• 정신신체의학
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• 제5권1호
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• pp.63-72
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• 1997

For the purpose of examining the relationship between perceived stress, vulnerability variables, and somatization tendency, the self-report questionnaires of perceived stress, styles of stress coping(passive and active copings), self-perception, gender, and somatization tendency were administered to university entrants(n=2,024). The results were as follows: 1) Perceived stress, styles of stress coping(passive and active copings), self-perception, and gender accounted for 15.56% of the total variance in somatization tendency. As a result of comparing the relative contributions of all predictor variables to somatization tendency, the highest was perceived stress, and the next in order were passive coping style, self-perception, and gender, whereas direct effect of active coping style was not significant. 2) The two-way and three-way interaction effects of perceived stress X vulnerability variables were not significant. 3) The two-way and three-way interaction effects of gender X psychosocial variables were not significant. To conclude, perceived stress and vulnerability variables independently contribute to somatization tendency in university entrants, and furthermore it is suggested that vulnerability variables as well as perceived stress must be considered to account for somatization tendency.

• 한국응급구조학회지
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• 제17권3호
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• pp.87-100
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• 2013

purpose: This study aims to understand the relationship between stress in college life, vulnerability to depression, and smartphone overuse among undergraduate students majoring in public health. Methods: The subjects of the study were 320 students who were selected through convenience sampling from the department of emergency medical technology, physical therapy, and public health and administration attending G University in Gwangju. The study was carried out from October 22 to 26, 2012. For final analysis, 266 copies were used. Statistical analysis was done using SPSS WIN 12.0. Results: Excessive use of smartphones had a negative effect on stress in college life and vulnerability to depression. The stress of college life had an effect on students' sense of value, their friends of the same sex, and job. Depressive vulnerability had an effect on a students' dependency. Conclusion: For the prevention of smartphone overuse, programs to prevent college life stress and vulnerability to depression should be developed. Counselling programs for the groups should be made available to the students.

• 대한간호학회지
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• 제54권1호
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• pp.106-117
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• 2024

Purpose: This study examined the effects of stress vulnerability and parental burnout on the mental health of women with early school-aged children, with a focus on the mediating role of spirituality. Methods: A survey was conducted among 171 women with early schoolaged children in Gyeonggi Province, Gangwon Province, and Seoul. Data were collected from September to December 2022 using the Korean-Symptom Check List 95, the Parental Burnout Assessment, and the Spirituality Assessment Scale. The data were analyzed using structural equation modeling with SPSS/WIN 22.0 and AMOS 20.0. Results: The study model demonstrated a good fit, explaining 40.5% of the variance in mental health through stress vulnerability, parental burnout, and spirituality. Spirituality had a significant direct impact on mental health. Additionally, participants' spirituality directly influenced their mental health, while stress vulnerability and parental burnout indirectly affected their mental health and were mediated through spirituality. Conclusion: Stress vulnerability and parental burnout are negatively associated with mental health, while spirituality partially mediates these effects. Implementing a program to promote spirituality is suggested to assist mothers in recognizing the value and meaning of parenting activities during nursing interventions for mental health.

• 대한간호학회지
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• 제38권6호
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• pp.779-788
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• 2008

Purpose: This study was designed to construct a structural model explaining depression in university students. Methods: Data were collected from 1,640 university students by questionnaire, and analyzed using AMOS 5.0 to test the hypothetical model. Results: Fitness statistics for the modified model were GFI=.93, AGFI=.89, NFI=.91, and RMSEA=.081. All the 12 paths in the modified model proved to be statistically significant. Depression of university students accounted for 52% of the covariance by the factors. The factor that had the most influence on depression was individual vulnerability, and followed by sequence order, stress, social support, coping, and self-efficacy. Depression was influenced directly by individual vulnerability, stress, social support, and coping, and indirectly by individual vulnerability, stress, social support, and self-efficacy. Conclusion: A screening and management system for the high risk group is needed to effectively prevent depression and reduce rate of depression in university students. Detailed support programs which specifically deal with prevailing stressors should be developed to effectively reduce the harmful effects of individual vulnerability and stress. It is anticipated that the model constructed in this study could be utilized as a reference in developing various strategies to prevent and intervene depression in university students.

• 정신신체의학
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• 제30권1호
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• pp.7-15
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• 2022

연구목적 이 연구는 직장인의 스트레스 수준과 스트레스 취약성이 심박변이도(Heart rate Variability, HRV)에 미치는 영향을 파악하여 주관적인 스트레스와 심박변이도 기기를 통해 얻어진 객관적 스트레스 지표의 유의성을 확인하고 지역사회 정신건강사업에서 통합적 스트레스 측정도구로서의 효과성을 검토하고자 하였다. 방 법 2020년 6월부터 동년 7월까지 K병원에서 수행한 직장인의 스트레스 관리 및 정신건강증진 사업에 참여하고 연구에 동의한 대상자 929명의 기록 데이터베이스를 분석하였다. 일반적 특성과 스트레스 수준 및 스트레스 취약성이 심박변이도에 미치는 영향을 알아보기 위하여 다중선형회귀분석을 실시하였다. 결 과 일반적 특성 모두 SDNN (ln), RMSSD (ln), LF (ln), HF (ln)에 모두 유의한 영향을 주는 요소로 나타났지만 근무경력은 RMSSD (ln)에 유의한 영향을 미치지 않는 것으로 확인되었다. 스트레스 수준 및 스트레스 취약성은 심박변이도에 유의한 영향을 미치지 않았지만 스트레스 수준의 하위 요인인 스트레스 지각이 RMSSD (ln)에 유의한 영향을 주는 요인으로 확인되었다(β=0.118, p=0.023). 결 론 본 연구에서 스트레스 수준의 하위요인인 스트레스 지각이 RMSSD (ln)에 영향을 미치는 요인으로 나타났다. 이는 스트레스 상황에서 나타나는 부교감신경의 활성과의 관련성을 나타내는 것으로 지역사회 정신건강 현장에서 만성 스트레스 및 통합적 스트레스의 직접적인 지표로 평가하기에는 더 많은 후속 연구가 필요할 것으로 보인다

• 생물정신의학
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• 제3권1호
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• pp.37-45
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• 1996

Recent studies on long-term outcome of schizophrenia revealed that schizophrenic symptoms recover in more than 50%, while it remains severe in less than 20% after 20 years or more from the onset. Psychopharmacological studies indicate that 75% of remitted schizophrenics may recur within 2 years after discontinuation of maintenance pharmacotherapy. In addition, family studies revealed that schizophrenic decompensation may occur significantly more frequent in discharged patients with high expressed emotion family than in low expressed emotion family. These findings strongly support a clinical validity of stress-vulnerability concept of schizophrenia which open a new viewpoint to two central problems in schizophrenia treatment, i.e. psychotic relapses and chronification of the fist episode schizophrenia. Moreover, recent psychopathological studies argue that schizophrenic symptoms are manifestations of psychological reaction secondary to a primary cognitive impairment(neurobiological vulnerability), which is originated in neurobiological changes in the brain. Recent approaches to the vulnerability to schizophrenic symptoms or schizophrenic decompensation are reviewed.

• 대한한방소아과학회지
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• 제27권2호
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• pp.1-10
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• 2013

Objectives The aim of this study was to explore the effect of parental attitude on the behavioral problems in children who visited the traditional Korean pediatrics clinic. Methods The subjects were consist of 190 outpatients ($56.6{\pm}12.9$ months) and their mother. The Behavior problems of children were measured with Korean version of Child Behavior Checklist for Ages 1.5-5 (K-CBCL1.5-5) while parental perception of child vulnerability, parent overprotection, parenting stress were measured by Child Vulnerability Scale (CVS), Parent Protection Scale (PPS), Korean-Parenting Stress Index-Short Form scale (K-PSI-SF), respectively. Correlation and multiple regression were conducted for the analysis. Results Significant correlations between child total problems score and child vulnerability (r=.272, p<.001), parent overprotection (r=.243, p=.001), and parenting stress (r=.597, p<.001) were reported. Multiple regression analysis revealed that the parenting stress (${\beta}$=.548, p<.001) was a major predictor for the child behavior problems rather than child vulnerability and parent overprotection. Conclusions It was shown that the parenting stress has a significant influence on the emotional and behavioral development of children. These results can be useful for improving clinical diagnosis and treatment in traditional Korean pediatrics.

• 한국간호교육학회지
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• 제20권1호
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• pp.118-128
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• 2014

Purpose: The purpose of this study was to investigate perceived stressor, the characteristics of personality and stress responses of college students and to compare their gender differences. Method: This study was cross-sectional survey and participants were 146 college students. Data was collected by Perceived Daily Life Stressor Scale of college students, Lim's Character Style Inventory, Vulnerability of Personality, and Stress Response Index, demographic questionnaire from May to September, 2012 in two cities. Results: Friend relationship stressor(p=.024) and professor relationship stressor(p=.032) among daily life stressors of female students were significantly higher than male students. Fatigue(p=.009), anger(p=.046), somatization(p<.001) and total stress response(p=.049) of female students were significantly higher than male student. Challenge(p=.034) of LCSI of female students was significantly higher than male student and stability(p=.018) of male students was significantly higher than female students. Regression model of stress response in male college students was significant(F=35.18, p<.001) and influencing factors were vulnerability of personality and challenge($R^2$=.544). Regression model of stress response in female college students was significant(F=39.38, p<.001) and influencing factors were vulnerability of personality, perceived stress type, and sociability($R^2$=.612). Conclusion: These findings need to be reflected to develop stress management programs and mental health promotion programs for college students.

• 대한불안의학회지
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• 제1권1호
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• pp.3-6
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• 2005

Several contributing factors have been proposed for expression of excessive anxiety. Behavioral inhibition, activation of amygdala, and genetic vulnerability interchangeably affect each other. Only few studies have addressed the differences and similarities in anxiety between animal and human. The consensus is that individual vulnerability is a main factor for the expression of anxiety, although the interaction of environmental stressors and biological characteristics is involved in the presentation of anxiety. Further work is required to investigate how the interaction between stress and diathesis can affect responsiveness of stress and anxiety in animal and human. Here, the author reviews the findings regarding differences and similarities in both animal and human studies. Knowing the reciprocal relationship between the environment (stressors) and individual vulnerability or resilience, the proper understanding of anxiety and anxiety disorders would be possible.

• 여성건강간호학회지
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• 제20권1호
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• pp.38-47
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• 2014

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instruments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson's correlation analysis, and stepwise multiple regression. Results: The mean score of prenatal depression was $11.95{\pm}6.2$, then showing 19.6% with mild depression, 15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlation with self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and to control the influencing factors.