• 한국보건간호학회지
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• 제29권3호
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• pp.582-593
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• 2015

Purpose: This study was conducted to examine the effectiveness of a self-management program on patients with thyroid cancer, particularly during the time of waiting for surgery after cancer diagnosis. Psychological distress, biological responses of immune cell counts, and quality of life were the variables of this study. Methods: One group pre-post test design was used with the nature of a pilot study. Ten newly diagnosed thyroid cancer patients were recruited through physicians' referrals. After drop out of 4 participants, final data were collected from six participants. Small group technique, a one and half hour-session per week for one month (total 4 sessions, 6 hours) was used. Relaxation techniques, meditation training, and strategies to reduce distress were provided by researchers. Standardized questionnaires and an established bio-assay were used for collection of data. Results: Participants showed significant lowering of psychological distress (p<.05) and improvement in global quality of life (p<.05). Biological responses of immune cell counts did not show statistical significance. Conclusion: The self-management program may reduce psychological distress and improve quality of life of patients with thyroid cancer between the time of diagnosis and surgery. The self-management program would be a valuable approach for patients with an unexpected cancer diagnosis to prepare for their disease experience in a community setting.

• 사회복지연구
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• 제42권1호
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• pp.117-149
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• 2011

최근 국제결혼이 증가하면서 국내 다문화가정의 아동 수 역시 급증하는 추세이다. 하지만 이 아동들은 소수인종이라는 특성으로 인해 여러 사회적 차별에 노출되어 있으며, 이러한 차별경험은 이들에게 일종의 스트레스요인으로 작용하고 있다. 따라서 본 연구는 다문화가정 아동의 차별경험이 아동의 심리적 디스트레스에 미치는 영향과 사회적지지의 매개효과에 대해 분석하는데 목적을 두고 대전광역시, 충청남도, 충청북도 지역의 25개 초등학교에 재학 중인 다문화가정 아동들을 대상으로 설문조사를 실시하였다. 연구결과, 차별경험은 다문화가정 아동의 우울 및 불안감에 영향을 미치는 주요 요인으로 나타났으며 즉, 차별을 많이 경험한 아동은 그렇지 않은 아동에 비해 우울 및 불안 수준이 높은 것으로 나타났다. 또한 부모지지, 또래지지, 교사지지를 통해 알아본 사회적지지의 매개효과 분석 결과, 또래지지만 통계적으로 유의한 부분매개효과를 가지는 것으로 나타났다. 다문화가정 아동의 차별경험은 이들의 또래지지를 약화시키며 약화된 지지체계는 이들의 우울 및 불안수준을 증가시키는 것으로 나타났는데 이는 사회적 지지 약화모델의 유의함을 검증하는 결과이다. 본 연구에서는 이러한 연구결과를 토대로 다문화가정 아동에 대한 사회복지적 함의를 제시하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.641-646
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• 2015

Breast cancer (BC) is potentially a traumatic stressor which may be associated with negative outcomes, such as post-traumatic stress disorder (PTSD) or positive changes, such as post-traumatic growth (PTG). This study aims to identify the core issues of BC related PTSD, PTG and psychological distress by interrogating the literature in BC survivors. We have also highlighted issues related to the assessment, diagnosis and clinical management of PTSD and PTG. The authors systematically reviewed studies published from 1985 to 2014 pertaining to PTSD, psychological distress and PTG in BC survivors with particular attention paid to incidence rates and causative factors. Multiple studies intimated that women with BC have evidence of PTSD at the initial stages of diagnosis, whereas PTG develops once patients undergo treatment. Early diagnosis and treatment of PTSD/PTG is paramount from literature review but the previously mentioned relationship between PTSD and PTG in BC patients could not be verified. It is evident from the literature that a small percentage of BC patients experience PTSD, while the majority experience PTG after BC diagnosis and treatment. Future research should include prospective studies focusing on high-risk patients, causative factors and the development of psychological interventions.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.309-314
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• 2012

Objective: To investigate the psychological characteristics of hepatic malignancy patients before interventional procedures and assess associations with related factors. Methods: Two hundred and thirteen patients requiring interventional procedure for hepatic malignancy were asked to complete a survey of health knowledge and psychological symptom on health knowledge questionnaire and SCL-90 before interventional procedure. Logistic regression analysis was employed to determine the association of various demographic, clinical and health knowledge factors with the presence of psychological symptoms in patients. Results: Eight psychological symptom scores, i.e. somatization, obsessive-compulsive tendencies, depression, anxiety, hostility, phobia, paranoid ideations and psychotic states, were significantly higher than the normal range (P< 0.001). Of 213 cases in the study, 49 families (23.00%) concealed the diagnoses of hepatic carcinoma from patients; 135 patients (63.38%) described the prognosis of the disease correctly. It was demonstrated that the correlations between psychological symptoms and related factors, i.e. age, gender, education, interventional procedure times and health knowledge, were statistically significant (P<0.05). Conclusion: Psychological distress is severe in hepatic malignancy patients before interventional procedures. Age, gender, education, interventional procedure times and health knowledge are associated with psychological symptoms which are significant different from the normal range in Chinese.

• 대한가정학회지
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• 제32권4호
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• pp.97-116
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• 1994

The purpose of the stud is to present an model of the distress process for dual-earner couples. For the data set 340 husbands and wives in dual-earner families living in Pusan were chosen. The questionnaire was composed of Family Stressor Scale Family Resources Scale, Distress Scale. The data were analyzed with the SPSS statistical pacakage using t-test the one-rather than husband. And cothestion, adaptability and the level of stress recognition are important factors affecting the level of physical and psychological distress directly.

• 한국임상약학회:학술대회논문집
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• 한국임상약학회 2007년도 추계학술대회
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• pp.199-200
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• 2007

• Journal of Oral Medicine and Pain
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• 제40권4호
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• pp.155-162
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• 2015

Purpose: The association between pain and sleep is described as a vicious cycle and psychological distress is well known as comorbid condition in the patients with pain and sleep problems. The aim of the study was to evaluate the prevalence of self-reported sleep disturbance and its relationship to clinical and psychological profiles in temporomandibular disorder (TMD) patients. Methods: The sample consisted of 123 TMD patients (90 women and 33 men), with a mean age of $39.9{\pm}15.4years$. Self-report measures of sleep quality, pain and psychological profile were conducted via the Pittsburgh Sleep Quality Index (PSQI), the Brief Pain Inventory and the Symptom Checklist-90-Revision at the initial visit. The primary diagnosis of TMD were categorized as TMD with internal derangement without pain, TMD with joint pain, TMD with muscle pain and TMD with joint-muscle combined pain. The chi-square test, independent t-test, oneway ANOVA and multiple linear regression analysis were used for statistics. Results: The patients was grouped as good sleepers (n=32, scores of 5 and lower) and poor sleepers (n=91, scores of 6 and higher) according to the recommended cutoff point of the global PSQI score (>5). TMD patients with pain showed poor sleep quality than TMD patients with internal derangement without pain. Poor sleepers had high pain interference and elevated psychological distress. Among them, pain interference and depression were significant predictors to sleep quality. Conclusions: The results suggest that sleep disturbance is a prevalent complaint in TMD patients, and sleep problems in TMD patients are associated with pain and psychological distress.

• 여성건강간호학회지
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• 제28권2호
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• pp.100-111
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• 2022

Purpose: Based on the theory of unpleasant symptoms (TOUS), this study aimed to examine the direct effect of antecedent factors on health-related quality of life (HRQoL) and its indirect effect via symptoms in Korean women during the late menopausal transition (MT) and early postmenopause. Methods: This cross-sectional survey employed a descriptive correlational research design. The respondents were 152 middle-aged women 40 to 60 years with an intermenstrual interval of 60 days or more (late MT) or less than 5 years from the last menstrual period (early postmenopause). The respondents were recruited through convenience sampling in Busan, Korea, from December 1, 2020, to January 31, 2021. Based on the TOUS, self-report data were collected on perceived health status, psychological distress, social support, menopausal symptoms, and HRQoL. The collected data were analyzed using descriptive statics, independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and the Hayes' PROCESS macro. Results: TOUS was supported on this sample (n=152) of Korean women during the late MT and early postmenopause. Perceived health status, psychological distress, and social support had significant direct relationships with HRQoL. Menopausal symptoms had significant indirect relationships between antecedent factors (perceived health status, psychological distress, and social support) and partially mediated HRQoL. Conclusion: The findings of this study indicate that menopausal symptoms play an important role as an intervening factor of HRQoL in women during the late MT and early postmenopause. Therefore, women need an integrated program that manages antecedent factors and menopausal symptoms to improve HRQoL in these menopausal stages.

• 한국심리학회지 : 문화 및 사회문제
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• 제29권2호
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• pp.223-252
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• 2023

본 연구에서는 코로나 대유행 시기에 지각된 스트레스가 심리적 디스트레스(부정정서, 우울, 불안, 분노)에 미치는 영향에서 대처전략의 종단매개효과를 확인하고자 하였다. 또한 코로나 대유행 상황에서 각 연령별로 대처전략의 사용에 차이가 있었는지 살펴보았다. 이를 위해 8개월의 간격을 두고 두 번에 걸쳐 수집된 성인 941명의 두 시점 종단 자료를 활용하였다. 분석결과, 코로나 스트레스(시점1)는 심리적 디스트레스(시점2) 중 우울을 제외한 부정정서, 불안, 분노에 종단으로 영향을 끼치는 것으로 확인되었다. 종단매개효과 분석결과, 대처전략 중 부적응적 대처전략만(시점2)이 코로나 스트레스(시점1)와 심리적 디스트레스(시점2)의 관계에서 종단매개효과를 보이는 것으로 나타났다. 연령별 다집단 분석결과, 대처전략의 사용에 있어서 연령별 차이는 없는 것으로 나타났다. 본 연구는 코로나 대유행 상황에서 일반 성인의 심리적 디스트레스를 종단으로 살펴보았다는 점에서 의의를 지닌다. 마지막으로 본 연구의 한계점과 추후 연구를 위한 제언을 제시하였다.

• Safety and Health at Work
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• 제7권1호
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• pp.55-62
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• 2016

Background: This study aims to: (1) examine rates of obesity and physical health complaints among 911 telecommunicators; and (2) document the role of emotion dysregulation, psychological inflexibility, duty-related distress and dissociation, and psychopathology in predicting obesity and physical health complaints in this population. Methods: The sample consisted of 911 telecommunicators from across the country (N = 758). Participants completed an online survey assessing their mental and physical health functioning. Results: A total of 82.5% of the sample reported a body mass index that fell within the overweight or obese category and an average of 17 physical health complaints within the past month. Peritraumatic reactions (distress and dissociation), emotion dysregulation, and psychological inflexibility had effects on physical health largely through psychopathology (alcohol abuse, post-traumatic stress disorder, and depression). Conclusion: Development of adapted prevention and intervention efforts with this population is needed.