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정신의학적 증상과 작업수행 간 관계는 왜 모호한가?: 개관방법의 타당성 문제

The Reason Why Psychiatric Symptoms and Work Performance Is Not Clearly Related: Partially due to deficits inherent in review methods?

김상희
한국재활심리학회 (Korean Association For Rehabilitation Psychology)|2008.12|재활심리연구 (The Korean Journal of Rehabilitation Psychology)|제15권 제2호|pp. 37-59

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참고문헌

주제분류심리과학

초록

Abstract

The relation between psychiatric symptoms and vocational performance has significant implications for main issues in psychiatric rehabilitation including disability-identification, disability policy, focus of rehabilitation intervention, comparison and prediction of rehabilitation outcomes, and mechanisms underlying rehabilitation success. Review study results as intended to clarify it, however, are inconclusive. Whereas Anthony & Jansen(1984) concluded that little relation was there, Tsang, Lam, Ng, & Leung(2000) reached more positive conclusion. This study assumed that inconsistent results may be due to deficits inherent in traditional review methods relying on reviewer's subjective impressions and vote-counting. Reviewer's judgment may be vulnerable to subjective bias. Vote-counting strategy may lead to high Type II error and to different conclusions depending on sample sizes of individual studies because it is based on statistical significance influenced by individual study sample size. This study attempted to integrate primary studies of Anthony et al.(1984) and Tsang et al.(2000) using quantitative review method(meta-analysis) compensating for deficits in traditional qualitative review methods. Overall mean effect size gained from Anthony et al.(1984) was small but statistically significant. which supported vote-counting's vulnerability to Type II error. Moreover, two of overall mean effect sizes obtained from the two review studies were statistically significant and almost the same, which means Anthony's conclusion was conservatively biased. The findings suggested a need for meta-analysis on the whole literature dealing with the relation between psychiatric symptoms and vocational performance. Other potential moderators, being able to attenuate their relation and testifiable through meta-analytic method were also discussed.

참고문헌 (45)

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정신의학적 증상과 직업수행에 대한 직장편의의 조절효과김상희한국심리학회 · 한국심리학회지:일반2008 · 제27권 제2호주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ (Health and Work Performance Questionnaire)를 이용한 예비연구김원, 강은호, 김세주, 서용진, 우종민, 이준석, 최병휘, 함병주, 황태연대한신경정신의학회 · 신경정신의학2007 · 제46권 제6호최신 지견을 통해 보는 직업 관련 정신건강 문제와 임상현장에서의 대처이승엽대한신경정신의학회 · 신경정신의학2020 · 제59권 제2호한국 직장인에서 우울증의 인식과 태도조사 및 우울증이 근무에 미치는 영향김영훈, 심유진, 이동우, 홍진표대한신경정신의학회 · 신경정신의학2015 · 제54권 제2호정신분열병 환자의 주관적 증상과 객관적 정신병리와의 관련성김용식, 신민섭, 이창인, 정성훈, 주연호대한신경정신의학회 · 신경정신의학2001 · 제40권 제4호정신분열병 환자에서 인지기능 및 정신병적 증상의 상관관계김용구, 이분희, 이소연, 이정애, 한창수대한생물정신의학회 · 생물정신의학2006 · 제13권 제3호

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