• Journal of Family Relations
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• v.20 no.4
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• pp.105-130
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• 2016

Objectives: The purpose of this study was to explore the moderating effect of stress coping styles on the relationships between loss experiences and depression of the men and women elderly. Method: The subjects of the study were 116 men and 156 women aged over 60 years. For the data analysis, frequency, Cronbach's ${\alpha}$. Pearson's correlation coefficients, and multiple regression were used. Results: The main results were as follows: First, elderly men reported higher role loss experience, relation loss experience, and problem-focused coping styles than elderly women. Also elderly women reported higher bereavement experience than elderly men. Second, there were main effects of health loss experience, economy loss experience, role loss experience, relation loss experience, problem-focused coping style, and emotion-focused coping style on depression of elderly men and women. Third, problem-focused coping styles moderated the relationships between physical health loss experience, economy loss experience, role loss experience and depression in the elderly men group. Last, social support-seeks coping styles moderated the relationships between economy loss experience and depression in the elderly women group. Conclusions: These results were discussed in terms of educational programs related stress coping strategies for the elderly.

• The Journal of Korean Society for Radiation Therapy
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• v.13 no.1
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• pp.1-13
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• 2001

I. Purpose This study is performed to encourage cancer patients to identify, relieve and effectively overcome the stress caused by radiotherapy, by analyzing stress reactions and coping patterns of cancer patients who perceived stress due to radiotherapy. II. Materials & Methods The study group was composed of 85 cancer patients of the age 20 or higher who were undergoing radiotherapy in four hospitals located in Seoul and Kyonggi-do. The survey questionnaire was used, which had 161 questions inquiring respondents of general status, perceived stress, stress reactions and coping patterns. The surveyed data were analyzed by a SAS program, which employed descriptive statistics. Pearson Correlation Coefficient, t-test, ANOVA and Stepwised Multiple Regression. III. Results The stress perception and reaction rates were low in cancer patients comparing to patients of the other study. In the coping patterns. the problem-focused coping patterns were significantly higher than emotion-focused coping patterns. The statistically meaningful differences were observed in the stress perception and reactions depending on the time of diagnosis and perceived health level. As for the problem-focused coping patterns, significant differences were found depending on age, marital status, education, income and the number of family members as well as perceived health level of patients. The level of perceived stress and that of stress reactions was found to have positively significant correlation(r=.764, p<.001) while the perceived stress and the problem-focused coping patterns was correlated negatively (r=-.288, p<.01). The stress reactions and the problem-focused coping patterns was found to have negatively significant correlation(r=-.289, p<.01). IV. Conclusion The problem-focused coping behavior, which cooperated with doctors, technologists, nurses and families of cancer patients, is advisable for the cancer patients to overcome uncertainty and uneasiness by effectively release the stress.

• Journal of Korean society of Dental Hygiene
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• v.15 no.5
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• pp.849-856
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• 2015

Objectives: The purpose of the study is to investigate the influence of social characteristics and self leadership on stress coping method in the dental hygiene students. Methods: A self-reported questionnaire was completed by 436 dental hygiene students in J area from November 10 to December 10, 2013. The questionnaire consisted ofsocial characteristics of the subjects, self leadership, and stress coping method. The reliability was evaluated by Cronbach alpha. Data were analyzed by frequency, one-way ANOVA, multiple regression analysis using the SPSS 12.0 statistical package program. The self leadership was developed by Mans and adapted and modified by Kim and Park. The leadership included 18 questions of self expectation, rehearsal, goal setting, self reward, self criticism, and constructive area. The stress coping method was developed by Folkman and Lazarus, and adapted and modified by Park. The stress coping method included 24 questions of problem focused coping, seeking social support, emotion focused coping, and wishful thinking. Results: The best stress coping method was wishful thinking and the score was 2.81. The priority order of stress coping method included social support, problem focused coping, and emotion focused coping. The self-expectation, goal setting, self-criticism proved to be highly relevant factors. The explanation power of stress coping method was 29.1 percent. The self expectation, rehearsal, self reward, and self criticism were passive coping methods and the explanation power was 15.4 percent. Conclusions: The self leadership is the most important factor to fulfill the interpersonal relationship abilities, major satisfaction, and satisfaction with clinical practice. The self leadership leads to stress coping ability.

• Journal of Families and Better Life
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• v.16 no.4
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• pp.107-124
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• 1998

The purposes of this study were to find the general trends of single mothers' and adoescents' family resources stress perceptions coping and psychological well-being to examine the differences and correlations among single mothers' and their adolescents' variables and to analyze the effects of socio-demographic variables and family stress influencing psychological well-being. The subjects were the 568 single mothers and their adolescents living in Kwangju. The major findings were as follows; 1. Scores of single mothers' and their adolescents' family resources stress perceptions were lower than median but their stressors problem solving-focused coping life satisfaction and depression were higher than median. Single mothers' stressors coping stress perceptions were significantly higher than their adolescents' 2. Single mothers' family rsources stressors stress perceptions coping life satisfaction and depression were positively related to adolescents' 3. Single mother family's l fe satisfaction were influenced by stress perceptions problem solving-focused coping family strengths. Single mother family's depression were influenced by stress perceptions emotion-focused coping.

• Journal of Korean Academy of Nursing
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• v.28 no.4
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• pp.970-979
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• 1998

Cancer has been considered a life-threatening disease and coping patterns could have a strong impact the physical and psychological health of patients and their family. The purpose of this study was to identify the change of coping patterns according to the phases of illness in the patients with cancer and their family caregivers and to compare the coping patterns of patients with those of their caregivers. The phases of illness consisted of 1st(initial) stage, 2nd(metastatic or recurred) stage and 3rd (terminal) stage based on literature. The coping methods were measured using the modified Ways of Coping Questionnaire by Lazarus & Folkman(1984). Seventy-nine patients(35 in stage 1, 31 in stage 2, and 13 in stage 3) and ninety-two caregivers (38 in stage 1, 30 in stage 2 and 24) agreed to participate from two general hospitals in Seoul and Choongnam. No significant changes were found in the coping patterns according to the phases of illness in both groups. Patients in stage 2 and caregivers in stages 2 and 3 problem-focused coping methods were significantly used more than emotion-focused coping methods. Patients in stage 1 significantly used two coping strategies that were cognitive reconstruction and emotion expression more than caregivers. Patients in stage 2 significantly used emotion-focused coping methods including minimizing threat, blame, and emotion expression excepting wishful thinking more than caregivers. We need more research to identify the relationship between the coping methods and their efficiencies through longterm observation and attempt to develope the nursing interventions that could have an improvement on positive coping methods and provide guidance on the problems the patients experience.

• Journal of Families and Better Life
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• v.29 no.6
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• pp.55-69
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• 2011

The purpose of this study was to explore the effects of difficult temperament and mothers' reactions to child negative emotion on child emotion regulation strategies. Mothers of 253 preschoolers(Mage=4.04yrs.) responded to questionnaires on child temperament, mothers' reactions to child negative emotion, and child emotion regulation strategy. The results of regression analysis revealed that; 1) child difficult temperament positively predicted child's aggressive or outburst/appealing strategies whereas negatively predicted avoidance/none strategy; 2) child difficult temperament was not the variable predicting positive coping strategy, but mothers' emotion-focused or problem-focused reactions predicted child positive coping strategy whereas punitive or distress reactions predicted either aggressive or avoidance/none strategy; 3) child temperament moderated the link between mothers' reactions to child's negative emotion expression and child emotion regulation strategies. In particular, children with higher difficult temperament showed higher aggressive strategy under mothers' higher distress or punitive reaction and lower emotion focused or problem focused reaction. On the other hand, children with lower difficult temperament only showed avoidance/ none strategy when mothers showed higher minimization or punitive reaction. The results of current study underscore both child temperament, mothers' reactions and their interactions in predicting child emotion regulation strategies.

• Journal of Korean Society for Quality Management
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• v.51 no.4
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• pp.643-662
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• 2023

Purpose: The purpose of this study was to understand an individuals' COVID-19 vaccine acceptance intention during the peak of the pandemic by utilizing the coping theory and technology threat avoidance theory (TTAT) as a framework. Specifically, we focused on understanding how inward and outward emotion-focused coping (EFC), such as psychological distancing and emotional support seeking, affect problem-focused behavior (PFC), which is vaccine acceptance. Furthermore, we investigate how the individuals' cognitive appraisal to- ward COVID-19, consisted of perceived threat and perceived avoidability act as an antecedent of EFC. Methods: A PLS-SEM analysis was conducted to find the causal relation between the variables. An online survey was conducted targeting vaccination recipients on April, 2021. Participants were asked about their perception toward the virus, their coping strategy, and vaccine acceptance intention. A total of 186 valid samples were collected and used for the analysis. Furthermore, to analyze the out-of-sample predictive power of the research model and ensure the generalizability of the results, a PLSpredict analysis was conducted. Results: The results of the PLS-SEM analysis show that perceived threat toward COVID-19 significantly affect an individuals' EFC strategy. Furthermore, both types of inward EFC (psychological distancing, wishful thinking) negatively affected vaccine acceptance intention. On the other hand, emotional support seeking, which is a type of outward EFC, positively affected vaccine acceptance. The result of the PLSpredict analysis confirms the generalizability of the PLS-SEM result. Conclusion: The results of our study could be utilized to decrease vaccine hesitancy and prevent global pandemics by accelerating and increasing vaccination. Our study provides several meaningful implications to researchers and practitioners regarding vaccine acceptance and threat coping behavior.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.3
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• pp.437-446
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• 2006

Purpose: This study was done to identify the level of stress, coping, and depression among hemopoietic stem cell transplantation patients who received care in an outpatient center. Method: Data were collected from 81 patients who underwent hemopoietic stem cell transplantation at C University S Hospital between August 2005 and February 2006. Results: Stress and depression were significantly higher following hemopoietic stem cell transplantation in women, and in patients who were worse off financially or who were in bad health. The highest item of stress was 'economic burden for treatment'. There were significantly higher levels of emotion-focused coping among patients who had a spouse and who received motivation from the doctor. The highest item for problem-focused coping was 'try to look at the bright side of life'. The highest items for emotion-focused coping were to 'have faith that treatment will be finished quickly' and 'believe that your situation will improve'. Stress was significantly correlated with depression among these patients. Conclusion: It is necessary to develop nursing interventions to enhance positive coping and to decrease stress and depression among patients who have a hemopoietic stem cell transplantation.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.2
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• pp.723-730
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• 2015

Background: This study was performed to assess patient symptoms prevalence, frequency and severity, as well as distress and coping strategies used, and to identify the relationships between coping strategies and psychological and physical symptoms distress and demographic data of cancer patients. This cross-sectional descriptive study involved a total of 268 cancer patients with various types of cancer and chemotherapy identified in the oncology unit of an urban tertiary hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Medical characteristics, Memorial Symptom Assessment Scale (MSAS) and Brief COPE scales and analyzed for demographic, and disease-related variable effects on symptom prevalence, severity, distress and coping strategies. Results: Symptom prevalence was relatively high and ranged from 14.9% for swelling of arms and legs to 88.1% for lack of energy. This latter was the highest rated symptom in the study. The level of distress was found to be low in three domains. Problem-focused coping strategies were found to be more commonly employed compared to emotion-focused strategies, demonstrating significant associations with sex, age group, educational levels and race. However, there was a positive correlation between emotion-focused strategies and physical and psychological distress, indicating that patients would choose emotion-focused strategies when symptom distress increased. Conclusions: These findings demonstrate that high symptom prevalence rates and coping strategies used render an improvement in current nursing management. Therefore development of symptoms management groups, encouraging the use of self-care diaries and enhancing the quality of psychooncology services provided are to be recommended.

• Journal of Korean Academy of Nursing
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• v.48 no.4
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• pp.485-496
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• 2018

Purpose: This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor. Methods: The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (${\beta}=.64$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54, p<.001). Uncertainty opportunity appraisal (${\beta}=-.45$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28, p<.001). Emotion-focused coping (${\beta}=-.23$, p=.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02, p=.044). Conclusion: Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.