Kim, Jong-In;Choi, Tae-Kyou;Yoon, Jae-Hang;Suh, Shin-Young
Korean Journal of Psychosomatic Medicine
/
v.16
no.2
/
pp.112-119
/
2008
Objectives : Premenstrual syndrome(PMS) is known to occur in more than 80% of reproductive women. Since PMS is closely related to changes in sex hormones, biological factors are suspected to be associated with the syndrome, but there have been no consistent reports regarding biological causes. In that sense, it is postulated that the occurrence of PMS is much dependent on the biological aspects, but that the severity or characteristics of the syndrome is more dependent on the psychological factors. Studies focusing on psychological factors are based on the theory that symptoms of PMS and previous psychologically traumatic events are closely related. If the theory is valid, it can be further postulated that symptom severity of PMS is associated with dissociative symptoms, since traumatic events are known to be related to dissociative symptoms. In this study, we tried to find out the association of PMS symptom severity with previous abuse history and dissociative symptoms. Methods : Subjects for the study were 377 nurses working in Seoul, Kyung-gi, and Kyung-book. 183 subjects who submitted valid data entered the study. The presence and the symptom severity of PMS were rated using Daily Records of Severity of Problems(DRSP) and Shortened Premenstrual Assessment Form(SPAF). Dissociative symptoms were evaluated with Dissociation Experience Scale Korean version(DES-K). Previous physical/verbal abuse, sexual abuse, and parental spouse abuse experience were rated with correspondent abuse scales. Results : Subjects were divided into 3 groups as No PMS group, mild to moderate PMS group, and severe PMS group according to SPAF total score. There was a statistically significant difference in DES-K total score among 3 groups($x^2=14.966$, df=2, p=0.001). Physical/verbal abuse scale($x^2=14.397$, df=2, p=0.001), sexual abuse scale($x^2=8.376$, df=2, p=0.015), and parental spouse abuse scale($x^2=9.322$, df=2, p=0.009) also revealed a significant difference among 3 groups. Symptom severity of PMS using SPAF total score showed a positive correlation both with degree of dissociative experience and previous abuse experience. There was a statistically significant difference in both dissociative experience and previous abuse experience among 3 groups. Conclusion : These results show that there can be a possible association among PMS symptoms, dissociative symptoms, and previous psychologically traumatic experience.
The Journal of Korean Society for School & Community Health Education
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v.20
no.2
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pp.93-107
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2019
Objectives: The purpose of this study is to provide basic data on the developement of oral health programs to maintain correct oral health in adolescence by identifying the relevance of health-related behavior and symptom experience to adolescents. Methods: Using the 14th(2018) online survey of youth health behavior, this study was conducted on students in grades1 middle school to grade5 high school in Korea and 30,463 boys, 29,577 girls were selected as the final analysis targets. Results: During the oral disease symptom experience, there was a statistically significant difference in smoking experience with teeth pain controlled general characteristics during eating. Conclusions: It is expected that it will be used as basic dat for the development of oral health programs to maintain the correct oral health status of adolescents by identifying the effects of health-related behaviors and related variables on oral diseases in Korea.
Purpose: This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy. Methods: The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants' health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0. Results: Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group. Conclusion: The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.
Cognitive degree of musculoskeletal symptoms and existence (or non-existence) of experience was conducted following dental hygienists' health habits, heath state and working environment targeting dental hygienists who were working for the dental clinics in Masan-si, Changwon-si and Jinhae-si in Gyeongsangnam-do for one year or more. The research findings were as follows. 1. Cognitive degree of musculoskeletal symptom following general characteristics was the highest among the subjects who were 40 years old or above. 2. As for the education level, cognitive degree of musculoskeletal symptoms was high while prevalence was low, which were statistically significant when the education level was higher. 3. Cognitive degree of musculoskeletal symptom was high when the subjects exercised, and cognitive degree of musculoskeletal symptom and prevalence were significantly high when they are engaged in leisure activities or hobbies. 4. Prevalence of musculoskeletal symptoms was statistically high if they are afflicted with disease, if they feel burdened by their job, if they suffer from considerable physical fatigue, if they feel chronic fatigue or if they feel that their health state is poor. 5. Cognitive degree of musculoskeletal symptom and prevalence were higher, which was statistically significant, when the number of years worked was higher. 6. Cognitive degree of musculoskeletal symptom was higher, but prevalence was lower when the time that they were seated was longer. This research demonstrated that the musculoskeletal disorders related to their job that afflicts the dental hygienists is not caused by one element, but it is possible to see that the musculoskeletal disorders results from the interaction of the diverse elements that are interrelated such as the subjects' characteristics and health habits and heath state, working environment and so forth including inappropriate work related movements. To this, dental hygienists need to improve their health habits so that they can form proper health habits that will ensure health in every day life on their own with the improvement of their every day life habit and positive self-evaluation to act on the health promotion behaviors, education and publicity, and measures to prevent and to manage musculoskeletal disorders in overall need to bepursued after in an active manner.
Background: Laundry workers are known to be exposed to organic solvents in various works including dry cleaning. Long-term exposure to organic solvents may cause adverse health effects among laundry workers. Objectives: To investigate the association between exposure to organic solvents and symptom of headache or eyestrain among laundry workers. Methods: The subjects were total 267 laundry workers who participated in the 6th Korean Working Conditions Survey (KWCS). Responses to exposure to 'inhalation of vapor from organic solvent' was categorized into two (non-exposed: rarely or absolutely not exposed during working hours; exposed: ≥1/4 working hours) or three (non-exposed; low exposure: 1/4 of the working hours; high exposure: ≥1/2 working hours) groups. Logistic regression analysis was performed to evaluate the association between exposure to organic solvents and symptom of headache or eyestrain in the last 12 months among laundry workers. Odds ratios (ORs) and the 95% confidence intervals (CIs) were calculated for experience of the symptom of headache or eyestrain with adjustment for age, sex, education, workplace size (by the number of workers), working hours per week, and current working period (year). Results: The proportions of exposure groups, i.e., non-exposed, low exposure, and high exposure, were 80.4%, 11.1%, and 8.5%, respectively. The proportion of those who had symptom of headache or eyestrain in the last 12 months was 18.7%. There was a significant association between exposure to organic solvents and experience of headache or eyestrain (OR=3.2, 95% CI=1.4~7.4). And, the proportion of those who experienced symptom of headache or eyestrain tended to increase significantly as the level of exposure to organic solvents increased (Ptrend=0.002). Conclusions: Our results suggest that exposure to organic solvents are associated with symptom of headache or eystrain among laundry workers in Korea. However, further studies with more relevant design is needed to replicate the association.
It has been well known that infertile women experience not only emotional disturbance but also stress. But there is no concern about male infertility patients. So phychiatric symptoms were studied with SCL-90 (Symptom Check List-90) in 30 infertile men who was operated testicular sperm extraction (TESE) in Samsung Cheil Hospital and in age matched 31 fertile men from Jan. 1998 to Aug. 1998. In 5 symptom dimensions (Obcessive-Compulsive, Interpersonal Sensitivity, Depression, Phobic anxiety, Psychoticisim) scores. The Infertile group scored significantly higher than the control group. The result revealed that infertile men also experienced substantially more psychiatric symptoms than fertile men. Considering this results, psychiatric evaluation and tender care by infertility specialist are necessary for infertile men during and after evaluation and treatment.
This study was intended to examine the pattern and level of experience of voice problems and risk factors in school teacher, to offer basic data to prevent voice problems. The subjects were 180 school teachers from primary, middle, and high school teachers in C City, Chonbuk. Data were collected by questionnaires survey from April 30, 2001 to May 10, 2001. 56.6% of the subjects experienced voice problems such as "H-notes difficult"($2.68{\pm}.86$), followed by "Tired voice"($2.32{\pm}.93$), "Effortful voice"($2.27{\pm}.90$), and "Drying of throat"($2.21{\pm}.91$). According to general characteristics, smoking subjects showed higher voice problem than no smoking subjects and this difference was statistically significant(t=2.76, p=.007). According to voice related characteristics, "Speaking loudly" subjects showed higher voice problem than those no "Speaking loudly"(t=-2.02, p=.045). "Speaking effortful" subjects measured higher voice problem than those of "Speaking effortful" and this difference was statistically significant(t=-3.34, p=.001). The inspection of the relation of cause affecting school teachers showed that it had an interacting effect of voice habit, smoking, experienced voice problem, treatment(due to voice problem) experience, by staged it accounted for 55.3% of the total voice problem. The total voice problem indicated a positive correlation(p=.000). Conclusion: over half of the school teachers have experienced voice problems, higher perceived related of voice symptom and physical symptom factors. Also, because there are significant differences in voice problem according to smoking, voice habits of "Speaking loudly", "Speaking effortful", experienced voice problem, treatment(due to voice problem) experience.
Mediastinal lipomas are fairly unusual tumors. They are usually lobulated, encapsulated and found in the anterior mediastinum. Although benign, they may grow to an huge size, but they no specific symptom. We experienced a case of large cervico-mediastinal lipoma, which successfully resected. This report reviews our experience with the review of literature.
The objective of this study was to determine the perception of monosodium glutamate (MSG) contents in eating out menu and MSG symptom complex. Respondents in the Seoul area were surveyed from Feb. 10 to 20, 2014. The results are summarized as follows. The 51.3% of respondents were male and 48.7% of them were female. As for age, 73.5% of respondents were 20~24 years old. Favorite menu of respondents' eating out were Korean food (57.8%), Western food (17.6%), Fast food (9.5%), Japanese food (6.2%), Chinese food (5.2%). Male respondents favored Korean food (62.4%), Fast food (10.2%) and Western food (9.6%), but female respondents favored Korean food (53.0%), Western food (26.2%) and Fast food (8.7%). The 48.7% of respondents considered Chinese food containing high amount of MSG. A few respondents (18.6%) recognized to usage amount of MSG as consideration factor to select eating out menu. However, most respondents (55.2%) perceived harmful to take excessive amount of MSG contained food. The 37.9% of respondents had experience of MSG symptom complex after eating out. Respondents' self recognized MSG symptom complex were thirstiness (84.5%), drowsiness (55.7%), weakness (34.5%), nausea (30.2%), tightness (20.7%) and headache (14.7%). The 19.9% of respondents like MSG contained food. The reason for disliking MSG contained food were 'bad for health' (66.3%) and 'MSG symptom' (33.2%). The reason for liking MSG contained food were 'good taste (83.6%) and 'habitual eating' (14.8%). The result of this study showed that some sensitive people have unpleasant reaction after eating out. Therefore, it is suggested that natural flavor enhancer may develop to replace the use of MSG.
Purpose: The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model. Methods: Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis. Results: It appeared that overall fit index was good as ${\chi}^2/df=1.162$, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern. Conclusion: Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.
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