인지적 특성과 직무스트레스

우종민,하미나,이동수 한국인지행동치료학회 2002 인지행동치료 Vol.2 No.1

A Study of Mental Health Literacy Among North Korean Refugees in South Korea

우종민,노진원,권영대,유시은,박현춘 대한예방의학회 2015 예방의학회지 Vol.48 No.1

Objectives: This study aimed to investigate North Korean refugees’ knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees’ mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees’ knowledge of mental illnesses. In addition, the evaluations of North Korean refugees’ mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

대량실직과 노사분규 상황에 있는 근로자에 대한 위기중재 프로그램 적용 사례

우종민,채정호,최수찬,Woo, Jong-Min,Chae, Jeong-Ho,Choi, Soo-Chan 대한예방의학회 2010 예방의학회지 Vol.43 No.3

Objectives: Due to the economic crisis and globalization, many workers have been suffering from severe occupational stress due to job insecurity and struggles related to downsizing and restructuring. This study aims to assess the stress levels among workers involved in fierce labor disputes and massive layoffs and to evaluate their specific needs and satisfaction with counseling services set up to help workers cope with severely stressful situations? Methods: The authors provided crisis intervention to workers in traumatic situations to compare the differential level of stress responses and needs among the workers remaining employed in a large auto factory, those laid off by it, and those laid off by other companies in the same region (Pyeongtaek, Gyeonggi Province). We measured stress levels using the worker's stress response inventory (WSRI) and heart rate variability (HRV), and assessed workers' satisfaction with the counseling services. Results: 502 workers participated in the program. Fifty-seven percent of them consulted with occupational problems. The mean WSRI score of the workers remaining employed in the automobile factory was higher than that of the unemployed (employed: $39.8{\pm}19.9$ unemployed: $29.3{\pm}18.8$). Ninety-five percent of workers responded that they were satisfied or very satisfied with the counseling services. Conclusions: This study suggests the urgent need for the establishment of a national crisis intervention program dedicated to supporting workers in severely stressful situations.

새로운 정신건강의학과 진료영역 창출을 위한 방안

우종민,손명하,김경미,채규창 대한신경정신의학회 2014 신경정신의학 Vol.53 No.3

The mission of psychiatric practice is rangesing from alleviating the distress and impairmentcaused by psychiatric disorders to promoting a state of well-being in order to cope with the normalstresses of life and for to improvement of social functioning. Various factors, including socialchanges in general and the change of Psychiatry is are grounded in clinical neuroscience andpublic health. The authors are to review the determinants of changes in clinical practice of psychiatryand to review plausible areas of new clinical practice in psychiatryic both from both aclinical neuroscience and a public health perspective.

관해된 정신분열병과 양극성장애 환자의 언어성 기억 및 학습 기능 비교

우종민,정성심,정인원,김이영,이동수,홍경수 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구목적 : 본 연구는 관해 상태에 있는 정신분열병과 양극성장애 환자의 언어성 기억 및 학습 기능을 평가하고 이를 정상대조군과 비교하여 기억 요소의 질환별 특성을 분석하고자 실시하였다. 방 법 : 관해상태의 정신분열병 환자 30명과 양극성장애 환자 28명 및 정상대조군 72명을 대상으로 성, 연령, 교육연한, 발병연령, 잔여증상, 추체외로증상, 단순주의력 수준을 통제한 후 한글언어청각학습검사를 실시하여, 초과용량 즉각기억, 기억의 등록, 유지, 인출, 재인, 학습전략, 간섭효과를 분석하였다. 결 과 : 한글언어청각학습검사 결과를 세 집단간 비교한 결과, 정신분열병은 전행성 간섭효과를 제외한 모든 항목에서 대조군보다 유의하게 저하된 기억 수행을 보였으며, 양극성장애에 비해서도 대부분의 회상 시도에서 유의한 저하를 보였다. 특징적으로 학습 전략 활용 능력이 저조하였다. 양극성장애는 대조군에비해 즉각기억, 재인,학습전략에서 유의한 차이를 보이지 않았으나, 반복에 따른 회상과 학습은 대조군에 비해 유의하게 저하되었다. 정신분열병에 비해서는 전반적으로 비슷하거나 우월했지만, 간접자극 제시에 의한 회상 저하는 세 집단 중 가장 크게 나타났다. 환자군에서 검사성적에 대한 임상적 특성의 설명력을 분석한 결과, 정신분열병에서는 BPRS의 무력증 소척도, 유병기간, 입원횟수 등이 유의한 설명력을 갖는 것으로 나타났고, 양극성장애에서는 우울삽화 횟수가 유의한 설명력을 갖는 것으로 나타났다. 결 론 : 관해상태의 양극성장애와 정신분열병 모두에서 대조군과 구별되는 언어성 기억 및 학습 기능 저하가 관찰되었다. 이러한 기억 및 학습 기능의 결함은 이들 두 장애의 고유한 질병 특성 표지자일 가능성이 높으며, 향후 이들 질환의 병태생리를 이해하고 치료적 접근 방법을 모색하는 데에 단초가 될 수 있을 것이다. Objectives : This study was to investigate the verbal memory and learning ability in remitted schizophrenic patients and euthymic bipolar patients in order to explore trait-dependent cognitive deficits of each disorder. Methods : Verbal memory was assessed with KAVLT(the Korean version of Rey Auditory Verbal Learning Test) in outpatients with remitted schizophrenia(N=30), euthmic bipolar disorder(N=28), and normal control(N=72), KAVLT is made for assessment of immediate supraspan memory, registration, retention, retrieval, recognition, learning strategy, and interference effect. Several confounding factors including age, sex, educational level, attention span, residual psychopathology, and extrapyramidal symptoms were controlled among 3 groups. Patient groups were matched according to the age of onset, duration of illness, and frequency of hospitalization. Results : 1) The performance of bipolar group generally fall between the performance of schizophrenia and normal controls, while being most impaired in retroactive interference. Schizophrenic group showed significant impairment on most variables of KAVLT in comparison with the groups of bipolar disorder and normal control. 2) Within group analysis revealed that residual negative symptoms, duration of illness, and number of admission were highly correlated with the impairment of verbal memory and learning in schizophrenics. Number of depressive episodes and age were negatively correlated with verbal memory and learning among bipolar disorder patients. Conclusions : Both remitted schizophrenia and euthymic bipolar patients showed distinctive impairment in verbal memory and learning compared with controls. These results suggest that apecific impairment of verbal memory and learning in remitted state can be trait-dependent marker in both diseases. These deficits can give clues to the understanding of the pathophysiology and searching for more appropriate therapeutic interventions of mental disorders to improve cognitive deficits in remitted patients.

심박동수 변이(Heart Rate Variability) 측정법의 개념과 임상적 활용

우종민,Woo, Jong-Min 한국정신신체의학회 2004 정신신체의학 Vol.12 No.1

신경심장학의 발전으로 중추신경 활성이 심장의 전기적 활동도에 미치는 영향이 밝혀지고 있고, 심박동수변이(Heart rate variability, HRV)가 정신적 스트레스와 심혈관질환의 기계적 연관성을 나타내는 중요한 지표로 제기되고 있다. HRV란 자율신경계의 정상적 상호작용에 의해 나타나는 생리적인 심박수 변동을 타나내며, 자율신경 기능을 정량화하여 측정할 수 있는 방법론이다. 분석 방법은 시간 영역 분석과 주파수 영역 분석으로 나눌 수 있으며, 측정 시간대에 따라 단기간 측정과 24시간 측정 등의 방법이 확립되어 있다. 임상적으로는 변이 정도, 교감신경과 부교감신경의 활성과 균형도를 파악하여 다양한 질환과 스트레스 등의 진단과 치료 및 예후 판정에 활용되고 있다. HRV를 이용한 바이오피드백도 최근 자율신경 관련 질환의 치료에 활용되고 있다. 향후 다양한 프로토콜의 개발과 임상적 적용이 필요할 것으로 보인다. In this article, the effects of stress on central nerve system and heart function and the concept of heart rate variability were reviewed. HRV(Heart Rate Variability), the periodical change of the heart rate, is indicated larger in the healthier because they respond flexibly to various sorts of facts influencing on HR. HRV analysis is largely composed of the time domain analysis and the frequency analysis. In the former the flexibility of heart function is analysed, while in the latter autonomic nerve function is examined, which is the degree of sympathetic and parasympathetic nerve activity and the state of balance. Furthermore, existence or nonexistence of disease and/or level of stress can be estimated by measuring the variability and normality of heart rate, and balance of autonomic nerve system, and through HRV biofeedback the symptoms of anxiety disorder or asthma can be reduced.

근로자 당면문제가 스트레스와 업무 수행도에 미치는 영향

우종민,최수찬,김대성 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.4

Objective : This study was conducted to determine the effects of workers' current problems to the perceived stress and work performance among manufacturing industry workers in Korea. Methods : Responses to structured survey questionnaires were received from 556 workers at 7 medium-sized manufacturing factories in Gyeongsang Province. Results : Among the 556 responders, health problems, job stress, and life stress showed significant effect on their perceived stress. Job stress showed significant effect on workers' lateness and early leaving, and culture & leisure problems on absenteeism. Health problems and job stress took negative effects on their job concentration difficulty. The severity of these problems were related with the desired length of retention. Conclusion : We proved the effect of workers' current problems to their performance. The study results will be helpful to clarify what EAP services should be considered to solve these problems at a certain organization.

골프선수들의 전지훈련 환경기대와 몰입, 만족, 성과와의 관계 연구

우종민,김도훈 한국골프학회 2022 골프연구 Vol.16 No.3

[Purpose] This study was conducted with the aim of providing basic data to flexibly and flexibly cope with golf course operation by investigating the structural relationship between athletes' environmental expectations, immersion, satisfaction, and performance through off-season training. [Method] To this end, a survey was conducted on 300 players from seven golf courses located in Jeju Island in February 2021 using the convenience sampling method. The following results were obtained. [Result] First, in the relationship between environmental expectations and immersion, the convenience of environmental expectations, golf courses, and services had a significant effect on immersion, but incidental costs did not significantly affect immersion. Second, in the relationship between environmental expectations and satisfaction, all factors of environmental expectations had a significant effect on satisfaction, and third, immersion and satisfaction were also found to have a positive effect on performance. [Conclusion] In order to respond quickly to the rapidly changing golf course environment such as the post-COVID-19 era, golf courses are thought to need flexible and flexible marketing strategies in search of the needs of various consumers [목적] 이 연구에서는 골프선수들의 전지훈련을 통한 선수들의 환경기대와 몰입, 만족, 성과와의 구조적 관계를 규명하여 환경의 변화에 발빠르게 대처하고 다양한 경영전력을 세우는데 기초자료를 제공하는데 그 목적을 두고 연구를 진행하였다. [방법] 이를 위해 편의표본추출법을 이용하여 2021년 2월 제주도에 소재하고 있고 선수들이 주로 훈련하고 있는 골프장 7군데 선수 310명을 대상으로 설문조사를 실시하였다. [결과] 다음의 결과를 얻었다. 첫째, 환경기대와 몰입의 관계에서 환경기대의 편의성, 골프코스, 서비스는 몰입에 유의한 영향을 미쳤지만, 부대비용은 몰입에 유의한 영향을 미치지 않는 것으로 나타났다. 둘째, 환경기대와 만족의 관계에서는 환경기대의 모든요인이 만족에 유의한 영향을 미쳤고, 셋째, 몰입과 만족 또한 성과에 정적영향을 미치는 것으로 나타났다. [결론] 포스트코로나시대등 급변하는 골프장 환경의 발 빠른 대처를 위해 골프장들은 다양한 소비자들의 요구를 찾아 유연하고 탄력적인 마케팅 전략이 필요한 시점이라 생각된다.

병원종사자의 직업성 스트레스

우종민 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Hospital workers must deal with life-threatening injuries and illnesses complicated by various work-related stressors. This study attempted to identify the categories of work stress among hospital workers. We found that hospital workers are suffering from some of the most stressful situations found in any workplace. Through the qualitative interview analysis, we also found that caring emotional labor and complex hierarchical organizational structure were important stressors for the Korean hospital workers. Some tentative explanations of this finding are presented, and suggestions for the effective stress management are made for future research efforts.

내과질환에 동반된 불안증상에 대한 약물치료

우종민,이창수,Woo, Jong-Min,Lee, Chang-Soo 한국정신신체의학회 2007 정신신체의학 Vol.15 No.1

진료현장에서 불안증상은 흔하게 접하는 정신과적 병리이다 불안증상과 내과질환의 동시 이환은 비단 진단적인 문제뿐 아니라, 예후와 치료결과에도 관련된 문제이다. 내과질환에 동반된 불안증상은 상황에 따라 치료되어야 하며, 필요한 경우에는 약물치료가 필요하다. 불안을 조절하기 위해 사용되는 약물은 모두 치료제로 고려될 수 있으며, 내과질환의 종류, 이학적 상태 및 불안 정도에 따라 적절한 항우울제나 항불안제를 선택할 수 있다. 경우에 따라서는 항정신병약물이나 직접적인 항불안작용이 없는 약물을 선택할 수도 있다. 환자의 상태에 따라서 불안증상 조절을 위한 약물 사용에 각별한 주의가 필요하다. Anxiety disorders are common illness to general physician. The comorbidity between anxiety disorders and medical illness is not only a diagnostic issue, but also has implications of the course of the disease and its outcome. The comorbid condition requires consideration of each individual illness, their psychological and physiological condition. This article aims to review the literature on the prevalence of anxiety disorders in patients prescribing to psychiatrists and to discuss pharmacological treatment options for patients with a comorbid anxiety disorder and medical illness.