• Title/Summary/Keyword: 신체증상 지각

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A Convergence Study of Factors Influencing on Depressive Symptoms in Postmenopausal Middle-Aged Women (폐경 후 중년여성의 우울 증상 영향요인의 융합연구)

  • Kim, Younglan;Won, Mi Hwa
    • Journal of Convergence for Information Technology
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    • v.10 no.4
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    • pp.25-34
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    • 2020
  • The purpose of this study was to identify its influencing factors of depressive symptoms in postmenopausal middle-aged women though analyzing secondary data. The data of 647 with 40~65 aged women who participated in the Seventh Korea National Health and Nutrition Examination Survey in 2016 were used. The data were analyzed by complex sample independent t-test and multiple linear regression. In multiple linear regression analysis, economic status, subjective health status, perceived stress, smoking, physical activity, and limitation of active had significant effect on depressive symptoms in postmenopausal middle-aged women. These variables explained 36% of the variance in depressive symptoms. The findings suggest that healthcare providers should be considered to these factors when developing intervention strategies to decrease depressive symptoms in postmenopausal middle-aged women.

Fatigue and Its Association with Socio-Demographic and Clinical Variables in a Working Population (직장인의 피로 심각도 및 이와 연관된 사회 인구학적, 임상적 변인)

  • Park, Soyoung;Joe, Sook-Haeng;Kim, Seung-Hyun;Han, Chang-Su;Ham, Byung-Joo;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.1
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    • pp.3-12
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    • 2014
  • Objectives : We aimed to explore the relationship among fatigue and perceived stress, depressive mood in the working population. We also examined associations with demographic and life style factors and investigated the effect of individual coping skills on these associations. Methods : Fatigue Severity Scale(FSS), Perceived Stress Scale(PSS), Brief Encounter Psychosocial Instrument - Korean version(BEPSI-K), Beck Depression Inventory(BDI), Stress Coping Skill Questionnaire were administered to 621 civil servants. All of above and other demographic factors are self-administered questionnaire survey and this study is cross sectional. Results : Mean FSS score was 3.04 which was lower than 3.22, the severity cut off score. FSS, PSS, BEPSI-K, BDI were all higher in female. Subjects with active coping skills showed relatively low fatigue, perceived stress, depressive mood than those with passive coping skills. Logistic regression analyses indicated that the PSS, BDI, BEPSI-K in working population increase the risk of fatigue and regular exercise lowers the risk. Conclusions : Adults who were afflicted by stress, experienced depressive mood or were physically inactive were at much higher risk of feeling fatigue. Since no other large data sets are available for fatigue, the results from this study could serve a very useful purpose, to furnish a basis for comparison with future research results based on more complete data.

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A Study on Perceived Health Status, Physical Symptom, Depression in the Elderly of Rural Areas (농어촌지역 노인의 지각된 건강상태, 주관적 신체증상, 우울에 관한 연구)

  • Choi, Hee-Jung
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.2
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    • pp.74-80
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    • 2008
  • Purpose: The purpose of this study was to investigate the relationships among perceived health status, physical symptom, and depression in the elderly of Rural areas. Method: subjects were 633 elders selected during Feb. to May in 2005. All subject agreed to participate and filled out the survey questionnaire after signing the consent form. scales used in this study are the Perceived Health Status, the Physical Health Questionnaire(PHQ) and the Geriatric Depression Scale(GDS). Data was analyzed by the SPSS/PC 12.0 program. Result: 1) The mean score of perceived health status was 7.78; the mean score of physical symptom was 18.56; the mean score of depression was 8.53, and 64.6% of the subjects belonged to the depression group. 2) Perceived health status had significant relationship with educational level, spouse, and economic status; between physical symptom and educational level, number of chronic disease; between depression and spouse, economic status, number of chronic disease. 3) Depression had negative correlation with perceived health status, but had positive correlation with physical symptom. Conclusion: Considering these findings, it is necessary that depression management programs and care intervention programs considering regional and environmental elements for the elderly in Rural areas.

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Influence of Perceived Attachment Security and Social Support on Somatic Symptoms in Late School-Aged Children Using a School Health Clinic (보건실 이용 학령후기 아동이 지각한 애착안정성, 사회적 지지가 신체화 증상에 미치는 영향)

  • Park, Yu Jin;Im, Yeo Jin
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.370-378
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    • 2016
  • Purpose: The purpose of this study was to examine current status of somatic symptoms of late school-aged children using the school health clinic and to investigate the influence of perceived attachment security and social support on their somatic symptoms. Methods: For this descriptive study, self-report questionnaires were completed by fifth and sixth graders attending 'A' elementary school in Gyeonggi-do. Data from 216 students were included. Data analysis included descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Most frequent somatic symptoms were headache, fainting, backache, numbness in a body part, and muscle ache in that order. More frequent somatic symptoms were reported by girls, students who recognized their family SES as low, students who used school health clinic often and students who were dissatisfied with school life. Somatic symptom showed negative correlations with attachment stability and perceived social support from family and teachers. In the regression analysis, the variables; low attachment stability, female gender, and low satisfaction with school affected more frequent somatic symptoms. Conclusion: Careful monitoring of late school-aged children expressing frequent somatic symptoms is required. Intervention programs to improve attachment security and satisfaction with school should be developed for school children, especially girls, presenting with somatic symptoms.

The Relationships among Stress Perception, Locus of Control and Depressive Symptom of The Patients with Psychological Pruritis and Chronic Urticaria (심인성 소양증환자와 만성 담마진환자의 스트레스지각과 통제소재 및 우울증상과의 관계)

  • Lee, Young-Ho;Ko, Dae-Kwan;Han, Ki-Seok;Chung, Young-Cho;Kim, Yong-Sang;Lim, Sung-Chun;Nam, Ki-Heum;Kim, Chung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.2
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    • pp.126-138
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    • 1995
  • For investigating a disease specific psychological mechanism in various dermatological disorders, we tried to explore the difference in correlation among stress perception, locus of control as a coping strategy, depressive symptoms and pruritic symptoms in the patients with psychological pruritis and chronic urticaria. The subjects were composed of 32 patients with psychol-ogical pruritis and 67 patients with chronic urticaria(subject group), and 25 patients with organic pruritis and 59 patient with major depression(control group). Global assesment of recent stress scale(GARS), I-E locus of control scale, Beck Depression Inventory(BDI) and medical college of wisconsin center pain follow up questionnaire were used for assesement. The results were as follows: 1) There were a significant positive correlation between stress perception and depressive symptom in patients with psychological pruritis, chronic urticaria, and major depression but not hi organic pruritis. 2) In relationship between locus of control and depressive symptom, patients with psychological pruritis, organic pruritis, and major depression except chronic ruticaria showed a significant negative correlation. 3) For intensity and pattern of pruritis, there were positive relations with depressive symptom and stress perception only in patients with chronic urticaria. Above results indicate that stress perception and locus of contorl may play a significant role in the formation of psychological and dermatological symptoms in psychological pruitis and chronic urticaria. But the mechanisms of these processes are different in either disorder.

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The Serial Mediating Effects of Grit and Depression on the Relationship between Negative Parenting Style and Somatic Symptoms among Adolescents (청소년들이 지각한 부모의 양육 태도와 신체화 증상의 관계에서 그릿과 우울의 이중 매개효과)

  • Soo-Hyun Nam;Eun Jung Bae
    • Journal of the Korean Society of School Health
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    • v.36 no.1
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    • pp.1-8
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    • 2023
  • Purpose: The purpose of the study was to identify the sequential mediating effects of grit and depression on the relationship between negative parenting style and functional somatic symptoms. Methods: This was a secondary analysis of data from the 2018 Korean Children and Youth Panel Survey (KCYPS). Mediation analysis was conducted using the PROCESS macro model 6. Results: The mediating effects of grit and depression between negative parenting style and functional somatic symptoms were significant. A negative parenting style was found to significantly affect functional somatic symptoms going through sequential mediating effects of grit and depression. Conclusion: To alleviate functional somatic symptoms in adolescents, it is necessary to provide interventions for developing grit that could reduce depression.

The Stress Perception, Depressive Symptoms and Medical Comorbidity in Healthcare Center (대학병원 건강검진센터 내원자의 스트레스 지각 정도, 우울 증상 및 신체질환 이환율)

  • Shim, In-Bo;Joe, Sook-Haeng;Ham, Byung-Joo;Han, Changsu;Jeong, Hyun-Ghang;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.1
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    • pp.27-43
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    • 2013
  • Objectives : We surveyed this study for knowing the relation within stress, depression and medical comorbidities, and finding the risk factors of major depression. Methods : 1764 subjects were enrolled from Jan. 2009 to Dec. 2009 who visit Korea University Guro hospital healthcare center. The subjects answered the questionnaire of PSS(Perceived Stress Scale), PHQ-9(Patient Health Questionnaire-9) and the demographic data. We categorized them as the stress group, depressive group, medical comorbidity group and analyzed the correlation analyses and logistic regression analyses. Results : 198 of 1764 subjects(11.8%) were applied to major depression, and the depressive group showed the higher mean stress score(23.19) and mean depression score(12.95) than the normal group. The total PHQ-9 score was increased by perceiving more stress, having more medical comorbidities. The subjects with female, visiting due to recent health problems, irregular exercise, current smoking, history of angina and cerebrovascular disease showed the increased risk of major depression. Conclusions : In this study, we find the PSS, PHQ-9 were valuable for mental health screening in healthcare center. As perceiving more stress and having more medical comorbidity, risk of major depression were increased. Accordingly the individuals with medical diseases or unhealthy lifestyle would need the mental health screen.

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The Stress Coping Strategies and Cognitive Characteristics of Somatic Symptom Perception in Patients with Panic Disorder (공황장애 환자의 스트레스 대처방식과 신체 증상 지각에 대한 인지적 특성)

  • Jung, Hae-Won;Lee, Moo-Suk;Park, Woo-Young;Yang, Jong-Chul;Lim, Eun-Sung;Park, Tae-Won;Chung, Yong-Chul;Chung, Sang-Keun;Hwang, Ik-Keun
    • Anxiety and mood
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    • v.3 no.2
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    • pp.116-122
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    • 2007
  • Objective : The purpose of this study was to investigate the strategies used to cope with stress and the cognitive characteristics of somatic symptom perception in patients with panic disorder. Methods : A total of 101 patients who met the DSM-IV criteria for panic disorder and 60 normal controls were recruited for participation in this study. We evaluated the subjects using The Way of Stress Coping Questionnaire (SCQ), Somato-Sensory Amplification Scale (SSAS), Symptom Interpretation Questionnaire (SIQ), and the Panic Disorder Severity Scale (PDSS). We analyzed the data using an independent t-test and Pearson correlation analysis (p<0.05). Results : The patients who used emotionally focused coping strategies scored significantly lower on the SCQ. The patients with panic disorder showed greater amplification of body sensations in the SSAS, a significantly higher score on the physical interpretation subset of the SIQ, and a lower score on the environmental interpretation subset of the SIQ than the normal controls. The PDSS scores were positively correlated with the SSAS score and physical interpretation score on the SIQ. Conclusion : These results show that patients with panic disorder have poor emotionally focused strategies for coping with stress, greater amplification of body sensations, and a tendency towards a physical interpretation of somatic symptoms.

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Effects of a Symptom Focused Self-Management Program on Symptom and Functional status, Health Perception, and Quality of Life of Patients with Chronic Heart Failure (인지적 의사결정에 근거한 증상별 자기관리프로그램이 만성 심부전 환자의 신체·기능상태, 건강지식 및 삶의 질에 미치는 영향)

  • Kim, Gi Yon
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.132-143
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    • 2007
  • Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

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Self-Differentiation and Mental Health of Elderly Couples (노년기 부부의 자기분화와 정신건강에 관한 연구)

  • Lee, Juyeon;Chung, Hyejeong
    • 한국노년학
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    • v.29 no.4
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    • pp.1629-1644
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    • 2009
  • This study was to examine the relationship between self-differentiation and mental health of elderly couples. This study also tries to investigate the effect of self-differentiation on mental health. Data were collected using self-administered questionnaire method with 271 elderly couples over 55 years old who lived in Chollabuk-Do province. The results showed that first, there was no significant difference in the level of total self-differentiation between husbands and wives. While the level of mental health(depression, somatization) were higher for wives than for husbands. Second, both husbands' and wives' mental health were negatively correlated with self-differentiation. Finally, results of multiple regression analyses showed that both husbands' and wives' mental health were negatively influenced by self-differentiation. Specifically, the variable significant affecting the husbands' mental health was the emotional reactivity of self-differentiation and the variable significant wives' mental health was the emotional cut-off of self-differentiation. These findings confirmed the concept of self-differentiation in applying to mental health of elderly couples.