• Journal of the Korean Society of Physical Medicine
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• v.15 no.4
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• pp.87-99
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• 2020

PURPOSE: This study examines the therapeutic effect of functional adjustment procedure therapy (FAPT), by comparatively analyzing behavioral disorders due to shoulder pain and subjective pain intensity subsequent to therapy, in patients with shoulder pain. METHODS: The intervention was performed on 48 employee patients with shoulder pain, Patients were administered 16 sessions of FAPT for 8 weeks, twice a week for 30 minutes per session. This study applied the neck pain and disability scale (NPDS) as a measurement tool, and used the questionnaire to measure subjective pain intensity to investigate the difference before and after administering FAPT to employee patients with shoulder pain. RESULTS: Statistically significant difference was obtained between the mean difference in shoulder pain disorder, before and after FAPT. Assessing gender and age differences in the reduction effect of shoulder pain, showed significant difference in 8 of the 10 factors examined. Finally, examining the difference in the effect of reducing subjective shoulder pain by gender and age, we observed that gender-based disability reduction was significant for all 12 factors examined. CONCLUSION: Taken together, the results of this study, validate the therapeutic efficacy of FAPT for patients with shoulder pain. We believe that this data will provide basic information to understand the health conditions and psychological variables of patients with shoulder pain.

• Journal of Korean Academy of Nursing
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• v.35 no.6
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• pp.1174-1182
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• 2005

Purpose : This study examined the relationship between sexual changes and adjustment and identified the factors which affect adjustment after a hysterectomy. Method : The subjects were 89 women under 50 years of age registered at gynecology departments of general hospitals in Seoul. Result : $60.7\%$ of the women restarted coitus during six weeks to three months post operation. They felt a decrease in vaginal secretions$(68\%)$, and abdominal and pelvic pain$(59.8\%)$, but2/3 of them didn't change the frequency of coitus and level of orgasm. With respect to the adaptability of the sexual life, there was a significant difference in the time to restart coitus, coitus, lack of vaginal secretions, abdominal and pelvic pain, change of frequency of coitus, experience of orgasm, importance of sex and avoidance of coitus, according to job, income, and health condition. Conclusion : It is appropriate to restart coitus six weeks to three months after surgery and preliminary information should be given to patients after surgery as abdominal and pelvic pain could be relieved after twelve months. Also, sexual adjustment can be improved if they can recognize the changes after surgery from sexual life before surgery.

• The Korean Journal of Community Living Science
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• v.16 no.3
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• pp.47-55
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• 2005

The purposes of this study are to examine the economic conditions and parenting of custodial fathers/mothers and to explain their impacts on the children's social adjustment after divorce. A total of 185 custodial parents divorced within the last 5 years completed a structured questionnaire. Children's social adjustment was the dependent variable in this study and was defined as their school performance and behavior problems. Results show that compared with divorced custodial fathers, divorced custodial mothers demonstrate more effective parenting, but there were no differences in economic conditions between them. In addition, children in single-father divorced families have lower school grades and more behavior problems than those in single-mother divorced families. Results also indicate that the economic conditions and parenting have different effects for children across family type. For children raised with a custodial father in divorced families, the economic conditions and the divorce duration are associated with lower school grades and behavior problems. For children with a custodial mother, however, the effective of parenting and the children's age have significant effects on the children's social adjustment after the parent divorced. Based on these results, this study proposes strategies for the improvement of children's adjustment in divorced families.

• Journal of Korean Home Economics Education Association
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• v.17 no.3 s.37
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• pp.71-82
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• 2005

The purpose of this study is to research on how the types of father's communication were perceived by the adolescents and how the school adjustment of the adolescents according to the communication between father's and adolescents appear. The major results of this study were as follows. First, the school adjustment showed difference according to the general characteristics (adolescent's age, father's jobs) of the students surveyed. Second, the statistic correlation appeared in the relationship of the style of communication between father and adolescents and the school adjustment of the adolescents.

• Journal of the Korean Home Economics Association
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• v.45 no.5
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• pp.63-74
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• 2007

As the number of North Koreans defectors entering South Korea with their family members increases, it becomes more important to explore the family characteristics that facilitate their adjustment. The data used in the present study was collected from a survey of 195 North Korean defectors. The aim of this study was to investigates how the structural and relational aspects of family influence the socio-cultural adjustment of North Korean defectors. The structural characteristics of family life included whether or not the defectors exited with their family members, whether they were living with family members, and whether they were living with family members under the age of 18. The relational characteristics included family cohesion and adaptability. The study results showed that living with young family members was negatively associated with the social activity restriction problems commonly perceived by North Korean defectors. Family cohesion was also negatively associated with the social activity restriction problems and positively associated with the social isolation problems. The results of this study also showed that family adaptability was not significantly associated with any socio-cultural adjustment problems.

• Korean Journal of Child Studies
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• v.32 no.3
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• pp.143-162
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• 2011

This study presents a meta-anlalytic review of 119 studies, published between 1990 and 2009, of gender differences and variables associated with overt and relational aggression during childhood and adolescence. Gender differences in overt aggression were found to be significantly higher in boys than girls, but significant gender differences in relational aggression were not found. Gender differences of only overt aggression are moderated by age and the reporter type. In general, both overt and relational aggression are more strongly related to maladjustment than adjustment. In addition to this, overt and relational aggression has both common and differential associations with relative levels of maladjustment and adjustment. The moderation of these effect sizes of both overt and relational aggression by age and the reporter type was found.

• Korean Journal of Psychosomatic Medicine
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• v.11 no.2
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• pp.182-195
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• 2003

Background: Marriage is one of the major life events and the primary source of individual happiness and meaning of life. It is not possible to predict who will marry whom and which marriage will be successful. Marital adjustment has significant influences on an individual and relationship functioning and is associated with mental health. Good marital quality may imply good general relationship. There are several factors that correlate with or predict good marital quality. Especially individual personality factors may be a major factor in achieving and maintaining marital stability, satisfaction and happiness. The aim of the present study was to investigate the possible relationship between dyadic adjustment and personality dimensions in urban married women. Methods: Dyadic Adjustment Scale, Eysenck's Personality Questionnaire, Beck Depression Inventory and State-Trait Anxiety Inventory were administered to 215 married women. Data analysis was based on 170 women who provided reliable informations. The descriptive statistics of demographic data and 4 scales were obtained. Then the possible relationships between each data were tested by calculating Pearson's product moment correlations. To test the effects of depression and anxiety on dyadic adjustment, stepwise multiple regression analysis was done. Results: Age and length of marriage were negatively correlated with affectional expression and dyadic cohesion. Educational level was positively correlated with total dyadic adjustment score and dyadic satisfaction. Family income was positively correlated with total dyadic adjustment score, dyadic consensus, dyadic satisfaction and dyadic cohesion. Different family type showed different total dyadic adjustment score, dyadic satisfaction and dyadic cohesion. Psychoticism was negatively correlated with total dyadic adjustment score, dyadic consensus, dyadic satisfaction, affectional expression and dyadic cohesion. Neuroticism was negatively correlated with total dyadic adjustment score, dyadic consensus, dyadic satisfaction and affectional expression. Extraversion and lie were not correlated with any factors. Beck Depression Inventory and State-Trait Anxiety Inventory scores were negatively correlated with total dyadic adjustment score, dyadic consensus, dyadic satisfaction, affectional expression and dyadic cohesion. The result of multiple regression analysis indicated that psychoticism was correlated with dyadic adjustment. Conclusion: These results showed that the demographic factors such as age, length of marriage, educational level, family income and family type were significantly correlated with dyadic adjustment. Psychoticism and neuroticism measured by Eysenck Personality Inventory were significantly correlated with dyadic adjustment. But the correlations with extraversion and lie were not significant. Especially correlation between neuroticism and dyadic adjustment seemed to be mediated by emotional state such as depression and anxiety. These findings suggest that personality factors may be involved in marital relationship and that clinician must consider personality aspect in dealing with marital problems. Future study about differences between control group and psychiatric patient group will be needed.

• Journal of Families and Better Life
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• v.28 no.2
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• pp.131-146
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• 2010

This study examined the effects of maternal anxiety and the teacher-child relationship on the adjustment of 1- and 2-year-old children in a child-care center. The subjects were 344 working mothers who were raising 19- to 42-month-old children and 106 class teachers in Seoul, Gyeong-gi and lncheon. Data analysis was done using the SPSS WIN 15.0 version an d the collected data were subjected to a descriptive statistical analysis, t-test, one-way ANOVA, Scheff$\acute{e}$ s post-test and hierarchical multiple regression analysis. The results of this study are as follows : (a) children's adaptability to child-care centers varied with their sex, age, and the existence of siblings. Girls and children of higher age were more adaptable than boys and younger children. Children who have siblings were more adaptable compared to those who were the only child in the family. Also, children who were enrolled at a workplace provided child-care center were more adaptable than those who entered other kinds of child-care centers. (b) The teacher-child relationship influences the adjustment of children in a child-care center. It was found that the teacher-child relationship is the strongest indicator to predict how well the child will adjust to the child-care center.

• Health Policy and Management
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• v.27 no.2
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• pp.149-156
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• 2017

Background: This study was conducted to evaluate the performance of the Hierarchical Condition Category (HCC) model, identify potentially high-cost patients, and examine the effects of adding prior utilization to the risk model using Korean claims data. Methods: We incorporated 2 years of data from the National Health Insurance Services-National Sample Cohort. Five risk models were used to predict health expenditures: model 1 (age/sex groups), model 2 (the Center for Medicare and Medicaid Services-HCC with age/sex groups), model 3 (selected 54 HCCs with age/sex groups), model 4 (bed-days of care plus model 3), and model 5 (medication-days plus model 3). We evaluated model performance using $R^2$ at individual level, predictive positive value (PPV) of the top 5% of high-cost patients, and predictive ratio (PR) within subgroups. Results: The suitability of the model, including prior use, bed-days, and medication-days, was better than other models. $R^2$ values were 8%, 39%, 37%, 43%, and 57% with model 1, 2, 3, 4, and 5, respectively. After being removed the extreme values, the corresponding $R^2$ values were slightly improved in all models. PPVs were 16.4%, 25.2%, 25.1%, 33.8%, and 53.8%. Total expenditure was underpredicted for the highest expenditure group and overpredicted for the four other groups. PR had a tendency to decrease from younger group to older group in both female and male. Conclusion: The risk adjustment models are important in plan payment, reimbursement, profiling, and research. Combined prior use and diagnostic data are more powerful to predict health costs and to identify high-cost patients.

• Journal of Community Nutrition
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• v.7 no.3
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• pp.135-140
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• 2005

This study was conducted to evaluate the health status of staff by medical examination data according to the work classification as professional, office worker and laborer in K University in Seoul, Korea. Two thousand four hundred and eighty-four staff (men : 1154, female: 1330) from the university were studied for this report. The anthropometric (height, weight and BMI) and blood pressure (systolic, diastolic) and biochemical parameters (hemoglobin, glucose, cholesterol, AST, ALT) were measured. All groups were calculated using GLM multivariate analysis for three groups after adjustment for age. The average BMI was significantly higher in laborers than professionals and officers after adjustment for age. In blood pressure, especially in SBP, the significant difference was found in females according to the job classification. Blood glucose levels of female laborers were significantly higher than those of officers and professionals. The level of blood total cholesterol of male professionals was significantly higher than those of laborers. The level of blood total cholesterol of female laborers was significantly higher than officers or professionals. Importantly, significant differences were found in BMI, SBP, blood glucose level and cholesterol level of female staff after adjustment for age. These results showed that there were differences in health subjects of staff according to the work classification. This study would provide basic data to prepare the program of health promotion for the college staff according to work classification. Further research is required to discover factors influencing health promotion of staff in colleges.