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      • KCI등재

        통합심리치료의 인지분화훈련이 정신분열병 환자의 기초 인지기능에 미치는 영향

        이희상,현명호,조현상,이연희,김태용,장순아,노규식,정기립,이만홍,유계준 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

        연구목적 : 정신분열별 환자들을 대상으로 통합심리치료의 소프로그램인 인지분화훈련을 실시하여 실행기능, 개념형성능력, 언어능력 및 추론력에 대한 훈련이 보다 더 하위단계의 인지기능인 주의력, 기억력, 반응시간 등을 호전시킬 수 있는 지를 알아보고자 하였다. 연구방법 : DSM-IV상 정신분열병으로 진단된 24명의 입원환자를 무작위로 양분하여 한 군은 인지분화훈련군으로 다른 한 군은 대조군으로 나누었다. 훈련군은 4주동안 1주일에 3회(매회 60분간)로 총 12회의 통합심리치료의 인지분화훈련을 받았으며 대조군은 동일한 시간동안 정신건강교육을 받았다. 훈련전후에 훈련군과 대조군을 대상으로 개정판 Wechsler 기억검사로 주의집중력, 장·단기 기억력을 측정하였고 Vienna test system중 결정반응시간검사로 반응시간, 반응결정시간, 반응운동시간을 평가하였다. 연구결과 : 1) 주의집중력에서는 훈련군과 대조군사이에 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 2) 단기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=10.46. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 3) 장기기억력에서는 훈련군과 대조군사이에 집단내 효과는 있었으나(F(1,24)=15.09. p〈.05). 집단간 효과, 상호작용 효과는 없었다. 4) 반응시간에서는 상호작용 효과(F(1,24)=5.18, p〈.05)가 있었다. 5) 반응운동시간에서는 집단간 효과, 집단내 효과 및 상호작용 효과가 없었다. 6) 반응결정시간에서는 상호작용 효과(F(1.24)=6.00, p〈.05)가 있었다. 결 론 : 통합심리치료의 인지분화훈련은 정신분열병 환자에서 하위단계의 인지기능 중 반응시간(특히 반응결정시간)을 단축시키는 효과가 있었다. Objectives : The purpose of this study was to investigate the effects of cognitive differentiation training of Integrated Psychological Therapy(a training program of executive function, concept formation, language, and abstraction) on micro-level cognitive function such as attention, memory and reaction time in patients time in patients with schizophrenia. Methods : Twenty-four inpatients diagnosed as schizophrenia using DSM-IV were randomly assigned to 2 groups. The training group went through a total of 12 sessions of cognitive differentiation training for 4 weeks. The control group received psychoeducation program during the same period. Wechsler Memory Scale-Revised and Decision-Reaction Timer of Vienna Test System were administered to all patients, both before and after the training program. Results : 1) In the attention and concentration scores of Wechsler Memory Scale-Revised, between group, within group and interaction effects of training were not significant. 2) In the short-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=10.46, p〈0.05), but the between group and interaction effects did not reach significance. 3) In the long-term memory scores of Wechsler Memory Scale-Revised, within group effect of training was significant(F(1,24)=15.09, p〈0.05), but the between group and interaction effects did not reach significance. 4) In the reaction time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=5.18, p〈0.05). 5) In the motor time scores of Decision-Reaction Timer, between group, within group and interaction effects of training were not significant. 6) In the decision time scores of Decision-Reaction Timer, interaction effect of training was significant(F(1,24)=6.00, p〈0.05). Conclusion : Our findings suggest that cognitive differentiation training of Integrated Psycho-logical Therapy is partly effective on improving micro-level cognitive functions such as reaction time(especially, decision time) in patents with schizophrenia.

      • KCI등재

        정신분열병에 대한 리스페리돈의 효과 및 안정성

        이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

      • Purge & Trap-GC를 이용한 의약품 필름코팅 정제 중 잔류용제에 관한 연구

        장준식,이명자,소유섭,문춘선,이주헌,박희라,김진숙,강경모,이선옥,방성연,유미자,유문균,금오성,이병욱 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-

        의약품은 약물을 생체에 적풋하기 위하여 유효성분의 효과가 언제나 일정하게 확보되고 사응에 편리하도록 만들어지는 것이므로 유효썽분 이외에 약효에 영향을 주지 않는 성분이 첨가되는 경운가 많다. 이 때 사용되는 용매들은 제피의 광택 및 건쪼시간의 단축 등을 위하여 휘발점이 낮을 용매들이 주로 사용되어진다. 본 연구는 의약품 필름코팅정제 중 잔류용매 4종(chlorofonr benzen, trichloro ethylen, 1,4-dioxane)에 대한 변형된 pirge & trap-GC 장치를 이용한 동시분석방법을 개발하였으며, 각 표준품의 RSD 값은 chloroform 3.03%, benzen 3.17%, trichloroethylen 3.69% and 1,4-dioxane 3.41%였다. 또한 시중 유통중인 의약품 50종에 대하여 잔류웅매 양을 측정하였으며, 검출되는 잔류용매는 한 건도 없었다. This study nras carried out to develope the analytical method for the mixture of chlorefonn, benzen, trichloroethylen and 1,4-dioxane simultaneously and determine the remainingorgauic solvents in coating tablets by Purge & Trap-GC. The results were as follouFs ; 1. Chloroform, benzen, trio:tloroethylen and 1,4-dioxane separated by tenax #5 trap by HP-624GC column by terrlperature programming. The peaks were separated completely at retentiontime of 6.88min for chloroform, 8.21min for benzen, 10.38miu for trichloroethylen and 11.95minfor 1,4-dioxane. 2. Standard RSD were individually chloroform 3.03%, benzen 3.17%, trichloroethylen 3.69%and 1,4-diorane 3.41%. 3. 60 samples were not detrcted chloroform, benzen, trichloroethylen and 1,4-dioxane.

      • KT&G V-TOUR 2004' 배구경기 관람소비자 인식도 분석

        이준희,조현민 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.2

        The purpose of this research was to make an offer for activationg professional games of volley ball through a inspection rate based on survey with the inspectors(three hundred and fourty-six persons in all / one hundred and seventy-four men and one hundred and seventy two women) at the second tour 'KT&G V-TOUR", the final match held in Mok-po. First, several highest lists are found at the various area; ·coming to watch with friends when volley ball match was opened. ·the amount expenditure was less than 5,000~10,000won. ·inattentive services for volleyball fan from the volley ball League. ·insufficient pleasure facilities and stall systems in the field. Second, how to gather about information of new matches was to use television and colleague, also effective medium was television to confirm the result of ex-matches. Third, the rate of recognization about local connection showed that men knew whether existence or not better than women, generally, almost viewers didn't acknowledge about local connection team. Furthermore, inspectors was supporters of specific team which had their stars were attached. Finally, in the case of consequence, it must need to ensure amusement place for unit of family enjoying and adopt a positive public relations and attitude before admission into stadium from association and clubs.

      • 스포츠 참가유형에 따른 스포츠 참가동기가 사회적 태도에 미치는 영향

        이준희 慶星大學校 1996 論文集 Vol.17 No.4

        The study investigated 366 participants in the like-minded persons' club and 383 participants which individually performs the sports, which do the sports activities in sports center and like-minded persons' club Individual Participants closely examined the formation course of social attitude, and the analysis of data acquired the following conclusion by use of the stepwise regression analysis. 1. In the motive for the participation oh sports upon the type of participation, those who take part in the sports like-minded persons' club appeared the fellowship, formation oh character, activities, curiosity, and accomplishment motive higher than the individual sports participants, and in the physical motive, the individual sports participants showed its higher degree. 2. In the social attitude, the participants in the sports like-minded persons' club shows the social attitude higher than the individual sports participants. 3. Effect which the motive for participants of sports has upon the social & emotional attitude formation. 1) In case of participants in the sports like-minded persons' club, the physical motive, the motive for the formation of character and the accomplishment motive appeared to have the noted effects in the male, and the physical motive and motive of curiosity have the noted influences in the female. The physical motive wholly appeared to have the biggest effects. 2)In case of the individual sports participants, the motive for the formation of character and the physical motive appeared to have the noted effects in the male, and the physical motive had the noted influences in the female. The physical motive wholly appeared to have biggest effects. 4. Effect which the motive for participation of sports has upon the formation of social unification attitude. 1) In case of the participants in the sports like-minded persons' club, the motive of friendship, character formation and activities appeared to has the noted effects in the male, and the motive for the character formation and friendship had the noted effects in the female. The motive for friendship wholly appeared to have the biggest effects. 2) In case of the individual sports participants, the motive of character formation friendship, and physical motive appeared to has noted effects in the male, and the motive for the character formation and activities had the noted effects in the female. The motive for formation of character wholly appeared to have the biggest effects. 5.Effects which the motive for participation of sports had upon the socialization attitude 1) In case of the participants in the sports like-minded persons' club, the motive of character formation, activities, curiosity and friendship appeared to has noted effects in the male, and the motive for the character formation and activities had the noted effects in the male. The motive for character formation wholly appeared to have the biggest effects. 2) In case of the individual sports participants, the motive of character formation, curiosity, accomplishment, friendship and activities appeared to has the noted effects in the male and the motive for the character formation and activities, physical motive and friendship had the noted effects in the female. The motive for formation of character wholly appeared to have the biggest effects. 6.Effects which the participation motive had upon the social control attitude 1) In case of the participants in the sports like-minded persons' club, the motive of character formation, physical motives, and friendship appeared to has the effects in the male, and the motive for the character formation had the effects in the female. The motive for character formation wholly appeared to have the biggest effects. 2) In case of the individual sports participants, the motive of character formation, accomplishment, curiosity and physical motive appeared to has the noted effects upon the social control attitude in the male, and the motive for the character formation and activities, physical motive and curiosity had the noted effects in the female. The motive for formation of character wholly appeared to have the biggest effects.

      • 라켓스포츠소비자의 구매행동에 관한 연구

        이준희,최정도 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.1

        The purpose of this study was to investigate customers purchasing behavior in racquet sports (table tennis, badminton, tennis and squash) based on their demographics including age, sex and occupation. This study also examined differences in purchasing motives, sources for the product information, a period of searching for the production information, main factors affecting purchasing behavior, and people influencing purchasing behavior. One hundred ninety-eight individuals who engaged in racquet sports voluntarily participated in this study. The program of statistics process was used with SPSS 10.0. The statistical techniques used for analysis were reliability, frequency, and Chi-square. Statistical significance was accepted at an alpha level of p<.05. The major findings of this study were as follows: 1. There were statistical significance differences in consumers purchasing motives based on their age and occupation(p<.05). The main purchasing motive for older respondents was to maintain or improve their health and fitness while younger consumers motive was to improve their sport skills. Respondents who were administrators and managers were more interested in learning sport skills than the other respondents. 2. There were statistical significance differences in consumers sources for the product information based on their gender(p<.05) and occupation(p<.01). Male respondents were more likely to receive the information from their club members and the expert while female respondents were more likely to get it from their family. 3. There were statistical significance differences in a period of searching for the production information based on their age(p<.01) and occupation(p<.001). Respondents who were administrators and managers spent much more time(8-13 days) than the other respondents (3 days or less). 4. There were statistical significance differences in main factors affecting purchasing behavior based on their age(p<.05) and occupation(p<.001). Older respondents were more likely to select the product based on its fee and facilities while younger respondents were more likely to view services as the most important factor. 5. There were statistical significance differences in people influencing on consumer purchasing behavior based on their gender(p<.01) and occupation(p<.001). Male respondents were more likely to be influenced by their friends and co-workers while female respondents were more likely to be affected by their spouse. 6. There were statistical significance differences in consumers willingness to recommend the product to others based on their gender(p<.01) and occupation(p<.001). Older respondents were more likely to recommend the product to the others than younger respondents.

      • 언어학에서 바라본 화자

        이준희 고려대학교 민족문화연구원 한국문학연구소 2001 한국문학연구 Vol.- No.2

        Currently, the study of Language is moved speaker's utterance to hearer's utterance. This currency is made by the change of understanding about speaker. That is, the studies of production in utterance are progressive to the interpretation in utterance. The speaker in structural linguistics play only on role in judging right or wrong sentence. But the speaker in pragmatics play an important role in the subject of speech-acts. The changes of roles with speaker is changed to linguistics but also the study of korean-the treatment.

      • 주문처리 과정의 개선을 통한 고객지향적 공급시술 구축전략

        李珣哲,趙峻熙 홍익대학교 경영연구소 2001 경영연구 Vol.26 No.-

        생산자 위주의 시대에서 고객위주의 시대로 접어들고 업계가 성숙됨에 따라 품질이나 가격으로 차별화를 달성하는 것이 더욱 어려워져가고 있다. 이와 같은 경영환경의 변화로 인해 주문처리 과정을 통한 차별화를 달성하는 것이 필요하게 되었다. 고객의 입장에서 기업과의 편리한 거래, 기대하지 못했던 서비스의 제공을 통한 고객의 감동 등과 같이 고객에 대한 새로운 가치를 창출할 수 있도록 주문처리 과정이 혁신되어야 한다. 주문처리 과정의 재구축은 과거 개선활동의 연장이 아니라 구조적이며 고객지향적이며 전시적이며 프로세스 지향적으로 이루어져야 한다. 본 연구에서는 주문처리 과정을 주문 접수부터 배달에 이르는 업무만으로 단순하게 정의하는 것이 아니라, 주문의 창출, 가격 결정, 스케줄 작성, 유통 및 물류, 설치, 대금의 청구와 애프터서비스까지도 주문처리 과정의 일환으로 포함하고 있다. 이와 같이 주문처리 과정을 확대 정의하는 것은 전체적인 입장에서 고객, 경영층, 종업원들의 공유된 비전과 업무의 우선순위를 결정하기 위해서이다. 부분적인 최적화를 탈피하며 주문처리 과정을 재구축하기 위해서는 지향적인 흐름의 분석이 필요하다. 프로세스 지향적으로 분석된 주문처리 과정과 정보기술을 결합하여 재구축을 실행하면 낮은 원가, 높은 기능, 높은 수익의 사업 운영 시스템의 구축이 가능하게 된다.

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