• Title/Summary/Keyword: interpersonal problems

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Development of A Cognitive-Behavioral Anger Control Program and It's Effects on Elementary School Children Under the Anger-inducing Situation (초등학생의 분노유발상황에 초점을 둔 인지행동적 분노조절 프로그램의 효과)

  • Lee, Mi-Gyeong
    • The Korean Journal of Elementary Counseling
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    • v.6 no.1
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    • pp.141-169
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    • 2007
  • One of the most common feelings in everyday life is anger. Anger plays an important role in activating emotional energy and increasing intolerance when confronted with hardships, frustration and improper treatments. And it provides us with controlling interpersonal behavior, organizing internal, physiological, psychological process and various adaptive functions. If anger is not properly expressed, it brings about offensive attitude, leading to not only physical impairment but also anxiety in interpersonal relations and maladaptive to everyday life. For elementary school students, frequent quarrels, abusive words and defiant attitude toward adults are also caused by students' anger. Therefore, students' anger is one of the most difficult problems to be dealt with not only psychologically but also in elementary schools. In this respect, after investigating frequently experienced anger- inducing situations and inventing anger-inducing situation questionnaire, we postulated specific situations changing irrational belief into rational one. Based on these situations, we accounted for how to cope with anger inducing factors and change irrational belief into rational one, introducing several strategies needed to control anger, invented cognitive behavioral anger control program and tried to clarify the relationship between anger inducing experience and anger regulation ability. In order to derive usual anger-inducing situations, we made 180 students with fifth and sixth grade to record the reason why he/she got angry, mood, thought, behavior and result. Through this process, we could derive 47 situations bringing about anger and prepared anger-inducing situation questionnaire. It can be divided into 3 anger inducing situations by using factor analysis into 500 elementary students of fifth and sixth grade. Cognitive behavioral anger control program used in this study consists of 13 sessions. From first to fifth session, it is composed of 10 anger control methods to make students be aware of and control their anger. From sixth through thirteenth session, the relationship between irrational belief and anger inducing is introduced is focused on how irrational belief is changed into rational one. To examine the effects of the program, high anger students and the students lacking anger control are selected. Thirty students through pre-test using anger-inducing questionnaire and anger control ability questionnaire are taught the goals and procedures. Volunteer students and students with parents' consent allocated to experimental group (12 students) and the rest of the students are control group (12 students). Cognitive Behavioral Anger Control Program are applied every 50 minutes twice a week for 7 weeks and 4 weeks before and after this program, anger-inducing situation questionnaire and anger control ability questionnaire are practiced. Data collected in this study analyzed by SPSS and Kwakstat. In the middle of this program, quarterly reports and satisfaction measuratings were evaluated to examine whether there is verbal and non-verbal behavior change and students feel satisfied with the program. The results of this study are as follows: First, Cognitive-behavioral anger control program used in this study effectively reduced anger experience and lasted for 4 weeks. Second, cognitive behavioral anger control program increased students' ability to control anger inducing situations and also effective for 4 weeks. And its effect on verbal and non-verbal behaviour was very impressive Students come to realize that irrational belief is the cause of their anger and actively apply cognitive-behavioral anger control technique to themselves as well. Students became improved in their peer relations and felt confident in everyday life. The overall evaluation of this program can be listed as follows; "very satisfactory (91.67%)", "satisfactory (8.33%)", "very helpful (91.67%)", "helpful (8.33%). In this study we first investigated several anger-inducing situations and invented anger-inducing situation questionnaire and then applied cognitive behavioral anger control program in order to control their. anger and not to experience it. By creating workbooks and manuals this method can easily be used in school education settings.

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A SURVEY OF THE PSYCHOSIS AMONG SCHOOL VIOLENCE VICTIMS (학교폭력 피해자의 정신병 실태 조사)

  • Kwon, Seok-Woo;Shin, Min-Sup;Cho, Soo-Churl;Shin, Sung-Woong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.124-143
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    • 2000
  • Objectives:The primary purpose of this study is to understand the psychopathology of the victims of school violence in terms of early psychosis. By doing this, the early detection of psychosis among the victims is possible, and early detection may lead to early intervention. Methods:Two-thousand and nine-hundred seventy two students from 16 middle schools in Seoul were asked to fill out questionnaire comprised of popularity and intellectual and school status of Piers-Harris Children's Self Concept Inventory, Symptom Check List-90-Revised, and Ostracism Scale. The subjects whose scores upon Ostracism Scale were higher than average by two standard deviation were labeled as ‘Repelled and Isolated group', and subjects whose scores on popularity were significantly lower than average and whose scores on psychoticism of SCL-90-R were higher than average were defined as 'tentative early psychosis group'. Odds ratios were calculated from the numbers of subjects with and without high psychoticism scores and high ostracism scores. On the subjects of 'tentative early psychotic group', we examined every clinical characteristic and conducted correlation analysis and regression analysis in order to find out the risk factors and to construct theoretical model that explains the psychoticism scores. Results:The results were as follows:1) Total 157(5.3%) subjects were rated significantly higher on ostracism scale, and among them, 47 subjects(29.9%) were rated significantly higher than average on psychoticism scale, while only 50 subjects among 2,135 students who were rated within normal range showed significantly higher score on psychoticism scale. Odds ratio for psychotic group of isolated group were 17.82 and it was statistically significant. 2) Forty-seven subjects(31 boys, 16 girls) who were rated as they were unpopular and rejected from peers had significantly higher psychoticism scores. They were not significantly different from simply high psychoticism subjects in anxiety, social anhedonia scale, magical thinking, obsessivecompulsive symptoms, phobic anxiety, psychoticism, somatization, but showed higher ostracism scores and paranoid tendencies. Among school violence victims, who rated themselves unpopular and showed higher psychoticism scores, the psychoticism scores were mainly explained by anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization scales($r^2=0.93$). Conclusion:Thus, it can be concluded that the subjects with higher ostracism score have the substantially high risk for psychosis development. By these results, we propose that school violence victims with anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization should be tested individually considering school adjustment, attentional deficit, concept formation problems.

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A Study on the Interpersonal Relationship between Parenting Stress and Children's Problem Behavior in Low Income Families (저소득층 가정 양육자의 양육스트레스와 아동 문제행동 간의 상호인과적 관계에 대한 종단연구)

  • Song, Mi-Ryoung;Hong, Seung-ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.340-348
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    • 2020
  • The purpose of this study was to investigate the mutual relationship between parenting stress and children's problem behaviors among those participating in dream start services. In order to verify the effect of parental and child effects on child's problem behavior and parenting stress based on repeated measures from the first grade of elementary school to the third grade of elementary school among children participating in dream start services, autoregressive cross-lagged modeling was applied. As a result, the stability coefficient showed that the two variables were significantly stable for 3 years. In other words, the measurement was maintained at a similar level with time. The causal relationship between parents 'parenting stress and child' s problem behavior was generally explained by the parental effect. In other words, parental stress is related to the child's problem behavior. These results show that the economic stress of poverty increases parents' parenting stress, which can negatively affect the adaptive development of children in the process of raising children.

An Intergrative Review on Korean Nursing Studies Related to Problematic drinker's children (문제음주자 자녀에 관한 국내 간호연구의 통합적 고찰)

  • Lee, Eun-Young;Lee, Jeong-Seop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8844-8852
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    • 2015
  • This study was conducted to figure out characteristics of the children of problematic drinkers by reviewing the studies on those children reported in nursing studies in Korea and incorporating the results. The research method was integrated literature review, and for the study, eleven articles were selected by searching with key words such as 'problematic drinking', 'alcoholic', 'alcohol dependence', 'children', and 'nursing' in three research databases, spanning between 2000 and 2014. The research results are as follows: For the domestic nursing studies on the children of problematic drinkers, there were many descriptive research using survey method, requiring introduction of various research methods in order to know characteristics and lives of the children of problematic drinkers in depth. For main characteristics of the children of problematic drinkers, they have lower ability to cope with, many of them suffer from psychological and mental health problems, are very sensitive in interpersonal relationships with higher hostility. In addition, it is reported that the children of problematic drinkers are likely to have more problematic drinking, show higher depression and lower emotional perception and expression, social support, and social competence. Based on the results of this study, considering the fact that there are extremely few studies on the children of problematic drinkers, it requires more active studies and researches in nursing. Through the study with accurate results, it will contribute to nurses' capability in both clinical settings and local community as a guideline.

BORDERLINE DISORDER OF CHILDHOOD : 8 CASES (아동기 경계선 장애 : 8증례)

  • Hong, Kang-E;Lee, Jeong-Seop;Shin, Min-Sup
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.3-17
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    • 1995
  • The so-called borderline children are characterised by disturbances in the sense of reality and interpersonal relationships, lack of control, fluctuation of functioning, uneven development and excessive anxiety. But the concept of borderline disorder of childhood is very difficult to define and diagnose in current classification system. The present study adapted the consensus symptoms in borderline children by Bemporad and Vera eight cases aged 7-11 were examined in 37 variables. Results are as follows 1) All subjects are boys and girl hardly be diagnosis n current diagnostic system and have many concurrent diagnoses. Common chief complaints in the sense of reality. 2) In KEDI-WISC test, the borderline children showed average intelligence, but performance IQ tends to be higher than verbal IQ. In Rorscharch test, they showed high thought disorder index, emotional instabilities and aggressive impulses. The results of TOVA suggested attentional deficit in half of the subjects. The organicity is not prominent. 3) Many of the borderline children were unwanted baby. Although primary care takers of all the subjects were their mothers there were moderate problems in caring attitude of their children and marital relationship with their husband. Sccioeconomic status was generally below middle class. Most of all subjects have delayed language development, but have overcome subsequently. Many subjects were rejected by peers because of their aggression. 4) The first visit of the subjects was about 6 years of age. Average duration of treatment was 2 years. All of them were treated in the outpatient basis except one. The effect of pharmacotherapy was doubtful and the necessity of long term play therapy was suggested. Although there were many limitations of method in present study, it was suggested that further research is needed for diagnostic criteria, epidemiology and treatment.

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Clinical Characteristics of Psychiatric Patients with Military Issues Using MMPI-2-RF (군복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군의 MMPI-2-RF 프로파일)

  • Sung, Gyhye;Park, Ji-Hyun;Kim, Keun-Hyang;Lee, Sang-Hyuk;Park, Eun-Hee;Choi, Ji Young
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.33-45
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    • 2017
  • Objectives : The purpose of this study was to examine psychological characteristics of patients who visited psychiatric clinic for medical certificate for military service using MMPI-2-RF. We compared target group with general psychiatric patients with same age range. Methods : A total of 165 male patients for medical certificate and 154 general psychiatric patients were collected from the Department of Psychiatry of three university hospitals. There were significant differences of age and educational level between two groups. We used independent t-test, ANCOVA, ${\chi}^2$ test to examine differences between two groups. Results : Medical certificate group scored higher on the validity scales, the Higher-Order(H-O) scales, the Restructured Clinical(RC) Scales, the Specific Problems(SP) Scales, and the Personality Psychopathology Five (PSY-5) Scales. Especially, EID, RC7, HLP, SFD, SAV, SHY, DSF, and INTR-r showed significant differences between two groups on all three statistical tests. Conclusions : The present study showed that psychiatric patients who received psychological evaluation for military service have significantly higher emotional distress, helplessness, lower self-confidence, and lower quality of interpersonal relationships. And the difference of validity scales between two groups could be related with psychological burden of compulsory military service in the study sample which causes elevation on scales of infrequent responses. MMPI-2-RF would be helpful instrument to assess these emotional and psychological characteristics.

Effect of the Occupational Stress and Self Esteem on Mental Health among Nurses (간호사의 직무스트레스와 자아존중감이 정신건강에 미치는 영향)

  • Lee, Hea-Shoon
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.251-259
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    • 2013
  • Purpose: The purpose of this study was to identify the relationship of occupational stress, self esteem and mental health in nurses. Methods: The data were collected using questionnaire from the sample of 457 nurses selected by convenient sampling. The data were collected from July 4 to 29, 2011. The collected data was analyzed by the descriptive statistics, t-test, ANOVA, Scheffe, Pearson correlation coefficient and stepwise multiple regression(SPSS 18.0). Results: Mental health differed according to marital status, educational level, working unit and shift work. Mental health had a significant positive correlation with occupational stress and a significant negative correlation with self esteem. Stepwise multiple regression analysis showed insufficient occupational control, work overload, inappropriate treats and reward, interpersonal relation in occupational stress, self esteem, shift work(3 shift) explained 42.2% of the total variance in mental health. Conclusion: The findings indicate that occupational stress and self esteem have an influence on mental health. We need to develop and provide intervention programs to prevent and manage nurse's mental health problems.

The Influence of Covert Narcissism on the Relation Addiction : Mediating Effect of Emotion Dysregulation and Perceived Social Support (내현적 자기애가 관계중독에 미치는 영향 : 정서조절곤란과 지각된 사회적 지지의 매개효과)

  • Kim, Se-Kwang;Hong, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.392-407
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    • 2018
  • This study aims to prove the mediating effect of emotion dysregulation and perceived social support in the relationship between covert narcissism on the relation addiction. The researchers surveyed college students for about 3 weeks through a questionnaire on college campus or with the help of their colleagues and professors. The subjects were 362 students. SPSS, AMOS and Mplus were used for statistical analysis, correlation analysis and structural equation analysis. The conclusions are as follows : First, emotion dysregulation, relation addiction and covert narcissism showed positive correlation and covert narcissism, emotion dysregulation, relation addiction and perceived social support showed a significant negative correlation. Second, it was found that after investigating the mediation effect of emotion dysregulation and perceived social support in the influence between covert narcissism and relation addiction, emotion dysregulation turned out to have a significant mediating effect while perceived social support did not. Third, dual mediating effect was significant in emotion dysregulation and perceived social support in the influence between covert narcissism and relation addiction. These findings proved that covert narcissism, emotion dysregulation, perceived social support are variables that effect relation addiction, and also clarified that emotion dysregulation is a strong mediating variable in the influence between covert narcissism and relation addiction. Finally, when counseling a client with the same tendency as covert narcissism, it gives an opportunity to be aware of the emotional problem and an opportunity to positively perceive its own social resources, so as not to reach interpersonal problems such as relationship addiction pointed out the need for an approach.

Sports Psychiatry (스포츠 정신의학)

  • Han, Doug-Hyun;Na, Chul;Lee, Young-Sik
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.2
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    • pp.95-102
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    • 2004
  • Backgrounds: It was thought that sport was related with mentality. Compared to psychology, psychiatry has so far paid rather little attention to athletes. In this overview, I attempted to introduce the ideas of various observers of sports with the view of clinical psychiatry and summarized basic principle role of psychiatrist. Results and Discussions : To understand the athletic frame of mind, it is helpful to observe athletes in their psychologic development and when we do so we can quickly see trends that are not apparent by observing mature athletes alone. Psychobiology of sport would discuss some of the endogenous neurochemicals(hormone, neurotransmitter) that may be part and parcel of the athlete's psychiatric status. The psychological problems that frequently interfere with training and competition may be divided into five categories 1) choke, 2) slump, 3) injury, 4) interpersonal problem, 5) training dilemma. Psychiatric problem also arise in athletes like general people. various method for psychiatric patients like psychotherapy, group therapy, family systems perspective, and pharmacotherapy could been applied to sports psychiatry. Conclusions Although the contribution of sports psychiatry to sport is clinical one, psychiatrist's interest in role and conflict of athlete would enhance the molding of humanistic athletes who enjoy their life and sports.

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The Effect of Perception of Importance, Problem Solving Process and Self Confidence in the Performance of Core Nursing Skills of Nursing Students (일 대학 간호대학생의 핵심기본간호술에 대한 중요성 인식, 문제해결과정이 수행자신감에 미치는 영향)

  • Kim, Yo-Na;Kim, Jung-Yee;Bae, En-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.379-387
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    • 2020
  • This exploratory study evaluated various factors influencing the level of nursing self-confidence in the performance of core nursing skills among nursing students. This study surveyed 131 senior nursing students in U city with a structured self-report questionnaire analyzed by SPSS 23.0 software. The average perception scores for importance, problem-solving process, and self-confidence in the performance of core nursing skills were 4.73, 3.57, and 3.90, respectively. The most significant factors affecting self-confidence in the performance of core nursing skills included problem-solving process (β=.33, p=.001) and nursing satisfaction (β=.27, p=.019). These variables explained 15% of the total variance in self-confidence in the performance of core nursing skills. Based on the results of this study, it is necessary to perform research in order to improve the self-confidence of performing core basic nursing skills among nursing students, and the department of nursing defines students' problems by suggesting changes in the practice environment and various nursing situations to improve interpersonal skills. Therefore, it is necessary to develop a curriculum that can be solved and a program to increase nursing satisfaction.