• 대한간호학회지
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• 제26권1호
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• pp.53-72
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• 1996

The Purpose of this study was to identify characteristics of fatigue and the relationship between fatigue and related factors in patients on hemodialysis. This study was a survey study using a cross-sectional design. The subjects for this study were 101 patients on hemodialysis who were registered in the six hemodialysis clinics among a total of eleven clinics in Seoul. The period of data collection was from February 28, 1995 to May 2, 1995. Data were collected through an interview with a structured packet and the physiological data. The tools used in this study were the Visual Analogue Scale-Fatigue developed by Lee et al(1990) and translated by Lee(1991), the fatigue interview schedule developed by this researcher, Zung's self rating depression scale(Zung, 1965), the self-efficacy scale developed by Sherer et al(1982) and the Norbeck Social Support Questionnaire(NSSQ) translated by Oh(1984). The collected data were analyzed using descriptive statistics(mean, standard deviation, frequency, range), Pearson correlation coefficients and Stepwise multiple regression. The results were as follows ; 1. Characteristics of Fatigue of hemodialysis patients : 1) 79 of 101 hemodialysis patients complained fatigue. 2) The mean fatigue score as measured by the VAS-F was 36.2mm. 3) The mean duration of fatigue was 2.9 hours 2. Characteristics of fatigue related factors : 1) The physiologic factor which included Hgb, Hct, BUN, creatinine, potassium and interdialytic weight gain deviated from normal range. 2) The psychological factor which included depression and self-efficacy was about the same level as for patients with other chronic diseases. 3) The environmental factor which included social support had wide variation. 3. The relationship between fatigue and related factors : 1) Interdialytic weight gain in the physiologica factor was the only valuable with fatigue （p＜.05） 2) The relationship between fatigue and the psychological factor of depression showed a positive and strong correlation（p＜.05）. According to the findings of this study, fatigue was highly correlated with the depression. This indicates that nurses should try to assess and control psychological factors when patients complain of fatigue rather than just considering physiological factors. Nursing has to develop effective nursing interventions to reduce fatigue in patients with chronic diseases using the relationship between fatigue and physiological, psychological and environmental factors.

• Annals of Clinical Neurophysiology
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• 제11권2호
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• pp.48-53
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• 2009

Background: Bell's palsy produces a complex problem that involves not only facial motor weakness, but also psychiatric issues. However, the relationship between facial neuromotor system impairment and psychological adjustment has not been well understood. Methods: We have performed psychological evaluations in patients with acute unilateral Bell's palsy within 2 weeks after onset. Thirty patients with Bell's palsy (10 men, 20 women) were included, who were diagnosed by neurologic examination, electrophysiologic study and/or brain MRI. We measured facial motor scale of impairment (House-Brackmann, HB scale) and psychosocial adjustment [Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI)] at the time of initial presentation and 1 month after diagnosis. Results: The age of the enrolled patients ranged from 16 to 80 years. The mean grade of initial and follow up HB scale were 3.87 (SD: 0.63, range 2~5) and 1.77 (SD: 1.10, range 1~5). The mean score of initial and follow up BAI, BDI were 11.93 (range; 0 to 47, SD: 9.65, very low anxiety), 14.73 (range; 0 to 41, SD: 9.21 minimal depression) and 7.5 (range; 0 to 36, SD: 8.58, very low anxiety), 9.33 (range; 0 to 30, SD: 8.19 minimal depression). There was positive correlation between improvement of HB scale and improvement of BAI and BDI score. Conclusions: Bell's palsy is associated with the psychological problems such as depression and anxiety, and the improvement of motor symptom is associated with the improvement of these psychological problems.

• 한국조경학회지
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• 제45권1호
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• pp.35-51
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• 2017

가로정원은 서울시 가로환경 개선 사업의 일환으로, 보행자들에게 심미적 만족과 심리적 안정감을 제공하기 위한 휴식공간으로 설치되었다. 본 연구에서는 실제 가로정원이 이용자의 심리적 향상을 돕는지 고찰하기 위해, 가로정원과 이에 상응하는 비교대상지를 선정하여 설문조사를 실시하고, 결과를 비교하였다. 서울시에 위치한 총 9개의 가로정원 중 강남대로, 디지털로, 테헤란로에 설치된 가로정원을 대상지로 선택하였으며, 비교대상지로는 동일 대로상에 위치하며 물리적 환경이 유사하나 가로정원 사업이 시행되지 않은 3개의 장소를 선정하였다. 설문은 주의회복이론(Attention Restoration Theory: ART)을 근거, '매력감(Fascination), '벗어남(Being away)', '짜임새(Coherence)', '규모(Scope)'를 중심으로 구성된 회복환경지각척도-11(Perceived Restorativeness Scale-11) 질문과, 심리적 회복을 유도한 설계 요소를 묻는 질문으로 구성하였고, 요인분석, 신뢰도 분석, 독립표본 t-검정을 이용하여 분석하였다. 분석 결과, 가로정원은 이용자들의 심리적 회복에 비교적 긍정적 효과를 미치며, 특히 이용자들에게 매력감과 흥미로움을 부여한다고 나타났다. 그러나 가로정원은 이용자들에게 고단한 현실에서 벗어나는 듯한 느낌을 주지 못하여 심리적 향상효과의 한계를 드러냈다. 심리적 회복효과를 유도한 가로정원의 물리적 요소는 나무벤치, 나무, 꽃으로 나타나, 자연적인 요소가 인공적 요소보다 심리적 회복에 긍정적 영향을 준다는 심리회복 이론에 부합하였다. 본 연구의 결과는 향후 가로정원 사업을 추진함에 있어 계획 및 설계 가이드라인 개발에 기여할 것으로 기대된다.

• Journal of Oral Medicine and Pain
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• 제45권3호
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• pp.56-64
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• 2020

Purpose: Temporomandibular disorders (TMD) is a mosaic of clinical signs and symptoms that can be regarded as a set of phenotypes that are affected by various factors including pain sensitivity, pain disability, sleep and psychological functioning. The aims of this study were to evaluate association of pain experience, sleep quality and psychological distress with different phenotypes of TMD patients. Methods: This retrospective study included a cohort (n=1,858; 63.8% for female, mean age=34.9±15.9 years) of patients with TMD. A set of self-administered questionnaires concerning pain interference (Brief Pain Inventory), pain disability (Graded Chronic Pain Scale), sleep quality (Pittsburg Sleep Questionnaire Index), psychological distress (Symptom Checklist-90 revised), and pain catastrophizing (Pain Catastrophizing Scale) were administered to all participants at the first consultation. All TMD patients were classified into four groups including TMD with internal derangement without pain (TMD_ID, n=370), TMD with joint pain (TMD_J, n=571), TMD with muscle pain (TMD_M, n=541) and TMD with muscle-joint combined pain (TMD_MJ, n=376). Results: The female ratio was particularly high in the group with TMD_MJ (p=0.001). The patients with muscle pain and both muscle and joint pain had longer symptom duration (p=0.004) and presented significantly higher scores in pain experience (p<0.001), subjective sleep quality (p<0.001), pain catastrophizing (p<0.001) and psychological distress (p<0.05) except for paranoid-ideation than the groups with only joint problems. Conclusions: The results of this study highlight the importance of multi-dimensional approach that consider pain disability, sleep quality, and psychological functioning in the management of TMD with muscle component. This study would contribute to a better understanding of interaction between heterogeneous TMD and multiple risk factors in order to build tailored treatment based on different phenotypes.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2707-2716
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• 2013

본 연구는 다양한 형태의 조직들에서 IT 거버넌스와 관련된 통제에 대해 조직원들의 개인기기 사용 확산에 따른 반발 심리의 분석에 초점을 둔다. 이를 위해 IT 거버넌스 통제와 관련된 선행 연구, 조직원의 반발 심리에 대한 척도 및 기대이론을 바탕으로 연구 모형을 구성하였다. Hong의 심리적 반발 척도, 기대이론의 보상 정도, 조직에서의 직급이나 조직 규모에 따라 조직원들의 IT 통제에 대한 반발요인과 태도의 통계적 유의성을 검증할 수 있었다. 이를 통해 IT 거버넌스를 통한 경영목표 달성을 위한 통제와 조직원 반발요인에 대한 체계적 분석을 통한 분석 틀을 제시하고 실무적으로도 조직의 IT 거버넌스 통제에 대한 시사점을 얻을 수 있다.

• 생물정신의학
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• 제27권2호
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• pp.74-83
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• 2020

Objectives Psychological resilience plays a significant role in many aspects of mental health. The aim of this study was to find an association between childhood attention deficit hyperactivity disorder (ADHD) features and adulthood psychological resilience in patients with mood disorders. Methods A total of 213 patients with mood disorders including major depressive disorder or bipolar I, II disorder and 909 healthy controls were included. We assessed childhood ADHD features using the Wender Utah Rating Scale (WURS), adulthood psychological resilience using the Connor-Davidson Resilience Scale (CD-RISC), and current depressive mood using the Beck Depression Inventory (BDI). Pearson's correlation, multiple linear regression and a mediation analyses were performed to examine the relationships between three WURS factor (impulsivity, inattention, and mood instability) scores, the BDI score, and the CD-RISC score. Results The CD-RISC score was negatively correlated with the WURS childhood inattention factor score and current BDI score in patients with mood disorders. BDI score mediated the influence of the inattention factor score on CD-RISC score among patients with mood disorders. The CD-RISC score was significantly lower in patients with mood disorders than in controls even after controlling for age, WURS scores, and the BDI score. Conclusions An evaluation of psychological resilience is important for enhancing recovery and quality of life in patients with mood disorders. When assessing psychological resilience, current depression and ADHD features in childhood, particularly inattention, should be considered.

• 대한간호학회지
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• 제35권2호
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• pp.399-406
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• 2005

Purpose: The purpose of this study was to investigate the factors that affect the psychological well-being in family caregivers of stroke patients. Method: The General Health Perception, short form 36, Health Survey Questionaire was used to measure health perception. The Caregiving Mastery Scale was used to assess the mastery, while the Psychological General Well-Being Index was used to examine the level of well-being. Result: Subjective health, caregiving mastery, patient's ADL and caregiving duration influenced on caregiver's psychological well-being. Subjective health had effect on psychological well-being both directly and indirectly. Caregiving duration and patient's ADL had indirect effect on psychological well-being through caregiving mastery. Conclusion: It is need to develop a health program for the caregivers of stroke patient's and to provide nursing intervention to improve the caregiver's ability, thereby improving the well-being of the family caregivers.

• 수산해양교육연구
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• 제22권2호
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• pp.205-217
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• 2010

This study attempted to investigate the influence of psychological separation and parental attachment of school resilience of middle school students. Although six hundred forty two middle school students participated in this study, final subjects of this study were 492(male, 243; female, 249) ones. Participants completed Psychological Separation Inventory, Parental Attachment Inventory and School Resilience Scale. Collected data were statistically analyzed using t-test, product moment correlation coefficient and multiple regression. The results of analyses revealed psychological separation statistically significantly predicted school resilience of middle school students and parental attachment statistically significantly predicted school resilience of middle school students. Based upon above results, it is concluded that psychological separation and parental attachment can be useful protective factors for school resilience. The implications of these results were discussed and future research questions were suggested with several comments on limitations of this study.

• 한국조경학회지
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• 제32권5호
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• pp.43-51
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• 2004

Recently, the importance of choosing correct pavement materials has been increasing in urban spaces and streets. Much research regarding the pavement theory and construction method have been conducted, but analysis in terms of human psychological character has not yet been performed. The purpose of this study is to investigate the psychological characters to 12 pavement materials, that are commonly used in our urban spaces and streets. The results of the psychological character for each pavement material can be summarized as follows: 1. The psychological characters to each pavement material were as follows: ① Clay embodies a natural, traditional, soft and intimate psychological character; ② Pebble stone has a natural, hard, cool and intimate psychological character; ③ Turf grass incorporates an intimate and soft psychological character; ④ Ceramic brick has an artificial and hard psychological character; ⑤ Tile pavement has a modern, artificial, hard and cool psychological character; ⑥ Water permeable concrete has a modern and artificial psychological character; ⑦ Flag stone has a natural psychological character; ⑧ Granite has a modern and artificial psychological character; ⑨ Portland concrete has an artificial and hard psychological character; ⑩ Small compacted brick has an artificial, dynamic and modern psychological character; ⑪ Wood block pavement has a natural and traditional psychological character; ⑫ Asphalt concrete pavement has a modern, hard and artificial character. 2. On the results of the cluster analysis regarding psychological indexes for 12 pavement materials, pavement materials were categorized in 3 clusters. Among them, one cluster was mainly used as the most popular pavement material in our urban spaces and streets. From this point of view, psychological character for pavement material in our urban spaces and streets was not as various as we expected. 3. In conclusion, the proper selection of pavement materials was very important and the factors affecting the human psychological character should be considered in the design of urban spaces and streets.

• 지역사회간호학회지
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• 제29권3호
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• pp.257-266
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• 2018

Purpose: The study has been conducted to identify factors affecting the participation in leisure activities by elderly women living alone. Methods: Data were collected through a questionnaire survey among 150 elderly women in Seoul and Gyeong-gi Province. The measurement tools that were used include participation in leisure activities, perceived health status, Geriatric Depression Scale Short Form-Korea (GDSS-K), psychological well-being scale, and loneliness scale. The data were analyzed by using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and stepwise multiple regression with the SPSS/windows version 21.0 program. Results: The analysis shows that the affection for participation in leisure activities of the elderly women living alone who participated in the questionnaire survey is significant (F=14.6, p<.001). The value of the adjusted $R^2$ is 0.55, which accounts for the explanatory power of 55.4%. The predictor that has been found to have the greatest influence on the participation in leisure activities by the elderly women living alone include perceived health status, followed by monthly allowance (10,000 won), psychological well-being, economic status, religion, depression, family structure, and loneliness. Conclusion: The results suggest that in developing nursing interventions and practice for the participation in leisure activities by elderly women living alone, perceived health status, psychological well-being, depression, and loneliness should be considered.