• Title/Summary/Keyword: Emotional distress

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Effects of Surgical Operation and Induced Thyroid Hormone Deficiency During Cancer Treatment on Emotional Distress in Thyroid Cancer Patients (갑상샘암 환자에서 수술 및 치료과정에서 유도된 갑상샘 호르몬 결핍이 정서적 스트레스에 미치는 영향)

  • Kim, Jong Sun;Choi, Won-Jung;Chang, Hang-Seok;Lee, Yong Sang;Oh, Young-Ja;Seok, Jeong-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.75-81
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    • 2012
  • Objectives : Thyroid cancer patients may experience emotional distress during cancer treatment including surgical operation and radioactive iodine treatment. The aims of this prospective study were to investigate changes of anxiety and depressive symptoms in patients with differentiated thyroid cancer(DTC) under preoperative, postoperative and short-term hypothyroidism state. Methods : Using the Hospital Anxiety and Depression scale(HAD) and the Distress Thermometer, we sequentially assessed the levels of anxiety, depression and distress in 41 DTC patients at 3 time points such as preoperative state, postoperative state and short-term hypothyroidism state. Results : The HAD-anxiety score was significantly higher in preoperative state($6.93{\pm}3.97$) than postoperative state($4.22{\pm}2.92$) and short-term hypothyroidism state($4.93{\pm}3.64$). Any other significant change in depression or distress thermometer score was not observed. Especially, difference of HADS score between the distress and none-distress groups was significant in preoperative state and post-operative state, but the difference become not significant in the short-term hypothyroidism state. Conclusions : Induced thyroid hormone deficiency during cancer treatment does not significantly affect emotional distress in patient with DTC. Anxiety and depression in these patients may be associated with distress of the patient before active cancer treatment.

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Study on the North Korean Law in Estimating the Damages caused by Personal Injury (북한법상 인신사고에 대한 손해액 산정기준)

  • Hyun, Dooyoun
    • The Korean Society of Law and Medicine
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    • v.20 no.1
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    • pp.47-82
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    • 2019
  • Inter-Korean exchanges and cooperation, in the process, will inevitably lead to various legal disputes, one of which is the issue of compensation for personal injury. The purpose of this study is to present the standards of settlement of disputes between the residents of North and South Korea by examining the North Korean compensation law on the calculation of damages due to personal injury and comparing it with the South Korean compensation law. Understanding the North Korean compensation law is a critical and urgent task, as exchanges and cooperation between the two Koreas are expected to increase in the future. For the South Korean compensation law does not have specific provisions on the estimation of damages, the specific methods and standards for estimating damages are determined by court precedents. The South Korean courts categorize the damages caused by personal injury into active property damages, passive property damages and emotional distress damages and calculate the amount of each damages. On the other hand, the North Korean Compensation for Damage Act stipulates the categories of damage by dividing the cases of personal injury into 1) infringement of health(§41), 2) disability due to infringement of health(§42), and 3) death resulting from human infringement(§44). In addition, the North Korea Compensation for Damage Act specifies the calculation of compensation for damages(§43, §51). Furthermore, South Korea widely acknowledges emotional distress damages for personal injury, whereas North Korea does not recognize emotional distress damages in principle.

The Effects of Mothers' Supportive and Non-supportive Reactions to Young Children's Negative Emotions on Young Children's Internal and External Problem Behavior (유아의 부정적 정서에 대한 어머니의 지지적 반응과 비지지적 반응이 유아의 내면화 및 외현화 문제행동에 미치는 영향)

  • Yun, Kyeong-Mi;Han, Sae-Young
    • Korean Journal of Childcare and Education
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    • v.13 no.3
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    • pp.83-102
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    • 2017
  • Objective: This study investigates the main effects and interaction effects of mother's reactions to young children's negative emotions on the children's problem behaviors. Methods: A total of 346 mothers with toddlers completed questionnaires, the data were analyzed using Pearson's correlation coefficient and multiple regression. Results: First, mothers' supportive response to young children's negative emotions, including expressive encouragement, emotion-focused reactions, and problem-focused reactions, showed negative relations with the children's internal and external problem behaviors. Mothers' unsupportive response to children's negative emotions, including distress reactions, minimization reactions, and punitive reactions, showed positive relations with the children's internal and external problem behaviors. Second, an interactive effect was observed. For external problem behavior, mothers' lower distress reactions accompanied by higher emotion-focused reactions, lower punitive reactions accompanied by higher emotion-focused reactions, lower distress reactions accompanied by higher problem-focused reactions, and lower punitive reactions accompanied by higher problem-focused reactions all decreased children′s problem behavior. However, for internal problem behavior, only mothers' lower distress reactions accompanied by higher emotion-focused reaction decreased children′s problem behavior. Conclusion/Implication: The main interaction effect on mothers' reaction to young children's negative emotional expression shows that preventive intervention is needed to address problem behavior.

Depression and Predictors in Taiwanese Survivors with Oral Cancer

  • Chen, Shu-Ching;Huang, Bing-Shen;Lin, Chien-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4571-4576
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    • 2013
  • Background: Depression is a comorbid disabling problem and potentially affects patient likelihood of survival. The aims of this study were to recognize the characteristics of depression and investigate associated predictor factors in patients with oral cancers. Methods: A cross-sectional and correlational design was used to collect data for this study conducted in northern Taiwan. A set of questionnaires was used to measure depression, symptom distress, performance status, social support, and demographic and disease-related information. Logistic regression was conducted to determine important factors predicting depression. Results: A total of 132 oral cancer patients participated in this study. Of these, 18.2% were identified as depression cases. The patient average performance status score was 90 or higher. Patients reported mild-to-moderate levels of symptom distress. The majority of social support was from families. Religious belief, alcohol use, symptom distress, and social support from family were found to be important factors predicting depression. Patients with religious belief with alcohol use reported greater symptom distress, and those with lower levels of social support from families were significantly more likely to develop depression. Conclusions: Clinicians should assess patient emotional status and manage symptoms in a timely manner to enhance coping abilities. Supportive care provides assurance during the acute survivor phase.

Excessive crying: behavioral and emotional regulation disorder in infancy

  • Kim, Joon-Sik
    • Clinical and Experimental Pediatrics
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    • v.54 no.6
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    • pp.229-233
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    • 2011
  • In the pediatric literature, excessive crying has been reported solely in association with 3-month colic and is described, if at all, as unexplained crying and fussing during the first 3 months of life. The bouts of crying are generally thought to be triggered by abdominal colic (over-inflation of the still immature gastrointestinal tract), and treatment is prescribed accordingly. According to this line of reasoning, excessive crying is harmless and resolves by the end of the third month without long-term consequences. However, there is evidence that it may cause tremendous distress in the mother-infant relationship, and can lead to disorders of behavioral and emotional regulation at the toddler stage (such as sleep and feeding disorders, chronic fussiness, excessive clinginess, and temper tantrums). Early treatment of excessive crying focuses on parent-infant communication, and parent-infant interaction in the context of soothing and settling the infant to sleep is a promising approach that may prevent later behavioral and emotional disorders in infancy.

Exploration on Interpersonal Problems, Emotional Clarity, and Empathic Ability in Engineering Students (공과대학생의 대인관계문제, 정서인식명확성, 공감능력 탐색)

  • Choi, Jung Ah
    • Journal of Engineering Education Research
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    • v.22 no.6
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    • pp.64-73
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    • 2019
  • The purpose of this study is to explore characteristics of engineering students' Interpersonal Problems, Emotional Clarity, and Empathic Ability compared with humanities and social sciences students. A total of 739 college students participated in the study (459 enginerring students and 280 humanities and social sciences students). We tested research question by employing the t-test. The result showed that engineering students have higher level of clarity of feelings, perspective taking, empathic concern and lower level of attention to feelings, personal distress than humanities and social sciences students. Moreover, engineering students showed lower level of cold, socially avoidant, exploitable problems than humanities and social sciences students. We dicussed that programs aiming at developing engineering students' emotional awareness and improving their interpersonal relationships should be provided.

The Emotional Distress Prior to the Surgery and the Parenting Stress in Elementary School Children with Neurosurgical Diseases : The Preliminary Study (외과적 뇌질환을 가진 학령기 아동의 수술 전 정서적 불안정감과 어머니의 양육스트레스에 관한 예비연구)

  • Won, Joo-Sik;Eom, So-Yong;Kim, Dong-Seok;Shim, Kyu-Won;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.3
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    • pp.168-173
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    • 2010
  • Objectives: This study was conducted to compare emotional problems in children with neurosurgical diseases prior to surgery as well as levels of parenting stress experienced by mothers of children treated with surgery and those without surgery. The goals was to provide a basis on which comprehensive treatment interventions could be established. Methods: Subjects included 78 elementary school children who visited the Department of Pediatric Neurosurgery as well as their mothers. The Children's Depression Inventory (CDI) and the Revised Children Manifest Anxiety Scale (RCMAS) were administered to children. The Parenting Stress Indexs (PSI) and Beck Depression Inventory (BDI) were administered to their mothers. Results: The children with neurosurgical diseases showed higher levels of depression prior to surgery. In their mothers, parenting stress was relatively higher and parenting competence was lower. In particular, for those children who underwent surgery, depression was significantly higher. Specifically, they exhibited more negative expectations, and negative self-image. In mothers of children who underwent surgery, depression was significantly higher. Conclusion: Our results suggest higher levels of emotional distress and parental stress in children who undergo neurosurgical operations and their mothers, respectively. Based on this, the necessity for surgical and comprehensive psychological intervention is suggested.

Research on the Association Between Emotional Perception Bias and Deteriorated Visuospatial Attention Allocation Ability in Increasing the Level of Social Phobia (사회공포증 수준의 증가에 따라 나타난 정서지각 편향성과 시공간 주의배분능력 저하 간의 관련성 연구)

  • Kim, Sang-Yub;Jung, Jae-Bum;Nam, Ki-Chun
    • Science of Emotion and Sensibility
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    • v.23 no.2
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    • pp.35-50
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    • 2020
  • This study aimed to investigate the changes of emotional perception biases according to the level of social phobia and the relationship with visuospatial attention allocation ability. This study used the Korean self-report assessment test (Korean version of social avoidance and distress, K-SAD) to measure the level of social phobia. Moreover, the emotional perception and useful field of view (UFOV) tasks were employed for measuring emotional perception biases and visuospatial attention allocation ability, respectively. A total of 118 participants participated in this experiment, and only 107 (males: 94, females: 13) data were analyzed due to the exclusion of response errors and other statistical problems. The average age of the participants used in the analysis was 21 years (SD: 3.64), and those participants were divided into three groups according to the K-SAD scores. Consequently, all experimental groups showed negative emotional perception biases in the emotional perception task, but the magnitudes of the biases of each group were not significantly different. Furthermore, the positive emotional perception biases were higher at higher levels of social phobia, which could be related to the tendency of interpreting positive stimuli negatively. In the UFOV task, the higher the level of social phobia, the lower the visuospatial attention allocation ability. These results suggest that the deterioration of visuospatial attention allocation ability potentially contributes to the increase of positive emotional perception biases by being difficult to perceive external stimuli. Thus, this paper discusses the potential contribution of visuospatial attention allocation ability to the increased perceptual biases of positive emotions as the level of social phobia increases.

Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer (진단 직후 유방암환자의 디스트레스 관리를 위한 심리교육프로그램의 효과)

  • Park, Jin-Hee;Chun, Mison;Jung, Yong Sik;Bae, Sun Hyoung;Jung, Young-Mi
    • Journal of Korean Academy of Nursing
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    • v.48 no.6
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    • pp.669-678
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.