• Anxiety and mood
• /
• v.14 no.1
• /
• pp.1-6
• /
• 2018

Objective : This study aimed at investigating the relationship between exposure frequency of job related trauma types and the PTSD symptoms severity of firefighters, in relation to the moderating effect that anger rumination plays in the association between those of them. Methods : We examined data from 116 firefighters from Gyeonggi-do. The following instruments were applied: the Life Events Checklist (LEC), the Korean version of the Anger Rumination Scale (K-ARS) and the Primary Care PTSD screen (PC-PTSD). Results : A higher exposure frequency of job related trauma types was associated with severe PTSD symptoms; we discovered, however, that anger rumination exacerbated their relationship. Conclusion : This study showed that anger rumination is one of the variables to exacerbate PTSD symptoms in firefighters. Therefore, the study emphasizes the need to consider the level of anger rumination when running a program to predict or mitigate PTSD symptoms in firefighters.

• The Journal of the Korea Contents Association
• /
• v.14 no.4
• /
• pp.227-236
• /
• 2014

This study was conducted to explore the mediation effects of irrational belief on the relationship between game addiction and anger behavior. For this study, 431 middle school boys in Chungcheong areas were included in the analysis. The results showed that game addiction was positively correlated with direct anger-out, rumination, diffusion as well as irrational belief. The boys at high risk of game addiction showed higher mean scores on irrational belief, direct anger-out, rumination: and diffusion than other students. Irrational belief (mediator) partially mediated the influence of the boys' game addiction (independent variable) on direct anger-out, rumination, and diffusion (dependent variable). Finally, limitations of this study and suggestions for future study were discussed.

• Journal of the Korea Convergence Society
• /
• v.7 no.3
• /
• pp.87-98
• /
• 2016

This study comprised descriptive research into nurses' anger, job stress and social support, and the impact thereof on interpersonal caring behaviors. This study focused on the anger and interpersonal caring behaviors of nurses. From December $1^{st}$ to $31^{st}$ 2014, the data of 174 working at university hospitals in four cities were collected. This study focused on the anger and interpersonal caring behaviors of nurses. Repeated anger rumination reduced interpersonal caring behaviors. The influence of anger-in and anger-control on interpersonal caring behaviors was confirmed. Although the stress score of job demand was too high, an autonomous nursing environment, material support and expansion of the educational period are required to enhance interpersonal caring behaviors. Thus, this study investigated the elements of interpersonal caring behavior necessary for nursing care and suggests the necessity on convergence study of addressing feelings of anger as an emotion management intervention.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.19 no.1
• /
• pp.98-108
• /
• 2012

Purpose: This study was done to examine differences in the factors affecting Hwa-byung symptoms in middle-aged men and women. Method: There search design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 381 middle age people (169 men and 212 women) in Seoul and G city. ANOVA, t-test, Pearson correlation coefficients and stepwise multiple regression were used to analyze the data with SPSS Win 18.0 Program. Results: There were significant differences in Hwa-byung symptoms and life stress between men and women. However anger rumination and mood states were not significantly different by gender. In multiple regression analysis, mood states, religion, and employment were significant predictors and explained 36% of Hwa-byung symptoms for men. In women, mood states, life stress, anger rumination and employment were significant predictors and explained 41% of Hwa-byung symptoms. Conclusion: Findings of this study provide a comprehensive understanding of Hwa-byung symptoms and related factors between men and women in Korea. However, further study with a larger random sample from various living environment is necessary.

• Anxiety and mood
• /
• v.10 no.2
• /
• pp.95-102
• /
• 2014

Objective : Previous research showed that childhood trauma or domestic violence resulted in difficulties in controlling emotion and problem solving and vulnerability to psychiatric disorders. To understand the long term effect of childhood trauma, this study investigated their influences on cognitive processing of anger-evoking event and anger behavior among prisoners. Methods : All data were collected from 198 prisoners off our districts in Korea. After they consented to participate, prison officer distributed a questionnaire that included scales to demographic measure, childhood abuse (emotional abuse, physical abuse, and neglect), cognitive response of anger (attentional focus, suspicion, rumination, and hostile attitude) and behavior of anger (impulsive reaction, verbal aggression, physical confrontation, and indirect expression). For statistical analyses, SPSS 18.0 were used and path coefficients were evaluated from the structural equational modeling using LISREL 8.52. Results : Almost 50% of prisoners of our sample experienced one or more trauma during childhood. Then we tested the long term effect of childhood trauma on anger response by structural equation modeling. As expected, childhood trauma was associated with cognitive processing of anger-evoking event and anger behavior. More specifically, emotional abuse (${\beta}$=0.21, p<0.01) predicted suspicion which in turn associated with impulsive reaction (${\beta}$=0.73, p<0.001) and verbal aggression (${\beta}$=0.87, p<0.001). Emotional abuse (${\beta}$=0.24, p<0.01) also predicted hostile attitude which associated with physical confrontation (${\beta}$=0.80, p<0.001) and indirect expression (${\beta}$=0.80, p<0.001). Interestingly, physical abuse associated directly with impulsive reaction (${\beta}$=0.23, p<0.01) and indirect expression (${\beta}$=0.17, p<0.05). Neglect predicted rumination (${\beta}$=0.15, p <0.05) which associated with indirect expression marginally (${\beta}$=0.11, P<0.10). Conclusion : The results of this study, suggest longitudinal and harmful effect of childhood trauma on difficulties in controlling anger. Especially, it was revealed that childhood abuse related with processing anger evoking events more suspicious and hostile and then various anger-expressing behaviors.

• The Journal of the Korea Contents Association
• /
• v.21 no.4
• /
• pp.520-532
• /
• 2021

The purpose of this study is to provide basic data for the development of the anger provoking situation scale using the mixed research method. For this purpose, three research methods were used: content analysis of domestic and international anger-inducing situation scale, NAS-PI factor and reliability analysis of youth anger-provoking scale, and FGI with youth expert. In the results of NAS-PI, there were four categories of 'unrespectful treatment', 'unfairness', 'annoying traits of others', and 'irritation' except 'frustration' among five categories. The results of the FGI consisted of seven categories: 'rejection', 'physical and verbal violence', 'ignorance', 'frustration', 'control and restraint', 'rumination', and 'interpersonal relationship'. As a result of integrating these contents, it is finally possible to reconstruction in to seven categories such as 'unfairness', 'injustice', 'ignorance', 'control and restraint', 'ignorance', 'frustration' 'interpersonal relationship'. The meaning of this study is to provide the basic data for the development of the anger provoking situation scale for domestic adolescents by integrating the contents analysis and quantitative and qualitative researches of domestic and international anger provoking situation scale. The results of this study are as follows. First, it is necessary to study the anger provoking situations reflecting sociocultural context, and to develop the reliability and validity of the anger provoking situation scale.

• Journal of East-West Nursing Research
• /
• v.8 no.1
• /
• pp.126-134
• /
• 2003

Purpose: The purpose of this study is to supply the basic materials for the development of objective tools to measure 'Hwa-byung' and for the development of the theories and statements associated with 'Hwa-byung' by making clear the meaning and characteristics of 'Hwa-byung' and by analyzing the concept of 'Hwa-byung'. Method: The concept analysis of Hwa-byung was proceeded according to the concept analysis process of Walker and Avant(1995). Result: The conceptual characteristics of Hwa-byung resulted from the research are like these : (1) Injustice (2) Anger (3) Rumination (4) Anxiety. Therefore, we can describe Hwa-byung as the feeling repeatedly accumulated through the heavy mental pain, injustice, and anger and it is appeared with the physical and behavioral symptoms. Conclusion: Through this concept analysis, we propose as followings ; First, there's need of the objective tools which make it possible to assess Hwa-byung through the theory development and the statement associated with Hwa-byung. Second, there's need of interdisciplinary approach in the development of nursing intervention to coordinate the characteristics of Hwa-byung by understanding the total nature of Hwa-byung and finding the variables associated with Hwa-byung.

• Fire Science and Engineering
• /
• v.33 no.2
• /
• pp.164-172
• /
• 2019

This study examined the Post-Traumatic Stress Disorder (PTSD)-related variables of firefighters through a systematic literature review. Electronic databases were searched, including RISS, National Assembly Library, NDSL, KmBase. The search terms were PTSD, Post-Traumatic Stress, Post-Traumatic Stress Disorder and Firefighter. Eleven studies from 146 references screened were included. All studies were non-experimental and correlational analyses. The positive correlation factors were age, duration of work, traumatic events, frequency of mobilization, number and strength of traumatic events experienced, work burden, coping method, D-type personality, depression, and anger rumination. The negative correlation factors were resilience, social support, self-esteem. To improve the mental health of firefighters in the future, professional intervention programs should be constructed to improve resilience, social support, and self-esteem, which are protective factors of PTSD.

• Journal of Korean Academy of Nursing
• /
• v.52 no.1
• /
• pp.36-51
• /
• 2022

Purpose: The purpose of this study was to examine the effects of electroencephalogram (EEG) biofeedback training for emotion regulation and brain homeostasis on anxiety about COVID-19 infection, impulsivity, anger rumination, meta-mood, and self-regulation ability of late adolescents in the prolonged COVID-19 pandemic situation. Methods: A non-equivalent control group pretest-posttest design was used. The participants included 55 late adolescents in the experimental and control groups. The variables were evaluated using quantitative EEG at pre-post time points in the experimental group. The experimental groups received 10 sessions using the three-band protocol for five weeks. The collected data were analyzed using the Shapiro-Wilk test, Wilcoxon rank sum test, Wilcoxon signed-rank test, t-test and paired t-test using the SAS 9.3 program. The collected EEG data used a frequency series power spectrum analysis method through fast Fourier transform. Results: Significant differences in emotion regulation between the two groups were observed in the anxiety about COVID-19 infection (W = 585.50, p = .002), mood repair of meta-mood (W = 889.50, p = .024), self-regulation ability (t = - 5.02, p < .001), self-regulation mode (t = - 4.74, p < .001), and volitional inhibition mode (t = - 2.61, p = .012). Neurofeedback training for brain homeostasis was effected on enhanced sensory-motor rhythm (S = 177.00, p < .001) and inhibited theta (S = - 166.00, p < .001). Conclusion: The results demonstrate the potential of EEG biofeedback training as an independent nursing intervention that can markedly improve anxiety, mood-repair, and self-regulation ability for emotional distress during the COVID-19 pandemic.