• Journal of Korean Academy of Nursing
• /
• v.30 no.4
• /
• pp.893-904
• /
• 2000

The sample of this study consisted of 140 informal caregivers who provided care to the older adults(over 60 years of age) in Great Cleveland, USA. Self-rated questionnaires were utilized to collect information. The purpose of the study was to identify coping strategies most frequently utilized by informal caregivers of older adults and to examine predictors of the caregivers' health responses to the caregiving situation applying Lazarus and Folkman stress model(1984). Stepwise multiple regression was used to identify significant predictors among caregivers' demographic-socio-economic factors, older adult's dependency of activities of daily living(ADLs), caregiver's appraisal to the caregiving situation, and coping strategies. Informal caregivers (N=140) included in the study utilized help-seeking and problem-solving coping strategies more than self-blame and minimization of threat coping strategies. Caregivers' responses to the caregiving situation were observed by caregivers' perceived physical health, depression and life satisfaction. For perceived physical health, threat appraisal, older adult's dependency on ADLs, existential growth coping strategy, and monthly income accounted for 25% of the variance. Caregivers who appraised the caregiving situation as more threatening, reported higher dependency on ADLs, used more existential growth coping strategy, and had higher monthly income reported better physical health. For depression, threat appraisal, stress appraisal, existential growth coping strategy, self-blame coping strategy, and monthly income accounted for 48% of the variance. Caregivers who used more existential growth coping and less self-blame coping, appraised the situation as less threatening, less stressful, and had higher monthly income reported less depression. For life satisfaction, self-blame coping, existential growth coping, monthly income, stress appraisal accounted for 49% of the variance. Caregivers who used more existential growth coping, less self-blame coping, less stress appraisal, lower monthly income reported better life satisfaction. In conclusion, informal caregivers in this study utilized positive coping strategies such as problem-focused, existential growth, help-seeking, rather than negative coping strategies including self-blame. When they utilized positive coping strategies more often, caregivers experienced higher perceived physical health, higher life satisfaction and lower depression. Therefore, nursing intervention which utilized positive coping strategies is needed to enhance informal caregivers to have positive health responses to the caregiving demands.

• Korean Journal of Adult Nursing
• /
• v.14 no.1
• /
• pp.125-134
• /
• 2002

Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

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

• Asia pacific journal of information systems
• /
• v.23 no.2
• /
• pp.87-109
• /
• 2013

While many surveys show very positive attitudes on the part of consumers towards eco-friendly products, the market share actually reflecting green IT purchases remains low in most countries. The motivations behind green IT purchase behavior are still obscure. Several studies have addressed the question of green IT diffusion from economic and normative viewpoints in an attempt to interpret IT adoption behavior. This study comes at the question from a different angle, namely negative frame, examining threat and coping behaviors using the Ordered Protection Motivation (OPM) model and threat appraisal theory. The results show that attitudes toward fairness and positive change, which are precedents of threat appraisal, play an important role in determining threat appraisal. Perceived threats in the green IT arena include habit change and ecological change. Appraisal for coping with these threats directly affects initial adoption behaviors regarding available green IT, and then indirectly encourages the purchase of new green IT products.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.7 no.2
• /
• pp.233-246
• /
• 1996

There have been great deal of studies on adult stress but comprehensive studies on adolescent stress are not sufficient. Because adolescents have different developmental tasks from adult's, and because they spend most of their time in a structured environment such as school, the research on adolescent stress is necessary. So, this study empirically investigated the types of stress and coping which students experience and their coping mechanisms in a stressful situation. In this study, perceived social support was considered as stuructural variable, and cognitive appraisal as a process variable, while existing researches tried to explain the coping mechanism only from the viewpoint of structure, or hypothesized the structure variable in the process term. The relation ships between cognitive appraisal and perceived social support on coping behavior were evaluated. Survey on 519 high school students in Seoul showed that cogitive appraisal was a structural variable which varied across the types of stress, and that perceived social support was a structure variable which was independent of the type of stress. Cognitive appraisal was related more to the qualitative process of stress appraisal than coping behavior, and perceived social support was an important structure which influenced both the appraisal process and coping behavior.

• Korean Security Journal
• /
• no.6
• /
• pp.255-272
• /
• 2003

The purpose of this research is to find relationships between safeguards' personality traits and stress coping behaviors. The findings then could provide data to adapt safeguards to their duties. For that, personality traits such as sociability, stability and stress coping behaviors and the effects were investigated. In addition, cognitive aspects which were known to influence stress coping behaviors were appraised. The findings of this research are as follows, First, regarding personality traits and stress coping behaviors, the unstable and unsocial group used the emotion-focused coping style more than the stable and social group. The two groups didn't show any significant differences in the problem-focused coping style. The A-type group used both the problem-focused style and the emotion-focused style more than the B-type group. The common characteristic of the unstable, the unsociable and the A-type groups was the heavy use of avoidance behaviors of the emotion-focused coping style. Second, In the correlation between the personal traits and the stress coping effects regarding adaptability, the stability influenced stress coping effects. Third, regarding the personality traits, the coping styles and the coping effects, A-type group showed high correlation with the sociability but not with the stability. The problem-focused coping style showed high correlation with the emotion-focused style. Fourth, the cognitive appraisal on the stress causes influenced the stress coping styles but not the stress coping effects. Fifth, the cognitive appraisal on the same stress causes didn't show any significant differences among the personality traits.

• Journal of muscle and joint health
• /
• v.8 no.2
• /
• pp.230-249
• /
• 2001

This study was conducted to investigate the affecting factors on the adaptation to uncertainty in patients having rheumatoid arthritis. Subjects of the study constituted 222 patients who visited outpatient of rheumatic center in Seoul. Self report questionnaires were used to measure the variables affecting the adaptation to uncertainty. The variables affecting the adaptation to uncertainty were uncertainty, mastery, appraisal of danger, appraisal of opportunity, emotion focused coping, problem focused coping, pain, depression and activity of daily life(ADL). Reliability coefficients of these instruments were found Cronbach's $Alpha\;=\;.70{\sim}.94$. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics, Pearson's correlation, and multiple regression analysis. The results were as follows. 1) The range of total pain scores was from 0 to 147 and the mean score of the pain in rheumatoid arthritis patients was 72.64. 2) The range of total depression scores was from 20 to 72 and the mean score of the depression in rheumatoid arthritis patients was 39.86. 3) The range of total ADL scores was from 22 to 80 and the mean score of the ADL in rheumatoid arthritis patients was 72.56. 4) Among the independent variables, significant factors to explain the adaptation to pain in patients were danger appraisal of uncertainty(p<.05) and emotion focused coping(p<.05). 5) Among the independent variables, significant factors to explain the adaptation to depression in patients were danger appraisal of uncertainty(p<.001), opportunity appraisal of uncertainty(p<.001) and mastery(p<.005). 6) Among the independent variables, significant factors to explain the adaptation to ADL in patients were mastery(p<.001) and danger appraisal of uncertainty(p<.05).

• Asia-Pacific Journal of Business
• /
• v.13 no.1
• /
• pp.301-315
• /
• 2022

Purpose - The main objective of this study was to investigate tourists behavior by applying protection motivation theory and health belief model during COVID-19 pandemic. Specifically, the study examined how risk perception of COVID-19 affects tourists' protection motivation and travel avoidance intention. Design/methodology/approach - The empirical data was collected by self-administered questionnaires to obtain perception and behavior regarding COVID-19 pandemic situation. A total of 486 questionnaires were used for data analysis and SEM analysis was applied in order to examine seven hypotheses. Findings-The results showed that COVID-19 risk perception is a significant antecedent of threat appraisal, coping appraisal, and cue to action (H1, H2, H6). Moreover, protection motivation is affected by threat appraisal and coping appraisal (H3, H4) and influences on travel avoidance intention (H5). However, cue to action does not affect protection motivation (H7). Research implications or Originality - This study provides insightful implications for tourism industry practitioners who will prepare the post-corona field and the results enrich knowledge of the tourist behavior during pandemic situation.

• Journal of Korean Home Economics Education Association
• /
• v.8 no.2
• /
• pp.43-51
• /
• 1996

This article introduces the concept of stress and the stage of the stress response of children (stage of alarm, appraisal, searching for a coping strategy and implementing coping responses). Since not many studies have been done in this area, in this paper also suggest some directions for further research.

• Korean Journal of Adult Nursing
• /
• v.16 no.4
• /
• pp.556-565
• /
• 2004

Purpose: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. Method: Data were collected from 50 subjects with successful primary PTCA. Result: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). Conclusion: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.