• Korean Journal of Adult Nursing
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• v.25 no.4
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• pp.389-399
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• 2013

Purpose: The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. Methods: For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction. Conclusion: The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.105-113
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• 2007

Purpose: The purpose of this study was to identify the effects of a multi agent obesity control program in obese school children. This program was composed of strategies to modify diet and exercise habits and to change cognitive behavior variables(stress, coping, and self-efficacy). Method: The subjects were 40 obese school children who participated in our project voluntarily via homepage, TV, newspaper, public paper and school official documents. The program was implemented daily for 4 sessions per day for ten days from August 16 to 26, 2004. The daily program consisted of exercise therapy, dance therapy, cognitive behavior therapy and aroma therapy. The data was analyzed by paired t-test using the SPSSWIN program. Result: There was a significant decrease in children's waist-hip ratio(p=.04) and in children's stress(p=.00) after the program. There was a significant increase in children's self-confidence after the program(p=.02) and a significant decrease in children's diet habit after the program(p=.02). Conclusion: This study provides evidence that a multiagent obese control program is effective in changing waist-hip ratio, stress, self-confidence, and diet habits in obese school children.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.169-178
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• 2017

Objectives : In this study, we investigated the correlation of mental-and oral-health status with periodontal disease. Ultimately, we sought to make a positive contribution to the promotion of periodontal health and the prevention of periodontal disease. Methods : This study was analyzed using the data of KNHANES 2013-2015. The participants of this study were between 20 and 64 years old. The final selection was 1,512 adults. Results : Participants with a sleeping time of less than 6 hours and those who recognized stress showed higher periodontal disease. Number of decaying teeth, oral-health status, toothaches, and chewing problems were associated significantly with periodontal disease. To investigate the effects of general characteristics and mental and oral-health status on periodontal disease, a logistic regression analysis was conducted. Sex, age, education level, smoking status, oral-health status, and chewing problems were variables that affected periodontal disease. Conclusions : This study showed that mental-and oral-health status is closely related to periodontal disease. Therefore, it is expected that this will be used as basic data to effectively improve periodontal disease in adults.

• Journal of Preventive Medicine and Public Health
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• v.21 no.2 s.24
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• pp.365-373
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• 1988

Information on work stress and mental health status of industrial workers was required for optimum staffing and health care management. This study dealt with the relationship between mental health status examined by PSI(psychiatric symptom index) and socio-demographic variables. Especially this study attempted to find relevant determinants of the stress and mental health through multiple stepwise regression analysis based on data obtained from 687 occupational workers. The findings of this study were as follows; Mean scores of symptom dimension were higher in youth, female, more educated, unmarried and divorced, and workers in the noisy condition and short duration in job. And it showed high scores in long duration in job for anxiety; college educated for anger; unmarried for cognitive disturbance. The factors affecting the mean scores of psychiatric symptom index were varied according to the types of symptom: age, sex and duration in job for anxiety; age, sex, living with parent, education and marital status for anger; sex and marital status for depression; noisy condition and sex for cognitive disorder.

• Journal of Pharmacopuncture
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• v.27 no.3
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• pp.253-263
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• 2024

Objectives: Nurses face mental health issues like emotional labor, stress, and depression, increasing the risk of medical errors. This study assesses the mental health and medical errors among nurses in Korean medicine clinics in South Korea. Methods: The cross-sectional analysis involved 83 nurses, examining relationships between emotional labor, stress, depression, cognitive failure, Hwa-byung (HB) (a syndrome of suppressed anger in Korean culture), and medical errors. It identified factors associated with HB and medical errors using multiple regression analysis, presenting their odds ratios (ORs) with 95% confidence intervals (CIs). Results: The findings revealed a current HB prevalence of 19.28% and a 6-month medical error prevalence of 16.87% among participants. The regression analysis showed that higher levels of depression (OR = 1.368, 95% CI = 1.098 to 1.703, p = 0.005), cognitive failure (OR = 1.072, 95% CI = 1.011 to 1.136, p = 0.020), and HB trait (OR = 1.136, 95% CI = 1.005 to 1.284, p = 0.041) significantly correlated with HB presence. Conclusion: This groundbreaking study on this previously under-researched nurse workforce highlights the critical need for comprehensive mental health care, with the objective of significantly enhancing their mental well-being and improving their overall work environment.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.2
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• pp.80-98
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• 2022

Posttraumatic stress disorder (PTSD) is well known to have a limited response to drug treatment. Many recently published clinical care guidelines recommend trauma-focused psychotherapies such as cognitive processing therapy (CPT) and prolonged exposure therapy (PE) as first-line treatment and medication such as serotonin reuptake inhibitors and venlafaxine as second-line treatment. Current review introduces the session composition and contents of CPT and presents various CPT studies that show therapeutic effect for civilian and veterans/military with PTSD. In order for clinicians to help effectively patients with PTSD, it is necessary to learn and actively use evidence-based trauma-focused psychotherapies including CPT and PE.

• Journal of Korean Academy of Nursing Administration
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• v.8 no.1
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• pp.31-44
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• 2002

The main purpose of this study was to identify the effect of stress management program on the perceived stress, stress response, ways of coping of nurses.The data were collected from September 22 to December 21, 1997. The subjects were 45 emergency nurses of three university hospital located in seoul ; 25 assigned for the experimental group and 20 for the control group.The stress management program was composed of cognitive training, behavioral training and progressive muscle relaxation. The subjects of the experimental group carried out the 15-minute progressive muscle relaxation according to recorded-tape once a day for 6 weeks. The cognitive and the behavioral training were conducted by the investigator for 5～8 subjects at a time for 9 series, at an interval of 4～5days.The instruments used in the study was the perceived stress scale developed by Levenstein et al.(1993), Symptoms of stress Inventory(1991), and ways of coping scale developed by Lazarus & Folkman(1984).The data were analyzed by SAS program, using descriptive statistics, χ2-test, t-test, paired t-test.The results were as follows :1.　The perceived stress of experimental group was lower than that of the control group. However, no significant difference between the two groups was revealed.2.　The stress response of experimental group was reduced after stress management program and the stress response of control group was reduced after stress management program. but no significant difference between the two groups was revealed.3.　The problem oriented coping of the experimental group was higher than that of the control group, however no significant difference between the two groups was revealed.4.　The emotional oriented coping of the experimental group was lower than that of the control group, however no significant difference between the two groups was revealed.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.102-110
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• 2021

Objectives : The purpose of this study is to investigate the characteristics of the perception of the somatic symptoms and the cognitive emotion regulation strategies in patients with posttraumatic stress disorder (PTSD). Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using Clinician-Administered PTSD Scale (CAPS), Somato-Sensory Amplification Scale (SSAS), Hamilton Anxiety Scale (HAM-A) and Cognitive Emotion Regulation Questionnaire (CERQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SSAS, PTSD patients presented higher average SSAS scores than normal controls but the result is not statistically significant. In PTSD patients, the severity of PTSD is significantly correlated with CERQ-rumination and CERQ-catastrophizing. The SSAS scores of PTSD patients show the significant positive correlation with PTSD hyperarousal symptoms, CERQ-catastrophizing and CERQ-blaming others. Conclusions : These results reveal that patients with PTSD have maladaptive cognitive emotion regulation strategies such as rumination and catastrophizing. Somato-sensory amplification seems to be related with PTSD hyperarousal, CERQ-catastrophizing and CERQ-blaming others. Therefore, reducing somato-sensory amplification, rumination and catastrophizing can be helpful to reduce PTSD symptoms and somatic symptoms in PTSD patients.

• Science of Emotion and Sensibility
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• v.22 no.3
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• pp.21-34
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• 2019

This study was an examination of the relevance and clinical significance of electroencephalographic (EEG) indexes (e.g., mental/physical stress and attention) and indexes of heart rate variability (HRV) with regard to cognitive function and physiological health conditions in elderly people. A device was used to record two-channel EEGs of the frontal lobe and a one-channel ECG simultaneously. Subjects were 76 people average aged 73. The significant findings are as follows: First, subjects whose intrinsic alpha rhythm had high amplitude, regardless of peak, showed higher resistance to mental stress and lower physical stress than did subjects with low-amplitutde intrinsic alpha rhythm. Second, HRV, SDNN, and RMSSD indexes showed strong positive correlations between the two groups of subjects regardless of the division of groups. Third, the alpha asymmetry of the left and right sides of the brain in subjects with low-amplitude intrinsic alpha rhythm was larger, and the delta/alpha ratio (reflecting physical stress) and theta/sensorimotor rhythm (SMR) ratio (showing the decline in attention) were bigger. Fourth, the subjects in whom intrinsic alpha rhythm peak occurred during slow rhythm had a higher theta/SMR ratio than did subjects whose peak occurred during fast rhythm, which was related to a steeper decline in attention. Therefore, the presence or absence of intrinsic alpha rhythm peak and amplitude on quantitative EEG may be an index reflecting the cognitive function and physiological health of elderly people.

• Journal of the Korean Home Economics Association
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• v.49 no.6
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• pp.109-122
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• 2011

The major purpose of this research was to explore the mediating effects of ego-resiliency between parent communication style and stress coping styles in adolescence. The subjects who participated in this study included 247 high school students from Gyeong-gi province. They completed questionnaires on parent-adolescent communication, ego-resilience, and stress coping styles using the cognitive appraisal model by Lazarus & Folkman(1984). Data were analyzed by t-test, Pearson's correlation coefficients, and multiple regression. It was found that parent-adolescence communication as well as ego-resilience had significant effects on stress coping styles. In particular, female teenagers showed evidence that ego-resilience had complete mediation over relationships between a parent's communication styles and their stress coping styles.