넛지를 활용한‘s급식 골고루 다 먹기’ 캠페인 설계: 초등학생을 대상으로

정희연,윤순진 한국환경교육학회 2024 한국환경교육학회 학술대회 자료집 Vol.2024 No.6

이 연구에서는 설득 커뮤니케이션의 한 유형인 넛지 전략을 활용하여 초등학생 대상 ‘급식 골고루 다 먹기’ 캠페인을 설계하였다. 이론적 탐색을 통하여 캠페인의 단계를 계획 단계, 준비 단계, 행위 단계로 구분하였다. 문헌 탐색을 통해 캠페인의 준비 단계에서 단순 측정 효과, 앵커링 효과, 경로 요인을 설계하였으며 캠페인의 행위 단계에서는 사회적 비교 넛지를 설계하여 학생들의 활발한 캠페인 참여를 유도하고자 하였다. 면담을 통해 영양교사 1인, 초등교사 4인의 의견을 반영하여 최종 캠페인 모델을 개발하였다. 이 연구에서 개발한 캠페인 모델이 실천 중심의 학교 환경교육의 한 방향을 제시할 수 있기를 기대한다.

‘교사와 학생, 코로나19 역사수업, 답을 찾아가다’ - 2021년 제 64회 전국역사학대회 한국역사교육학회 학술대회 참관기

정희연 역사교육연구소 2022 역사와교육 Vol.- No.22

한국판 리버풀 항정신병약물 부작용 평가 척도(LUNSERS)의 표준화 연구 - 리버풀 항정신병약물 부작용 평가 척도 -

정희연,주연호,신현균,정은기,강웅구,노명선,김용식 대한신경정신의학회 2002 신경정신의학 Vol.41 No.1

연구목적: 본 연구에서는 항정신병약물 부작용을 자기 보고식으로 평가하기 위한 리버풀 항정신병약물 부작용 평가 척 도(Liverpool University Neuroleptics Side Effect Rating Scale, 이하 LUNSERS)의 한국판을 제작하여, 항정신병약물로 치료 중인 정신분열병 환자와 정상 대조군을 대상으로 타당도와 신뢰도를 조사하고자 하였다. 방 법: 번역 및 역번역과 전문가들의 감수 과정을 거쳐 51문항, 4점 척도의 한국판을 제작하였다. 항정신병약물을 복 용중인 62명의 DSM-Ⅳ 진단 기준 정신분열병 환자를 대상으로 일주일 간격으로 두 번 LUNSERS를 완성하 게 하였다. 두 번째 LUNSERS 평가 시 동시에 정신과 전문의가 UKU side effect rating scale(이하 UKU)로 부작용을 평가하였다. 대조군은 LUNSERS를 완성하였다. 결 과: LUNSERS의 검사-재검사 신뢰도(r=0.86, p<0.01)와 UKU에 대한 준거 타당도(r=0.81, p<0.001)는 높았다. 그러나 항정신병약물 용량과 부작용 점수와는 통계적으로 유의한 상관이 없었다. ROC 커브 분석 결과 부 작용 점수 총점이 불특정 증상 총점보다 더 정확하게 항정신병약물에 의한 부작용을 보이는 환자를 감별할 수 있었다. 결 론: 한국판 LUNSERS의 신뢰도와 타당도가 검증되었고, 임상 연구에서 항정신병약물에 의한 부작용의 정도를 체계적으로 평가할 때 UKU를 대신하여 사용할 수 있는 유용한 도구임을 알 수 있었다. Objectives:This study was conducted to develop the Korean version of Liverpool University Neuroleptic Side Effect Rating Scale(LUNSERS) for measuring neuroleptic side effects by self-rating method and to examine the reliability and validity in the schizophrenic patients medicated by neuroleptics and normal controls. Methods:We made 51-item, 4-point scale of Korean version LUNSERS through translation, reverse translation and supervision by specialists. Sixty two schizophrenics diagnosed by DSM-Ⅳ criteria and medicated with neuroleptics completed LUNSERS twice with one week interval. Second LUNSERS and UKU side effect rating scale(UKU) by psychiatrist were administered to the schizophrenics at the same time. Normal controls also completed LUNSERS. Results:The test-retest reliability(r=0.86, p<0.01) of LUNSERS and the concurrent validity(r=0.81, p<0.001) against UKU were good. But the neuroleptic doses and total scores of side effect items didn’t show significant correlation. By the ROC curve analysis, the total scores of side effect items differentiated the medicated patients from non-medicated controls but not for the red herring items. Conclusion:Korean-version of LUNSERS has good reliability and validity. And it was also proved to be an useful assessment tool for measuring the extent of neuroleptic side effects systematically instead of UKU in clinical trials

정신분열병과 면역학적 이상

정희연,김용식,Jung, Hee Yeon,Kim, Yong-Sik 대한생물정신의학회 2008 생물정신의학 Vol.15 No.3

There have been vast amount studies regarding immunologic dysregulation in schizophrenia. The mechanism of immune pathogenesis in schizophrenia still is unclear, even though various immune dysfunction have been reported. We endeavored to report on two major hypothesis on immunologic dysregulation in schizophrenia, the infection hypothesis and autoimmune hypothesis. We went on to focus on the autoimmune hypothesis, which has received the most attention over the years. We explored the accumulated data and the rational behind the autoimmune hypothesis and the implications of the autoimmune hypothesis for future research in the pathogenesis of schizophrenia.

주요우울증에서 Fluoxetine과 Amitriptyline의 치료효과에 대한 이중맹검법 비교연구

정희연,배재남,권준수,조두영,Jung, Hee-Yeon,Bae, Jae-Nam,Kwon, Jun-Soo,Cho, Doo-Young 한국정신신체의학회 1995 정신신체의학 Vol.3 No.1

The efficacy of fluoxetine was evaluated in 32 patients with major depression in double-blind amitriptyline-controlled clinical trials. Patients were randomly assigned to 6 weeks of treatment with 20mg/day of fluoxetine and 25-100mg/day of amitriptyline. We used the Hamilton rating scale for depression(HAM-D) and the Clinical Global Improvement(CGI) to evaluate the improvement of depression. In addition, we also used the Covi Anxiety Scale and the Anxiety/Somatization subscale of HAM-D to investigate the relieving effect of anxiety. The improvement by fluoxetine in mean total score of HAM-D and CGI was comparable to amitriptyline. Fluoxetine also reduced anxiety significantly, but there was no difference between fluoxetine and amitriptyline in relieving anxiety symptoms. Fluoxetine showed considerably less adverse effects, especially anticholinergic effect and weight gain than amitriptyline. In conclusion, 20mg/day of fluoxetine was sufficiently effective in the treatment of depressive patients and was better tolerated than amitriptyline.

유토피아를 꿈꾸는 미국인

정희연 새한영어영문학회 2017 새한영어영문학회 학술발표회 논문집 Vol.2017 No.5

자살시도 환자의 혈소판내 세로토닌 농도와 심리학적 특성에 관한 연구

정희연,권영준,박인준,홍세용,최의정,진혁희,Jeong, Hee Yeon,Kwon, Young Joon,Park, In Joon,Hong, Se Yong,Choi, Eui Jung,Jin, Hyuk-Hee 대한생물정신의학회 1999 생물정신의학 Vol.6 No.1

Objectives : Significant progress has been made in understanding psychosocial, psychological, and environmental factors associated with suicide. However it is only recently that attention has been paid to the understanding of the neurobiology of suicide. The aim of this study was to examine the relationship between platelet serotonin level and suicidal behavior and psychological features of the suicidal attempters. Methods : After a suicidal attempt platelet serotonin level was measured from 21 patients and compared it with those from depression patients and normal controls. Also MMPI, HAM-D, Barratt impulsiveness scale(BIS) were done to evaluate their psychological features. Results : 1) There was no significant difference in sex ratio of the suicidal attempters. 2) There was no significant difference in platelet serotonin levels among three groups. 3) The analysis of MMPI revealed that the scores of D, Hs, Pt in clinical scales were significantly higher in suicide patients and scores of D, Pa, Si were in depression patients. 4) The HAM-D score was significantly higher in depression and suicide patients, especially in depression patients. 5) The analysis of Barratt impulsiveness scale revealed that the scores of nonplanning, motor and cognitive impulsiveness scale were significantly higher in suicide patients. Conclusions : There was no significant difference in platelet serotonin levels among three groups. However the analysis of psychological features revealed significant differences. Therefore we concluded that psychological examinations are benefit to evaluate the suicidal tendency.

Haloperidol로 치료한 Tourette 장애에서 발생한 항정신병약물-퇴행 증후군 1례

정희연,조현주,권영준,박인준,진혁희,Jeong, Hee-Yeon,Cho, Hyun-Ju,Kwon, Young-Joon,Park, In-Joon,Jin, Hyuk-Hee 대한생물정신의학회 1998 생물정신의학 Vol.5 No.1

Authors report a case of separation anxiety disorder, which developed as a side effect during haloperidol treatment of Tourette syndrome(TS). In this case, 14 years old boy developed attention deficit symptoms during his infancy. At 4th grade of primary school, he developed vocal tic, motor tic, and coprolalia. With 5mg/day of haloperidol treatment his symptoms of TS were subsided. During the treatment, he developed features of separation anxiety disorder, including dependence, pleading, clinging, and sadness. Symptoms of attention deficit and separation anxiety disorder were improved by 25mg/day of imipramine treatment. During haloperidol treatment of TS, careful observation may be needed whether separation anxiety disorder-like symptom develops.

주정의존 환자에서 초발연령에 따른 ${\beta}$-Endorphin의 반응

정희연,박인준,김진만,진혁희,Jeong, Hee-Yeon,Park, In-Joon,Kim, In-Man,Jin, Hyuk-Hee 대한생물정신의학회 1998 생물정신의학 Vol.5 No.1

정상대조군 29명 및 남자 주정의존 환자 48명을 발병연령에 따라 분류하여 입원 7일 후 오전 9시에 알코올 0.75gm/kg을 투여하기 전후의 혈중 ${\beta}$-endorphin농도, alcohol농도, cortisol농도, 그리고 혈당을 측정하여 비교한 결과는 다음과 같다. 1) 25세 이전과 25세 이후에 발병한 환자군의 비율은 약 2 : 3이었다. 2) 25세 이전과 25세 이후에 발병한 두 환자군간에 입원 당시의 연령은 차이가 없었다. 3) 25세 이전과 25세 이후에 발병한 두 환자군과 정상대조군에서 알코올 투여 후 혈중 알코올의 농도변화는 세 군간에 차이가 없었다. 4) 25세 이전과 25세 이후에 발병한 두 환자군과 정상대조군에서 알코올 투여 후 혈중 ${\beta}$-endorphin의 농도변화는 세 군간에 차이가 없었다. 5) 25세 이전과 25세 이후에 발병한 두 환자군과 정상대조군에서 알코올 투여 후 혈중 cortisol의 농도변화는 세 군간에 차이가 없었다. 6) 25세 이전과 25세 이후에 발병한 두 환자군에서 알코올 투여 후 혈당변화는 양군간에 차이가 없었다.

주정의존 환자에서 가족력 유무에 따른 ${\beta}$-endorphine의 반응

정희연,박인준,권영준,Jeong, Hee-Yeon,Park, In-Joon,Kwon, Young-Joon 대한생물정신의학회 1998 생물정신의학 Vol.5 No.1

Objectives : To evaluate the relation of familial history of alcoholism and plasma level of ${\beta}$-endorphin, ethanol, ${\beta}$-endorphin, cortisol and blood glucose were compared in 48 male alcoholics and 29 normal controls. Methods : Subjects are divided into two groups by family history of alcoholism. Blood samples were obtained before and after 0.75mg/kg of ethanol consumption at 7th admission day. Results : 1) The ratio of family history positive to negative of the patient group was 2 to 1. 2) The age at admission of positive family history group was younger than negative group. 3) There was no significant difference in change of plasma ethanol level among three groups. 4) There was no significant difference in change of plasma ${\beta}$-endorphin level among three groups. 5) There was no significant difference in change of plasma cortisol level among three groups. 6) There was no significant difference in change of fasting blood sugar level between two patient groups.