• Journal of Forest and Environmental Science
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• v.38 no.4
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• pp.290-301
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• 2022

Increasing life expectancy leads to a rise in the prevalence of aging-related mental diseases and a concomitant increase in the financial and societal pressures related to their prevention and management. This issue is attracting increasing attention from researchers. Therefore, this study aimed to determine whether a healing program in a forest environment is effective for improving cognitive function, depression, anxiety, and stress in elderly people. A nonequivalent control group pretest-posttest design was used. The experimental group consisted of 18 males and females aged 60 to 80 years who participated in a forest healing program for seven days, while the comparison group comprised 10 people with similar demographics. For the process of data analysis, this study performed a cross-analysis to determine the homogeneity of the data and carried out the Wilcoxon signed-rank test, a nonparametric statistical test, to verify the significance of each group. Participation in the forest healing program led to a significant improve-ment in cognitive function (p=0.030). The levels of depression decreased, but this result was not statistically significant. The levels of anxiety decreased significantly (p=0.004). The mean cortisol score, a measurement of stress, decreased, but it was not statistically significant. These findings confirmed the effectiveness of this program for improving certain mental conditions of elderly people, and affirmed that the use of long-term forest healing programs can be expected to alleviate national pressures created by aging societies.

• 한국노년학
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• v.39 no.1
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• pp.61-72
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• 2019

The purpose of this study was to find ways to reduce old age anxiety by identifying the differences between old age anxiety, grandparents' connection, filial piety, and characteristics, and by identifying factors that affect old age anxiety. The study participants conveniently labeled college students residing in Seoul, Gyeonggi and Chungcheong provinces, and collected data from 2 April to 15 June 2018 and distributed a total of 250 structured questionnaires and retrieved 235 copies to use part 213 for the final analysis. The analysis used SPSS 20.0 Version to obtain frequency, percentage, average, and standard deviation, and age anxiety according to the characteristics of the subject, grandparents and sense of filial piety were analyzed with t-test and ANOVA, and the correlation between aging anxiety, grandparents' bond and filial consciousness was confirmed as Pearson correlation co-efficient. To check the effects of aging anxiety, polylinearity was diagnosed and analyzed with Stepwise multiple regression. Research found that there were statistically significant differences in age insecurity according to majors, grandparents and ties by gender and filial piety by religion and grandparents. And the lower the bond with grandparents, the higher the filial piety, the higher the anxiety was.

• Journal of Korean Academy of Nursing
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• v.49 no.1
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• pp.14-25
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• 2019

Purpose: This was a methodological study that aimed to develop a measurement scale for aging anxiety among middle-aged women. Methods: In this study, construct factors were extracted, and a conceptual framework was established through an extensive literature review and in-depth interviews with middle-aged women. Under the conceptual framework, 44 preliminary items were constructed, and a preliminary scale of 25 items was completed after two rounds of expert validation and item review. For this study, data were collected from 201 women aged 40~59 years, and the construct validity and reliability of the preliminary scale were verified. Results: To verify the construct validity, exploratory factor analysis was conducted. Four factors containing 19 items were extracted. Concurrent validity of the developed scale was verified with Pearson's correlation analysis. The final scale comprised 4 factors ("Social valueless", "Physical weakness", "Concern about changes in appearance", and "Expectations of old age") and 19 items. The Cronbach's ${\alpha}$ value was .91. Conclusion: The scale for measuring aging anxiety in middle-aged women developed in this study validly reflected the peculiarities of aging anxiety in middle-aged women, who experience many physical, emotional, and social changes. The scale can be said to reflect the cultural background, as it reflected real experiences gained through in-depth interviews with middle-aged women.

• The Korean Journal of Rehabilitation Nursing
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• v.9 no.2
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• pp.126-133
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• 2006

Purpose: The purpose of this study was to investigate Laughter Index, depression and anxiety in middle-aged women. Method: The data were collected from 622 middle-aged women by means of structured questionnaire. The data were analyzed using descriptive analysis, t-test, one-way ANOVA, Pearson correlation analysis by SPSS version 10. Results: The measuring of respondents' laughter index revealed they scored an average of 94.75 (${\pm}16.13$) of the full score 150. The measuring of respondents' depression showed they marked an average of 42.69 (${\pm}7.72$) of the full score 80. The measuring of respondents' anxiety showed they marked an average of 42.03 (${\pm}9.48$) of the full score 80. Respondents statistically showed the significant difference in their laughter index depending on age(t=.917, p=.000), and economic status(F=21.710, p=.000). Respondents statistically revealed the significant difference in depression depending on religion(F=3.396, p=.018), economic status(F=13.660, p=.000). Respondents statistically revealed the significant difference in anxiety depending on religion(F=5.557, p=.001), economic status(F=16.79, p=.000). The laughter index related to depression and anxiety in middle-aged women were significantly correlated. Conclusion: This study showed that laughter index in middle-aged women was correlated negatively depression and anxiety. Further research is regarded as necessary to evaluate and to compare effects of laughter with physical health status.

• Journal of the Korean Society for Library and Information Science
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• v.49 no.3
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• pp.253-272
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• 2015

This study analyzed library awareness and anxiety among people in their 20s living in East Asia. The objective is to develop the international library cooperation agenda for life-long education proliferation. User groups in Korea, China, and Japan were investigated to understand the differences in library awareness based on the situational contexts such as preferred resources, use frequency, educational level, and gender. Results of the data analysis showed the correlation between library anxiety and use patterns such as preferred information sources and frequency of use. Specifically, the user group in China has the highest level of library anxiety with every factor. Also, the Korean user group was measured to have the lowest level of library anxiety in terms of digital information factor. Based on these results, the study presents several recommendations for resolving library anxiety such as embracing new information need with regard to environmental change and suggesting a new space policy for libraries.

• Journal of Korean Biological Nursing Science
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• v.23 no.2
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• pp.110-118
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• 2021

Purpose: The purpose of this study was to survey the Coronavirus Disease 2019 (COVID-19) related knowledge, risk perception, preventive behaviors, depression, and anxiety levels among nursing students, and to identify factors that influence preventive behaviors. Methods: An online survey was conducted among nursing students from October 7, 2020 to October 12, 2020. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression. Results: A total of 222 nursing students participated in this study. The correct answer rate for COVID-19 knowledge was 90.0%, risk perception was 5.51±1.26, and the rate for preventive behaviors was 92.5%. The depression score was 6.28±4.63; 59.9% of nursing students had depression, and the anxiety score was 5.56±3.98; 59.9% of nursing students had anxiety. COVID-19 preventive behaviors had a positive correlation with COVID-19 knowledge (r= .30, p< .001), COVID-19 risk perception (r= .18, p= .009), and anxiety (r= .21, p= .001). Factors influencing COVID-19 preventive behaviors by multiple regression were identified as COVID-19 knowledge, anxiety, physical health status before and after COVID-19, grade, practical experience after COVID-19, and COVID-19 risk perception (F = 12.46, p< .001, R²= 25.8%). Conclusion: The results of this research on factors influencing COVID-19 prevention behaviors can be used in the future to develop appropriate health policies for individual and community infectious disease prevention behaviors.

• Journal of Korean Academy of Nursing
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• v.48 no.4
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• pp.485-496
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• 2018

Purpose: This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor. Methods: The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (${\beta}=.64$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54, p<.001). Uncertainty opportunity appraisal (${\beta}=-.45$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28, p<.001). Emotion-focused coping (${\beta}=-.23$, p=.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02, p=.044). Conclusion: Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.

• Journal of Dental Anesthesia and Pain Medicine
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• v.21 no.4
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• pp.311-319
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• 2021

The use of aromatherapy for the reduction of anxiety levels during dental treatment procedures has been well established in the literature; however, there is limited evidence regarding its efficacy. The present meta-analysis is an attempt to assess the association between the use of aromatherapy and anxiety levels among dental patients. A comprehensive search was conducted across Medline, Scopus, Web of Science, EBSCO host, Cochrane databases, and Google Scholar for studies evaluating aromatherapy and anxiety level among dental patients. PRISMA guidelines were followed for the meta-analysis. Randomized and cluster-randomized trials comparing aromatherapy with controls were included. The random-effects model was used to assess the mean differences in anxiety levels of patients visiting dental OPD. The significance value was set at P < 0.05. Six studies were identified that met the requirements for inclusion. Aromatherapy was significantly associated with reduction in patient anxiety levels during dental treatment (pooled mean difference: -3.36 [95% CI, -3.77 - -2.95, P = 0.00001). Low heterogeneity was noted between studies (I² = 1%, P = 0.41) analyzed in the meta-analysis. High certainty of the evidence was obtained from the association between the use of aromatherapy and dental anxiety. This meta-analysis suggests that aromatherapy is effective in reducing dental anxiety. When used judiciously, the results of this work should encourage the use of aromatherapy to reduce patient anxiety levels during dental procedures

• Anxiety and mood
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• v.16 no.1
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• pp.9-17
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• 2020

Objective : The purpose of this study was to investigate the association of depressive/anxiety symptoms with psychosocial factors including ego resilience, social conflict, and social support as well as hemoglobin A1c in patients with diabetes mellitus (DM). Methods : The subjects were 144 patients with DM. Depressive/anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale. Sociodemographic factors, hemoglobin A1c, ego resilience, social conflict, and social support were measured. Multiple regression analyses were performed to examine the impact of hemoglobin A1c, ego resilience, social conflict, and social support on depressive/anxiety symptoms. Results : A total of 32.6% and 24.3% of participants were identified with depressive and anxiety symptoms, respectively. Depressive/anxiety symptoms positively correlated with the social conflict score. Conversely, ego resilience and social support negatively correlated with depressive/anxiety symptoms. In the final model of the multiple regression analyses, ego resilience was associated with a lower level of depressive (β=-0.083, p=0.019)/anxiety (β=-0.125, p=0.001) symptoms whereas social conflict was related to a higher level of depressive (β=0.353, p=0.011)/anxiety (β=0.460, p=0.003) symptoms. Also, hemoglobin A1c positively associated with anxiety symptoms (β=0.495, p=0.012) whereas social support negatively related to depressive symptoms (β=-0.464, p=0.004). Conclusion : We found possible risk and protective psychosocial factors of underlying depressive/anxiety symptoms among patients with DM. Our findings suggest that enhancing ego resilience and social support as well as decreasing social conflict would be crucial in the prevention and management of depressive/anxiety symptoms in patients with DM.

• Women's Health Nursing
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• v.12 no.2
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• pp.97-105
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• 2006

Purpose: The purpose of this study is to verify the effects of the Qigong training program on the anxiety and labor pains of primipara. Method: The research subjects were a total of 60 primipara who consulted a doctor regularly concerning their antenatal care. Among them, 30 people were the experimental group, and the other 30 people were the control group, and were selected as homogeneous with the experimental group. The degree of anxiety and labor pains were measured by State-Trait Anxiety Inventory(STAI) and Graphic Rating Scale(GRS). SPSS WIN 11.0 was used for data analysis. Obstetric and general characteristics between experimental and control groups, and a homogeneity test of state and trait anxiety were done by both $X^2$ test and t-test. The hypothesis testing was analyzed by ANCOVA with a covariate of pretest value. Result: The first hypothesis, 'Primipara who join the Qigong training program have lower anxiety than those who do not join' was supported (F=28.8, p<.000). The second hypothesis, 'Primipara who join the Qigong training program have lower labor pain than those who do not join' was unsupported. Conclusion: It was verified that the Qigong training program was effective in alleviating anxiety; however it did not have any effect on relieving labor pain, so more in-depth research is needed later on.