• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.306-315
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• 2014

The purpose of this study in the case of stress recognition, the lower the age was, as they had a spouse, the higher they got educated, and the worse their subjective health state was, the higher the stress recognition appeared. this study selected 6,227 adults over the age of 19 from the 5th first-year data of Korean National Health and Nutrition Examination Survey(KNHNES)conducted by KCDC(Korea Centers for Disease Control and Prevention)in 2010. In the case of experience of depression symptoms, female subjects experienced more depression symptoms than male ones; study subjects aged between 19 and 54 years experienced more; the worse their subjective health state was, the more they experienced; and in the case of non-education about diabetics, those who did physical activity more than four days experienced more symptoms. In the case of suicide ideation, female subjects ideation suicide more than male ones; as they had no spouse, the lower they got educated, the worse their subjective health state was, and as they never did physical activity, they more experienced suicide ideation. Then, it is expected that the results of this study can contribute to chronic-disease patients'leading a much healthier life in the future.

• Journal of Music and Human Behavior
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• v.3 no.2
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• pp.45-58
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• 2006

Recently many treatment strategies have been developed to prevent suicidal ideation as it is increasing. Various community facilities and university centers are carrying out research to develop efficient treatment programs. This study examined how music can be used therapeutically for a case who is going through severe suicidal ideation. Various music therapy techniques are utilized including song psychotherapy, music and imagery and role play instrumental improvisation. A woman with severe depression for seven one-hour session. Both quantitative and qualitative data were collected to examine the changes in the suicidal ideation. As results, there were lots of changes in the client's attitude towards life through exploring inner world. Much of stability and sense of security were gained and emotional hardship was resolved in the process of therapy. The client was able to structure future plans productively as the suicidal ideation was reduced. In the process of role play instrumental improvisation, music allowed her to express issues regarding relationships with others, attitudes and in other areas as well. Music was used "as therapy" and solved many repressed emotions related to the trauma including psychological inhibition, tension, helplessness, lack of energy. Further music was able to bring the "false" ego with "true ego". The study implies that various psychotherapeutic interventions can alleviate depression and reduce suicidal ideation.

• Sleep Medicine and Psychophysiology
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• v.21 no.2
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• pp.61-68
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• 2014

Objective: The aim of the present study is to assess the prevalence and related risk factors of suicide ideation among middle and high school students in an urban area. Methods: We surveyed 3,691 middle and high school students (2,159 male, 1,532 female, 11-19 years of age) using a self-report questionnaire that covered basic socio-demographic data, academic achievements, presence of physical or psychiatric illness, sleep duration on weekdays, time spent at private academies on weekdays and weekends, and subjective needs for counseling. The Beck Depression Inventory (BDI) and Reynolds' Suicidal Ideation Questionnaire (SIQ) were included in the survey. Results: The prevalence of students with high suicide ideation ($SIQ{\geq}62$) was 4.6%. In a logistic regression model, female sex (p = 0.002), younger age (p < 0.001), poor academic achievement (p = 0.043) and higher score of BDI (p < 0.001) were associated with a higher SIQ score. In addition, younger age (p = 0.045) and a higher BDI score (p < 0.001) were associated with a higher SIQ score adolescents having high suicide ideation ($SIQ{\geq}62$). Conclusion: Related risk factors of suicide ideation in adolescents were female sex, younger age, poor academic achievement, and a depressive mood. It would be especially helpful to pay more attention to younger adolescents and a depressive mood as a high-risk group. The understanding of these factors will be helpful for providing an effective suicide screening and prevention program for adolescents.

• Journal of Preventive Medicine and Public Health
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• v.29 no.3 s.54
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• pp.679-692
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• 1996

This study was performed to find the prevalence and the associated risk factors with low back pain(LBP) of the staffs in a university at Kwang-ju city. The data were collected by a questionnaire including SDS(self - rating depression Scale) battery from September 1st to October 15th, 1996. The results were as follows; 1. The prevalence rate of LBP during lifetime was 73.1%, 53.1% for the last one year, and 23.6% for the last one week. 2. Statistically significant factors related to LBP during lifetime were sex and satisfaction with job. Sex, smoking, alcohol drinking, occupation, work posture, forward bending of trunk and satisfaction with job were selected as significant factors related to LBP during the last one year. The significant determinants related with LBP during the last one week were sex, smoking, alcohol drinking, occupation, forward bending of trunk and satisfaction with job. 3. Through the analysis of self - rating depression scores according to LBP, respondents with LBP had the significantly higher value of physiological disturbances and lower value of psychomotor activities than those without LBP. 4. Through the multivariate logistic regression, significantly associated factors with LBP during lifetime were selected to be female(OR=2.63, 95% CI : $1.08\sim6.40$), dissatisfaction with job(OR=2.16, 95% CI : $1.16\sim4.15$), those for the last one year were chosen to be female(OR=2.30, 95% CI : $1.03\sim5.12$), forward bending of trunk(OR=2.18, 95% CI : $1.26\sim3.79$), dissatisfaction with job(OR=1.84, 95% CI : $1.06\sim3.21$), and those for the last one week were female(OR=3.00, 95% CI : $1.17\sim7.69$), forward bending of trunk(OR=2.85, 95% CI : $1.38\sim5.88$). In conclusion, for effective prevention of the LBP at work site, appropriate improvement of work posture and various psychological factors should be considered.

• Anxiety and mood
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• v.16 no.1
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• pp.9-17
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• 2020

Objective : The purpose of this study was to investigate the association of depressive/anxiety symptoms with psychosocial factors including ego resilience, social conflict, and social support as well as hemoglobin A1c in patients with diabetes mellitus (DM). Methods : The subjects were 144 patients with DM. Depressive/anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale. Sociodemographic factors, hemoglobin A1c, ego resilience, social conflict, and social support were measured. Multiple regression analyses were performed to examine the impact of hemoglobin A1c, ego resilience, social conflict, and social support on depressive/anxiety symptoms. Results : A total of 32.6% and 24.3% of participants were identified with depressive and anxiety symptoms, respectively. Depressive/anxiety symptoms positively correlated with the social conflict score. Conversely, ego resilience and social support negatively correlated with depressive/anxiety symptoms. In the final model of the multiple regression analyses, ego resilience was associated with a lower level of depressive (β=-0.083, p=0.019)/anxiety (β=-0.125, p=0.001) symptoms whereas social conflict was related to a higher level of depressive (β=0.353, p=0.011)/anxiety (β=0.460, p=0.003) symptoms. Also, hemoglobin A1c positively associated with anxiety symptoms (β=0.495, p=0.012) whereas social support negatively related to depressive symptoms (β=-0.464, p=0.004). Conclusion : We found possible risk and protective psychosocial factors of underlying depressive/anxiety symptoms among patients with DM. Our findings suggest that enhancing ego resilience and social support as well as decreasing social conflict would be crucial in the prevention and management of depressive/anxiety symptoms in patients with DM.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.29 no.4
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• pp.550-561
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• 2019

Objectives: The purpose of this study is to provide basic data for the improvement of the working environment for health prevention and related countermeasures for shift workers. This study was conducted based on the Fifth Korean Working Conditions Survey (KWCS), which analyzed the health effects of shift work forces and compared them with preceding studies. Methods: By analyzing secondary rates using raw data from the 5th KWCS, 4,870 (9.7%) of the 50,184 total study subjects were divided into shift work and 45,314 (90.3%) non-shift work groups based on the response to shift status. Variables that could affect work health issues were identified and corrected. A cross-analysis was conducted to examine demographic characteristics (gender, age, and education level) of the workers and occupation characteristics (monthly net earnings, employment type, occupation, working period up to now, workplace scale, type of work system, and weekly working hours). In order to find the work health issue ratio between the shift and non-shift work groups, logistic regression was analyzed and the association with health problems according to shift type by gender was looked at through cross-analysis. Results: According to the surveys conducted from the 1st KWCS (2006) to the 5th KWCS (2017), the proportion of shift workers continued to increase. Also, muscular pains in the lower limbs (hips, legs, knees, feet, etc.) (OR=1.135, 95%CI 1.031-1.251), headaches, eyestrain (OR=1.580, 95% CI 1.428-1.748), anxiety (OR=1.715, 95% CI 1.402-2.099), difficulty falling asleep (OR=1.391), and other problems (OR=7.392) were reported. In addition, back pain, muscular pains in shoulders, neck and/or upper limbs, muscular pains in lower limbs (hips, legs, knees, feet, etc.), headaches, eyestrain, depression, anxiety, overall fatigue resulted in significant results for both male and female shift workers. Depression and anxiety were higher in female shift/circulation compared to males. Conclusions: The social nets for the health and safety of shift workers should be explored in a variety of ways, including management and supervision of shift sites, attempts to reorganize and improve the shift system, development of workers' health recovery programs, promotion, systematic treatment, and compensation systems.

• Journal of Korean Society of Forest Science
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• v.98 no.1
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• pp.26-32
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• 2009

The use of natural environments to change lifestyle and health has been long recognized. In particular, forests, trees, and open space have been shown to promote mental health. In this study, we examined the effectiveness of the structured psychotherapeutic program using forest environment ("forest activity program") to improve the symptoms of nine patients with Major Depressive Disorder (MDD) who were taking variable doses of antidepressants. We assessed the depressive symptoms, quality of life, and autonomic nerve regulation among the MDD patients. Hamilton Rating Scales for Depression (HRSD) scores significantly decreased after the forest therapy (13.56 vs. 5.56, p=0.003), and some subscores of Short Form 36 health survey questionnaire (SF-36) and heart rhythm coherence are improved as well. Combined with antidepressant pharmacotherapy, the structured psychotherapeutic program using forest environment showed an improved health status for MDD patients and thus has potential as an adjuvant treatment for MDD, especially for rehabilitation and relapse prevention.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.1
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• pp.264-273
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• 2016

This study examined the relationships among halitosis, stress and psychological status using a cross-sectional survey of 3,689 adolescents (1,805 male 1,884 female) from the 2010 Korean Survey on the Health of Youth and Children. The related factors of halitosis were checked and the path model was also examined using AMOS 19.0 programs. The prevalence of halitosis was 27.4%. Based on path analysis, the significant coefficients paths were as follows: $halitosis{\rightarrow}stress$, $halitosis{\rightarrow}depression$, $halitosis{\rightarrow}anxiety$, $halitosis{\rightarrow}tension$, $halitosis{\rightarrow}hostility$. Halitosis had an indirect effect on the psychological status linked to depression, anxiety, tension, and hostility via stress. Overall, the results provide stronger support for the halitosis impact of stress and psychological health. Moreover, the effective prevention of halitosis may be important for understanding the specific psychological factors.

• Korean Journal of Social Welfare Studies
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• v.45 no.2
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• pp.5-30
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• 2014

This study sought to identify developmental trajectories of bullying victimization from late elementary school through early high school, and to examine internalizing and externalizing problem outcomes associated with the trajectory group membership. Data from Seoul Panel Study of Children were collected annually over a 7-year period from 5th grade of elementary school through 2nd grade of high school (2005~2011). Latent class growth analysis yield three trajectory classes corresponding to stable low (81.2%), stable high (3.5%), and declining bullying victimization (15.6%). Findings from analysis of covariance indicated that students in both stable high and declining trajectory groups reported significantly higher means in internalizing behavior (withdrawal, depression/anxiety, and suicide ideation), compared to those in the stable low group. For externalizing behavior such as aggression and juvenile status offense, students in the stable high group showed higher means, compared to those in the stable low and declining trajectory groups. Developmental pattern of bullying victimization over multiple development stages and associated internalizing and externalizing outcomes are discussed as are the implications for the bullying prevention.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.605-621
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• 2019

The purpose of this study was to develop and validate the Korean version of the Classism Attitude Scale for college students (K-CAS) that measures stereotypes and prejudices about socioeconomic class(SES). In study 1, preliminary items were developed through reviewing classism related theories and literatures, analyzing qualitative data by using Consensus Qualitative Method-modified(CQR-M) and getting experts' consultation. With 440 college students data, exploratory factor analysis and reliability analysis were conducted with 14 items in study 1. In study 2, a confirmatory factor analysis and validity analysis were conducted with 400 college students. As a result, two factor structures, upper classism attitude and downward classism attitude, were confirmed. With the higher level of test-retest reliability, the criterion validity was confirmed by the significant correlations among age, subjective SES, the general belief in a just world, negative affects (depression and anxiety), hostility, and K-CAS. The incremental validity was also confirmed that K-CAS scores significantly accounted for 5% of total variation in scores of negative affects(depression and anxiety) in addition to the variables, such as age, subjective SES, house income, and the general belief in the just world. The result of this study is significant in that the developed and validated K-CAS in this study can be a useful tool for further research and prevention and intervention program development related to classism.