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1 KISEP Original Articles Korean J Child & Adol Psychiatr 10158~168 학교폭력피해청소년의방어기제에관한연구 * A STUDY ON THE DEFENSE MECHANISMS IN ADOLESCENT VICTIMS OF SCHOOL VIOLENCE 진혜경 ** 박영숙 *** 신지용 **** Hea-Kyung Jhin, M.D.,** Young-Sook Park, Ph.D.,*** Jee-Yong Shin, M.D.**** 요약 중심단어 서 론 Department of Adolescent Psychiatry, Seoul National Mental Hospital, Seoul Department of Neuropsychiatry, College of Medicine, Ewha Womans University, Seoul Department of Neuropsychiatry, College of Medicine, Hallym University, Seoul Corresponding author 158

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3 1. 연구대상 연구대상및방법 2. 연구방법 1) 이화방어기제검사 160

4 2) 분노척도 3. 연구절차및자료분석 Table 1. Distribution of the sample Group Male Female Total Clinical group Inpatient Day hospital Outpatient School Control group Total Table 2. Mean age of the sample Group Mean S.D. Admission Day hospital Outpatient School Control 연구결과 1. 임상군과정상군간의차이 1) 이화방어기제의하위척도, 요인, 성숙단계에서의 차이 161

5 2. 입원환자, 낮병동환자, 외래환자, 학교군, 정상군의차이 1) 이화방어기제의하위척도, 요인, 성숙단계에서의차이 Table 3. T-test according to subscales of EDMT between clinical and normal group Clinical group Normal group t-value df p Mean SD Mean SD NS p NS NS NS NS NS p NS p NS NS p NS NS NS NS NS p NS Table 4. T-test according to factors of EDMT between clinical and normal group Factors Clinical group Normal group t-value df p Mean SD Mean SD NS p NS NS Table 5. T-test according to maturation levels of EDMT between clinical group and normal group Maturation Clinical group Normal group level Mean SD Mean SD t-value df p NS NS p p

6 Table 6. ANOVA according to factors among clinical subgroups and normal group Factors Measures df F p 1 Intragroup NS Total 76 2 Intragroup p.01 Total 80 3 Intragroup NS Total 80 4 Intragroup NS Total 80 Table 7. ANOVA according to maturation levels among clinical subgroups and normal group Maturation Measures df F p level Intragroup NS Total 80 Intragroup NS Total 78 Intragroup p.05 Total 78 Intragroup p.01 Total 정상군의성별차이 4. 임상군의이화방어기제와분노간의상관관계 1) 이화방어기제하위척도와분노척도와의상관관계 163

7 2) 이화방어기제요인, 성숙단계와분노척도와의상관관계 Table 8. Correlation between subscales and anger scale 5. 임상군의성별차이 * * * * * * * *p.01 Table 9. Correlation between factors and anger scale * *.4053 *p.01 Table 10. Correlation between maturation levels and anger scale Table 11. T-test according to subscales between patient group and school group in clinical group Patient group School group t-value df p Mean SD Mean SD p NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS p NS 164

8 Table 12. T-test according to anger scale between patient group and school group in clinical group Patient group School group t-value df p Mean SD Mean SD NS NS 6. 임상군내의환자군과학교군간의차이 1) 이화방어기제하위척도, 요인, 성숙단계별차이 2) 분노척도 고 찰 165

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10 References 1) 경향신문 (1995): 고1생투신자살. 8월 8일 2) 조선일보 (1995): 고2생교실내물고문후실신사건. 12월 8일 3) 중앙일보 (1995): 고1생심장병급우집단폭행. 2월 18일 4) 경향신문 (1996): 고3생교실내급우살인. 3월 20일 5) 유용식 (1997): 학교주변의청소년폭력실태와해결방안 6) 동아일보 (1998): 초등학생집단따돌림후자살. 10 월 15일 7) 김은경 (1996): 때리는아이, 맞는아이어떻게볼것인가? 8) 청소년대화의광장 (1994): 때리는아이, 맞는아이 9) 청소년폭력예방재단 (1996): 청소년폭력실태와예방대책 10) 형사정책연구원 (1997): 형사정책연구 97년 12 월호 11) Hodges E, Perry D(1996):Victims of peer abuse: An overview. Journal of Emotional and Behavioral Problems 5: ) Hoover JH, Oliver R, Hazler RJ(1992):Bullying: Perceptions of adolescent victims in midwestern USA. School Psychology International 13: ) Schwartz D, Dodge KA, Coie JD(1993):The emergence of chronic peer victimization in boy s play groups. Child Development 64: ) Olweus D(1993):Victimization by peers:antecedents and long-term outcomes. Social Withdrawal, inhibition, and shyness in childhood, pp ) Rigby K(1992):School children s perceptions of their families and parents as a function of peer relations. J Gen Psychol 154: ) Olweus D(1994):Bullying at school:basic facts and effects of a school-based intervention program. J Child Psychol Psychiatry 35: ) Patterson CJ, Kupersmidt JB, Vaden NA(1990): Income level, gender, ethnicity, and household composition as predictors of children s school-based competencies. Child Development 61: ) 강신덕 (1997): 비행청소년분노조절교육프로램개발및효과성검증. 서울대학교 19) Perry DG, Kusel S, Perry LC(1988):Victims of peer aggression. Dev Psychol 24: ) Campbell C, Schwartz DS(1996):Prevalence and Impact of Exposure to Interpersonal Violence and Among Suburban and Urban Middle School Students. Pediatrics. September, pp ) Schwartz D, Dodge K, Coie J(1993):The emergence of chronic peer victimization in boy s play groups. Child Development 64: ) Helen, Nadel(1996):The Cycle of Violence and Victimization:A Study of the School-based Intervention of a Multidisciplinary Youth. Violence-Prevention Program. Am J Prevent Med 2: ) 송동호, 육기환, 이호분, 노경선 (1997): 학교폭력피해청소년의정신의학적후유증에관한사례연구. 소아청소년정신의학 8(2): ) 이근후, 박영숙 (1991): 이화방어기제검사요강. 하나의학사 25) 박영숙 (1993): 연령에따른자아방어기제의차이에관한연구. 이화의대지 16(2): ) Gabbard GO(1994):Psychodynamic Psychiatry. American Psychiatric Press 167

11 ABSTRACT Korean J Child & Adol Psychiatr 10158~168, 1999 A STUDY ON THE DEFENSE MECHANISMS IN ADOLESCENT VICTIMS OF SCHOOL VIOLENCE Hye-Kyung Jhin, M.D., Young-Sook Park, Ph.D., Jee-Yong Shin, M.D. Department of Adolescent Psychiatry, Seoul National Mental Hospital, Seoul This study was carried out to know the main defense mechanisms used by adolescent victims of school violence. Subjects of this study are composed of 41 adolescent victimsclinical group and 40 normal adolescentscontrol group. Clinical group is divided into four subgroups of inpatient, outpatient, day hospital, and school groups. Used scales are Ewha Defense Mechanisms TestEDMT and Staittrait anger scale. Several important results are found. Adoescent victims use neurotic defense mechanisms of neurotic and mature level less frequently than normal adolescents. In clinical group day hospital adolescents use more mature defense mechanisms than outpatient adolescents. Displacement and acting out are correlated with trait and sate anger. Somatization is correlated with trait anger, and regression is correlated with state anger significantly. KEY WORDSSchool violence Defense mechanism Adolescent victims. 168

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar