successful recovery, alcoholic patients must have the true insight. But most alcoholic patients rarely have it. This study was intended to investigate the relationship between insight level and psychological characteristics in alcoholic patients. Method:The subjects participated in this study were 147 alcoholic patients who were diagnosed as alcohol dependence by DSM-IV and NAST and were admitted to Dasarang Alcohol Hospital, Kwang-ju between April and October, 2001. The subjects were divided into three groups according to insight level. Subjects were surveyed by questionnaire about the sociodemographic data, clinical data, HAIS, alcohol problem scale, self-esteem scale, social support scale, BDI and STAI. Results:Among 147 subjects, 33 (22.4%) were ‘good insight group’, 73 (49.7%) were ‘fair insight group’, 41 (27.9%) were ‘poor insight group’. This study showed the group of lower insight level was the older alcoholic patients. Insight level was higher when the patients’ admission type was voluntary, when alcoholic patients had admitted in the department of internal medicine because of alcohol related physical illness and when frequency of admission was high. Both Lower BDI score and absence of current physical illness were shown in the groups who were higher insight level. The ‘poor insight group’ was shown the highest BDI and STAI scores and the lowest social support scores. Hierarchical multiple regression, which considered sociodemographic, clinical and psychological variables simultaneously, showed that the insight of alcoholics was significantly predicted from frequency of admission, occupational-social problem, age, education and behavior problem. Conclusion:If the insight level is lower, the alcoholic will be more depressed and anxious. To increase the alcoholic patients’ insight, 1) it is effective for them to confront their own occupational-social and behavior problem. 2) we should help alcoholic patients enter to therapy when alcohol problem occur. The sooner, the better.

      • KCI등재

        일 정신병원에 입원한 알코올의존 환자들의 특성

        장봉철(Bong-Chul Jang),신재정(Jae-Jung Shin),김선아(Sun-Ah Kim),조현섭(Hyun-Seob Cho),최용성(Yong-Sung Choi),이창화(Chang-Hwa Lee) 한국중독정신의학회 1998 중독정신의학 Vol.2 No.1

        To determine the characteristics of alcohol dependent patients, total 568 psychiatric records of 373 alcohol dependent patients who had been admitted to St. Andrew’s Hospital from 1991 to 1996 were reviewed. And alcohol dependence was rediagnosed according to DSM-Ⅳ criteria. Date from psychiatric records including sex, age, education, occupation, religion, history of familial alcoholism, marital state, attendant, habitat, course of admission, type of discharge, duration of admission, presence of delirium tremens and MMPI scale were obtained. In the demographic findings, 95.2% of alcohol dependent inpatients were male, and mean age on admission of total patients was 43.1±11.1 years. Education background of the reviewed patients was higher than the general population. Among the alcohol dependent patients, 40.5% had no religion, 41.6% were jobless, 76.4% continued marital life and 20.6% had a history of familial alcoholism. Most of patients’ caretakers were family members or partners. 71.9% of the patients came from cities, 37.9% admitted via emergency room and 34.5% discharged agsinst medical advice. The admission rate of alcohol dependent patients increased annually. The monthly admission rate of alcohol dependent patients was the highest in November, and second highest in June. The rate of alcohol withdrawal delirium decreased annually and the mean annual rate was 14.6%. The mean duration of the admission was 44.4±45.0 days, of which 52.1% were less than a month. In MMPI scales, the validity scales showed inverted V shape and clinical scales showed more elevated t-scores of the Pd, Pa, and Ma scale which suggest antisocial, neurotic and psychotic features among alcohol dependent patients.

      • KCI등재

        알코올 의존 환자의 변화의 과정 및 준비도 척도의 신뢰도와 타당도 연구

        임조영(Jo-Young Lim),신재정(Jae-Jung Shin),조현섭(Hyun-Seob Cho) 한국중독정신의학회 1999 중독정신의학 Vol.3 No.2

        This study was performed to examine the reliability and validity of DiClemente’s processes of change scale (SPOC) and readiness to change scale (SRTC) for alcoholic patients by means of Korean version. The subject of the study were 163 alcohol dependence patients who were admitted. The results were as follows:1) The reliability of the Korean version that was examined by internal consistency was found to be high (Cronbach alpha of SPOC was .94 and that of SRTC was .85). 2) Factor analysis of 65 items resulted in a seven factor solution accounting for 49.3% of total explained variance. The seven factors were interpreted as self-reevaluation and environmental reevaluation, helping relationships and feedback, consciousness raising, self-liberation, interpersonal system/ control stimulus, stimulus control, and physical intervention. Among the seven factors, stimulus control was discarded because of the proportion of that factor was so small. 3) In the correlations between stage and processes of change, the subscales of the SPOC, except physical intervention and interpersonal system/control stimulus, were significant correlated with contemplation, action and maintain stages. In conclusion, there are similarity and difference between the results of this study and original description. Further study is indicated to understand cultural implication and to evaluate general applicability of the scale.

      • KCI등재

        역할놀이 학습이 아동의 언어표현력에 미치는 영향

        신재정 한국아동교육학회 2000 아동교육 Vol.9 No.1

        This study was intended to investigate the effects of role-play learning on children's verbal skill of expression. The subjects were 72 first-graders from an elementary school located in Talsu District, Taegu City. Sampled from two classes, they were distributed to 2 groups, experimental and control groups which had 36 subjects each. The experiment was implemented for a duration of 4 weeks from Sep. 9, 1999 till Oct. 9, 1999. The experimental group participated in the role-play learning for 1 hr. every day. The test instrument originally designed by Cho, Kyong Mee was redesigned to test the expression ability. The results of this study were as follows: 1. The subjects who had participated in the role-play learning showed the higher level of achievement than those of the control group in the seeing pictures and story making activity which was a sub-element of the verbal expression skill. 2. The subjects who had participated in the role-play learning showed the higher level of achievement than those of the control group in the activity of seeing pictures and story making with strong relation which was a sub-element of the verbal expression skill. 3. There revealed no meaningful difference according to sex in the verbal skill of expression.

      • KCI등재

        Ethanol Patch Test와 음주 후 불편감과의 관계에 대한 연구

        신재정,장환일,김경빈 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.1

        It has been well known that alcoholism is influenced by multiple factors such as biological, social and familial factors. Recently many researches are focusing on further investigation of biological aspects, especially on enzymes of acetaldehyde metabolism. The low Km aldehyde dehydrogenase(ALDH-I) has been implicated to play a major part in the metabolism of acetaldehyde. Therefore ALDH-I deficiency has been assumed to give rise to aversive effects to alcohol which are caused by a high blood acetaldehyde concentration. Recently Ethanol Patch Test(EPT) was suggested as a screening test to dectect ALDH-I deficiency. The mechanism of skin erythema of EPT is presumed to involve vasodilatatlon due to an accumulation of acetaldehyde in the skin. The lack of ALDH-I in the skin may be responsible for the delayed metabolism of acetaldehyde. This study was designed to evaluate the relationship between time of disappearance of skin erythema in EPT and aversive effects to alcohol in 38 alcoholic patients and 42 control subject. The results was as follow : 1) The difference of total lenght of times of disappearance of skin erythema in EPT between two groups was significant. 2)When a patch area showed erythema 10 minutes after removal, it was judged to be ALDH-I dificiency. 10.52% of alcoholic patients and 32.55% of control subjects were catergorized as ALDH-I deficient. 3) When the results of EPT were compared according to response degrees on each item in two groups, significant items were No. 1, 2, 14. 4) When the results of EPT were compared according to total scores on each dimension in two groups, physiological aversive and psychological aversive dimensions were significantly correlated only in control subjects.

      • 은행산업의 구조조정 1998-2004

        신재정 국민대학교 경영연구소 2005 북악경영연구 Vol.- No.11

        이 연구는 지난 7년간 진행되었던 우리나라 은행산업의 구조조정에 관한 주요 내용을 개관하고 그 진행방향이 바람직한지, 그 성과가 어떤가를 고찰함으로써 향후추가로 진행될 은행산업 구조조정 방향과 내용에 관하여 의미있는 시사점을 모색하는데 있다. 다소 문제가 있기는 해도 그간의 1차, 2차에 걸쳐 진행된 구조조정은 정부 당국과 해당 은행들이 주어진 제약조건과 환경 속에서 적극 노력한 결과, 은행 대형화에 의한 대외 신인도 향상과 리스크 관리의 강화, 수익구조의 다변화 등 아쉬운 대로 긍정적인 측면을 보여주었으며 이제까지의 경험과 실적을 바탕으로 보다 면밀하고 합리적인 방안을 수립하는 한편 종래의 방향을 일부 보완한다면 소기의 성과를 거둘 수 있을 것으로 보여진다. 그러기 위해서는 하루가 다르게 급변하는 세계 금융질서를 직시하고 보다 새로운 감각으로 우리나라 은행산업의 발전방향을 보아야 할 것이고 공정하고 투명한 토양을 조성함과 아울러 그러한 토대위에서 국제적 경쟁력을 향상시킬 수 있는 구조조정 방안을 추가할 필요가 있는 것이다. The purpose of this study is to review the process and performance of the innovation and restructurring of banking industry in Korea during 1997-2004, and to propose some alternatives which may cotribute to the development of Korean banking industry. After the innovation, most of the banks became bigger in the aspect of their total assets and their financial structures were improved though the profitability were not, due to the bad debt. In the conclusion, some alternatives were discussed and proposed. The main contets are as following; 1. introduction·purpose of the study 2. the environment of Korean banking industry 3. the necessity of the innovation and restructurring 4. the princilpes of the innovation 5. the process and performance of the innovation 6. the results and the problens 7. summary and the conclusion

      • 자산투자의 효율성 검정

        신재정 국민대학교 경영연구소 2004 북악경영연구 Vol.- No.10

        본 연구는 자산에 대한 투자가 효율적이면 그 결과 각종 활동성 지표와 수익성 지표가 우량한지 여부와 그 결과 투자자에게 좋은 투자지표를 제공하는 것이 되어 기업가치가 높게 나타나는지 여부를 실증 분석하는 것이 연구의 핵심이며 다른 한편으로는 이 연구에서 주요 변수로 활용되는 유동자산 영업이익율과 고정자산 영업이익율 등 두 비율의 유용성 검정 또한 연구의 주요목적이 된다 할 것이다. 실증분석결과, 분석기간 동안 유동자산영업이익율은 2002년을 제외한 나머지 3개년도에 총자산순이익율과 유의적인 관계를 가지고 있었고, 고정자산영업이익율은 1999년도를 제외한 나머지 3개년도에 총자산순이익율과 유의적인 관계를 가지고 있었다. 그러나 나머지 비율들은 평균의 차이가 없는 것으로 나타나 유동자산 영업이익율과 고정자산영업이익율의 증감이 수익성관련비율의 변화에 영향을 미치지 않는 것으로 나타났다. This study is to verify the efficiency of asset investment by using two financial ratios; ratio of current asset to operating profit, and ratio of fixed asset to operating profit. In the conclusion, the two ratio was verified to be useful, within some limits, to test the efficiency of asset investment.

      • KCI등재

        간질 환자의 불안과 우울에 관한 연구

        변재영,장환일,신재정 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.6

        The authors attempted to evaluate the severity of anxiety and depression in 36 epileptic patients who were out-patients at the department of neuropsychiatry of Kyung Hee University Hospital and Seoul National Mental Hospital in January through March, 1988 General Health questionnaire(GHQ), Zung’s Self-Rating Anxiety Scale(SAS) and Beck Depression Inventory(BDI) were administered to control and study group, and the scores of each checklist were compared in relation with the duration of epilepsy. The summary of the results were as follows: 1) The mean scores of GHQ were 10.67±4.92 in the epileptic patients and 6.71±2.22 in the control subjects. There was significant difference in the GHQ scores between the epileptic patients and the control subjects.The authors attempted to evaluate the severity of anxiety and depression in 36 epileptic patients who were out-patients at the department of neuropsychiatry of Kyung Hee University Hospital and Seoul National Mental Hospital in January through March, 1988 General Health questionnaire(GHQ),Zung’s Self-Rating Anxiety Scale(SAS) and Beck Depression Inventory(BDI) were administered to control and study group, and the scores of each checklist were compared in relation with the duration of ephilepsy. The summarry of the results were as follows: 1) The mean scores of GHQ were 10.67±4.92 in the epileptic patients and 6.71±2.22 in the control subjects. There was significant difference in the GHQ scores between the epileptic patients and the control subjects. 2) The mean scores of SAS were 36.67±9.96 in the epileptic patients and 28.33±6.41 in the control subjects. The difference in the SAS scores was significant between the epileptic patients and the control subjects. 3) The mean scores of BDI were 17.94±10.47 in the epileptic patients and 10.12±6.69 in the control subjects. The difference was significant. 4) The scores of 3 factors of BDI;“somatization”, Kunsatisfaction of interpersonal relationship” and“self-reproach”were significantly higher in the epileptic patients than in the control subjects. 5) The scores of GHQ, SAS and BDI were significantly lowered in epileptic patients with longer duration of illness, compared to those with shorter duration.

      • 한국 제조업의 경영성과(1970-2000)

        신재정 국민대학교 경영연구소 2003 북악경영연구 Vol.- No.9

        기업의 경영성과는 경영자의 성과이면서 동시에 경영환경의 산물이기도 하다. 경영자가 종업원, 고개 등 경영환경을 어떻게 분석하고 대처하였는가가 큰 변수이다 지난 30여년 동안 우리 경제는 커다란 성장과 발전을 이룩하였으며 그 원동력은 자본주의라는 경제풍토를 바탕으로 합법적 범위 안에서 이윤추구를 지속한 기업, 특히 제조기업의 경영 성과라 하여도 과언은 아닐 것이다. 1970년이라면 우리나라 경제규모를 볼 때 GNP는 209억불로써 2000년 GNP 4,574억불의 1/22에 불과하였고 수출규모 역시 2000년 1,722억불의 1/34에 불과한 51억불에 그쳤었다. 이러한 성장과 발전의 과정에서 한국의 제조업은 그 자산투자구조와 자본구조 및 손익구조에서 현저한 변화를 보였는데 (1) 자본구조에서는 유동자산의 비중이 크게 줄어든 반면 고정자산의 비중이 늘어났고 이는 우리 제조업의 규모의 이익을 얻기 위한 경영자의 설비투자 충실화의 노력 이외에 1990년 전반에 있었던 급격한 인건비 상승 및 노사 관계의 악화를 극복하려는 노력의 결과로 해석된다. (2) 자본구조에서는 자기자본의 비중이 70년대의 22%에서 2000년에는 31%로 크게 증가하였으며 이는 한국제조기업이 외형적 성장과 더불어 질적 개선을 이룩한 사실을 보여주는 증거라 할 것이다. 특히 부채 가운데 기업의 유동성과 안전성을 저해하는 유동부채의 비중이 70년의 43.7%에서 2000년에는 38.8%로 축소되어 기업 자금관리가 다소 개선되었다. (3) 손익구조에서 중요한 변화는 자기자본이익율이나 총자본이익율 등 자본투자 효율이 70년대의 3-4% 수준에서 2000년에는 0.1-0.5%대로 크게 악화되었는데 매출원가율이 같은 기간동안 2% 이상 감소된 것을 감안하면 영업부문 및 관리부문과 금융비용 및 환 위험관리면서 상당한 비효율성이 존재하는 것으로 파악된다. (4) 이러한 점은 따라서 한국의 제조업이 국제경쟁력의 제고와 수익성 향상을 위해서는 상당한 수준의 구조조정과 연구개발활동이 강화되어야 할 것을 시사한다. This study is to review and evaluate the performance of Korean manufacturing industry during 1970-2000. The followings are the main findings of the study: ① in the aspect of asset allocation, in 2000, the industry invested more in facilities(fixed assets) than the current assets, in 2000, ② recently, the industry showed a tendency that they rely more on equity than on liabilities comparing that of 1970', ③ the effectivness of capital investment in manufacturing firms was decreased during the period.

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