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      • KCI등재

        직장 여성의 불안, 충동성과 음주문제

        이현재,한덕현,이영식,기백석,권해진,박두병,Lee, Hyun Jae,Han, Doug Hyun,Lee, Young Sik,Kee, Baik Seok,Kwon, Hye Jin,Park, Doo Byung 대한불안의학회 2011 대한불안의학회지 Vol.7 No.2

        본 연구 결과 여성에서의 문제음주와 알코올 의존 비율이 남성보다는 적지만 9.8%로 상당수의 여성들이 알코올 문제를 겪고 있음을 알 수 있었다. 그리고 직장 생활을 하는 여성에서 음주 노출 기회가 더 많고, 실제로 음주에 대한 문제가 더 많이 발생하며 이는 여성의 상태불안과 충동성과 관계가 있다. 여성에서는 직업을 가짐으로써 음주 노출기회가 많아지고 직장 생활에서의 불안 및 충동성이 문제 음주를 일으키는 원인이 될 수 있음을 예상해 볼 수 있겠다. 따라서 직장 여성의 음주 노출 기회와 불안 및 충동성 조절이 음주 위험 요소의 중요한 조절 요인으로 생각된다. Objectives : This study examined drinking habits, anxiety, and impulsiveness in employed women. Methods : We sampled 925 residents aged over 20 years in Gwanak-gu of Seoul. In the process, we divided subjects into employed women and unemployed women groups and then used the Korean Version of Alcohol Use Disorder Identification Test (AUDIT-K), State-Trait Anxiety Inventory (STAI), and Barratt Impulsiveness Scale (BIS) to identify patterns in subjects' alcohol drinking, anxiety and impulsiveness. Results : Among the 925 respondents, 95.7% drank alcohol, and after the analysis, female problematic drinking ($12{\leq}AUDIT-K{\leq}25$) and alcohol dependence ($AUDIT-K{\geq}26$) was apparent in 61 (9.5%) and 2 respondents (0.3%), respectively. Female respondents who had jobs tended to drink more and exhibit higher ratios of problematic drinking, with a higher exposure to alcohol than those that were unemployed. The psychological attributes related to female respondents' alcohol problems related to state of anxiety and impulsiveness. Employed women respondents also showed a higher state of anxiety and impulsiveness than unemployed women. Conclusion : Controlling the frequency of exposure to alcohol, anxiety, and impulsiveness in employed women should be considered to be crucial controlling factors related to the hazards of excessive drinking.

      • KCI등재

        공황장애 환자의 초기부적응 심리도식의 특성

        우나영,이병욱,이홍석,정명훈,이중서,Woo, Na Young,Lee, Byung Wook,Lee, Hong Seock,Jung, Myung Hoon,Yi, Jung Seo 대한불안의학회 2011 대한불안의학회지 Vol.7 No.2

        본 연구에서는 공황장애 환자의 심리도식 특성을 조사하였다. 대조군에 비해 환자군은 상태 및 특성불안, 우울 점수가 유의하게 높았으며 YSQ 중에서는 유기/불안정, 위험/질병에 대한 취약성 도식 점수가 유의하게 높았다. 환자군에서 ST-AI로 평가한 불안 수준은 모든 심리도식과, BDI로 평가한 우울 수준은 특권의식/과대성을 제외한 14개 도식과 상관관계가 있었으나 대조군에서는 훨씬 적은 수의 도식만이 상관관계를 보였다. 환자군에서 위험/질병에 대한 취약성, 유기/불안정 도식이 특성불안 수준을 가장 잘 예측하였으며 의존/무능, 유기/불안정 도식은 상태불안 수준을, 결함/수치심, 복종 도식은 우울 수준을 가장 잘 예측하였다. 이를 종합할 때, 초기부적응 심리도식은 공황장애의 발병과 경과 그리고 치료 반응에 영향을 미칠 가능성이 있다. 향후 대규모 집단을 대상으로 공황장애 환자의 심리도식 특성을 파악하고 치료에 접목시키는 작업이 필요할 것으로 생각된다. Objective : This study aimed to investigate the characteristics of the early maladaptive schemas in patients with panic disorder. Methods : Patients (n=35) included people who had met the DSM-IV-TR criteria for panic disorder. The normal control group (n=35) were those people who had no psychiatric disorder and had never experienced panic attack. The early maladaptive schemas and the severity of depression and anxiety were assessed by the Young Schema Questionnaire Short-form (YSQ-SF), the Beck Depression Inventory (BDI), and the Spielberger State-Trait Anxiety Inventory (STAI). Results : The scores on the STAI-S, STAI-T, and BDI were significantly higher in the patient group. Compared to the control group, the scores of vulnerability to harm and illness, and abandonment/instability schemas were significantly higher in the patient group. In the patient group, defectiveness/shame and subjugation schemas were found to predict BDI, dependent/incompetence, abandonment/instability schemas were found to predict STAI-S, and vulnerability to harm and illness, and abandonment/instability schemas were found to predict STAI-T. In normal controls, failure and insufficient self-control/self-discipline, failure, and emotion inhibition schemas were found to predict BDI, STAI-T, and STAI-S. Conclusions : Vulnerability to harm and illness and abandonment/instability schemas may be characteristic schema in patients with panic disorder.

      • KCI등재

        소방공무원의 스트레스 및 우울의 위험 요인 : 개인 및 직무요인을 중심으로

        이나빈,이정현,김지애,전경선,심민영 대한불안의학회 2019 대한불안의학회지 Vol.15 No.1

        Objective : The aim of this study was to investigate the individual and job related factors as risk factors for mental health of firefighters. Methods : The data of 202 fire-fighters was analyzed by using a multinomial logistic regression analysis. All participants completed self-reported questionnaires including demographics (sex, age, work duration), the Childhood Trauma Questionnaire, the Ways of Coping Checklist, the Colleague related traumatic events, the Korean occupational stress scale, the Korean Perceived Stress Scale-10, and the Beck Depression Inventory. Participants were divided into three groups according to the level of stress and depressive symptom scores: Low Stress-Low Depression (LS-LD), High Stress-Low Depression (HS-LD), and High Stress-High Depression (HS-HD). Results : A job related factor-organizational injustice-was a significant factor related to HS-LD, while individual factors such as active coping level and childhood trauma experience and a job related factor-difficult physical environment-were significantly associated with HS-HD. Conclusion : These results imply the need to take both individual and environmental approaches into account when managing the stress and depression of firefighters. More specifically, psycho-education to facilitate active coping strategy and adaptive emotional regulation at the individual level and the improvement of physical work environment of firefighters should be supported. (Anxiety and Mood 2019;15(1):35-44)

      • KCI등재

        중동호흡기증후군에 대한 공포감이 병원종사자와 일반인의 사회심리적 건강에 미치는 영향 : 외상 후 스트레스의 매개효과

        김신일,김태형,최말례,정주리,권혁민,김형욱,김병조,은헌정 대한불안의학회 2019 대한불안의학회지 Vol.15 No.1

        Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p<0.01) and the higher post-traumatic stress (r=0.32, p<0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (β=0.45, t=6.33 p<0.001), (β value : 0.39>0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development. (Anxiety and Mood 2019;15(1):45-52)

      • KCI등재

        2018 한국형 공황장애 치료지침서 : 정신사회적 치료전략

        김민숙,김민경,이재헌,김원,문은수,서호준,구본훈,양종철,이강수,이상혁,김찬형,유범희,서호석 대한불안의학회 2019 대한불안의학회지 Vol.15 No.1

        Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018. Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals. Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder. Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder. (Anxiety and Mood 2019;15(1):13-19)

      • KCI등재

        우울 및 불안장애 환자에서 리질리언스와 감사 성향의 관련성

        민정아,이원희,정영은,홍현미,채정호,Min, Jung-Ah,Lee, Won Hee,Jung, Young-Eun,Hong, Hyeonmi,Chae, Jeong-Ho 대한불안의학회 2022 대한불안의학회지 Vol.18 No.1

        Objective : The levels of resilience and gratitude were examined in psychiatric patients with depression and/or anxiety disorders and compared to those of the general population. In addition, we analyzed the associations of positive affect, negative affect, depressive and anxiety symptoms, and gratitude on resilience in this patient population. Methods : The participants included a general population sample (n=155) and psychiatric outpatients with depression and/or anxiety disorders (n=108). All participants completed self-report questionnaires, which included demographic variables, the Connor-Davidson Resilience Scale (CD-RISC), the Gratitude Questionnaire-Six-Item Form (GQ-6), the Positive Affect Negative Affect Scale (PANAS), and the Hospital Anxiety and Depression Scale (HADS). Results : The CD-RISC and GQ-6 scores of patients with depression and/or anxiety disorders were significantly lower than those of the general population. In the patient population, hierarchical regression analysis showed that gratitude was significantly associated with resilience while controlling for a range of demographic and clinical variables. Conclusion : Patients with depression and/or anxiety disorder generally had lower resilience and gratitude. Moreover, our findings showed that gratitude could influence the levels of resilience in patients with depression and/or anxiety disorders.

      • KCI등재

        화상환자의 외상후 스트레스 장애 증상에 대한 영향 요인 : 울분, 우울, 삶의 의미

        황지현,이병철,채정호 대한불안의학회 2019 대한불안의학회지 Vol.15 No.1

        Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients. (Anxiety and Mood 2019;15(1):29-34)

      • KCI등재

        미디어 노출에 의한 간접외상이 외상 후 스트레스 증상에 미치는 영향 : 온라인 설문 조사 연구

        박상의,정유지,이정현 대한불안의학회 2018 대한불안의학회지 Vol.14 No.2

        Objective : Several earlier studies have reported similar symptoms in patients with posttraumatic stress disorder (PTSD) who have been repeatedly exposed to relevant media after disasters and trauma. This study aimed to examine the effects of indirect trauma experience through media rather than direct traumatic events on an individual’s social life. Methods : Five hundred and fifty-four individuals participated in our online, self-reported questionnaire survey. All subjects were asked to complete a demographic questionnaire, Posttraumatic Diagnostic Scale, Beck Depression Inventory, the Impact of Event Scale-Revised, State-Trait Anxiety Inventory, Korean version of Alcohol Use Disorder Identification Test, Patient Health Questionnaire-15, Suicidal Behaviors Questionnaire- Revised. Participants were assessed in regards to their experience of violent media exposure within the past three months. Results : Data from our study indicates that the group exposed to violent media had significantly higher perceived stress, physical symptoms, insomnia, and suicide ideation in comparison to the control group. Among the major symptoms of PTSD, the proportion of intrusion symptoms was relatively high in the media exposed group. Conclusion : This suggests that indirect trauma caused by media exposure could cause post-traumatic stress symptoms. The PTSD caused by indirect trauma may have slight differences from the PTSD caused by direct trauma. Therefore, it is necessary to understand, prevent, and control the adverse effects of media. (Anxiety and Mood 2018;14(2):71-79)

      • KCI등재

        범법 조현병 환자에서 한국형 성격장애척도를 이용한 성격장애 평가

        강지욱,이미지,권지현,지익성 대한불안의학회 2018 대한불안의학회지 Vol.14 No.2

        Objective : Psychopathy has been suggested as one of the important cause of violence in patients with schizophrenia. The purpose of this study was to evaluate the personality disorder in criminal schizophrenia. Methods : A total of 187 criminal schizophrenia participated in this study. All participants filled out the Korean Inventory of Interpersonal Problem Personality Disorder Scales (K-IIP-PD), Psychopathic Personality Inventory-Revised (PPI-R), Personality Assessment Inventory (PAI). Using the correlations between the scales, we investigated whether K-IIP-PD could be used to evaluate personality disorder in criminal schizophrenia. Moreover, participants were divided into two groups of psychopathic and nonpsychopathic schizophrenics, and scores of K-IIP-PD were compared between the two subgroups. Results : The overall correlation between the scales was very high. In particular, sum of 3 item scores (interprsonal sensitivity+interpersonal ambivalence+aggression) and aggression of K-IIP-PD were highly correlated with PPI-R and PAI. Total score of personality disorder scale and subscales were higher in psychopathic schizophrenic group compared to nonpsychopathic schizophrenic group. Conclusion : The K-IIP-PD could be used to assess the antisocial and aggressive nature of criminal schizophrenia. Further studies in v

      • KCI등재

        북한이탈주민의 외상후 스트레스장애의 임상적 특성

        이경은,안지현,김다은,문승연,홍진표 대한불안의학회 2018 대한불안의학회지 Vol.14 No.2

        Objective : The purpose of this study was to investigate prevalence and clinical characteristics of Posttraumatic Stress Disorder (PTSD) in North Korean defectors (NKD). Methods : The study population consisted of 300 NKDs registered in the multi-regional adaptation center (Hana Center), within three years of settling in South Korea. We conducted in-person interviews and a survey with each subject, based on the North Korean version of the WHO-Composite International Diagnostic Interview (NK-CIDI) and various clinical scales. Results : Lifetime prevalence of PTSD in NKDs was 15.3%, approximately nine times higher than South Koreans (1.7%). Although experiencing broader type of traumas with higher rate than South Koreans, NKDs revealed lower odds of PTSD in most type of trauma (p<0.05). Conclusion : NKDs are at higher risk of experiencing different types of trauma than the general population in South Korea, and it is further validated that prevalence of PTSD is also higher. Careful evaluation for comorbid psychiatric symptoms and type of traumas prior to PTSD treatment for NKDs is necessary to facilitate more appropriate intervention for each subject, according to personal experience. (Anxiety and Mood 2018;14(2):80-87)

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