Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men

남자 노숙인의 분노와 건강기능과의 관계에서 자기효능감의 매개효과

  • Park, Su In (Nursing Policy Research Institute, College of Nursing, Yonsei University) ;
  • Kim, Sunah (College of Nursing, Yonsei University, Nursing Policy Research Institute, College of Nursing, Yonsei University)
  • 박수인 (연세대학교 간호대학 간호정책연구소) ;
  • 김선아 (연세대학교 간호대학.연세대학교 간호대학 간호정책연구소)
  • Received : 2014.03.25
  • Accepted : 2014.06.18
  • Published : 2014.08.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons. Methods: The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K). Results: The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health. Conclusion: Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

Keywords

References

  1. Ministry of Health & Welfare. Welfare projects of the homeless in 2013. Seoul: Author; 2013.
  2. Park YC. Homelessness issues and policy challenges in Seoul city government. Law and Administration Review. 2001;8:311-339.
  3. Nyamathi A. Developing nursing theory and science in vulnerable populations research. The 9th International Nursing Conference & 3rd World Academy of Nursing Science; 2013 October 16-18; The-K Seoul Hotel. Seoul: Korean Society of Nursing Science; 2013. p. 56-60.
  4. Crawley J, Kane D, Atkinson-Plato L, Hamilton M, Dobson K, Watson J. Needs of the hidden homeless-no longer hidden: A pilot study. Public Health. 2013;127(7):674-680. http://dx.doi.org/10.1016/j.puhe.2013.04.006
  5. Ram U. Roots of anger and aggression: Indian wisdom from the Bhagawad Gita. Korean Journal of Health Psychology. 2000;5(2):171-180.
  6. Evans S, Giosan C, Patt I, Spielman L, Difede J. Anger and its association to distress and social/occupational functioning in symptomatic disaster relief workers responding to the September 11, 2001, World Trade Center disaster. Journal of Traumatic Stress. 2006;19(1):147-152. http://dx.doi.org/10.1002/jts.20107
  7. Smith TW, Glazer K, Ruiz JM, Gallo LC. Hostility, anger, aggressiveness, and coronary heart disease: An interpersonal perspective on personality, emotion, and health. Journal of Personality. 2004;72(6):1217- 1270. http://dx.doi.org/10.1111/j.1467-6494.2004.00296.x
  8. Spielberger CD. Professional manual for the state-trait anger expression inventory-2 (STAXI-2). Odessa, FL: Psychological Assessment Resources; 1988.
  9. Kim KH, Chon KK. Effects of anger, hostility, and stress on physical health. Korean Journal of Health Psychology. 1997;2(1):79-95.
  10. Williams JE, Nieto FJ, Sanford CP, Couper DJ, Tyroler HA. The association between trait anger and incident stroke risk: The atherosclerosis risk in communities (ARIC) study. Stroke. 2002;33(1):13-19. https://doi.org/10.1161/hs0102.101625
  11. Pender N, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Upper Saddle River, NJ: Pearson/Prentice-Hall; 2010.
  12. Oh H, Jeong H, Seo W. Integrative smoking cessation stage model for Chinese students studying in Korea. Asian Nursing Research. 2013;7 (4):182-190. https://doi.org/10.1016/j.anr.2013.09.001
  13. Bandura A. Self-efficacy: The exercise of control. New York, NY: Worth Publishers; 1997.
  14. Yoo H, Kim CJ, Jang Y, You MA. Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases. International Journal of Nursing Practice. 2011;17(6):599-606. http://dx.doi.org/10.1111/j.1440-172X.2011.01970.x
  15. Yeom HE. Association among ageing-related stereotypic beliefs, self-efficacy and health-promoting behaviors in elderly Korean adults. Journal of Clinical Nursing. 2014;23(9-10):1365-1373. http://dx.doi.org/10.1111/jocn.12419
  16. Han JY. The effects of anger expression mode of high school student on depression and self-efficacy [master's thesis]. Seoul: Hankuk University of Foreign Studies; 2007.
  17. Park HS, Koo HY. A study of anger and health status in middle aged women. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2004;13(3):245-256.
  18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. http://dx.doi.org/10.3758/brm.41.4.1149
  19. Chon KK, Hahn DW, Lee CH. Korean adaptation of the state-trait anger expression inventory (STAXI-K): The case of college students. Korean Journal of Health Psychology. 1998;3(1):18-32.
  20. Sherer M, Maddux JE, Mercandante B, Prentice-dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. http://dx.doi.org/10.2466/pr0.1982.51.2.663
  21. Hong HY. The relationship of perfectionism, self-efficacy and depression [master's thesis]. Seoul: Ewha Womans University; 1995.
  22. Jones D. Establishing the psychometric properties of the FHPAST: Use in practice. Journal of Japan Society of Nursing Diagnosis. 2002;7(1):12-17.
  23. Keum R, Kim S. Perceived functional health patterns and recovery in people with schizophrenia spectrum disorders. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(3):238-249. http://dx.doi.org/10.12934/jkpmhn.2012.21.3.238
  24. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6): 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  25. Ministry of Health & Welfare, Korean Centers for Disease Control & Prevention. Korea national health and nutrition examination survey, 2011. Seoul: Ministry of Health & Welfare; 2012.
  26. Hwang RI, Yoon JW. The predictors of anger expression of the homeless in the shelters. Journal of Korean Academy of Community Health Nursing. 2011;22(1):22-32. http://dx.doi.org/10.12799/jkachn.2011.22.1.22
  27. Park YJ, Baik S, Shin HJ, Yoon JW, Chun SH, Moon S. Anger, cardiovascular health and depression in middle-aged Korean men: The mediating effect of social support. Journal of Korean Academy of Nursing. 2006;36(5):863-871. https://doi.org/10.4040/jkan.2006.36.5.863
  28. Kim S, Kim SY. A study on aging anxiety and self-efficacy of middle aged adults. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2008;17(3):281-291.
  29. Tollett JH, Thomas SP. A theory-based nursing intervention to instill hope in homeless veterans. ANS Advances in Nursing Science. 1995;18 (2):76-90. https://doi.org/10.1097/00012272-199512000-00009
  30. Epel ES, Bandura A, Zimbardo PG. Escaping homelessness: The influences of self-efficacy and time perspective on coping with homelessness. Journal of Applied Social Psychology. 2006;29(3):575-596. http://dx.doi.org/10.1111/j.1559-1816.1999.tb01402.x

Cited by

  1. Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness vol.25, pp.1, 2014, https://doi.org/10.12934/jkpmhn.2016.25.1.11
  2. Trait Anger, Anger Expression, Positive Thinking and Gratitude in College Students vol.25, pp.1, 2016, https://doi.org/10.12934/jkpmhn.2016.25.1.28
  3. Anger expression, self‐efficacy and interpersonal competency of Korean nursing students vol.63, pp.4, 2014, https://doi.org/10.1111/inr.12314
  4. A Phenomenology Study of the Lived Experience of Homeless Persons vol.26, pp.1, 2014, https://doi.org/10.12934/jkpmhn.2017.26.1.88
  5. Comparing anger, anger expression, life stress and social support between Korean female nursing and general university students vol.73, pp.12, 2014, https://doi.org/10.1111/jan.13354
  6. 대학생의 정신건강과 건강위험행위의 관련성 vol.34, pp.4, 2014, https://doi.org/10.12925/jkocs.2017.34.4.1036
  7. Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms vol.31, pp.2, 2019, https://doi.org/10.7475/kjan.2019.31.2.165