• Title/Summary/Keyword: Socio-psychological Stress

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Clinical Guidelines for Hwabyung II. (Research on the Status of Hwabyung in Korea) (화병 임상진료지침 II. (화병의 실태))

  • Chung, Sun-Yong;Song, Seung-Yeon;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.15-22
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    • 2013
  • Objectives : The Hwabyung Research Center of The Korean Society Of Oriental Neuropsychiatry attempted to produce clinical guidelines for doctors of Korean medicine for the treatment of Hwabyung. Methods : A standard guideline development process was followed. Relevant literature was identified by a review of bibliographies. The operational criteria were used to rate the quality of scientific evidence, and the line of treatment recommendations included a consensus clinical opinion. This section of "the status of Hwabyung in Korea" is 2 out of 5 articles drafted and reviewed by clinicians. Results : Hwabyung is changed depending on the time and have a risk of relapse. Like the previous studies, Female and lower socio-economic and educational level people suffers Hwabyung frequently. But recently number of Male Hwabyung patients increases. Recovery of Hwabyung is involved in depression, anxiety, stress. Hwabyung is related to Major depressive disorder, generalized anxiety disorder, somatoform disorder and diseases of the digestive system. Conclusions : This study was observed for the progression of Hwabyung. Hwabyung is a long-term disease associated with depression, anxiety and stress. Hwabyung is accompanied by physical and psychological symptoms and degrades the quality of life.

Prevalence and Correlates of Symptoms of Post-Traumatic Stress Disorders in Korean Older Adults Exposed to Natural Disaster (자연재난 피해 노인의 외상 후 스트레스 장애(PTSD) 발생 관련 요인)

  • Cho, Myong Sun
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.214-227
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    • 2019
  • Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

The Effects of Socio-demographic Factors, Acculturation Stress and Resilience on Depression among Mothers-in-law in Multicultural Families (다문화가정 시어머니의 사회인구학적 특성, 문화적응 스트레스 그리고 탄력성이 우울에 미치는 영향)

  • Kim, Dong-Hee;Lee, Sang-Hwa;Bae, Young-Sil;Ha, Yi-Kyung
    • Research in Community and Public Health Nursing
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    • v.26 no.3
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    • pp.221-229
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    • 2015
  • Purpose: The purpose of this study was to investigate factors influencing depression among mothers-in-law in multicultural families. Methods: For this study, 159 participants from multicultural families were recruited through administrative units of the B. & U. Metropolitan City and G. Province. Data related to acculturation stress, resilience, and depression were collected from April to August 2014 and analyzed through t-test, one-way ANOVA, Pearson correlation coefficients, and regression analysis with the SPSS/WIN 22.0 for Windows program. Results: The participants had a moderate level of acculturation stress ($2.43{\pm}0.75$: range 1~5) and resilience ($4.74{\pm}1.14$: range 1~7). About 58% of the participants had depression. The results of stepwise multiple regression analysis indicated that mothers-in-law's depression was affected by resilience (${\beta}=-1.17$, p<.001), acculturation stress (${\beta}=0.85$, p=.026), perceived economic level (${\beta}=-0.83$, p=.016), difficulty in physical activity (${\beta}=-0.62$, p=.027), relationship satisfaction (${\beta}=-0.51$, p=.035), and education level (${\beta}=-0.48$, p=.033). The explanatory power of these factors was 35%. Conclusion: The findings indicated the need to lower the level of depression by enhancing resilience and reducing acculturation stress among mothers-in-law in multicultural families. Future research to reduce depression among mothers-in-law in multicultural families should consider how to enhance resilience and reduce acculturation stress.

The Experiences and Challenges of Caregivers of Frail or Chronically Ill Elderly: An Integrative Review

  • Han, Hae-Ra
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.47-60
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    • 2006
  • BACKGROUND: Social, legal, and economic factors have changed the delivery of care to elderly who are frail and/or chronically ill. Increasing number of the elderly are now treated in the community, while living with or in close proximity to their family. It is evident that families play a major role of support for elderly persons in our society. This paper provides a review and analysis of studies that have investigated informal caregiving issues encompassing physical, psychological, emotional, and social domains. RESULTS OF THE REVIEW: Family caregiving often interfered with workplace and other responsibilities, creating physical, emotional, and financial stress for caregivers. Relatively high volumes of research addressed caregiving issues in the families of Alzheimer patients and in the areas of emotional and psychological impact of caregiving. Few studies explicitly investigated the role of informal caregivers in the management of other chronic conditions such as stroke or depression or physical consequences of long-term caregiving. While most studies were focused on negative aspects of caregiving, a few studies found it rewarding. Often the burden, stress, and socio-economic effects on the family caregiving for an elderly person were not sufficiently appreciated. CONCLUSIONS: Positive outcomes for both the caregiver and the care recipient are more likely to occur when effective levels of collaboration exist between health professionals and caregivers. As a first step, a better understanding of the caregiving experience such as caregiver characteristics, care recipient characteristics, and social stigma is important for nurses to minimize the burden of care so that appropriate interventions can be developed. In addition, further studies are needed to examine the role and needs of informal caregivers in the care of increasing number of frail and/or chronic ill elderly treated in the community.

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A Meta-Analysis of the Variables Related with Acculturative Stress for Marriage-based Migrant Women (결혼이주여성의 문화적응스트레스 관련 변인에 관한 메타분석)

  • Shin, Hyejung;Nho, Choongrai;Heo, Seonghui;Kim, Jeonghwa
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.5-29
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    • 2015
  • Using meta-analysis, this study aims to examine individual, familial, and social support variables in relation to acculturative stress by in order to draw implications for social welfare practice and policy. For the purpose of this study, authors selected 37 studies between 2000 and 2013. Results are as follows: First, acculturative stress of marriage-based migrant women showed statistically significant average effect size in individual, familial, and social support variables. Second, each variable showed at least 'medium' and above size. Further, marital satisfaction and social support showed 'large effect size' and life satisfaction, family relations and functions, self-esteem, psychological well-being, and depression showed 'near large effect size.' Third, when moderating effect was examined, Korean language proficiency, economic difficulty, depression, and self-esteem among individual variables showed differences in effect size according to socio-economic variables. Meanwhile, marital satisfaction and couple relationship among familial variables and social support among social variables showed differences in effect size according to socio-economic variables. Based on these results, authors suggested ways to prevent or reduce acculturative stress among marriage-based migrant women in Korea.

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Motherhood Ideology and Parenting Stress according to Parenting Behavior Patterns of Married Immigrant Women with Young Children (유아기 자녀를 둔 결혼이주여성의 양육행위 유형별 모성이데올로기 및 양육스트레스)

  • Moon, So-Hyun;Kim, Miok;Na, Hyeun
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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    • pp.449-460
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    • 2019
  • Purpose: This study aims to provide base data for designing education and counseling programs for child-raising by identifying the types, characteristics and predictors of parenting behaviors of married immigrant women. Methods: We used a self-report questionnaire to survey 126 immigrant mothers of young children, who agreed to participate, and who could speak Korean, Vietnamese, Chinese, Filipino, or English, at two children's hospitals and two multicultural support centers. Statistical analysis was conducted using descriptive analysis, K-means clustering, ${\chi}^2$ test, Fisher's exact test, one-way ANOVA, $Sch{\acute{e}}ffe^{\prime}s$ test, and multinominal logistic regression. Results: We identified three clusters of parenting behaviors: 'affectionate acceptance group' (38.9%), 'active engaging group' (26.2%), and 'passive parenting group' (34.9%). Passive parenting and affectionate acceptance groups were distinguished by the conversation time between couples (p=.028, OR=5.52), ideology of motherhood (p=.032, OR=4.33), and parenting stress between parent and child (p=.049, OR=0.22). Passive parenting was distinguished from active engaging group by support from spouses for participating in multicultural support centers or relevant programs (p=.011, OR=2.37), and ideology of motherhood (p=.001, OR=16.65). Ideology of motherhood was also the distinguishing factor between affectionate acceptance and active engaging groups (p=.041, OR=3.85). Conclusion: Since immigrant women's parenting type depends on their ideology of motherhood, parenting stress, and spousal relationships in terms of communication and support to help their child-raising and socio-cultural adaptation, it is necessary to provide them with systematic education and support, as well as interventions across personal, family, and community levels.

Correlation with Psychosocial, Workplace Coping Skills, Pain, and Degree of Disability of Office Workers with Non-Specific Chronic Neck Pain

  • Ki-young Moon;Won-Jun Choi;Sangjun Son;Seyeon Jung;Sijin Lee;Doochul Shin
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.565-570
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    • 2022
  • Objective: The purpose of this study was to investigate the correlation between activity of daily living and social psychology and work mind of office workers with non-specific chronic neck pain (NSCNP). Design: Crossed-sectional study Methods: 86 patients with NSCNP were recruited for this study. Neck disability index (NDI) and Numerical pain rating scale (NPRS) were used to check the pain intensity and disability of patients with neck pain. To find out the occupational factors of the subjects, the Korean version of Latack Coping Scale was used. And,To find out the socio-psychological factors of the subjects, the Korean version of depression anxiety stress scale (DASS-21) was used. We performed correlation for each variable. Results: The correlation between NPRS and NDI and DASS-21 Scale were clear positive correlation (p<0.05). There was no statistical significance between the LATACK control group and the pain and disability index (p>0.05). A clear positive correlation was established between the avoidance group of LATACK and pain (p<0.01). Conclusions: Through this study, it is necessary to have time to manage depression, anxiety, and stress in the treatment of neck pain in office workers who spend a lot of time sitting. In addition, it is thought that there should be the ability to control oneself about one's duties in the workplace.

A Study on the Factors Affecting the Qualities of Lives in Mothers with Disabled Children in Seoul (서울 지역 장애아어머니의 삶의 질에 영향을 미치는 제 요인에 관한 연구)

  • Yoo, Hye-Kyung
    • Journal of Families and Better Life
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    • v.27 no.1
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    • pp.73-88
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    • 2009
  • The purpose of this study was to investigate the influence of the factors such as self-esteem, social supports, socio-economic status of parents, degree of disability in child, stress coping, religion, and sports.exercise on the qualities of lives in mothers with disabled children. Data were collect from 45 institutions(schools from kindergarten to senior-high, special education institutes, and social welfare institutions) by self-report questionnaire, and the subjects of the study were 386 mothers in Seoul whose children were attending the schools or institutions. Findings according to socio-demographic variables are as follows: 1. Mothers with disabled children in this study thought their quality of life as average degree. 2. The younger the mothers and children, the higher the quality of life was. 3. The higher the educational level and monthly income, the higher the quality of life was. 4. There was no statistically significant difference between the existence and nonexistence of spouse, and between the existence and nonexistence of religion as well. Findings analyzed by multiple regression are as follows: 1. Among 7 independent variables 'self-esteem'(${\beta}$=.49, p<.001), 'social supports'(${\beta}$=.15, p<.01), and 'socio-economic status'(${\beta}$=.11, p<.05) were found to be statistically significant in quality of life in mothers, while the rests were found not significant. 2. 'Self-esteem' was found to be the most influencing variable, meaning that the psychological factor such as self-esteem is more important than environmental factors in qualities of lives in mothers. 3. The total amount of explanation of the model was Adjusted R square=.301, so that it can be said about 30% can be explained among total variance of the qualities of lives in mothers with disabled children. Conclusions and recommendations based on the results above are: First, it is strongly recommended to conduct programs promoting self-esteem in mothers with disabled children, and to include 'self-esteem' hereafter in the studies related to qualities of lives in mothers with disabled children. Second, comprehensive and practical countermeasures should to be formulated to back up expenses for education and medical care, purchasing relative tools and equipments, plus helping to find jobs.

Posttraumatic Growth Among North Korean Refugees (북한이탈주민의 외상 경험 이후 심리적 성장)

  • Kim, Hyun-kyoung;Eom, Jin-sup;Jeon, Woo-taek
    • Korean Journal of Social Welfare Studies
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    • no.39
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    • pp.29-56
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    • 2008
  • The purpose of this study was to find out correlation and predictors of posttraumatic growth of North Korean refugees in South Korea in 7years. This survey was conducted on 105 North Korean refugees in 7 years with questions on depression, anxiety, socio-demographic characteristics, personal & social variables, psychological trauma in North Korea, stress experience in South Korea. The influence of these variables was analysed. Result indicated that education in North Korea and living period in the 3rd country iwas associated with PTG. Date for escaping from North Korea, depression, acculturative stress in South Korea, hope for future, social support from South Korean, perceived satisfaction had correlation with PTG. And Date for escaping from North Korea, living period in the 3rd country, social support from South Korean, acculturative stress in South Korea predicted PTG of North Korean refugees. Finally, social political intervention and mental health service programs for North Korean refugees were discussed.

A Study on Relationship between Health Behaviors Practice and Physical$\cdot$Social and Psychological States Radiological Technologists (방사선사의 건강행위 실천과 육체적$\cdot$사회 심리적 상태와의 관련성 연구)

  • Jung Hong-Ryang;Son Bu-Soon
    • Journal of environmental and Sanitary engineering
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    • v.19 no.4 s.54
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    • pp.48-60
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    • 2004
  • This study is aimed at examining the relationship between health behaviors practices and physical and psychological stresses of radiological technologists who are working at general hospitals across the country. For this purpose, a survey was conducted to 890 subjects by means of questionnaires from the middle of July to the end of August 2003, which resulted in the following outcomes: 1. From the technical and statistical analysis into the physical and psychological states, the item 'I feel miserable and dejected' scored the highest points of (3.91), implying that most subjects got heavily stressed, while the item 'Life is worth living' recorded (2.59), representing that only a few of them got less stressed. 2. With regard to an analysis of variance depending on their regular exercise, a significant difference appeared in 7 items(Pl, P2, P5, P6, P12, P17, and Pl8)(P<0.05). 3. Out of analysis into such variance as smoking, significant results were found in the items 'I become uncomfortable or disturbed at night' and 'I can solve my own problems'(P<0.05), while no significant difference was confirmed in other items regardless smoking. 4. From the T-test conducted to the independent sample depending on the drive under the influence, a significant difference was shown only in the item 'I feel very exhausted, even eating is a labo'( P<0.05). 5. The T-test with the independent sample of drinking coffee, the item 'I am satisfied with the method and the procedure of things I do' turned out to be significant( P<0.05) while no particular difference was confirmed in other items. In conclusion, it was revealed from the study that the physical and psychological states and health-related practices of radiological technologists seemed to be more affected by regular exercise than by smoking or drinking wine or coffee, a result confirming that the health-related acts are closely associated with the socio-psychological stresses. It is, therefore, strongly suggested that the practice of health-related acts to properly control stress will contribute to promoting health and pre venting disease of radiological technologists.