• 대한간호학회지
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• 제45권2호
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• pp.262-270
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• 2015

Purpose: This study was conducted in order to examine the effects of death anxiety and meaning of life on somatization of grandparents raising grandchildren. Methods: A convenience sample of 92 elderly grandparents raising grandchildren was recruited. The study instrument for death anxiety was the 5-point 15 items scale designed by Templer and translated by Ko, Choi, & Lee and for meaning of life, the 7-point 10-items scale by Steger, Frazier, Oishi & Kaler and translated by Won, Kim & Kwon. For somatization, the 5-point 12 items scale designed by Derogatis and translated by Kim, Kim & Won was used. Collected data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson Correlation and regression using the SPSS 21.0 program. Results: Average scores were 3.55 for death anxiety, 3.43 for meaning of life, and 2.74 for somatization. Death anxiety had the highest positive correlation with somatization. Meaning of life was negatively correlated with death anxiety and somatization. Death anxiety and health status were shown to influence somatization but meaning of life was not shown to influence somatization. Conclusion: The research results indicate that death anxiety and health status influence somatization in grandparents raising grandchildren. These results also provide basic information on the importance of nursing interventions in which the variables influencing somatization in grandparents raising grandchildren are considered.

• 간호행정학회지
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• 제17권2호
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• pp.158-167
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• 2011

Purpose: This study was done to identify the relationship of occupational stress, emotional labor, and general characteristics to somatization, and to identify factors affecting somatization in nurses. Methods: A quantitative, descriptive research design was used to study 227 nurses. Nurses completed a 52-item self-questionnaire that included 3 concepts assessing somatization, occupational stress, emotional labor. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: Mean scales for somatization, occupational stress, and emotional labor were $22.96{\pm}7.87$, $78.73{\pm}12.29$, $29.63{\pm}3.97$ respectively. The explained variance for somatization was 35.5%. Among the variables, frequency of emotional display (${\beta}$=.136, p=.042), one of the sub-domains of emotional labor, and role overload (${\beta}$=.178, p=.023), one of the sub-domains of occupational stress and working in the ICU, OR, or ER (${\beta}$=.296, p<.001) and education level of diploma graduation (${\beta}$=.143, p=.028) significantly predicted degree of somatization. Conclusion: Findings of this study provide a comprehensive understanding of somatization and related factors for nurses in Korea.

• 정신신체의학
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• 제5권1호
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• pp.63-72
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• 1997

For the purpose of examining the relationship between perceived stress, vulnerability variables, and somatization tendency, the self-report questionnaires of perceived stress, styles of stress coping(passive and active copings), self-perception, gender, and somatization tendency were administered to university entrants(n=2,024). The results were as follows: 1) Perceived stress, styles of stress coping(passive and active copings), self-perception, and gender accounted for 15.56% of the total variance in somatization tendency. As a result of comparing the relative contributions of all predictor variables to somatization tendency, the highest was perceived stress, and the next in order were passive coping style, self-perception, and gender, whereas direct effect of active coping style was not significant. 2) The two-way and three-way interaction effects of perceived stress X vulnerability variables were not significant. 3) The two-way and three-way interaction effects of gender X psychosocial variables were not significant. To conclude, perceived stress and vulnerability variables independently contribute to somatization tendency in university entrants, and furthermore it is suggested that vulnerability variables as well as perceived stress must be considered to account for somatization tendency.

• 디지털융복합연구
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• 제13권10호
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• pp.415-424
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• 2015

본 연구는 융복합 시대를 살아가는 간호사의 감정노동, 직무스트레스 및 소진이 신체화 증상에 영향을 미치는 요인을 규명하기 위해 실시되었다. 연구대상자는 D대학병원에 근무하는 간호사 총 387명을 대상으로 실시되었고, 연구기간은 2014년 4월 1일부터 4월 30일까지이었다. 간호사의 감정노동은 3.25점, 직무스트레스 3.60점, 소진 3.10점으로 중등도 이상의 점수를 보여주었고, 신체화 증상은 2.18점으로 나타났다. 신체화 증상에 영향을 미치는 일반적인 특성으로는 연령이 낮고, 배우자가 없는 경우, 교육수준이 낮을수록, 근무부서가 외과계와 응급실에 근무하는 경우, 총 임상경력이 낮을수록, 현 부서경력이 낮을수록, 일반간호사인 경우, 월 급여가 작을수록, 3교대 근무인 경우, 간호직에 대한 만족도가 낮을수록 신체화 증상 정도가 높았다. 또한 신체화 증상은 감정노동, 직무스트레스, 소진과 정적인 상관관계를 보여주었다. 신체화 증상을 설명하는 주요 변수는 소진으로 나타났으며, 신체화 증상을 29.6% 설명하였다. 따라서 간호사의 신체화 증상을 예방하고 감소하기 위해서는 소진을 최소화시킬 수 있는 방안이 마련, 적용되어야 할 것이다.

• 대한한방소아과학회지
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• 제20권3호
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• pp.75-85
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• 2006

Objectives : The somatization is various physical symptoms that have no pathologic manifestation. It is very common to Korean children and adolescents as well as adults, because cultural background and immature verbal expression. DSM-Ⅳ(Diagnostic and Statistical Manual of Mental Disorders Fourth Edition) presented diagnostic criteria for Somatization disorder by grouping some symptoms out of somatization. This report is on a case of somatization disorder patient. The patient is 13-year-old female. She has been suffered from various physical symptoms those are coincided with diagnostic criteria for Somatization disorder by DSM-Ⅳ. Methods : The authors treated her by acupuncture and 3 kinds of herb medicine-Bunsimgium, Hyungbangdojuksan, Yangguksanwhatang. Results : Bunsimgium was showed a little improvement but could not solved chief complaint. Hyungbangdojuksan was not given a help. After her taking Yangguksanwhatang, most symptoms were subsided. Conclusions : A patient with the somatization disorder was improved by herbal medication and acupuncture. But the Somatization disorder repeats to take a good turn and a bad turn and continues for long time, so we need to follow up her condition.

• 치위생과학회지
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• 제19권2호
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• pp.113-121
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• 2019

Background: We investigated somatization symptoms experienced by dental hygienists due to stress from emotional labor. Our aim was to provide basic research data that could be useful in the development of efficient stress management schemes for this occupational group. Methods: We analyzed data collected from 208 dental hygienists working in Jeollabuk-do Province, Korea. To measure the level and intensity of emotional labor among research participants, we used the Korean Emotional Labor Questionnaire. We used the Somatization Symptom Checklist-90-Revised (SCL-90-R) to measure the level of somatization symptoms among participants. Results: On analyzing the level of emotional labor and somatization symptoms according to general characteristics, participants aged 23~25 years showed high scores for stress due to emotional labor (p<0.05). Working 5 days per week, subjective health status, and organizational support and protection systems were found to correlate with the level of stress due to emotional labor (p<0.05). In the analysis of correlations between emotional labor and somatization symptoms, scoring high across all domains of emotional labor was associated with scoring high for somatization symptoms in the subdomains of emotional labor. When emotional labor and demographical variables were used as independent variables, having higher scores for emotional labor and having poor subjective health status were found to be associated with having higher levels of somatization symptoms (p<0.05). Conclusion: Our results showed that working at night and organizational support and protection systems were correlated with emotional labor and somatization symptoms. Measures must be taken at the organizational level to reduce emotional labor and somatization symptoms.

• Journal of Oral Medicine and Pain
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• 제47권2호
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• pp.78-86
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• 2022

An association between psychological factors and temporomandibular disorders (TMD) has been extensively explored for over 40 years, and a high prevalence of depression and somatization has been consistently reported in patients with TMD. Current evidence suggests that patients' somatic awareness can serve as a primer for TMD incidence and further contribute to the transition to chronic pain. However, the current understanding of somatization from a medical perspective is limited. The best way to address patients with TMD pain who have somatization is also unclear. Therefore, this paper aims to provide an overview of somatization in the context of pain psychology and address its clinical implications in the context of TMD pain.

• 정신신체의학
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• 제8권1호
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• pp.122-140
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• 2000

신체화 장애란 명백한 기질적 병리가 없이 다양한 신체 증상을 호소하는 만성 장애를 말한다. 그런데 신체화 장애는 역사적으로 기질적인 이상이 없이 신체적인 증상이 나타나는 히스테리와 연관이 있다고 알려져 왔다. 따라서 신체화와 관련된 대부분의 이론들은 주로 정신역동이나 사회적인 관점에 초점이 맞추어져 왔다. 그러나 감정적인 문제나 정신질환이 신체화로 나타나는 기전에서 신경생물학적인 관점에 대한 관심 또한 적지 않았었다. 이런 신경생물학적인 관점에서 히스테리아의 원형으로 알려져 있는 Anna O 증례조차도 신경심리학적인 관점에서 재조명되기도 하였다. 몇몇 신경생리학적 및 신경심리학적 연구결과들, 히스테리 환자에서 신체화증상 표현의 좌우 반구차이에 대한 연구결과들이 신체화의 생물학적 근거를 뒷받침해 주고 있다. 최근 들어 신체화 장애의 신경영상검사는 신체화 장애에서 뇌의 기능 이상이 존재함을 보여 주고 있다. 이에 저자는 생물학적 관점에서 신체화의 과정을 설명해 줄 수 있는 몇몇 가설들을 고찰하고 이를 바탕으로 신체화에 대한 새로운 신경심리학적 가설을 제시하고자 한다. 이와 함께 이 가설을 신체화 장애의 치료에 어떻게 적용시킬 수 있을까도 논의하고 이 가설의 제한정과 이 영역에 있어 앞으로의 발전 방향에 대해서도 논의하려고 한다.

• 정신신체의학
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• 제28권2호
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• pp.135-142
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• 2020

연구목적 간호사의 신체화 증상과 스트레스, 우울 및 불안, 정신 증상 위험의 관계를 확인하여 정신신체의학 연구의 임상 근거를 창출하고, 신체화 증상의 의미에 대해 제고하는 것을 목적으로 한다. 방 법 서울시 내 1개 상급종합병원 외과계 중환자실 간호사 70명에게 자가기입형 도구(Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, Symptom Checklist-90-Revision)를 사용하여 수집한 데이터를 분석하였다. 결 과 대상자 중 12.9%가 신체화 증상을 경험하였고 피로, 낮은 에너지, 생리통, 허리 통증이 나타났다. 신체화 증상과 정신적 스트레스 인지의 통계적 관련성은 없었으나 불안한 느낌이나, 자신감의 감소는 신체화 증상의 수준과 관련이 있었다. 신체화 증상이 심한 집단은 우울, 불안을 더 많이 경험하였다. 신체적 피로가 높은 집단은 정신적 스트레스 인지의 통계적 관련성은 없었으나 긴장이나 스트레스를 느끼거나 통제력이 감소되는 경험에 영향을 미쳤다. 신체적 피로 수준의 증가는 불안과는 관련이 없었고 우울을 더 많이 경험하는 것으로 확인되었다. 신체화 수준이 높을수록 정신 증상 중 강박과 적대감이 증가하였다. 선형회귀모형에서 스트레스, 우울, 불안은 신체화 증상을 39.3%, 신체적 피로 증상을 16.1% 설명하였다. 결 론 이 연구의 결과를 바탕으로 우리는 한국 문화에서 신체화 증상의 특징으로 스트레스 인지 증상의 감소, 우울과 불안 경험, 강박 및 적대감의 동반 가능성을 추정할 수 있다. 이 연구에서 신체화와 정신 증상은 인과관계를 확인할 수 없었으나 상호관련성이 관찰되어 향후 중재 전략 마련에 참조할 수 있을 것이다.

• 보건의료산업학회지
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• 제6권3호
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• pp.183-195
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• 2012

The purpose of this study was to examine the level of stress, somatization, anger, adjustment to school according to the types of housing. This study employed a descriptive design. Data was collected from 552 students in a girls high school in gongju using structured instruments. Not to be influenced by the tension of new school year or the stress by taking tests, the researcher did the survey after students finishing midterm test of the first semester for two days from July 14 to 15. The results are as follows. There was no difference in the level of stress, anger, adjustment to school between the students living in a dormitory and the students not living in a dormitory. However there was remarkable difference in somatization. There was positive correlation between somatization and stress(r=.194, p=.011), between anger and stress(r=.463, p<.001), in contrast there was a negative correlation between adjustment to school and stress(r=-.174, p<.001) of students living in a dormitory. On the other hand, there was negative correlation stress(r=-.187, p<.001), somatization(r=-.252, p<.001), anger(r=-.230, p<.001) with adjustment to school of students not living in a dormitory. In the sub-factors of somatization, students who live in a dormitory have many kinds of somatizations of digestive or respiratory organs. A Health promotion program should be designed for girls high school students living in a dormitory, based on the level of somatization of digestive or respiratory organs.