• Korean Journal of Psychosomatic Medicine
• /
• v.29 no.2
• /
• pp.77-85
• /
• 2021

Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2015.10a
• /
• pp.1834-1836
• /
• 2015

스트레스는 인체 생리에 영향을 미쳐 과도한 스트레스가 지속되는 경우 신체적 질환으로 이어질 가능서이 크다. 따라서 스트레스 감소의 필요성이 증가하고 있으며 향기요법과 조명을 활용하여 스트레스를 감소시키기 위한 활동이 활발해지고 있다. 본 연구에서는 향기요법과 조명이 스트레스에 미치는 영향에 대한 기존 연구 사례를 조사하여 보편적으로 적용되는 스트레스 이완법에 대하여 고찰하였다. 결과적으로 발향 방법은 연구마다 달랐지만 보편적으로 베르가못(Bergamot) 향을 10분 정도 흡입하였을 때 스트레스 이완효과가 나타남을 확인하였다. 조명의 경우 파랑색, 녹색과 같은 한색 계열의 색상을 3분 정도 투사하는 경우 이완효과를 보이는 것으로 조사되었다.

• Research in Community and Public Health Nursing
• /
• v.8 no.2
• /
• pp.395-402
• /
• 1997

인지능력 손상으로 인해 치매환자의 정상 언어 사용은 점차 감소되고 좌절감과 스트레스는 상승된다. 신체접촉은 비언어적 의사소통의 한 형태로서 치매환자를 지지하고 스트레스 상황에서 겪는 불안을 완화한다. Hollinger와 Buschmann은 1993년 신체 접촉 모형을 개발하였으며, 그 모형을 적용하여 신체접촉 인지도와 우울과의 관계와 신체 접촉의 우울증감소 효과를 정상 노인과 우울증 노인을 대상으로 연구했다. 그러나, 모형을 치매환자 연구에 적용시켜 검토한 연구는 언다. 본 연구의 목적은 신체 접촉 모형을 비평 분석하는 것이다. 또한, 분석을 기초로 하여 모형을 치매 환자 연구에 적용하도록 변형시켰다. 치매 환자의 인지, 언어 능력은 손상되었지만, 환경에 반응하는 감정과 접촉 감각은 유지되고 있다는 것은 신체 접촉 모형을 치매환자에게 적용할 때 반드시 고려해야 할 점이다. 개인의 문화 차이는 신체 접촉에 대한 인지와 반응에 영향을 준다. 따라서, 연구대상자 선택시 대상자가 신체 접촉을 긍정적으로 받아들이고 있는지를 확인해야 할 것이다. 대상자는 인지 능력 손상으로 면담이나 질문지에 적당히 반응할 수 없으므로 연구시 관찰 방법의 이용을 제언한다.

• The Journal of the Korea Contents Association
• /
• v.21 no.11
• /
• pp.680-691
• /
• 2021

This study investigated the relationship of physical activity types with depression, stress and happiness in the elderly. The data were from the seventh Korea National Health and Nutrition Examination Survey, 2019, 2,381 cases. The results showed the levels of Activity of Daily Living were relatively high, but the levels of moderate recreational activity and aerobic physical activity prevalence were low. The levels of depression, stress and happiness were satisfactory. There were some differences in depression, stress and happiness by the levels of activity of daily living, moderate recreational activity and aerobic physical activity prevalence. The implications to enhance physical activities and mental health for the elderly were discussed.

• Journal of the Korean Applied Science and Technology
• /
• v.37 no.6
• /
• pp.1687-1697
• /
• 2020

This study is a comparative descriptive research that identifies the degree and difference of the brain education meditation program from participation stress(physical stress, psychological stress), depression, resilience(self-control ability, interpersonal relationship ability, and positive) for middle-aged women. The subjects were 26 middle-aged women who participated in the brain education meditation program at the D metropolitan city D center for more than a year, 29 middle-aged women did not participate in the brain education meditation program and a total of 55 middle-aged women collected for three weeks from November 4 to 22, 2019. Data analysis fesult that the participating groups in brain education meditation programs differ statistically significantly in physical stress(t=2.549, p=.014), psychological stress(t=2.352, p=.022), self-control ability(t=-2.219, p=.031) and positive(t=-2.387, p=.021), which are higher factors in resilience than non-participating groups. In other words, brain education meditation program participants scored lower physical and psychological stress scores than nonparticipating groups, with higher self-control ability and positive scores. Therefore, it is thought that brain education meditation programs can be used as nursing intervention to reduce stress and improve self-control ability and positive in middle-aged women.

• Journal of Korea Entertainment Industry Association
• /
• v.14 no.5
• /
• pp.267-276
• /
• 2020

The purpose of this study was to investigate the effects of physical activity in the elderly with osteoarthritis on stress and health-related quality of life (EQ-5D). This study performed data analysis using the SPSS 17.0 program in 104 elderly people with osteoarthritis over 65 years old using raw data from the 7th National Health and Nutrition Survey. The main results of this study are as follows: Males exercised more strength than women, and the better the subjective health status, the higher the rate of walking and aerobic activity. The group that felt stress showed a higher rate of walking and aerobic activity than the group that had no stress, and one group that felt a little stress practiced walking more than 3 days. The exercise ability of the elderly with osteoarthritis was better in the group who practiced walking, strength training, and aerobic activity than in the group without physical activity, and in self-management, the group practicing exercise and aerobic activity had problems with self-management. There was no daily activity, and the group that practiced walking and strength training also showed a high level of daily activity. In the area of pain/discomfort, the group practicing walking showed less pain/discomfort, and in the area of anxiety/depression, the group practicing walking showed less anxiety/depression. In conclusion, it is considered that in order to increase the quality of life of the elderly with osteoarthritis and to manage the stress, active efforts to increase the level of physical activity are necessary.

• Journal of Haehwa Medicine
• /
• v.21 no.2
• /
• pp.95-104
• /
• 2013

스트레스로 인한 인체의 반응은 중추신경계, 시상하부, 변연계 및 기타 표적기관으로부터 시작되는데, 자율신경계 반응, 내분비계 반응, 면역계 반응 등을 통하여 복합적인 신체 증상으로 발현되며, 스트레스 상황에서는 시상하부-뇌하수체-부신 축 (HPA axis)과 교감신경계의 작용으로 여러 신경전달물질 방출에 변화가 생기며 이러한 변화는 면역기전에 중요한 역할을 하고 일부는 면역세포의 활성에 직접적으로 영향을 미쳐 신체 각종 질병의 원인이 될 것으로 추정된다. 한의학에서는 천인상응(天人相應)의 관점에서 육기(六氣)를 생체자극의 외적 요인으로 간주하고, 생체내적 현상인 정신이 외적 자극을 통하여 나타나는 생체반응을 칠정(七情)으로 보았으며, 이러한 관점에서 스트레스는 신체에 오장(五臟)의 허실(虛實), 혈허(血虛), 정손(精損), 기역(氣逆), 기(氣)의 순환장애, 담연(痰涎), 화(火) 등의 병적인 요인을 만들어 준다. 본 연구에서 재료로 사용된 호초 (Piper nigrum Linne)는 후추나무의 과실을 말린 것으로서 세계적으로 널리 사용되는 향신료이며, 한의학에서는 온중제한하기(溫中除寒下氣), 쾌격소담(快膈消痰), 해독(解毒)등의 효능으로 한담식적(寒痰食積) 완복냉통(脘腹冷通) 곽란(癨亂) 토사(吐瀉)등의 치료에 활용되어 왔다. 특히 쾌격소담(快膈消痰)하는 작용은 정신적 스트레스에 유효할 것으로 생각되므로 본 연구에 이용하게 되었다. 실험동물은 ICR계 생쥐를 이용하였으며, 심리적 스트레스는 옆쪽 cage에서 다른 마우스의 신체에 가해지는 전기 충격을 하루 1시간 동안 지켜보게 하는 것으로 유발하였으며, 이 상태에서 약물을 투여한 그룹을 실험군, 그렇지 않은 그룹을 대조군으로 하였다. 정상군은 아무런 자극 없이 하루 1시간 동안 일정 공간에 가두어 두는 것으로 하였다. 실험 결과, 호초(胡椒) 추출물을 100mg/kg/day 용량으로 5일간 투여한 실험군은 아무런 처치를 하지 않은 대조군에 비해 혈장 중 corticosterone 함량이 유의하게 감소되었고, 뇌에서의 noradrenalin 분비량이 유의하게 증가되었으며, plus maze test에서의 머무름 시간이 연장되는 것으로 나타나 호초(胡椒)가 심리적 스트레스를 효과적으로 억제하고 진정작용이 있는 것으로 사료되나 구체적인 작용기전 및 인체에서의 효과에 대해서는 향후의 보다 자세한 연구가 필요할 것으로 생각된다.

• The Journal of the Korea Contents Association
• /
• v.15 no.8
• /
• pp.505-518
• /
• 2015

The purpose of the study is to investigate the occupational difference of Vitamin D deficiency according to the level of physical activity and the level of stress. For this purpose, We performed empirical approaches and adopted KNHANES 2008~2013 dataset, to which were applied such methods as crosstabulation analysis, logistic regression and SOBEL test. As a result, we found that Vitamin D deficiency was higher in the group of people with indoor-working-job than in the group of people with out-door working job. Besides, Vitamin D deficiency tends to increase in the people with lower physical activity and higher stress experience. As a result, those employees highly related with in-door activities must be ensured that they need to be exposed to sunlight on a regular basis. Moreover, improving the physical activity levels of employees could be one of appropriate solutions to alleviate Vitamin D deficiency problems. Besides, lowering stress levels in workplace needs to be seriously considered in order not to drop the physical activity levels of workers.

• 한국노년학
• /
• v.29 no.2
• /
• pp.377-394
• /
• 2009

Using the Socio-cultural Stress and Coping model, this study proposed a path model to explore how cultural values affect the physical health of Korean American caregivers through caregiver burden, receipt of informal social support and utilization of formal care services. For physical health outcomes, three physical health indicators were employed: self-reported global physical health, self-reported blood pressure, and salivary cortisol. The path model was analyzed by using a sample of 87 Korean caregivers living in Los Angeles County and Orange County, California, USA. The major findings of this study included the following: 1) Stronger belief in cultural values was associated with more frequent utilization of formal care services, leading to lower levels of systolic boold pressure; 2) Cultural values did not affect the physical health of Korean American caregivers through caregiver burden. The demonstration of positive effects of cultural values on the physical health of Korean America caregivers through social support utilization call attention to the need of further research on the understudied group providing family care to frail older family members.

• 한국사회복지학회:학술대회논문집
• /
• 1997.11a
• /
• pp.288-309
• /
• 1997