중심단어 서 론 95

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1 KISEP Original Articles J Korean Neuropsychiatr Assoc Vol 38, No 1 국문초록 연구목적 : 미용성형수술과정신건강 * 변금순 ** 민성길 *** 김선아 **** 신극선 ** The Influence of Aesthetic Surgery on Patients Mental Health* Keum Soon Byun, M.D.,** Sung Kil Min, M.D.,*** Sun Ah Kim, M.D.,**** Kuk Sun Shin, M.D.** 방법 : 결과 : 결론 : Department of Plastic Surgery, Yonsei University College of Medicine, Seoul Deparment of Psychiatry, Yonsei University College of Medicine, Seoul Department of Psychiatric Nursing, Yonsei University College of Nursing, Seoul Corresponding author 94

2 중심단어 서 론 95

3 1. 연구대상 연구방법 2. 연구도구와자료수집방법 96

4 3. 통계분석방법 1. 대상자의특성 연구결과 1) 대상자의인구학적특성 Table 1. Changes in the score of SCL-90 between preand post-operations of aesthetic surgery SCL-90 scoren64 Items Pre operation Post-operation MeanS.D Somatization Obsessiveness compulsiveness Interpersonal sensitivity Depression Anxiety Hostility Anxiety phobia Paranoid ideation Psychoticism Others Total ) 수술의종류와배경 t p 97

5 Table 2. Changes in score of SCL-90 Demographic data and pre-operating and post-operatire state of aeasthetic Suagery by bemogaphi Vaiable Voniofle Number* of Subjects N64 Pre-operative State means.d. Post-operative scae means.d. p-value** Sex Male Bemale Ageyear Religion Christian Buddhist No religin Education Middle school and lower High school College Marital state Single Married Economic status Upper Middle Lower Growing place Rural area Small city Large city Satisfaction Satisfied in family life Average Unsatisfied Personality Introvevt Extrovevt Other Operation Double eyelid plasty Mammoplasty Rhinoplasty *The intems with too small number of subjects were omitted for proper statistical analysis **Wilcoxon signed ank test or kruskal-willis test 3) 수술전상태 98

6 Table 3. Correlation between the scores of SCL-90 and the scores in attitute, need, expectation, support and satisfaction Items Correlation coefficientr Group 1 Group 2 Total group Attitude to operation Need for operation Expectation to operation Family support before operation Family support after operation *** 0.27** Level of satisfaction **p.05, ***p.01spearman correlation test group 1with score of SCL-90 under 60 group 2with the score of SCL-90 above 미용성형수술전후의정신건강과신체에대한만족도의변화 1) 정신건강의변화 2) 신체만족도의변화 고 찰 99

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8 결론 참고문헌 1) Dion KK, Berscheid E, Walster E(1972):What is beautiful is good. J Pers Soc Psychol 24: ) Goldman W, Lewis P(1977):Beautiful is good: Evidence of the physically attractive are more socially skillful. J Exp Soc Psychol 13: ) Krelbs D, Adinofi AA(1975):Physical attractiveness, social relations and personality style. J Pers Soc Psychol 31: ) Kalick SM(1978):Toward an interdisciplinary psychology of apperance. Psychiatry, pp ) Belfer ML, Harrison AM, Pillemer FC(1982): Apperance and the influence of reconstructive surgery on body image. Clin Plast Surg 9:307 6) Flanary C(1983):The psychology of appearance and the psychological impact of surgical alteration of the face:modern practice in orthognatic and reconstructive surgery. Philadelphia, WB Saunders Company, pp3-10 7) 김종주 (1993): 정신장애의발생. 민성길편. 최신정신의학. 일조각. pp93 8) Richardson SA, Goodman N, Hastorf AH(1961): Cultural uniformity in reaction to physical disabilities. Am Soc Rev 26: ) Cash TF, Kehr Ja, Polyson J, Freeman V(1977a): The role of physical attractiveness in peer attribution of psychological disturbance. J Consult Clin Psychol 22: ) Langlois JH, Roggman LA, Casey RJ(1987):Infant preference for attractive faces:rudiments of a 101

9 stereotype. Dev Psychol 23: ) Byrne D, Ervin C, Lamberth J(1977):Continuity between the experimental study of attraction and reallife computer dating. J Pers Soc Psychol 16: ) Berscheid E, Dion KK, Walster E, Walster G(1971): Physical attractiveness and dating choice. A test of the matching hypothesis. J Exp Soc Psychol 7: ) Cash TF, Begley PJ, McCown DA(1975):When counselers are heard but not seen:initial impact of physical attractiveness. J Counsel Psychol 22: ) Cash TF, Gillen B, Burns DS(1977b):Sexism and beautyism in personnel consultant decision-making. J Appl Psychol 62: ) Burns GL, Farina H(1977):Physical attractiveness and self-perception of mental disorder. J Abnorm Psychol 62: ) Farina A, Burns GL(1986):The role of physical attractiveness in the treatment of discharged psychiatric patients. J Abnorm Psychol 95: ) Adams GR(1977):Physical attractiveness research:toward a developmental social psychology of beauty. Hum Dev 20: ) Adams GR(1980):Effects of age, height, and weight on self reported personality traits and social behavior;social psychology of beauty. J Soc Psychol 112: ) 이영호 (1993): 성형외과학. 의학문화사 20) Baker WY, Smith LH(1939):Facial disfigurement and personality. JAMA 112: ) Hill G, Silver AJ(1950):Psychodynamic and esthetic motivation for plastic surgery. Psychosom Med 12: ) Edgerton MT, Jacobson WE, Meyer E(1960): Surgical-psychiatric study of patients seeking plastic (cosmetic) surgery:ninety-eight consecutive patient with minimal deformity. Br J Plast Surg 13: ) Edgerton MT, Langman MW, Oryzinsky T(1991): Plastic surgery and psychotherapy in the treatment of 100 psychologically disturbed patients. Plast Reconst Surg 88: ) Kertzberg RL, Lewin ML, Cavior N, Lipton DS (1967):Psychologic screening of inmates requesting cosmetic operations. A preliminary report. Plast Reconst Surg, pp ) Wright MR, Wright WK(1975):A psychological study of patients undergoing cosmetic surgery. Arch Otolaryngol 101: ) Guifford S(1972):Cosmetic surgery and personality change:a review of some clinical observations. In:The Unfavorable Result in Plastic Surgery: Avoidance and Treatment. Ed by Goldwyn RR, Boston, Little Brown and Company, pp ) Pick JR(1948):Ten years of plastic surgery in a penal institution;preliminary report. J Int Coll Surg 11: ) Hay GC, Heather BB(1973):Changes in psychometric test results following cosmetic nasal operations. Br J Psychiatry 122: ) Colligan RC, Sather AH, Hollen MC(1981):Psychological evaluation of the orthognathic surgical patient. In:Psychological Aspects of Facial Form. Ed by Lucker GW, Ribbens KA, McNamara JA, JR, Monograph 11, Ann Arbor, University of Michigan, pp ) Auerbach SM(1984):Psychological Factors in Adjustment to orthognathic surgery. J Oral Maxillo Fac Surg 42: ) Goin MK, Rees TD(1991):A prospective study of patients psychological reaction to rhinoplasty. Am Plast Surg 27: ) Frost W, Peterson G(1991):Psychological aspects of orthognative surgery:how people respond to facial change. Oral Surg Oral Med Oral Pathol 71: ) 유영천, 이우형, 장충현 (1994): 미용성형수술을받은환자들의태도검사 (I). 대한성형외과학회지 21: ) 이두형, 장충현 (1994): 미용성형외과에대한학생들의의식조사연구. 대한성형외과학회 21: ) 장충현, 이두형 (1993): 성형외과에대한인지도에관한연구 (I). 대한성형외과학회지 20: ) 이경노, 장충현 (1993): 미용성형외과에대한인지도에관한연구. 대한성형외과학회지 20: ) 윤근철, 이윤호, 김근술 (1984): 다면적인성검사를통한성형외과환자들의정신의학적고찰. 대한성형외과학회지 11: ) 이진호, 김용배, 방유현등 (1983) : 미용성형수술환자의정신적측면에관한고찰. 대한성형외과학회지 10: ) 한상준, 안재훈, 박우현등 (1991) : 성형외과환자들의정신의학적측면에관한연구 (I). 대한성형외과학회지 18: ) 김춘미 (1985): 성형재건수술을원하는환자들의신체상에영향을미치는요인에관한연구, 서울 102

10 대학교대학원석사학위논문 41) 신유정 (1994): 성형수술환자의수술전후신체상및자기존중감에대한비교연구. 이화여자대학교교육대학원석사논문 42) 김광일, 원호택, 이장호 (1978): 간이정신진단검사 (SCL-90) 의한국판표준화연구 I. 신경정신의학회지 17: ) 김광일, 김재환, 남정현, 양병환, 김이영, 김지혜, 주영희, 인득상, 이영희, 이경섭, 임휴종, 서혜희 (1988): 대학생의정신건강에관한연구 1. 정신건강연구 7: ) 진위고 (1965):MMPI 한국개정판의재표준화연구 I. 학생연구 3: ) Rees TD(1973):Selection of patient in cosmetic facial surgery. Philadelphia, Saunders, pp ) MacGregor FC(1965):A Social science approach to the study of facial deformities and plastic surgery. WB Philladelphia, Saunders, pp127 47) 조두영 (1987): 임상행동과학. 일조각 48) MacGregor FC(1960):Patient dissatisfaction with results of technically satisfactory surgery. Women who seek rhinoplasty. Psychosom Med 22:

11 ABSTRACT J Korean Neuropsychiatr Assoc Vol 38, No 1, January, 1999 The Influence of Aesthetic Surgery on Patients Mental Health Keum Soon Byun, M.D., Sung Kil Min, M.D., Sun Ah Kim, M.D., Kuk Sun Shin, M.D. Department of Plastic Surgery, Yonsei University College of Medicine, Seoul ObjectivesThis study was to investigate the effects of aesthetic surgery on mental health. MethodSixty-four patients were assessed for their mental health and the degree of satisfaction with their body image before and after operations. The subjects mental health was evaluated by the Korean version of Symptom Check List-90SCL-90, a satisfaction scale with body image, and a questionnaire for demographic data and operation. Results 1 The average score of SCL-90 significantly improved from 68.17S.D to 58.03S.D after operationp0.01. The scores of all subscales for somatization symptoms, interpersonal sensitivity, depression, hostility and psychoticism improved significantly. Significant improvement was also found in patients who were in their 20 s and 40 s, had family support and had positive attitudes toward their operations. Family support had a more positive influence in the group who had a poorer state of mental health before the operation. 2 The average score of satisfaction with their body image improved significantly from 58.54S.D to 78.14S.D.18.30p0.01. The more they were satisfied with their body image, the more their mental health state improved. The degree of improvement in satisfaction was significant p0.01 in patients who had shown a poorer mental health state before operation. ConclusionThese results suggest that aesthetic surgery has positive influence on patients mental health and improved satisfaction with their body image and also that, in selection of patients for aesthetic surgey, their age and possible family support should be considered. KEY WORDSAesthetic surgery Mental health. 104

Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타

Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타 RESEARCH ARTICLE Kor. J. Aesthet. Cosmetol., 20-40대 여성의 외모만족도가 미용관리태도에 미치는 영향 홍수남 1, 김효숙 2 * 1 건국대학교 뷰티사이언스디자인학과, 2 건국대학교 의상디자인과 Effects of Extrinsic Body Satisfaction on Beauty Management Behavior of