• 제목/요약/키워드: Worry

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아동의 특질불안, 우울, 걱정증상과 상위인지와의 관계 (Metacognition : Its Relationship to Children's Worry, Depression, and Trait anxiety)

  • 엄경희
    • 아동학회지
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    • 제25권3호
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    • pp.41-57
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    • 2004
  • The subjects in this study were 442 5th and 6th grade school children in Seoul. Data were analyzed by Pearson's correlation, Stepwise Multiple Regression, and MANOVA. The principal findings were that worry, depression, and trait anxiety were positively related to meta-cognitive knowledge, particularly, meta-worry, positive beliefs about worry, negative beliefs about worry, lower appraisal about cognitive competence, and cognitive self-consciousness. These traits were also positively related to such metacognitive regulation strategies as worry displacement, self punishment, reappraisal, and social control. Metacognition influenced worry, depression, and trait anxiety; groups having more problems worry, depression, and trait anxiety showed high scores in metacognitive knowledge and metacognitive regulation strategies.

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불확실성에 대한 인내력 부족과 걱정과의 관계에서 부정적인 문제해결 지향의 매개효과 (Intolerance of Uncertainty, Negative Problem Orientation on Worry)

  • 서해란;이봉건
    • 스트레스연구
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    • 제26권4호
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    • pp.350-355
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    • 2018
  • 본 연구에서는 불확실성에 대한 인내력 부족과 부정적인 문제해결 지향 및 걱정간의 관계를 알아보고자 하였다. 이를 위해 충북에 소재한 4년제 대학교에 재학 중인 531명을 대상으로 불확실성에 대한 인내력 부족, 부정적인 문제해결 지향, 걱정에 관한 설문지를 실시하여 자료를 수집하였다. 그 결과, 불확실성에 대한 인내력 부족과 부정적인 문제해결 지향과의 상관이 유의하였다. 또한 불확실성에 대한 인내력 부족과 걱정 간의 관계에서 부정적인 문제해결 지향이 매개효과를 지니는 것으로 나타났다. 이로 볼 때, 걱정이 높은 사람들을 대상으로 불확실성에 대한 인내력과 부정적인 문제해결 지향에 초점을 두어 개입을 하는 것이 유용할 수 있겠다. 추가적으로 본 연구의 의의와 한계점에 대해서도 논의하였다.

범불안장애 환자와 일반인의 걱정 내용 및 심각도의 비교 (Contents and Severity of Worries in Outpatients with Generalized Anxiety Disorder Compared to Normal Control)

  • 김휘곤;김대호;오대영;서호준;허휴정;채정호
    • 대한불안의학회지
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    • 제11권1호
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    • pp.47-53
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    • 2015
  • Objective : Generalized anxiety disorder (GAD) is a common anxiety disorder characterized by excessive worries and anxiety symptoms. To distinguish between pathological and normal worries, this study compared the contents and severity of worries among patients with GAD with those of matched non-psychiatric control Methods : Thirty outpatients with GAD receiving treatment at the psychiatric department of Hanyang University Guri Hospital were recruited. As a matched control group, we selected 30 adults without psychiatric history who participated in the Anxiety Disorder Survey, during the Mental Health Exposition held in Seoul in April, 2014. Matched demographic data were age, sex, education, and household income. Self-questionnaires included demographic data, contents of worry (10 categories of worries and each severity), and the Pennsylvania State Worry Questionnaire (PSWQ). Results : There was no statistical difference in the contents of worry between patient and control groups. However, the total PSWQ scores significantly higher in the GAD group. Conclusion : Our findings suggest that patients and non-patients worry about the similar contents and worries in GAD cannot be differentiated by what people worry about. Only the severity of worry was a distinguishable feature. Our finding supported inclusion of the diagnostic criterion of "excesslve wornes" in GAD.

한글판 펜실베니아 걱정 질문지의 탐색적 및 확인적 요인 분석 (Exploratory and Confirmatory Factor Analysis of the Korean version of the Penn State Worry Questionnaire)

  • 전준원;김대호;김은경;노성원
    • 대한불안의학회지
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    • 제13권2호
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    • pp.86-92
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    • 2017
  • Objective : This study evaluated the factor structure of a Korean version of the Penn State Worry Questionnaire (K-PSWQ) with exploratory factor analysis in healthy adult subjects, and confirmatory factor analysis of subjects who have received psychiatric treatment. Methods : Exploratory principal component analysis was conducted with data from 318 non-psychiatric subjects, and 118 psychiatric patients were subjected to confirmatory factor analysis (maximum likelihood estimation). Participants were voluntary visitors at the booth who agreed to undergo screening for anxiety disorder at 2013 & 2014 Korea Mental Health Exhibitions. Results : Exploratory analysis revealed a two factor structure of the scale with total variance of 56.3%. Factor 1 was considered 'Worry engagement', and factor 2 was considered 'Absence of worry'. However, the results of the confirmatory factor analysis supported that both one factor model with method factor and two factor model are fit to structure of the scale considering fit indices. Internal consistency of total questions was good (Cronbach's ${\alpha}=0.899$). Conclusion : Our results supported the previously suggested factor structure of the PSWQ, and proved factorial validity of the K-PSWQ in both populations.

환자-간호사간의 치유적 관계형성 경험과 과정 (Experiences and Process of Patients' Healing Relation with Nurses)

  • 강병옥;지성애
    • 간호행정학회지
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    • 제1권1호
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    • pp.112-131
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    • 1995
  • The purpose of this study is to know experiences and process of patients' healing relation with nurses. This study had been conducted from July to September in 1994. The subjects were 7 patients who had hospitalized within 10 days at general surgery unit in C university hospital. The data were collected through in-depth interview and observation on the basis of Grounded Theory. In-depth interview were performed 3-6 times for each patient and taken 10-15 minutes at once. The result were as follows : (1) The main concepts are worry to operation, worry to hospital environment, worry to their children, worry to nurses, general appraisal, appraisal of appearance, appraisal of attitude, appraisal of nurses' response, appraisal of nurses' help, interest to patients, appraisal of explanation, appraisal of direct nursing, appraisal of nursing role, appraisal of nursing fairness, empathy, feeling of jung, discontent exposure, content, rapport. (Jung is a unique feeling that appeared in only korean culture) (2) The main categories are worry, general appraisal, concrete appraisal, empathy, and rapport. (3) These process is worry, appraisal, empathy, and rapport in the order. (4) The core category is the need of relation formation. The hospitalized patients have had need of relation formation with nurses. In order to satisfy this need, patients in the early of hospitalization had the worries to nurses, hospital environment, their children and themselves. The more patients have information about themselves, the more they have worries. In addition to, patients have general appraisal through the first impression or feeling to nurses. A time goes by, general appraisal has changed concrete appraisal. High educated group (above bachelor degree) have expressed concretely and variousely their needs. The patients who have empathy to nurses are content with nurses and form rapport to be shown frankly thier discontents. Therefore, patients' healing relation formation is the process of being filled up the need of relation formaton with Nurses. As mentioned above, researcher suggests that nurses need study nursing strategies to make earlier the last phase of the healing relation formation, rapport.

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시험 불안의 치료 - 이론적 배경 - (TREATMENT OF TEST ANXIETY - Theoretical Background of the Treatment of Test Anxiety -)

  • 백영석
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제2권1호
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    • pp.49-55
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    • 1991
  • 시험 불안은 인지적인 worry와 정서적인 emotionality 2요소를 갖고 있으며 상황에 특정한 인격 성향으로 정의되어 왔다. 정서적, 인지적 요소를 수정하려는 정도에 있어서 여러 치료가 다르고, 여러 치료가 치료적 기술의 영향이 예상된 궤적에 근거해서 인지-정서 연속선상에 따라서 놓여질 수 있게 되었다. 인지-정서 연속선상에 놓여진 여러 치료들과 학습 습관, 시험 치루는 기술과 모델링등이 검토되었다. 최근 시험 불안 치료 연구를 고찰하여 본 결과, 대부분 인지적 치료가 정서적 치료보다 시험 불안을 감소시키고 worry와 emotionality를 감소시키는데 더 효과적이라는 것이다.

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한국어판 간이걱정척도의 개발 (Development of the Korean Version of the Brief Measure of Worry Severity(BMWS))

  • 임재형;조숙행;한창수;김승현;양재원;이문수;정현강;고영훈
    • 정신신체의학
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    • 제19권2호
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    • pp.92-100
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    • 2011
  • 연구목적: 본 연구에서는 한국어판 간이걱정척도(Brief Measure of Worry Severity, BMWS)를 개발하고, 척도의 신뢰도와 타당도 및 요인 구성을 평가하였다. 또한 병적인 걱정이 우울 및 불안과 관련되어 있는지를 알아보았다. 방 법: 지역사회 일반인 및 대학생 352명이 간이걱정척도를 시행하였으며, 이 중 27명은 3주 후 척도를 재시행하였다. Cronbach's ${\alpha}$ 계수와 검사-재검사 일치도를 통해 척도의 신뢰도를 평가하였다. 외적 타당도는 간이걱정척도의 점수와 Beck 우울척도(Beck Depression Inventory, BDI), Patient Health questionnaire-2(PHQ-2), 상태 불안척도(State Anxiety Inventory, SAI), 특성 불안척도(Trait Anxiety Inventory, TAI) 각각의 점수와의 상관도를 확인함으로써 평가하였다. 또한 구성 타당도를 평가하기 위해 주성분 분석을 시행하였다. 병적인 걱정이 우울 및 불안과 관련되어 있는지 여부는 간이걱정척도의 점수와 BDI 및 TAI 점수를 편상관 분석하여 알아보았다. 결 과: 척도의 Cronbach's ${\alpha}$ 계수는 0.904였으며, 검사-재검사 상관도는 0.56(P<0.01)이었다. 간이걱정척도 점수와 BDI, PHQ-2, SAI, 그리고 TAI 점수의 상관도는 각각 0.60(P<0.01), 0.42(P<0.01), 0.36(P<0.01), 0.59(P<0.01)이었다. 주성분 분석상 척도는 하나의 요인으로 구성되어 있었다. TAI 점수를 통제한 상태에서 간이걱정척도 점수와 BDI 점수의 상관 계수는 0.357(P<0.01)이었으며, BDI 점수를 통제한 상태에서 간이걱정척도 점수와 TAI 점수의 상관 계수는 0.446(P<0.01)이었다. 결 론: 본 연구에서는 한국어판 간이걱정척도가 병적인 걱정을 측정하는데 있어 신뢰할 수 있고 타당한 도구임을 밝힐 수 있었다. 또한 병적인 걱정이 불안뿐만 아니라 우울과도 관련되어 있음을 확인할 수 있었다.

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서울 생활치료센터에 입소한 경증 혹은 무증상 코로나19 감염자의 정신건강: 우울, 불안, 외상경험, 자살위험성에 대한 단면 분석 (Mental Health of Asymptomatic or Mildly Symptomatic COVID19 Patients in the Seoul Metropolitan City Community Treatment Center: Cross Sectional Analysis of Depression, Anxiety, Trauma Experience, and Suicidal Tendency)

  • 문명현;이해우;유용준;신주희;안치웅
    • 대한불안의학회지
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    • 제18권2호
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    • pp.101-108
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    • 2022
  • Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and suicidal tendency among patients who were hospitalized in a community treatment center and to identify the factors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center between March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or interview by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 patients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively associated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COVID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers.

불안 및 우울 장애에 있어서 불확실성에 대한 불내성의 역할 (The Role of Intolerance of Uncertainty in Anxiety and Depressive Disorders)

  • 이준엽;이상혁;서호석
    • 대한불안의학회지
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    • 제9권1호
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    • pp.3-9
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    • 2013
  • Intolerance of uncertainty (IU) is defined as the tendency to react negatively on an emotional, cognitive, and behavioral level to uncertain situations and events. However, this definition is somewhat categorical and does not explain the phenomenology of IU. Intolerance of uncertainty scale (IUS), the standard measure of IU, was considered to have two factors : 'unacceptability and avoidance of uncertainty' and 'uncertainty leading to the inability to act'. IU may be a cognitive vulnerability factor for clinical worry and generalized anxiety disorder (GAD). A number of moderators and mediators including cognitive avoidance, experiential avoidance and rumination influence the relationship between IU, worry, obsessive-compulsive symptoms, anxious and depressive symptoms. IU may be more strongly related to the symptoms of GAD than to symptoms of other anxiety disorders including obsessive-compulsive disorder (OCD), and major depressive disorder. IU may serve as an important transdiagnostic feature across anxiety and depressive disorders. Incorporating IU-specific treatment components into therapeutic protocols may result in pervasive benefits, and not only for those with GAD or OCD, but for people with any anxiety disorder or with depression.