• Title/Summary/Keyword: Problem Focused and Emotion Focused Coping

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Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer (유방절제술 환자의 불확실성, 불안 및 대처방식)

  • Cho, Ok-Hee
    • Journal of Korean Academy of Nursing
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    • v.30 no.4
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    • pp.1006-1017
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    • 2000
  • The purpose of this study was to provide basic information for developing a nursing intervention that helps patients learn how to acquire coping to reduce post operation uncertainty and anxiety by investigating the level of uncertainty and anxiety experienced by mastectomy patients. The subjects were 134 patients selected from St. Mary's Kangnam and St. Mary's hospital, and the data collection period was from October to December of 1998. Uncertainty was measured by using Mishel Uncertainty in Illness Scale (MUIS), anxiety measured by using State-Trait Anxiety Inventory(STAI), and coping by using a questionnaire developed by Kim & Yoo (1996). Data were analyzed with SAS program by t-test, ANOVA, Duncan's multiple range test, Pearson correlation coefficients, and stepwise multiple regression. The results were as follows : 1. The mean uncertainty score was 57.6. The results of the correlation between the compliance of medical regimen and demographic characteristics were as follows ; Those who monthly income over 2,010,000 won had lower than above 1,000,000 won, and those with the experience of chemotherapy had higher than those without, and the patient who has 7∼12 months(1 yr.) post operation period had higher than the one below 6months, 25∼36 months(3 yrs.), 37∼60 months(5 yrs.), and over 61 months. 2. The mean anxiety score was 45.9. Anxiety tended to be increased slightly in subjects with low educational background, poor monthly income, experience of chemotherapy, and 7∼12 months(1 yr.) post operation period, but there was no significant difference by general characteristics 3. The mean value of the coping score was 100.7. The study revealed higher score in problem-focused coping than emotion-focused coping. In regard to coping by demographic characteristics were as follows ; those who had monthly income over 2,010,000 won had higher level of coping than those whose monthly income was between 1,010,000 and 2,000,000 won. In terms of problem- focused coping, those who had 25∼36 months of post operation period showed significantly lower level of coping than those below 6 months or 37∼60 months(5 yrs.) or over 61 months of post operation period. Regarding the emotion-focused coping, those with the christianity had significantly lower level of coping than those without it. Also, those whose monthly income over 2,010,000 won had significantly higher coping level than those with income of between 1,010,000 and 2,000,000 won. 4. A positive relationship was found between uncertainty and anxiety. Patients who experienced more uncertainty also showed more anxiety. Problem-focused coping was inversely related to uncertainty and anxiety. 5. The major variable that affected uncertainty was anxiety, explaining 63.3% of the uncertainty. In addition to this, it would explain 66.4% in total when experience of chemotherapy was added.

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The Effects of Group Imago Psychotherapy on Comfort and Depression of Patients with Hemodialysis (집단심상치료가 혈액투석환자의 안위와 우울에 미치는 효과)

  • 최귀윤
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.791-798
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    • 2000
  • The hemodialysis patients with chronic renal disease have experienced negative emotions, especially depression among with physical, social, and psychological changes. Based upon a stress-coping theory, group imago psychotherapy which can induce effective coping through self awareness and positive emotional responses is implemented to the hemodialysis patients. The effects of the imago psychotherapy in regards to comfort and depression are studied here. Group imago psychotherapy was performed on forty-three subjects(twenty subjects in the experimental group and twenty-three subjects in the control group). The results of the study were as follows. After being given group imago psychotherapy, the comfort scores of the experimental group were significantly higher than those of the control group (F=15.33, p= .003). Moreover, after being given treatment, the depression scores of the experimental group were significantly lower than those of the control group (F=9.14. p=.0044). Specifically, the scores on comfort in the experimental group under emotion-focused coping style were significantly higher than those of the control group (F=18.59, p= .0002). The mean difference on comfort scores in the experimental group under problem - focused coping style was higher than that of the control group. But their scores were not significant (F=0.19, p= .6729). The scores on depression in the experimental group under emotion-focused coping style were significantly lower than those of the control group (F=14.62, p= .0006). The mean difference on depression scores in the experimental group under problem - focused coping style was much lower than that of the control group. But their scores were not significant (F=0.31, p=.5947). There was a significant positive correlation between comfort and depression variables. After group imago psychotherapy the hemodialysis patients recognized positive changes in emotional reponses, self awareness, self control, ease of mind, and felt overall more relaxed. Imago psychotherapy is a nursing intervention which as this study has shown can improve to comfort. The results of this study can be applied to general nursing practices. In the view of holistic nursing, the development of the nursing practice combined with imago psychotherapy will contribute to the enlargement of the nursing field with conventional nursing practices.

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A study on the parenting stress factors and the copying strategies of marriage immigrant women raising middle and high school student (중·고등학생 자녀를 양육하는 결혼이주여성의 양육스트레스와 대처방안에 대한 연구)

  • Huang, Haiying;Lee, Mijung
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.5 no.4
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    • pp.415-426
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    • 2015
  • This study is intended to learn about the factors appearing in parenting stress and the copying strategies by targeting marriage immigrant women who are raising middle and high school student. To this end, in-depth interviews were conducted on seven participants of Marriage Migrant Women who are living in Seoul and Gyeongi area. Generally to say, first of results showed that the personal factors, family factors, social factors and enculturative factors were found out as the factors of parenting stress of them. Secondly, problem-centered and emotion-focused coping strategies for the factors of stress were the main ways. Specifically, as the individual factors, the self-efficiency was coped with problem-focused ways and the parenting roles were coped with emotion-focused ways. As the family factors, child's activity and sociality impact their school adjustment and their mother's parenting stress and, various copying strategies were used depending on the different situation. For the social factors, looking for family supporting as the active problem-focused coping ways were used in husband's family and looking for emotional comfort as the emotion-focused coping ways were used in parents' home. In the case of enculturative factors, the emotion-focused coping strategies were used for the Public gaze and the prejudice around them that caused overwhelming sense of helplessness.

Relationships between Parent's Reactions to Preschoolers' Negative Emotions, Coping Styles and Peer Acceptance (유아의 부정적 정서에 대한 부모의 반응유형, 유아의 대처반응 및 또래수용간의 관계 연구)

  • Kang, Hee Yeon;Kang, Moon Hee
    • Korean Journal of Child Studies
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    • v.20 no.3
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    • pp.171-182
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    • 1999
  • This study examined the relations between parents' reactions to their preschool child's negative emotions, coping styles, and peer acceptance. Subjects were 250 5-year-old preschoolers and their parents. Instruments were the Coping with children's Negative Emotions Scale, and coding strategies checklist and peer rating scales for children. Data were analyzed with the SPSS PC + program. Parent's emotion-focused reactions, encouragement of expression and problem-focused reactions were positively associated with both peer acceptance and child coping styles whereas parent's distress, and punitive and minimizing reactions were associated with lower Peer acceptance and child coping styles of venting, denial, aggressive action, and avoidance. In child coping styles, problem solving was positively associated with peer acceptance while aggressive action anti venting were associated with a lower level of peer acceptance. Problem solving tended to be positively associated with peer acceptance, whereas aggressive action and venting tended to be associated with lower level of peer acceptance. (4) There was a statistically significant relations among parent's reactions to preschoolers' negative emotions, preschoolers' coping styles, and peer acceptance. There were the positive relations among parent's supportive reactions preschoolers' coping styles of problem solving and seeking support, and peer acceptance.

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Mediating Effects of Problem Focused and Emotion Focused Coping, Drinking Anticipation Between the Female Alcoholics Traumatic Experienced and Their Warning of Relapse (여성알코올중독자의 외상경험과 재발위험성의 관계에서 문제중심대처, 정서중심대처, 음주기대의 매개효과)

  • Woo, Jea-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.230-238
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    • 2013
  • This research purposes to investigate parameters which effect on the relapse of alcoholism, to understand psychological factors for stress control and drinking anticipation which lead to the relapse of female alcoholism and to seek practical ways in social welfare for alcoholism, focusing on the traumatic experiences and post traumatic stress symptoms of female alcoholics experienced physical, sexual abuses. The main results of this research can be summarized as follows. First, the characteristic related with physical, sexual traumatic experiences of subjects is that physical, sexual abuses by acquaintances under 18 is more common than that experiences over 18. Second, the 8 pathes among 10 direct pathes are statistically significant. Third, as the result of verification of indirect effects through parameters, in the model, 4 out of 6 indirect pathes parameterized as post traumatic stress symptoms, problem focused coping, and drinking anticipation are significant. Based on these results, the practical implications for the warning of relapse of female alcoholics had been discussed.

Differences in Stress and Stress Coping Strategies according to Emotional Intelligence in Nursing Students (간호대학생의 감성지능 수준에 따른 스트레스 정도 및 스트레스 대처방식의 차이)

  • Song, Ju Eun;Chae, Hyun Ju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.502-512
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    • 2014
  • Purpose: The purpose of this study is to identify differences in stress levels and stress coping strategies according to the degree of emotional intelligence in nursing students. Method: Study participants included 367 nursing students from three universities in Gyeonggi and Chungnam provinces. Data were collected through a self-administered questionnaire in December 2012 and subsequently analyzed via the IBM SPSS 20.0 program with descriptive statistics, independent t-tests, one-way ANOVA and Scheffe tests. Results: The emotional intelligence of nursing students was slightly higher than average. Perceived stress and clinical practice stress among nursing students were high and nursing students used more problem-focused compared to emotion-focused coping strategies. Nursing students who had a higher level of emotional intelligence exhibited lower levels of perceived stress (t=2.26, p=.025) and clinical practice stress (t=9.37, p<.001) and more used problem-focused coping strategies (t=-7.56, p<.001) than those who had a lower level of emotional intelligence. Conclusion: These results suggest that nursing interventions to improve the emotional intelligence of nursing students are necessary to manage stress more effectively.

Acculturation, Psychological and School Adjustment of Early Study-Abroad Adolescents in Terms of Stress Coping Strategy

  • Cho, Yoosue
    • Child Studies in Asia-Pacific Contexts
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    • v.4 no.1
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    • pp.13-25
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    • 2014
  • The goal of this study was to examine the correlations of stress coping strategies and cultural, psychological and school adjustment among Korean early study-abroad adolescents in the United States. Participants were 437 Korean early study-abroad adolescents aged 15 to 18 years old enrolled in summer language institutes located in Seoul and Gyeonggido, South Korea. The survey consisted of questionnaires relating to coping strategies and, cultural, psychological and school adjustments. The data was collected during the break time of summer language institute classes. Results showed that these adolescents' problem focused and social support coping strategies were positively related with acculturation, psychological adjustment and school adjustment, and emotion focused coping strategy was positively related to satisfaction of life.

The Effect of IT Employee's Technostress on Job Burnout: Coping Strategies as a Mediator (IT 종사자의 테크노스트레스가 직무소진에 미치는 영향: 스트레스 대처의 매개효과를 중심으로)

  • LEE, Sang-Won
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.17 no.3
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    • pp.215-227
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    • 2022
  • In the digital transformation paradigm, IT employee work as a key human resource to accept new technologies and to lead their organization to be settled them efficiently. However, due to relatively short term of their job life and high turnover rate, the companies and the organizations are still experiencing problem the lack of IT manpower or turnover. In this study, it attempted to analyze the relationship between IT employee's technostress factors such as techno-overload, techno-complexity, techno-uncertainty, techno-invasion, and techno-insecurity and job burnout through stress coping. To reveal the structural relationship between main variables, the survey was conducted on 318 IT employees. An EFA, CFA, and reliability analysis were performed to confirm reliability and validity, and the structural equation model was conducted to testify research hypotheses. The main results are as follows. First, it was found that techno-uncertainty and techno-insecurity had the significant positive effect on problem focused coping(PFC). And, techno-complexity, techno-uncertainty, and techno-insecurity were found to have a significant positive effect on emotion focused coping(EFC). Second, in the relationship between stress coping and job burnout, it was found that EFC had a significant positive effect on burnout. Third, in the relationship between technostress and burnout, techno-uncertainty and techno-invasion were found to have a significant positive effect on burnout. In addition, it was found that the mediator effect of stress coping between techno-overload and techno-complexity through EFC. Therefore, these outputs are expected to suggest how to motivate IT employees who work as key role in efficient management on IT assets and strengthen competitiveness in digital transformation paradigm.

Correlation Between Stress, Coping Patterns and Physical Symptom of Cancer Patient's Caregiver (입원한 암환자 가족원의 스트레스, 대처방법 및 신체증상간의 상관관계)

  • Kim, Hee-Seung
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.317-326
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    • 2001
  • The purpose of this study was to identify correlation of stress, coping patterns and physical symptoms in cancer patient's caregiver. The stress was measured by VAS(Visual Analogue Scale). The coping methods were measured using the modified Ways of Coping Questionnaire by Yang (1998) and the actual physical symptoms were investigated. The phases of patient illness consisted of 1st (initial) stage, and 2nd (recurred) stage and 3rd (terminal) stage based on literature (Lewandowski & Jones, 1988). The data were collected by a survey conducted from March to July, 2000 and which included 196 cancer patients' caregivers from two hospitals in Seoul. The data were analyzed using paired t-test, unpaired t-test, ANOVA, Scheffe test and Pearson correlation coefficient. The results were as follows: 1. The average of caregivers' stress scores was 62.5. Problem-focused coping methods were significantly used more than emotion-focused coping methods by the cancer patients' caregiver. The mean number of caregivers' physical symptom was 1.03. 2. There were significantly high level of stress in women, those who were more than 60 years old, those who had a low education level, those who had no job, those who are patients' wives' and those who are terminal patients' caregiver. There were significantly low levels of coping in women, those who were more than 60 years old, those who had low education levels, those who had no job and those who are patients' wives. There were significantly higher number of physical symptoms in women, and those who have no job. 3. Caregivers' stress was significantly correlated to problem-focused coping methods (r=-.21, p=.006), and physical symptom (r=-.28, p=.0001). In conclusion, attempts to develop nursing interventions for cancer patients' caregiver in women, those who are more than 60 years old, with a low education level, have no job, and are cancer patients' wives could have an improvement on positive coping methods and provide relaxation from stress in the patients' experience.

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Mental Health Level and Ways of Coping in Undergraduate Students using SNS (SNS를 이용하는 대학생의 정신적 웰빙과 스트레스 대처방식)

  • EO, Yong-Sook;KIM, Myo-Sung
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.6
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    • pp.1532-1545
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    • 2015
  • The purpose of this study was to identify mental health level, way of stress coping and its influencing factors among undergraduate students using SNS. Data were collected using Korean Mental Health Continuum Short Form scale, and the ways of coping checklist modified from 301 undergraduate students in 4 universities in Busan and through online, and analyzed using descriptive statistics, ${\chi}^2$ test, t-test, ANOVA, and Pearson correlation coefficients with SPSS/WIN 21.0. On average, mental health level was 35.6 out of 70 points, and the students using SNS use more active coping than passive coping as way of stress coping. The factors showed significant relationships with mental health were gender, and number of person contacted on offline within online counterparts, and with problem-focused coping were gender, preferred types of SNS, period of use, and hours per day on SNS, with social support seeking were preferred types of SNS, hours per day on SNS, and number of online counterparts, with emotion-focused coping were grade, instruments types for using SNS, and hours per day on SNS and with wishful thought were instruments types for using SNS, and hours per day on SNS. There was a positive correlation between mental health and stress coping type. Based on the results, future research needs to develop positive SNS usage strategies to improve the mental well-being and ways of coping in undergraduate students.