• Title/Summary/Keyword: mediating effects of anxiety

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The Effect of Stress on Anxiety and Depressed Mood and the Mediating Effect of Resilience in Medical Residents and Interns During Coronavirus Disease-19 Event (코로나바이러스감염증-19 사태에 따른 전공의 및 수련의의 스트레스 인지도가 불안 및 우울에 미치는 영향과 회복탄력성의 매개효과)

  • Cho, Ho-Young;Kim, Seung-Jun;Kim, Ji-Woong;Oh, Hong-Seok;Im, Woo-Young;Lee, Na-Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.22-29
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    • 2022
  • Objectives : In this study, we evaluate psychological stress, symptoms of anxiety and depressed mood and resilience which medical residents and interns perceived during COVID-19 event, then investigate the associations between stress and the symptoms and mediating effect of resilience on the associations. Methods : In this study, we made a self-reporting form to evaluate psychological stress with perceived stress scale (PSS), symptoms of anxiety and depressed mood with Hospital anxiety and depression scale (HAD), and resilience with Conner-Davidson Resilience Scale (CD-RISC). Medical residents and interns, who worked in a hospital during COVID-19 event, filled the self-reporting forms from july, 2020 to august, 2020. We conducted a Pearson correlation coefficient and a multiple regression to confirm association between psychological stress and symptoms of anxiety and depressed mood, then mediating effect of resilience. Results : The higher stress perceived, the more symptoms of anxiety and depressed mood were reported by medical residents and interns. The higher resilience is associated with lower stress and less symptoms of anxiety and depressed mood, which resilience is proven to mediate partially the association between stress and symptoms of depressed mood. Conclusions : This study shows that resilience has a partial mediating effects on the association between stress and psychological pathology especially depressed mood, given that medical residents and interns were under psychological distress during COVID-19 event. This suggests that resilience is the key for medical trainees to overcome the future crisis like COVID-19 event.

Pathways from Maternal Parenting Behavior to Adolescents' Internet Addiction : Mediating Effects of Adolescents' Self-Control and Depression/Anxiety (어머니의 양육행동이 청소년의 인터넷 중독에 영향을 미치는 경로 : 청소년의 자기통제력 및 우울/불안의 매개적 역할)

  • Lee, Hye-Rinn;Doh, Hyun-Sim;Kim, Min-Jung;Park, Bo-Kyung
    • Korean Journal of Child Studies
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    • v.30 no.2
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    • pp.97-112
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    • 2009
  • This study examined pathways from maternal parenting behavior to adolescents' internet addiction through both self-control and depression/anxiety. Participants were 449 $8^{th}$ and $9^{th}$ graders in Seoul. They completed questionnaires on maternal parenting behavior, adolescents' self-control, depression/anxiety, and internet addiction. Data were analyzed by structural equation modeling. Maternal parenting behavior indirectly influenced adolescents' internet addiction through self-control and depression/anxiety. Self-control and depression/anxiety individually mediated between maternal parenting behavior and internet addition. However, maternal parenting behavior didn't directly affect adolescents' internet addiction. Self-control was influenced by maternal parenting behavior and also played a crucial role in preventing adolescents' internet addiction.

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The Influence of Family-of-Origin Differentiation on Marital Adjustment: Mediating Effects of Anxiety and Sense of Well-Being (원가족 분화경험이 기혼남녀의 결혼적응에 미치는 영향: 불안과 행복감을 매개로)

  • Lee, Jae-Rim;Kim, Yeong-Hee
    • Journal of the Korean Home Economics Association
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    • v.49 no.7
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    • pp.13-24
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    • 2011
  • The purpose of this study was to investigate the effects of family-of-origin differentiation, anxiety, and sense of well-being on marital adjustment among married men and women. The Participants of this study were 244 married men and 324 married women, who had preschooler children. The results were as follows: First, family-of-origin differentiation in both men and women had a direct effect on anxiety and sense of well-being. Second, family-of-origin differentiation for both men and women were indirectly influenced by marital adjustment through anxiety and sense of well-being. Third, anxiety of women influenced dyadic consensus at greater degree than men's. Fourth, anxiety and sense of well-being in both men and women had a direct effect on dyadic consensus, dyadic satisfaction, dyadic cohesion and dyadic affection expression. Finally, in women's cases, it was indicated that emotional cut-off from mother directly influences marital adjustment.

Predictors of anxiety and depression in Korean adults during COVID-19 pandemic (COVID-19 팬데믹 시대 성인의 불안과 우울의 예측 요인)

  • Sohn, Jung Nam
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.3
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    • pp.328-339
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    • 2022
  • Purpose: This study was conducted to identify the mental health status of Korean adults during the COVID-19 pandemic and to verify the predictors and mediating effects of avoidance coping on the relationship between the intolerance of uncertainty and anxiety and the intolerance of uncertainty and depression. Methods: An online survey was completed by 191 Korean adults from 19 to 64 years old. Using the IBM SPSS Win 19.0 program, the data were analyzed through the frequency, mean, t-test or analysis of variance, Pearson's correlation coefficient, linear regression analysis and Sobel test. Results: Of the survey respondents 21.5%, and 33.5% respectively were classified into anxiety and depression risk groups. The predictors of anxiety were intolerance of uncertainty (β=.52), avoidance coping (β=.21), and response efficacy (β=-.15). Those variables explained 47.7% of the respondents' anxiety. The predictors of depression were intolerance of uncertainty (β=.40), avoidance coping (β=.20), and response-efficacy (β=-.12). These variables explained 34.9% of the participants' depression. Among the predictors of anxiety and depression, avoidance coping was the significant mediating variable. Conclusion: The predictors of anxiety and depression during the COVID-19 pandemic were revealed to be intolerance of uncertainty, avoidance coping, and response-efficacy. These results indicate the necessity of providing the cognitive interventions and reducing the use of avoidance coping strategies on a personal level. Community-level efforts, including early detection and health communication strategies, should prioritize risk groups for example young adults. The study suggests it will be necessary to provide sufficient information, psychological support and economic policy alternatives related to the COVID-19 pandemic on the national level.

The Effect of Collectivism on Anxiety Perception and Mental Health in Youth Unemployment (집합주의 문화가 청년실업에 대한 불안 지각 및 정신건강에 미치는 영향)

  • Minjung Cha;So Young Park;Hyun-joo Song;Younhee Roh
    • Korean Journal of Culture and Social Issue
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    • v.18 no.1
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    • pp.27-51
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    • 2012
  • The current paper examines the effect of collectivism on perceived youth unemployment anxiety as well as mental health and the mediating effects of employment self-efficacy; self-esteem; and the frequency of upward and downward social comparisons. In Study 1, data were gathered from 179 university students in upper-ranking schools and middle-ranking schools in Seoul, Korea. Our results indicated that (a) collectivism was positively correlated to, and also an significant predictor of perceived youth unemployment anxiety and mental health and (b) employment self-efficacy and self-esteem had mediating effects on the relationship between collectivism and perceived youth unemployment anxiety and mental health. In Study 2, data were gathered from 118 students in upper-ranking schools in Seoul, Korea. Our results indicated that (c) upward social comparison had mediating effects on the relationship between collectivism and perceived youth unemployment anxiety and mental health, while downward social comparison did not. The findings are discussed in terms of their general implications for understanding the importance of culture in employment seeking settings.

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The Effects of Ego Integrity on Death Anxiety of the Elderly: Focusing on the Mediating Effect of Depression (노인의 자아통합감이 죽음불안에 미치는 영향 : 우울의 매개효과를 중심으로)

  • Chang, Kyung-Eun
    • Korean Journal of Human Ecology
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    • v.20 no.5
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    • pp.917-926
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    • 2011
  • The purpose of this study is to identify the influence of ego integrity on death anxiety of the elderly, mediated by depression based on Erikson theory(1963). For this study, 313 elderly over 60 years old in Daegu city participated in a survey. The data of the survey was analyzed using SPSS 15.0 and Structural Equation Modeling(SEM) with AMOS 7.0. The results of the study are as follows: ego integrity of the elderly does not influence death anxiety due to the suppressing effect of depression. However, depression does mediate the relation between ego integrity and death anxiety fully. Such findings suggest that the Erikson theory can also be applied to elderly Korean citizens. A practical benefit derived from the study's results is the proposition to implement a reminiscence program, reinforce depression treatment and prevention systems, and augment a death awareness movement for elderly.

The Association between Addictive, Habitual Smartphone Behaviors and Psychiatric Distress and The Role of Self-control in Association.

  • Jun-Hwan Mun;Ji-Hwan Park;Mi-Jung Rho
    • International Journal of Internet, Broadcasting and Communication
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    • v.15 no.4
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    • pp.61-73
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    • 2023
  • As smartphone use is increasing within the middle-aged population, society should pay closer attention to the mental health problems associated with smartphone addiction. This study examines the possibility that depression, anxiety, and ADHD can be interpreted not only as negative aspects, but also as positive aspects, in an addiction-related individual. We used habitual and addictive smartphone behavior as the dependent variables; anxiety, ADHD, depression, and habitual smartphone use as the independent variables; and self-control as a moderating variable. Depression and ADHD in smartphone users were found to be associated with higher levels of addictive smartphone use. Anxiety was having negative effect on addictive smartphone use. However, habitual smartphone use didn't significantly affect addictive smartphone use. Further analysis indicated that depression, anxiety, and ADHD have mediating effects on habitual smartphone use. This study confirmed that psychological factors in adults, as well as habitual/addictive smartphone use and self-control, significantly influence smartphone overdependence.

The Influences of internalized Shame on Social Anxiety of male high school student: Mediating Effects of Perfectionistic Self-Presentation (남자고등학생의 내면화된 수치심이 사회불안에 미치는 영향: 완벽주의적 자기제시의 매개효과)

  • Yang, SunKyeong;Song, WonYoung
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.277-287
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    • 2018
  • The study was conducted to determine the process of social anxiety among male high school students with prescribed internalized shame. In order to carry out the purposes of research, the study set a model which supposes that perfectionistic self-presentation is mediator between internalized shame and social anxiety. A total of 382 high school students participated in the study. The results of the study are as follows: First, the results of this study showed that the internalized shame and social anxiety appear to have a significant static correlation. In particular, the sense of inadequacy, which is a subordinate concept of the internalized shame, was correlated with social anxiety. Second, perfectionistic self-presentation showed a partially mediated the relationship between internalized shame and perfectionistic self-presentation. These results should be studied not only in cognitive factors contributing to social anxiety but also in the individual inner workings of psychological factors.

Effects of Frailty on Health-related Quality of Life of Rural Community-dwelling Elderly: Mediating and Moderating Effects of Fall-Related Efficacy and Social Support (농촌노인의 허약상태가 건강 관련 삶의 질에 미치는 영향: 낙상예방 효능감과 사회적 지지에 의한 매개효과와 조절효과 분석)

  • Choi, Kyung Won;Jeon, Gyeong-Suk
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.380-387
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    • 2016
  • Purpose: The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly. Methods: A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support. Results: Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support. Conclusion: The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.

Relationship between Adult Attachment and Psychological Well-Being of University Students: The Mediating Effects of Empathic Ability and Depression (대학생의 애착과 심리적 안녕감과의 관계: 공감능력과 우울의 매개효과)

  • Chae, Young Moon;Kwak, Su Jin
    • Korean Journal of Human Ecology
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    • v.22 no.6
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    • pp.599-613
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    • 2013
  • The purpose of this study was to investigate the mediating effects of empathic ability and depression on the relationship between adult attachment and psychological well-being of university students. We conducted a survey on 318 university students in Cheongju-si and Hongseong gun. The data were analyzed by Pearson' productive correlation, hierarchical regression analysis and Sobel test. The results were as follows: Firstly, anxiety attachment, empathic ability and depression were significant predictors of the psychological well-being of university students. Depression was the strongest predictors psychological well-being. Secondly, depression mediated partially the relationship between anxiety attachment and psychological well-being, and empathic ability and depression mediated partially the relationship between avoidance attachment and psychological well-being. In conclusion, the empathic ability and depression mediate the effects of adult attachment on psychological well-being of university students. The implications and limitations of this study were discussed.