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http://dx.doi.org/10.5392/JKCA.2019.19.08.323

The Effects of Emotional Awareness Level and Stress on Social Participation in Stroke Disabled Persons Living in the Community  

Lim, Young-Myoung (건양대학교 일반대학원 작업치료학 전공)
Yoo, Doo-Han (건양대학교 작업치료학과)
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Abstract
The purpose of this study was to identify the emotional and stress factors of the stroke victims living in the community and to investigate the effect of these factors on the level of social participation. Data collection collected data on the level of emotional awareness, stress, and social participation in welfare centers, public health centers, and stroke disabled people using community services. The level of social participation according to general characteristics was analyzed by descriptive statistics and one-way ANOVA. Emotional factors, stress factors, and social participation levels were analyzed by pearson correlation analysis and multiple regression analysis. As a result, there were no statistically significant factors in the sub-domains of emotional factors that affect social participation performance and satisfaction. In the sub-areas of stress factors, personal internal stress and interpersonal stress were statistically significant variables. The explanatory power showed social participation accomplishment was 34% and satisfaction was 33%. Therefore, various approaches should be made considering stressful factors to achieve rehabilitation into the local community, and additional research is needed to identify psychosocial variables that affect social participation.
Keywords
Stroke; Social Participation; Stress; Emotion Awareness; Community;
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1 P. A. Linley and S. Joseph, Positive psychology in practice, NJ: Wiley, pp.447-463, 2004.
2 K. L. Gratz and L. Roemer, "Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale," Journal of psychopathology and behavioral assessment, Vol.26, No.1, pp.41-54, 2004.   DOI
3 G. S. Seale, I. M. Berges, K. J. Ottenbacher, and G. V. Ostir, "Change in positive emotion and recovery of functional status following stroke," Rehabilitation psychology, Vol.55, No.1, p.33, 2010.   DOI
4 M. T. Tull, H. M. Barrett, E. S. McMillan, and L. Roemer, "A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms," Behavior Therapy, Vol.38, No.3, pp.303-313, 2007.   DOI
5 G. V. Ostir, I. M. Berges, M. E. Ottenbacher, A. Clow, and K. J. "Ottenbacher, Associations between positive emotion and recovery of functional status following stroke," Psychosomatic medicine, Vol.70, No.4, p.404, 2008.   DOI
6 D. D. Danner, D. A. Snowdon, and W. V. Friesen, "Positive emotions in early life and longevity: findings from the nun study," Journal of personality and social psychology, Vol.80, No.5, p.804, 2001.   DOI
7 M. N. Fisher, S. A. Snih, G. V. Ostir, and J. S. Goodwin, "Positive affect and disability among older mexican americans with arthritis," Arthritis Care & Research, Vol.51, No.1, pp.34-39, 2004.   DOI
8 M. Johnston, D. Bonetti, S. Joice, B Pollard, V. Morrison, J. J. Francis, and R. MacWalter, "Recovery from disability after stroke as a target for a behavioural intervention: results of a randomized controlled trial," Disability and rehabilitation, Vol.29, No.14, pp.1117-1127, 2007.   DOI
9 C. L. Scott, L. H. Phillips, M. Johnston, M. M. Whyte, and M. J. MacLeod, "Emotion processing and social participation following stroke: study protocol," BMC neurology, Vol.12, No.1, p.56, 2012.   DOI
10 Y. W. Song and S. K. Kim, "Factors influencing on social participation in patients with stroke," Korea Academy Industrial Cooperation Society, Vol.18, No.6, pp.165-170, 2017.
11 Y. J. Jo, Influencing factors in health promoting behaviors of stroke patients : Focoused on self-efficacy and social support, published master's thesis, Ajou University, Suwon, 2016.
12 S. J. Imm, The factors influencing the resilience in stroke patients at home, published master's thesis, Seoul National University, Seoul, 2013.
13 Korea Institute for Health and Social Affairs, 2000 Disabled people status survey, 2001.
14 J. P. Chau, D. R. Thompson, S. Twinn, A. M. Chang, and J. Woo, "Determinants of participation restriction among community dwelling stroke survivors: a path analysis," BMC neurology, Vol.9, No.1, p.49, 2009.   DOI
15 M. Braun, H. C. Traue, S. Frisch, R. M. Deighton, and H. Kessler, "Emotion recognition in stroke patients with left and right hemispheric lesion: Results with a new instrument-the FEEL test," Brain and Cognition, Vol.58, No.2, pp.193-201, 2005.   DOI
16 O. S. Kim and H. J. Kim, "Posttraumatic stress disorder (PTSD), anxiety, and depression among stroke patients," Health & Nursing, Vol.23, No.1, pp.1-12, 2011.
17 Korean Stroke Society, Textbook of stroke, Panmun Education, Seoul, pp.3-4, 2015.
18 C. L. Cooper, L. H. Phillips, M. Johnston, B. Radlak, S. Hamilton, and M. J. McLeod, "Links between emotion perception and social participation restriction following stroke," Brain Injury, Vol.28, No.1, pp.122-126, 2014.   DOI
19 L. Pessoa, "On the relationship between emotion and cognition," Nature reviews neuroscience, Vol.9, No.2, pp.148-158, 2008.   DOI
20 I. S. Choi, A study on the need for social welfare service in stroke patients: relationship to stress factor, published master's thesis, Daegu University, Daegu, 2002.
21 M. D. Patel, K. Tilling, E. Lawrence, A. G. Rudd, C. D. A. Wolfe, and C. McKevitt, "Relationships between long-term stroke disability, handicap and health-related quality of life," Age and Ageing, Vol.35, No.3, pp.273-279, 2006.   DOI
22 J. Young and A. Forster, "Review of stroke rehabilitation," Bmj, Vol.334, No.7584, pp.86-90, 2007.   DOI
23 V. Murray and B. Martensson, "Emotional reactions common sequelae of stroke," Lakartidningen, Vol.101, No.24, pp.2108-2115, 2004.
24 J. Desrosiers, A. Rochette, L. Noreau, G. Bravo, R. Hebert, and C. Boutin, "Comparison of two functional independence scales with a participation measure in post-stroke rehabilitation," Archives of gerontology and geriatrics, Vol.37, No.2, pp.157-172, 2003.   DOI
25 S. W. Moon, J. S. Seo, B. W. Nan, and J. Y. Choi, "Poststroke depression," The Research Institute of Medical Sciences Kon-Kuk University, Vol.14, No.1, pp.45-52, 2004.
26 T. Rutledge, S. E. Linke, M. B. Olson, J. Francis, B. D. Johnson, V. Bittner, and C. E. Cornell, "Social networks and incident stroke among women with suspected myocardial ischemia," Psychosomatic medicine, Vol.70, No.3, pp.282-287, 2008.   DOI
27 R. J. Dolan, "Emotion, cognition, and behavior," science, Vol.298, No.5596, pp.1191-1194, 2002.   DOI
28 P. Salovey, J. D. Mayer, S. L. Goldman, C. Turvey, and T. P. Palfai, "Emotional attention, clarity, and repair: Exploring emotional intelligence using the trait meta-mood scale," In J. W. Pennebaker (Ed.), Emotion, disclosure, & health, Washington, DC, US: American Psychological Association, pp.125-154, 1995.
29 J. J. Gross, "Emotion regulation: Affective, cognitive, and social consequences," Psychophysiology, Vol.39, No.3, pp.281-291, 2002.   DOI
30 R. M. Bagby, J. D. Parker, and G. J. Taylor, "The twenty-item toronto alexithymia scale-I. Item selection and cross-validation of the factor structure," Journal of psychosomatic research, Vol.38, No.1, pp.23-32, 1994.   DOI
31 W. K. Park, Perceive stress avd depression in hemiplegia patient using neuman stressors concepts factors, published master's thesis, Ewha Womans University, Seoul, 1988.
32 A. Swinkels and T. A. Giuliano, "The measurement and conceptualization of mood awareness: Monitoring and labeling one's mood states," Personality and social psychology bulletin, Vol.21, No.9, pp.934-949, 1995.   DOI
33 K. H. Kim, Mediation effect of the ability to perxeive emotion on boredom proneness and mental health, published master's thesis, Catholic University, Seoul, 2012.
34 B. Neuman, The Neuman system model: Application to nursing education and practice, Appleton Century Crofts, Norwalk, 1982.
35 Y. J. Lee, A study on validity and reliability of the Korean version life habits assessment (LIFE-H 3.1) in older adults, published master's thesis, Yonsei University, Seoul, 2016.
36 B. J. Lutz, M. Ellen Young, K. J. Cox, C. Martz, and K. Rae Creasy, "The crisis of stroke: experiences of patients and their family caregivers," Topics in stroke rehabilitation, Vol.18, No.6, pp.786-797, 2011.   DOI
37 World Health Organization, "CBR guidelines: Introductory booklet," Available from: https://www.who.int/disabilities/cbr/guidelines/en/, 2010.
38 Y. H. Park and S. M. Cha, "Study of Stress in Patients with Stroke," The journal of korea aging friendly industry association, Vol.4, No.2, pp.23-30, 2012.
39 C. L. Cooper, L. H. Phillips, M. Johnston, M. Whyte, and M. J. MacLeod, "The role of emotion regulation on social participation following stroke," British Journal of Clinical Psychology, Vol.54, No.2, pp.181-199, 2015.   DOI
40 P. Woodman, A. Riazi, C. Pereira, and F. Jones, "Social participation post stroke: a meta-ethnographic review of the experiences and views of community-dwelling stroke survivors," Disability and rehabilitation, Vol.36, No.24, pp.2031-2043, 2014.   DOI