대학생의 수면문제가 우울에 미치는 영향: 인지적 재평가와 표현 억제의 매개 효과를 중심으로

오진실(Jinsill Oh),임정하(JungHa Lim) 한국인간발달학회 2023 人間發達硏究 Vol.30 No.2

본 연구의 주목적은 대학생의 수면문제와 우울 간 관계에서 인지적 재평가와 표현 억제의 매개효과를 검증하는 것이었다. 전국 5개 지역의 대학교에 재학 중인 대학생 375명을 대상으로 자기보고식 온라인 설문조사를 실시였다. 기술통계, 독립표본 t 검증, 상관관계분석, Process Macro 4.1의 병렬다중매개모형을 이용해 자료를 분석하였다. 그 결과, 첫째, 대학생의 수면문제, 인지적 재평가 및 표현 억제와 우울 수준에서 성별에 따른 차이가 유의하지 않았다. 둘째, 대학생들이 수면문제를 자주 경험할수록 인지적 재평가 전략을 더 적게 사용하였고, 우울이 높게 나타났다. 또한 인지적 재평가 전략을 더 많이 사용할수록 우울이 낮게 나타났다. 반면, 표현 억제 전략의 사용은 수면문제나 우울과 별다른 관련성을 보이지 않았다. 셋째, 병렬다중매개모형을 검증한 결과, 대학생의 수면문제는 우울에 직접적으로 영향을 미칠 뿐 아니라 인지적 재평가를 통해 간접적으로도 영향을 미쳤다. 즉 대학생들이 수면문제를 많이 경험할수록 우울이 심했을 뿐 아니라 수면문제를 자주 경험할수록 인지적 재평가 전략을 덜 사용하였으며 이는 우울을 악화시키는 기제로 작용하였다. 이러한 결과는 대학생의 우울 예방 및 중재에 있어 수면의 질 관리 및 적절한 정서조절전략의 사용이 필요함을 시사한다. The purpose of this study is to test the mediating effects of cognitive reappraisal and expressive suppression in the relation between sleep problems and depression in college students. Participants were 375 undergraduate students recruited from nationwide universities. Sleep problems, cognitive reappraisal, expressive suppression, and depression were assessed by a self-report using web-based questionnaires. The data were analyzed using descriptive statistics, t-tests, Pearson’s correlations, and regression analyses in PROCESS macro version 4.1. The major findings are as follows. First, the average levels of sleep problems, cognitive reappraisal, expressive suppression, and depression were not significantly different as a function of gender. Second, greater sleep problems were associated with less use of cognitive reappraisal and higher depressive symptoms while the use of expressive suppression was not associated with sleep problems or depressive symptoms. Third, sleep problems were linked to greater depressive symptoms directly and indirectly by way of less use of cognitive reappraisal. The findings suggest that sleep problems and emotion regulation strategies may play important roles in preventing depression in college students.

구강악안면재건을 위한 천공지 피판의 적용

김성민,오진실,강지영,명훈,이종호,Kim, Soung Min,Oh, Jin Sil,Kang, Ji Young,Myoung, Hoon,Lee, Jong Ho 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.3

Over the past few years, a large number of perforator flaps have been revised by several microsurgeons in the USA, France, Canada and Japan. A perforator flap is a flap of skin or subcutaneous tissue that is based on the dissection of a perforating vessel, which is a perforator. In short, a perforator is a vessel that has its origin in one of the axial vessels of the human body. By reducing any muscle harvesting and trauma to a minimum, perforator flaps aim to minimize donor site morbidity, and by avoiding the transfer of dennervated muscle, the long-term bulk of the free tissue transfer becomes more predictable. There are a finite number of potential perforator flaps in the body, which are based on the named source arteries. The most commonly used perforator flaps are deep inferior epigastric perforator, superior gluteal artery perforator, thoraco dorsal artery perforator, medial sural artery perforator, and anterolateral thigh perforator flap. For a better understanding of perforators as a routine reconstructive procedure in oral and maxillofacial surgery, the definition with nomenclature, classifications with special characteristics, and review points for their individual applications must be learned and memorized by the young doctors in the course regarding the special curriculum periods for the Korean national board of oral and maxillofacial surgery. Perforator flaps have been known to have many advantages, so this review article summarized their applications to the maxillofacial reconstruction in the Korean language.

안면동종이식의 현황고찰과 전망

서미현,이정아,오진실,김성민,명훈,이종호,Seo, Mi Hyun,Lee, Jung A,Oh, Jin Sil,Kim, Soung Min,Myoung, Hoon,Lee, Jong Ho 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.5

Advances in immunosuppressive treatments and microsurgical techniques have rendered composite tissues allotransplantation (CTA), such as heteregeneous or non-organ tissues, possible in humans. CTA has evolved dramatically since the first successful rat hind limb allotransplantation. Numerous clinical applications including face, hand, trachea, larynx, and vascularized joint have been performed. Although composite tissue allografts are still in their infancy, they have opened a new era in the field of transplantation surgery and pathology, so that maxillofacial reconstructive surgeons may occasionally be faced with the challenge of diagnosing skin refection of a composite tissue allograft. Facial allotransplantation (FAT) is a new surgical technique that could be considered as a new paradigm in facial reconstruction. Since the first human FAT had been achieved in 2005, 17 cases have been reported in the world up to date. However, many problems such as life-long immunosuppression, immune rejection, ethical problems and psychological problems are remained, so facial CTA is new reconstructive option with no general acceptance. The authors reviewed the indications, the results of 17 cases and their complications, and additional consideration factors in this article, and intended to raise the awareness of oral and maxillofacial surgeons in this type of facial transplantation.

구강악안면재건을 위한 전외측대퇴피판의 해부학적 고찰

김성민,박정민,오진실,명훈,이종호,Kim, Soung Min,Park, Jung Min,Oh, Jin Sil,Myoung, Hoon,Lee, Jong Ho 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.4

The anterolateral thigh flap (ALTF) is a versatile fasciocutaneous or myocutaneous flap, which can be harvested incorporating several skin islands and muscle components. The perforator of the ALTF is usually derived from the descending or transverse branch of the lateral circumflex femoral artery, and these vessels are based mainly on musculocutaneous perforators traversing the vastus lateralis muscle, and also based on the septocutaneous vessels running in between the rectus femoris and vastus lateralis muscle. Despite its usefulness for the oral cavity reconstruction, anatomic variations of these nutrient vessels, such as three main branches of ALTF and its relations with sartorius, vastus lateralis, tensor fasciae latae and rectus femoris muscle, have been reconstructive surgeons to be hesitated for the selection of ALTF. For the better understanding of ALTF as a routine reconstructive procedure in oral and maxillofacial surgery, various anatomical findings must be learned and memorized by young doctors in the course of the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article will discuss the vascular anatomy and relavant anatomical variations of ALTF with Korean language.

치아 외과적 발거 전 혈액검사의 필요성과 이의 정책적 제시

서미현,김성민,오진실,명훈,이종호,Seo, Mi Hyun,Kim, Soung Min,Oh, Jin Sil,Myoung, Hoon,Lee, Jong Ho 대한악안면성형재건외과학회 2012 Maxillofacial Plastic Reconstructive Surgery Vol.34 No.5

Purpose: The third molar extraction is one of the mostly performed procedures in the department of oral and maxillofacial surgery. In most of dental clinic or hospital, the third molar extraction used to be frequently performed in an office-based surgery, and most patients did not have specific medical history with young ages. Medical history taking are dependent on the only way by asking to the patients about their individual conditions. Therefore, as the specialists of the oral and maxillofacial surgery in the field of dentistry, we suggest a new policy that the preoperative lab must be performed routinely before extraction of the third molar. Methods: This study is based on 1,096 patients who have been managed with third molar extractions, from March 2008 to September 2011 by a single surgeon. The preoperative lab, including complete blood count, coagulation panel, chemistry and serology, was performed before any surgical procedures. The results were informed to the patients regardless of their abnormalities, and any abnormalities related to the surgical procedures, such as platelet count and coagulation factors, were checked and corrected safely. Results: Through the preoperative blood test, systemic diseases that the patients had not recognized before, such as anemia, leukopenia, fatty liver and chronic renal disease, were identified. Patients with acute or chronic leukemia, Hepatitis B, and HIV positive, were also detected as a small number. Also, the possibilities of the cross-infection between dentists and patients or between patients and patients, and any other emergency situations can be prevented; as well as the public health condition can be improved, too. The patients were satisfied with low cost preventive blood test and high quality of medical services. Conclusion: Therefore, routine medical lab testing, including history taking are needed before an office-based minor surgery, such as third molar extractions, and these results were suggested as a new policy in the field of dentistry.

개인의 행복증진활동을 바탕으로 한 부부의 잠재프로파일 유형과 삶의 질 간의 관련성

임정하,권오연,오진실 한국가족학회 2022 가족과 문화 Vol.34 No.3

This study aimed to examine profiles of happiness-enhancing activities in married couples with the performance of goal-focused, recreation, community, and personal-relationship activities and their associations with quality of life. Participants were 274 married couples in their 30s to 50s recruited from the metropolitan area of Seoul and Gyeonggi. Four happiness enhancing activities and quality of life were assessed with a questionnaire in the self-report method. The collected data were analyzed using descriptive statistics, latent profile analysis, paired t-tests, and one-way ANOVAs. Major findings were as follows; first, the application of latent profile analysis resulted in four profiles of married couples in their performance of happiness enhancing activities including occasionally performing couples (26.3%), frequently performing wives (9.5%), frequently performing couples (9.5%), and average performing couples (54.7%). Second, individuals’ quality of life in the frequently performing couples was significantly higher than individuals’ quality of life in the rest of the three profiles. Third, within each profile, husbands’ quality of life was higher than that of wives in the occasionally performing couples and the average performing couples, while wives’ quality of life was significantly higher than that of husbands in the frequently performing wives. The quality of life in married couples was discussed in the divergent performance of happiness-enhancing activities. 본 연구는 남편과 아내 개인의 성취지향, 여가취미, 공동체, 개인적 관계중심 차원의 행복증진활동을 중심으로 성인 부부의 유형을 구분하고자 하였다. 또한, 부부 유형 간 삶의 질을비교하고, 동일 유형 내 남편과 아내의 삶의 질 수준을 비교해보고자 수행되었다. 연구대상은서울 및 경기 지역의 자녀가 있는 30∼50대 부부 274쌍이다. 이들을 대상으로 설문조사를 실시하였으며, 행복증진활동과 삶의 질은 자기보고식으로 평가되었다. 수집된 자료는 기술통계, 잠재프로파일 분석, 대응표본 t 검증, F 검증으로 분석하였다. 주요 연구결과는 다음과 같다. 첫째, 부부 개인의 성취지향, 여가취미, 공동체, 개인적 관계중심 활동 수행정도를 각각의 차원으로 투입해 분류한 부부 유형은 4개로 확인되었다. 4개 유형에는 가끔수행부부형(26.3%), 자주수행아내형(9.5%), 자주수행부부형(9.5%), 보통수행부부형(54.7%)이 포함되었다. 둘째, 행복증진활동으로 분류한 부부 유형들 간 삶의 질을 비교한 결과, 자주수행부부형 부부의 삶의질 수준이 가끔수행부부형, 자주수행아내형, 보통수행부부형 부부에 비해 유의하게 높았다. 셋째, 행복증진활동으로 분류한 각 유형 내 남편과 아내의 삶의 질을 비교한 결과, 가끔수행부부형과 보통수행부부형은 남편들의 삶의 질 수준이, 자주수행아내형은 아내들의 삶의 질수준이 배우자들에 비해 유의하게 더 높게 나타났다. 이를 바탕으로 부부 체계 내 개인의 삶의 질에 있어 본인과 배우자의 행복증진활동의 패턴과 그 시사점에 대해 논의하였다.

구순열의 초음파 진단

서미현,김성민,오진실,명훈,이종호,최진영 대한구순구개열학회 2011 대한구순구개열학회지 Vol.14 No.1·2

The frequency of fetal malformations accounts for around 3-5% and evaluation of the health of the fetus and screening for fetal malformations has become an important part of prenatal care. Improvements in prenatal diagnosis have allowed identification of malformation in fetuses during first and second trimesters of pregnancy. Prenatal ultrasonography has become routine part of antenatal examination. For development of imaging, the accuracy of diagnosis is getting higher and earlier diagnosis of congenital malformation, such as cleft lip and palate, can provide to parent counseling, and opportunity to prepare the further treatment. For the better understanding of congenital cleft lip diagnosis to the oral and maxillofacial surgeons, as healthcare providers, we reviewed around 19 english-written articles and summarized some knowledges of ultrasound findings in the prenatal cleft lip fetus.

점막하구개열의 분류와 평가에 대한 고찰

김현수,김성민,오진실,서미현,명훈,이종호,최진영 대한구순구개열학회 2012 대한구순구개열학회지 Vol.15 No.1

A submucous cleft palate(SMCP) is characterized by a midline deficiency or lack with/without incorrect positioning of muscular tissues in the soft palate, and by a bony defect in the midline or the center of the hard palate. Velopharyngeal incompetence(VPI) related to this SMCP has been managed by various surgical and prosthetic techniques. Because the individual diagnosis and treatment of SMCP patients was not easy to the speech pathologist and to the maxillofacial reconstructive surgeons, and for the better understanding and for the ideal approaches to the SMCP patients, we reviewed several recent articles about grading system in the SMCP caused by VPI, and summarized in this review article.

피부이식편을 보존하기 위한 양수 효능에 대한 고찰

김주현,김성민,오진실,명훈,이종호,최진영 대한구순구개열학회 2011 대한구순구개열학회지 Vol.14 No.1·2

Amniotic fluid is a complex and biological reservoir that provides mechanical cushioning and has many nutrients required for fetal growth and development. During our main research works about the fetal surgery of congenital facial defects, we reviewed several recent articles about the effectiveness and composition of amniotic fluid. Among these review processes, amniotic fluid, as the convenient medium to store sking grafts, was focused especially for its growth factors and rich nutrients, and we summarized some experimental investigations of skin grafts stored in amniotic fluid in rats. We reviewed mainly the article, “Turhan-haktanir N. et al. Histological assessment of skin grafts in amniotic fluid and saline. J Plast Surg Hand Surg 2010;44:226-30.”

국내 TV 드라마에 나타난 가족 다양성에 대한 연구

최은경,송지은,박성민,오진실,임정하 한국가족학회 2021 가족과 문화 Vol.33 No.4

This study aimed to examine the diversity of family configurations reflected in recent television dramas and compare them with the current demographic statistics in the national survey of family status by the Ministry of Gender Equality and Family in South Korea. Sixty-seven dramas aired in 2020 by terrestrial, comprehensive programming, and cable TV channels were selected and analyzed. The analysis focused on the family configurations of 124 main characters in dramas. Major findings are the followings: first, the average number of family members was similar, 2.4 in drama and 2.3 in the 2020 Family Survey. The most common multi-generational household type was a two-generation home both in drama and the 2020 Family Survey, while the distribution of multi-generational household type was different. Second, general features of single-person households in drama included male, 30s, and unmarried, but prevalent 60s and above in age and diverse marital status in the single-person household have appeared in the 2020 Family Survey. The potential effect of family features in television programming on society’s views of the diversity of family was discussed. 본 연구는 최근 국내 TV에서 방영된 드라마 주요 인물의 가족구조가 어떠한지 살펴보고, 이러한 특성이 한국 사회의 실제 가구 또는 가족구조와 어떠한 차이가 있는지 비교해보고자하였다. 이를 위해 2020년 지상파, 종합편성, 케이블 TV에서 방영된 드라마 총 67편을 선정하였다. 드라마 속 주요 인물 124명의 가구 및 가족구조를 분석하고, 이를 여성가족부의 2020년가족실태조사 결과와 비교하였다. 주요 연구결과는 다음과 같다. 첫째, TV 드라마 주요 인물이속한 가족의 구성원 수는 평균 2.4명이었다. 주요 인물이 속한 가구는 2세대 가구인 경우가가장 많았고, 다음으로 1세대 가구, 3세대 가구가 그 뒤를 이었으며, 4세대 이상 가구는 나타나지 않았다. 2020년 가족실태조사 결과에서도 평균 가구원 수는 2.3명, 세대구성에서 2세대 가구가 가장 많았으나, 세대구성별 가구 유형에서는 드라마와 차이를 보였다. 둘째, 주요 인물이속한 1인가구의 특성을 살펴본 결과, 여성보다 남성인 경우가 더 많았고, 30대가 1인가구의과반을 차지하고 있었으며, 60대 이상의 1인가구는 찾아보기 어려웠다. 혼인상태의 경우 미혼상태가 현저히 많았다. 반면, 2020년 가족실태조사 결과에서는 1인가구의 경우, 60세 이상의고령층이 과반을 차지했으며 혼인상태도 다양하게 나타나 드라마와는 차이를 보였다. 이러한결과를 바탕으로 TV 드라마에 나타난 가구 및 가족구조가 현대 사회의 다양성과 변화를 보다잘 반영하여 가족 다양성에 대한 인식을 제고할 필요가 있음을 논의하였다.