• Title/Summary/Keyword: Anxiety Scale

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Medical Students' Perceived Changes in Life, Mental Health Problems, and Strategies for Coping with Stress during the COVID-19 Pandemic (코로나19 팬데믹 상황에서 국내 의과대학생이 경험한 일상생활 변화, 정신건강 문제 및 스트레스 대처)

  • Kim, Hae Won;Yeo, Sanghee;An, Shinki
    • Korean Medical Education Review
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    • v.24 no.3
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    • pp.231-239
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    • 2022
  • This study aimed to examine the influence of the coronavirus disease 2019 (COVID-19) pandemic on areas of Korean medical students' lives, assess concerns, and investigate the strategies they used to cope with stress due to the pandemic. An online survey with a total of 53 items on the impact of COVID-19, concerns, and coping strategies was sent to medical students, and responses were collected from April 27, 2021 to May 30, 2021. In total, 1,329 students were included in the study. Analysis was performed using the chi-square test, independent-sample t-test, and one-way analysis of variance, and the post-hoc Scheffé test or Games-Howell test was performed for multiple comparisons. The main negative impacts of the pandemic were on hobbies/leisure activities and mental health, and medical students expressed the highest levels of concern regarding restriction of movement, returning to everyday life, and risk of infection for family and friends. Female students more strongly agreed that COVID-19 had increased their depressed mood and anxiety (p<0.001 and p=0.003, respectively). Furthermore, the negative impacts of the pandemic on different areas of life significantly affected current levels of depressed mood and anxiety. To cope with pandemic-related stress, students used several strategies such as talking with family or friends (91.5%), sleeping (83.1%), exercising (72.8%), using social networking services (60.8%), drinking alcohol (37.8%), and practicing meditation/mindfulness (24.4%); the effectiveness of these strategies ranged from 3.45 to 4.19 on a 5-point Likert-type scale (1-5). The study findings suggest that COVID-19 has influenced the mental health of medical students and raised concerns in many areas of their lives. Students used various strategies to cope with the pandemic-related stress; since the effectiveness of frequently used approaches varied, it is essential to guide medical students to develop effective coping strategies.

Use of Korean Medicine Psychotherapy Including Existential Psychotherapy in a Patient with a Mild Depressive Episode Accompanied by Physical Symptoms Such as Hyposmia: A Case Report (후각 감퇴 등의 신체적 증상을 동반한 경도 우울에피소드 환자의 실존주의 심리치료를 포함한 한방정신요법 활용 1례 보고)

  • Hyung-Woo, Lee;Sang-Beom, Kim;Ju-Yeon, Cho;Jong-Min, Kim;Ga-Hyun, Lee;Se-Jin, Park
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.473-484
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    • 2022
  • Objectives: To report a case of a patient with a mild depressive episode accompanied by physical symptoms such as hyposmia visiting a Korean medicine hospital who was treated with oriental psychotherapy in parallel with existentialism-based psychotherapy showing improvement. Methods: For this patient, Korean medicine Psychotherapy was mainly used for treatment. In parallel, existential Psychotherapy, acupuncture treatment, and self-relaxation training were implemented. For estimating this treatment, changes in results of Beck Depression Index (BDI), Beck Anxiety Index (BAI), Numeric Rating Scale (NRS), Korean Version of Sniffin' Sticks Test (KVSS), Butanol Threshold Test (BTT), Cross-Cultural Smell Identification Test (CC-SIT), and somatic symptoms that the patient subjectively expressed were determined. Results: After the comprehensive treatment, it was confirmed that changes in BDI, BAI, KVSS, BTT, CC-SIT, NRS, and subjective somatic symptoms expressed by the patient all showed improvements. Conclusions: We propose that a comprehensive treatment using Korean medicines Psychotherapy in parallel with existential psychotherapy can be used for patients who complain of physical symptoms accompanied by depression and hyposmia.

Effects of Group Programs on Social Interaction and Satisfaction of Performance Activities in Chronic Stroke (그룹 활동 프로그램이 만성 뇌졸중 환자의 사회적 상호작용과 활동 수행 만족도에 미치는 영향)

  • Hyun, Choi-Ji;Bak, Ah-Ream
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.573-581
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    • 2019
  • This study was to investigate the effects of group program on interactions and activity performance and among chronic stroke patients living in the community. This study was performed on 8 chronic stroke patients living in the community for 40 weeks for group program once a week for 60 minutes. group programs consisted of gross motor, fine motor, and cognitive activities that led to interactions among group members. Results were assessed by using the Social Interaction Anxiety Scale(SIAS) and Canadian Occupational Performance Measure(COPM), and evaluation of the task performance and social interaction was conducted. There was statistically significant decrease in social interaction anxiety level of subjects after group program intervention and statistically significant improvement in task performance. In addition, all of the subjects showed positive satisfaction with the program after the intervention. group program provided by the to chronic stroke patients living in the community is a approach that enhances the interacts with the members, task performance of the subjects and helps them design a meaningful life.

The Effect of Ozonized Water Irrigation in the Circuits of Professional Ultrasonic Scalers for Causal Therapy of Stage I Periodontitis: A Randomized Clinical Study

  • Simone Marconcini;Enrica Giammarinaro;Giacomo Oldoini;Annamaria Genovesi
    • Journal of dental hygiene science
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    • v.23 no.1
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    • pp.13-19
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    • 2023
  • Background: Periodontitis is a chronic inflammatory condition associated with dysbiosis of the oral microbiota. The aim of the present clinical study was to explore the adjunctive effect of ozonized water irrigation in the circuits of ultrasonic scalers for the full-mouth decontamination of patients with periodontitis Stage I or II. Methods: The study was a randomized, single-blinded, parallel-group clinical trial. The test group (n=25) was treated with ultrasonic scalers irrigated with ozonized water, whereas the control group (n=25) received normal tap water irrigation within the ultrasonic scalers used during the professional mechanical debridement. Full mouth plaque score, bleeding score, probing pocket depth, and the gingival index were evaluated at baseline, two, and 4 weeks after treatment. The pain perceived and dental anxiety were also assessed after treatment by means of the visual analog scale (VAS). Results: All periodontal parameters resulted in significant improvement for both study groups. The effect of the treatment group on the gingival index was significant, in particular, patients in the test group experienced a greater reduction in this score. No significant differences could be observed with regards to the average probing depth, full mouth plaque index and bleeding score. Patients treated with ozonized water running in the circuits of ultrasonic scalers displayed also lower scores for pain and dental anxiety. Conclusion: The present study showed a significant clinical effect on gingival inflammation attributable to adjunctive ozone irrigation during nonsurgical periodontal therapy. Further studies, including patients with severe periodontitis and greater sample sizes, are recommended to test the clinical effect of ozonized water in the circuits of ultrasonic scalers.

The Association Among the Fear of COVID-19, Depression, Risk Perception, Health Belief, and Preventive Health Behaviors Related to COVID-19 Among University Students in Jeonbuk Region (전북지역 대학생의 COVID-19에 대한 두려움, 우울, 위험인식, 건강신념과 예방적 건강행위의 연관성)

  • Kim, Ho-Rim;Kwon, Joo-Han;Park, Jong-Il;Chung, SangKeun
    • Anxiety and mood
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    • v.18 no.2
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    • pp.92-100
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    • 2022
  • Objective : The purpose of this study was to investigate the association among the fear of COVID-19, depression, risk perception, health belief, and preventive health behaviors related to COVID-19 among university students in Jeonbuk region. Methods : A cross-sectional study was conducted using an online questionnaire survey. The questionnaire included The Korean Version of Fear of COVID-19 Scale, the Korean Version of the Patient Health Questionnaire-9, and measurement tools adapted from previous studies for risk perception, health belief, and preventive health behaviors of subjects. We analyzed data using Pearson's correlation analysis, confirmatory factor analysis, and path analysis using SPSS 22 and AMOS 21. Results : The fear of COVID-19 showed significant positive influence on health belief as well as risk perception. Depression had a significant negative impact on preventive health behaviors and risk perception. Health belief showed a significant positive impact on preventive health behavior. Conclusion : Rresults revealed that the higher the level of depression was, the lower risk perception and performance of preventive health behavior were among university students in Jeonbuk region. As the level of the fear of COVID-19 became higher, the level of health belief and risk perception became higher. The higher the level of health belief was, the higher the performance level of preventive health were. Thus, it is prudent to increase the level of health belief, and lower the level of depression, in promoting preventive health behavior.

The Influence of Emotional Intelligence on Empathy in Medical Students (의과대학생의 정서지능이 공감에 미치는 영향)

  • Kim, Hae Won
    • Anxiety and mood
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    • v.18 no.2
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    • pp.109-115
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    • 2022
  • Objective : The purpose of this study was to examine the influence of subscales of emotional intelligence on empathy in first-year medical students. Methods : A total of 215 first-year medical students were eligible for this study. Demographic factors (age, sex, and medical school entrance type) and measures for emotional intelligence and empathy, such as the Wong and Law Emotional Intelligence Scale and the Interpersonal Reactivity Index, were included in the survey. The relationship between emotional intelligence and empathy was analyzed by multiple linear regression, adjusting for age, sex, and entrance type. Results : The female students' level of emotional intelligence was higher than the male students for the self-emotional appraisal (p=0.029) and others' emotional appraisal (p=0.006) subscales. Meanwhile, the graduate-entry students scored higher for the use of emotion (p<0.001) and regulation of emotion (p=0.010) subscales than the direct-entry students. For empathy, the female students revealed a higher score in empathic concern (p=0.009) than the male students, and graduate-entry students scored higher than the direct-entry students in perspective taking (p=0.004) and empathic concern (p<0.001). The multiple linear regression analysis has identified significant influences of subscales of emotional intelligence on empathy: others' emotional appraisal on perspective taking (p<0.001), self-emotional appraisal (p=0.035) and regulation of emotion (p=0.023) on fantasy, others' emotional appraisal (p<0.001) and use of emotion (p=0.020) on empathic concern, and self-emotional appraisal (p=0.033) and regulation of emotion (p<0.001) on personal distress. Conclusion : This study's findings suggest that emotional intelligence may affect empathy in medical students, which can have implications for developing educational strategies to enhance empathetic attitudes in medical students.

Implicit Self-anxious and Self-depressive Associations among College Students with Posttraumatic Stress Symptoms (외상 경험자의 암묵적 자기-불안 및 자기-우울의 연합)

  • Yun Kyeung, Choi;Jae Ho, Lee
    • Korean Journal of Culture and Social Issue
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    • v.24 no.3
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    • pp.451-472
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    • 2018
  • The purpose of this study was to examine implicit associations of negative emotion (i.e. anxiety and depression) and self among a college students having experienced posttraumatic stress symptoms. The participants were 61 college students(male 16, female 45). They were classified into two groups, trauma group(n=35) and control group(n=26) according to scores of Korean version of Impact of Events Scale-Revised. Two groups were compared with regard to automatic self-anxious and self-depressive associations measured with the Implicit Association Test using both words and facial expression pictures, respectively. As results, trauma group showed more enhanced self-anxious association in the words conditions, and stronger self-anxious and self-depressive associations in the pictures conditions than control group, whereas there were no significant differences between two groups in explicit cognition and depression. These results suggest that traumatic experiences could influence self-concepts in the automatic process. Limitations of the current study and suggestions for future research were discussed.

Differences in Psychopathology and Effectiveness of Individual Counselling According to Learning Environment of Agricultural Specialized College Students (농업계 특수전문대학 학생들의 학습 환경에 따른 정신병리 차이와 개인상담의 효과검증)

  • Lee, D.K.;Nho, W.G.;Jeong, D.S.;An, J.S.
    • Journal of Practical Agriculture & Fisheries Research
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    • v.19 no.1
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    • pp.153-163
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    • 2017
  • This study is aimed at researching on psychopathological characteristics of agriculture-specialized college students, in a specific educational environment, consulting some students who show maladjusted characteristics, verifying its effects and providing basic data for college life instructions. The complete survey MMPI was conducted for 676 freshmen and juniors attending K agriculture-specialized college located in Jeollabuk-do. To analyze the results, basic statistics, bivariate correlation analysis, and multiple regression analysis were implemented. The results of this study are as follows; First, the level of overall clinical scale was lower than 50 points, standard point, and freshmen showed higher depression (D), hysteria (Hy) and psychasthenia (Pt) in general. Such results are different from the other study results. It is considered an anxiety in early stage, resulted from a living in a dormitory. For the juniors who came back from one-year practice, anxiety about employment seems little because they are already employed. Second, The effects of personal consultation for maladjusted students were proved (p<.01). The students who got consultation showed improvement effect from 'very bad condition' to 'considerable depression', which is low score. This study has a meaning in preventing from any accident, by screening maladjusted students who are supposed to learn in a specific situation, by relieving their symptoms through consultation and letting them concentrate on learning.

The Mediating Effects of Interpersonal Problems in the Association Between Depression and Smartphone Addiction Among Preadolescence (전청소년기 우울과 스마트폰 중독 간의 관계에서 대인관계문제의 매개 효과)

  • YeonJoo Nam;Min-Hyuk Kim;Jinhee Lee;Yongseok Seo;Seongho Min
    • Anxiety and mood
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    • v.19 no.2
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    • pp.100-107
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    • 2023
  • Objective : This study aimed to estimate the mediating effect of interpersonal problems in the association between depression and smartphone addiction among preadolescence. We verified the gender differences and interpersonal problem subtypes. Methods : This cross-sectional study obtained data from 674 subjects aged 9-12 years. The questionnaire included the Smartphone Addiction Scale-Short Form Version (SAS-SV), the Kovacs' Children's Depression Inventory (CDI), and the Korea Inventory of Interpersonal Problems (KIIP-SC). We analyzed data using Pearson's correlation analysis and evaluated the mediating effect of interpersonal problems. Results : The CDI score showed positive correlations with associated with the SAS-SV and the KIIP. In the total group, the KIIP-PA (Domineering) (b=0.13, 95%CI [0.05, 0.22]), the KIIP-BC (Vindictive)(b=0.07, 95%CI [0.02, 0.14]) and the KIIP-NO (Intrusive) (b=0.07, 95%CI [0.02, 0.13]) significantly mediated the association between the CDI and the SAS-SV. In men, the mediating effect of the KIIP-PA (Domineering) (b=0.20, 95% CI [0.08, 0.35]) was significant. On the other hand, in women, the mediating effect of the KIIP-BC (Vindictive) (b=0.14, 95% CI [0.06, 0.25]) and the KIIP-NO (Intrusive) (b=0.08, 95% CI [0.02, 0.17]) were significant. Conclusion : Understanding the mediating role of interpersonal problems in the association between depression and smartphone addiction may help find the appropriate intervention target.

Effect of cryoanesthesia and sweet tasting solution in reducing injection pain in pediatric patients aged 7-10 years: a randomized controlled trial

  • Shital Kiran Davangere Padmanabh;Vishakha Bhausaheb Gangurde;Vikram Jhamb;Nasrin Gori
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.1
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    • pp.37-45
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    • 2024
  • Background: The delivery of profound local anesthetics helps children receive successful treatment by reducing fear, anxiety, and discomfort during dental procedures. Local anesthetic injections are the most anticipated stimuli in dental surgery. Children's perceptions of pain can be altered by applying cryotherapy to precool the oral mucosa or by diverting their minds through taste distractions before administering local anesthetic injections. This study aimed to evaluate the efficacy of cryoanesthesia and xylitol sweet-tasting solution at the injection site in 7-10-year-old children. Methods: A total of 42 participants, aged 7-10 years, who underwent dental treatment requiring local anesthesia, were enrolled in the study. The children were randomly divided into three groups. In group I, sterile water was held in the mouth for 2 minutes before anesthetic administration, similar to group II, and in group III, a xylitol sweet-tasting solution was used for 2 minutes before needle insertion. The analysis of pain perception was carried out based on the Visual Analog Scale (VAS) and the Sound, Eyes, and Motor (SEM) scale. For VAS analysis, a one-way analysis of variance (ANOVA) was performed for intergroup comparison, and a post hoc Tukey test was performed for subgroup analysis. For the categorical SEM scale, the Kruskal-Wallis test followed by the post hoc test was performed for intergroup comparison. Where a P value of <0.05 was considered statistically significant at 95% confidence intervals. Results: Cryoanesthesia significantly reduced pain scores on VAS (4.21 ± 1.42) when compared to those on VAS with xylitol sweet-tasting solution (5.50 ± 1.40) and that with sterile water (6.14 ± 2.47). Intergroup comparison of the VAS scores among the three groups was performed using one-way ANOVA, which demonstrated statistically significant differences (P value <0.026) on the VAS scale. Intergroup comparison of the SEM scale was performed using the Kruskal-Wallis test, followed by post hoc comparison, which exhibited statistically significant differences (P < 0.007) among the three groups for the SEM scale. Conclusion: Cryoanesthesia demonstrated higher efficacy in reducing injection pain than that exhibited by the xylitol sweet-tasting solution.