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A Study on the Difference of Psychosocial Characteristics and Quality of Life according to the Type of Functional Gastrointestinal Disorder (기능성 위장질환의 종류에 따른 정신사회적 특성 및 삶의 질의 차이에 관한 연구)

  • Park, Seung-Kyu;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho;Yeom, Dong Han;Lee, Kuy-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.58-66
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    • 2021
  • Objectives : The purpose of this study is to compare the psychosocial characteristics of patients diagnosed with functional gastrointestinal disorder (FGID) by classifying them into irritable bowel syndrome (IBS), functional dyspepsia (FD), functional constipation (FC), functional heartburn (FH) groups, and overlap group (two or more functional diseases) and to examine the factors associated with the quality of life (QoL) of patients with FGID. Methods : A total of 144 patients who were diagnosed with FGID were selected as the subjects. The demographical factors were investigated; Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), and World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were used to evaluate the psychosocial factors. Results : TThe overlap group had a significantly higher K-BDI-II score (F=11.09, p<0.001) and K-BAI score (F=8.93, p<0.001) compared to other groups. In childhood trauma, the IBS patients had a difference in emotional neglect (F=2.54, p=0.04) than the FD patients. The QoL of FGID patients had a negative correlation with depression (r=-0.196, p<0.01), anxiety (r=-0.235, p<0.01), and childhood trauma (r=-0.222, p<0.01), and a positive correlation with social support (r=0.512, p<0.01) and resilience (r=0.581, p<0.01). Conclusions : Overlap group had a higher level of depression and anxiety, and the IBS patient group had a higher level of emotional neglect than the FD patient group in terms of childhood trauma.

Psychosocial Characteristics and Quality of Life in Patients with Functional Gastrointestinal Disorder (기능성위장질환 환자들의 정신사회적 특성과 삶의 질)

  • Lee, Dong-Ho;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.20-28
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    • 2020
  • Objectives : The aim of this study was to compare psychosocial characteristics of the functional gastrointestinal disorders FGID group, non-FGID group, and control group and determine factors affecting the QOL of patients with FGID. Methods : 135 patients diagnosed with FGID were selected. 79 adults had no observable symptoms of FGID (control group) and 88 adults showed symptoms of FGID (non-FGID group). Demographic factors were investigated. The Korean-Beck Depression Inventory-II, Korean-Beck Anxiety Inventory, Korean-Childhood Trauma Questionnaire, Multidimensional Scale of Perceived Social Support, Connor-Davidson Resilience Scale, Patient Health Questionnaire-15 and WHO Quality of Life Assessment Instrument Brief Form were used to assess psychosocial factors. A one-way ANOVA was used to compare differences among groups. Pearson correlation test was performed to analyze the correlation of psychosocial factors and QOL of the FGID group. Further, a hierarchical regression analysis was conducted to determine factors affecting the QOL of the FGID group. Results : Between-group differences were not significant in demographic characteristics. Depression (F=48.75, p<0.001), anxiety (F=14.48, p<0.001), somatization (F=24.42, p<0.001) and childhood trauma (F=12.71, p<0.001) were significantly higher in FGID group than in other groups. Social support (F=39.95, p<0.001) and resilience (F=17.51, p<0.001) were significantly lower in FGID group than in other groups. Resilience (β=0.373, p<0.01) was the most important explanatory variable. The explained variance was 47.2%. Conclusions : Significantly more symptoms of depression, anxiety, childhood trauma, and somatization were observed for the FGID group. This group also had less social support, resilience, and quality of life than the non-FGID and control groups. The key factor for quality of life of the FGID group was resilience.

A CLINICAL STUDY ON THE PREOPERATIVE PSYCHOLOGICAL ASSESSMENT OF THE ORTHOGNATHIC SURGERY PATIENTS (안모변형증(顔貌變形症) 환자(患者)에 있어서 악교정(顎矯正) 수술전(手術前) 심리(心理) 평가(評價)에 관(關)한 임상적(臨床的) 연구(硏究))

  • Yang, Myeong-Cheol;Jin, Woo-Jeong;Shin, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.1
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    • pp.20-31
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    • 1995
  • The need to assess preoperative psychological characteristics of orthognathic surgery patients has recently been recognized. Fifty six patients were involved in this study, they were investigated in the preoperative psychosocial aspects. Korean Version Eysenk Personality Questionaire and Korean Version Tennessee Self-Concept Scale were used for psychological test. The results were as follows : 1. There was no significant difference of sex and age in the personality dimension, the selfconcept scale, and the preoperative tests(P>0.05). 2. 37% of subjects showed phonetic problem, 60% masticatory problem and 56% social problem for facial deformity. The first choice was the face in the order of correction for mastication, phonation and face. And 83% of the subjects forecasted the change in their face after surgical correction, The answer was generally vague. 64% of the subjects expected their personality to become more lively as a result of their operation. 3. Total positive self score and personal self score were less improved in the groups with high scores of toughmindness and neuroticism(P<0.05), degree of suffering was increased in the group with high scores of neuroticism(P<0.05). 4. Degree of subjective deformity, self-consciousness, and degree of dissimilarity were more improved in the group of intraversion, there was a significant correlation with degree of dissimilarity in the group with high score of toughmindness(r=-.64, P<0.05). 5. There was a significant correlation with the forecast of change in the groups with high score in extraversion(r=.59, P<0.01) and with low score in neuroticism(r=-.39, P<0.05).

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Psychosocial Factor Influencing Suicidal thoughts in Community Dwelling Elderly in Jeonnam Province (지역사회 노인의 자살사고에 영향을 미치는 심리사회적 요인 : 전남지역을 대상으로)

  • Cha, Yong-Ho;Kim, Kyung-Min;Yoon, Bo-Hyun;Kang, Hangoeunbi;Sea, Young-Hwa;Park, Su Hee
    • Mood & Emotion
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    • v.16 no.3
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    • pp.152-157
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    • 2018
  • Objectives : The purpose of this study was to examine psychosocial factors influencing suicidal ideation of community dwelling elderly, using the senior community center in Jeonnam Province. Methods : A total of 2,202 subjects (369 males, 1,833 females) were recruited. We evaluated sociodemographic factors, using a self-reporting questionnaire. Subjects completed the Geriatric Depression Scale-Short Form Korean Version (SGDS), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean version of the General Health Questionale-12 (GHQ-12) and Satisfaction with Life scale (SWLS), to assess psychosocial factors affecting suicidal ideation. Results : Among 2,202 subjects, 179 (8.1%) reported recent suicidal ideation. Self-perceptive health status (p<0.001) and physical disease (p=0.002) revealed differences between two groups. The scores of four scales in the suicidal group were significantly different from the control group: SGDS (p<0.001) and GHQ-12 (p<0.001) were higher, while MSPSS (p<0.001) and SWLS (p<0.001) were lower, in the suicidal ideation group than the control group. Multivariate logistic regression analysis revealed that physical disease (OR 2.575, 95%CI 1.022-6.492), SGDS (OR 1.181, 95%CI 1.120-1.246) and GHQ-12 (OR 1.192, 95%CI 1.108-1.283), were significantly associated with suicidal ideation. Conclusion : Findings support that physical disease, depression, and general mental health may correlate to suicidal ideation in the elderly.

The Relationship between Academic Stress and Cyberbullying Tendency among College Students: The Mediating Role of Self-Control (대학생의 학업스트레스와 사이버불링 경향성과의 관계: 자기통제력의 매개 효과)

  • Seol, Pil-Ran;Lee, Sung-Hee
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.576-585
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    • 2021
  • This study was a descriptive research study to examine the factors influencing cyberbullying tendency among college students. The data used in this study were collected from July 31 to August 13, 2020, from 396 students attending universities across South Korea. The collected data were analyzed using frequency, percentage, mean, standard deviation, Pearson correlation coefficients, PROCESS macro model 4, Bootstrap, Sobel test using IBM SPSS Statistics version 20.0 and PROCESS macro for SPSS. The results of this study are as follows. First, there was a significantly negative correlation between academic stress and self-control (r=-.246, p<.001). There was also a positive correlation between academic stress and cyberbullying tendency, but it was not significant (r=.096, p=.055). Second, the mediation effect of self-control is significant between academic stress and cyberbullying tendency (R2=.039, p<.001). Therefore, Academic stress and self-control should be considered in the development of cyberbullying prevention programs, and further research is also needed to verify the effectiveness of the cyberbullying prevention program based on this study.

Relation Between Cultural Empathy, Multicultural Sensitivity, and Cultural Competence of Nursing College Students (간호 대학생의 문화적 공감, 다문화 감수성, 문화적 역량과의 관계)

  • Choi, Ye-Sook;Lee, Kyem-Ju
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.6
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    • pp.105-113
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    • 2021
  • The purpose of this study was to examine the correlation among Cultural empathy, Multicultural sensitivity, and Cultural competence of Nursing Students. Data were collected using questionnaires from 191 nursing students who were in 2rd and 4th year of the college in D city. The collected data was analyzed using SPSS version 22.0. The mean score of Cultural empathy, Multicultural sensitivity and Cultural competence in nursing students were 3.72±0.23, 3.14±0.27, and 3.10±0.32 respectively. Cultural empathy showed significant positive correlations with Multicultural sensitivity(r=.63, p<.001), and Cultural competence(r=.57, p<.001). Multicultural sensitivity was also positively correlated with Cultural competence(r=.41, p<.001). The result of this study suggest that multicultural nursing education is necessary for students to develop and support programs that can provide diverse cultural experiences.

The Influences of Hospital Nurses' Grit and Positive Psychological Capital on Job Engagement (병원 간호사의 그릿과 긍정심리자본이 직무열의에 미치는 영향)

  • Shin, Hyeon-Kyeong;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.497-505
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    • 2022
  • This study aimed to investigate the effect of Grit and positive psychological capital on job engagement in general hospital nurses. Participants were 159 nurses working at General Hospital in Gangwondo Province and data were collected from April 9 to 21, 2020. Data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using SPSS version 24.0. Job engagement was correlated with perseverance efforts and positive psychological capital. The factors influencing job engagement were self-efficacy (β=.23, p=.029) and optimism (β=.28, p=.001) with 41.8% explanatory power (F=12.34, p<.001). Therefore, in order to improve job enthusiasm, further study is necessary to develop and apply the positive psychological capital improvement program and identify its effect.

The Effects of Injury Experiences (Accidents and Addictions) on Healthcare Use Type (손상 경험(사고 및 중독)이 의료 이용 형태에 미치는 영향)

  • Sang-Sub Park
    • Journal of Advanced Technology Convergence
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    • v.2 no.2
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    • pp.15-21
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    • 2023
  • The purpose of this study was to determine the effects of injury experiences (accidents and addictions) on healthcare use type. This study used the KNHANES VIII-2. Of 7,359 respondents, a total of 6,072 were included, with the exception of 1,287 who were in the age groups <20 years, had missing data, or inappropriately completed the questionnaire. Of these 6,072 respondents, data from 5,355 having injury experiences were used. Data were analyzed using an SPSS WIN 20.0 Version program. Younger age groups had injury affected (p<.05); poor perceived health status was significantly more likely to affect injury than good perceived health status (approx. 2.0-fold, p<.05). As for the number of injuries, emergency rooms were about 4-5 times more frequently used than inpatient or outpatient clinics among the injury treatment centers (p<.05). Injury can cause activity restriction and difficulties in daily life and there can be only a few types of healthcare use; therefore, it is necessary to reinforce relevant programs and make relevant policies.

Relationship between Insomnia and Depression in Type 2 Diabetics (2형 당뇨병 환자에서 불면증과 우울 증상의 관련성)

  • Lee, Jin Hwan;Cheon, Jin Sook;Choi, Young Sik;Kim, Ho Chan;Oh, Byoung Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.50-59
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    • 2019
  • Objectives : Many of the patients with type 2 diabetes are associated with sleep problems, and the rate of insomnia is known to be higher in the general population. The aims of this study were to know the frequency and clnical characteristics of insomnia, and related variables to insomnia in patients diagnosed with type 2 diabetes. Methods : For 99 patients from 18 to 80 years of age (65 males and 34 females) with type 2 diabetes, interviews were performed. Total sleep time and sleep latency was evaluated. Insomnia was evaluated using the Korean Version of the Insomnia Severity Index (ISI-K). Severity of depressive symptoms were evaluted using the Korean version of the Hamilton Depression Scale (K-HDRM). According to the cutoff score of 15.5 on the ISI-K, subjects were divided into the group of type 2 diabetics with insomnia (N=34) and those without insomnia (N=65) at first, and then statistically analyzed. Results : TInsomnia could be found in 34.34% of type 2 diabetics. Type 2 diabetics with insomnia had significantly more single or divorced (respectively 11.8%, p<0.05), higher total scores of the K-HDRS ($11.76{\pm}5.52$, p<0.001), shorter total sleep time ($5.35{\pm}2.00hours$, p<0.001), and longer sleep latency ($50.29{\pm}33.80minutes$, p<0.001). The all item scores of the ISI-K in type 2 diabetics with insomnia were significantly higher than those in type 2 diabetics without insomnia, that is, total ($18.38{\pm}2.69$), A1 (Initial insomnia) ($2.97{\pm}0.76$), A2 (Middle insomnia) ($3.06{\pm}0.69$), A3 (Terminal insomnia) ($2.76{\pm}0.61$), B (Satisfaction) ($3.18{\pm}0.72$), C (Interference) ($2.09{\pm}0.97$), D (Noticeability) ($2.12{\pm}1.09$) and E (Distress) ($2.21{\pm}0.81$) (respectively p<0.001). Variables associated with insomnia in type 2 diabetics were as following. Age had significant negative correlation with A3 items of the ISI-K (${\beta}=-0.241$, p<0.05). Total scores of the K-HDRS had significant positive correlation, while total sleep time had significant negative correlation with all items of the ISI-K (respectively p<0.05). Sleep latency had significant positive correlation with total,, A1, B and E item scores of the ISI-K (respectively p<0.05). Conclusions : Insomnia was found in about 1/3 of type 2 diabetics. According to the presence of insomnia, clinical characteristics including sleep quality as well as quantity seemed to be different. Because depression seemed to be correlated with insomnia, clinicians should pay attention to early detection and intervention of depression among type 2 diabetics.