• Journal of Korean Academy of Nursing
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• v.45 no.2
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• pp.221-230
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• 2015

Purpose: This study was done to examine how laughter therapy impacts serotonin levels, QOL and depression in middle-aged women and to perform a path analysis for verification of the effects. Methods: A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. Participants were 64 middle-aged women (control=14 and experimental=50 in 3 groups according to level of depression). The intervention was conducted five times a week for a period of 2 weeks and the data analysis was conducted using repeated measures ANOVA, ANCOVA and LISREL. Results: Results showed that pre serotonin and QOL in women with severe depression were the lowest. Serotonin in the experimental groups increased after the 10th intervention (p=.006) and the rise was the highest in the group with severe depression (p=.001). Depression in all groups decreased after the 5th intervention (p=.022) and the biggest decline was observed in group with severe depression (p=.007). QOL of the moderate and severe groups increased after the 10th intervention (p=.049), and the increase rate was highest in group with severe depression (p<.006). Path analysis revealed that laughter therapy did not directly affect depression, but its effect was indirectly meditated through serotonin variation (p<.001). Conclusion: Results indicate that serotonin activation through laughter therapy can help middle-aged women by lessening depression and providing important grounds for depression control.

• Journal of Family Resource Management and Policy Review
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• v.9 no.3
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• pp.69-95
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• 2005

The purpose of this study was to analyze the needs and demands of middle-aged women concerning the educational contents of tea-culture, the managing methods of educational programs, and a plan to invigorate tea culture education as a whole. Here is the summary of the main results. 1) The need for tea-culture education scored an average of 4.14 / 5(maximum score). The actual needs for tea-culture education had varied according to the women's place of living, educational motives, and the desire to become lecturers in the future. That is, the actual needs for tea-culture education scored high among the groups who displayed strong personal motives to cultivate their inner minds and learn tea-culture seriously, groups who lived in Seoul${\cdot}$Taegu${\cdot}$Cheonju, and groups who wanted to become future lecturers. 2) The need for a systematic management of tea-culture educational programs scored an average of 4.10 / 5(maximum score). The need for a management of tea-culture educational programs varied according to the women's educational level and their desire to become future lecturers. That is, the need for a systematic management of tea-culture educational programs scored high among groups whose educational level was high, and groups who wanted to become future lecturers. 3) The need for a plan to invigorate tea-culture education scored an average of 4.05 / 5(maximum score). The need for a plan to invigorate tea-culture education varied according to the women's place of living, educational level, the managing subject of educational organizations, the desire to become future lecturers. That is, the need for a plan to invigorate tea-culture education scored high among the groups who lived in Seoul${\cdot}$Taegu${\cdot}$Cheonju, groups whose educational level was high, groups who were members of life-long educational facilities within universities, and groups who desired to become future lecturers.

• Journal of Family Resource Management and Policy Review
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• v.16 no.2
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• pp.77-101
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• 2012

The purpose of this study was to develop a Body & Mind Integration Program that combines yoga and tea meditation, and to prove the fact that it can enhance the happiness for middle-aged housewives. In order to do that, it was devised for a one-group pretest-posttest design and implemented a pretest, a treatment(that was a 12-session program), and a posttest. The results of the 16 middle-aged housewives were used to prove the effect of this program. The main results of this study are as follows: First, physical self-concept(t=-4.609, p<.001), mindful attention awareness(t=-2.804, p<.05) and tea life practices(t=-4.748, p<.001) of the middle-aged housewives have been improved after the implementation of Body & Mind Integration Program. Secondly, the Body & Mind Integration Program has provided the chance for the middle-aged housewives to newly recognize their physical and psychological ability so that they can appreciate their lives more happily and realized their inner strength. In the final analysis, it is the task for all of us to develop and supply the kind of program which helps the middle-aged housewives not only to keep the efforts for their healthy body & mind, but also to get rid of the negative feelings and tensions which happen from personal relationships so that they can find happiness in their lives continuously.

• Journal of Family Resource Management and Policy Review
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• v.20 no.1
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• pp.141-158
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• 2016

The purpose of this study was to analyze the effects of family stress on instances of depression in married, middle-aged women; more specifically, this study examined the moderating effects family strength and support have on depression in middle-aged women. Three hundred women from 40 to 60 years of aged, all of whom resided in Gyeonggi-do, participated in this study. For the final analysis, 249 self-reported questionnaires were used. Descriptive statistics, correlative analysis, and multiple regression analysis were conducted using SPSS ver. 21.0. The major results of this study were as follows. First, the mean scores of family strengths and family support were higher than the median scores. The mean level of depression was lower than the median of depression frequency, while the mean for the family stress scores was the same as the median. Second, depressions frequency was influenced by family type, health status, and average income. There was a positive correlation between depression and family stress. Third, family support had a moderating effect on depression. Family strength did not seem to have the same moderating effect, while there did seem to be a moderating effect of instrumental support from families on the relationship between family stress and depression. In conclusion, to decrease the frequency of depression in married, middle-aged women', it may be necessary to increase family support, and it seems to be especially necessary to increase the amount of instrumental support from families.

• Journal of Korean Academy of Nursing
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• v.45 no.1
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• pp.14-24
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• 2015

Purpose: The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults. Methods: Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors. Results: The mean age of the participants was $51.1{\pm}6.9$ years. The mean score for ERA (possible range=0 to 100) was $40.04{\pm}14.31$. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, $R^2=.36$). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, $R^2=.38$). Conclusion: The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.

• Journal of Families and Better Life
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• v.34 no.6
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• pp.15-26
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• 2016

The purpose of this study is to examine the effect of personal psychological variables(cognitive flexibility, emotion dysregulation, subjective health condition), family variables(marital satisfaction, father-adolescent communication) and job satisfaction on the psychological well-being of middle-aged men. For this research, questionnaires were administered to 550 middle-aged men residing in Seoul, Gyeonggi and Incheon. Among 352 questionnaires collected, 327 were selected and statistically analyzed by average, standard deviation, frequency analysis, t-test, one-way ANOVA, and hierarchical regression analysis using SPSS Win 21.0. The main results of the study are as follows: First, according to middle-aged men's social-demographic variables, the level of their psychological well-being differed significantly. Second, cognitive flexibility was the most significant predictor of their psychological well-being. In addition, emotion dysregulation, job satisfaction, father-adolescent communication, and subjective health condition were significant predictors. These results suggest that cognitive reconstruction training or problem-solving intervention could be useful for the psychological well-being of middle-aged men.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.140-153
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• 1999

This study is designed to furnish basic data for development of health -care program to promote health of the middle-aged adult by making the middle-aged adult an object who have radically increasing death rate because of chronic degenerative diaease, finding out the executive degree of health -promoting behaviors, and verifying the relation between self-efficacy/perceived health status and health -promoting behaviors. The results are as follows. 1) The hypothesis that 'the higher the self-efficacy, the better the health -promoting behaviors' was supported on a meaningful level(r=.30l, p=.000) 2) The hypothesis that 'The health-promoting behaviors will have differences according to the perceived health status' was supported on a meaningful level in the sections of the control of stress(p=.000), the self-achievement (p=.000), the exercise(p=.002), the control of interpersonal relation(p=.014) and the eating habit(p=.061) and was rejected in the sections of drinking' smoking(p=.787), heath-responsibility (p=.061). The fact that executive degree of health -promoting life-style have correlation with self-efficacy was found out and we need to develop health-education program to promote self-efficacy.

• Journal of Korean Public Health Nursing
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• v.15 no.2
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• pp.412-427
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• 2001

The purpose of this study is to provide a basis to recognize the health behaviors of middle-aged men that are constructive to a healthy life style. Data were collected from interview of questionnaires completed by 160 middle aged men living in Incheon from November 1 to 30, 2000. The questionnaires used in this study were obtained from publications on health related topics shown in literature review. These topics included : health concept, diseases, use of tobacco, alcohol, caffeine, drug, exercise and diet, cause of stress and stress management. The data were analyzed by descriptive statistics using the SPSS program. The results of this study were as follows. 1. $47.5\%$ of Middle aged men thought of concept of health as a doing daily living pattern. 2. $38.5\%$ of the middle aged men had illness or disease, which included hypertension, gastritis, disc, peptic ulcer, indigestion and DM. 3. $55.6\%$ of the middle aged men smoked cigarettes. Most of them the began to smoke due interest. 4. $72.5\%$ of the middle aged men drank alcohol. Most of them began drinking due to peer pressure. 5. $81.2\%$ of the middle aged men consumed caffeine-containing products. 6. $59.4\%$ of the middle aged men took drugs. Most of the drugs were digestant. vitamins and analgesics. 7. $25.2\%$ of the middle aged men exercised more than 2 times per week. 8. Most of causes of stress were economic difficulties and sickness. The method of stress management were alcolhol and use of tobacco mostly.

• Journal of Families and Better Life
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• v.32 no.1
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• pp.151-166
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• 2014

This study attempted to explore how middle aged married men and women prospected a Centenarian society and what implications their prospect cast for family policy. We conducted focus group interviews with five groups in order to identify their subjective prospects on marital relations, parent-child relations, caregiving from family or institutions, and alternative living arrangement. From those interviews, we found that married men and women in their 40s, 50s, and 60s possessed ambivalent attitudes toward their marital relationship, either acknowledging an importance of marital relationship or accepting long-standing disrespectful marital relationship. They also had a dualistic perspective on parent-child relationship, accepting parental responsibility for children and even grand-children but maintaining low expectations for children. What they needed was age appropriate opportunities for work or leisure and better community services and facilities. These results showed that the middle-aged was concerned experiencing unprecedented family situations. They needed family life education and services in order to adapt to the Centenarian society. Since family policy has viewed this age group out of service target, programs and services have been underdeveloped for this group. Expecting a Centenarian society however, we need to expand the boundary of family policy and take a new perspective. We need to develop and implement marital education programs, community-based self-care services, and age-appropriated opportunities for work, leisure, and social relations.

• Research in Community and Public Health Nursing
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• v.11 no.1
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• pp.105-116
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• 2000

The purpose of this study is to evaluate the relationship of blood pressure with dietary habit and level of physical fitness of middle-aged male workers by age. The study subjects included 511 male employees who have worked at a company in C City, whose age was more than 40 years old. Between April 10 and May 30. 1998, all of the study subjects measured physical fitness (Balance, strength, power, agility, flexibility and endurance) and blood pressure. A questionnair was administered for dietary habit and socio-demographic characteristics. The average age (SD) of the study subjects was 46.61(3.98) years. The study subjects were classified by age into 3 groups; 40-44 aged group(34.6%), 45-49 aged group(41.3%), and 50-54 aged group (24.1%). The score of dietary habit of 40-44 aged group was $69.77{\pm}5.82$. that of 45-49 aged group was $69.77{\pm}5.83$, and that of 50-54 aged group was $71.85{\pm}6.82$(p=0.005). But age of health physical fitness tend to weaken in the age of 40-44. Systolic(p=.011) and Diastolic blood pressure (p= .011) were significantly increased with age increment. Diastolic blood pressure and dietary habit of 45-49 aged group showed the significant negative-correlation(r= .280. P<0.05). and Diastolic blood pressure and age of health physical fitness of 40-44 aged group showed the significant positive-correlation(r= .182. P<0.05). On the basis of the results of this study. I hope occupational nurses should play an active role to improve dietary habit and physical fitness for prevention of hypertension with increase of age in middle-aged male workers.