• 제목/요약/키워드: Psychosocial factor

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불안 장애 환자와 우울 장애 환자의 감정표현불능증

  • 김부용;류석환
    • 대한불안의학회지
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    • 제11권2호
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    • pp.149-154
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    • 2015
  • Objective : The aim of the study was to investigate the difference in alexithymia between anxiety disorder and depressive disorder. The second was to evaluate the effect of alexithymia on quality of life in patients with anxiety disorder and depressive disorder. Methods : A total of 175 patients with diagnoses of anxiety disorder or depressive disorder were recruited. Demographic, psychosocial, and clinical data were analyzed, as well as results on the 20-item Toronto alexithymia Scale (TAS-20K), the Symptom Checklist-90-Re-vised (SCL-90-R), a quality of life scale, the Beck Depression scale, and Beck Anxiety Inventory. Results : As compared with the patients with anxiety disorder, patients with depressive disorder showed significantly higher total score on the TAS-20K and for factor 1 (difficulties identifying feelings) and factor 2 (difficulties describing feeling) scales of the TAS-20K and showed significantly lower scores of psychosocial well-being on the quality of life scale. Total scores on the TAS-20K correlated significantly with scores for some subscale on the quality of life scale. Conclusion : This study suggest that patients with depressive disorder had more alexithymic symptoms and worse quality of life compared with those with anxiety disorder. Also, alexithymic symptoms are found to be associated with quality of life. Therefore, clinicians should try to focus on relieving symptoms to help patients restore their psychological well-being and improve their quality of life.

농촌지역 중학생들의 사회·심리적 요인과 스마트폰 중독과의 관련성 (Relationship Between Psychosocial Factors and Smartphone Addiction Among Middle School Students in Rural Areas)

  • 이후연;조영채
    • 한국산학기술학회논문지
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    • 제16권7호
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    • pp.4711-4722
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    • 2015
  • 본 연구는 농촌지역 남녀 중학생들의 스마트폰 중독 수준을 파악하고, 자기존중감, 불안 및 통제신념과 같은 사회심리적 요인이 스마트폰 중독과 어느 정도 관련성이 있는지 알아보고자 실시하였다. 조사대상은 충청북도의 농촌지역 4개 군에 소재하고 있는 8개 중학교에 재학하고 있는 남녀 중학생 630명으로 하였다. 자료 수집은 2014년 5월 1일부터 5월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사를 실시하였다. 연구결과, 조사대상 농촌지역 중학생들의 스마트폰 중독수준의 분포를 보면 "중독위험군" 이 24.1%를 차지하였다. 또한 이들의 스마트폰 중독수준은 인구사회학적 특성, 건강관련행위 특성, 스마트폰사용 특성뿐만 아니라 자기존중감, 불안, 내적통제신념 및 외적통제신념과 같은 사회심리적 요인과도 유의한 관련성이 있었다. 따라서 중학생들의 자기존중감을 높이고, 불안을 감소시키며, 내적통제신념을 향상시키기 위한 프로그램을 개발하고 학교에 보급하기 위한 노력이 필요하다고 본다.

대학생의 사회심리적 스트레스, 음주효과기대, 음주자제이유가 문제음주에 미치는 영향 (The Effects of College Students Psychosocial Stress, Expected Drinking Effects and Reason for Reducing Alcohol Consumption on Problem Drinking)

  • 이정림;김형태;김선영;윤미은;천성수
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권1호
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    • pp.83-92
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    • 2015
  • Objectives: This thesis intends to find out the extent of drinking problem which is caused by students' psychosocial stress, expected alcohol effects and problem drinker drinking as well as the influence of each factor. Methods: This study was conducted from September 1, 2014 to October 31, 2014 with the target of 466 students (66.6%), who are currently drinking, out of 700 students over the age of 16 and enrolled in 36 universities located in the whole country. This data were analyzed using the program SPSS21. Results: Age, gender, and the school district that showed significant differences in drinking problem compared to other general characteristics played the role of control variables. It was found that psychosocial stress does not affect the drinking problem. The self-reward and human-relation factors included in the expected drinking effect were revealed to influence significantly on the problem and the life and health related factors included in the reason of drinking refrain were also turned out to have significant effect on that problem. The degree of F is 15.665 and the degree of explanatory is 23.6%. Conclusions: Problem drinker in college and enhance the culture and health education policy is necessary to reduce college student drinking effects expected.

산모의 모유수유 적응과 모유 내 면역물질에 영향을 미치는 심리사회적 요인 (Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk)

  • 김은숙;정미조;김수;신현아;이향규;신가영;한지희
    • 여성건강간호학회지
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    • 제20권1호
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    • pp.14-28
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    • 2014
  • Purpose: This study was to identify relationships of maternal psychosocial factors including mother's mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-${\beta}2$). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson's correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother's anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-${\beta}2$, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.

Do Therapeutic Interventions Exist in Online Games? Effects of Therapeutic Catharsis, Online Game Self-Efficacy, and Life Self-Efficacy on Depression, Loneliness, and Aggression

  • Lee, Hye Rim;Jeong, Eui Jun
    • International Journal of Contents
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    • 제14권1호
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    • pp.12-17
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    • 2018
  • This study explored potential therapeutic mechanisms of playing preferred online games as predictors of therapeutic interventions for players' psychosocial factors (i.e., aggression, depression, and loneliness). Based on theories of catharsis, the generic model of psychotherapy, we took a therapeutic approach to integrate these perspectives. We created a path model describing how therapeutic catharsis-seeking, online game self-efficacy, and life self-efficacy were associated with psychosocial factors of aggression, depression, and loneliness, including generalized sub-constructs of each factor as multi-dimensional sources. We analyzed the path model using data of 1,227 online game players in Korea. Our results indicated that therapeutic catharsis-seeking could alleviate aggression via favorite game playing. Life self-efficacy was a primary predictor for alleviating depression and loneliness. However, online game self-efficacy was positively associated with depression and loneliness. Implications of these findings are discussed.

Cross-cultural adaptation and validation of the Turkish Yellow Flag Questionnaire in patients with chronic musculoskeletal pain

  • Koc, Meltem;Bazancir, Zilan;Apaydin, Hakan;Talu, Burcu;Bayar, Kilichan
    • The Korean Journal of Pain
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    • 제34권4호
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    • pp.501-508
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    • 2021
  • Background: Yellow flags are psychosocial factors shown to be indicative of long-term chronicity and disability. The purpose of the study was to evaluate the psychometric properties of the Turkish Yellow Flag Questionnaire (YFQ) in patients with chronic musculoskeletal pain (CMP). Methods: The cross-cultural adaptation was conducted with translation and back-translation of the original version. Reliability (internal consistency and test-retest) was examined for 231 patients with CMP. Construct validity was assessed by correlating the YFQ with the Hospital Anxiety and Depression Scale (HADS), Orebro Musculoskeletal Pain Questionnaire (OMPQ), and Tampa Kinesiophobia Scale (TKS). Factorial validity was examined with both exploratory and confirmatory factorial analysis. Results: The YFQ showed excellent test/retest reliability with an Intraclass correlation coefficient of 0.82. The internal consistency was moderate (Cronbach's alpha of 0.797). As a result of the exploratory factor analysis, there were 7 domains compatible with the original version. As a result of confirmatory factor analysis, the seven-factor structure of YFQ was confirmed. There was a statistically significant correlation between YFQ-total score and OMPQ (r = 0.57, P < 0.001), HADS-anxiety (r = 0.32, P < 0.001), HADS-depression (r = 0.44, P < 0.001), and TKS (r = 0.37, P < 0.001). Conclusions: This study's results provide considerable evidence that the Turkish version of the YFQ has appropriate psychometric properties, including test-retest reliability, internal consistency, construct validity and factorial validity. It can be used for evaluating psychosocial impact in patients with CMP.

Replication of Early B-cell Factor 1 (EBF1) Gene-by-psychosocial Stress Interaction Effects on Central Adiposity in a Korean Population

  • Kim, Hyun-Jin;Min, Jin-Young;Min, Kyoung-Bok
    • Journal of Preventive Medicine and Public Health
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    • 제49권5호
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    • pp.253-259
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    • 2016
  • Objectives: Central obesity plays a major role in the development of many chronic diseases, including cardiovascular disease and cancer. Chronic stress may be involved in the pathophysiology of central obesity. Although several large-scale genome-wide association studies have reported susceptibility genes for central adiposity, the effects of interactions between genes and psychosocial stress on central adiposity have rarely been examined. A recent study focusing on Caucasians discovered the novel gene early B-cell factor 1 (EBF1), which was associated with central obesity-related traits via interactions with stress levels. We aimed to evaluate EBF1 gene-by-stress interaction effects on central adiposity traits, including visceral adipose tissue (VAT), in Korean adults. Methods: A total of 1467 Korean adults were included in this study. We selected 22 single-nucleotide polymorphisms (SNPs) in the EBF1 gene and analyzed their interactions with stress on central adiposity using additive, dominant, and recessive genetic modeling. Results: The four SNPs that had strong linkage disequilibrium relationships (rs10061900, rs10070743, rs4704967, and rs10056564) demonstrated significant interactions with the waist-hip ratio in the dominant model ($p_{int}$<0.007). In addition, two other SNPs (rs6556377 and rs13180086) were associated with VAT by interactions with stress levels, especially in the recessive genetic model ($p_{int}$<0.007). As stress levels increased, the mean values of central adiposity traits according to SNP genotypes exhibited gradual but significant changes (p<0.05). Conclusions: These results suggest that the common genetic variants for EBF1 are associated with central adiposity through interactions with stress levels, emphasizing the importance of managing stress in the prevention of central obesity.

사상체질별 비만요인에 대한 환자-대조군 연구 (A Case-Control Study on Risk Factors of Obese Patients of Each Sasang Constitution)

  • 이갑수;석재화;김상혁;김윤희;이의주;김달래;고병희;이수경
    • 사상체질의학회지
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    • 제19권2호
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    • pp.94-112
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    • 2007
  • 1. Backgrounds and Aims Human being is divided into 4 constitution types(Taeyangin, Soyangin, Taeumin, and Soumin). According to Sasang Constitutional Medicine[SCM] Each constitution has its own incidence, treatment and prevention of disease. The purpose of this study is to find the relation of dietary habits, life styles and Psychosocial stress with obesity in each Sasang Constitution. 2. Methods 975 subjects who have received health examinations and diagnosis of Sasang Constitution at Kyung-hee Medical Center were divided into each constitutional group. Each constitutional group was then divided into obese group and normal group. We evaluated risk factors of obesity such as dietary habits, life styles, and Psychosocial stress. These data were statistically analysed to investigate the relations between risk factors and obesity. And then significant factors were analysed by multinomial logistic regression analysis to get each odds ratio. 3. Results In a multinomial logistic regression analysis adjusted for age and sex, promotion of appetite and overeating or excessive diet elevated risks of obesity in Taeumin, promotion of appetite and high speed of diet elevated risks of obesity in Soyangin, and Psychosocial stress elevated risks of obesity in Soeumin. 4. Conclusions The results suggest that promotion of appetite and overeating or excessive diet may be major risk factors for obesity in Taeumin, promotion of appetite and high speed of diet in Soyangin and Psychosocial stress and dyschezia in Soeumin.

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대학생의 결혼관, 자녀관, 심리사회적 성숙도, 사회적 예비부모역할 인식이 결혼동기에 미치는 영향 (The Effect of View on Marriage, Children, Psychosocial Maturity, Social Pre-parental Role Recognition on Marriage Motivation in Colleger)

  • 박미라;제남주
    • 한국콘텐츠학회논문지
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    • 제19권1호
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    • pp.316-328
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    • 2019
  • 본 연구는 대학생을 대상으로 결혼동기에 영향을 미치는 요인을 파악하여 결혼율 감소를 위한 대책 마련의 기초자료를 마련하고자 시도되었다. 연구대상자는 K도 대학생 175명을 대상으로 하였다. 자료수집은 2018년 10월 1일부터 10월 10일까지였고, 자료분석은 IBM SPSS WIN/21.0을 이용하여 빈도와 백분율, 평균, 표준편차, t-test, ANOVA, Pearson correlation coefficient, Multiple regression를 사용하였다. 대상자의 결혼관은 3.35점이었고, 자녀관은 3.11점, 심리사회적 성숙도는 2.99점, 사회적 예비부모역할인식은 3.46점, 결혼동기는 2.81점이었다. 대상자의 결혼동기는 결혼관(r=.38, p<.001), 자녀관(r=.50, p<.001), 심리 사회적 성숙도(r=0.25, p=.001)와 순 상관관계가 있었으며, 심리사회적 성숙도는 사회적 예비부모역할과 순상관관계가 있었다. 대상자의 결혼동기에 가장 영향을 미치는 요인은 자녀관(${\beta}=.407$, p<.001)이었고, 그 다음으로 결혼관(${\beta}=.329$, p<.001), 성별(${\beta}=-.184$, p=.004), 심리사회적 성숙도(${\beta}=.159$, p=.009), 종교(${\beta}=.126$, p=.003) 순이었다. 설명력은 52.1%이었다(F=26.01, p<.001). 따라서 결혼동기 향상을 위해서는 자녀관과 결혼관을 증진시킬 수 있는 프로그램 마련이 필요하며, 성별과 종교를 고려한 맞춤형 프로그램을 개발하여, 결혼동기 향상을 도모하는 연구가 필요함을 제언한다.

병원에 근무하는 간병인의 업무적 특성과 직무스트레스가 근골격계 자각증상에 미치는 요인 (The Related Factor of Job Characteristics and Occupational Stress on Musculoskeletal Symptom for Caregiver Working in Hospital)

  • 최율정;심현보
    • 대한정형도수물리치료학회지
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    • 제18권1호
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    • pp.19-29
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    • 2012
  • Background: This study was conducted to investigate subjective musculoskeletal symptom and the related factor of caregiver. Methods: For 300 caregiver, we used the self-administered questionnaires to examine occupational stress and subjective musculoskeletal symptom designed by KOSHA. The collected data were analyzed chi-square test, independent t-test and multiple logistic regression analysis using SPSS 12.0. Results: The multiple logistic regression analysis showed that the caregiver working in the general hospital significantly increased the subjective musculoskeletal symptom in their neck, shoulder, hand/wrist/finger, back, leg/foot. For the caregiver working in hospital showed significantly increased the subjective musculoskeletal symptom in their hand/wrist/finger and leg/foot. Conclusions: With the above results, continuous and systematic prevention program should be established, which include the ergonomics and psychosocial factor for the caregiver's musculoskeletal symptom.

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