• 제목/요약/키워드: 스트레스반응지각

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Response Characteristics of Perceived Stress Response Inventory in Patients with Upper Gastrointestinal Disorder (상부 위장관 장애 환자에서의 스트레스반응 지각척도의 반응특성)

  • Suh, Yong-Woo;Cho, In-Hee;Shin, Kwang-Chel;Chung, Yong-Kyoon
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.172-180
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    • 2000
  • Objectives : We investigated the characteristics of perceived stress response and relationship between some variables of gastrointestinal symptoms(esp., dyspepsia) and subscales of perceived stress response inventory(PSRI) in patients with upper gastointestinal disorder when they perceived stress. Methods : 84 patients with upper gastrointestinal disorder(gastritis, gastric ulcer, duodenal ulcer etc.) and 94 normal controls completed the PSRI developed by Korean psychiatrists. The patient group performed the questionnaire including some variables of gastrointestinal symptoms. Results : Internal consistency was statistically significant in all subscales of PSRI. The patient group was significantly higher at total score of PSRI, general somatic symptom subscale score, specific somatic symptom score than control group. As the result of stepwise regression analysis for relationship between some variables of gastrointestinal symptoms ans subscales of PSRI, specific somatic symptom subsclae closely related with illness duration, past illness history and severity of symptom, and the lowered cognitive function & general negative thinking subscale related with the existence of emotional distress. Conclusion : Patients with upper gastrointestinal disorder showed stronger perceived stress response than control group and they experiences somatic symptoms related to autonomic nervous system and/or gastrointestinal symtoms rather than emotional, cognitive, behavioral symtoms when they perceived stress. They also responded to stress as they expeirenced specific somatic symtom when they had long illness duration, past illness history, and high severity of symptom and the existence of emotional distress could develop lowered congnitive function and general negative thinking.

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The Comparison of Perceived Stress and Coping Strategy between Patients with Gastric Ulcer and Those with Chronic Gastritis (위궤양환자들과 만성위염환자들간의 스트레스지각 및 대응전략의 비교)

  • Oh, Seung-Jun;Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.11-19
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    • 2000
  • Objectives : The object of this study was to make a comparison regarding perceived stressor, perceived stress responses, and coping strategies between patients with gastric ulcer and patients with chronic gastritis. Subject and Methods : Subjects consisted of 40 patients with gastric ulcer and 100 patients with chronic superficial gastritis. Global assessment of recent stress(GARS) scale and perceived stress response inventory(PSRI) were used to measure perception for stressors and stress responses. Coping scale was used to measure coping strategies. Results : Scores of perceived stress related to work or job, changes in relationship on GARS scale were significantly higher in patients with gastric ulcer than those with chronic gastritis. Scores of perceived stress responses related to general somatic symptom, specific somatic symptom, passive-responsive and careless behavior on PSRI were significantly higher in patients with chronic gastritis than those with gastric ulcer. Scores of seeking social support, escape-avoidance on coping scale were significantly higher in patients with gastric ulcer than those with chronic gastritis. Conclusion : The above results suggest that perception for stressors were likely to be higher in patients with gastric ulcer than those with gastritis, whereas perception for stress responses were likely to be higher in the latter than the former. It is also suggested that patients with gastric ulcer were likely to use more dependent and passive coping strategies than patients with gastritis.

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The Relationship between Perceived Stress and Coping Strategies in Patients with Chronic Low Back Pain (만성요통 환자들에서 스트레스지각과 대응전략 간의 관계)

  • Shin, Yoon-Sik;Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.18-26
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    • 2002
  • Objectives : The object of this study was to investigate the relationship between coping strategies and perceived stress or pain discomfort in patients with chronic low back pain. 80 patients with chronic low back pain and 100 normal controls participated in this study. Methods: Global assessment of recent stress (GARS) scale and Stress Response Inventory (SRI) were used to measure perception for stressors and stress responses. Coping scale and pain discomfort scale were used to measure coping strategies and pain perception. Results : Scores of perceived stress related to work or job, interpersonal relationship, changes in relationship, sickness or illness and the total scores on the GARS scale were significantly higher in those with chronic low back pain than normal controls. Scores of the SRI fatigue subscale scored significantly higher in those with chronic low back pain than normal controls. No significant difference was found on total scores of the pain discomfort scale between those with chronic low back pain and normal controls. The patients with chronic low back pain scored significantly higher on planful problem solving and positive reappraisal than normal controls. In the patient group, pain perception had significant positive correlations with total scores of the SRI and scores of stress perception related to illness or injury. The extent of escape-avoidance showed significant negative correlations with age, whereas the extent of distancing or escape-avoidance had significant negative correlations with the level of education. Significant difference was also found in accepting responsibilities between male subjects and females. However, no significant correlations were found between coping strategies and perceived stressors, stress responses or pain perception. Conclusion : The results suggest that patients with chronic low back pain were more likely to use more active coping strategies than normal controls, though the former had more perception for stressors than the latter. It was also found that coping strategies used by the patients were associated with sociodemographic factors, but that they were not associated with perceived stressors, stress responses or pain perception.

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Electrocephalographic Manifestations of Transient Stress Responses While Performing a Memory Task With Background White Noise (배경 백색소음하에서 기억과제를 수행할 때 겪는 단기 스트레스의 뇌파 특성)

  • ;Estate Sokhadze
    • Science of Emotion and Sensibility
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    • v.2 no.1
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    • pp.137-145
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    • 1999
  • 열 두 명의 피험자가 안정상태 일 때, 백색 소음에 노출되었을 때, 백색 소음 하에서 기억과제에 주의를 기울일 때, 백색 소음 하에서 기억 검사를 받을 때, 기록된 뇌파에 대해 relative power spectrum 분석을 하였다. 뇌파는 전두, 측두, 후두 영역에서 단극 유도법으로 기록되었다. 분석 결과, 백색 소음에만 노출되었을 때나, 백색 소음 하에서 기억과제에 주의를 기울일 때나 비슷한 전기피질(electrocortical) 반응이 나타났다. 즉, delta power의 증가, 알파 blocking, fast beta power의 증가, 스트레스를 일으킨다고 피험자들이 평정한 배색 소음 하에서 기억검사를 받을 때에도 동일한 뇌파 패턴이 나타났지만 그 크기가 유의하게 컸다. 정보를 지각할 때 전형적으로 나타나는 반응을 유발하는 스트레스원에 수동적으로 노출되었을 때("intaki"상황)의 생리 반응과 스트레스 상황에 적극적으로 대처할 때("rejection")의 생리 반응을 구분하는 이론 틀 아래서 데이터를 해석하였다. 스트레스 후 기간에 대부분의 뇌파 변수들이 기저선 수준으로 회복된 것으로 보아 사용한 스트레스 유발 모델은 단기적 스트레스 반응만을 유발한 것으로 보인다. 이는, 더 장기적으로 지속되는 스트레스원을 사용하게 되면, tonic상태의 전기피질 반응이 나타날 것을 시사한다.기피질 반응이 나타날 것을 시사한다.

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Stress Perception, Stress Response and Coping Strategy of Patients with Chronic Prostatitis (만성전립선염 환자들의 스트레스 지각, 스트레스 반응 및 대처방식)

  • Kim, Sun-Kyung;Lee, Jin;Jeong, Seong-Yun;Kim, Hack-Ryul;Park, Sang-Hag;Lee, Moon-In;Kim, Sang-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.1
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    • pp.8-14
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    • 2009
  • Objectives : The purpose of this study was to investigate the various aspects of stress in patients with chronic prostatitis. Methods : Thirty two chronic prostatitis patients meeting the criteria of NIH-category III were compared with sixty four controls. Data pertaining to the source of, response to, and coping with stress, as well as chronic prostatitis symptom index were collected using a self-report questionnaire. The questionnaire consisted of a Global Assessment of Recent Stress(GARS), Stress Response Inventory(SRI), Ways of Coping Checklist(WCC), in addition to the NIH-CPSI. Results : From the results of GARS subscales, the scores of changes in relationship, sickness or injury and financial were significantly higher in patients with chronic prostatitis than normal controls. Chronic prostatitis patients had greater amplification of somatization, depression and anger in SRI and significantly lower score in ways of coping checklist compared with controls. In the NIH-CPSI of chronic prostatitis patients, the degree of symptom played a role in depression as stress response item and significant negative correlationship between the symptom point and problem focused, seeking social support coping strategy was observed. Conclusion : These results show that patients with chronic prostatitis have greater stress, higher stress response and insufficient coping strategy. Therefore, these efforts should be considered that enhancing healthier coping strategy and evaluation and management of stress experienced by chronic protatitis patients

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Development of the Perceived Stress Response Inventory (스트레스반응 지각척도의 개발)

  • Koh, Kyung-Bong;Park, Joong-Kyu;Kim, Chan-Hyung
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.26-41
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    • 1999
  • The perceived stress response inventory(PSRI) was developed to measure 4 types of current stress responses : emotional, somatic, cognitive, and behavioral responses. 242 patients with psychiatric disorders(71 patients with anxiety disorders, 73 patients with depressive disorders, 47 patients with somatoform disorders, 51 patients with psychosomatic disorders) and 215 healthy subjects completed the questionnaire including the PSRI. Global assessment of recent stress(GARS) scale, perceived stress questionnaire(PSQ) and symptom checklist-90-revised(SCL-90-R) were also administered at the same time. Factor analysis for each of 4 types of stress responses yielded 8 factors : negative emotional responses, general somatic symptoms, specific somatic symptoms, lowered cognitive function and general negative thinking, self-depreciative thinking, impulsive-aggressive thinking, passive-responsive and careless behavior, and impulsive-aggressive behavior. Both test-restest reliability(r= .83 -.93) and internal consistency(Cronbach's alpha : .79 -.96 for each of 8 subscales and .98 for total items of the scale) were all at statistically significant levels. Total scores of the PSRI significantly correlated with total scores of GARS scale, PSQ, and global indicies of SCL-90-R, respectively. The patient group had significantly higher scores than healthy subjects in each of all the subscales except impulsive-aggressive behavior subscale. These results suggest that the PSRI is a reliable and valid tool stable over time which may be effectively used for the research in stress-related field including psychosomatic medicine.

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Effect of auricular pressure therapy using radish seed on perceived stress and sleep quality in nursing students (나복자를 이용한 이압요법이 간호대학생의 지각된 스트레스와 수면의 질에 미치는 효과)

  • Mi-Ae Kang
    • Journal of Internet of Things and Convergence
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    • v.9 no.3
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    • pp.45-53
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    • 2023
  • This study is a nonequivalent placebo control group pretest-posttest design to confirm the effects of auricular pressure therapy on perceived stress and sleep quality for nursing students. The subjects of the study were selected from K College, 30 people in the treatment group and 30 people in the control group, a total of 60 people. Data were collected from March 2 to April 26, 2022. Auricular pressure was applied to the treatment group (shenmen, heart, thalamus), and the placebo control group was applied to the auricle (hip, knee, ankle) in the same method during the same period. Data were analyzed independent t-test repeated measures ANOVA using the SPSS 23.0 program. The perceived stress score of the treatment group significantly decreased to 2.28 after 4 weeks of intervention and 2.07 after 8 weeks of intervention, and the sleep quality score significantly increased to 3.37 after 4 weeks of intervention and 4.02 after 8 weeks of intervention. It was found to have a lasting effect over time.

Impact of COVID-19-Related Stress and Depression in Public Sector Workers (코로나 19 관련 공공근로자에서의 우울증상 및 스트레스 반응)

  • Park, Jinsol;Cho, Hye-mi;Ko, Min-soo;Chi, Su-hyuk;Han, Changsu;Yi, Hyun-suk;Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.136-143
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    • 2021
  • Objectives : The coronavirus disease 2019 (COVID-19) outbreak is a global medical crisis imposing particular burden on public sector employees. The aim of this study was to investigate the psychiatric distress among public sector workers amid the COVID-19 pandemic. Methods : We conducted a cross-sectional study with 531 public sector workers in Gwangmyung city who completed Korean versions of the Perceived Stress Scale (PSS), Patient Health Questionnaire-9 (PHQ-9), and Impact of Event Scale-Revised-Korean (IES-R-K). Results : The results revealed more than moderate levels of stress (85.2%), depressive symptoms (22.2%), and posttraumatic stress symptoms (38.8%). PSS total score was significantly correlated with PHQ-9, IES-R-K total scores as well as IES-R-K subscale scores. Total scores on the PSS, PHQ-9, and IES-R-K were all inversely correlated with age. Conclusions : COVID-19-related workers experience considerable stress and depressive symptoms, with self-rated stress correlating significantly with depression scores. Age may serve as a protective factor against occupational stress and burnout. These findings highlight the need for adequate psychiatric screening and intervention for public sector workers.

Daily Hassles, Self-Efficacy, and Stress Responses of Adult Learners of Distance Education in Digital Convergence Era -Based on RN-BSN Students (디지털 융복합시대 원격대학 성인학습자의 일상생활스트레스, 자기효능감 및 스트레스반응 -간호학사 특별편입과정 학생을 중심으로)

  • Park, Young-Suk;Kim, Jeong-Hee
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.397-407
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    • 2015
  • The purpose of this study was to investigate the relationships among daily hassles, self-efficacy, and stress responses of RN-BSN (Registered Nurses-Bachelor of Science in Nursing) students in juggling both their jobs and learning as an adult learner of distance education in digital convergence era. The data were collected by a questionnaire from 229 nurses in a RN-BSN course of an open university from October to November, 2013. The mean score of facing task dimension was much higher than the interpersonal dimension score among daily hassles. The academic problem of the facing task and the family relationship of the interpersonal were the highest respectively. The mean score of self-efficacy was slightly higher than the median. Multiple regression showed that perceived health status, workload, occupation satisfaction, and values problem of daily hassles explained 44.2% of stress reponses and values problem was the main factor influencing stress responses. The distance education policies and strategies were required to manage their stress for the adult learners of distance education in digital convergence era.

The Comparison of Perceived Stress, Quality of Life between Patients with HIV Positive and Patients with Pulmonary Tuberculosis (HIV감염자와 폐결핵환자 간의 스트레스지각과 삶의 질의 비교)

  • Lee, Sang-Hyuk;Koh, Kyung-Bong;Kim, June-Myung;Park, Sung-Hyouk
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.1
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    • pp.15-24
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    • 2003
  • Objectives: The object of this study was to compare perceived stress and quality of life among patients with HIV infection, patients with pulmonary tuberculosis and normal controls. Methods: Stress response inventory(SRI) and Symptom checklist 90-Revised(SCL-90-R) were used to measure perceived stress responses and psychopathology. Smithklein Beecham quality of life scale was used to measure quality of life. Results: Patients with HIV infection scored significantly higher on scores of tension, anger, depression, fatigue and frustration subscale of the SRI than those with pulmonary tuberculosis and normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism subscale were also significantly higher in patients with HIV infection than those with pulmonary tuberculosis and normal controls. Patients with HIV infection scored significantly lower in quality of life than those with pulmonary tuberculosis. In patients with HIV infection, age had a significantly negative correlation with scores of somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism subscale of the SCL-90-R. but the level of education had a significantly positive correlation with somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism subscale of the SCL-90-R. Conclusion: The results suggest that patients with HIV positive were likely to have higher levels of perceived stress response and psychopathology, and lower quality of life than those with pulmonary tuberculosis and normal controls.

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