• Title/Summary/Keyword: Emotional Problems

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A Phenomenological Study on Sexual Experience of Sexual offenders and Insight on Unfinished through Psychodrama (사이코드라마를 통한 성폭력 행위자들의 성경험역사와 아동기외상의 통찰에 관한 현상학 연구)

  • Kong, Hyun-jun;Shin, Dong-yeol
    • Industry Promotion Research
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    • v.5 no.2
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    • pp.71-81
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    • 2020
  • This study has verified the process of helping actors recognize their sexual problems linked to sexual violence cases through early sexual experience history, and exploring and insighting the stuck feelings of sexual violence actors through psychodrama, which focuses on expressing behavior and emotions. The research questions were divided into sexual violence cases and perceptions of actors, actual insights through psychodrama, and dealt with past biblical history related to actors' events and events, exploration of childhood trauma, and insights and changes in emotions through psychodrama. The results from the study are as follows. First, they showed low self-understanding levels and frequent use of defense mechanisms against sexual violence cases in an environment related to cases involving sexual offenders, and were aware of the problematic factors affecting the cases in the course of their daily lives, but did not take them seriously. Second, there were many distorted masculinity and adult sites related to participants' biblical experience history. In the early experience of sexual activity, it was often viewed as a sexual object rather than an emotional exchange with a lover, and the contents of the initial Bible experience were linked to actual sexual violence cases committed by participants. Third, childhood trauma of participants through psychodrama led to rapidly changing family circumstances and abuse by fathers. Fourth, the actual content of emotions represented by anger in the early stages of psychodrama is meaningful in that it revealed the process of sadness, pain, regret and longing for a departing mother leading to objective insight into emotions through the catharsis process.

An Analysis of Vocational High School Students Preference for Science and Its Causal Factors (실업계 고등학생의 과학선호도와 인과요인 분석)

  • Im, Sung-Min
    • Journal of The Korean Association For Science Education
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    • v.22 no.4
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    • pp.892-905
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    • 2002
  • There are an increasing emphasis on affective domain, for example interest or belief, in science education. But decreasing interest on learning science and tendency to avoid science-related job are serious problems of secondary science education, especially in case of vocational high school students. However there are few researches for vocational high school students. In this study, preference for science is assumed to be a multidimensional property that reveals ones' behavioral volition and valuation as well as emotional response upon learning science. To investigate vocational high school students' preference for science and its causal factors, a Likert style questionnaire was developed through factor analysis. Students' preference for science was analyzed by 3 categories, and its causal factors are investigated by path analysis using structural equation model.

A Transcultural Study for Testing Models of the Treatment-seeking Behaviors in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 치료행위 모형 검증을 위한 횡문화적 비교연구)

  • Lee, In-Sook;Lee, Eun-Ok;Eun, Young;Wilkie, Diana J.;Belza, Basia
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.253-277
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    • 1999
  • Patients with chronic disease have various treatment patterns because it shows a progressive degenerative feature. Especially various physical and emotional problems of the rheumatoid arthritis patients leave them shopping around various types of treatment. According to previous studies, over 70% of patients with arthritis experienced the traditional oriental medicine or folk remedies simultaneously with medical treatment within one year after the onset of disease. The purposes of this study are 1) to compare the patterns of treatment-seeking behaviors between Korean arthritis patients and Americans ; and 2) test two models of treatment-seeking behaviors by path analysis, one for early treatment-seeking behavior model(ETBM) and the other is chronic treatment-seeking behavior model (CTBM) in Korean sample. The interview survey was performed to 133 RA patients with structured questionnaire at out-patient clinic or public health center. Patients characteristics such as age, duration of disease were similar in two countries except higher educational background in Americans. There were no patients using only alternative therapies or no medical treatment in the US. Most of the American patients have chosen both medical treatment and alternative therapy, while the Koreans less than American. In Korea, combined treatment group usually consists of the people who are younger, more educated and higher economic status than the characters of other groups in early or chronic stages. In early stage, they tend to have strong belief of curing from the disease, satisfy the relationship with their physicians and comply with direction of the medical professional. The paths of two models were explained by 70% in ETBM and 33% in CTBM. When the models were modified, almost all paths of the CTBM were the same as the previous one, but direct determinant factor was changed from the relationship with physicians to the lay referral system in chronic model. These two models' explanation powers became 94% and 88%, respectively. The attitude or perception of disease, lay referral system and the relationship with medical personnel are the main determinants of treatment-seeking behaviors.

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The Characteristics of Hwa-byung Patients Based on Hwa-byung Epidemiologic Data (화병역학연구 자료를 기반으로 한 화병 환자의 특성)

  • Kim, Jong-Woo;Chung, Sun-Yong;Suh, Hyun-Uk;Jung, In-Chul;Lee, Seung-Gi;Kim, Bo-Kyoung;Kim, Geun-Woo;Lee, Jae-Hyuk;Kim, Lak-Hyung;Kim, Tae-Heon;Kang, Hyung-Won;Kim, Se-Hyun
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.157-169
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    • 2010
  • Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.

Integrated medical treatment experience of cancer patients -grounded theory around- (암환자의 통합의학 치료경험 - 근거이론을 중심으로 -)

  • Moon, Joon Seok;Shin, Heon Tae
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.107-119
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    • 2017
  • Purpose : Recently, cancer has become a chronic disease that requires supervision because of early diagnosis and the development of therapeutic technology. As a result, cancer patients are interested in improving the quality of their lives besides the treatment of cancer itself. Therefore, it is necessary to conduct a qualitative research to understand the vivid experiences of cancer patients and structure their treatment experience. Among qualitative researches, grounded theory is developed based on the data collected in the field. The grounded theory research method is easy to analyze for the process and structure of the treatment experience. Therefore, the purpose of this study is to provide basic data on the integrated medical experience of cancer patients Methods : Participants were conveniently selected, and the criteria for selection were for those who had more than 1 month of hospitalization so that they could dictate their situation and experience in a meaningful manner. Data was collected through in-depth interviews and continued until the data were saturated through theoretical sensitivity and continuous comparison methods. The collected data were analyzed through the process of open-coding, axial coding, and selection coding, which are the research methods of grounded theory. Results : Cancer patients differ in their path, purpose, and attitudes depending on their respective situations and the internal and external resources of individuals. There is also a difference in the perception of their situation among the cancer patients and their families. Cancer patients were shown to recognize and cope with problems in the integrated medical treatment process, and have been classified into 6 different types after the results. Cancer patients showed positive changes in terms of physical, emotional, and lifestyle after their integrated medical treatment. Cancer patients perceived the integrated medical treatment process as a horizontal relationship structure and with diversity. Conclusions : The experience of integrated medical treatment of cancer patients is a process of rehabilitation that heals the body and restores life within the interaction of support system, contextual situation, and internal resources of the individual. Despite this, there is a need not only for the efforts of integrated medical service providers but also institutional support in the future with regards to the current weaknesses and points for improvement. In addition, there is a need for an objective criterion to measure the outcome of integrated medicine for the standardization of integrated medical services.

Influence of Daily Stress to Oral Symptoms among Adults (성인의 생활스트레스가 구강증상에 미치는 영향)

  • Hong, Min-Hee
    • Journal of dental hygiene science
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    • v.13 no.1
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    • pp.20-28
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    • 2013
  • Daily stress is emerging as one of major problems to affect oral health in complicated and diversified modern society. The purpose of this study was to examine the influence of the daily stress of adults on their oral symptoms. The subjects in this study were 460 adults, on whom a survey was conducted from July 1 to October 30, 2012. The findings of the study were as follows: As to the impact of daily stress on oral symptoms, symptoms of the lips and cheeks and symptoms of the tongue were under the significant influence of physical, behavioral and psychoemotional stress. Physical and psychoemotional stress had a significant impact on symptoms of the teeth and the gums, and temporomandibular symptoms were significantly affected by psychoemotional and physical stress. The findings of the study showed that daily stress exerted a larger influence on the lips, cheeks and mucous membrane of oral cavity, and that multiple oral diseases took place when there were not only physical and psychoemotional stress but behavioral stress.

Validity of Voice Handicap Index and Voice Analysis following Laryngeal Microsurgery for Benign Vocal Cord Lesions (양성 성대 질환 환자의 후두 미세 수술 전후 음성 장애 지수 및 음성 분석의 유용성)

  • Park, Young-Hak;Lee, Jeong-Hak;Joo, Young-Hoon;Park, Sung-Sin;Bang, Choong-Il;Kim, Min-Sik;Cho, Seung-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.16 no.1
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    • pp.23-27
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    • 2005
  • Background and Objectives : Voice disorders can cause problems in patients with benign vocal cord lesions emotionally, physically, economically and functionally. Neither subjective nor objective voice examinations can evaluate such factors adequately. The Voice Handicap Index (VHI) subjectively evaluates voice disorders in terms of physical, functional, emotional factors and measures the patient's perception of the impact of voice disorder. The purpose of this study is to evaluate the usefulness of VHI in the patients with benign vocal cord lesions. Materials and Method : The authors evaluated 37 patients who experienced laryngeal microsurgery for benign vocal cord lesions from september 2003 to August 2004. The VHI was used to measure the postoperative changes of the patient's perception and acoustic analysis and aerodynamic tests were also done. Statistical analysis was done using paired t-test and Pearson's correlation. Results : The VHI scores showed statistically significant reductions postoperatively. In acoustic analysis, jitter and shimmer had statistically significant reductions after surgery but noise-to-harmonics ratio did not. A statistically significant change in the average MFR and MPT perioperatively was found. The relationship between VHI and acoustic, aerodynamic analysis attained statistical significance. Conclusion : The VHI is a useful assessment tool to monitor the patient's self-perception of voice change after the surgery of benign vocal cord lesions. The VHI measurement, when combined with acoustic and aerodynamic analyses, will be helpful in comparing functional outcomes after voice surgery.

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Study on Divorce Caused by Extramarital Relationship : Content Analysis on TV Drama : "Couples Clinic: Love or War" (혼외관계를 사유로 하는 이혼에 관한 연구: 드라마 "부부클리닉 : 사랑과 전쟁"의 내용분석을 중심으로)

  • Yang, Ok-Kyung;Lee, Ki-Yeon;Park, Ji-Young;Lee, Hyun-Young;Kim, Eun-Sil
    • Korean Journal of Social Welfare
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    • v.57 no.3
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    • pp.165-194
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    • 2005
  • This study is to explore how TV drama describes divorce process by the reason of extramarital relationship in the drama. To explore this subject, 30 drama synopses delineating extramarital relationship were analyzed. The results revealed that most of the couples had difficulties in emotional relationship and communication. The couples relationship was described traditionally patriarchal: husbands showed their authorities and wives showed dependency on their husbands. The partners of extramarital relationship were the lovers before current marriage. The patterns of extramarital relationship included 'intention to look for vitality despite satisfying current marriage' for the husbands and 'intention to avoid dissatisfied current marriage temporally' or 'to maintain marriage despite dissatisfaction' for the wives. For those who married 6 years and longer, more extramarital relationship was accepted as a terminator of the marriage. And in many cases, the divorce dose not mean to maintain the relationship with extramarital partner but to collapse of trust in partner. The results imply that the social work needs to be more sensitive to middle-class couples' communication and relationship problems. This will lead to the development of the social work intervention program for the couples.

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A Study on Emotions, Feelings of Discomfort, and Nursing Needs of the Women in the Possibility of Abortion : Centered on the Threatened Abortion and Habitual Abortion during Hospitalization (유산 가능성 임부의 정서, 불편감 및 간호요구에 관한 연구)

  • Youn, In-Sook
    • Women's Health Nursing
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    • v.1 no.1
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    • pp.119-137
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    • 1995
  • Maternity nurses' roles are to find out women's various responses related to the health problems during pregnancy, to intervene adequate nursing and supports, and to help them adapt satisfactorily to new situation, such as hospitalization. The purposes of this study are : firstly, to inquire about women's emotional status, feeling of discomfort, and the nursing need during hospitalization because of discomfort, and the nursing needs during hospitalization because of the possibility of abortion by threatened and habitual abortion : secondly, to provide fundamental data for developing adequate nursing intervention and improving hospital management. The subjects of this study were 62 women who were hospitalized, visited out-patient clinic for follow-up, and stayed at home after discharge since August, 1993 from one hospital located in Seoul, from March 23 to April 13, 1994. The questionnaire was consisted of 21 items of emotion(Reliability Cronbach's alpa, .77), 19 items of feeling of discomfort(.79), and 21 items of nursing needs (.89), and nurses' performance according to nursing needs,(.90). These were measured by using Likert Scale and analyzed by using SPSS / $PC^+$ with the descriptive statistics, $X^2$-test, and ANOVA. Research findings are as follows : 1) The subjects' average age, hospitalized days, and gestational age are 32.2, 15.7, 12.9 by respectively. 2) 88.7% of the subjects are getting antepatal care, 66.1% are experiencing 1.75 times of spontaneous abortion, and 82.3% are nuclear family. 3) The Emotions were mainly comprized negative and subjective state of minds such as uneasiness, anxiety, and discomfort. The domains of emotions were related to 'fetus', 'herself', 'hospitalization', and 'husband's 'families', in rank. The highest scored item was "I, above anyone else, am mostly stressed from abortion." 4) The feelings of discomforts were firstly related to 'personal discomfort arising from absolute bed rest', 'meals provided', Usage of hospital, perse', 'health team', in rank. 5) The nursing needs frequently pointed out were 'Nurses kindly explain of me the purpose, method, and results of the lab. test', 'Nurses sincerely pay attention to my word in communication'. The least nursing needs were 'Nurses observe my feces and whether I have constipation or not'. 'When I can't move, nurses help me by holding my arms or pulling my bed'. 6) The highest performed items were 'Nurses observe whether I bleed or not', and 'Nurses give me drug with exact dose in time'. The least performed items was about hospital environment, such as 'Temperature, ventilation & humidity in the room should be controlled'. 7) Besides religion that is related to nursing need with statistically significant difference, none of general characteristics were related to emotion, feeling of discomfort, and nursing needs.

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The Effect of the Periods of Bed Rest on the Postlumbar Puncture Headache in Pediatric Oncology Patients (소아혈액 종양환자의 요추천자 후 침상안정시간이 천자 후 두통에 미치는 영향)

  • Kim, Yeong-Mi
    • The Korean Nurse
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    • v.36 no.2
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    • pp.73-83
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    • 1997
  • Bed rest is recommended to prevent postlumbar puncture headaches(PLPHA), but the period of bed rest varies in the literature from 6 hours to 24 hours. In clinical practice the period of bed rest varies but nursing methods for adults and children have little difference. In Seoul National University Hospital, children have been given at least 6 hours bed rest after a lumbar puncture. Pediatric oncology patients require a lumbar puncture for an initial diagnosis, follow up treatment or administration of chemotherapeutic agent. But it is difficult for young children to lie supine or to refrain from their usual activities in any way, and unpleasant problems related to a shortage of beds often occurs during discharge or in an outpatient setting. The purpose of this study is to substantiate the preventive effect of PLPHA by the period of bed rest, to identify the other factors that influence PLPHA, and to use the nursing methods proper to children. The subjects were 65 children, ages 1-17, undergoing treatment in the children's cancer center at SNUCH during the period June 1, 1995, to Aug. 31, 1995. The team nurses asked questions about PLPHA of the parents and children in order to fill out a questionnaire. The data were evaluated by percent, t-test, Chi-square test and Mann-Whitney U test. Result; 1. There was no significant difference relating the bed rest time spent to the occurrence of postspinal headaches (t-test). 2. There was a significant risk of PLPHA in the children who were irritable before procedure and/or had experienced previous PLPHA(p<0.05, ${x^2}-test$). 3. The following factors were not found to be associated with increased risk of PLPHA: previous puncture experience, giving analgesics, the choice of puncturist, inpatient/outpatient status, gauge of needle, purpose, the amount of CSF removed, gender, diagnosis, the number of peripheral WBCs, previous lumbago experience after LP, position after bed rest, age, the number of aural puncture at the time. A longer period of bed rest is unlikely to be more effective to prevent PLPHA and seems impractical. A shorter period will save time and effort. Perhaps it will also allay some of the fears which surround LP. So 1 hour bed rest after LP is suggested and nursing methods for emotional support should be investigated to reduce PLPH.

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