• Journal of the Korean Academy of Esthetic Dentistry
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• v.28 no.1
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• pp.54-60
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• 2019

Objective: Dental fear is a feeling of anxiety and fear without intervention during a dental visit, mainly due to past negative dental treatment experiences, and in adults, despite the recognition of the need for dental treatment, it can lead to avoidance of dental treatment, which may cause deterioration of oral health. Therefore, this study was conducted to measure dental fear and anxiety level in some adults, and to identify related factors and their causes. Methods: This study used Kleinknecht's Dental Fear Survey scale and the SPSS 21 program (IBM SPSS Statistics 21) was used for analysis. Result: When the dental fear was the higher, the "access to the dental clinic" was found to be the highest, followed by "sitting in dental unit chair" and "smell of dental clinic" in that order. Conclusions: Dentists and dental hygienists should be able to understand the fear, anxiety, and concerns of the dentist office and to find various ways to provide systematic medical services.

• Archives of Craniofacial Surgery
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• v.25 no.1
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• pp.17-21
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• 2024

Background: The pain caused by local anesthetic injection can lead to patient anxiety prior to surgery, potentially necessitating sedation or general anesthesia during the excision procedure. In this study, we aim to compare the pain relief efficacy and safety of using a digital automatic anesthetic injector for local anesthesia. Methods: Thirty-three patients undergoing excision of a benign soft tissue tumor under local anesthesia were prospectively enrolled from September 2021 to February 2022. A single-blind, randomized controlled study was conducted. Patients were divided into two groups by randomization: the experimental group with digital automatic anesthetic injector method (I-JECT group) and the control group with conventional injection method. Before surgery, the Amsterdam preoperative anxiety information scale was used to measure the patients' anxiety. After local anesthetic was administered, the Numeric Pain Rating Scale was used to measure the pain. The amount of anesthetic used was divided by the surface area of the lesion was recorded. Results: Seventeen were assigned to the conventional group and 16 to the I-JECT group. The mean Numeric Pain Rating Scale was 1.75 in the I-JECT group and 3.82 in conventional group. The injection pain was lower in the I-JECT group (p< 0.01). The mean Amsterdam preoperative anxiety information scale was 11.00 in the I-JECT group and 9.65 in conventional group. Patient's anxiety did not correlate to injection pain regardless of the method of injection (p= 0.47). The amount of local anesthetic used per 1 cm² of tumor surface area was 0.74 mL/cm² in the I-JECT group and 2.31 mL/cm² in the conventional group. The normalization amount of local anesthetic was less in the I-JECT group (p< 0.01). There was no difference in the incidence of complications. Conclusion: The use of a digital automatic anesthetic injector has shown to reduce pain and the amount of local anesthetics without complication.

• CELLMED
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• v.6 no.4
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• pp.27.1-27.4
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• 2016

Anxiety is a common clinical presentation. Primary anxiety poses a significant problem in its management. Many among the current treatment options of anxiety are habit forming causing significant withdrawal symptoms. There are dose dependent responses often associated with drug adversities. Day time sedation is an undesired effect of many drugs used for anxiety management limiting its usage. Ayurveda recommends a bio- physical procedure to manage anxiety. Shirodhara, a dripping procedure is utilized as a front line therapy for anxiety in Ayurveda. Seeing the limitations of conventional biomedical management of anxiety requiring an improvement upon the existing protocols of managements, and also seeing the use of shirodhara for anxiety management in ayurvedic clinics, a pragmatic study to evaluate the effect of shirodhara in generalized anxiety disorder was done. This was a pragmatic study consisting of shirodhara with ksheer bala oil as an intervention upon generalized anxiety disorder patients. The study was conducted upon 13 patients and observations were done for six weeks. The responses observed through the changes in Hamilton Anxiety Scale were evaluated using paired t test to observe the pre-post significance.

• Korean Journal of Culture and Social Issue
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• v.21 no.4
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• pp.617-647
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• 2015

The purposes of this study was to develop a valid scale measuring organization-related anxiety and to use this scale to examine the relation of organizational anxiety to demographic variables, job satisfaction and organizational committment. A series of studies were conducted to develop a scale for organizational anxiety. Initially, the 97 items were adopted by expert ratings. A exploratory factor analysis with a sample of 435 workers yielded a preliminary version of organizational anxiety scale with 28 items. Subsequently, a confirmatory factor analysis was conducted with a sample of 566 workers, leaving 20 items. The final version of the organizational anxiety scale consisted of 4 sub-factors: perception of future uncertainty, perception of locus of control, interpersonal anxiety, and perception of alternatives. In this study, the examined demographic characteristics included sex, age, type of occupation, type of industry, occupational position, monthly income and educational level. Organizational effectiveness was composed of job satisfaction and organizational commitment. As mediators, organizational culture, life satisfaction, self efficacy, and social support were explored. The negative relationship was observed between organizational anxiety and organizational effectiveness. The results showed the significant differences in organizational anxiety by demographic characteristics. The mediators were explored for the relationship between organizational anxiety and job satisfaction and between organizational anxiety and organizational commitment. The negative relationship between organizational anxiety and job satisfaction was mediated by the group culture, the developmental culture, the rational culture, life satisfaction, self-efficacy, and social support. Individuals with the higher level of these mediators reported greater job satisfaction even if they experienced organizational anxiety. The partial mediation effect of the group culture, the developmental culture, the rational culture, life satisfaction, and social support was observed on the negative relationship between organizational anxiety and organizational commitment. These results implies that job satisfaction and organizational commitment can be improved with the interventions on organizational cultures, self-efficacy, and social support despite the presence of organizational anxiety. Based on these results, the implication and limitations of this study and the directions for future research discussed.

• The Mathematical Education
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• v.48 no.4
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• pp.469-481
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• 2009

This study investigates the relationship of mathematics anxiety and achievement in college mathematics for engineering major freshman students. An revised and modified 30-item version of the Mathematics Anxiety Scale(MAS) was completed by 176 university engineering students enrolled in introductory calculus courses offered by the department of mathematics. Correlational analysis indicated complex interaction patterns between mathematics anxiety and mathematics achievement, depending on the level of anxiety. The results from this study confirm the negative correlation between mathematics anxiety and mathematics achievement in college mathematics for engineering major student, and also those support the claim that the relationships between mathematics anxiety and achievement have non-linear patterns.

• Journal of the Korea Safety Management & Science
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• v.19 no.2
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• pp.15-29
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• 2017

In changes of social environment, change of the use of land due to the change of residence type, industry and urban structure is an influential factor to safety vulnerable social group. From PTSD from disaster experience point of view, experience of disaster, damage from disaster, witness of disaster make people experience anxiety and confusion, increase the anxiety toward disaster and lead to difficulty in daily lives. As for the result of analyzing anxiety factors regarding disaster damage potential composed of 20 items of safety manager, damage potential of sink hole which recently rapidly increased was the highest, and followed by anxiety from safety damage potential of family, anxiety from phone call damage. Likewise, if the anxiety toward disaster damage potential is digitized, it contributes to setting safety management planning for disaster prevention as it visualizes the risk.

• The Journal of Korean Academic Society of Nursing Education
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• v.4 no.2
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• pp.147-158
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• 1998

The purpose of this study was to identify the effect of music therapy on state anxiety, perception of pain of dental patients. The subjects consisted of forty patients undergoing dental treatment at one dental clinic. Twenty eight of them were assigned to the experimental group, while twelve subjects to the control group. The data were collected from June 29 to August 1, 1998 by means of a state anxiety scale (by Spielberger) questionnaire and visual analog scale for pain measurement. The data were analysed with $X^2$-test, t-test, and paired t-test. The results are as follows 1) There were no significant differences between the experimental and the control group on the post treatment the state anxiety score. However, in the experimental group, the state anxiety score decreased significantly after music therapy(t=3.19, p=0.003). In the control group, the state anxiety score did not decrease significantly(t=1.65, p=0.126). Especially, high score group on the state anxiety was found to be of significant differences in the experimental group (t=3.09, p=0.007). 2) There were no significant differences between the experimental and the control group on the post treatment perception of pain. However, after music therapy, the experimental group had a lower post treatment perception of pain than the control group. 3) After music therapy, subjective response of the experimental group was one of relative contentment. From these results, it is concluded that music therapy as a nursing intervention can be effective in decreasing anxiety in dental patients.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.6
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• pp.379-388
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• 2019

Background: In dentistry, pain is a factor that negatively affects treatments and drug use. The aim of this study was to evaluate the correlations of the postoperative analgesic use with pain catastrophizing and anxiety in patients who underwent removal of an impacted mandibular third molar. Methods: We recruited 92 patients who underwent the extraction of impacted mandibular third molar. In this study, the Pederson index was used to preoperatively determine the difficulty of surgical extraction. Patients were asked to note the number of analgesics used for 7 postoperative days. Patients were divided into two groups based on the Pain Catastrophizing Scale: low and high score groups. State-Trait Anxiety Inventory-trait and State-Trait Anxiety Inventory-state questionnaires were used to determine the anxiety levels of the patients. The obtained data were examined to evaluate the correlations of pain catastrophizing and anxiety with the postoperative analgesic use. Results: In this study, 92 patients, including 60 women and 32 men, were recruited. The analgesic use was higher in women than in men but with no significant difference (P > 0.05). Pain Catastrophizing Scale scores were higher in women than in men but with no significant difference (P > 0.05). The analgesic use was higher in patients with high pain catastrophizing than in those with low pain catastrophizing but with no significant difference (P > 0.05). State-Trait Anxiety Inventory-trait scores were higher in women than in men but with no significant difference. However, state-Trait Anxiety Inventory-state scores were significantly higher in women than in men (P < 0.05). Conclusion: The postoperative analgesic use may be higher in patients who catastrophize pain than in others. Knowing the patient's catastrophic characteristics preoperatively would contribute to successful pain management and appropriate drug selection.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.1
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• pp.101-110
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• 2010

Purpose: This study was a descriptive research study that investigates nurses' beliefs concerning death anxiety and spirituality. Method: The subjects were 150 nurses working at general hospitals located in Busan city. Data collection was carried out from October 15 to November 30, 2008. The study used a 'Death Anxiety Scale' and a 'Korean Spirituality Scale.' The collected data was analyzed for frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficient with the SPSS/WIN 17.0. Result: The level of death anxiety of the subjects averaged 3.25. In each sub-factor, 'awareness of shortness of time' was the highest at 3.57 points. Spirituality level of the subjects averaged 3.51. In each sub-factor, meaning and purpose of life was the highest at 3.70 points. In differences of death anxiety followed by general characteristics, there were significant differences according to age, and educational level. For spirituality, followed by general characteristics, there were significant differences according to age, educational level, religion, working period, and understanding about death and spirituality. There was a weak inverse correlation among fear for accidents involved with death, total spirituality level and meaning, and purpose of life. Conclusion: Future research should examine relations between nurses' death anxiety and spirituality level through random sampling and research to check psychological and social variables that influence death anxiety and spirituality. Development of a program to lessen nurses' death anxiety and to raise their spirituality level would be prudent.

• Anxiety and mood
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• v.10 no.2
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• pp.128-136
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• 2014

Objective : This study aimed to examine impact of anxiety and demographic factors on relationship between severity of depressive symptom and quality of life and disability. Methods : One hundred ninety five patients who met DSM-IV-TR criteria for depressive disorder were enrolled. It includes "Hamilton Rating Scale for Depression (HRSD)", "State-Trait Anxiety Inventory-State (STAI-S)", "General Health Questionnaire/Quality of Life-12 (GHQ/QL-12)", and "Sheehan Disability Scale (SDS)". Correlation analysis was used to see the correlations of each variable. Hierarchical regression analysis was used to see mediating effect of anxiety in the relationship. Sobel test was used to verify mediating effect. Multiple regression analysis was used to see moderating effect of demographic factors in the relationship. Results : There was partial mediating effect of anxiety on the relationship between severity of depressive symptoms and decreased quality of life (z=-11.68, p<.001)/increased disability (z=10.42, p<.001). Only religion was found to be moderating effect on the relationship between depressive symptoms and decreased quality of life. Conclusion : Rapid relief of anxiety along with depressive symptom had important implications for the treatment of patients with depression.