• Title/Summary/Keyword: psychological functioning

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Influences of Attention Deficit Hyperactivity Disorder and Family Variables on the Parents' Perception of Parental Role, Family Funtioning (취학전아동의 주의력결핍.과잉활동장애 및 가족변인이 부모역할, 가족기능지각에 미치는 영향)

  • 추영란
    • Journal of the Korean Home Economics Association
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    • v.33 no.5
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    • pp.241-253
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    • 1995
  • The purpose of this study was to identify how th ADHD variable and family variables influence parents' perception of parental role, family functioning. Subjects were 478 preschoolers at the ages of 3-6 and their teachers and parents. The CTRS-10, the PSI, the FACESⅢ were used. The major findings were as follows ; 1) The variables which ae influential in parental strain were shown in order of the social psychological resource variables, the ADHD variable, and the social demographic variables. The sole ADHD variable's influence was high (β=.26***, increased R2=5.4%). 2) The variables which are influential in parental mastery were shown in order of the social psychological resource variables, the ADHD variable, and the social demographic variables. The sole ADHD variable's influence was high(β=.13*, increased R2=1.5%), also. 3) The variables which are influential in family cohesion and adaptability were shown in order of the social psychological resource variables, the social demographic variables. In both family cohesion and adaptability, the sole ADHD variables' influence was insignificant(β=-.08, increased R2=-0.3%, increased R3=-0.3%). Implications to knowledges as well as recommendations for future research are discussed.

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Relationship of Activity of Daily Living(ADL) and Psychological Factors in Rheumatoid Arthritis (만성 류마티스 환자의 일상생활 활동과 심리적 요인과의 관계)

  • Kim Jong-Im;Kim In-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.2
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    • pp.155-168
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    • 1995
  • Many arthritis patients experience physical and psychological impairment. The influence psychological factors on physical functioning beyond disease & demographic factors has been investigated. Unlike others studied the relationship between just two variables (i. e., depression & helplessness or self-efficacy & depression), the relationships among several variables such as depression, helplessness and self-efficacy were examined altogether. Foully-two patients were examined to identify the relationship between the variables. It was found that ADL is significantly negatively related to depression and helplessness, and positively related to self-efficacy. And ADL was more strongly correlated with self-efficacy and helplessness than depression. Contrary to ADL, pain was significantly negatively related to self-efficacy, and positively related to depression and helplessness. Then stepwise regression analysis was performed to identify the variables to predict ADL. It revealed that helplessness was the only significant predictor of ADL. Finally, it is suggested that the inclusion of the method to increase self-efficacy & to decrease helplessness in any nursing intervention is very important.

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Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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Preoperative Quality of Life in Patients with Gastric Cancer

  • Suk, Hyoam;Kwon, Oh Kyung;Yu, Wansik
    • Journal of Gastric Cancer
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    • v.15 no.2
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    • pp.121-126
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    • 2015
  • Purpose: We evaluated the socio-personal and clinical factors that can affect preoperative quality of life to determine how to improve preoperative quality of life in patients with gastric cancer. Materials and Methods: The preoperative quality of life data of 200 patients (68 females and 132 males; mean age $58.9{\pm}12.6years$) with gastric cancer were analyzed according to socio-personal and clinical factors. The Korean versions of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core (QLQ) 30 and the EORTC QLQ-STO22, a gastric cancer-specific module, were used to assess quality of life. Patients were asked to complete the questionnaire preoperatively by themselves. Results: Patients with a higher academic background and stage I disease tended to have higher global health status scores. Highly educated younger men had better physical functioning scores. Highly educated and well-nourished patients with stage I cancer had higher role functioning scores. Married patients had better emotional scores. The symptom scales were affected by sex, age, education level, nutrition, and cancer stage. Conclusions: Preoperative quality of life in patients with gastric cancer can be improved by nutritional support and treatment of symptoms caused by disease progression. Psychological support may be helpful for patients with a poor quality of life.

Anterior Cingulate Cortex and Amygdala Dysfunction Among Patients with Alcohol Dependency During Exposure to Negative Emotional Stimuli

  • Park, Mi-Sook
    • Science of Emotion and Sensibility
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    • v.21 no.4
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    • pp.103-112
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    • 2018
  • This study aimed to identify specific psychological and brain activation responses relating to the processing of negative emotions in patients with alcohol dependency. The authors hypothesized that patients with alcohol dependency would demonstrate the abnormal functioning of brain regions involved in negative emotions. Eleven male patients diagnosed with alcohol dependence in an inpatient alcohol treatment facility and 13 social drinkers with similar demographics were scanned using functional magnetic resonance imaging (fMRI) as they viewed film clips that evoked negative emotions. During exposure to negative emotional stimuli, the control group evinced significantly greater activity in the right anterior cingulate cortex (ACC) in comparison to patients with alcohol dependency. Correlation analyses demonstrated a negative association in the relationship between beta values from the right ACC and amygdala in participants classified in the control group. No statistically significant relationship was observed for blood oxygenation level-dependent (BOLD) changes between the two regions in the patient group during the elicitation of negative emotions. On the other hand, patients exhibited a greater activation of the amygdala as negative emotions were induced. These results suggest that alcoholism presents pathophysiology of brain activation that is distinct from the responses of healthy individuals functioning as controls.

A Study on Depression, ADL, IADL, and QOL among Community-Dwelling, Low Income Elderly (일 지역사회 저소득 노인의 우울, 일상생활수행능력과 삶의 질의 관계에 대한 연구)

  • Park, Sun-Young
    • Journal of Korean Public Health Nursing
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    • v.23 no.1
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    • pp.78-90
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    • 2009
  • Purpose: This study investigated depression, ADL, ADL, QOL, and their relationships to examine the physical and, emotional health status of low income elderly in the local community. Methods: The subjects included 507 elderly 65 years of age in Jeonju, Korea. Data were collected through personal interviews with questionnaires. Results: The average depression score of the subjects was 8.7. There was significant difference in the level of depression as a function of the level of education and perceived health status. The items showing the highest level of functioning in ADL were consciousness and recognition, and the item combining the highest leveling of functioning in IADL was using phones. Regarding ADL and IADL, there were statistically significant differences in age. living condition and perceived health status. The levels of quality of life of the subjects were significantly different with respect to gender and, perceived health status. There were statistically significant correlations between the subjects' depression, ADL, IADL, and QOL. Conclusions: The findings indicate that the low income elderly in the local community were in poor physical and, psychological health. Based upon the outcome, health promotion programs to improve depression, ADL, and IADL of low income elderly in the community are needed.

Framework for Socially Intelligent Agent using Three-Layered Affect Functioning Model (3단계의 사고 작용 모델을 응용한 사회적 감성지능 에이전트 프레임워크)

  • Shin, Hun-Yong;Woo, Woon-Tack
    • 한국HCI학회:학술대회논문집
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    • 2008.02a
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    • pp.522-527
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    • 2008
  • Socially Intelligent agent is the agent not only having the ability to recognize and to process human affect through learning and adaptation, but also having human-like social intelligence. By making human feel familiar with the computer, the agent is expected to enhance human-computer interaction (HCI) by providing users with the personalized services and interfaces. This paper proposes the framework for socially intelligent agents behaving socially according to the emotions recognized by ID3 algorithm and psychological OCC model. Also, the agent could process with the emotion to make socially intelligent response through three layered affect functioning model. Finally, the proposed agent can be applied for the development and application of socially intelligent agent in wide areas as the agent framework having similar affect and cognitive structure with human being.

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The Effect of Psychoeducational Intervention for Symptom Management of Home Cancer Patient (재가 암 환자의 증상관리를 위한 심리교육 중재효과)

  • Suh, Soon-Rim;Lee, Won-Kee
    • Asian Oncology Nursing
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    • v.3 no.1
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    • pp.56-65
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    • 2003
  • Purpose: The study was to develop psychoeducational intervention and identify its effect for symptom management of home cancer patient. Method: Study subjects were 24 patients in control group and 18 patients in experimental group. In experimental group, individualized psychoeducation was done after pretest and then continued to educate and consult through calling by telephone once a week for 4 weeks. The data were collected using several tools such as symptom distress by McCorkle(2000). Physical functioning, a part of Medical Outcome Study by Ware and Sherbouine(1992) and QOL- cancer patient version by Ferrell and Grant(1995) from 18th of Feb. to 30th of July. Data were analysed to ${\chi}^2$ test and t test using SAS VER8.12. Results: The mean score of symptom distress was 21.6 in experimental group and 24.2 in control group. Experimental group was shown lower score than control group. Physical functioning of experimental group was better as mean score 23.3 than 20.6 in control. Psychological wellbeing was 69.7 in experimental group and 66.1 in control group. Social wellbeing was 32.2 in experiment and 25.8 in control. Psychosocial wellbeing of experimental group was higher than control group. However there was no significant differernce between two groups among these variables. Conclusion: The psycho educational intervention was not made symptom mangement, physical functioning, and psycho social wellbeing improved but shown positive tendency. It is expected having a statistically significant finding if enlarged sample size and prolonged the intervention term in future. Therefore it is suggested psycho educational intervention study do repeatedly.

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Relationship between the quality of life of the caregiver and motor function of children with cerebral palsy

  • Yun, Chang-Kyo
    • Physical Therapy Rehabilitation Science
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    • v.6 no.1
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    • pp.26-32
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    • 2017
  • Objective: The purpose of this study was to evaluate the relationship between quality of life (QoL) of the caregiver and disease severity with motor function in children with cerebral palsy (CP). Design: Cross-sectional study. Methods: Research data were collected in the Rehabilitation Clinic of Daegu University. The Gross Motor Function Measure (GMFM-88) and the functional independence measure (FIM) were used for assessment by three occupational therapists, and the 36-item short form health survey (SF-36) were applied to the caregivers. One hundred six caregivers of under 18 years who were diagnosed with CP completed a survey and interview. The caregivers' QoL was evaluated using Medical Outcomes Study SF-36. The children's motor function was scored using GMFM-88 in five dimensions: lying and rolling; sitting; crawling and kneeling; standing and walking, running and jumping and CP's FIM scores. Results: Out of the 8 domains of the Medical Outcomes Study SF-36, the "physical functioning", "physical role functioning", "mental health", and "bodily pain" domains were significantly correlated to "total" percentage scores of the GMFM-88 (p<0.05). In addition, the "mental health" domain was correlated to each subdomain of the GMFM-88, which includes, "lying and rolling", and "crawling and kneeling". Similarly, of Medical Outcomes Study SF-36, "physical functioning", "bodily pain", and "mental health" domains were significantly correlated with "transfer" and "locomotion" of FIM scores (p<0.05). Conclusions: This study showed that the QoL of the caregivers were well correlated with the motor function of children with CP. It is also important to support not only physical health but also psychological health of caregivers of children with CP, especially those with severe motor function.

Analysis of Nurturing Experiences Mothers whose Children have Borderline Intellectual Functioning Disorder (경계선 지적기능 아동을 둔 어머니의 양육 경험에 관한 연구)

  • Choi, Malok
    • Korean Journal of Social Welfare
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    • v.66 no.1
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    • pp.191-219
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    • 2014
  • The major purpose of this study was to explore care giving experiences of mothers, who have their children with borderline intellectual functioning disorder. The core analytical strategy was to find out the essential meaning of caring their children. For this purpose, eight mothers were participated in depth interview, which conducted during October, 2011 through July 2012. The face-to-face interview repeated two or three times based on phenomenological perspective. The interview suggested two major findings: changing mother's view from raising retarded children to caregiving a child with growing-up substantially slow speed; the essence of nurturing experiences for mothers, whose children have borderline intellectual functioning, was to watching with attention rather than advocating ownership. This result can be also found in Barshow's concept of 'watching' rather than 'possession', which is suggested by Tennyson. However, the essential meaning of this concept was associated with 'watching with care', which was originated form Goethe's notion of 'existence'. Mother's of children with borderline intellectual functioning have reached a point of view: when creating a parent-child relationship, it was essential that the child was not 'my child', but was 'a child' per se. This type of parent-child relationship was a result of giving up a desire that the child raised within mother's boundary. It was also a result of psychological warfare and conflict in mother's mind. To internalized this view, it is recommended that the mothers implement the following three perspectives: first, the mothers put down overly-pushed motive toward their children; second, they enhance their level of understanding toward their child; third, it is necessary that the mothers build a new sense of existence through matching their level of concern with their children.

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