정서관리훈련 프로그램이 만성 조현병 환자의정서행동, 정서표현, 자기효능감, 대인관계변화 및 정신병리에 미치는 효과

진명자(Myung Ja Jin),장혜란(Hae Lan Jang),최대정(Dae Jung Choi),강길원(Gil Won Kang),이영성(Young Sung Lee) 한국정신건강사회복지학회 2014 정신보건과 사회사업 Vol.42 No.1

본 연구는 만성 조현병 환자에서 정서관리훈련 프로그램이 환자들의 정서행동, 정서표현, 자기효능감, 대인관계변화 및 정신병리에 미치는 효과성을 검증하고자 하였다. 실험군과 대조군 각각 35명에게 20주에 걸쳐 용인정신병원에서 개발된 정서관리훈련 프로그램을 시행하였다. 두 군 간 일반적 특성은 통계적 의미 있는 차이는 없었다. 두 군 간 정서행동 점수는 실험군에서 사전 55.2점, 사후 77.9점, 대조군에서 사전 57.4점, 사후 59.0점으로 실험군에서 유의한 향상을 보였다(p < 0.0001). 정서표현 점수는 실험군 55.8점에서 66.1점으로, 대조군 55.5점에서 55.3점으로(p < 0.0001), 자기효능감 점수는 실험군 46.5점에서 77.9점으로, 대조군 45.7점에서 45.8점으로(p < 0.0001), 대인관계변화 점수는 실험군 44.5점에서 79.0점으로, 대조군 41.7점에서 42.1점으로 각각 유의한 향상을 보였다(p < 0.0001). 정신병리 점수는 실험군 69.2점에서 70.1점, 대조군은 79.6점에서 80.5점으로 유의한 차이를 보이지 않았다(p = 1.000). 정서관리훈련 프로그램은 정서행동, 정서표현, 자기효능감 및 대인관계변화에 긍정적인 효과를 나타내었다. 지속적인 정서관리훈련 프로그램은 만성 조현병 환자의 회복과 삶의 질 향상에 도움이 될 것으로 생각된다. This study was attempted to verify effectiveness of an emotional manage-ment training program(EMTP) for chronic schizophrenic patients in view of emotional behavior, emotional expression, self-efficacy, changes in inter-personal relationship and brief psychiatric rating scale(BPRS). The program was performed for 20 weeks to 35 patients for each group. The general demographic characteristics were analyzed with X2- test, t-test and values of variables were done with pared t-test by SAS 9.2.The demographic characteristics showed no statistical significance. Emotional behavior, Emotional expression, Self-efficacy and changes in interpersonal relationship were statistically significant(p < 0.0001) between experimental and control group. Otherwise BPRS were not (p = 1.000). The EMTP for experimental group showed positive effects except BPRS. Those results suggested that continuously performing the program could improve emotional recovery and quality of life of them.

멘탈피트니스 긍정심리프로그램이 만성조현병 환자의 행복감에 미치는 영향

진명자(Jin, Myung Ja) 한국정신건강사회복지학회 2016 정신보건과 사회사업 Vol.44 No.3

멘탈피트니스 긍정심리프로그램은 정신질환자들에게 매우 유익한 것으로 선행연구에서 밝히고 있지만, 만성조현병 환자를 대상으로 한 연구는 아직 초기단계에 머물고 있어 전반적인 연구자료나 정보가 부족한 실정이다. 이에 본 연구는 만성조현병 환자들을 대상으로 멘탈피트니스 긍정심리프로그램을 실시하여, 정신보건 임상에서의 적용가능성을 확인하고자 하였다. 실험군과 대조군 각 20명에게 10주에 걸쳐 멘탈피트니스 긍정심리프로그램을 수행하였고, 그 결과 멘탈피트니스 긍정심리프로그램에 참여한 실험군은 참여하지 않은 대조군보다 긍정정서가 증가하였고, 부정정서는 감소하였다. 또한 정신건강 요소와 삶의 만족도 역시 실험 전, 후 대조군에 비하여 긍정적인 영향을 미친 것으로 나타나, 만성조현병 환자들의 재활프로그램으로 적용가능성을 확인하였다. 하지만 재활성과를 높이기 위해서는 지속적인 개입이 필요하며, 긍정정서만큼 부정정서를 감소할 수 있는 각각의 독립적인 개입방법이 필요하고, 단편적 시각에서 벗어나 만성조현병 환자들의 회복증진을 위한 심리적 · 사회적 · 신체적 관점의 통합을 이루는 실천적 개입이 필요하다. Although previous studies have supported the positive psychological impact of mental fitness programs for patients with mental illness, research on their value for those with chronic schizophrenia is in the initial stage, with research data largely lacking. The purpose of this study was to examine the positive impact of a mental fitness program for patients with chronic schizophrenia so as to determine the feasibility of its use in mental health field. During the 10 weeks Participants were divided into experimental and control groups of 20 patients each. The experimental group participated in a 10-week mental fitness program based on the principles of positive psychology, after which positive emotions were assessed in both groups. The results showed increased positive emotions and decreased negative emotions in the experimental group compared with the control group. Thus, the applicability of such programs to the rehabilitation of patients with chronic schizophrenia was confirmed. Rather than piecemeal interventions, practical forms of treatment that improve psychological health, social integration, and life satisfaction are needed to promote the recovery of patients with chronic schizophrenia.

국내외 정형외과학회의 웹기반 의학연수교육의 현황

최대정(Dae Jung Choi),진명자(Myung Ja Jin),이영성(Young Sung Lee),강길원(Gil Won Kang) 대한정형외과학회 2013 대한정형외과학회지 Vol.48 No.2

목적: 국내외 정형외과학회관련 웹사이트에서 의학연수교육용(continuing medical education, CME) 웹컨텐츠(web-contents) 현황을 알아보았다. 대상 및 방법: 국내는 대한정형외과학회(Korean Orthopaedic Association, KOA)와 대한정형외과사이버학회(Korean Orthopaedic Cyber-Society, KOC), 국외는 American Academy of Orthopaedic Surgerns (AAOS), Journal of Bone and Joint Surgery (JBJS), AOSpine 및 Arthroscopy 웹사이트를 조사하였다. 웹컨텐츠는 정보기술 구현 방법에 따라 전자논문, 강연 및 술기 동영상, 증례토의, 상호교류형 자료 및 CME 이수프로그램으로 구분하였다. 결과: KOA는 전자논문 19종, KOC는 동영상 43개, 증례토의 217개를 제공하였다. 2011-2012년도에 동영상 1개만 업데이트되었으며, 2008년도 동영상 20개는 시청되지 않았다. AAOS는 전자저널 1종, 강의 동영상 142개, 술기 동영상 570개, 상호교류형 CME 프로그램 5개와 CME 이수 프로그램 107개를, JBJS는 전자저널 1종, 동영상 97개, 증례토의 24개와 CME 이수프로그램 37개를, AOSpine은 전자저널 12종, 동영상 994개, 상호교류형 자료 1개와 증례토의 347개를, Arthroscopy는 전자저널 1종과 동영상 126개를 제공하였다. 모든 웹컨텐츠는 이용이 가능하였다. 결론: 국내 정형외과 의학연수교육의 일환으로 표준화된 정보기술로 제작된 보다 많은 양질의 웹컨텐츠와 웹기반 CME 이수프로그램을 구축하는 것이 필요할 것으로 생각한다. Purpose: The current states of web-contents for continuing medical education (CME) of domestic and foreign orthropaedic web sites were investigated. Materials and Methods: Korean Orthopaedic Association (KOA) and Korean Orthopaedic Cyber-Society (KOC) as domestic, and American Academy of Orthopaedic Surgerns (AAOS), Journal of Bone and Joint Surgery (JBJS), AOSpine, and Arthroscopy as foreign web sites were searched in view of provided information technology (IT), including electrical paper (ePDF), lecture and surgical procedure video clips, case discussion, interactive content, and CME credit program. Results: KOA supplied 19 types of ePDFs, and KOC, 43 video clips, and 217 case discussions. However, only one video clip was updated from 2011 to 2012 and 20 video clips from 2008 were not accessible. AAOS provided one type of ePDF, 142 lecture and 570 surgical procedure video clips, five interactive CME programs and 107 CME credit programs. In JBJS, one kind of ePDF, 97 video clips, 24 case discussions, and 37 CME credit programs were provided. In AOSpine, 12 types of ePDFs, 994 video clips, one interactive content, and 347 case discussions were provided. In Arthroscopy, one type of ePDF and 126 video clips were supplied. All webcontents were available. Conclusion: A large number of better quality web-contents and web-based CME credit programs should be implemented with standardized IT for Web-based CME in domestic orthropaedic societies.

전문대학 학생의 윤리관 정립에 관한 연구

진명자 한국국민윤리학회 1983 倫理硏究 Vol.16 No.1

The aim of this study is to grasp what are the moral values held among junior collegers who are under the influence of this rapidly industrializing society. The advent of the new moral values and political ideologies are offering great difficulties in establishing right moral values in harmony with the traditional moral values. The more complex and specialized our society is becoming, the more keenly felt is the necessity of providing the students with right moral values and fostering the ability of moral thinking. The ethical problems of the junior collegers have been studied and investigated by means of a questionaire. The total number of the students who answered it was 550 males and females from 10 Junior Colleges among the whole 126 ones. The result shows that a large part of junior college students are still in the trend of conservativism, respecting the customs of Korean traditional character and the large family system. Of course there were students who stood for the radical changes in the traditional moral values, but this trend has to be regarded as an inescapable trend of the day.

결혼의 심리적 계약에 관한 연구

이재창,진명자 弘益大學校 敎育硏究所 2003 敎育硏究論叢 Vol.- No.20

This study was designed to probe the contents of psychological contracts which are needed to maintain the marriage. Also, the psychological, emotional, and behavioral responses led between a married couple by the brokage of the psychological contracts were examined. With a view to inspecting this, the psychological obligations of spouses to maintain the marriage and the responses consequent from their breach of psychological obligations were surveyed in non-structural questionnaires for 49 husbands and 58 wives. Based on the data from the questionnaires, the contents of psychological contracts on the part of husbands were classified into 33 categories and those on the part of wives into 32 categories. The main obligations of husbands indicated family support, considerateness of wife's family, respect for the wife, share of household sundries, participation in child upbringing, etc. and those of wives indicated household affairs, relationship with husband's family, child upbringing, income management, sex life, etc. The consciousness about the economic activities which had seemingly symbolized the role of a husband and about the household labor which had been expected as the example of the role of a wife showed somewhat contradiction. The demand for husbands to participate in the household labor was ranked 8th by the response of husbands, while 4th by that of wives. Meanwhile, the demand for the economic activities of wives was ranked 22th by the response of wives, while 21st by that of husbands. In addition, when the psychological obligations which had been expected were not carried out, both husbands and wives were angry and felt themselves betrayed. This led them to fight, leave home, break off relations, or had them consider divorce. This study aims to search for not only consequent problems but also possible solutions which may help maintain more satisfactory marriage. In other words, possible solutions were explored to prevent in advance the conflicts or misunderstanding caused by vague communication and to discuss the difference of the contents of psychological contracts by clarifying them which are asked or expected of each other. Additionally, solutions were discussed to have married couples aware of the psychological contracts of marriage and to tune their conflicts in the family therapy or couple therapy on the basis of this study.