• Title/Summary/Keyword: Social anxiety

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Standardization of Korean Version of Daily Stress Inventory(K-DSI) (한국어판 일상 생활 스트레스 척도(K-DSI)의 표준화 연구)

  • Joe, Sook-Haeng;Lee, Hyeon-Soo;Song, Hyun-Cheol;Kim, Seung-Hyun;Sub, Kwang-Yun;Sin, Dong-Kyun;Ko, Seung-Duk
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.72-87
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    • 2000
  • Objectives : This study was to provide normative data of Korean version of DSI(K-DSI), a sensitive measure of relatively minor stressors that could be administered daily. Methods : K-DSI was administered in 524 adults, age of 19 or over, daily for 1 week. On the seventh day, Becks Depression Inventory(BDI), State-Trait Anxiety Inventory(STAI), and Social Readjustment Rating Scale(SRRS) were also given to test the convergent validity. Analyses(ANOVA or t-test) were conducted to examine the potential effects of demographic variables on K-DSI score. Internal consistency for reliability and Pearson's corelation coefficient with BDI, STAI, SRRS for convergent validity were computed. Percentile scores were calculated for daily and weekly K-DSI Event, Impact and I/E Ratio scores. Results : K-DSI scores in women were higher than those in men. According to age and educational level, the younger and the higher educational level the normative groups were, the higher were K-DSI scores. Among the 5 categories of the inventory, the category of cognitive stressors was highest. Internal consistency of K-DSI(Cronbach's $\alpha$) was .99. Daily and Weekly events and impacts scores were significantly correlated with the scores of State-Trait Anxiety Inventory, Social Readjustment Rating Scale, and Beck Depression Inventory. 75 percentile scores of the daily/weekly Events, Impacts, and I/E ratio were 17/118 - 124, 57/368 - 389 and 3.48 - 3.49/3.47 - 3.48 respectively. And 95 percentile scores of daily/weekly Events, Impacts, and I/E ratio were 57/151- 161, 405/1038 - 1122, and 4.72 - 4.86/4.46 - 4.56 respectively. Conclusion : Reliability and validity of K-DSI were tested satisfactorily. Authors presented the normative data of K-DSI for Koreans. K-DSI could be a useful measure in clinical settings or researches to assess the minor stressors frequently experienced in everyday life.

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The Objective and Perceived Level of Economy and Its Relationship with Mother's Mental Health, Parenting Behaviors, and Problem Behaviors in Preschoolers (실제 경제수준과 지각된 경제수준 간 차이에 따른 어머니의 정신건강, 양육행동 및 유아의 문제행동 비교)

  • Youn-Hee Roh ;Ji-Hyeon Kang
    • Korean Journal of Culture and Social Issue
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    • v.17 no.3
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    • pp.343-364
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    • 2011
  • This study investigated the objective and perceived level of economy and its relationship with mother's mental health, parenting behaviors, and problem behaviors in preschoolers. Data drawn from mothers and teachers of 238 preschoolers, ages 3-5, were used. Using the objective and perceived level of economy, subjects were classified into four groups. Individuals categorized as high by objective and perceived level of economy, low by objective and perceived level of economy, high by objective and low by perceived level of economy, and low by objective and high by perceived level of economy were categorized as in-agreement/high group, in-agreement/low group, over-estimator group, and under-estimator group, respectively. To investigate the difference between groups, one-way ANOVAs and post-hoc analyses were used. The results showed that in-agreement/low group and under-estimator group showed greater depression and anxiety than in-agreement/high group and over-estimator group. In addition, in-agreement/high group and over-estimator group showed greater affective parenting behaviors and lower aggressive parenting behaviors than in-agreement/low group and under-estimator group. In terms of internalizing problem behavior by mother, in-agreement/high group and over-estimator group were lower than under-estimator group. In terms of externalizing problem behavior by mother, in-agreement/high group was lower than under-estimator group. However, in terms of internalizing and externalizing problem behavior by teacher, there was no difference between groups. In externalizing problem behavior by teacher, in-agreement/low group was lower than over-estimator group.

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A Study of CVA patients에 Experience of the Illness (뇌졸중 환자의 질병경험에 관한 연구)

  • 남선영
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.479-489
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    • 1998
  • This work was done for 9 patients having experience of a herb medical treatment after being diagnosed as CVA during a year from January, 1996 to December, 1996 by using an ethnographic research method. The summarized results of this research are following. Ⅰ. THE EXPERIENCE OF THE ILLNESS First, the falling-ill phase is the time that they have the first stroke of paralysis and the decision pattern of medical institution' comes out. The emotional experience in the period is something like 'flustration', 'anxiety', 'despair', and 'expectation'. Second, the active-treatment phase is the time that the patients as well as their family or care giver not only show the positive attitude and actively participate in the illness treatment but also show a lot of interest in medical institutions and activities of health recovery. There is a primary factor of the continuation of treatment as an experience of treatment and being crushed and sensitivity as an experience of the illness. Third, the rehabilitation phase is the time that the patients or their family become tired and insensitive to the treatment and recuperation, and then reduce the treatment activity. There is a primary influence factor of the discontinuance of treatment as an experience of treatment and physical experience and emotional experience as an experience of the illness. The physical experience is divided into 'personal-hygiene care', and 'the sphere of activity' The emotional experiences are 'blaming someone', 'contempt' and 'despair' as a negative experience and 'hope' as a positive experience. Ⅱ. COPING STRATEGY There are a physical coping, an emotional and mental coping, a social coping, and a spiritual coping as a coping strategy used for the patients to overcome their illness and adjust themselves to their altered life. First, the physical coping comes out as 8 categories, 'using an auxiliary tool', 'doing exercise', 'protecting', 'improving their diet', 'taking care of something', 'using subsidiary medicines', 'trying a folk remedy', and 'having interest in their health'. Second, for the emotional and mental coping, there are 'accepting' and 'trying' as a positive coping and a failure of control as a negative coping. Third, the social coping is appeared as 'being supported'. Fourth, the spiritual coping is recognized as' recourse to God' and 'preparation of death'. After all, the elderly CVA patients in an agricultural area choose the act of treatment based on the traditional belief and the relationship with a caretaker. A personal health can be maintained by taking care of themselves and controling their mind, and the overcome of the illness is decided on the basis of traditional concepts and cultural principles in which the patients as well as the family, neigbors and take carers should work out together and cooperate with each other in order to achieve that.

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THE PRELIMINARY STUDY ON THE ADOLESCENT PSYCHIATRIC PATIENTS THAT SHOW THE CHRACTERISTICS OF PEER GROUP NEGLECT OR REJECTION (청소년 정신과 환자 중 외톨이 혹은 왕따 특성을 보이는 환자에 대한 예비 연구)

  • Kim, Eun-Jung;Hong, Sung-Do;Lee, Si-Hyung;Hong, Kang-E;Son, Jung-Woo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.240-251
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    • 2000
  • This study was a preliminary study on the adolescent psychiatric patients that show the characteristics of peer group neglect or rejection. We divided the adolescent psychiatric patients(n=25) into neglect-reject group(n=15) and non-neglect group(n=10). Each patient answered 8 scales and several questions about general relationships with friends. And, both the score of each 8 scales and answer about qusetions were examined. Lastly, records of 5 cases from neglect-reject group were analyzed. The depression dimension score of SCL-90-R, anxiety dimension score of SCL-9O-R, paranoid dimension score of SCL-90-R, interaction anxiousness scale(IAS) score were significantly different between 2 groups. On the result of case analysis about 5 patients of neglect-reject group, the adolescent psychiatric patients had a tendency to be rejected or neglected in case of having developmental problems(for example, language development or cognitive impairment).

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A Study on Psychosocial Trait and Mental Health of the Adolescent's Addiction to Cybersex (인터넷 섹스중독 청소년의 심리사회적 특성과 정신건강 연구)

  • Lee, Sang-June
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.341-364
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    • 2003
  • The purpose of this study was to investigate the relationship between adolesccents' cybersexual addiction and psychosocial traits. In addition, the relationship between cybersexual addiction and mental health were examined. For the study, 1,742 students attending middle schools and high schools were surveyed. According to the results of study, first, 1.3% of the adolescents reported the severe degree of cybersexual addiction, 2.3% of them had the moderate degree of addiction, 4.2% of them showed the minor degree. The result indicated that 7.8% of entire adolescents had cybersexual addiction. Second, middle school students showed the highest rate of cybersexual addiction and the students attending general high schools reported the lowest rate. Third, the following groups were likely to have the higher levels of cybersexual addiction; students who were males, had low self-control and less emotional support from the family and friends, and whose parents had marital problems. Fourth, the cybersexually addicted adolescents had experienced more psychological symptoms than general internet users had. Fifth, there was the positive relationship between cybersexual addition and psychological symptoms among adolescents. In particular, cybersexual addiction had the most serious effect on phobic anxiety. Finally, T-score measuring the degree of psychopathological symptoms had the positive relationship with the level of cybersexual addiction among adolescents. Moreover, adolescents who had clinical psychopathology and T-score over 70 showed the various rates from 10.9% to 45.2% in the 9 domains of symptoms.

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Determinants of the Self-Rated Health Status of the Elderly in Healthy City Wonju, Republic of Korea (노인과 청장년의 주관적 건강에 관한 비교 연구)

  • Nam, Eun-Woo;Ikeda, Nayu;Green, Jackie;Moon, Ji-Young;Park, Myung-Bae
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.65-77
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    • 2008
  • Objectives: The purpose of this study was to examine factors associated with the self-rated health status of the elderly and whether these factors were different from younger adults. Methods: An interview survey was conducted on non-institutionalized adults in Wonju City, Korea. Determinants of self-rated health status were identified and compared between individuals aged 19 to 64 years and those aged 65 years and over, using an ordered logistic regression conducted separately on these two groups. Participants were 1,685 younger adults and 188 elderly people. Self-rated health status was measured along a continuous scale from 0 to 100 (0 for the worst and 100 for the best they could imagine) and then binned into 11 categories. Results: Self-rated health status of the elderly in Wonju was associated with household income, education, bereavement, adequate sleep, daily and social life being affected by poor health status, mobility, and anxiety and depression. Household income, adequate sleep, and participation in social activities were significant only in the elderly, while some factors associated with the self-rated health status of younger adults, such as rural dwelling, regular exercise, living alone, and skipping breakfast were not significant in the elderly. Conclusion: In order to improve the health of the elderly in Wonju City, it would be necessary to develop programs addressing those specific needs of the elderly and to integrate them effectively in the Healthy City projects.

Effects of Mental Health Levels and Oral habits on Temporomandibular Joint Symptom in Some Adolescents (일부 청년기 성인의 정신건강과 구강습관이 턱관절 증상에 미치는 영향)

  • Hong, Min-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.381-387
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    • 2020
  • This study investigates the effects of mental health and daily oral habits on temporomandibular joint symptoms. The study was conducted from September 1 to 30, 2019, enrolling a total of 402 young adults. We determined that mental health levels of anxiety, depression, and social maladjustment are significantly different, depending on life satisfaction (p<0.001), subjective health status (p<0.001), and trauma (p<0.01). Treating jaw joints exerted a significant difference in social maladjustment (p<0.05). Temporomandibular joint symptoms are significantly higher among women (p<0.05), drinkers (p<0.01), trauma (p<0.01) and jaw joint treatment patients (p<0.001). Mental health levels (p<0.001), oral habits (p<0.001), and temporomandibular joint symptoms (p<0.001) are all positively correlated. In addition, oral hygiene has the greatest influence on temporomandibular joint symptoms of trauma. Furthermore, factors experienced during treatment of the jaw joints also affect the temporomandibular joint symptoms. We conclude that it is imperative to improve oral health and malpractice in treating jaw joint disorders, and also develop a program that effectively improves jaw joint health, by combining mental health counseling and daily lifestyle improvements.

Analysis of Cancer Nursing Research in Digestive System in Korea (소화기계 암환자의 국내 간호연구 분석)

  • Sohn, Sue-Kyung;Han, Young-In;Kim, Kyung-Hee;Youn, Su-Jung
    • Asian Oncology Nursing
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    • v.5 no.1
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    • pp.52-62
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    • 2005
  • Purpose: This study was to analyze the research trend centering on the theses to cancer nursing research in digestive system released in Korea. Method: The researcher collected the academic degrees and theses published on the book of the academic soceity from January 1993 to August, 2004, and examined 38 domestic papers of cancer nursing research in digestive system. Results: 1) As for the subject, the results were : patients with stomach cancer 25(66%), colon cancer 4(11%), rectal cancer 3(8%), and others(taxi drivers 2, family of cancer patents. 2) As for the research designs the result were : quantitative studies were 33(87%), and qualitative studies were 9(23%). 3) As for key concepts of survey, the results were : life patterns of patients with rectal cancer, oral intake of stomach cancer patients, fatigue of stomach cancer patients undergoing chemotherapy, nursing needs when discharging from hospital after operation with gastrectomy, and so on. 4) As for the comparative studies, the results were : risk factors between colorectal patients and general population, early symptom and risk factors between stomach cancer patients and general population, and risk factors between stomach cancer and patients with gastritis. 5) As for main concepts of correlational studies, the results were : quality of life, health belief, fatigue, health promotion behavior, social support, straitanxiety. 6) The treatment of experimental research, the results were : information services, arc reflex massage, acupressure, educational program for discharge, 7)As for the qualitative studies, in terms of subjects, stomach cancer patients were 2, spouse of patients with stomach cancer was 1, rectal cancer patients were 2. In the theme of the qualitative studies, the results were: experience of family of patients with stomach cancer, experience of long term survival of patients with rectal cancer, experience of disease process of rectal cancer patiens. 8) As for the used instrument in studies, the results were : Strait-anxiety Scale by Spielberger, Nausea and Vomiting Scale by Rhodes, Social support by Tae and Lee, Health belief by Champion, Becker, and Moon. QOL by NCCN, Roh, Pdilla, Kwon, Revised Fatigue Scale by Piper, Health Locus of Control by Wallston and Wallston, Uncertainty Scale by Mishel. Conclusions: More research needs to be encouraged in various subject of cancer patients in digestive system. More nonexperimental and experimental researches should be conducted for the establishment of the basis of practical and theoretical framework and the providing good quality of care for cancer patients.

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Effect of Multifaceted Intervention Program on Multi-Dimensional Psychologic Condition, Empowerment, Work Readiness, and Functional Capacity in Industrially Injured Workers (다면재활프로그램이 산업재해근로자의 다차원 심리상태, 역량강화, 직업복귀준비 및 작업능력에 미치는 효과)

  • Noh, Dong-hee;Song, Moon-Hee;Jo, Eun-Ju;Kang, Seong-Gu;Kim, Kyoung-Hwa;Kam, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.293-301
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    • 2018
  • This study examined the effects of a multifaceted intervention program on the psychological condition, empowerment, work readiness, and functional capacity for job performance of industrially injured workers. Twelve injured workers in C hospital were included in this study. The subjects participated in a social rehabilitation program 2 hours a day, twice a week, for 8 weeks in total, as well as a work hardening program 3 to 4 hours a day, 5 times a week, for 8 weeks in total. The study was conducted from March to September, 2017. A multi-dimensional psychological examination, empowerment scale, work readiness interview and functional capacity evaluation were conducted and the test scores compared before and after the program with the Wilcoxon signed rank test. In the multi-dimensional psychological examination, there were significant differences in the levels of anxiety, depression, lack of social support, and somatization symptoms (p<.05) except anger. The participants also showed significant differences in the empowerment scale, work readiness scale, and functional capacity evaluation. This study suggests that a multifaceted intervention program can be effective in improving the psychologic condition, empowerment, work readiness, and functional capacity of industrially injured workers and, in turn, may improve their rate of returning to work.

Evaluation of the Reliablility and Validity of Premenstrual Assessment Form in Adolescents (월경 전기 평가서 (Premenstrual Assessment Form : PAF)의 신뢰도, 타당도 연구 - 청소년을 대상으로 -)

  • Joe, Sook-Haeng;Lee, Hyeon-Soo;Kwak, Dong-Il;Ko, Seung-Duk
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.21-36
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    • 1996
  • This study was attempted to investigate reliability and validity of premenstrual assessment form(PAF). PAF was administered to 230 high school students who had reported premenstrual changes. PAF revealed considerable diversity in premenstrual symtom changes of the subjects. The items with most frequent reported premenstrual changes were 21 items out of 95. Cronbach's internal consistency was .95, and test-retest reliability was .80. Validity test was performed by constructional validation analysis. 8 factors(impulsive & unstable factor, depressive factor, withdrawal & social functioning impairment factor, anxiety & cognitive dysfunction factor, physiological factor, general discomfort factor, increased well-being factor, other factor) emerged at factor analysis. Each of them accounted for 33.97, 5.10, 3.70, 2.93, 2.64, 2.46, 2.12, 2.03 of total variance respectively. High school students experienced impulsive & unstable features of premenstrual symptoms more frequently. This study suggests PAF can be a reliable and valid tool as a initial screening and evaluation of premenstrual changes. finally, factor analysis result was compared with PAF typological categories.

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