대학생의 스트레스 대처가 심리적 안녕감에 미치는 영향: 개인적 의미와 영적 의미의 매개효과

윤태상,신희천 한국청소년상담복지개발원 2018 청소년상담연구 Vol.26 No.2

This study examined whether the meaning of life mediated the effect of stress coping on psychological well-being, according to the Meaning Making Model of Park and Folkman (1997). Especially classifying meaning in life into two dimensions of personal meaning and spiritual meaning, according to Mascaro and Rosen (2006)’s suggestion. The participants were completed questionnaires, including the Ways of Coping Checklist (WCC), Life Regard Index-Framework (LRI-Framework), Spiritual Meaning Scale (SMS), and Psychological Well-being Scale (PWBS), and a total of 233 data were analyzed by structural equation modeling. As a result, the personal meaning was mediated the relations between problem-focused coping and psychological well-being. However, the relation with emotion-focused coping was not significant. The spiritual meaning was a significant mediating effect on both the individual relationship of problem-focused coping and emotion-focused coping with psychological well-being. The implications of these findings and the limitations of the research were discussed. 본 연구는 Park과 Folkman(1997)이 제안한 의미 형성 모델(Meaning Making Model)의 이론적 관점에 근거하여 대학생의 스트레스 대처가 심리적 안녕감에 미치는 영향을 삶의 의미가 매개하는지를 검증하였으며, 삶의 의미는 개인적 의미와 영적 의미의 두 가지 차원으로 구분하여 살펴보았다. 이를 위해 대학생 233명을 대상으로 스트레스 대처 척도, 인생 관점 지표 체계(Life Regard Index-Framework), 영적 의미 척도(Spiritual Meaning Scale), 심리적 안녕감 척도(Psychological Well-being Scale)의 자기보고식 설문을 실시하였으며, 구조방정식 모형으로 분석하였다. 검증 결과, 개인적 의미는 문제 중심적 대처와 심리적 안녕감 간의 관계를 완전 매개하였다. 하지만, 정서 중심적 대처와의 매개효과는 유의미하지 않았다. 영적 의미는 문제 중심적 대처 및 정서 중심적 대처와 심리적 안녕감 간의 관계를 각각 부분 매개, 완전 매개하여 두 경로 모두 매개효과가 유의미하였다. 이 결과는 스트레스에 대처하여 개인의 안녕감을 높이는 과정에서 삶의 의미가 중요한 역할을 한다는 점을 시사한다. 마지막으로 본 연구의 의의와 제한점, 추후 연구를 위한 제안점이 논의되었다.

만성 뇌졸중 환자의 우울증상이 인지기능 및 기능적 회복에 미치는 영향

윤태상,박진우,류기형,이호준,박성준,김대환,박여경,권범선 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.2

Objective: To investigate the influence of depressive symptoms on cognitive and functional recovery in chronic stroke patients. Method: Seventy-four chronic stroke patients were included. They had inpatient rehabilitation program for 2 months. Depressive symptoms were evaluated with the Beck depression inventory (BDI), cognitive functions by the Korean mini-mental status examination (MMSE-K) and functional status by the modified Barthel index (MBI) before and after the rehabilitation. We investigated whether the improvement of depressive symptoms after rehabilitation had influenced the cognitive and functional recovery, by comparing the changes of MMSE-K and MBI in patients with depressive symptoms. Results: Before inpatient rehabilitation program, patients with depressive symptoms had low scores of MMSE-K and MBI compared to those without. While patients with depressive symptoms had significant improvement of MMSE- K after rehabilitation (p<0.05), those without did not. Both groups with and without depressive symptoms had significant improvement of MBI after rehabilitation, but the changes of MBI were not different significantly. Among patients with depressive symptoms at admission, those who showed improved depression after rehabilitation had the significant improvement of MMSE-K after rehabilitation (p<0.05), but those with sustained depressive symptoms did not. Conclusion: Post-stroke depressive symptoms may influence on cognitive function. However, post-stroke depressive symptoms did not have any effect on functional recovery. (J Korean Acad Rehab Med 2010; 34: 174-178) Objective: To investigate the influence of depressive symptoms on cognitive and functional recovery in chronic stroke patients. Method: Seventy-four chronic stroke patients were included. They had inpatient rehabilitation program for 2 months. Depressive symptoms were evaluated with the Beck depression inventory (BDI), cognitive functions by the Korean mini-mental status examination (MMSE-K) and functional status by the modified Barthel index (MBI) before and after the rehabilitation. We investigated whether the improvement of depressive symptoms after rehabilitation had influenced the cognitive and functional recovery, by comparing the changes of MMSE-K and MBI in patients with depressive symptoms. Results: Before inpatient rehabilitation program, patients with depressive symptoms had low scores of MMSE-K and MBI compared to those without. While patients with depressive symptoms had significant improvement of MMSE- K after rehabilitation (p<0.05), those without did not. Both groups with and without depressive symptoms had significant improvement of MBI after rehabilitation, but the changes of MBI were not different significantly. Among patients with depressive symptoms at admission, those who showed improved depression after rehabilitation had the significant improvement of MMSE-K after rehabilitation (p<0.05), but those with sustained depressive symptoms did not. Conclusion: Post-stroke depressive symptoms may influence on cognitive function. However, post-stroke depressive symptoms did not have any effect on functional recovery. (J Korean Acad Rehab Med 2010; 34: 174-178)

편마비 후 견관절 통증의 원인 분석

윤태상,김대환,권범선,류기형,이호준,박여경,심재훈,박진우 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.2

Objective: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. Method: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three- phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution. Results: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology. Conclusion: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP. (J Korean Acad Rehab Med 2010; 34: 158-162) Objective: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. Method: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three- phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution. Results: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology. Conclusion: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP. (J Korean Acad Rehab Med 2010; 34: 158-162)

장기재원환자관리에 대한 법률적 고찰

강요한,박정상,이상교,윤태상 이화여자대학교 생명의료법연구소 2010 생명윤리정책연구 Vol.4 No.1

Recently, many hospitals of medical institutions are experiencing a lot of difficulties in dealing with the problems happening from the long-term hospitalization. However, the health care delivery system, for the patients with long-term hospitalization, which is provided by the health insurance is not active in lower health care institutions. Therefore, this inactivity increases the public health expenditures, while decreasing the hospital bed turnoverrate, thus interfering the efficient operation of medical institutions. In addition, it is considered to be the social phenomenon consequent on the loss of trust between the health care organizations and the public. The problems related to unnecessary hospitalization of patients on long-term admission will be discussed along with the countermeasures.

분산형전원의 배전계통연계에 따른 기술적 과제와 대책

윤기갑(G.G. Yoon),윤태상(T.S. Yoon),노황래(H.N. Roh),박창호(C.H. Park),김준오(J.O. Kim),김재성(J.S. Kim) 대한전기학회 2001 대한전기학회 학술대회 논문집 Vol.2001 No.4

1인 미디어 소비자 만족 및 지속사용 의도에 미치는 영향요인 연구

한상연,김세영,김장혁,김진렬,윤태상 한국IT서비스학회 2016 한국IT서비스학회 학술대회 논문집 Vol.2016 No.춘계

배전 실종시험장에서의 배전자동화 실증시험 결과

하복남(Bok-Nam Ha),윤태상(Tae-Sang Yoon),정영호(Yeong-Ho Jeong),조남훈(Nam-Hun Cho),임성일(Seong-Il Lim),강문호(Moon-Ho Kang) 대한전기학회 2000 대한전기학회 학술대회 논문집 Vol.2000 No.7

배전선로 공급 신뢰도에 관한 연구

조남훈(Namhun Cho),윤태상(Taesang Yoon),하복남(Boknam Ha) 대한전기학회 2000 대한전기학회 학술대회 논문집 Vol.2000 No.11

급성 알콜성 근병증 1예

류기형,최종호,권범선,박진우,윤태상,김영성 동국대학교 의학연구소 2006 東國醫學 Vol.13 No.2

급성 알콜성 근병증은 알콜 중독자 1%정도에서 발생하는 드문 병으로 종대성 근육통 등의 증상 발현 후 수 일내에 진행하며 횡문근 융해로 인한 치명적인 신 손상을 유발할 수 있어 빠른 진단과 처치를 필요로 한다. 20년간 매일 소주 3병정도를 마셨던 46세 남자 환자가 양측 어깨 및 상지에 심한 근육통을 주소로 내원하였다. 이학적 검사에서 도수근력은 상지 및 하지 모두 good grade이었으나, 근 수축 시 심한 통증을 호소하였으며 통증으로 인해 지구력이 상당히 감소되어 있었다. 양쪽 어깨 및 팔에 종대성 근육통(시각상사척도 8)이 있었으나 관절운동범위는 모두 정상이었다. 혈액 검사 소견에서 혈청 CK 2287 U/L, Myoglobin 437 ng/ml, AST 135 U/L, ALT 31 U/L, BUN 24 mg/dl, creatinine 1.0 mg/dl이었다. 근전도 소견에서는 침 근전도에서 대부분의 근위부 근육에서 비정상 자발전위가 관찰되었고, 작은 진폭의 지속시간이 짧은 다상성 운동 활동 전위가 관찰되었다. 좌측 상완 이두근에서 시행한 근 생검에서 급성 알코올 근병증으로 진단되었다. 내원 1주일 후 종대성 근육통(시각상사척도 8점)이 대퇴부까지 진행되었으며, 침상 안정 및 대증 치료를 시행하였고, 내원 1개월 후 환자는 통증을 호소하지 않았으며, 정상 독립보행 및 독립적으로 일상생활동작을 수행할 수 있는 상태로 퇴원하였다. 저자들은 알콜성 말초 신경병증을 가진 환자에서 발생한 급성 알콜성 근병증 1예를 경험하였기에 보고하는 바이다. Acute alcoholic myopathy progresses in number work after symptoms onset of edematous myalgia and so on for stalk of rare disease that happen in alcoholist 1%. This disease need fast diagnosis and treatment because can cause fetal renal injury by rhadomyolysis. 46-year-old man patient who has drunken soju 3 bottles every day 20 years explained both sides shoulder and upper limbs serious myalgia to address on source coming to help do. Upper limbs and all lower limbs of manual muscle test were Good grade in physical examination, but to core contraction serious pain did complaint and endurance by ache was decreased fairly. There was myalgia (VAS 8) for stalk both shoulder and arm and range of motion of all joint were normal. Serum CK 2287 U/L, myoglobin 437 ng/ml, AST 135 U/L were increased in laboratory finding, but serum phosphate and potassium were within normal limits. Needle electrodiagnostic findings at most proximal muscle of upper extremity in electrodiagnostic study is abnormal spontaneous activity at rest and low amplitude, short duration, low amplitude polyphasic motor unit action potential on minimal volition. The finding of muscle biopsy at left biceps brachialis was revealed alcoholic myopathy. Edematous myalgia (VAS 8) was gone to thigh after 1 week. Enforced bed rest and supportive care, and patient did not complain pain after 1 month, and he discharged in state that can achieve normal gait pattern and independent activities of daily living.

22.9㎸-Y 배전설비에 부착된 대도시 대기오염성분에 대한 조사연구

김동명(Dongmyung Kim),윤태상(Taesang Yoon),박상만(Sangman Park),이수묵(Suemuk Yi) 대한전기학회 2000 대한전기학회 학술대회 논문집 Vol.2000 No.7