• Journal of Digital Convergence
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• v.13 no.10
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• pp.415-424
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• 2015

This study was done to identify the influence of emotional labor, job stress and burnout on somatization of nurses live in convergence era. The participants were 387 nurses in D hospital. The average mean score for emotional labor was 3.25, occupational stress was 3.60, burnout was 3.10, and somatization was 2.18. For relations with general characteristics, there was a statistically significant difference in somatization according to age, marital status, educational level, work unit, total clinical career, present department career, position, monthly salary, shift and job satisfaction. Somatization was found to be in a significant positive correlation with emotional labor, occupational stress and burnout. As a result, factor influencing somatization was burnout. This predictor accounted for 29.6% of variance in somatization. The findings of this study showed that burnout was major influencing factor on somatization of nurses. Therefore, it is necessary to develop strategies that can reduce somatization by controlling burnout.

• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2005.04a
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• pp.353-356
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• 2005

감성이란 외부의 여러 가지 감각적인 자극에 대해 직관적이고 반사적으로 발생하는 반응이다. 감성에는 희로애락과 같은 다양한 감정이 포함된다. 감성은 개인과 환경의 영향을 받는 동시에 사회$\cdot$문화적인 영향에 의해 달라지는 종합적이고 복합적인 느낌이기 때문에 명확하게 표현하기 어렵다. 개인적인 차이는 있지만 인간의 감정은 다양한 행동이나 신체적 혹은 생리적인 반응으로 표출되기 때문에 이러한 다양한 반응을 이용해서 인간의 감정을 유추할 수 있다. 행동이나 신체적인 표현은 개인과 환경, 사회$\cdot$문화적인 영향에 따라 다양하게 나타나기 때문에 이를 정량화하기에는 힘든 부분이 있다. 반면 감정 상태에 따른 생리적인 반응은 여러 사람들에게서 공통적인 부분을 찾을 수가 있다. 본 논문에서는 감정에 따라 다양하게 나타나는 인간의 생리적인 반응 정토를 측정하고 이들의 공통점에 따라 생리적 반응을 통해 인간의 감정에 유추할 수 있는 공학적 모델을 제시하고자 한다.

• Journal of Internet Computing and Services
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• v.13 no.5
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• pp.9-19
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• 2012

Virtual human used as HCI in digital contents expresses his various emotions across modalities like facial expression and body posture. However, few studies considered combinations of such nonverbal multimodal in emotion perception. Computational engine models have to consider how a combination of nonverbal modal like facial expression and body posture will be perceived by users to implement emotional virtual human, This paper proposes the impacts of nonverbal multimodal in design of emotion expressed virtual human. First, the relative impacts are analysed between different modals by exploring emotion recognition of modalities for virtual human. Then, experiment evaluates the contribution of the facial and postural congruent expressions to recognize basic emotion categories, as well as the valence and activation dimensions. Measurements are carried out to the impact of incongruent expressions of multimodal on the recognition of superposed emotions which are known to be frequent in everyday life. Experimental results show that the congruence of facial and postural expression of virtual human facilitates perception of emotion categories and categorical recognition is influenced by the facial expression modality, furthermore, postural modality are preferred to establish a judgement about level of activation dimension. These results will be used to implementation of animation engine system and behavior syncronization for emotion expressed virtual human.

• Proceedings of the Korea Information Processing Society Conference
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• 2010.04a
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• pp.558-561
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• 2010

컨텍스트폰은 사용자의 주변 상황을 실시간으로 수집하고 시각화하는 휴대전화이며 인간의 여섯 번째 감각 도구로써 신체의 일부가 되고 있다. 이에 따라 사용자에 특화된 상황 인지 기능을 지원하는 모바일 플랫폼 기술이 많이 연구되고 있다. 하지만 모바일 기기간의 상호작용이 아니라 사용자간의 소셜 인터랙션을 지원하는 모바일 플랫폼 연구는 미비하며 감정 등의 고수준 정보는 지원하지 않는다. 따라서 본 논문에서는 감정을 포함한 다양한 정보들을 지원하는 컨텍스트폰 플랫폼을 이용하여 사용자간의 감정을 공유 할 수 있는 컨텍스트폰에 대해 기술한다. 또한 사용자의 감정을 인식하기 위해 컨텍스트폰 플랫폼은 휴대전화 카메라를 이용하여 사용자의 얼굴이미지를 수집하고 감정인식기로 전달한다. 감정인식기는 사용자의 얼굴을 특징추출하여 패턴인식에 적용되는 분류분석 알고리즘을 통해 사용자의 감정을 알아내고 컨텍스트 서버를 매개체로 사용자간 감정을 전달하며 모바일 화면에 시각화한다.

• Korean Journal of Psychosomatic Medicine
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• v.12 no.1
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• pp.47-55
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• 2004

Objectives: The aim of this study was to investigate alexithymia, depressive symptoms, and stress response of patients with alcohol dependence. The results were taken as a basic data of ameliorating the quality of life. Methods: 94 patients with alcohol dependence completed stress response inventory, Korea depression scale, and toronto alexithymia scale successfully. Results: 55% of variance of alexithymia of patients with alcohol dependence were explained by the stress response and depressive symptoms and score of ADS, and the stress response had the most explanatory power. Conclusions: The alexithymia of patients with alcohol dependence may be influenced by depressive symptoms, education, frequency of drinking, and stress response. The specialists were identifying symptoms of depression and optimizing the management, therefore increasing the compliance and quality of life of patients with alcohol dependence.

• Korean Journal of Occupational Health Nursing
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• v.26 no.2
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• pp.65-73
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• 2017

Purpose: The purpose of this study was to identify the effects of emotional labor, compassion fatigue and occupational stress on the somatization of nurses in hemodialysis units. Methods: The sample consisted of 139 nurses in hemodialysis units from a tertiary hospital, a general hospital, a dialysis clinic, and a care hospital in G province. Data were analyzed using frequencies, percentages, means and standard deviations, t-test, ANOVA, Duncan test, Pearson's correlation and hierarchical multiple regression. Results: There were significant correlations of the experience of emotional labor, compassion fatigue and occupational stress with the somatization of nurses in hemodialysis units. Factors influencing somatization intention were 'emotional labor' (${\beta}=.37$, p<.001), which explained 28% of the variance (F=10.00, p<.001). Conclusion: The results of this study indicate that the factor influencing the somatization of nurses in hemodialysis units was emotional labor. Therefore, strategies to decrease emotional labor of nurses in hemodialysis units are required.

• Journal of Korean Academy of Nursing Administration
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• v.17 no.2
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• pp.158-167
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• 2011

Purpose: This study was done to identify the relationship of occupational stress, emotional labor, and general characteristics to somatization, and to identify factors affecting somatization in nurses. Methods: A quantitative, descriptive research design was used to study 227 nurses. Nurses completed a 52-item self-questionnaire that included 3 concepts assessing somatization, occupational stress, emotional labor. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: Mean scales for somatization, occupational stress, and emotional labor were $22.96{\pm}7.87$, $78.73{\pm}12.29$, $29.63{\pm}3.97$ respectively. The explained variance for somatization was 35.5%. Among the variables, frequency of emotional display (${\beta}$=.136, p=.042), one of the sub-domains of emotional labor, and role overload (${\beta}$=.178, p=.023), one of the sub-domains of occupational stress and working in the ICU, OR, or ER (${\beta}$=.296, p<.001) and education level of diploma graduation (${\beta}$=.143, p=.028) significantly predicted degree of somatization. Conclusion: Findings of this study provide a comprehensive understanding of somatization and related factors for nurses in Korea.

• Korean Journal of Psychosomatic Medicine
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• v.12 no.1
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• pp.30-37
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• 2004

The objective of this study was to make a comparison between chronic superficial gastritis and gastric ulcer patients regarding stress responses, anger expression and alexithymia. The subjects included 100 patients with chronic superficial gastritis and 40 patients with gastric ulcer confirmed by gastroscopy. Stress responses were measured by the Stress Response Inventory(SRI) and anxiety, depression, somatization and hostility subscales of the Symptom Checklist-90-revised(SCL-90-R). Anger expression and anger suppression were assessed by the Anger Expression Scale. The level of alexithymia was assessed by the Toronto Alexithymia Scale(TAS). Multiple regression analysis showed that the patients with chronic gastritis scored significantly higher on tension subscale and somatization subscale of the SRI, and anxiety subscale of the SCL-90-R than those with gastric ulcer. However, no significant differences were found in the score of anger expression and anger suppression subscales and total score of TAS between the two groups. In chronic gastritis patients, women scored significantly higher on somatization subscale of the SRI than men, whereas in gastric ulcer patients, men scored significantly higher on somatization subscale of the SRI than women. These results suggest that chronic gastritis patients are more likely to have higher level of stress responses and higher susceptibility to stress than gastric ulcer patients. In addition, in chronic gastritis patients, women are more likely to somatize than men, but in gastric ulcer patients, men are more likely to somatize than women. However, there were no differences between the two groups in anger expression, anger suppression and alexithymia.

• Korean Journal of Psychosomatic Medicine
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• v.8 no.1
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• pp.122-140
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• 2000

Somatization disorder is a chronic condition characterized by multiple somatic complaints that are not due to any apparent organic illness. Somatization disorder is related historically to hysteria and hysteria has been defined by the existence of somatic complaints for which no organic reason can be found. Therefore most theories of somatization have focused on the psychodynamic and sociological perspectives. However, the concept that the somatic presentation of emotional distress or psychiatric illness might have a neurobiological basis has also aroused considerable interest. Relative to this perspective, the case of Anna O. which has been considered the prototype of hysteria, was reformulated from a neuropsychological perspective. Several neurophysiological and neuropsychological studies, studies concerning hemispheric differences in symptom presentation of the patients with hysteria have been shown the evidences for the biological basis of somatization. Moreover, recent neuroimaging studies in somatization disorder also show that brain dysfunction in somatization. The author reviewed several candidate theories which could help to explain the process of somatization in the perspective of biological basis and proposed the new neuropsychological model of somatization. The author also examined the possible application of this model to the treatment of somatization disorder and discussed it's limitation and the future directions in this field.

• Korean Journal of Psychosomatic Medicine
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• v.21 no.1
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• pp.18-26
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• 2013

Objectives : Type D personality was originally introduced to study the role of personality in predicting outcomes of heart disease. However, researches showed that other medical conditions are also affected by this personality. The purpose of this study was to evaluate the relationship between type D personality and somatic symptom complaints in depressive patients. Methods : Eighty-two individuals diagnosed with depressive disorder were included. Type D personality was measured with DS14. Patient Health Questionnaire(PHQ) 9 and 15 were used to measure depression severity and somatization tendencies. For alexithymia, TAS-20 was used. Student T-test and linear regression analysis were performed. The best regression model was determined by stepwise variable selection. Results : More than half of the subjects(56%) complained at least medium degree somatic symptoms according to PHQ-15 criteria. Two-thirds of the subjects were classified as Type D personality(63.4%). The mean PHQ-15 score of the Type D individuals was significantly higher than the remaining subjects(PHQ-15 mean=12.7, $p=8.2{\times}10^{-7}$). The best regression model included age, PHQ-9 score and NA subscale score as predictor variables. Among these, only the coefficients of age($p=1.5{\times}10^{-3}$) and NA score($p=1.5{\times}10^{-7}$) were found to be statistically significant. Conclusions : The result showed that Type D personality was one of the strong predictors of somatic complaints among depressive individuals. The finding that negative affectivity rather than social inhibition was more closely associated with somatization tendencies does not fully agree with the traditional explanation that inability to express negative emotion predispose the individuals to somatic symptoms. The finding that alexithymia was not shown to be a significant predictors also substantiated this discrepancy. However, it might be possible that the high correlation between NA and SI subscore(r=0.65) and between NA and TAS-20 score(r=0.44) hid the additional effects of social inhibition and alexithymia. Further research with a larger sample would be needed to investigate the effects of the latter two components over and above the effect of negative affectivity on the somatic complaints in depressive patients.