• Child Health Nursing Research
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• v.23 no.4
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• pp.429-439
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• 2017

Purpose: The aim of this study was to identify the status of psychological health among boys in high school and to examine the mediating effects of social support on the relationship between anger and entrapment on psychological health. Methods: The participants in this study were 193 high school boys from Jeju. Measurements included state-trait anger expression inventory, entrapment scale, student social support scale, and questionnaires to assess mental and physical health. Data were analyzed using independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, simple and multiple regression techniques with the SPSS 21.0. Mediation analysis was performed with the Baron and Kenny's method, and Sobel test. Results: Mean scores for anger experience, entrapment, social support, and psychological health were $29.81{\pm}7.34$, $34.09{\pm}16.33$, $45.75{\pm}7.02$, $22.51{\pm}9.91$, respectively. There was a significant correlation between anger experience and psychological health. Entrapment was significantly correlated with psychological health. Social support showed partial mediating effects in the relationship between anger experience and psychological health (Sobel test: Z=54.18. p<.001). Social support showed partial mediating effects in the relationship between entrapment and psychological health (Sobel test: Z=2.24. p=.025). Conclusion: The results indicate a need to develop social support programs for boys in high school.

• Research in Community and Public Health Nursing
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• v.7 no.2
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• pp.229-243
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• 1996

The purpose of this study was to develop a nursing model for the aged. This study was conducted to measure the physical, psychological and mental health status of the aged and to identify relationships between these health levels and various variables. The data were collected from 172 aged(over 60 years old) by interviews. The tools used for this study was a structured questionnaire which was developed and revised by the researchers. The tool consisted of 22 items on physical health assessment, 7 items on psychological health assessment, 9 items on mental health assessment and 10 items on an ADL evaluation. The major results of the study were as follows ; 1. In physical health, the aged complained of visual disturbance(60.5%), incontinence of urine (55.2%), back or muscle pain(73.3%), dizziness(70.3%) and diarrhea or constipation(44.2%). In psychological health, most aged people felt anger when they got some order from an other person(80.2%). Also, they had depression (69.8%) and felt like dying(64.0%). The ADL level was mostly normal for daily life. 2. The aged man was more healthy than the aged woman in physical and mental health especially the 60-64 year old group. The physical, mental health and ADL level had a positive correlation with age(p>.004), but psychological health had a negative correlation with age. 3. The physical, psychological, mental health and ADL level was positively interrelated with each other. 4. The physical, mental health, & ADL level lowered with inceasing age. Physical & psychological health worsened rapidly from 65-69 years, but for 10-15 years, their health level was preserved. Psychological health level was high in 80-84. 5. The physical health was affected by edu cational level, sex and pocket money (R=.4029, 16.24%). The psychological health was affected by the supportive style and pocket money (R=.5128, 26.30%). And the mental health was affected by education level, age, support ive style, sex and job(R=.4377, 19.16%). As seen above, we suggest the intervention of the young for the old to cope with their life and to maintain their healthy late adulthood. Also, if they have received psychological support in the institution, they will maintain healthy life condition. For further studies should be a search for variables that affect aged health, and should contribut to a nursing program better suited for the aged.

• Safety and Health at Work
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• v.4 no.1
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• pp.52-62
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• 2013

Objectives: To investigate the association between psychological distress and obesity among law enforcement officers (LEOs) in the United States. Methods: Self-reported data on psychological distress based on six key questions were obtained from LEOs who participated in the National Health Interview Survey (2004-2010). We used Prochaska's cut-point of a Kessler 6 score ${\geq}5$ for moderate/high mental distress in our analysis. Mean levels of body mass index (BMI) were compared across three levels of psychological distress. Results: The average age of LEOs (n = 929) was 39.3 years; 25% were female. Overall, 8.1% of LEOs had moderate or high psychological distress; 37.5% were obese (BMI ${\geq}30$). Mean BMI increased with increasing psychological distress (no distress, BMI = $27.2kg/m^2$; mild distress, $27.6kg/m^2$; and moderate/high distress, $33.1kg/m^2$; p = 0.016) after adjustment for age, race, income, and education level among female officers only. Physical activity modified the association between psychological distress and BMI but only among male LEOs (interaction p = 0.002). Among male LEOs reporting low physical activity, psychological distress was positively associated with BMI ($30.3kg/m^2$ for no distress, 30.7 for mild distress, 31.8 for moderate/high distress; p = 0.179) after adjustment, but not significantly. This association was not significant among males reporting high physical activity. Conclusion: Mean BMI significantly increased as psychological distress increased among female LEOs. A longitudinal study design may reveal the directionality of this association as well as the potential role that physical activity might play in this association.

• Journal of Korean Biological Nursing Science
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• v.19 no.2
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• pp.98-106
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• 2017

Purpose: This study aimed to analyze the relationships between the factors affecting health levels of the elderly in rural areas. Methods: Subjects were 257 elderly people residing in rural areas of six cities and Gangwon Province. Data was collected through questionnaires (demographic and socioeconomic status, social resources, health behaviors, physical environment, psychological tendency and general health levels) and was analyzed by using multiple regression and Sobel test. Results: The demographic and socioeconomic characteristics of the subjects exerted statistically significant influence on their social resources, health behaviors, physical environment, and psychological tendencies. The demographic and socioeconomic characteristics, social resources, health behaviors, physical environment, and psychological tendencies, in turn, exerted a statistically significant influence on the health level. The social resources had mediating effects on the relationship between income, one of the demographic and socioeconomic characteristics, and health level. The residential environments had mediating effects on the relationship between income and health level. The psychological tendency had mediating effects on the relationship between income and health level. Conclusion: This study suggests that income is an important factor affecting health level among rural elderly people. In addition, social resources, health behaviors, physical environment, and psychological tendencies among them also affect health level, so it is necessary to make strategies to improve these factors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.3
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• pp.121-127
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• 2014

Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. This effort has focused on adult suicide so far ; however, there are some difficulties in its application to adolescent suicide. Therefore, in this study, psychological autopsy studies of Korea were reviewed, and a methodology for adolescents' psychological autopsy was suggested. For the effective performance of the psychological autopsy in adolescent suicide, cooperation with each area of the government and implementation of bodies is necessary. In addition, the central system, which disseminates the standardized interview to the community and manages the data nationwide, should be prepared. Also, in order to improve the accuracy of diagnosis and to obtain various types of information, a structured interview should be adopted as the psychological autopsy, as well as considering the use of social media. Investigation of specific risk factors for adolescent suicide through psychological autopsy can enable determination of the intervention point for effective suicide prevention.

• Journal of Korean Public Health Nursing
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• v.35 no.2
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• pp.283-296
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• 2021

Purpose: The aim of this study was to investigate the influence of threat perception and psychological reactance to graphic health warnings on cigarette packages on intention to quit smoking among smoking adolescents. Methods: The participants were 185 smoking adolescents attending two industrial specialized high schools, who had witnessed graphic health warnings on cigarette packages within the previous 30 days. Collected data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN Ver. 25.0. Results: The results showed that participant threat perception (𝛽=.14, p=.037) after witnessing a cigarette warning message had a positive influence on intention to quit smoking. On the other hand, psychological reactance (𝛽=-.23, p=.001) showed a negative influence on intention to quit smoking. Conclusion: When designing and developing a message for smoking adolescents, customized messages are required to reflect teenagers' characteristics and raise threat perception and lower psychological reactance. In addition, we propose a future study be conducted to determine the influences of various psychological determinants, including self-efficacy and skills, on threat perception and psychological reactance to graphic health warnings on cigarette packages among smoking adolescents.

• Korean Journal of Occupational Health Nursing
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• v.27 no.3
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• pp.160-170
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• 2018

Purpose: The purpose of this study is to provide preliminary data for alleviating nurses' job stress and support health promotion behaviors. Further, the study reviews the mediating effects of positive psychological capital and nursing work environment in relation to job stress and health promotion behaviors among nurses in a regional general hospital. Methods: A study survey was conducted from June 9 to 16, 2017. The subjects were current nurses working at a regional general hospital in D city. Analysis of a survey questionnaire from 147 participants was conducted. Results: Upon reviewing the mediating effects of positive psychological capital and nursing work environment in relation with health promotion behaviors and job stress, it was found that positive psychological capital (Z=-4.78, p<.001) and nursing work environment (Z=-4.17, p<.001) were significant mediators. Conclusion: As demonstrated through the results of this research, it is necessary to build programs to strengthen individual positive psychological capital and increase the practice of health promotion behaviors among nurses. It is also evident that a systematic approach is needed to improve the nursing work environment.

• Korean Journal of Occupational Health Nursing
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• v.31 no.3
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• pp.114-124
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• 2022

Purpose: This study aimed to identify the predictors of psychological well-being in middle-aged female workers by examining the relationship between positive psychological capital, job stress, and job satisfaction. Methods: Data were collected from 145 middle-aged female workers. A self-report questionnaire was used to assess the level of positive psychological capital, job stress, job satisfaction, and psychological well-being. SPSS/WIN version 23.0 was employed for data analysis. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: The most significant predictors of psychological well-being in the participants were positive psychological capital, living standards, and hobby. These explained 39% of the variance for psychological well-being. Conclusion: We found that positive psychological capital, living standards, and hobby influenced the participants' psychological well-being. Therefore, to improve middle-aged female workers' psychological well-being, developing a program based on positive psychological capital management is necessary.

• Safety and Health at Work
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• v.8 no.4
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• pp.410-412
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• 2017

Post-traumatic stress disorder (PTSD) is a serious problem not only among workers who experience industrial accidents but also among workers who witness such accidents. Early intervention is needed to prevent prolonged psychological problems. There has been no study conducted regarding the psychological problems of and interventions for bystander workers in Korea. This study introduces the experience of intervention on psychological problems at the Busan Workers' Health Center workers who witnessed their colleagues' death. An investigation and an intervention were conducted according to the Korean Occupational Safety and Health Agency (KOSHA) Guide. In total, 21 individuals including indirect observers showed statistical differences on scores of the Impact Event Scale Revised and the Patient Health Questionnaire 9 after the intervention. Future interventions and research involving a larger sample size over a longer period are needed. The KOSHA Guide could be a useful tool for urgent psychological intervention in the event of major workplace disasters.

• The Journal of the Korea Contents Association
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• v.18 no.1
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• pp.596-606
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• 2018

This study examined the mediating effects of self-reassuring and self-attacking in the relationship between mental health and psychological well-being among college students. The study subjects were 230 (98 males and 132 females), and the collected data were analyzed using the SPSS PROCESS Macro based on regression analysis. The results of the study were as follows. First, there were significant relationship among mental health, psychological well-being, self-reassuring and self-attacking. Second, depression, obsessive compulsive disorder, interpersonal sensitivity and psychosis had a significant negative effect on psychological well-being. Third, self-reassuring and self-attacking had a partial mediating effect on the relationship between mental health and psychological well-being. The indirect effect of mental health on psychological well-being through self-reassuring was significantly higher than the indirect effect of psychological well-being through self-attacking. Based on the results of this study, we discussed the role of self-reassuring in the relationship between mental health and psychological well-being.