• Title/Summary/Keyword: Psychosocial stress

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Risk Factors for Premature Birth among Premature Obstetric Labor Women: A Prospective Cohort Study (조기진통 임부의 조산 발생 영향요인: 전향적 코호트 연구)

  • Kim, Yun Kyung;Lim, Kyung Hee
    • Women's Health Nursing
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    • v.24 no.3
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    • pp.233-242
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    • 2018
  • Purpose: To identify risk factors for premature birth among premature obstetric labor women. Methods: Participants were 129 hospitalized women who were diagnosed with potential premature obstetric labor with 20 weeks to 37 weeks of gestation. Data were analyzed using descriptive statistics, $x^2$ test, t-test, and binary logistic regression. Results: Of 129 women, 78(60.5%) gave premature birth and 51 (39.5%) gave full-term birth. Risk factors for premature birth were education level (${\leq}$bachelor's degree), abnormal bowel condition (constipation or diarrhea), time firstly diagnosed with a premature obstetric labor (below 28 weeks of pregnancy), and multiple pregnancy. There were also increased risks of premature birth for participants with high level of anxiety and high level of prenatal stress. In social support, there was an increased risk of premature birth for participants with low level of social support. Conclusion: Prenatal nursing programs should consider not only psychosocial factors such as anxiety, prenatal stress, and social support, but also some general and obstetric factors such as education level, abnormal bowel condition, time firstly diagnosed with a premature obstetric labor, and multiple pregnancy to increase maternal and child health.

A Case of Dissociative amnesia with Conversion disorder -By using psychotherapy- (해리성 기억상실과 전환장애를 동반한 환자의 증례 -정신요법을 사용하여-)

  • Kwak, Sun;Lee, Seung-Gi;Choi, Woo-Jin
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.191-198
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    • 2003
  • Dissociative amnesia is a psychiatric disorder charicterized by a sudden loss of memory, but which has no organic disease or explanation, It usually occurs after severe psychosocial stress or traumatic experience. As for medical treatment, medicine, psychotherapy and hypnosis are used. This case describes a 35-years-old woman who developed amnesia and depression following severe troublesome events. So she suited without expression and appealed against headache, dizziness, chest discomfort and weakness. Psychoanalytic psychotherapy was enforced for three days with hypnosis. She expressed the felling over the incident which she dose not like, and canceled in the past. She became reconciled with the family and left the husband by the heart. Then she recovered memory completely and body condition also improved. Recovery and growth of self were helped using supportive expression in order to prevent a recurrence. The prognosis is good with complete recovery, and there was no relapse.

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Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye;Kang, Suk-Hun;Seo, Wan-Seok;Koo, Bon-Hoon;Kim, Hye-Geum;Yun, Seok-Ho
    • Journal of Yeungnam Medical Science
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    • v.38 no.3
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    • pp.194-201
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    • 2021
  • Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

Preference Analysis of Forest Therapy Program according to the Stress Level (스트레스 수준에 따른 산림치유 프로그램 선호도 분석)

  • Kim, Youn-Hee
    • Korean Journal of Environment and Ecology
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    • v.30 no.3
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    • pp.434-442
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    • 2016
  • This study examined differences in the preference of the fest therapy program regarding stress level. Using convenience sampling method, the surveys on the preferred type of forest healing program and social and psychological stress scales was carried out for adult male and female. As a basis of Psycho social Stress Scale (PWI-SF: Psychosocial Well-being Index Short Form), the adult 620 people were classified such as healthy group, potential stress group, high-risk stress group. The data were analyzed by use of SPSS 21.0 program. To see the difference in preferences for forest therapy program between the three groups according to stress levels, it was analyzed using one-way ANOVA. Depending on the stress levels, there were differences in the preferences of forest healing program such as breathing, breathing exercises, walking in the forest, listening to the sound of water flowing, viewing the forest, counseling, consultation and expert coaching, stress-related lectures, communication-related lectures, forest bathing wind bathing sun bathing. High-risk stress group preferred cognitive based program such as counseling, consultation and expert coaching, stress-related lectures, communication-related lectures. Healthy group appeared to prefer highly emotional approach of the program to take advantage of the five senses such as breathing, breathing exercises, walking in the forest, listening to the sound of water flowing, viewing the forest, forest bathing, wind bathing, sun bathing. Noticeable preference difference was not observed in the potential stress group. It is hoped this study will serve as a basis for the development of forest healing program regarding stress level.

Effects of Box Color and Precision Demand on the Muscles' Recruitment Pattern in Repetitive Lifting Tasks (대칭형 들기 작업에서 사회심리적 요인이 근육 동원 형태에 미치는 영향 분석)

  • Song, Young-Woong;Lee, Wook-Gee;Kim, Sang-Ho
    • Journal of the Korea Safety Management & Science
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    • v.11 no.3
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    • pp.79-85
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    • 2009
  • In this study, the effects of psychosocial stress (box color and precision demand) on muscle activity were evaluated in laboratory setting. Eight subjects performed sagittally symmetric lifting tasks. Box color (yellow, black), precision demand (yes, no), and box weight (5%MVC, 10%MVC, 15 %MVC) were varied and surface EMG signals from seven muscles(medial deltoid right, biceps brachii right, lateral triceps right, latissimus dorsi right, erector spinae right, external oblique right, internal oblique right) were recorded. EMG signals were band-pass filtered($10{\sim}400\;Hz$), rectified, RMS smoothed and normalized (NEMG). Analysis of variance tests were conducted on the total NEMG (TNEMG: the sum of the seven muscles' NEMGs) and on the individual muscle's NEMGs. Box color had no effect on the TNEMG and on the seven muscles activities(p>0.05). When precision demand was required at the end point of lifts, the mean NEMG showed higher values than no precision demand conditions: TNEMG (14% increase) and medial deltoid(40% increase), biceps brachii(10% increase), lateral triceps(26% increase), latissimus dorsi(25% increase) muscles. Those increases showed more conspicuous as the box weight increased in the muscles of medial deltoid, lateral triceps, and latissimus dorsi.

Effects of Horticultural Therapy for the Korean Elderly : A Systematic Literature Review (국내 노인에게 적용한 원예치료의 효과: 체계적 문헌고찰)

  • Kim, Joo-Hyun;Kwon, Sung-Bok;Kim, Hyeon-Ju;Choi, Gyeong-Hye;Lee, Hyang-Mi
    • Journal of Korean Biological Nursing Science
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    • v.18 no.3
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    • pp.153-159
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    • 2016
  • Purpose: This study was conducted to ascertain the effectiveness of horticultural therapy by analyzing researches on horticultural therapy applied to elderly Koreans. Methods: We evaluated 401 research papers including dissertations on horticultural therapy applied to elderly Koreans from Jan. 2000 to Feb. 2016. We reviewed the appropriate 12 papers among them for the final analysis. Results: Horticultural therapy had physiological and psychosocial effects. First of all, it showed the physiological effects of reducing stress hormones. Outdoor horticultural therapy improved the gross motor movements of the body. Indoor horticulture therapy improved delicate cognitive & operating functions. Second, horticultural therapy showed the psychosocial effects of reducing depression and improving cognitive functions, language abilities, comprehension, daily activity, life satisfaction and sociality. But the effects appeared differently dependent on the implementation protocol & period of horticultural therapy, as well as the professionalism of the therapists. Therefore, if horticultural therapy were to be administered through nursing, it should be based on its key principle, in other words, the principle of action-interaction-response of horticultural therapy. Conclusion: The results of this study will be useful for developing therapeutic interventions through nursing. Also they will be helpful in applying horticultural therapy programs in nursing practice.

How Much Does My Work Affect My Health? The Relationships between Working Conditions and Health in an Italian Survey

  • Ronchetti, Matteo;Russo, Simone;Di Tecco, Cristina;Iavicoli, Sergio
    • Safety and Health at Work
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    • v.12 no.3
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    • pp.370-376
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    • 2021
  • Backround: Working condition surveys are widely recognized as useful tools for monitoring the quality of working life and the improvements introduced by health and safety policy frameworks at the European and national level. The Italian Workers' Compensation Authority carried out a national survey (Insula) to investigate the employer's perceptions related to working conditions and their impact on health. Methods: The present study is based on the data collected from the Italian survey on health and safety at work (INSULA) conducted on a representative sample of the Italian workforce (n = 8,000). This focuses on the relationship between psychosocial risk factors and self-reported health using a set of logistic and linear regression models. Results: Working conditions such as managerial support, job satisfaction, and role act as protective factors on mental and physical health. On the contrary, workers' risk perceptions related to personal exposure to occupational safety and health risks, concern about health conditions, and work-related stress risk exposure determine a poorer state of health. Conclusions: This study highlights the link between working conditions and self-report health, and this aims to provide a contribution in the field of health at work. Findings show that working conditions must be object of specific preventive measures to improve the workers' health and well-being.

Factors that determine the Work Ability Index of street cleaners

  • Kim, Jung Won;Yang, Seonhee;Chung, Insung;Lee, Mi-Young
    • Journal of Yeungnam Medical Science
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    • v.36 no.3
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    • pp.219-224
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    • 2019
  • Background: Korea has shown a rapid pace of aging and has become an aged society in a shorter period than Western countries. Therefore, it is important that middle-aged workers maintain their ability to work in the industrial field at the maximum level while maintaining their health. The purpose of this study was to analyze the factors affecting work ability and to use this data to maintain the working ability of middle-aged workers in the future. Methods: From 2015 to 2017, we surveyed 371 street cleaners who visited a health center for health promotion in a metropolitan city. The relationship between the general characteristics of the survey subjects and the Work Ability Index (WAI) was confirmed by a univariate analysis. Statistically significant (p<0.2) factors were selected and a multiple linear regression analysis was conducted with WAI scores as a dependent variable. Results: Age, body mass index, body fat percentage, the Alcohol Use Disorders Identification Test-Korea (AUDIT-K) scores, the Psychosocial Well-Being Index-Short Form (PWI-SF) scores, maximal oxygen consumption ($VO_{2max}$), and hypertension showed statistically significant correlations with the WAI in the univariate analysis. In the multivariate analysis, the $VO_{2max}$, AUDIT-K scores, and PWI-SF scores were included in the regression equation. $VO_{2max}$ had the greatest effect on the standardization coefficient indicating the relative contribution of independent variables, followed by the AUDIT-K scores and the PWI-SF scores. Conclusion: Programs to increase workers' physical work ability and alleviate psychosocial stress and drinking habits should be developed and implemented in the future.

The Relationships between Job Stressor, Coping Strategies, and Stress Responses of Manufacturing Workers (제조업 근로자의 직무스트레스 요인과 대처전략, 스트레스 반응간의 관계)

  • Kim, Jeong-Hee;Yun, Soon-Nyoung
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.387-399
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    • 1999
  • The purpose of this study is to identify the relationships of job stressor. coping strategies. and stress responses of manufactoring workers. Data were collected through self-reported questionnaires from 262 of the manufacturing workers in a local electronic company from July to August. 1999. For data analysis. Cronbach's a. Factor Analysis. Descriptive statistics. ANOVA. and Pearson's correlation coefficient with SPSS/PC+ 7.5 version program were used. The results were as follows: 1. Regard to the stress responses and coping strategies by sociodemographic variables. 'the overall stress responses' showed significant differences by sex. age. marrital state. The use of 'control coping strategy' showed significant differences by sex and the type of work. The use of 'avoid coping strategy' showed significant differences by sex. age. married state. year of career. and income. 2. The average scores of 'the job characteristics and participation in decision making factor'. 'the physical environmental factor'. and 'the role and leadership factor' were 2.66. 2.59. 2.59 in order. The average scores for 'the avoid coping strategy' and 'the control coping strategy' were 3.03. 2.97. The average scores for 'the overall. psychosoical. and physical stress responses' were 2.18. 2.18. 2.23. 3. The 'control coping strategy' was negatively related to 'the job characteristics and participation in decision making factor'. 'the role and leadership factor'. 'the psychosocial stress responses'. and 'the overall responses'. 'The control coping strategy' was positively related to all of 'the job stressors'. 'the physical stress responses', and' the overall stress responses'. 'The physical environment factor' was positively related to all of 'the stress reponses'. 'the role and leadership factor'. and 'the job characteristics and participation in decision making factor'. According to the results of this study, the suggestions were as follows: 1. The coping strategies of manufacturing workers in the specific job stress situation should be considered to future studies. 2. In order to applying the stress management program in the workplace. The organizational intervention focused on 'the job characteristics and participation in decision making' will be needed. 3. To support and use of 'control coping strategy' of the workers. the organizational efforts should be required.

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Psychological Problems and Psychosocial Predictors of Cigarette Smoking Behavior among Undergraduate Students in Malaysia

  • Saravanan, Coumaravelou;Heidhy, Imran
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7629-7634
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    • 2014
  • Background: Cigarette smokers have their own motivation and justification to smoke. For example, smoking reduces their stress or enhances their pleasure. This study aimed to identify the (a) prevalence of cigarette smokers among undergraduates in Malaysia, (b) gender differences in nicotine dependence among current smokers, (c) differences in psychological problems (depression, anxiety and stress) based on the status of smoking cigarettes (current, former and non-smokers) and (d) extent to which precipitating factors (tension reduction, addiction, automatism, handling, social interaction, pleasure, and stimulation) predict the smoking behavior among current smokers. Materials and Methods: In this study 780 undergraduate students participated from a private university in Kuala Lumpur and Selangor state in Malaysia. The Depression, Stress and Anxiety Scale, Modified Reason for Smoking Scale and Fagerstrom Nicotine Dependence Test were used to measure psychological problems, predictors of smoking behavior and nicotine dependency among current smokers. Results: The results showed that 14.7%(n=106) of the students were smokers. Current smokers exhibited more psychological problems (depression, anxiety and stress) compared to former and non-smokers. Addiction, tension reduction, pleasure and automatism were predictors of smoking behavior among the current smoking students. Step wise regression analysis showed that smoking behavior was highly predicted by nicotine dependency or addiction. Smoking students were motivated to smoke cigarettes as they believed that it reduced their tension and enhance pleasure. Conclusions: Hence, there is a need for health promotion and anti-tobacco prevention as cigarette smokers experience more psychological problems. Nicotine dependency or addition was one of the major causes for smoking behavior among the student population in Malaysia.