• Journal of People, Plants, and Environment
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• v.23 no.3
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• pp.305-320
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• 2020

Background and objective: The problem that follows the increase of dementia patients is the burden of caregivers caring for dementia patients. The purpose of this study was to examine the effects of horticultural therapy programs improving the quality of life and reducing the depression and burden of caregivers of the elderly with dementia. Methods: In this study, 19 caregivers of the elderly with dementia were selected, and the experiment was conducted by dividing the control group (n=9) and the experimental group (n=10) by random distribution. The experimental group was given eight horticultural therapy programs twice a week for a total of 4 weeks. Subjects were assessed using the depression(CES-D), quality of Life (WHOQOL-BREF), and care burden scales. The evaluation results were verified at a 95% significance level using descriptive statistics, the Mann-Whitney U test, and Wilcoxon signed-rank test. Results: In the case of depression, the control group's score tended to increase, and the experimental group's score appeared to decrease, but it was not a statistically significant change. In the quality of life, the control group was not statistically significant, but scores decreased overall. On the other hand, in the experimental group, the general quality of life increased significantly from 11.60 to 14.20 points (p = .02), and the total quality of life increased to a marginally significant level from 61.59 points to 68.85 points (p = .059). In the post-test of the total care burden score, a marginally significant difference was found between the control group (94.44 points) and the experimental group (82.50 points; p = .079). Conclusion: This study confirmed the applicability to reduce the burden of caregiving and improve the deterioration of quality of life of the caregivers. In particular, the results will serve as an opportunity to confirm accessibility in a new way to support the caregiver of dementia patients by demonstrating the applicability of horticultural therapy at a time when problems such as the burden of supporting the caregiver are emerging as social problems.

• 한국노년학
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• v.30 no.4
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• pp.1077-1093
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• 2010

This study aims to examine the effects of health status on life satisfaction and depression and to examine the effect of spirituality and religious involvement on this relationship among Korean older persons. On the basis of the previous literature, we hypothesize that health status will have a direct effect on life satisfaction and depression, but that spirituality and religious involvement will moderate this effect in addition to having direct effects on life satisfaction and depression. In light of the different gender effects on all five variables (health status, spirituality, religious involvement, life satisfaction, and depression), we also examine the effects of gender on these variables. The data for this study came from the Hallym Aging Study conducted by the Hallym University Institute of Aging from February to March in 2005. Through stratified multi-stage random sampling, 1409 individuals aged 65 and over, who lived in Seoul and Chuncheon in Korea. Multiple regression analysis was used to investigate whether health status, gender, spirituality and religious involvement could predict life satisfaction and depression, and whether the direct relationships were moderated by interactions among these variables. We took three ordered regression steps to examine the hypothesis; the first step contained the covariates of age, education, living with spouse, monthly expense, living with adult children, and household income. We also entered gender into this step, so it would be adjusted for in relation to the other covariates. The second step then looked for any direct effects that gender, health status, spirituality, and religious involvement might have on life satisfaction and depression above and beyond the effects of the covariates. The third step contained interaction terms to look for further variance accounted for by indirect, moderating effects on life satisfaction and depression. The results showed that health status had a significant effect on both life satisfaction and depression, and religious involvement had a significant effect on depression. Spirituality and religious involvement were found overall to be a moderator, reducing the negative effect of health status on life satisfaction and depression. The direct effect of religious involvement and the moderating effects of spirituality and religious involvement on life satisfaction and depression are consistent with the view that spirituality and religion are resources and benefit the well-being of older adults.

• 한국노년학
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• v.29 no.1
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• pp.101-116
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• 2009

With increasing elderly living with diabetes, health professionals have focused on the relations between behaviors improving health status and life satisfaction. This research attempts to explain the influence of the health promotion behaviors on the life satisfaction of the elderly with diabetes. Also, we are focusing whether there is a mediating effect of depression between health promotion behaviors and life satisfaction of the elderly with diabetes. 685 persons with diabetes over 60 years of age were selected from the data of KLoSA (Korean Longitudinal Study of Ageing), administered by The National Institute of Labor in 2006. Life satisfaction was measured by 5 items: health status, economic status, relationship with a spouse, relationship with children, and the quality of life. Health promotion behaviors were measured by 4 items: regular diet, exercise, smoking, and drinking. The mediating variable is the depression measured by CES-D10. As the method of analysis, the multiple regressions were used with SPSS 12.0. The result of the study shows that the health promotion behaviors have a positive influence on life satisfaction and a negative influence on depression. It was also verified that the depression variable has a partial mediating effect between health promotion behaviors and life satisfaction. These results present the importance of integrated (physical, psychological, and social) approach for the health promotion experts intervening with the elderly with diabetes.

• Korean Journal of Culture and Social Issue
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• v.16 no.3
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• pp.221-240
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• 2010

The purpose of this study is to examine the prevalence of depression in Korean American men and factors associated with the Korean American men's depression by examining how depression is affected by socio-demographic characteristics, immigration-related characteristics, and psychological and social characteristics. Socio-demographic characteristics include age, education, occupation, and monthly income. Immigration-related characteristics include years in the U. S., being U. S. citizens, and acculturation level. Psychological and social characteristics include anger, marital satisfaction, and social support. Using an availability sampling method, data were collected from 201 Korean American married men who were between the ages of 20 and 64 and resided in Los Angeles County. This study used a structured self-administered questionnaire. Due to the unreliable responses, five questionnaires were excluded from the study. Therefore 196 completed questionnaires were used for the data analyses. In order to measure the respondents' depression, the CES-D(Center for Epidemiological Studies of Depression) was used in this study. In the hierarchical multiple regression analyses, monthly income, anger, marital satisfaction, and social support were significantly associated with the respondents' depression. However, there were no significant associations between depression and age, education, occupation, being a U. S. citizen, and acculturation. Implications of the findings for mental health practitioners and social works are discussed.

• Korean Journal of Culture and Social Issue
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• v.16 no.2
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• pp.125-146
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• 2010

A total of 181 college students(61 males 121 females) with at least 5 years of living abroad (Returnee Group) and another group of 181 students (92 males and 93 females) without extended period of living abroad (Comparison Group) participated in the study by completing a questionnaire consisting of Acculturation Index, Multidimensional Acculturation Scale, Student Adaptation to College Questionnaire, Revised UCLA Loneliness Scale, CES-D, and WHOQOL. The results indicated that the Returnee Group, compared to the Comparison Group, reported as good adjustment toward college life in Korea and positive attitude toward the Korean identity, but a higher level of loneliness. When the Returnee Group were divided into 4 different groups on the basis of acculturation pattern, the Integration and Assimilation Type reported a better adjustment to college life, lower depression and loneliness and better quality of life than the Marginalization Type. The Mariginalization Type appears to be the most vulnerable group, experiencing difficulties in all areas of adjustment, and is clearly in need of interventions. Limitations of the present study and suggestions for future research were discussed.

• Korean Journal of Culture and Social Issue
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• v.10 no.1
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• pp.147-163
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• 2004

The present research investigated and compared stress coping strategies of North Korean refugees with those of South Koreans in the purpose to predict and prepare psychological conflicts expected to occur during the Korean reunification. Adapted from Han, Hur, Chae, and Kim(2001), North Korean refugees recorded their coping strategies that they would employ in stressful situations varying in term of three aspects of stress causes - 2(locus: internal/external) × 2(stability: temporal/enduring) × 2(context: individual/interpersonal) - and the responses were classified in terms of three dimensions(active/passive, approach/avoidance, cognitive/affective/behavioral). In the temporal stress situations, adaptive North Korean refugees preferred active over passive, approaching over avoiding, and behavioral over cognitive/affective stress coping strategies more than maladaptive North Korean refugees did. Also, in the stressful situations caused by external causes, they were more likely to take active rather than passive, approaching rather than avoiding copying. Although active copying strategies were preferred to passive ones by adaptive North Korean refugees in individual stressful situations, approaching copying strategies were preferred to avoiding ones by them in interpersonal stressful situations. These findings were found to be different from the pattern of South Korean's stress coping strategies in the same situations. In conclusion, the differences were discussed in the view of psychological integration during Korean reunification.

• Journal of Korean Philosophical Society
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• v.105
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• pp.49-74
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• 2008

Le but de notre recherche est $d^{\prime}{\acute{e}}clairer$ la nature du $d{\acute{e}}passement$ de soi aux actes humaines dnas le Thomisme. Dans le Thomisme la nature humaine qui a la raison et la $volont{\acute{e}}$ a une $intentionnalit{\acute{e}}$ ver la fin ultime. De sorte que les actes humaines qui $corr{\grave{e}}spondent$ cette nature humaine a un $caract{\grave{e}}re$ du $d{\acute{e}}passement$ de soi visant toujours plus que le $pr{\acute{e}}sent$. Le fondement de cet acte du $d{\acute{e}}passement$ de soi est $l^{\prime}{\hat{a}}me$ rationelle qui est la forme substantielle de l'homme et de soi subsistante. Chez st. Thomas ce $caract{\grave{e}}re$ du $d{\acute{e}}passement$ a trois ${\acute{e}}taps$ distinctes : (1)le $d{\acute{e}}passement$ dans l'ordre du $progr{\grave{e}}s$ naturel (2)le $d{\acute{e}}passement$ de soi dans l'ordre morale (3)le $d{\acute{e}}passement$ de soi dans l'ordre de la religion. Le $d{\acute{e}}passement$ dans l'ordre du $progr{\grave{e}}s$ naturel apparaît d'abord au $caract{\grave{e}}re$ de $l^{\prime}{\hat{a}}me$ rationelle. St. Thomas $d{\acute{e}}finit$ les vertus rationelles comme $^{\prime}pl{\acute{e}}nitude$ dans le $f{\acute{e}}blesse$, parce qu'il $consid{\grave{e}}re$ la vertu rationelle comme $finalit{\acute{e}}$ des $facult{\acute{e}}s$ du sens $ext{\acute{e}}rieur$. L'homme par le sens $ext{\acute{e}}rieur$ reçoit des $esp{\grave{e}}ces$ sensibles(especies sensibilis), et $poss{\grave{e}}de$ les images. Puis cette images sensible devenant la $r{\acute{e}}alit{\acute{e}}$ spirituelle sous forme du $m{\acute{e}}moire$ et du souvenir, devient aussi la partie de son existence. Donc chez st. Thomas la vertue rationnelle n'est pas simplement un $facult{\acute{e}}$ $sp{\acute{e}}culative$, mais elle est dans l'ordre du devenir et du $pl{\acute{e}}nitude$. A cette raison st. Thomas compare la raison(ratio) comme $g{\acute{e}}n{\acute{e}}ration$(generatio) et l'intelleigence(intellectus) comme ${\hat{e}}tre$(esse). C'est-${\grave{a}}$-dire la raison $d{\acute{e}}passe$ le sensible et l'intelligence $d{\acute{e}}passe$ la raison. Le $d{\acute{e}}passement$ de soi dans l'ordre morale $li{\acute{e}}$ au $progr{\grave{e}}s$ de la conscience. Chez st. Thomas la perception de l'objet $ext{\acute{e}}rieur$ ayant pour but d'avoir conscience de soi, se perfectionne ${\grave{a}}$ ceci. D'avoir conscience de soi signifie d'avoir $l^{\prime}identit{\acute{e}}$ de soi, et de-$l{\grave{a}}$ apparaît l'acte moral en tnat qu'acte $sp{\acute{e}}cifique$ humain. La raison pour laquelle la vie morale elle-$m{\hat{e}}me$ a un $caract{\grave{e}}$ du $d{\acute{e}}passement$, c'est que l'acte humaine qui corresfonde ${\grave{a}}$ $l^{\prime}identit{\acute{e}}$ du soi est une vie qui vise toujours plus que le $pr{\acute{e}}sent$ ou $l^{\prime}id{\acute{e}}al$. Quant au problem du $d{\acute{e}}passement$ dans l'ordre de la religion, chez st. Thomas en raison de $l^{\prime}affinit{\acute{e}}$ entre Dieu et l'homme, $o{\grave{u}}$ il y a des vertues infuses(virtutes infusas), il y a une sorte du $d{\acute{e}}passement$ religieux. Car ces vertues infuses signifie la communication entre Dieu(${\hat{E}}tre$ absolu) et l'homme(${\hat{e}}tre$ fine) et cela signifie le $d{\acute{e}}passement$ de l'humain vers le divin. Cette $id{\acute{e}}e$ thomiste permet de penser que $o{\grave{u}}$ il y a un $d{\acute{e}}passement$ de soi dans la vie religuse d'une personne, il y a une intervention $r{\acute{e}}elle$ de la providence divine. Cette $pens{\acute{e}}e$ thomiste sera alors un $caract{\grave{e}}$ $r{\acute{e}}aliste$ face ${\grave{a}}$ la $pens{\acute{e}}e$ $id{\acute{e}}aliste$ qui n'admette que le $d{\acute{e}}passement$ absolu comme $d{\acute{e}}passement$ religieux.

• Lingua Humanitatis
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• v.7
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• pp.271-289
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• 2005

Dans cet article, nous discutons de certains $probl{\grave{e}}mes$ syntaxiques en ayant recours $\grave{a}$ la $th{\acute{e}}orie$ linguistique de Milner. Nous remettons en question $l'ind{\acute{e}}pendance$ et $l'identit{\acute{e}}$ de la structure syntaxique, la relation entre le plan syntaxique et le plan lexical, le $caract{\grave{e}}re$ de la $g{\acute{e}}om{\acute{e}}trie$ de la syntaxe, etc.. La discussion est non seulement linguistique mais aussi interdisciplinaire et ${\acute{e}}pist{\acute{e}}mologique$, dans la mesure $o{\grave{u}}$ nous examinons la nature de $l'entit{\acute{e}}$ syntaxique et la $m{\acute{e}}thode$ "scientifique" de la syntaxe qui donne $acc{\grave{e}}s$ $\grave{a}$ $l'entit{\acute{e}}$ syntaxique. Selon Milner, il faut distinguer la place du terme lexical avec la position syntaxique qui est $l'entit{\acute{e}}$ syntaxique. La $premi{\grave{e}}re$ n'est pas syntaxique $\grave{a}$ strictement parler, mais elle, observable contrairement $\grave{a}$ la seconde, sert $\grave{a}$ conjecturer la dimension syntaxique, $c'est-\grave{a}-dire$ le $syst{\grave{e}}me$ positionnel. Le dispositif $th{\acute{e}}orique$ dans la $th{\acute{e}}orie$ linguistique de Milner n'est rien d'autre que l'ensemble des propositions qui permet, en absence d'observatoire, de conjecturer le $syst{\grave{e}}me$ positionnel sur la base du $syst{\grave{e}}me$ des places. Dire $l'ind{\acute{e}}pendance$ de la structure syntaxique revient $\grave{a}$ dire qu'il y a une coupure entre le $syst{\grave{e}}me$ positionnel et le $syst{\grave{e}}me$ des places. Autrement dit, sans cette coupure, on ne peut parler de $l'ind{\acute{e}}pendance$ de la structure syntaxique. Ainsi $distingu{\acute{e}}s$, les deux $syst{\grave{e}}mes$ en cause se mettent en relation soit naturels soit non naturels ou par distorsion $d'apr{\grave{e}}s$ Milner. La relation naturelle est une relation lexico-syntaxique $n{\acute{e}}e$ au moment $o{\grave{u}}$ un terme lexical occupe une position syntaxique dont la $cat{\acute{e}}gorie$ est identique $\grave{a}$ celle de son occupant. A la $diff{\acute{e}}rence$ de cette relation d'occupation naturelle $suppos{\acute{e}}e$ chez Milner comme une tendance du langage naturel, la relation d'occupation non naturelle est "paradoxale" dans le sens $o{\grave{u}}$ elle est produite dans la rencontre plus ou moins "anomale" entre l'occupant lexical et $l'occup{\acute{e}}$ syntaxique. Le $degr{\acute{e}}$ de l'anomalie qu'une langue autorise peut ${\hat{e}}tre$ $mesur{\acute{e}}$ empiriquement et doit ${\hat{e}}tre$ $vari{\acute{e}}$ en fonction de la langue $concern{\acute{e}}e$. Le $caract{\grave{e}re$ $g{\acute{e}}om{\acute{e}}trique$ de la syntaxe $am{\grave{e}}ne$ ${\grave{a}}$ remettre en cause, entre autres, $l'empiricit{\acute{e}}$ et la $mat{\acute{e}}rialit{\acute{e}}$ de la $g{\acute{e}}om{\acute{e}}trie$ syntaxique. En ce qui concerne ces sujets, nos $th{\grave{e}}ses$ sont les suivantes : la nature de la $g{\acute{e}}om{\acute{e}}trie$ syntaxique n'est pas a priori mais empirique ; la $g{\acute{e}}om{\acute{e}}trie$ de la syntaxe peut et doit ${\hat{e}}tre$ construite $\grave{a}$ l'aide de la logique "empirique".

• Korean Journal of Psychosomatic Medicine
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• v.28 no.1
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• pp.42-52
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• 2020

Objectives : Firefighters are always under stress due to their job environment, and they are likely to become psychologically vulnerable due to continuous exposure to traumatic events, which is a stressful situation that requires emergency standby at all times. The aims of this study were to examine mental health factors for each division of firefighters and to see the relationship between sleep and somatization symptoms among them. Methods : General characteristics and related inspections were conducted through self-reporting questionnaires for 1,264 firefighters working at Chungbuk fire stations. Several mental health factors were investigated by the Insomnia Severity Index, Severity of somatic symptoms, Impact of Event Scale, Perceived Stress Scale, Resilience Scale, Alcohol Dependent Screening Scale, and the Center for Epidemiologic Studies Depression Scale Depression Scale and Mini-International Neuropsychiatric Interview. Results : Among the mental health variables, the relationship between insomnia and somatization varies significantly depending on types of work. It was reported that the first aid team was significantly higher than the fire suppression and rescue team. Post-traumatic stress, depression and drinking also differ significantly depending on types of work. The first aid team reported more posttraumatic stress than the fire suppression team and more depressed mood than the rescue team. The administration part had more alcohol consumption than the fire suppression or first aid team. Resilience was significantly higher in the rescue team than the first aid team. No significant differences between the types of work about stress and suicide risks. Insomnia, stress, and post-traumatic stress were significant predictors of somatization among firefighters. Above all, insomnia was significant mental health variable affecting somatization. Conclusions : Various mental health factors were different according to the types of work in firefighters. The First aid team was more vulnerable to mental health variables such as insomnia and somatization than other divisions. Insomnia is the most important cause of somatization in firefighters, so it is recommended that they be treated for insomnia and to prepare institutional policies.

• Sleep Medicine and Psychophysiology
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• v.26 no.2
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• pp.111-124
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• 2019

Objectives: Healthy sleep is important and can have a positive effect on resilience. The aim of the present study was to compare the differences in resilience between two group nurses in rotating shift and daytime fixed work schedules and to investigate stress perception, coping factors, social and psychological health, and sleep factors that may affect resilience. Methods: A total of 400 female nurses having rotating shift and daytime fixed work schedules at two hospitals was surveyed from June 12, 2017 to June 12, 2018. All participants completed perceived stress scale (PSS), stress coping short form (Brief COPE), psycho-social wellbeing Index short form (PWI-SF) or general health questionnaire-18 (GHQ-18), center for epidemiologic studies depression scale (CES-D), STAI-X-1 in state-trait anxiety inventory (STAI), Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), insomnia severity index (ISI), Conner Davidson resilience scale (CD-RISC). Independent t-test, paired t-test, Pearson correlation analysis, and multiple regression analysis were applied to the results of the final 373 questionnaires of 400 nurses in two general hospitals. Results: Comparing the variable statistics between the two groups of rotating shift and daytime fixed work nurses, showed statistically significant differences in all variables except perceived stress, sleep quality, and daytime sleepiness. Factors that had a significant correlation with resilience were stress coping strategies, depression, and insomnia severity (p < 0.001). In multiple regression analysis, larger positive reframing1 (β = 0.206, p < 0.001), severe less depression (β = -3.45, p < 0.001), and higher psychosocial health (β = 0.193, p < 0.001). As acceptance coping2 increased (β = 0.129, p < 0.05), as daytime sleepiness decreased (β = -1.17, p < 0.05), and as active coping2 increased (β = 0.118, p < 0.05), as the positive reframing2 increases (β = 0.110, p < 0.05), the resilience increased. Conclusion: This study, it was found that resilience was higher in daytime fixed workers than in shift workers. In addition, specific stress coping strategies, psycho-social health, sleep, and depression factors were associated with resilience.