Effectiveness of a Web-based Intervention for Depressive Symptoms Management

JeongYee Bae,Rosel L. Panuncio 대한의료정보학회 2008 Healthcare Informatics Research Vol.14 No.3

Objective: The purpose of this study was to evaluate the effectiveness of a web-based intervention program for depressive symptoms management among Korean adults. Methods: After the first author developed a user-centered design website intended to manage the depressive symptoms of the general public, two hundred and seventy two participants were screened and randomly assigned into experimental and control groups. These subjects underwent a 12-week nonequivalent pretest and post-test evaluation program to determine changes in their depression scores, which were measured using the Korean Depression Scale. Subjects’ unique IP addresses were used for monitoring their access periods on the website. Results: There were no significant differences in the baseline and outcome characteristics of both experimental and control groups. Moreover, findings revealed that the total depression score of the experimental group (who accessed the developed web-site three times a week with at least an hour per session) showed to have decreased immensely with a mean of 5.57. On the contrary, only a 0.09 point difference resulted between the pre and post tests of the control group (who accessed other depression management websites generally available). Conclusions: Web-based interventions could be an effective and inexpensive means of managing depressive symptoms of Koreans. Findings from this effectiveness study of an internet-based program could also be used by a variety of audiences including government agencies, educators, and health care professionals concerned with mental health promotion and prevention.

Development of a Mental Health Educational Program for Korean Immigrants

Jeongyee Bae,Hyunjoo Park 한국간호과학회 2011 한국간호과학회 학술대회 Vol.2011 No.10

Gender-Specific Factors of Self-Concept in Korean Middle School Students

Jeongyee Bae,So Young Shin 대한스트레스학회 2012 스트레스硏究 Vol.20 No.2

본 연구는 아동기에서 청소년기로 넘어가는 과도기이며 사춘기가 시작되어 중요한 시기인 중학생들의 자아개념 정도를 파악하고, 성별에 따른 차이 및 주요 관련 요인들을 규명하여, 중학생들의 긍정적인 자아개념 형성을 통한 정신건강 증진에 기여하고자 하였다. 본 연구의 대상자는 부산시에 소재한 중학교에 재학중인 남학생 920명과 여학생 968명으로서, 총 8개의 측정도구를 이용하였다. 자아개념은 Park과 Oh(1992)가 개발한 청소년 자아개념척도를 이용하여 조사하였다. 부모의 수용성과 자율성은 Kim(1984)의 부모 양육태도검사 도구 중 부모의 수용성과 자율성 척도를, 가정만족도는 Kwak(1995)이 제작한 청소년용 삶의 만족도 검사(Korean Life Satisfaction Scale for Adolescence, KLSSA)도구 중 가족만족도 척도를, 학업능력지각은 Harter(1982)의 학업능력지각척도(Perceived Competence Scale, PCS)를 이용하여 측정하였다. 또한 학교적응도는 Sim과 Kim(1998)이 개발한 청소년 행동특성 설문지(K-TAI) 중학교적응도 척도를, 교사와 친구의 지지는 Vaux 등(1986)이 개발한 사회적 지지(The Social Support Appraisal, SS-A) 도구 중 교사 및 친구의 지지 척도를 이용하였다. 수집된 자료는 연구 목적에 따라 SPSS 17.0 통계분석프로그램을 이용하여 분석하였다. 중학생들의 자아개념은 남학생이 여학생보다 통계적으로 유의하게 높게 나타났다. 남녀 모두에서 자아개념의 정도는 학년, 경제적 수준, 아버지의 교육 정도, 학업 성적과 가출, 무단결석 및 자살시도 경험 등의 변수에 따라 통계적으로 유의한 차이를 보였다. 그러나 어머니의 교육 정도는 여학생에게, 패싸움 경험은 남학생에게만 차이를 보였다. 또한 남녀 모두에게서 공통적으로 부모의 수용성, 자율성, 가정에 대한 만족도, 친구 및 교사의 지지, 학교적응도 및 학업성취도 등은 자아개념에 주요한 영향을 미치는 인자로 규명되었으며, 이들의 자아개념에 대한 설명력은 48.5%였다. 특히 여학생은 부모의 수용성이 자아개념에 중요한 영향을 미치는 변수로 확인되었지만, 남학생에서는 통계적으로 유의한 영향을 미치지는 못하였다. 중학생의 긍정적인 자아개념 형성을 통한 정신건강 증진을 위하여 성별에 따른 차이를 비교하고 관련 요인들을 규명한 바, 본 연구 결과는 중학생의 정신건강분야에 대한 지식 확장과 더불어 대상자의 성별 개인별 특성을 고려하여 자아개념을 증진시킬 수 있는 중재법 개발의 지침으로 활용할 수 있을 것이다. This study investigated gender differences in the level of self-concept and identified predictors affecting self-concept in Korean middle school students. The sample of this study included 920 male and 968 female middle school students in Busan. Subjects completed self-report questionnaire during in-person study visits. Six 4-point Likert scales, ranging from 1 (strongly disagree) to 4 (strongly agree), were used to measure self-concept and its seven related-factors. Scheffe’s test, Pearson’s correlation, and multiple regression were used to analyze the data. The degree of self-concept was higher in males than females. Age, economic status, education of parents, academic ranking, running away, invalid school absences, getting into fights, and suicidal attempts showed significant differences in both male and female self-concept. However, self-concept was not significantly different in terms of students’ religion and sexual experience in both genders. Predictors of self-concept in both genders were family satisfaction, social support (peer and teacher), school adjustment, and school achievement. However, parental acceptance was significantly associated with female self-concept only. The findings of this study suggest the importance of learning gender-specific predictors affecting adolescent self-concept. Developing and implementing appropriate and effective gender-specific programs is critical to promote high self-concept for today’s youth. (Korean J Str Res 2012;20:87∼95)

Causal Relationships between Female Sexual Dysfunction and Related Variables in Korean Women

Jeongyee Bae,So Young Shin 위기관리 이론과 실천 2014 Crisisonomy Vol.10 No.11

The purpose of this study was to identify the prevalence and related factors of female sexual dysfunction(FSD). Five hundred fourteen women aged more than 20 years and who lived in five major cities in Korea completed an organized questionnaire during study visits. Age, marital period, education, menstruation, marital status, type of contraception, perceived health state, presence of disease, sexual distress, sexual attitude, marital adjustment, and crisis had direct influence on FSD. In addition, sexual distress, sexual attitude, marital adjustment, and crisis were found to be significant risk factors of FSD. Sexual function was higher in women with good subjective health status, positive sexual attitude, and good marital adjustment and those without sexual distress, depression, crisis, and stressful life event. This study results indicate that FSD may be influenced by both health-related and psychosocial factors. While the causal relationship between sexual dysfunction and quality of life concomitants remains to be further investigated, the strong associations between the variables observed in this study suggest that sexual dysfunction is a largely uninvestigated yet significant public health problem. Future studies that develop comprehensive nursing interventions reflecting various predictors of FSD and effective educational programs considering features of Korean society are needed to decrease and prevent sexual dysfunction in Korean women.

Epidemiologic Study for Sexual Dysfunction-related Factors in Korean Women

Jeongyee Bae,Eunjung Kim 한국간호과학회 2007 한국간호과학회 학술대회 Vol.2007 No.11

Needs Assessment for Clinical Practice Education in Undergraduate Nursing Curriculum: A Mixed-methods Approach

Jeongyee Bae,Hye-Ryoung Kim,Jina Oh,So Young Shin,Sanghee Kim,Haena Jang,Jeonghyun Cho 위기관리 이론과 실천 2020 Journal of Safety and Crisis Management Vol.10 No.1

This study intends to provide the grounds for improving clinical practice curriculum reflecting the reality and demands of the clinical practice of nursing by identifying the needs of nursing students for clinical practice education and the experiences of clinical practice education perceived by graduates. A convergent parallel mixed-methods design was applied. According to the results of the quantitative study, application of core basic nursing skills based on expertise and skills and cooperation and communication were considered as important, and achievement was also high. According to the results of the qualitative study, it is essential to use such teaching methods like simulation so that students can improve their skill competencies. Additionally, quality improvement of clinical practice instructors was demanded to enhance the quality of clinical practice education. This study is significant because it established the future direction for the development of a clinical practice curriculum to enhance professional competencies for nurses in the future based on the needs of nursing students and graduates. It is necessary to develop an integrated assessment tool to measure achievement as well as develop a clinical practice curriculum.

Application and Developmental Strategies for Community-Based Injury Prevention Programs of the International Safe Communities Movement in Korea

Bae, Jeongyee,Cho, Joonpil,Cho, Seong-il,Kwak, Minyeong,Lee, Taehyen,Bae, Christina Aram 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.6

Purpose: Safety of humans is an important factor that affects health overall, and injuries are one of the major public-health problems in the world. The purposes of this study were to describe the International safe Community movement which contributes to the injury prevention and safety promotion all over the world, and to identify out the application and developmental strategies for Korea. Methods: A review was done of previous research, reviews, and reports on the history, concepts, basic principles, and recommendations for actions of the Safe Community. Results: For this study, the application strategies of the International Safe Community movement in Korea were examined to deduce the strengths of the safe Community program. Community-based injury prevention work according to the International Safe Community model is a successful and cost-effective way of reducing injuries in the community. Conclusion: Through the International Safe Community program, communities are able to realize a healthy community and achieve improved quality of lives for the people, which is the ultimate objective of the Safe Community model. In addition, it will contribute to the economic vitalization and gain through energy and enhancement of productivity of people.

A Religious Comparative Study on Death Perception for a Desirable Death Awareness Intervention when Facing Crisis Situation

Jeongyee Bae,Yoonjung Kim 위기관리 이론과 실천 2017 Journal of Safety and Crisis Management Vol.7 No.1

This study was conducted to find out the direction of death according to religion and the direction of crisis intervention. Human life is inseparable from death, and there is no life beyond death. He is preparing to die, fearing death. With the development of the industrial society, the lives of modern people can be exposed to various crisis situations that threaten various diseases and safety. Therefore, interest in crisis intervention is increasing day by day. For crisis intervention suitable for the subject, first, it is necessary to understand what is perception of individual death and what kind of death is related to religion. Religion is an important source of influence on individual beliefs and understanding how they deal with crisis situations. Based on the results of this study, I hope that I will take a step forward in the understanding of human being and use it in the development of expert education and intervention program in crisis intervention.

청소년 우울의 인과적 구조분석

배정이(Jeongyee Bae),김윤정(Yoonjung Kim) 대한스트레스학회 2009 스트레스硏究 Vol.17 No.3

본 연구에서는 청소년들의 우울에 영향을 미치는 관련요인들을 분석하여 우울의 예방과 조기발견 및 중재법의 개발에 지침이 되는 모형을 구축하고자 수행되었다. 본 연구의 가설적 모형에서는 우울에 영향을 주는 요인을 크게 개인적 특성과 가족요인 및 학교요인으로 나누고, 개인적 특성 요인으로는 자아개념과 학교적응을, 가족요인으로는 부모의 양육태도, 그리고 학교요인으로는 친구의 지지 및 교사의 지지를 포함시켜서 이 개념들과 우울과의 상호작용을 토대로 청소년들의 우울을 설명하는 가설적 모형을 구축하였다. 본 연구에서는 청소년들의 우울은 그들을 둘러싸고 있는 가정, 학교 및 지역사회의 정서, 심리, 사회 환경적 특성을 반영하므로 총체적인 접근에서 다루어져야 함을 시사하고 있다. The purpose of this study was to construct a structural equation model that would further explain the depression in Korean adolescents. Based on preceding researches, this study established a path model of depression and its related variables. One thousand nine hundreds ninety-six high school students participated in this study. Data was collected by visit-survey with an organized questionnaire and was analyzed by SPSS and AMOS programs. The result of study are as follows. Self-concept showed a significantly direct influence to depression while both family satisfaction and school adjustment directly and indirectly influenced depression. Parental acceptance, autonomy, school achievement and social support indirectly influenced depression. These results imply that first, family satisfaction and self-concept are essential to solve the problems of depression. Especially friend"s support, school adjustment should help improve the self-concept and solve depression. Second, a variety of programs are available for schools to employ in an effort to provide interventions for students who demonstrate depression. Finally, it is necessary for family, school and all the society members to comprehensively cooperate to solve the problem of depression. (Korean J Str Res 2009;17:295∼305)

캐나다 이민자의 정신건강 실태

배정이(Jeongyee Bae),박영숙(Youngsuk Park),윤숙희(Sookhee Yoon),김윤정(Yoonjung Kim) 대한스트레스학회 2010 스트레스硏究 Vol.18 No.3

본 연구의 목적은 한국인들이 많이 거주하고 있는 지역인 캐나다에서 한국인 이민자들을 대상으로 정신건강실태를 파악하여 이민자들의 정신건강 증진에 이바지할 기초 자료를 제공하고자 함이다. 본 연구의 참여자는 캐나다에 거주하고 있는 한국인 386명을 대상으로 대상자의 일반적 특성 외 정신건강실태를 측정할 수 있는 간이정신진단검사(Symptom Checklist-90-Revision, SCL-90-R) 중 일반적인 성인의 정신건강 상태 측정에 적합한 신체화 12문항, 우울 13문항, 불안 10문항, 적대감 6문항, 예민성 9문항을 이용하였다. 신체화 점수는 최저 0점, 최고 32점, 평균 7.54±6.04, 우울 점수는 최저 0점, 최고 38점, 평균 9.07±6.86, 불안 점수는 최저 0점, 최고 28점, 평균 5.10±5.23, 적대감 점수는 최저 0점, 최고 22점, 평균 2.89±3.05, 그리고 예민성 점수는 최저 0점, 최고 30점, 평균 5.83±4.66이었다. 신체화, 우울, 불안, 적대감 및 예민성간의 상관관계를 알아보기 위하여 검증(Pearson"s Correlation)한 결과, 5가지 변수 모두에서 정적 상관을 보였다. 대상자들의 정신건강 상태에 유의한 영향을 미치는 인구사회학적 변수로는 성별, 직업, 이민 만족도, 신체적 건강상태로 나타났으며, 신체화, 우울, 불안, 적대감 및 예민성의 평균 점수는 정상 범위 이내에 분포되어 있어 캐나다 이민자들의 정신건강 상태가 우리나라 성인보다 양호한 상태임을 알 수 있었다. 본 연구를 토대로 상대적으로 정신건강 상태가 취약한 대상자인 여자와 직업이 없거나 판매ㆍ서비스직에 종사하는 군, 이민에 대해 거의 만족하지 못하거나 그저 그렇다로 응답한 군, 신체적 건강상태가 나쁘거나 아주 나쁘다고 응답한 대상자 및 정신건강상태에서 고위험군이거나 임상적으로 진단을 내릴 수 있는 범주의 대상자를 중심으로 보다 체계적이고 적극적인 중재활동을 수행할 것을 제언한다. The purpose of this study was to survey the basic data for Korean immigrants" mental health status (somatization, depression, anxiety, hostility, Sensitivity) in Canada. A descriptive study has been conducted to report Korean immigrants" mental health states, to identify the risk factors associated with mental health. Three hundred eighty six Korean immigrants" in Canada were analyzed by visit-survey with an organized questionnaire. SCL-90-R for measurement of mental health was used. The data collected using SPSS 17.0 frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson"s Correlation Coefficient was analyzed. Somatization was 7.54±6.04 ranged 0 to 32, depression was 9.07±6.86 ranged 0 to 38, anxiety was 28±5.10 ranged 0 to 28, hostility was 2.89±3.05 ranged 0 to 22, and sensitivity was 5.83±4.66 ranged 0 to 30. This study shows that a number of characteristics of the Korean immigrants in Canada affect levels of mental health states, the most noticeable of these factors being sex, job, immigration satisfaction and heath state. (Korean J Str Res 2010;18:191∼199)