• Title/Summary/Keyword: 심리적응

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The Influences of Stress Coping Strategy on Depression and Anxiety in Recipients of Hematopoietic Stem Cell Transplantation (스트레스 대처방식이 조혈모세포 이식 환자의 우울과 불안에 미치는 영향)

  • Yoon, Su-Jung;Lee, Chul;Lim, Seong-Hu;Chae, Jeong-Ho;Jun, Tae-Youn;Kim, Kwang-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.8-17
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    • 2002
  • Objective : Increasing in frequency and success of hematopoietic stem cell transplantation and improved survival rates have led to growing concerns regarding the psychosocial aspects of hematopoietic stem cell transplantation recipients. In this study, we have examined the stress coping strategies and related psychiatric symptom in the hematopoietic stem cell transplantation recipients. Methods : In this study, we examined the psychological stress symptoms of hematopoietic stem cell transplantation recipients and differences of psychosocial variables between active coping group and passive coping group. Twenty nine recipients of hematopoietic stem cell transplantation were recruited prospectively and assessed at 2 weeks pretranplant and at 1-2 days posttranplant. Thirty normal controls were recruited. Assessments included a psychiatric interview, a variety of standardized questionnaires (Ways of Coping Questionnaires, Perceived Stress Scale, Hospital Depression and Anxiety Scale, Short-Form 36 Health Survey). Results : Hematopoietic stem cell transplantation patients showed higher degree of depression (p<0.001) and anxiety (p=0.011) symptoms than normal control group. However, no differences of depression and anxiety symptoms between pretransplant and posttransplant status were showed. And, passive coping group showed higher degree of depression (p=0.046) and anxiety symptoms (p<0.001) than active coping group. Conclusions : Our results suggested that many hematopoietic stem cell transplantation recipients would exhibit severe to moderate symptoms of anxiety and depression. Also, it seemed likely that passive coping style might influence the development of negative affect such as anxiety and depression. The implications of these findings were discussed in terms of the need to monitor the coping strategies and apply the appropriate psychiatric intervention. And, further prospective studies about long-term survival and psychological adaptive functions of hematopoietic stem cell transplantation patients are recommended.

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Changes of Self-efficacy, Depression, and Posttraumatic Growth in Survivors with Breast Cancer Participating Breast Cancer Prevention Volunteering (유방암예방 자원봉사활동에 참여한 유방암 생존자들의 자기효능감, 우울 및 외상 후 성장의 변화)

  • Yi, Myungsun;Cha, Jieun;Ryu, Youngmi
    • The Journal of the Korea Contents Association
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    • v.14 no.4
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    • pp.256-266
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    • 2014
  • Purpose : This study was to explore the long-term effects of breast cancer prevention volunteering on self-efficacy, depression, and posttraumatic growth among survivors with breast cancer. Methods: This pilot study utilized a longitudinal design. Participants were 14 women with breast cancer who participated in the breast cancer prevention educational program The data were collated between February and August in 2013. Self-report questionnaires were used to measure the self-efficacy for self-management of breast cancer, depression, and posttraumatic growth at pre-education(T0), 1 month(T1), 3 months(T2), and 6 months(T1) post-education. A generalized estimating equation regression model was used to identify the effects. Results: The scores of self-efficacy increased significantly at T1(${\chi}^2$=5.56, p=.0l8) and D(${\chi}^2$=4.56, p=.033) compared with T0. Depression and posttraumatic growth remained stable with fairly good levels throughout the 6-month period. Conclusion: The results of this study suggest that breast cancer prevention volunteering in survivors with breast cancer can be effective for enhancing their self-efficacy and maintaining psychological well-bang. Also the study showed that such volunteering activity could be a useful program not only for the general public but also for breast cancer survivors.

Differences of Reading the Pure Hangul Text and the Hangul Plus Hanja Text in Reading Speed, Comprehension, and Memory (한글 전용과 국한 혼용의 언어 심리학적 고찰(I): 읽기 시간, 이해, 기억에서의 차이)

  • Nam, Ki-Chun;Kim, Tae-Hoon;Lee, Kyung-In;Park, Young-Chan;Seo, Kwang-Jun;Choi, Key-Sun
    • Annual Conference on Human and Language Technology
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    • 1997.10a
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    • pp.469-476
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    • 1997
  • 본 연구는 한글 전용과 한자 혼용이 글의 이해 속도, 이해 정도, 내용의 기억에 어떤 영향을 미치는 가를 조사하기 위해 실시되었다. 한글 전용론과 한자 혼용론은 각각 나름대로의 논리를 가지고 서로 논쟁을 펼쳐왔다. 먼저 한글전용론의 주장을 살펴보면, 한자는 배우기 어렵고 쓰기도 불편해 쉽게 익힐 수 있는 한글을 사용해야 하며, 한자를 사용함으로 인해서 순 우리말의 발전이 방해를 받고, 글자 생활의 기계화와 출판 문화의 발달에 있어 한자는 이것을 어렵게 한다는 것이다. 반면에, 한자혼용론의 주장에 따르면, 한자말은 한자로 적을 때 그 의미의 파악이 빠르고 정확하고, 우리말 어휘의 절반 이상을 한자어가 차지하고 있으므로 한자를 가르치는 것이 국어교육의 지름길이고, 우리말에는 동음이의어가 많아서 한글로만 적을 경우 그 뜻을 식별하기 어렵고, 한자는 각 글자가 모두 뜻을 가지고 있으므로, 각각을 조합하여 새로운 의미의 단어를 쉽게 만들 수 있음은 물론이고 한글로 쓸 경우 길게 쓰여져야만 하는 것을 짧게 쓸 수 있다는 장점을 가지고 있으며, 한자를 쓰지 않으면 우리의 전통 문화를 이어 받을 수 없으며 한자를 공통으로 쓰고 있는 동양문화권에서도 고립을 초래할 수 있다는 것이다. 이렇게 한글전용과 한자혼용에 대한 의견이 다양한 만큼 우리나라의 한자에 대한 정책도 그 갈피를 잡지 못하고 계속 바뀌어 왔다. 독립이후 정부에서는 법령과 훈령 등으로 모든 공문서에서의 한자사용을 금지하고 일반 사회의 문자 생활에도 한글을 전용할 것을 권고하지만 이 지침은 결국 공문서에만 한정되어 왔고 후에는 이것조차도 유명무실해졌다. 또한 중고등학교의 한자교육 정책도 수차례 변화되어 한글만을 배운 세대가 사회에 나와 여전히 한자가 사용되고 있어 적응에 문제점을 가지기도 하였다. 본 연구에서는 그 동안 계속되어 온 한글과 한잔의 사용에 관한 논쟁을 언어심리학적인 연구 방법을 통해 조사하였다. 즉, 글을 읽는 속도, 글의 의미를 얼마나 정확하게 이해했는지, 어느 것이 더 기억에 오래 남는지를 측정하여 어느 쪽의 입장이 옮은 지를 판단하는 것이다. 실험 결과는 문장을 읽는 시간에서는 한글 전용문인 경우에 월등히 빨랐다. 그러나. 내용에 대한 기억 검사에서는 국한 혼용 조건에서 더 우수하였다. 반면에, 이해력 검사에서는 천장 효과(Ceiling effect)로 두 조건간에 차이가 없었다. 따라서, 본 실험 결과에 따르면, 글의 읽기 속도가 중요한 문서에서는 한글 전용이 좋은 반면에 글의 내용 기억이 강조되는 경우에는 한자를 혼용하는 것이 더 효율적이다.

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A STUDY OF PSYCHOSOCIAL VARIABLES WITHIN ADHD WITH OR WITHOUT EXTERNALIZING SYMPTOM (ADHD 아동과 외면화 증후를 공존질환으로 갖는 ADHD 아동간의 심리사회적 변인에 관한 비교연구)

  • Lee, Kyung-Sook;Ryu, Yoon-Jung;Ahn, Dong-Hyun;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.203-212
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    • 1996
  • In this thesis, we investigate the psychosocial variables within the family environments of Attention Deficit Hyperactivity Disorder with (ADHD+CD/ODD) or without (ADHD) externalizing symptoms. The subjects in this research were 86 boys and girls(aged range 6 to 14 years) consisted of 20 ADHD, 22 comorbid ADHD(ADHD+CD/ODD) and 44 normal control group(NC). We have collected data on children and their mothers. The psychosocial variables included in the analysis are socioeconomic status, parent's educational level, life stress event, and the rate of psychiatric disorders in relatives. The self-reported questionnaires marital discord(MAS), parenting stress(PSI), and parenting attitute(MBRI) completed by mothers. The results indicated that ADHD+CD/ODD is supposed to have higher level of family adversity suggested by the lower SES, lower parental educational level, higher life stress events, and more psychic disorders in relatives compared with ADHD or normal control group. In MAS, ADHD+CD/ODD group has significantly the lowest scores on each factor of the measure of marital adjustment. Parents of ADHD+CD/ODD are much more likely to have positive parenting stress when compared with the parents of ADHD. Especially, mothers of ADHD+CD/ODD have the lowest tendency in the mean score on affective, accepted attitudd. In an inapropriate parenting attitude perceived by children, father of ADHD+CD/ODD have the most negative, contradictory attitude and mothers of ADHD+CD/ODD have the most restrictive, negative and contradictory attitude.

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A Relation between Clinical Characteristics of Cancer Patients on Radiotherapy and Psychiatric Disorders (방사선 치료중인 암환자의 임상적 특징과 정신과 장애의 관련성)

  • Kim, Ho-Chan;Moon, Chang-Woo;Park, Si-Sung
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.134-141
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    • 1999
  • Objects : Cancer patients receiving radiotherapy have many psychological problems. Those problems depend on clinical factors of cancer and the characteristics of patients. This study was designed to estimate the morbidity of psychiatric disorder and to investigate the relationship between psychiatric disorders and clinical variables. Methods : The subjects were 47 patients who had been treated by radiotherapy. Psychiatric disorder was diagnosed according to DSM-IV. The authors assessed the relation between psychiatric disorder and demographic features, clinical features of cancer such as site, duration, frequency of recurrence of cancer, and patients' awareness of disease and expectation of outcome of radiotherapy. Results : 21 patients(44.7%) had a psychiatric disorder. The most common psychiatric disorder were adjustment disorder(66.7%), and the next major depressive disorder(23.8%). There was a significant positive relationship between psychiatric disorder and recurrence of cancer, patients' expectation of poor outcome after radiotherapy. Psychiatric morbidity was significantly low in those who had no evidence of recurrence and who considered radiation treatment as curative. However, site and duration of cancer, patients' awareness about serious illness were not related with psychiatric disorder. Conclusion : Psychiatric disorders are common among cancer patients on radiotherapy. Further clinical attention and effective treatment of psychiatric complication in cancer patients are needed not only for reducing symptoms but for better adjustment.

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Concept Analysis of Tae-um in Nurses (간호사의 태움 개념분석)

  • Jeong, Sun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.482-491
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    • 2018
  • This study was conducted to identify the conceptual definition and attributes of nurses' Tae-um based on the conceptual analysis method of Walker and Avant. The attributes of nurses' Tae-um were derived from the organizational culture, inexperienced new nurses that are victims, senior nurses that are perpetrators, alteration of teaching, verbal and physical violence experiences, and psychological and physical symptoms. The antecedents were due to excessive work, high work intensity, job stress, lack of workforce, poor working environment, lack of job ability of new nurses, organizational hierarchy, and power imbalance. Moreover, the consequences were physical and psychological symptoms, decreased efficiency, increased distrust, increased turnover intention, and decreased quality of patient care. Improvements of working conditions and social supports for expanding nursing staff and building a culture in which communication and mutual cooperation are used to solve the antecedents of Tae-um among nurses is necessary. This study suggests the need for more qualitative research on Tae-um in nurses, the development of tools that reflect the attributes of Tae-um in nurses, and the development of a program to improve the culture of Tae-um in nurses. This study is significant in that it provides a rationale for development of an adaptation program for new nurses by suggesting the antecedents of Tae-um and solutions for it.

THE COGNITIVE-BEHAVIORAL DIFFERENCES BETWEEN CHRONIC MOTOR TIC DISORDER AND TOURETTE'S DISORDER (만성 운동성 틱 장애와 뚜레뜨 장애의 인지-행동적 차이)

  • Shin, Min-Sup;Kim, Ja-Sung;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.4 no.1
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    • pp.133-141
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    • 1993
  • Present study investigated the differences in psychological tests responses between chronic motor tic disorder and tourette's disorder to clarify whether chronic motor tic and tourette's disorder constitute a single disorder on a continuum or not. Based on the diagnosis by child psychiatrists 29 chronic motor tic disorder and 10 tourette's disorder children between the age of 6 to 13 were selected, and the psychological tests responses of two diagnostic groups were compared. The results showed that tourette's disorder is more related to neulological problems than chronic motor tic disorder. Also it was found that children with tourette's disorder have more difficulties in social-emotional adjustment than children with chronic motor tic disorder. These results suggested that interactions among neurological factor, emotional factor and temperamental characristics might be more involved in tourette's disorder than in chronic motor tic disorder. The limitations of present study and the need for futher research on the comorbidity of tourette's disorder and ADHD were discussed.

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THE RELATIONSHIP AMONG CHILD'S BEHAVIOR PROBLEMS, MATERNAL DEPRESSION, AND PARENTING STRESS (아동의 정서 및 행동 문제와 어머니의 우울증, 양육 스트레스간의 관계)

  • Lee, Young-Joon;Song, Won-Young;Choi, Yui-Gyum;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.2
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    • pp.218-228
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    • 2003
  • Objectives:This study investigated the relationship among child's behavior problems, maternal depression, and parenting stress in children with psychiatric diagnoses and their mothers, and the effect of these variables to the mothers' parenting stress. Methods:Seventy-three children(31 externalizing, 24 internalizing, 18 mixed) and their mothers were involved in this study. The mothers of three groups completed MMPI, KPI-C(Korean Personality Inventory for Children), and PSI(Parenting Stress Index). To investigate the relationships among each variables, ANOVA, Pearson correlation, stepwise regression analysis were performed. Results:There was no significant difference in maternal depression among three groups of children. In 2-Way ANOVA, main effect of maternal depression was statistically significant on depression, parent health, and relationship with spouse subfactor in parent domain, parent domain total, and overall parenting stress. But the main effect of child group was statistically significant on distractability/hyperactivity subfactor in child domain only. In regression analysis, maternal depression explained the parent domain of parenting stress most effectively, and child's hyperactivity and anxiety explained the child domain of parenting stress significantly. Conclusion:These findings suggest that it is important to intervene maternal depression to reduce the parenting stress, along with the treatment of the child's behavior problems.

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A study on linguistic the validity of characteristics and picture test inventories to persons with developmental disabilities (발달장애인의 언어적 특성과 그림검사의 타당도 연구)

  • Lee, Dal-Yob;Noh, Im-Dae;Lee, Seung-Wook
    • 한국사회복지학회:학술대회논문집
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    • 2002.04a
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    • pp.497-531
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    • 2002
  • It is very important for rehabilitation to deal with psychological aspects of persons with disabilities, as well as efforts improving the institutional and environmental conditions. A majority of persons with severe disabilities in the situation of Korea have difficulty in having and maintaining a job. Work should and would be a source of self-respect and material well-being in this modern society. Therefore, Vocational rehabilitation services are measures in restoration of family functions and social participation of persons with disabilities. This study aims at investigating linguistic characteristics and the validity of constructional concepts of picture interest test Inventories that have been utilized for the segregated groups of people such as persons with developmental disabilities. Picture interest test inventories seemed to be valid for measuring psychological traits and characteristics of people with mental retardation, and this finding can be extended to the group of other developmental disabilities, such as learning disabilities and mild/moderate behavioral deficits. The Holland classification system seemed to be best fitted for developing a comprehensive and accurate vocational interest inventory.

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The Psychosocial Adjustment of High-Risk Adolescents in Poverty (고위험 빈곤청소년의 심리사회적 적응)

  • Park, Hyun-Sun
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.195-216
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    • 1999
  • Adolescents whose families receive public assistance are primary interest in the article because they experience disproportionate shares of the burden of poverty and psychosocial stress and are at substantially high risk. To explain the psychosocial stresses of high-risk adolescents in poverty, this study analyzed the inter-relations and interactions of major variables: 1) stress related life condition, 2)individual & environmental resources, 3) emotional, behavioral, and academic adjustment. Data came from the survey of 351 students living in the families receiving public assistance. The major findings were as follows. High-risk adolescents in poverty suffered from chronic stresses related life conditions, including family environmental stress, financial & medical stress and stigmatic stress. As the effects of stress increased, depression/anxiety and delinquency of poor youth increased. The psychosocial adjustment of poor youth at risk was most effected by the stress resulted from family environment. Though they were suffered from stresses related poor environment, adolescents in poverty adjusted well, if they had individual and environmental resources including self-esteem democratic parenting and supportive school climate. In conclusion, this study confirmed that emotional, behavioral, and academic adjustment of adolescents in poverty was affected by various stresses from life conditions and individual and environmental resources. In order to improve adjustment of poor youth at risk, life conditions have to be improved and psychosocial resources to be increased. These findings have provided practical implications for social workers helping high-risk adolescents in poverty.

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