• Title/Summary/Keyword: anxiety to death

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Analysis of the trends of research education on death (죽음준비교육의 연구동향 분석)

  • Kim, Sin-Hayng;Byun, Soung-Won
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.469-475
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    • 2014
  • This study analyzed the studies and their trends, specifically 124 master's and doctoral theses, as well as research papers on the topic of education on death published from 1990 to 2014. The study's findings are as follows. First, in terms of trends by year, there were only 8papers in the 1990s but this figure saw a dramatic jump from 2005 to 2009 to a total of 50papers(40.3%). The majority of them, 59papers in total, were master's theses(47.6%). Second, in terms of the study field, theological studies took the lead and studies on social welfare accounted for 29papers(28.4%) which was the largest share. Third, in terms of study subjects, senior citizens were used in the majority of papers or 35papers(40.7%) in total. Fourth, in terms of methodology, literature studies accounted for 61papers(49.2%) which was the largest share. Fifth, for mediation programs education on death, the preferred method of study was to have a before-after design using a control group and experiment group. The most common number of total sessions was 5-8sessions with one session per week and each session lasting for about 100-120minutes. Sixth, as for the effect variable of mediation programs for education on death, death anxiety was the most frequently studied variable at 23 papers(31.5%).

Death Recognition, Meaning in Life and Death Attitude of People Who Participated in the Death Education Program (죽음교육 프로그램 참여자의 죽음인식, 생의 의미 및 죽음에 대한 태도)

  • Kang, Kyung-Ah;Lee, Kyung-Soon;Park, Gang-Won;Kim, Yong-Ho;Jang, Mi-Ja;Lee, Eun
    • Journal of Hospice and Palliative Care
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    • v.13 no.3
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    • pp.169-180
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    • 2010
  • Purpose: This study was to identify the death recognition, meaning in life, and death attitude of participants in the death education program. Methods: A survey was conducted, and 205 data were collected. Descriptive statistics, ${\chi}^2$-test, ANOVA, and Duncan test were used. Results: 1) The followings were the characteristics of death recognition shown by the participants. Over half of the participants said that they had given some thoughts on their deaths, that they had agreeable view on death acceptance, and that diseases and volunteer works made them think about their deaths. Moreover, suffering, parting with family and concerns for them, etc. were the most common reasons for the difficulty of accepting death. As for 'the person whom I discuss my death with', spouse, friend, and son/daughter were the most chosen in this order. Lastly, the funeral type that most of the participants desired was cremation. 2) The means of meaning in life and death attitude were $2.92{\pm}0.29$ and $2.47{\pm}0.25$, respectively. There were significant differences between health status, meaning in life and death attitude. 3) A significant positive corelationship was found between meaning in life and death attitude (r=0.190, P=0.001). Conclusion: For an effective death education program that would fit each individual's situation, an educational content that can make a person understand the meaning of his or her life and death, includes knowledge to lessen the fear and anxiety of death, and helps a person heal from the loss of a family member is absolutely necessary.

A Study on the Measures against Suicide Terrorism (자살테러에 대한 대책 연구)

  • Choi, Jin-Tai
    • Journal of the Society of Disaster Information
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    • v.2 no.1
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    • pp.139-155
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    • 2006
  • Over the past two decades suicide terrorism has become an ever-widening phenomenon. When suicide terrorism was first introduced in the Middle East it seemed that this new phenomenon was invincible and that it might change the innate imbalance between terror groups and their rivalry governments. This did not in fact occur. Looking at history of terrorism, it can be seen that suicide attacks are in actuality a very old modus operandi. However, contemporary suicide terrorism differs from such historical tactics, just as the whole phenomenon of terrorism differs from ancient modes of warfare. Modern suicide terrorism is aimed at causing devastating physical damage. through which it inflicts profound fear and anxiety. Its goal is to produce a negative psychological effect on an entire population rather than just the victims of the actual attack. The relatively high number of casualties guaranteed in such attacks, which are usually carried out in crowded areas, ensures full media coverage. Thus, suicide terrorism, ranks with other spectacular modus operandi such as blowing up airplanes in mid air or the use of Weapons of Mass Destruction as a sure means to win maximum effect. For the purposes of this paper a suicide terror attack is defined as a politically motivated violent attack perpetrated by a self-aware individual (or individuals) who actively and purposely causes his own death through blowing himself up along with his chosen target. The perpetrator's ensured death is a precondition for the success of his mission. The greatest potential risk suicide terrorism may pose in future is if terrorists carry out operations combined with other spectacular tactics such as blowing up airplanes or the use of Weapons of Mass Destruction. Such a combination will increase immensely the death toll of a single terror attack and will have a shocking psychological effect on public moral. At this level suicide terrorism would constitute a genuine strategic threat and would probably be confronted as such. This study portrays a general overview of the modern history of suicide terror activity worldwide, focusing on its main characteristics and the various aims and motivations of the terror groups involved. In addition, This study provides an overview what is to be done to prevent such terrorist attacks.

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Bereavement Care in Hospice and Palliative Care (호스피스.완화의료에서의 사별 돌봄)

  • Kim, Chang-Gon
    • Journal of Hospice and Palliative Care
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    • v.10 no.3
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    • pp.120-127
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    • 2007
  • Bereavement is the state of loss resulting from death. Grief is the emotional response associated with loss, intense and acute sorrow resulting from loss. Complicated grief represent a pathological outcome involving social, physical, emotional, cognitive, spiritual morbidity. The common psychiatric disorders associated complicated grief or abnormal grief responses include clinical depression, anxiety disorders, alcohol abuse or other substance abuse, and dependence, psychotic disorders, and post-traumatic stress disorder (PTSD). Grief tasks involve a series of stage or phases following an important loss that gradually permit adjustment and recovery. Three phases of grief involve phase 1 (walking the edges), phase 2 (entering the depths), and phase 3 (reconnecting the world). For intervention to be effective they need to be individually tailored to abnormal grief reaction or unresolved grief reaction. Clear understandings of complicated grief, abnormal responses, factors increasing risk after bereavement will often enable us to prevent psychiatric disorders in bereaved patients.

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Deep sedation for dental treatment in a Down syndrome patient with Eisenmenger syndrome: A case report

  • Chi, Seong In;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.1
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    • pp.67-71
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    • 2016
  • Eisenmenger syndrome (ES) is characterized by pulmonary arterial hypertension and right-to-left shunting. The signs and symptoms of ES include cyanosis, shortness of breath, fatigue, hemoptysis, and sudden death. In patients with ES, it is important that the systemic and pulmonary circulations be properly distributed and maintained. General dental treatment is not known to be particularly dangerous. To control pain and anxiety, local anesthetics without epinephrine are usually recommended. However, in cases of difficulty of cooperation, general anesthesia for dental treatment makes the condition worse. In the present case, intravenous deep sedation with propofol and remifentanil was administered for behavioral management during dental treatment successfully.

The Role of Acquired Capability in the Relationship between Non-Suicidal Self-Injury and Suicide according to Interpersonal Psychological Theory of Suicide (비자살적자해와 자살 간의 관계에서 습득된 자살잠재력의 역할 : 자살에 대한 대인관계적 심리이론에 기반하여)

  • Kim, Cholong;Park, Yeonsoo;Chang, Hyein;Lee, Seung-Hwan
    • Anxiety and mood
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    • v.13 no.2
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    • pp.60-65
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    • 2017
  • Non-suicidal self-injury (NSSI) has been noted as a significant risk factor for possible suicide attempts. According to the Interpersonal Psychological Theory of Suicide, individuals can attempt suicide after they have acquired the capability to commit it. The acquired capability for suicide can be defined as one's habituated level to the pain and fear associated with suicidal behaviors. This is obtained through constant exposure to painful and provocative events, NSSIs being a prime example. This article reviews prior related studies to determine the extent to which the acquired capability for suicide can be utilized as a predictive factor for fatal suicide attempts following NSSIs. Our review finds a total of 11 studies that directly or indirectly support the claim that the acquired capability for suicide should be considered as a relevant factor linking NSSIs and suicide attempts. Given that NSSIs are most frequently observed in clinical settings, our findings suggest that the acquired capability for suicide will be a useful indicator for clinicians to predict the risk of future suicide attempts by patients.

A Study on the Preventive Attitudes and Health Behavior of Life-style Related Diseases in College Students (일부 대학생들의 생활습관병에 대한 예방태도와 건강행동)

  • Yoon, Hyun-Suk;Cho, Young-Chae
    • Korean Journal of Health Education and Promotion
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    • v.22 no.4
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    • pp.229-244
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    • 2005
  • Objectives: An investigative effort was made to provide basic data upon which effective public health education can be constructed for schools. Methods: The research was made by delivering self-administered questionnaires to 536 men and women with unknown names from a national university during 1-month period on September of 2004. The questionnaire items included preventive attitudes, interests, anxiety, health behavior, consciousness, etc. centering upon life-style related diseases. Results and Conclusions: The preventive attitudes against life-style related diseases was of a higher level in female than male students, The smaller number of students had knowledge of the definition of life-style related diseases, willingness to learn, and gathered information on them. The number of students who had anxiety about them was also small and as low as 54.3% of students were willing to undertake periodic health examination. A great variation ranging from 4.7% to 81.7% was shown in the accuracy rate of answers on the questions asking about three leading causes of death, overconsumption of dietary salt, obesity, diabetes, hypercholesterolemia and colon cancer. With regard to health behaviors, a smaller number of students were involved in health behaviors. On the other hand, $25.7{\sim}35.1%$ of students had everyday exercises and breakfasts, 65.5% had no tobacco use. The study results showed that the survey subjects had deficient knowledge as well as a low level of preventive attitudes and interests against life-style related diseases. Moreover, their health behavior and health consciousness were undesirable apart from their low rates of taking periodic health examinations. Accordingly, the college students should be encouraged to take health education and to make more effective the existing health education in the university.

Factors Affecting End-of-life Care Stress in Long-term Care Hospital Nurses (장기요양병원간호사의 임종간호스트레스에 영향을 미치는 요인)

  • Lim, Gui Yeon;Choi, So Young
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.273-283
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    • 2021
  • The purpose of this study is to identify factors affecting the stress of End-of-life care in long-term care hospitals and to identify perception and education requirement of End-of-life care. The subjects of this study were 163 nurses who had worked at seven long-term care hospitals in Gyeongsangnam-do for more than six months and had more than one end-of-life care experience. They agreed to participate in the study using structured questionnaires from May 27 to June 7, 2021. As a result of this study, the most influential factor for the terminal care stress of the nurses in the long-term care hospitals is the education needs of End-of-life care(β=.25, p=.001). The following factors have been identified death anxiety (β=.21, p=.005), satisfaction with the End-of-life care environment (β=.17, p=.017), and End-of-life care perception(β=-.15, p=.040). Based on the results of this study, it is necessary to meet the educational needs of the End-of-life care for the nurses in the long-term care hospitals in order to relieve their stress. For this, it is necessary to develop and apply educational programs for End-of-life care.

A Review on Predictive Validity of Suicide Assessment Measures (자살성향 측정척도들의 자살예측력에 대한 고찰)

  • Park, Sung-Jin;Lim, Ayoung;Park, Subin;Na, Riji;Hong, Jin Pyo
    • Anxiety and mood
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    • v.9 no.1
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    • pp.10-18
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    • 2013
  • The increasing suicide rate is a serious problem in Korea. Because of increased awareness of suicidality as a problem and because completed suicide is the fourth leading cause of death, it is very important to assess the risk of suicide. The purpose of this review is to provide a systematic examination of predictive validity of measures of suicidal ideation and behavior. A number of instruments are described as useful for identifying individuals "at high risk" for suicidal behavior. However, the predictive validity for most suicide measures has not been established. The present review only includes suicide assessment instruments with published predictive validity. In addition to evaluating the suicide assessment with respect to predictive validity, the present review describes and summarizes the psychometric properties of each measure. In conclusion, because of the complexity of studying the risk of suicide and the paucity of well-designed studies, it is extremely difficult to compare and generalize these findings. In addition, only a few instruments, such as the Scale for Suicide Ideation, Suicide Intent Scale and the Beck Hopelessness Scale, have been found to be significant risk factors for completed suicide. Another problem in the field involves that there have been few suicide measures designed for elderly populations. Clearly, future research is needed to investigate the predictive validity of standardized measures for completed suicide, especially targeting elderly populations.

Understanding of Posttraumatic Embitterment Disorder (PTED) (외상후 울분장애의 이해)

  • Ko, Han-Suk;Han, Chang-Su;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.10 no.1
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    • pp.3-10
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    • 2014
  • Reactive disorder is a group of diagnosis with a definitely known etiology and whose etiological factor is essential to the diagnosis. In DSM system, such reactive disorders are listed as adjustment disorder, acute stress disorder, brief psychotic disorder with marked stressor and posttraumatic stress disorder (PTSD). However, a growing number of individuals is suffering from a prolonged feeling of embitterment after exceptional negative life events and this condition could be diagnosed neither PTSD nor adjustment disorder nor depressive disorder in the context of DSM-IV diagnostic system. This clinical condition can be described as 'posttraumatic embitterment disorder' (PTED). PTED is a reactive disorder triggered by exceptional, though normal negative life events such as conflict in the workplace, unemployment, death of a relative, divorce, severe illness, or experience of loss or separation. The common feature of such events is that they are experienced as unjust, as a personal insult, accompanied by psychological violation of basic beliefs and values. The central psychopathological response pattern in PTED is a prolonged feeling of embitterment. In particular, the core emotion of embitterment can lead to the rejection of treatment. Therefore, "wisdom therapy" as a new treatment approach specifically designed for PTED has been developed. It is assumed that many patients suffering from PTED are often misunderstood and misdiagnosed. This review would help to introduce PTED into the clinical field in psychiatry.