• 대한불안의학회지
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• 제14권1호
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• pp.1-6
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• 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.

• 한국콘텐츠학회논문지
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• 제14권4호
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• pp.227-236
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• 2014

본 연구는 남자 중학생의 게임중독과 분노행동의 관계에서 비합리적 신념의 매개효과를 탐색하고자 수행되었다. 이를 위해 충청지역 남자 중학생 431명을 분석대상으로 하였다. 분석결과는 다음과 같다: 첫째, 게임중독은 비합리적 신념 및 분노행동 중 직접표출, 반추, 분산 요인과 유의한 상관을 나타냈다. 둘째, 게임중독 고위험집단은 잠재위험이나 일반사용자집단에 비해 비합리적 신념, 직접표출, 반추, 분산의 평균점수가 유의하게 높았다. 셋째, 비합리적 신념은 게임중독과 분노행동 중 직접표출, 분노 반추, 분산과의 관계에서 부분매개효과를 나타냈다. 이를 바탕으로 게임중독 고위험 중학생의 분노조절을 위한 실천적 함의로서 인지행동치료를 통한 비합리적 신념의 수정과 건설적, 적응적인 분노행동의 훈련이 제시되었고, 후속연구를 위한 제언이 논의되었다.

• 한국융합학회논문지
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• 제7권3호
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• pp.87-98
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• 2016

본 연구는 간호사의 분노, 직무스트레스, 사회적 지지 정도를 파악하고 대인돌봄행위에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 2014년 12월 1일부터 31일까지 4개 도시의 대학병원에서 근무하는 간호사 174명을 대상으로 자료수집을 실시하였다. 본 연구는 간호사의 대인돌봄행위와 분노에 대한 기초자료를 제시하고, 반복적 분노반추가 대인돌봄행위를 줄어들게 하며, 분노억제와 분노조절이 대인돌봄행위에 영향을 미치는 것을 확인하였다. 높은 직무요구 스트레스에서도 대인돌봄행위를 증가시키기 위해서는 자율적인 간호환경과 물질적 지지, 교육 기간의 확대가 필요할 것이다. 따라서 본 연구는 간호행위인 대인돌봄행위 증진과 이에 필요한 요소를 규명하고, 간호사의 정서관리 중재로서 분노에 대한 융합적 관리의 필요성을 제시하는데 의의가 있다.

• 기본간호학회지
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• 제19권1호
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• pp.98-108
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• 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.

• 대한불안의학회지
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• 제10권2호
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• pp.95-102
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• 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.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.520-532
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• 2021

본 연구는 통합적 연구방법을 활용하여 청소년 분노유발상황 척도개발의 기초자료를 제공하고자 한다. 이를 위하여 국내외 분노유발상황 척도 내용분석, 청소년 대상 분노유발척도인 NAS-PI 요인 및 타당성 분석, 청소년 전문가 대상 FGI의 3가지 연구 방법을 활용하였다. NAS-PI의 결과에서는 기존 5가지 범주 중 '좌절'을 제외한 '무례한 대우', '불공평', '타인의 거슬리는 특성', '짜증' 등 4가지 범주가 유의미 한 것으로 나타났다. FGI 분석 결과는 '거절', '신체적·언어적 폭력', '무시', '좌절', '통제 및 제지', '반추', '대인관계' 등 7가지 범주로 구성되었다. 이러한 내용을 국내외 분노유발상황 내용분석과 통합한 결과 최종적으로 '불공평', '부당함', '비난', '통제 및 제지', '무시', '좌절', '대인관계' 등 7가지 범주로 재구성이 가능하였다. 본 연구의 의의는 국내외 청소년 분노유발상황척도 내용 분석 및 양적, 질적 연구를 통합적으로 진행하여 국내 청소년대상 분노유발상황척도 개발의 기초자료를 제공한다는 것이다. 이러한 연구결과를 바탕으로 추후연구 필요성과 방향에 대해 논의하였다.

• 동서간호학연구지
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• 제8권1호
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• pp.126-134
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• 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.

• 한국화재소방학회논문지
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• 제33권2호
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• pp.164-172
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• 2019

본 연구의 목적은 소방공무원의 PTSD 관련변인들을 체계적 문헌고찰을 통해 알아보고자 하였다. 한국교육학술정보원, 국회전자도서관, 국가과학기술정보센터, 한국의학논문데이터베이스를 통해 문헌을 검색하였고 검색 용어는 PTSD, 외상 후 스트레스, 외상 후 스트레스 장애, 소방공무원이었다. 총 146편의 문헌이 검색되었고 그 중 10편의 문헌이 본 연구의 주제와 부합하여 분석되었다. 분석된 10편의 문헌은 모두 상관관계를 연구한 비 실험 연구였다. 정적상관 요인은 연령, 근무기간, 외상사건 경험, 출동횟수, 경험한 외상사건 종류의 수와 강도, 업무 부담감, 대처방식, D유형 성격, 정서조절 곤란, 우울, 분노반추, 부적상관 요인은 회복탄력성, 사회적지지, 자아존중감으로 나타났다. 향후 소방공무원의 정신건강 증진을 위해 PTSD의 보호 변인인 회복탄력성과 사회적지지, 자아존중감을 향상시키는 전문적인 중재 프로그램 구성이 이루어져야 한다.

• 대한간호학회지
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• 제52권1호
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• pp.36-51
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• 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.