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A Study on Change Trajectories of Self-Rated Health in Middle Aged: Longitudinal Study Using Latent Class Growth Analysis (중·장년기 주관적 건강상태의 변화궤적 유형과 예측요인 탐색: 잠재계층성장분석(LCGA)을 이용한 종단연구)

  • Kim, Ho Jeong;Nam, Seok In
    • 한국노년학
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    • v.39 no.4
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    • pp.941-958
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    • 2019
  • The purpose of this study was to explore change trajectories patterns of Self-Rated Health in middle aged, to identify socioeconomic factors, self-esteem, family relationship factors, and to identify relevant predictors. For this purpose, the 2,418 middle aged, who married couples were extracted from the 2nd to 12st waves of Korea Welfare Panel Survey data. The data analysis included Latent Class Growth Analysis, multiple logistic regression. The change trajectories patterns of self-rated health in middle aged were classified into four types: (1) high state-retained type(46.3%), (2) low state-retained type(19.6%), (3) reduced type(17.5%), (4) increasing type(16.6%). Despite the control of chronic diseases that are closely related to health, when the low state-retained type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem and satisfaction of the family relationship had a more inadequate effect than the high state-retained type. Likewise, when the reduced type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem, satisfaction of the family relationship, and family stress had a more effect than the increasing type. Based on the analysis results, this study suggest political and practical intervention to maintain the proper health, and the details are as follows.

The Effects of Stress factors and Self-Esteem on Depressive Symptoms among the young-old, the old-old, the oldest-old groups: The Mediating Role of Two Dimension Self-Esteem (노년기 연소노인, 중고령노인, 초고령노인 집단의 스트레스 요인과 자아존중감이 우울에 미치는 영향 - 자아존중감 2요인의 매개효과를 중심으로 -)

  • Kwon, Tae-yeon
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.163-196
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    • 2009
  • This study aimed to examine the direct impact and pathways of stress factors, internal resources(positive self-esteem and negative self-esteem) on the depressive symptoms based on stress coping theory, grouping older stage into three groups such as, the young-old, the old- old, oldest-old. This study further examined the mediating role of self-esteem in the relationships between stress factors and depressive symptoms. Data from 1st year Korea Welfare Panel Study were used for the analysis. The total number of participants was 4,338 who were over 65. Data are Analyzed using Structural Equation Modeling. Results revealed that stress factors and internal resources(positive self-esteem and negative self-esteem) directly affected depressive symptoms. The effects of stress factors on depressive symptoms were mediated by positive and negative self-esteem.. Results of multi-group structural equation modeling showed that the effects and pathways of stress factors and self-esteem on depressive symptoms were different into the three old groups. Based on the findings, the implications for policy and practice were discussed.

Toward An Integrative Pluralism of Religions: Embodying Yijing, Whitehead, and Cobb

  • Cheng, Chung-ying
    • Journal of the Daesoon Academy of Sciences
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    • v.17
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    • pp.239-279
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    • 2004
  • 이 글에서 나는 세 단계의 다른 종교이해 방식을 구분하여 세 가지 형태의 종교다원주의 정의하고 그 특징을 설명하고 있다. 그 첫째는 차별적 다원주의인데, 현존하는 혹은 앞으로 그 모습을 드러낼 종교들 사이의 차별성을 그대로 인정하는 형태이다. 둘째는 상보적 다원주의로써 현존하는 또는 앞으로 출현할 종교들은 각각의 종교적 실천과 그 믿음이 그 내용상 상호보충적인 성격을 지니고 있다고 보는 것이다. 셋째는 통합적 다원주의이다. 이 관점은 모든 종교를 인류와 인간의 세계이해의 전체론적 발전 과정의 필수적 부분들로 보는 것이다. 이 가운데 통합적 형태의 다원주의가 가장 중요하다. 왜냐하면 이 관점은 각각의 다른 종교들에게 그것 고유의 이질적 역사적 관점에 의한 하나의 토대를 제공하기 때문이다. 이 관점은 또한 각기 다른 종교들의 차이점들을 창조적 전체와 연관시켜보는 개방적이고 창조적인 통찰력을제공함으로써 그 종교들이 인간의 앎과 실천에 가장 중요한 비젼과 관련하여 각각이 궁극적으로 적절한 위상을 성취할 수 있도록 하며, 상호간에 배우고 더욱 발전할 수 있는 존재로 서로 이해되고 격려하도록 하는 기능을 수행한다. 이와 같은 종교적 통찰력의 면에서 나는 상호보충적인 다원주의 이론을 발전시킨 존 콥과 데이비드 그리핀의 업적에 심심한 고마움을 전한다. 그러나 동시에 각 종교의 독특성은 유지하면서도 상대주의는 피하기 위해서는 어떻게 이 상호보충적인 다원주의가 화이트헤드의 창조성 철학의 관점에 의해 부분의 개성을 유지하면서도 전체를 감싸 아우르는 통합적 다원주의로 반드시 한 걸음 더 나아가야 하는지를 강조 설명하고 있다. 이 글의 후반부에서는, 나는 또한 통합적 다원주의 관점의 종교적 진리와 믿음의 고양이 중요함을 이해하기 위하여 서로 연관된 네 가지 주제를 논한다: (1) 지역적으로 상대적인 인류의 필요에 동시에 응하고자 하는 동서의 세계종교의 목표에 부응하기 위해서는 화이트헤드적 사유의 틀과 역경의 철학이 보여주는 사유의 틀이 어떻게 통합되어야 하는가 (2) 어떻게 상대주의의 내적 논리에 의해 제기된 논쟁점들이 세계종교 안에서 동시에 극복되고 고려되어 종교가 계속 발전하는데 도움을 줄 수 있는지 (3) 어떻게 인류가 창조성의 또는 창조자로써의 신의실존-우주론적 견해의 풍부함으로 인도 되는 신적 개별화의 근본 은유적 존재로 역할을 해왔는지 (4) 유가와 도가의 통합적 조화의 역사적 모범에 기초해 볼 때, 기독교와 불교 이 두 세계종교의 통합적 조화가 가능한지, 그리고 왜 이 두 종교가 세계의 종교들이 서로 다른 종교적 믿음과 행위의 통합적 조화의 상태로 나아가는 미래의 변화를 이루는데 유효한 종교가 되는지.

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The moderating effect of social supports and cultural identity on the relationships of reverse culture shock, and subjective well-being (재문화충격과 주관적 안녕감 간 관계에서 지지체계와 문화정체성의 조절효과)

  • Seung-Min Lee;Eunjoo Yang
    • Korean Journal of Culture and Social Issue
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    • v.21 no.1
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    • pp.45-66
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    • 2015
  • This study explored the moderating effects of social supports (family support, home friends support, foreign friends support) and cultural identity (home identity, foreign identity) on the relationships of reverse culture shock and subjective well-being. Participants were 157 returnees who left home-country prior to the age of 19 and resided in the foreign-country for more than three years. The results of hierarchical regression analyses on two-way interaction effect between reverse culture shock and each hypothesized moderator (e.g., family support, home friends support, foreign friends support, home identity, foreign identity) indicated that reverse cultural shock and subjective well-being was negatively related and their relationship was moderated only by family support. Specifically, the relationship between reverse culture shock and subjective well-being was weaker when the level of family support was higher. Subsequently, three-way interaction among reverse culture shock, one of the social support factors, and one of the cultural identity factors was investigated using hierarchical regression analyses. The results showed that the three-way interaction among reverse culture shock, family support, and home identity was significant. The slope difference tests yielded that the relationship between reverse culture shock and subjective well-being was stronger when both levels of family support and home identity were lower compared to when either level of family support or home identity was higher. These results imply that environmental factors such as family support and intrapsychic factor such as home identity might function as a buffer against the negative consequences of reverse culture shock experience.

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Why and Who Participate in Illegal Gambling?: The Psychological Characteristics of Illegal Gamblers (누가, 왜 불법도박을 할까?: 불법도박 경험 수준에 따른 심리적 특성)

  • Junbok Lee;Sangyeon Yoon;Taekyun Hur
    • Korean Journal of Culture and Social Issue
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    • v.20 no.2
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    • pp.155-176
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    • 2014
  • The previous researches of gambling have been rather focused on the legal gambling industry and gambling addiction and ignored the issue of illegal gambling. But, illegal gambling in Korea has been continuously growing in its volume and the numbers of the relevant mental and social problems such as gambling addiction, crimes, suicides, and etc. have been increasing rapidly. The present study investigated the psychological characteristics of illegal gamblers with comparing gamblers who never experienced illegal gambling (NE), who experienced illegal gambling but participate mainly in legal gambling (EIG), and who participate mainly in illegal gambling (MIG). 1317 NEs, 177 EIGs, and 37 MIGs were recruited and completed an online survey that measured individual dispositions (risk-taking tendency, regulatory focus, locus of control), attitudes towards gambling regulations, misconception of illegal gambling, motives (monetary, excitement, socialization), and emotions. First, EIGs and MIGs, compared to NEs, preferred risk-taking, and EIGs were more promotion focused than NEs. Also, EIGs perceived illegal gambling as less illegal and tended to hold more misconceptions about illegal gambling, compared to NEs. Furthermore, EIGs and MIGs had stronger monetary and excitement motivation than NEs. Finally, MIGs were more likely to feel anxious than other groups. Focusing on the illegality of gambling, the characteristics of illegal gamblers are discussed and political implication on illegal gambling is suggested.

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Validation of the Korean Version of the Continuing Bonds Scale (한국판 지속 유대 척도의 타당화)

  • Kyeyang Kim ;Jongwon Park ;Wan-Suk Gim
    • Korean Journal of Culture and Social Issue
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    • v.22 no.2
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    • pp.263-283
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    • 2016
  • The present study aimed at examining the factor structure, reliability and validity of the Korean version of the Continuing Bonds Scale (K-CBS). In study 1, exploratory factor analysis was administered to 293 bereaved adults who had experienced the death of a loved one, and it revealed a single factor structure with 10 items that explained 52.59% of the total variance. The K-CBS showed good internal consistency with Cronbach's alpha of .92. In study 2, confirmatory factor analysis in a different sample of 200 bereaved adults indicated satisfactory standardized regression weights of all items. However, one item had a squared multiple correlation less than .40, hence, this item was discarded, and 9 items remained for the final scale. The single factor model with 9 items displayed a good fit. The K-CBS had strong positive correlation with grief symptoms, and weak positive correlation with depression. After controlling for grief, however, the K-CBS was predictive of a decrease in depression. The K-CBS was positively associated with posttraumatic growth. In addition, significant differences in scores of the K-CBS were shown among groups based on the deceased's relation to the bereaved and expectedness of loss. These results suggest that the K-CBS is a reliable and valid instrument to measure continuing bonds. Finally, implications, limitations, and directions for future research were discussed.

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Development and Validation of Indirect Trauma Scale of Social Disaster (사회적 재난으로 인한 간접외상 척도의 개발과 타당화 연구)

  • Yeun-Joo Hur ;Min-Kyu Rhee
    • Korean Journal of Culture and Social Issue
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    • v.23 no.3
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    • pp.381-407
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    • 2017
  • The purpose of this study was to develop scale for the measurement of indirect traumatization occurred by social disaster and test their validity. To achieve this purpose, this study conduct a research through the following procedure. First, to develop the inventory, various responses of indirect traumatization occurred by social disaster were gathered from Korean adults participated in open questionnaire. 41 items were made. Second, exploratory factor analysis were performed and 21 items were selected in this step. The Indirect Trauma Scale of Social Disaster(ITSSD) consisted of 4 factors, each with 4-to-8 items, respectively. Four factors include ① private coping responses ② symptom responses ③ distrust responses of world ④ moral emotion cause of social perpetrators. Appropriate levels of reliability were established for the ITSSD. Third, Indirect Trauma Scale of Social Disaster was validated by confirmatory factor analysis, and 21 items were fixed. To 300 participants differed from development step, confirmatory factor analysis was performed. 4 factors structure derived from the exploratory analysis was appropriate. And 4 factors indicated reasonable fit index such as TLI(.913), CFI (.924) and RMSEA(.077). In addition, ITSSD identified a significant positive correlation with Posttrauma Risk Checklist, Korean Depression Scale, State-Trait Anxiety Inventory-KYZ and negative with Acceptance-action Questionnaire-2. But that was unrelated to Forgiveness Trait Scale and Life Satisfaction Scale. Also the result showed that Women experienced high level of indirect trauma of social disaster than men.

Recurrent Early Gastric Cancer with Liver Metastasis Mimicking Pancreaticobiliary Cancer (조기위암으로 위 절제술 후 갑자기 발생한 췌담도암으로 오인되었던 재발성 위암 1례)

  • Byung Hoo Lee;Joo Young Cho
    • Journal of Digestive Cancer Research
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    • v.1 no.1
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    • pp.48-51
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    • 2013
  • We report an unusual case of postoperative early gastric cancer with liver metastasis mimicking pancreaticobiliary carcinoma. A 73-year-old man with early gastric cancer was transferred for endoscopic treatment. The patient underwent endoscopic submucosal dissection for the treatment of the early gastric cancer. The pathological diagnosis was adenocarcinoma with extension to the deep submucosa and some lymphatic invasion. Therefore, subsequent a subtotal gastrectomy was performed. The histological results demonstrated residual adenocarcinoma confined to the mucosa. The resection margin and lymph node metastasis were negative. Thus, he was closely monitored for recurrence every 6 months. After 2 years, he was suddenly suspected of developing liver metastasis and local recurrence. He received a liver biopsy, and the pathological result was poorly differentiated adenocarcinoma. Immunohistochemical staining suggested pancreaticobiliary carcinoma rather than metastatic adenocarcinoma from the stomach or colon, but primary focus was not found. We were sure that the recurrent stomach cancer metastasized to the liver because stomach cancer can show heterogeneous cytokeratin (CK) expression pattern with various histological features. Therefore, no single CK expression pattern has diagnostic value for distinguishing gastric carcinoma. The patient underwent chemotherapy for metastatic stomach cancer.

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The Relationship between Driving Behavior, Driving Anger, and Ambivalence Over Emotional Expressiveness in an Anonymous Situation (익명상황의 운전행동과 운전분노 및 정서표현갈등과의 관계)

  • Bo Young Yun ;Soon Chul Lee
    • Korean Journal of Culture and Social Issue
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    • v.17 no.3
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    • pp.321-341
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    • 2011
  • This study examines how anonymity between drivers affects aggressive driving and why, in an anonymous situation, some drive aggressively and others do not. Two surveys were conducted. The first survey covered 200 participants and found that people are more likely to drive aggressively in an anonymous situation than in a face-to-face situation. The second survey covered 384 participants with a history of aggressive driving and found that these aggressive drivers could be classified into three groups using a two-step cluster analysis. Drivers who often exhibit aggressive driving in anonymous situations were found in the second questionnaire to have a high tendency towards driving anger and towards ambivalence over emotional expressiveness. The tendency towards self-defensive ambivalence factor, one of the factors in the ambivalence over emotional expressiveness questionnaire, was also found to be high. Individuals who tended to drive aggressively in an anonymous situation were found to be susceptible to driving anger, usually faced ambivalence over emotional expressiveness, and typically were indecisive. The results of this study suggest that rather than intensifying the enforcement of traffic regulations, a better remedy for those who drive recklessly would be to have them undertake some candid self-reflection.

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The Development and Validation of the Leisure Obsession Scale (여가강박 척도의 개발 및 타당화 연구)

  • Jiyeon Yoon;Seung-Hyuk Choi;Taekyun Hur
    • Korean Journal of Culture and Social Issue
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    • v.19 no.2
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    • pp.235-257
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    • 2013
  • The purpose of this study is to develop the Leisure Obsession Scale and examine the validity of the scale. The Leisure Obsession Scale was developed and identified its validity by exploratory factor analysis, confirmatory factor analysis, and correlation analysis. The Leisure Obsession Scale consists of two factors, which are 'Leisure Preoccupation' and 'Leisure Stereotype'. Those two factors indicated the reasonable fit index by confirmatory factor analysis. In addition, this scale displayed discriminant validity via measurement of obsession, workaholism, leisure anxiety, and leisure constraint. Also, the results of criterion validation analysis shows that the Leisure Obsession Scale and its subscale are correlated with measure of age, leisure information searching, intention of participation to new leisure activities, and intention of increase in leisure time. Conceptualizing leisure obsession and exploring components of leisure obsession would be valuable for understanding the nature of leisure obsession and its effects on leisure satisfaction, and suggesting more effective psychological intervention in a diverse population.

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