• Proceedings of the Korea Institute of Fire Science and Engineering Conference
• /
• 2009.04a
• /
• pp.534-539
• /
• 2009

본 연구는 구급대원의 스트레스대응과 현장충격스트레스가 신체적 증상에 어떤 영향을 주는지를 증명하고자 하였다. 소방공무원 970명을 대상으로 설문 조사를 하였고, 자료수집은 2007년 1월부터 12월까지 실시하였으며, 자료분석은 SPSS 14.0과 AMOS 7.0 통계패키지를 사용하였다. 스트레스 대응이 신체적 증상에 미치는 영향을 분석한 결과, 스트레스 대응 1(p<.001), 4(p<.01), 2(p<.05) 순서로 신체적 증상 1에 유의한 영향을 주는 것으로 나타났다. 스트레스 대응 1(${\beta}$=.302), 4(${\beta}$=121)이 높을수록, 스트레스 대응 2(${\beta}$=-.070)이 낮을수록 신체적 증상1이 높아지는 것으로 나타났으며, 스트레스 대응이 신체적 증상 1을 설명하는 설명력의 정도는 16.5%이었다. 스트레스 대응 1(p<.001), 3(p<.001), 4(p<.001) 순서로 신체적 증상 2에 유의한 영향을 주는 것으로 나타났다. 스트레스 대응 1(${\beta}$=.261), 3(${\beta}$=129), 4(${\beta}$=129)가 높을수록 신체적 증상2가 높아지는 것으로 나타났으며, 스트레스 대응이 신체적 증상2를 설명하는 설명력의 정도는 16.3%이었다. 스트레스 대응 1(p<.001), 4(p<.001), 2(p<.05) 순서로 신체적 증상3에 유의한 영향을 주는 것으로 나타났다. 스트레스 대응 1(${\beta}$=.238), 4(${\beta}$=156)이 높을수록, 스트레스 대응 2(${\beta}$=-.081)이 낮을수록 신체적 증상 3이 높아지는 것으로 나타났으며, 스트레스 대응이 신체적 증상 3을 설명하는 설명력의 정도는 13.1%이었다.

• Korean Journal of Psychosomatic Medicine
• /
• v.28 no.2
• /
• pp.135-142
• /
• 2020

Objectives : To identify the relationship between somatization, stress, depression, anxiety, and psychological symptoms risk for nurses working in the intensive care unit. Create clinical evidence of psychosomatic medicine research and complement the meaning of somatization. Methods : Seventy of the mental health checkups conducted by the National Mental Health Center among the nurses using tools including Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, and Symptom Checklist-90-Revision. Results : 12.9% of the patients experienced more than moderate somatization. There was no statistical relationship between somatization and psychological stress perception, but feeling of anxiety and decreased self-confidence were related to the level of somatization. The group with severe somatization experienced more depression and anxiety. The group with high physical fatigue also had no statistical relationship with psychological stress perception, but had an effect on the feeling of tension, stress, or decreased control. Physical fatigue level was increased by experience of depression, not by anxiety. For psychological symptoms the higher the level of somatization, the higher the obsession and hostility was explored. In the linear regression model, stress, depression, and anxiety accounted for 39.3% of somatization and 16.1% of physical fatigue symptoms. Conclusions : We can estimate the decrease in stress cognitive symptoms, accompanying depression and anxiety, compulsion and hostility as characteristics of somatization. The causal relationship between somatization and psychological symptoms cannot be confirmed in this study, but the interrelationships are observed, can be referred to mediation strategies.

• Proceedings of the Korea Institute of Fire Science and Engineering Conference
• /
• 2013.11a
• /
• pp.129-130
• /
• 2013

연구는 소방공무원 각 신체 부위별 근골격계질환 관련 자각증상과 질병 및 사고 결근과의 관련성을 알아보기 위하여 수행되었다. 이를 위하여 전국의 소방공무원 8,368명을 대상으로 온라인을 통한 자기기입식 설문 조사를 하였으며, 통계분석을 시도하였다. 그 결과 지난 1년간 질병 결근은 12.9%, 사고 결근은 5.9%가 경험한 것으로 나타났다. 질병 결근 및 사고 결근 모두 신체부위(목)과 신체부위(어깨)의 근골격계질환 관련 자각증상과 관련이 있는 것으로 나타났다. 질병 결근의 경우 신체부위(목) 증상자의 20.9%, 신체부위(어깨) 증상자의 19.0%, 사고 결근의 경우 신체부위(목) 증상자의 12.1%, 신체부위(어깨) 증상자의 10.9%로 파악되었다. 본 연구를 통하여 소방공무원의 결근과 근골격계질환 관련 자각증상이 관련이 있음을 확인할 수 있었으며, 추후 질병 및 사고 결근 감소를 위하여 소방공무원의 근골격계질환에 대한 관리 및 건강관리 프로그램의 운영이 요구된다.

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

• Korean Journal of Psychosomatic Medicine
• /
• v.24 no.1
• /
• pp.43-53
• /
• 2016

Objectives : Somatic symptoms after the exposure of psychological trauma frequently developed. However, the somatic symptoms are not covered under the diagnostic criteria of posttraumatic stress disorder(PTSD) in detail, although they are often associated with social and occupational functioning and patient-doctor relationships. The aim of this article is to highlight the potential mechanisms, the common manifestations, and the treatment of the somatic symptoms. Methods : This article studied the somatic symptoms searched using academic search engines like PubMed, Scopus, Google Scholar, KoreaMed and KISS from the earliest available date of indexing to March 31, 2016. Results : The mechanism of somatic symptoms after the exposure was described as psychological and physiological aspects. Psychological mechanism consisted of psychodynamic theory, cognitive behavioral theory, and others. Physiological mechanism involved changes in neuroendocrine and immune system, autonomic nervous system and central nervous system. Somatization associated with psychological trauma manifested various health conditions on head and neck, chest, abdominal, musculoskeletal, and dermatological and immune system. Few studies described the standardization of treatment for the somatic symptoms. Conclusions : Clinicians and disaster behavioral health providers should think of the accompanying somatic symptoms during intervention of psychological trauma and PTSD. Further studies are needed on the somatic symptoms seen in psychological trauma and PTSD.

• Korean Journal of Psychosomatic Medicine
• /
• v.24 no.2
• /
• pp.174-183
• /
• 2016

Objectives : The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts. Methods : A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year. Results : Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly. Conclusions : Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.

• The Korean Nurse
• /
• v.26 no.5 s.143
• /
• pp.14-20
• /
• 1988

이제까지 죽어가는 이들이 경험하는 일반적인 증상을 언급하였다. 어떤이들에게는 이런 증상이 거의 없고 어떤이에게는 증상이 심하다. 간호원은 좋은 환자/가족 간호를 위해 신체, 정서, 영적 증상 관리를 잘 해야 하나 우선적으로 신체 증상 관리가 이루어져야 하며 이를 도외시한 정서적, 영적 관리는 옳지 않다. 환자의 문제는 단순하지 않고 여러 원인이 복합될 수 있기에 주의 깊게 관찰하고 사정해야 좋은 간호중재를 계획하고 실천할 수 있으며 이를 통해 환자는 보다 편안하게 남은 생을 보낼 수 있게 된다. 간호원은 천국의 문턱을 장식하는 하느님의 부름받은 사자이다.

• Korean Journal of Psychosomatic Medicine
• /
• v.8 no.2
• /
• pp.172-180
• /
• 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.

• Journal of Convergence for Information Technology
• /
• v.11 no.11
• /
• pp.229-238
• /
• 2021

The purpose of this study is to examine the effect of physical health on oral health in university staff and the mediating effect of stress on their relationship. As for the research method, a questionnaire survey was conducted from June 15 to June 30, 2021 for some university staff in the Seoul area. As research tools, general characteristics, somatic symptoms, oral symptoms, and perceived stress were investigated. For the analysis method, Pearson correlation analysis was used to examine the correlation between physical symptoms, stress, and oral symptoms, and regression analysis was used to verify the mediating effect. As a result, somatic symptoms, stress, and oral symptoms all showed a positive correlation. Also, somatic symptoms were found to have an effect on oral symptoms, and stress had a partially mediating effect on the relationship between somatic symptoms and oral symptoms: somatic symptoms directly affect oral symptoms, and stress directly and indirectly affects oral symptoms. In conclusion, institutional measures are needed to reduce the work stress of the university staff, and regular oral health education to promote oral health should be expanded.

• Korean Journal of Psychosomatic Medicine
• /
• v.29 no.2
• /
• pp.95-101
• /
• 2021

Patients complaining with somatic symptoms are very common in clinical practice, and are often consulted to medical department. But it is difficult to treat well. The treatment of somatic symptom disorder is multi-modal as none of the methods on their own provide a satisfactory outcome. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Drugs such as tricyclic antidepressants, serotonin reuptake inibitors(SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics are studied. The evidence indicates that these drugs are effective in somatic symptom disorders. All classes of antidepressants seem to be effective against somatic symptom disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder, and SNRIs appear to be more effective than other antidepressants when pain is predominant. The author suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by using not only psychotherapeutic approach but also pharmacological treatment. It will be helpful to reduce suffering and increase quality of life of these patients.