• Journal of Families and Better Life
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• v.31 no.1
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• pp.129-147
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• 2013

The primary focus of the study assesses how individual spouses' and their partners' marital adjustment influence their own and their mental health. The study also examines whether this influence was mediated by the relationship with their adult-children. Data were collected from 271 dyads of elderly couples by using a self-report questionnaire. Marital adjustment was measured in terms of intimacy and comparison level of marriage. Mental health was measured in terms of depressive mood, anxiety, and somatization. The Actor-Partner Interdependence Model (APIM) analysis revealed that marital adjustment was positively associated with one's own mental health and with one's own relationship with their adult-children, but not with their partner's. On the other hand, the relationship with adult-children was positively associated with one's own and with their partner's mental health. Furthermore, analysis of the mediating model using APIM indicated that marital adjustment through one's own adult-children relationship had direct and indirect effects on one's own mental health. It is interesting to note that the wives' mental health were directly influenced by their partners' relationship with adult-children. However, the effect of the husbands' mental health was not significant. These findings highlight dyadic interdependence among spouses' perceptions of marital and adult-children relationship with their mental health. The results suggest implications for educators and clinicians working with elderly couples to improve their psychological and relational health.

• Korean Journal of Culture and Social Issue
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• v.24 no.4
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• pp.637-655
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• 2018

The purpose of this study was to examine the mediating effects of paranoid tendency and social isolation in relationship between covert narcissism and Tajin Kyofusho(TKS). We administered self-report questionnaires to 334(163 male, 171 female) undergraduate students. Path analysis conducted using structural equation modeling. Path analysis indicated that the overall model fitted the data well. Analysis showed that paranoid tendency and social isolation sequentially mediated relationship between covert narcissism and TKS. The finding suggest that we could focus on covert narcissistic personality, paranoid cognitive process, and behavioral social isolation to understand and intervene TKS.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.5
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• pp.3111-3120
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• 2015

This research analyzes the decision-making status of expected graduates depending on their Holland preference type, as well as the influence career worries have on vocational decision status. By discovering this mediating effect, career counselors can carry out counseling based on the variety of career worries college students have, further supporting self-actualization of the client. As the previous studies on group counseling programs and the effects of career counseling have not yet considered the difference between various types of career worries and carried out identical programs and counseling method, this study is significant in marking the emergence of differentiated counseling intervention and strategy for more effective career counseling. This research is based on a survey conducted on 606 expected graduates attending six 4-year universities in Seoul, Gyeonggi, Chungcheong areas. The students surveyed are in the second semester of their senior (4th)years, during two weeks from november 4, 2013. First, the results showed that the level of career worries and the type of career worries differed between college students that have different types of Holland preference, and such difference was meaningful. Second, examination on the influences that career worries have on different vocational decisions depending on Holland preference types, found that the state of anxiety-free and anxiety toward career and dependence, as one of vocational decision types, together work as mediators. In conclusion, the significance of this research lies on that it reveals the mediating effects that career worries have on vocational decision status of college students.

• Journal of Korean Academy of Nursing
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• v.46 no.3
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• pp.420-430
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• 2016

Purpose: The purpose of this study was to test a hypothetical model of chemotherapy-related cognitive impairment (CRCI) and depression in people with gastrointestinal cancer. Methods: A purposive sample of 198 patients undergoing chemotherapy was recruited from November 2014 to July 2015. The instruments were Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), and M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module. Data were analyzed using descriptive statistics, correlation, and path analysis. Results: CRCI was directly affected by cancer symptoms (${\beta}=.19$, p=.004) and fatigue (${\beta}=.56$, p<.001)($R^2=47.2%$). Depression was directly affected by fatigue (${\beta}=.48$, p<.001) and CRCI (${\beta}=.27$, p<.001). However, The impact of cancer symptoms on depression was confirmed through the mediating effect of CRCI. Conclusion: Results indicate that in patients with gastrointestinal cancer undergoing chemotherapy along with the direct physiologic effects (fatigue, symptoms) of cancer treatment may have altered cognitive function leading to depression.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.197-208
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• 2017

The purpose of this study was to construct and test a structural equation model for college student's gambling behavior. A structured questionnaire was completed by 246 college students to analyze the relationships between perspective factors(irrational gambling belief), psychological factors(depression, anxiety), social factors(parental monitoring, parental support, friend support), self-control and gambling behavior. The moderating effects of gender, friends and family's gambling behaviors were examined. The data were analyzed using SPSS 21,0 and AMOS 20.0 programs. Self-control and psychological factors directly affected the college student's gambling behavior, while perspective factors and social factors affected it indirectly. The model fit indices of the modified model were suitable for the recommended levels. The overall study findings suggest the need to develop a gambling prevention program for college students that reinforces self-control, parental monitoring and support, and friend support while reducing irrational gambling belief, depression, and anxiety. An approach that considers gender and a development of a group counseling program for family or friends are also required.

• Journal of Korean Academy of Nursing
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• v.44 no.6
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• pp.608-616
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• 2014

Purpose: The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL. Methods: A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program. Results: The mean HRQoL score for the participants was $0.87{\pm}0.13$. Self-efficacy (${\beta}$=.13, p=.039) and age (${\beta}$= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (${\beta}$=.14, p=.040) and significantly mediating relationships between both social support (${\beta}$=.05, p=.030) and sense of community (${\beta}$=.02, p=.025) and HRQoL. Conclusion: Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

• Journal of Advanced Navigation Technology
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• v.28 no.1
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• pp.87-94
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• 2024

Despite the development of the aviation industry, aircraft accidents due to pilots' human errors continue to occur. The cause of aircraft accidents due to human errors is that they cannot remove hazard factors that hinder flight safety in advance, leading to accidents. This study examined how job stress, fatigue, and anxiety, which psychologically and physically affect flight safety among various hazard factors, affect pilots' safety behavior for flight crew and pilots of general aviation working in domestic airlines. In addition, an empirical analysis was conducted to confirm the mediating effect of safety culture between job stress and safety behavior. According to the results of the study, job stress not only directly affects the safety behavior of pilots, but also affects the safety culture of airlines such as safety atmosphere and reporting culture. The purpose of this study is to improve the performance of the safety management system through the correlation between the pilot's job stress and safety culture and safety behavior.

• Journal of Korean Clinical Nursing Research
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• v.28 no.1
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• pp.23-33
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• 2022

Purpose: This study aimed to identify the relationships among disease severity, anxiety, depression, social support, unpleasant symptoms and self-care among patients with atrial fibrillation based on the unpleasant symptom theory, and to examine the mediating effects of unpleasant symptoms. Methods: A cross-sectional study was conducted. The participants were 216 patients with atrial fibrillation who were being followed up on an outpatient basis at a university hospital in Seoul. Data were collected from November 1, 2020 to June 30, 2021, using self-report questionnaires. Data were analyzed using IBM SPSS/WIN 27.0 and PROCESS macro with 95% bias-corrected bootstrap confidence interval(CI). Results: The average age of participants in this study was 66.0years. Disease severity (β=10.19, p<.001) and depression (β=1.53, p<.001) had significant positive relationships with unpleasant symptoms. Also, unpleasant symptoms (β=-0.03, p=.006) had a negative relationship with physical activity, which is a subscale of self- care. Social support (β=0.06, p<.001) was positively related with physical activity. Unpleasant symptoms showed a mediation effect in the relationship between disease severity and physical activity (Bias corrected bootstrap CI -0.65, -0.04). Depression had an indirect effect on physical activity that was mediated by unpleasant symptoms (Bias corrected bootstrap CI -0.11, -0.00). Conclusion: The findings of this study suggest that integrated strategies including physical, psychological, and social factors should be considered to promote self-care in patients with atrial fibrillation.

• The Journal of the Korea Contents Association
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• v.19 no.9
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• pp.601-613
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• 2019

Today's elderly people is no longer dependent, but is being transformed into learning, serving, producing and contributing. Therefore, the importance of lifelong education for the elderly people to overcome the social and psychological anxiety of the elderly people and improve the quality of life is increasingly emphasized. In addition, the starting point of lifelong education for the elderly people is getting faster and faster to prepare for the post-aged society. The purpose of this study is to examine how lifelong education for the elderly people affects self-esteem and self-integration, and how empowerment mediates between lifelong education for the elderly people and self-esteem, lifelong education for the elderly people and self-integration. To this end, 220 members over 50 years of age who participated in lifelong education responded to the survey, and statistical analysis was conducted by SPSS and AMOS. The results of this study proved that lifelong education for the elderly people improves self-esteem, self-integration and empowerment, and empowerment plays a mediating role in the between lifelong education for the elderly people and self-esteem, and in the between lifelong education for the elderly people and self-integration. As a result of this study, the importance of lifelong education for the elderly people was confirmed and the practical plans were found. Finally, the direction of lifelong education for the elderly people and the limitations of this study were discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.4
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• pp.452-462
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• 2020

This study analyzed the impact of resilience on the job satisfaction of middle-aged employees and the meditating effect of retirement attitude. The survey was administered to 468 regular workers aged 40 or older in Seoul and the surrounding metropolitan area. This study utilized SPSS 19.0 statistical program, and multiple regression and mediated effect analyses were applied with descriptive statistics, reliability and validity of measurement tools to analyze differences between correlations and groups. First, male workers had higher self-regulation ability and job satisfaction than women. Female workers had higher old age rest than male ones. The higher the educational background, the higher the recognition of retirement as a new beginning, The longer the working years, the higher the self-regulation ability and job satisfaction. The higher the household income, the higher the positiveness. Second, the Resilience had a positive effect on job satisfaction. Third, resilience had had a negative impact on the forced frustration and a positive influence on the new beginning of retirement attitudes. Fourth, the forced frustration and new beginning showed mediating effects of resilience and job satisfaction. The study results confirmed the importance of resilience and demonstrated the need for measures to enhance resilience in order to reduce anxiety about retirement and increase job satisfaction.