Purpose: This study was done to propose a structural model to explain and predict psychosocial adjustment in patients with early breast cancer and to test the model. The model was based on the Stress-Coping Model of Lazarus and Folkman (1984). Methods: Data were collected from February 18 to March 18, 2009. For data analysis, 198 data sets were analyzed using SPSS/WIN12 and AMOS 7.0 version. Results: Social support, uncertainty, symptom experience, and coping had statistically significant direct, indirect and total effects on psychosocial adjustment, and optimism had significant indirect and total effects on psychosocial adjustment. These variables explained 57% of total variance of the psychosocial adjustment in patients with early breast cancer. Conclusion: The results of the study indicate a need to enhance psychosocial adjustment of patients with early breast cancer by providing detailed structured information and various symptom alleviation programs to reduce perceived stresses such as uncertainty and symptom experience. They also suggest the need to establish support systems through participation of medical personnel and families in such programs, and to apply interventions strengthening coping methods to give the patients positive and optimistic beliefs.
Purpose: The purpose of this study was to identify factors influencing psychosocial well-being in family caregivers of patients with amyotrophic lateral sclerosis (ALS). Methods: A descriptive correlational design was used. The transactional model of stress and coping was used to investigate the psychosocial well-being of 137 family caregivers of patients with ALS. Data were collected through self-reported questionnaires from January to November 2016. Data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis with the SPSS WIN 21.0 program. Results: The regression model had an adjusted $R^2$ of .49, which indicated that meaning-focused coping, social support, ALS patient-family caregiver relationship (especially a spousal relationship), and tracheostomy were significant predictors of caregivers' psychosocial well-being. Conclusion: Meaning-focused coping and social support significantly influenced caregivers' psychosocial well-being. Therefore, interventions to improve caregivers' psychosocial well-being must focus on increasing meaning-focused coping and social support resources.
This study examined the factors influencing the psychosocial well-being of working mothers of preschool children. It investigated the mediation effects of sociological ambivalence in the relations of psychosocial well-being with a family-supportive work environment and with the gender-role stereotype of family members. In addition, it tested the moderated mediation effects of the traditional gender-role attitudes in workplace and meta-mood. Data were obtained from 476 working mothers of preschool children. Using SPSS 25.0, Cronbach's alpha reliability was calculated, descriptive statistics were generated, and Pearson's correlation analysis performed. Mediation and moderated mediation analyses were carried out using the SPSS process macro 3.5 program. The main results were as follows: first, sociological ambivalence mediated the relationship between psychosocial well-being and a family-supportive work environment. The mediating effect of sociological ambivalence was moderated by emotional attention, a sub-factor of meta-mood. Second, sociological ambivalence mediated the relationship between psychosocial well-being and the gender-role stereotype of family members. In addition, the traditional gender-role attitudes in workplace moderated the mediating effect of sociological ambivalence on the relationship between the gender-role stereotype of family members and psychosocial well-being. These results can be used to inform discussion on changing policy and education to improve the psychosocial well-being of working mothers with preschool children.
Objectives: This study aimed to verify the relations of COVID-19 infection-related knowledge, dental infection control performance, and psychosocial health of dental hygienists. Methods: From the data was analyzed through the frequency analysis, t-test, one way ANOVA, and pearson's correlation analysis with a total of 198 dental hygienists using SPSS Statistics 21.0. Results: The correct answer rate for knowledge about COVID-19 was higher with a bachelor's degree or higher. Thus, when the level of education was higher, the performance was also high (p<0.01). COVID-19 infection control performance was highly shown in case of high age (4.43) (p<0.05) and the married (4.42) (p<0.01). Infection control performance was high when they had an educational experience of COVID-19 infection control (4.46), and when the infection control guidebooks were equipped in their workplaces (p<0.001). Degree of psychosocial health of research subjects was shown in the order of potential stress (60.6%), high-risk stress (23.7%), and healthy (15.7%). Infection control performance was higher, the psychosocial health was healthy. Conclusions: For the response to COVID-19 infectious disease and the preparation for mutated viruses and new infectious diseases in the future, it would be necessary to establish the concrete measures for establishing the strict infection control system for dental clinics and also enhancing the psychosocial health of dental hygienists.
This study was conducted to investigate the influence of the psychological environment on the psychosocial maladjustment in early adolescence. This study also examined how the psychological environment influenced early adolescents in internalizing and externalizing their problems. Four hundred and eight students from three middle schools in Seoul participated in this study. The participants were divided into two groups by gender, and their psychological environment and psychosocial maladjustment were measured. The data were analyzed using ANOVA and multiple regression. The results of this study are as follows: Mutual intimacy and respect in the psychological environment affected internalizing and externalizing problems among male students; whereas communication affected internalizing and externalizing problems among female students. Based on this analysis, theoretical basics were presented for educational programs to prevent internalizing and externalizing problems.
This study is to investigate the main factors influencing prenatal attachment. The research method is on the basis of descriptive correlational study, and data collecting period was from 11 to 29, November, 2003. The objects of this study were 100 pregnant women of two OBGY Hospitals in Masan. Using the SPSS/WIN 10.1 program the data were analyzed by t-test, ANOVA, Pearson correlation coefficient, stepwise multiple regression analysis. The result of this study was as follows : The mean score of prenatal attachment was 2.64, the mean score of physical discomforts, 1.61, the mean score of husband-wife attachment, 3.28, the mean score of psychosocial adjustment of pregnancy, 1.82. The degree of prenatal attachment according to general characteristics was significantly difference according to religion. The degree of prenatal attachment according to obstetrical characteristics was significantly difference according to Lamaze class, Taekyo. Significant correlations of prenatal attachment was found in both psychosocial adjustment of pregnancy, Taekyo, husband-wife attachment, Lamaze class, religion. Stepwise multiple regression analysis showed that 52% of the variance in prenatal attachment was significantly accounted by psychosocial adjustment of pregnancy(34%), Taekyo(6%), husband-wife attachment(5%), Lamaze c1ass(5%), and religion(3%). Further findings of this study support the development of creative strategies to enhance positive attachment relationship for pregnant woman.
Purpose: This study was done to evaluate the effects of psychosocial interventions on cortisol and immune response in adult patients with cancer. Methods: MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and domestic electronic databases were searched. Twenty controlled trials (11 randomized and 9 non-randomized trials) met the inclusion criteria with a total of 862 participants. Methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non randomized studies. Data were analyzed using the RevMan 5.2.11 program of Cochrane library. Results: Overall, study quality was moderate to high. The weighted average effect size across studies was -0.32 (95% CI [-0.56, -0.07], p=.010, $I^2 $=45%) for cortisol concentration, -0.62 (95%CI [-0.96,-0.29], p<.001, $I^2 $=0%) for T lymphocyte (CD3) and -0.45 (95%CI [-0.74, -0.16], p=.003, $I^2 $=0%) for Th lymphocyte (CD4) numbers. Psychosocial interventions were not effective for Tc lymphocyte (CD4), NK cell, monocyte, and cytokine response. Conclusion: Although these results provide only small evidence of successful immune modulation, they support the conclusion that psychosocial interventions can assist cancer patients in reducing emotional distress and improving immune response.
Purpose: This study aims to conduct a systematic review of the physical, psychosocial and physiological effects of Tai Chi exercise in elderly. Method: 37 articles from Medline search of foreign journals (1966-2006) were surveyed by the key words 'Tai Chi', 'Tai-chi program' and 'Tai-chi and elderly' limiting the range to age 65 or older, choosing clinical trial and randomized controlled trial research in English articles. Four articles were excluded due to methodological study, pilot study and review. The research was analyzed according to health status of the subjects, styles and forms of Tai Chi exercises, factors for physical, psychosocial and physiological measures. Result: A short forming Yang style was commonly used in chronic diseases and health for elderly. Variable outcome measures were used in Tai Chi studies relating to balance, muscle strength, walking and mobility, flexibility and cardiorespiratory function in physical measure, quality of life, depression, self-efficacy, health status, cognition and impact questionnaire in psychosocial measure, lipids, insulin resistance and hormone in physiological measure. Conclusion: Tai Chi exercise appears to have physical and psychosocial benefits and also appears to be safe for elderly and chronic diseases. It is suggested that future studies analyze statistical part of systematic reviews through meta analysis.
Chaman, Reza;Aliyari, Roqayeh;Sadeghian, Farideh;Shoaa, Javad Vatani;Masoudi, Mahmood;Zahedi, Shiva;Bakhshi, Mohammad A.
Safety and Health at Work
/
제6권2호
/
pp.120-127
/
2015
Background: Musculoskeletal pain (MSP) is a common and disabling problem among carpet weavers and is linked to physical and psychosocial factors of work. This study aimed to determine the prevalence of MSP, its psychosocial risk factors, and association of pain in each pair of anatomical sites among carpet weavers. Methods: A cross-sectional study was performed among 546 hand-woven carpet weavers in rural small-scale workshops of Iran. Data were collected by using parts of a standardized CUPID (Cultural and Psychosocial Influences on Disability) questionnaire focused on MSP in 10 body sites, including the low-back, neck, both right and left shoulders, elbows, wrists/hands, individual, physical and psychosocial risk factors. Statistical analysis was performed applying logistic regression models. Results: Prevalence of MSP in at least one body sitewas 51.7% over the past month. The most common sites were low back and right shoulder pain 27.4% and 20.1%, respectively. A significant difference was found between the mean number of painful anatomical sites and the level of education, age, physical loading at work, time pressure, lack of support, and job dissatisfaction. In pairwise comparisons, strongest association was found between pain in each bilateral anatomical site (odds ratio = 11.6-35.3; p < 0.001). Conclusion: In home-based workshops of carpet weaving, psychosocial factors and physical loading were associated with MSP. This finding is consistent with studies conducted among other jobs. Considering the preventive programs, the same amount of attention should be paid to psychosocial risk factors and physical loading. Also, further longitudinal studies are needed to investigate the relationship of psychological factors.
The levels of psychosocial stresses of dental hygienist were analyzed to reveal the various factors related to them. The self-administered questionnaires were performed, to 276 dental hygienist in Daejeon City. Univariate analysis and multiple regression were performed with survey results, in which a degree of psychosocial stress was dependent variable and others were independent variable. 1. In terms of various levels of psychosocial stress according to the higher level of stress was found in the group of lower age, unmarried, and without spare times for hobby activities, the group with shorter-term job career, lower salary, and stress was found in the group who think that their job is considered as low position or their job is not high position in society or their prospect about job is discouraging, the group without regularly exercise, without regularly eating habits, in the group with higher level of job demand, lower job autonomy, and lower social support from colleagues in work than their respective counterparts. 2. Concerning correlation between psychosocial stress and various factors, while level of stress was negatively correlated with age, job career, salary, socioeconomic status of oneself, socioeconomic status of dental hygienist, future status of dental hygienist, job autonomy, social support from superiors, social support from colleagues, social support, but it was positively correlated with job demand. 3. Multiple regression revealed that the factors which influence on psychosocial stress included hobby activities, sleeping hours, job demand, which has explanatory powers of 29.9%. Therefore, to reduce of stress of dental hygienists, it is required to develop an effective strategy that institutional support for improvement of job environments and research for them be revitalized.
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