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Aging Anxiety, Factors of Successful Aging and Preparation for Aging in Early and Late Middle Age (중년 전·후기의 노화불안과 성공적 노화 요소 및 노후준비)

  • Hong, Kum-Hee;Ha, Ju-Young
    • Journal of Korean Public Health Nursing
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    • v.29 no.1
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    • pp.29-39
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    • 2015
  • Purpose: The purpose of this study was to investigate the aging anxiety, factors of successful aging, and preparation for aging in early and late middle-aged people. Methods: The study subjects were 140 middle-aged people aged from 40 to 59. Data were collected using a self-administered questionnaire from August 16 to September 30, 2013. The collected data were analyzed with descriptive statistics, t-test, ${\chi}^2$-test and Pearson correlation coefficient using IBM SPSS 21.0 program. Results: Between early and late middle age, there were statistically significant differences in the subcategories of aging anxiety: fear of loss (t=2.93, p=.004), fear of old people (t=-2.33, p=.021), physical appearance (t=2.32, p=.022), and psychological concerns (t=2.04, p=.043). A statistically significant difference was found between two groups in one subscale of preparation for aging: physical preparation (t=-2.02, p=.045). In early midlife, significant associations were observed between preparation for aging and both aging anxiety (r=.56, p<.001) and factors of successful aging (r=.54, p<.001). In late midlife, preparation for aging and factors of successful aging showed positive correlation (r=.50, p<.001) Conclusion: Results of this study indicate that programs for successful transition to old age in middle-aged people should consider their aging anxiety level and preparation for aging at their stage of life.

Psychosocial impact of malocclusion in Spanish adolescents

  • Bellot-Arcis, Carlos;Montiel-Company, Jose Maria;Almerich-Silla, Jose Manuel
    • The korean journal of orthodontics
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    • v.43 no.4
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    • pp.193-200
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    • 2013
  • Objective: To evaluate the psychosocial impact of malocclusion, determine its relationship with the severity of malocclusion, and assess the influence of gender and social class on this relationship in adolescents. Methods: A random sample of 627 Spanish adolescents aged 12 - 15 years underwent intraoral examinations by 3 calibrated examiners (intraexaminer and interexaminer kappa > 0.85) at their schools. Psychosocial impact was measured through a self-rated Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). The severity of malocclusion was measured by the Index of Orthodontic Treatment Need (IOTN). Gender and social class were also recorded. Results: The total PIDAQ score and those of its 4 subscales, social impact, psychological impact, aesthetic concern, and dental self-confidence, presented significant differences ($p{\leq}0.05$ by analysis of variance) and linear relationships with the IOTN grades ($p{\leq}0.05$ by linear regression). Stepwise linear regression models showed that the IOTN dental health component was a predictive variable of the total and subscale PIDAQ scores. Neither gender nor social class was an independent predictive variable of this relationship, except the linear model for psychological impact, where gender was a predictive variable. The occlusal conditions responsible for higher PIDAQ scores were increased overjet, impeded eruption, tooth displacement, and increased overbite. Conclusions: Malocclusion has a psychological impact in adolescents and this impact increases with the severity of malocclusion. Social class may not influence this association, but the psychological impact seems to be greater among girls.

Psychometrics of Children′s Health Locus of Control Scale for Korean Children (아동건강통제위 척도에 대한 신뢰도 및 타당도 조사)

  • Shin Heesun;Jung Yun
    • Child Health Nursing Research
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    • v.4 no.1
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    • pp.105-115
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    • 1998
  • The purpose of the study was to test the reliability and validity of the Korean version of Children's Health Locus of Control Scale (CHLC), an instrument designed to measure health locus of control in children aged 7 to 12. The scale was administered to 467 children in grades 4 to 6, enrolled in 2 elementary schools located in city. The mean age of the subject was 10.03 (SD=1.33). The findings were as follows: 1. Cronbach alpha coefficient for internal consistency was .69 for the total, and .67, .65, and .56 on the respective subscales. 2. Construct validity was supported through factorial isolation of three theory consistent subscales : internal, chance, and powerful others. Two items did not fit well with the originally developed subscale. The total percent of varience explained by 3 factors was 34.5%. The result of the factor analysis according to Kaiser's criterion revealed that the scale was consisted of 5 factors. But, The items of the subscales were rather inconsistent with the dimensions of the locus of control concept. 3. There were significant differences according to parent's educational level and occupation, and birth order on the scores of the CHLC. There were no significant differences according to grade level and sex. 4. The score of the CHLC was significantly correlated with the self concept of the children(r=.14, p<.001). The result indicated that the Korean version of Children's Health Locus of Control Scale was valid and reliable in measuring health locus of control concept in children, even though luther research is required to reconfirm and increase the reliability of the instrument. CHLC could be used for study explaining the health related behavior of the children and research project related to health education program.

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Cross-Cultural Adaptation of Korean Language Versions on Neck Pain and Disability Questionnaires and Their Psychometric Testing (한글 경추 통증 및 기능장애 측정 도구의 개발과 타당도 및 신뢰도 검사)

  • Lee, Hae-Jung
    • Korean Journal of Acupuncture
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    • v.24 no.2
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    • pp.99-112
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    • 2007
  • Objectives : It was to translate three neck and spinal pain disability questionnaires - the Neck Disability Index (NDI), the Neck Pain and Disability Scale (NPDS), and the Functional Rating Index (FRI) - into Korean language, and evaluate the psychometric properties of Korean versions of questionnaires to achieve a good cross-cultural adaptation. Methods : Forty (23 males, 17 females) subjects aged from 15 to 64 years old, participated to examine test-retest reliability. One hundred and eighty (76 males, 104 females) subjects with a primary diagnosis of non-specific neck pain and 81 healthy volunteers were undertaken to examine internal consistemcy, discriminative validity and longitudinal construct validity. Versions of each questionnaire in idiomatic modern Korean were developed using a procedure proposed by Beaton et al. (2000). To assess reliability, the Intraclass Correlation Coefficient (ICC $_{(2,1)}$) was calculated. Internal consistency was evaluated by Cronbach's alpha. Discriminative validity was examined with independent-group t-tests. Responsiveness was tested by calculating the effect size and standardized response mean for each questionnaire and using Pearson' s r and the area under the receiver operating characteristic curve analysis. Results : Test-retest reliability ofthe translated versions of the three disability questionnaires was excellent (ICC $_{(2,1)$ = 0.86-0.90). High internal consistency was found in the three disability questionnaires (Cronbach's alpha ranged from ${\alpha}=0.88$ for the FRI to ${\alpha}=0.96$ for the NPDS and 0.82 for the Short Form McGill Pain Questionnaire(SFMPQ)). the VAS subscale of the SFMPQ was found to be the most responsive of the subscales (ES=1.44, SRM=1.37). The VAS was also the most responsive pain and disability index in internal responsiveness analysis, although disability indices showed marginally better responsiveness when compared with external standards. No floor or ceiling effects were observed. Conclusions : It is concluded that the questionnaires were successfully translated and exhibit acceptable measurement properties, and may suggest that they are suitable for use in clinical and research application.

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Relationships among Plasma Homovanillic Acid, 5-hydroxyindoleacetic Acid Concentrations and the Psychopathology of Schizophrenic Patients (정신분열증 환자에서 혈장 HVA 및 5-HIAA 농도와 정신병리와의 상관성)

  • Kim, Yong-Ku;Park, Sung-Geun;Kim, Leen;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.4 no.1
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    • pp.95-101
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    • 1997
  • The recent hypothesis about the pathophysiology of schizophrenia has been centered mainly on two theories, i.e. dopamine hypothesis and serotonin hypothesis. We investigate the correlations between plasma monoamine metabolite concentrations and clinical symptoms in schizophrenic patients. The first purpose of our study was to examine whether the plasma levels of HVA(homovanillic acid) and 5-HIAA(hydroxyindoleacetic acid) are significantly different in schizophrenics, compared to normal controls. And, with the intention of clarifying the interaction between dopaminergic system and serotoninergic system, the ratio of HVA/5-HIAA also was measured. The second purpose was whether the basal(pre-treatment) levels of these metabolites show the correlation with clinical symptoms. Finally, third purpose was whether basal HVA and 5-HIAA levels can be held as a predictor of treatment response. We used Scale for the Assessment of Positive Symptoms(SAPS) and Scale for the Assessment of Negative Symptoms(SANS) as the clinical symptom rating scales. Our results were as followed, 1) only the level of basal plasma HVA was significantly differ in schizophrenics. 5-HIAA and HVA/5-HIAA were not. 2) basal HVA showed significant correlation with SAPS score, especially delusion subscale. 3) the higher was the basal HVA level, the more improvement in clinical symptoms was observed. The basal 5-HIAA level and the HVA/5-HIAA ratio did not show any significant findings. These results support the dopamine hypothesis of schizophrenia, but fail to examine on the possible involvement of serotonin in schizophrenia.

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Study on the Effects of Sasang Psychobiological Factors on General Health Status (일반건강특성에 영향을 미치는 사상체질의 심리적, 신체적 요인에 대한 연구)

  • Chae, Han;Kim, Yun Hee;Park, Soo Hyun;Hwang, Eui Hyoung;Kwon, Young Kyu;Lee, Soo Jin
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.4
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    • pp.452-459
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    • 2014
  • The purpose of this study was to examine the correlation between general health condition and biopsychological traits of Sasang typology which determines the disease susceptibility and treatment responses. We had Korean Constitutional Multicenter Bank (KCMB) listed 1156 participants for measuring Sasang Personality Questionnaire (SPQ) and Body Mass Index (BMI) for biopsychological traits of each Sasang types as well as Short Form 12 (SF12) for general health status. All the analysis was performed with consideration of gender and age. We analyzed the differences in general health status between Sasang types and the correlation between general health status and biopsychological traits of Sasang typology. We also analyzed how much the selected SF12 subscales can be explained with biopsychosocial characteristics. There were no generaliszable differences among Sasang type groups in SF12, no significant correlation between biopsychological traits and SF12 Physical and Mental Component Summary. We found that there were significant correlations between SPQ-Behavior subscale and SF12 Vitality, and the regression model with SPQ-Behavior, SPQ-Emotionality, age and sex can predict 15.4% of the total variances in SF12 Vitality. We discussed the possibility that the Sasang typology is not a determinant of general health status but a moderator for the susceptibility and response. This study would contribute to the development of Sasang type-specific life nurturing program focusing on the psychological perspectives.

The Impact of Nursing Professionalism on the Nursing Performance and Retention Intention among Psychiatric Mental Health Nurses (정신간호사의 전문직업성이 간호업무수행 및 재직의도에 미치는 영향)

  • Kwon, Kyoung-Ja;Ko, Kyoung-Hee;Kim, Kyung-Won;Kim, Jung-A
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.3
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    • pp.229-239
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    • 2010
  • Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Methods: As a descriptive correlational study, this study sampled 206 psychiatric mental health nurses in six hospitals in Seoul and Gyeonggi area through convenience sampling. Data were collected from March 2 to 31, 2009 using a self-report questionnaire. The collected data were analyzed using SPSS WIN 16.0. Results: In the subscales of professionalism, the 'Sense of calling' had the highest mean score while the 'Professional organization' had the lowest mean score. A significant positive correlation was observed in nursing professionalism, nursing performance and retention intention. According to an analysis on the impact of each subscale of nursing professionalism on nursing performance and retention intention, the 'Sense of calling' and 'Autonomy' were the most significant predictor variable. Conclusion: The results confirmed that the improvement of psychiatric mental health nurses' professionalism increases their nursing performance and retention intention and the 'Sense of calling' and 'Autonomy' are critical prediction factors. It is necessary to come up with a strategy which strengthens nursing professionalism in order to improve psychiatric mental health nurses' performance and retention intention.

The Correlational Study on Health-promoting Behavior, Life Satisfaction and Self-esteem of the Elderly (재가 노인의 건강증진 행위, 생활만족도 및 자아존중감과의 관계연구)

  • Choi, Yeon-Hee;Paek, Kyung-Shin
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.39-48
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    • 2002
  • Purpose: This study was done to describe the correlation among the elderly's health-promoting behavior. life satisfaction and self-esteem. Method: The subjects were a volunteer sample of 200 elderly in Kyungsan city. The instruments for this study were Health Promoting Lifestyle Profile(47 items). Life Satisfaction Scale(20 items) and Self-Esteem Scale(10 items). Frequency, percentage, t-test, ANOVA, Duncan test and Pearson's correlation coefficient with BAS program were used to analyze the data. Result: 1) The average item score for the health-promoting behavior was 3.23; the highest score on the subscale was self-actualization and nutrition(M=3.45) with the lowest being exercise(M=2.98). 2) The average item score for the life satisfaction was 2.98. 3) The average item score for the self-esteem was 3.41. 4) Health-promoting behavior was significantly different according to age, marital status, religion and participation in society circles. 5) Life satisfaction was significantly different according to marital status and participation in society circles. 6) Self-esteem was significantly different according to participation in society circles. 7) Health-promoting behavior was positively related to life satisfaction and self-esteem. Life satisfaction was positively related to self-esteem. Conclusion: It follows from this study that there is a very strong correlation among the elderly's health-promoting behavior, life satisfaction and self-esteem. Therefore health promoting programs that increase life satisfaction and self-esteem should be developed to promote a healthy lifestyle of the elderly.

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Factors Influencing on Burnout Experience in Working Nurses at Hospital (병원근무 간호사의 소진과 영향 요인)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.8 no.4
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    • pp.550-558
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    • 2002
  • This study was designed to examine the factors that influence the burnout of nurses practice healthcare in a hospital setting. Subjects for this study were 245 nurses working at University K hospital in Seoul, Korea. Data for this study was collected from 15 to 27 April, 2002. The data collection instruments used for this study are as follows: Maslach Burnout Inventory(1981), Orientation to Life Questionnaire(Sense of Coherence, SOC) by Antonovsky (1987) and Modified Coping Resources Inventory developed by author. The analysis of the data was completed using the descriptive, ANOVA, Pearson correlation analysis, and stepwise multiple regression using the SAS program software. The results of this study were as follows: 1. Total mean score of burnout was 4.0. Mean scores of the subscales were; emotional exhausion 4.7, personalization 3.7, and personal accomplishment 3.4.2. Significant statistical differences according to demographic characteristics of the subjects were found in the variables of age, job position, years of working, perceived job stress, and burnout. 3. Burnout was negatively related to sense of coherence(r=-.65) and coping resources (r=-.40); subscales of SOC of comprehensibility(r=-.57), manageability (r= -.55), and meaningfulness(r= -.52); subscales of coping of self-care(r=-.36), and cognitive coping(r=-.39). 4. Job stress was the highest factor influence burnout. Sixty-one percent of the total variance of burnout was experienced by variables of comprehensibility, meaningfulness, age, self-care, manageability and leisure activities including job stress. In conclusion, it was found that a low level of burnout was related to high scores of SOC and coping resources. Job stress, manageability, and meaningfulness were the highest factors influencing the level of subscale of emotional exhausion, depersonalization, and personal accomplishment. Therefore, it is necessary to search for strategies to promote SOC and coping resources for reducing the level of burnout of nurses.

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The Characteristics of Symptoms of Depression and Anxiety Associated with Suicidal Ideation in Korean Employees (한국 직장인의 자살생각과 관련된 우울 및 불안증상의 특성)

  • Park, Jooyun;Jeon, Sang-Won;Kim, Eun-Jin;Shin, Dong-Won;Oh, Kang-Seob;Shin, Young-Chul;Lim, Se-Won
    • Anxiety and mood
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    • v.13 no.2
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    • pp.148-155
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    • 2017
  • Objective : We have explored the relationship between suicidal ideation and some very specific characteristics of the symptoms of depression and anxiety in Korean employees. Methods : During the period 2013 through 2014, 100,793 employees who visited the Health Screening Center were asked to complete questionnaires, including the Center for Epidemiologic Study-Depression scale (CSE-D), the Beck Anxiety Inventory (BAI) and the presence of suicidal ideation. We attempted to determine which specific subscale, of each the CES-D and BAI would be more closely related to suicidal ideation by different gender and age by logistic regression. Results : Depression has been found to be a more prevalent and predominant factor in suicidal ideation, when compared to the presence of the condition of anxiety. Of four subscales of CES-D, issues arising from interpersonal relationships were most often associated with suicidal ideation, regardless of the chronologic age or gender of the subject. In BAI, cognitive anxiety showed a more significant association with suicidal ideation than did somatic anxiety in our study participants, showing same pattern in different gender and age groups. Conclusions : Among subscales of CES-D and BAI, the interpersonal relationship in CES-D and cognitive anxiety in BAI showed a higher and more significant association with suicidal ideation in Korean employees.