• Journal of Oriental Neuropsychiatry
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• v.26 no.4
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• pp.365-382
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• 2015

Objectives: Interpersonal stress is a major cause and aggravating factor of Hwabyung. The purpose of this study was to compare communication type and stress coping style between the Hwabyung patients group and non-Hwabyung patients group. Methods: The total number of study participants was 101. Based on the Hwabyung symptom scale, the study participants were divided into Hwabyung patients group (30 patients) and non-Hwabyung patients group (43 patients; control group), and the others were excluded from the study . All included patients were administered the Virginia Satir’s communication type questionnaire and stress coping scale based on Folkman & Lazarus’s theory. The independent t-test was used to determine the statistical significance between the features of communication types and stress coping styles in each group. In addition, Spearman correlation analysis was used to identify the relationship between communication types and stress coping styles. Results and Conclusions: 1. Communication types differed significantly between the Hwabyung patients group and non-Hwabyung patients group. 2. Hwabyung patients scored significantly higher in each dysfunctional communication type than functional communication type. Scores of placating stance and super-reasonable stance, which were subtypes of dysfunctional communication type, were high in the Hwabyung patients group. The non-Hwabyung patients group scored the highest in Congruent stance, classified as functional communication type. 3. Stress coping style was not significantly different between the two groups.

• Anxiety and mood
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• v.16 no.1
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• pp.24-31
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• 2020

Objective : The purpose of our study was to investigate the relationship between job stress and depressive disorder among emotional laborers in a city. Methods : A total of 677 emotional laborers living in Jeonju-city participated in this study. The participants completed survey questions regarding demographic characteristics, job stress (using the Korean Occupational Stress Scale-24, KOSS-24), and depression (the Patient Health Questionnaire-9, PHQ-9). Logistic regression was performed to estimate the association between job stress and depression. Results : Our results indicated that 34.9% of the participants had a high risk of total job stress and 21.7% of participants had depression. In the multivariate logistic regression analysis, female sex (OR=1.66, 95% CI=1.01-2.72) and total job stress (OR=3.84, 95% CI=2.57-5.75) were significantly associated with depression after adjusting for confounding factors. Among the subscales of job stress, job demand (OR=3.06, 95% CI=1.99-4.72) and occupational climate (OR=1.88, 95% CI=1.19-2.97) were significantly associated with depression. But insufficient job control, interpersonal conflict, job insecurity, the organizational system and lack of rewards were not. Conclusion : Among the emotional laborers, job stress, particularly job demand and occupational climate, were major contributing factors associated with depression. Early screening and preventive strategies focusing on job stress could reduce the impact of depression in emotional laborers.

• Journal of East-West Nursing Research
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• v.13 no.2
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• pp.147-159
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• 2007

Purpose: This study was to examine the effects of the meridian massage on constipation and stress in the patients with stroke. Methods: The subjects of this study were 31 patients with stroke who were hospitalized at the K oriental medical center. They were determined by Rome II criteria and the Constipation Assessment Scale (CAS). The experimental group were treated meditation massage for 10minutes daily for 2 weeks. To evaluate the effect of meridian massage, the degree of constipation was measured using the frequency of defecation per week and the scores of CAS, and the degree of stress was measured using the Stress Scale. The collected data were analyzed by with the SPSS 12.0 for windows program. Results: The experimental group had significantly more increase of defecation frequency than the control group. The experimental group had significantly more decrease of CAS score than the control group. 3) In the score of stress, there was no significant difference between the experimental and the control group. Conclusion: The result of this study shows that meridian massage is an effective nursing intervention for the management of constipation of patients with stroke.

• Women's Health Nursing
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• v.1 no.2
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• pp.244-259
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• 1995

This study was designed and carried out to describe the stress of the infertile women and identify its predictors. The subjects of this study, 131 infertile women, were in primary or secondary infertility. the were conveniently sampled out from the infertility clinics of K University Medical Center and C Hospital in Seoul. The data were collected by using the Infertility Stress Scale which consisted of 35 items with four dimensions(cognitive, affective, marital and social stress) from August to November 1994. The data were analyzed by using the pc-SAS program. The information was obtained of Mean, Standard Deviation, Frequencies, Percentile, t-test, ANOVA, Duncan's multiple comparison test and Multiple Regression. The results are as follows; 1. The Mean of the stress of the infertile women is 2.78. The Means of the stress in 4 dimensions are 3.81 in the cognitive dimension, 3.05 in the affective dimension, 2.06 in the marital adjustment dimension and 2.41 in the social adjustment dimension. 2. The predictors of the stress of the infertile women are their educational levels and subjective economic status. They explain 14.08% of total variance.

• Korean Journal of Occupational Health Nursing
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• v.22 no.4
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• pp.295-304
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• 2013

Purpose: To identify work stress and job satisfaction of the emergency medical technician (EMT) and to contribute to the improvement of emergency care under the current emergency medical law. Methods: The data were collected by questionnaire from the total 849 EMTs (635 National emergency management agency (119) workers and 214 hospital workers) throughout the whole country from January 5, to March 5, 2012. Each level of indicator calculated under 100-point-scale was compared by t-test and ANOVA. Factors affecting stress and satisfaction were analyzed by Multiple Linear Regression Analysis (${\alpha}$=.05). Results: Mean level of job stress was markedly higher among 119 workers (76.9) than those in the hospital (56.6) (p<.001). Mean level of job satisfaction was higher among 119 workers (63.2) than those in the hospital (60.2) (p<.001). Conclusion: To diminish work stress and to increase job satisfaction, efforts to support the pride and to improve working condition considering the situations of the agency and to offer more education chance to keep and strengthen the specialty are needed.

• Korean Journal of Psychosomatic Medicine
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• v.32 no.1
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• pp.34-42
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• 2024

Objectives : This study aimed to explore the association between depression and perceived stress, viral anxiety, reassurance-seeking behavior, and poor sleep quality among the general population in Bangladesh, with self-efficacy as a possible mediator. Methods : Data on stress and anxiety during the pandemic in Bangladesh were collected through an online survey from September 16, 2021 to October 4, 2021. Viral anxiety and depression were measured using the Bangla version of Stress and Anxiety to Viral Epidemic-6 (SAVE-6) and Patient Health Questionnaire-9 (PHQ-9), respectively. Self-efficacy was measured by the General Self-efficacy (GSE) scale. Reassurance-seeking behavior related to the coronavirus disease 2019 infection was measured by the Coronavirus Reassurance-Seeking Behaviors Scale (CRBS). Results : The CRBS showed a significant correlation with SAVE-6 (r=0.281, p<0.001) and PHQ-9 (r=0.227, p<0.001). People with higher anxiety, reassurance-seeking behavior, and poor sleep quality had lower self-efficacy, which led to depression. In contrast, perceived stress increased self-efficacy. The psychological factors impacted depression directly as well as indirectly, and self-efficacy mediated the association. Conclusions : Viral anxiety, reassurance-seeking behavior, perceived stress, and poor sleep quality have a close correlation with depression both directly and indirectly. Self-efficacy can be a mediating factor in the association between psychological distress and depression. Viral anxiety, reassurance-seeking behavior, and poor sleep quality reduce self-efficacy. On the other hand, perceived stress can strengthen self-efficacy.

• Journal of Oriental Neuropsychiatry
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• v.33 no.1
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• pp.33-48
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• 2022

Objectives: Academic stress poses a significant risk for the mental health of medical students, and a feasible group intervention program for managing academic stress is required. The purpose of this study was to examine the clinical effectiveness of emotional freedom techniques (EFT) on the mental health of Korean medical students. Methods: The class of first-year medical school students (n=36) participated in an after-school EFT group intervention program comprising six sessions (15 minutes/session, three weeks) to analyze its clinical effectiveness as a single-group test-retest clinical study. The changes in the Perceived Stress Scale (PSS), Test Anxiety Inventory (TAI), Positive and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) scores were examined using a paired t-test and Cohen's D at post-EFT and two-week follow-up. Results: There were significant curtailments at post-EFT and follow-up measures in TAI-Total (t=2.704 and t=3.289), TAI-Worry (t=2.297 and t=2.454), TAI-Emotionality (t=2.763 and t=3.654), PSS-Negative Perspective (t=2.659 and t=3.877), and PANAS-Negative Affect (t=2.885 and t=3.259) subscales, however not in PSS-Positive Perspective (t=-1.279 and t=-1.101) and PANAS-Positive Affect (t=0.194 and t=-0.122) subscales. The trait anxiety (t=2.227) was significantly mitigated in the post-EFT measure and the state anxiety (t=2.30) in the follow-up measure. Conclusions: The EFT group intervention alleviated test stress, negative affect, and anxiety in the Korean medical students. This study contributes to an understanding of academic stress and EFT intervention in the competitive environment of medical education.

• Anxiety and mood
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• v.8 no.2
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• pp.106-112
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• 2012

Objective : In posttraumatic stress disorder (PTSD), it is essential to evaluate the severity of trauma with a reliable instrument. The combat exposure scale (CES) is one of the most widely used measures for the combat-related trauma. The present study was conducted to test the reliability and validity of the Korean version of CES (CES-K). Methods : One hundred and forty-five male Korean veterans of the Vietnam War participated in this study. CES-K, the structured clinical interview for DSM-III-R (SCID), clinician administered PTSD scale (CAPS), and the Korean version life events checklist (LEC-K) were administered. Results : Cronbach's coefficient of CES-K was .85, and the test-retest reliability was .94. The mean [standard deviation (SD)] scores of CES-K were 20.4 (9.0) in the PTSD group and 12.0 (8.6) in the non-PTSD group (p<.001). CES-K showed a significant correlation with LEC-K (r=.31, p<.001) and CAPS (r=.52, p<.001). Only one factor was revealed by the factor analysis. Conclusion : CES-K showed good reliability and validity for assessing the severity of combat exposure. Further, it demonstrated comparable psychometric properties to the previous study. It is expected that CES-K will be a useful tool for evaluating the severity of combat exposure in Korea.

• The Journal of Korean Obstetrics and Gynecology
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• v.21 no.1
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• pp.216-230
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• 2008

Purpose: The purpose of this study is to analysis on the Stress Response Inventory(SRI) and Heart Rate Variability (HRV) of some dysmenorrhoea patients. Methods: We studied 34 patients visiting OO Medical Center from May 2007 to November 2007. And the severity of dysmenorrhoea were measured by Multidimensional Verbal Rating scale(MVRS), Verbal Rating scale (VRS) and Visual Analog Scale(VAS). And SRI and HRV were recorded. Results: According to comparison of Means of HRV values among the groups, most of them were not statistically significant. But the comparison of Means of SRI, the points of almost all values were kept by order of Severe-Moderate-Mild-None group. Most of them are statistically significant. According to correlation analysis between dysmenorrhoea scale and HRV, most of them were not statistically significant. But the correlation analysis between HRV and SRI, there were some correlations. And the correlation analysis between SRI and dysmenorrhoea scale, most of them were statistically significant. According to General Linear Model of Dysmenorrhoea $scale^{\ast}SRI$ and HRV. Dysmenorrhoea scale and SRI influenced values of HRV. But it is hard to conclude the relationship between Dysmenorrhoea $scale^{\ast}SRI$ and HRV Conclusion: The results suggest that stress is related to dysmenorrhoea. But the relation between dysmenorrhoea and HRV was hard to conclude. We need more study for settling the relation between dysmenorrhoea and HRV.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.2
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• pp.188-201
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• 2016

The aim of this descriptive correlation research was to identify the factors influencing stress in caregivers of stroke patients in rehabilitation centers. The data were collected from 200 caregivers at three rehabilitation centers in B City from September 1 to 30, 2015. The data were also collected utilizing the Connor-Davidson Resilience Scale, the Caregiving Mastery Scale, the Medical Outcomes Study (MOS) Scale, and Burden Interview (BI) Scale. The data were analyzed using the SPSS Win 18.0 program. The factor with the greatest impact on stress was social support, which accounted for 9.3% of stress, followed by the duration of giving care to the patient, religious status, economic conditions, caregiver's age, resilience, caregiver's health status, patient's conscious status, and patient's age, all of which accounted for 30% of the stress for caregivers. Therefore, it is essential to develop social support programs that can reduce the stress for caregivers of patients in rehabilitation centers and to develop stress intervention programs, taking all the factors affecting stress into consideration.