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      • KCI등재

        화상통화를 이용한 심리치료에 대한 인식 및 필요성 연구

        임성진(Sungjin Im),이정은(Jungeun Lee),한신(Shin Han) 대한스트레스학회 2017 스트레스硏究 Vol.25 No.1

        본 연구는 190명의 국내외 거주자를 대상으로 화상통화를 이용한 심리치료 서비스에 관한 인식을 조사하였다. 응답자 중에서 정신질환을 경험한 비율은 32.1%이었고, 35.2%의 응답자가 심리치료를 받은 것으로 보고하였다. 가장 흔한 질환은 우울증이었고(78.7%) 그에 대한 대응으로 정신과 약물치료(41.7%)가 가장 높았다. 온라인 심리치료방법 중에서 화상통화를 이용한 심리치료에 대한 의견을 조사한 결과 시간적, 지리적 제약이 없고 다른 사람들의 시선을 의식하지 않아도 되며, 컴퓨터, 스마트폰 등을 통해 편리하게 받을 수 있다는 점이 장점으로 인식되었다. 반면, 치료자의 자격에 대한 우려와 개인정보유출 가능성에 대한 우려를 지적하였다. 마지막으로 본 연구의 한계와 추후 연구에 대해 제언하였다. Recent national survey data suggest that lifetime prevalence of mental disorders are on the rise in South Korea while utilization of mental health services remains low. These results are disconcerting, and it is critical to find ways to increase access to mental health services and service utilization. One emerging solution is to provide psychological intervention via the Internet, and wide use of computer and mobile devices makes video-counseling a low-cost alternative to traditional face-to-face psychotherapy. In the current study, a total of 190 adults completed a questionnaire assessing the history of mental illness, experience with psychotherapy, and attitudes towards video-counseling, mainly focusing on treatment needs, future service utilization, effectiveness, and cost. Results suggest that participants endorsed the pros more strongly than the cons of video-counseling. Specifically, participants reported accessibility, privacy, and convenience as major strengths, and provider credentials and reduced confidentiality as major weaknesses. Limitations of the current study and recommendations for implementing online counseling service are further discussed.

      • KCI등재

        알코올 의존 환자군의 뇌파 특성 : 3차원적 신호원 국소화

        서상철,임성진,이상구,신철진,Seo, Sangchul,Im, Sungjin,Lee, Sang-Gu,Shin, Chul-Jin 대한생물정신의학회 2015 생물정신의학 Vol.22 No.2

        Objectives The power spectral analysis of electroencephalogram has been widely used to reveal the pathophysiology of the alcoholic brain. However, the results were not consistent and the three dimensional study can be hardly found. The purpose of this study was to investigate characteristics of the three dimensional electroencephalographic (EEG) activity of alcohol dependent patients using standardized low resolution electromagnetic tomography (sLORETA). Methods The participants consisted of 30 alcohol dependent patients and 30 normal healthy controls. All the participants were males who had refrained from alcohol at least one month and were not taking any medications. Thirty two channel EEG data was collected in the resting state with eyes-closed condition during 30 seconds. The three dimensional data was compared between two groups using sLORETA for delta, theta, alpha, beta1, beta2, and beta3 frequency bands. Results sLORETA revealed significantly increased brain cortical activity in alpha, beta1, beta2, and beta3 bands each in alcohol dependent patients compared to normal controls. The voxels showing the maximum significance were in the left transverse temporal gyrus, left superior temporal gyrus, left anterior cingulate, and left fusiform gyrus in alpha, beta1, beta2, and beta3 bands respectively. Conclusions These results suggest that chronic alcohol intake may cause neurophysiological changes in cerebral activity. Therefore, the measuring of EEG can be helpful in understanding the pathophysiology of cognitive impairements in alcohol dependence.

      • KCI등재

        자동화 프로그램을 이용한 아동의 전체두개강내용적 평가

        이정환,김지은,임성진,주가원,김시경,손정우,신철진,이상익,김혜리,Lee, Jeonghwan,Kim, Ji-Eun,Im, Sungjin,Ju, Gawon,Kim, Siekyeong,Son, Jung-Woo,Shin, Chul-Jin,Lee, Sang-Ick,Ghim, Hei-Rhee 대한생물정신의학회 2014 생물정신의학 Vol.21 No.3

        Objectives Total intracranial volume (TIV) is a major nuisance of neuroimaging research for interindividual differences of brain structure and function. Authors intended to prove the reliability of the atlas scaling factor (ASF) method for TIV estimation in FreeSurfer by comparing it with the results of manual tracing as reference method. Methods The TIVs of 26 normal children and 26 children with attention-deficit hyperactivity disorder (ADHD) were obtained by using FreeSurfer reconstruction and manual tracing with T1-weighted images. Manual tracing performed in every 10th slice of MRI dataset from midline of sagittal plane by one researcher who was blinded from clinical data. Another reseacher performed manual tracing independently for randomly selected 20 dataset to verify interrater reliability. Results The interrater reliability was excellent (intraclass coefficient = 0.91, p < 7.1e-07). There were no significant differences of age and gender distribution between normal and ADHD groups. No significant differences were found between TIVs from ASF method and manual tracing. Strong correlation between TIVs from 2 different methods were shown (r = 0.90, p < 2.2e-16). Conclusions The ASF method for TIV estimation by using FreeSurfer showed good agreement with the reference method. We can use the TIV from ASF method for correction in analysis of structural and functional neuroimaging studies with not only elderly subjects but also children, even with ADHD.

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