• Title/Summary/Keyword: Fear experiences

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Relapse Experience of Patients with Alcohol Use Disorder: Q Methodological Approach (알코올 사용 장애 환자의 재발경험: Q 방법론적 접근)

  • Kim, Jin Ju;Hyun, Myung Sun
    • Journal of East-West Nursing Research
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    • v.29 no.2
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    • pp.172-184
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    • 2023
  • Purpose: The purpose of this study was to identify the subjective relapse experiences of patients with alcohol use disorder in one's life context. Methods: A Q methodology was used to analyze the subjectivity of relapse experiences among 55 participants with alcohol use disorder. Fifty-five Q-statement were derived from interviews and literature review. Q-statements were classified into normally distributed shapes using a 9-point scale. Data were analyzed using the QUANL program. Results: Four types of relapse experiences were identified: failure to self-regulation drinking cravings, fear of relapse and awareness of the need for treatment, drinking as a coping mechanism and defensive coping, and lack of motivation to change drinking behavior. Conclusion: The results of this study suggest that patients with alcohol use disorder need a differential approach based on four types of relapse experiences in the recovery process.

Role Adaptation Processes of Family Caregivers with Patients Transferred from Intensive Care Unit to General Ward: Becoming almost a Nurse with Hope and Fear (중환자실에서 일반병동으로 전실하는 환자 가족 돌봄제공자의 역할 적응 과정: 희망과 두려움 속에서 반(半)간호사 되어가기)

  • Kwon, Heui-Kyeong;Song, Misoon
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.603-613
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    • 2014
  • Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

Dopamine-dependent synaptic plasticity in an amygdala inhibitory circuit controls fear memory expression

  • Lee, Joo Han;Kim, Joung-Hun
    • BMB Reports
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    • v.49 no.1
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    • pp.1-2
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    • 2016
  • Of the numerous events that occur in daily life, we readily remember salient information, but do not retain most less-salient events for a prolonged period. Although some of the episodes contain putatively emotional aspects, the information with lower saliency is rarely stored in neural circuits via an unknown mechanism. We provided substantial evidence indicating that synaptic plasticity in the dorsal ITC of amygdala allows for selective storage of salient emotional experiences, while it deters less-salient experience from entering long-term memory. After activation of D4R or weak fear conditioning, STDP stimulation induces LTD in the LA-ITC synapses. This form of LTD is dependent upon presynaptic D4R, and is likely to result from enhancement of GABA release. Both optogenetic abrogation of LTD and ablation of D4R at the dorsal ITC in vivo lead to heightened and over-generalized fear responses. Finally, we demonstrated that LTD was impaired at the dorsal ITC of PTSD model mice, which suggests that maladaptation of GABAergic signaling and the resultant LTD impairment contribute to the endophenotypes of PTSD. [BMB Reports 2016; 49(1): 1-2]

ANALYSIS OF DENTAL FEAR AND ITS RELATED FACTORS USING DENTAL FEAR SURVEY AMONG 13 TO 18 YEAR OLDS (13-18세 청소년을 대상으로 Dental Fear Survey 척도를 이용한 치과공포도 및 그 관련요인 분석)

  • Choi, Jun-Seon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.118-126
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    • 2008
  • Dental fear is one of the main barriers to the use of dental services, leading patients to avoid periodical dental check-ups or treatments, thus making oral health worse, and sometimes becoming the reason that dental professionals fail control the behavior of patients. Therefore, a dental fear must be controlled carefully in order to promote oral health and effective dental treatment. This study was taken from 313 people 13 to 18 year olds to measure their levels of dental fear. After analyzing the characteristics of dental fear and its related factors, as well as other factors which influence dental fear, we acquired the following results. 1. The level of dental fear was high, compared with advanced countries with relatively good oral health. 2. The strongest physiological response experienced during a dental treatment was the tension of muscles. These dental fears were mainly related to anesthetic needles and drills. 3. Levels of dental fear became higher, the number of times for the dental services utilization had reduced, avoid regular dental examination and perceived oral disease symptoms increased. 4. One of the biggest influences on dental fears turns out to be direct painful experiences and beliefs about dentists.

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Family Experiences of Living with Chronic Schizophrenic Patients - Application of Parse's Human Becoming Research Methodology - (만성정신분열환자 가족의 체험 - Parse의 인간되어감 연구방법론 적용 -)

  • Lee, Ok-Ja;Choi, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.26-34
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    • 2007
  • Purpose: This study was aimed at understanding the nature of the suffering of families with patients in mental health nursing homes and hoped to contribute to the rehabilitation process of those with a chronic mental disorder. Method: Research methodology was based upon Parse's human becoming research methodology. Results: a) Despite the despair the family feels by the violence caused by their now-institutionalized relative, they also realize anew the importance of their role as protectors b) Although they fear social stigmatization they also try to be supportive, out of guilt feelings; c) They regret their severe rearing style and wish to be more sympathetic, d) They find courage and hope through family therapy, which leads to a better understanding of the illness, e) With hopes of rehabilitation, the family members feel happy and go through an emotional release, by sharing the pain with each other. Conclusion: Families of nursing home residents share a focus on the process of human-health-universe. This is a positive,'human-becoming' process with which, based on past feelings of despair, fear, resignation, and pain, one can render meaning into his or her experiences in the present in the pursuit of love, conquest, hope, liberty and success.

Influence of Indirect Experiences and Role Models on Entrepreneurial Intentions (간접 경험 및 롤 모델이 창업의지에 미치는 영향)

  • Chang, Soo-jin;Chung, Byoung-gyu
    • Journal of Venture Innovation
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    • v.5 no.2
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    • pp.35-48
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    • 2022
  • This study was conducted to analyze the effect on entrepreneurial intention and empirically analyze which factors have the greatest influence. To this end, self-achievement motivation, indirect experience, role model, awareness of entrepreneurs, and fear of business failure were set as independent variables as factors influencing entrepreneurial intention. In order to empirically analyze this, 399 valid samples for the general public were analyzed. SPSS 25.0 was used for statistical analysis. As a result of the empirical analysis of this study, self-achievement motivation, indirect experience, role model, awareness of entrepreneurs, and fear of business failure all had a positive and significant effect on entrepreneurial intention. The results of this study confirmed that self-achievement motivation had the greatest influence among the factors affecting entrepreneurial intention. It is significant in that indirect experiences and role models such as theoretical entrepreneurship lectures, special entrepreneurship lectures, and parents or acquaintances influence entrepreneurial intention.

The Experiences of the Middle - Aged Women′s Crisis (중년 여성의 위기 경험)

  • 김귀분;유재희;이은자
    • Journal of Korean Academy of Nursing
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    • v.32 no.3
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    • pp.305-316
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    • 2002
  • This study examined the crisis experiencing by middle - aged women and tried to understand their lived experiences also explored the nature of their crisis. Method: The data was collected from 7 participants living in Incheon and Seoul from Sep. 2000 to Feb. 2001. The analysis of the data was made the phenomenological analytic method suggested by Giorgi. Result: The meanings of the lived experiences of the middle - aged women's crisis ; Impatience about decreased physical function : an attack of a disease, decreased strength, decreased quickness, decreased desire, increased concern of health, poor memory, easy fatigue, change of appearance, change of conjugal relations, sense of loss. Psychological, emotional disturbances : sense of emptiness, regret, sharpness, feeling gloomy, fear of dying, loneliness, feeling the want, loss of confidence. Attitude of active life : reinforcement of self experience, enrichment of understanding, search of self satisfaction, search of self development, development of support system, management of independent life. Envy feeling from relative comparison : feeling of comfort, unsatisfaction to the husband, yearning for youth. Conclusion: Therefore, the program should be developed for the program of physical, psychological, and emotional health and expansion of social role of the middle - aged women.

The Lived Experiences of Older Women with Parkinson's Disease (파킨슨병을 앓고 있는 여성노인의 체험)

  • Kim, Jeonghyun;Lee, Jiyeon;Lee, Im Sun
    • Journal of muscle and joint health
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    • v.26 no.2
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    • pp.72-80
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    • 2019
  • Purpose: This study was done to explore the lived experiences in older Korean women with early stage of Parkinson's disease. The research question was "What is the meaning and nature of the older women's experiences who were diagnosed with Parkinson's disease?" Methods: In this study, we adopted van Manen's hermeneutic phenomenological approach to find the lived experiences of older women diagnosed with Parkinson's disease. Six older women diagnosed with Parkinson's disease within five years participated, and data were collected through in-depth interviews. Results: Five fundamental lifeworld themes and seven subthemes emerged from the data. The first theme of corporeality had three subthemes: 'being shocked by an unexpected diagnosis', 'fewer things can be done due to the illness' and 'lost my prettiness'. The second theme representing relationality was 'hiding the illness because of others' whispering'. The temporality theme was 'fear of symptom aggravation'. The spatiality theme was 'being placed in a blind spot of information'. The last existential theme of material had 'obsession with drugs'. Conclusion: The results of this study provide an in-depth understanding of older womens experiences of living with Parkinson's disease. The findings can help develop interventions specific to these group of women to provide sufficient emotional support and accurate information.

Qualitative content analysis of journals of cadaver practice experiences in nursing students

  • Hyunjung Lee
    • International journal of advanced smart convergence
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    • v.12 no.3
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    • pp.109-118
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    • 2023
  • This study attempted to identify the experiences of nursing students' participation in cadaver practice and provide a basis for understanding students' experiences in cadaver practice, which can be reflected in the development of programs for them. By applying the content analysis method according to the guidelines by Krippendorff to analyze the meaning of the experience of participating in cadaver practice among 80 nursing students who participated in cadaver practice at K University in W-si, Gangwon-do, a total of 4 areas, 13 categories, and 25 meaningful statements were derived. The categories included "worried," "surprised," and "fear" in the anxiety domain; "interesting," "knowing," and "focused" in the immersion domain; "value of life," "gratitude and remembrance," "thinking about donation," "facing death," and "precious body" in the reflection domain; and "motivation" and "sense of accomplishment" in the growth domain. The results of this study will help to understand the physical and psychological reactions that nursing students may experience during cadaver practice, and will provide a basis for developing various strategies such as counseling, education, and reflection programs in conjunction with cadaver practice to help nursing students cope with stress, develop a sense of ethical responsibility, and develop a positive self-image as nursing students in order to be successful in cadaver practice. This study is also significant because it provides a basis for preventive program interventions for experiences related to the negative effects of cadaver practice.

The Effect of Familiarity with Mental Illness on the Discrimination - Mediating Effect of Fear and Helping response - (정신장애인에 대한 친숙함이 차별에 미치는 영향 - 두려움과 도움의향을 매개로 -)

  • Lee, Min Hwa;Seo, Mi Kyung;Choi, Kyung Sook
    • Korean Journal of Social Welfare
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    • v.68 no.4
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    • pp.75-96
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    • 2016
  • This study analyzed the mediator effect of fear and helping responses on relationship between familiarity and discrimination based on the contact theory. We presented typical vignettes of schizophrenia, depression and alcoholism to 922 adults randomly. All respondents were asked for direct and indirect contact experiences with mental illness, fear and helping responses and discrimination against persons with mental illness. Our findings suggest that contact theory was not supported in every types of mental disorders. In schizophrenia, fear and help were the full mediator between familiarity and discrimination. In depression, only helping response was the mediator between familiarity and discrimination. But in alcoholism, familiarity did not predict discrimination. Based on theses findings, we suggest various anti-stigma strategies depending on the types of mental disorders.

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