• 생물정신의학
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• 제16권4호
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• pp.256-265
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• 2009

Objectives : The aims of this study were to assess a) the prevalence of trauma and posttraumatic stress disorder(PTSD) in schizophrenic patients and b) the differences in symptomatology and outcome after 1year treatment between those with and without PTSD. Methods : Twenty eight schizophrenia and schizoaffective disorder patients completed the Positive and Negative Syndrome Scale(PANSS), Life Stressor Checklist-Revised(LSCL-R), Clinician-Administered PTSD Scale(CAPS), Dissociative Experiences Scale(DES), Hamilton Psychiatry Rating Scale for Depression(HAM-D), and Rosenberg Self-Esteem Scale(RSE). Results : Twenty six patients(92.9%) had at least one trauma in their life time. Eleven patients(39.3%) were diagnosed with PTSD. PTSD group had significantly higher scores on HAM-D and DES but lower scores on RSE. PTSD group also had significantly lower score in the baseline PANSS Negative score. Higher CAPS scores were significantly correlated with lower baseline PANSS Negative score and greater change after 1year of PANSS Negative score. Conclusion : These results showed that the prevalences of trauma and PTSD are high in schizophrenic patients and suggested that PTSD and trauma-related symptoms affected the symptomatology and treatment outcome. More research is warranted to better understand the effects of PTSD in schizophrenic patients.

• 대한물리치료과학회지
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• 제9권2호
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• pp.87-98
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• 2002

The main objective of this study is to evaluate role-related job stressors of physical therapists and to examine the relationship between job stress and organizational effectiveness. A survey was conducted through structured questionnaire for the physical therapists working in Busan area, and data from 175 therapists were utilized in the final analysis. Survey items included general characteristics of the therapists(sex, age, education, marital status, religion, income, etc.), various kinds of job stressors(role conflict, role overload, role ambiguity, physical burden), and organizational effectiveness measured in terms of job satisfaction, organizational commitment and organizational citizenship behavior. Major results are as follows: 1) The level of physical therapists' job stress was found to be in average range, recording 2.65 on 4-point scale. 2) It appeared that main job stressors of physical therapists were role ambiguity and role overload, and this was more apparent in the case of younger, relatively less-educated, unmarried, and lower-grade employees. 3) On the other hand, in the case of relatively more-educated and higher-paid employees, role conflict was comparatively more important job stressor. 4) Regression analysis suggested that, as Job stress increased, job satisfaction and organizational commitment decreased; however, no significant relationship was found between job stress and organizational citizenship behavior. 5) These results imply that, in order to perform effective and efficient personnel administration of physical therapists, adequate job stress management would be very important task for the hospital managers.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3524-3533
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• 2014

본 연구는 서비스직 종사자의 두 가지 감정노동전략(표면행동, 내면행동)이 직무소진 및 지각된 고객관련 스트레스요인(CSS)에 미치는 상이한 영향과 그러한 영향 과정에서 지각된 CSS의 매개역할을 검증하고자 진행되었다. 대표적인 감정노동 직무라 할 수 있는 호텔서비스직 종사자를 대상으로 자기보고식 설문조사를 실시하였으며 568명의 자료를 분석하였다. 분석결과에서 표면행동은 지각된 CSS와 직무소진을 증가시키고(H1지지), 표면행동과 직무소진의 관계에서 지각된 CSS가 매개역할을 하는 것으로 나타났다(H3지지). 한편, 내면행동은 직무소진을 감소시켰으나 지각된 CSS에는 영향을 미치지 않는 것으로 나타났으며, 그로인해 내면행동과 직무소진의 관계에서 지각된 CSS의 매개역할 또한 지지되지 않았다(H2부분지지, H4기각). 결과적으로, 지각된 CSS와 직무소진을 모두 증가시키는 표면행동과 달리 내면행동의 경우 지각된 CSS를 증가시키지 않으면서 동시에 직무소진을 감소시키는 것으로 나타나 두 가지 감정노동 전략에 대한 상이한 접근의 필요성을 확인하였다. 마지막으로 연구의 시사점 및 제한점을 논의하였다.

• 대한한의정보학회지
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• 제15권2호
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• pp.57-76
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• 2009

Objective : All kinds of stimulus can be work as a stressor, and too much stress can makes disease and leads to a death. It has studied to know what kinds of study have carried out for controlling stress with acupuncture. Methods : It has searched articles in various web sites with key words of acupuncture, stress, hormone, adrenal, cortisol, catecholamine, epinephrine, and ACTH. Result : 1. It will work in the hypothalamus-pituitary gland-adrenal axis to control stress with acupuncture. 2. It has studied most in the years of 1990's and with acupoint of BL23 (腎兪) about controlling stress with acupuncture in Korea. 3. It has studied most in USA, the years of 2000's and with acupoints of ST36 (足三里), PC6 (內關) about controlling stress with acupuncture in Korea. Conclusion : It can be said that is growing interest about controlling stress with acupuncture in other countries, and it should be studied more various about controlling stress with acupuncture in Korea.

• 한국학교보건학회지
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• 제16권1호
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• pp.91-104
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• 2003

The purpose of this study is primarily intended to examine the stress and physical, emotional and behavioral stress symptoms of elementary school students supply the basic data of intervention for children's health promotion. The subjects of this study were 616 students who were currently enrolled in 5th and 6th grade elementary school in Jeollabukdo ; 3 schools in J city and other 6 in 3 rural area. The data were collected by self-reported questionnaire from 3rd to 13th April 2002 and collected data were analyzed by SPSS WIN 8.0. The results of this study were as followings. 1. The mean score of stress that children experience was 2.73 and the most stressful factor was a friendship stress. The most frequently experienced stress were feel that a friends would leave them alone. 2. The mean score of stress symptom that children experience was 1.92 and the most stressful symptom was the emotion symptom. The most frequently experienced stressful symptom were feel fatigue of everyday. 3. General characteristics related to stress were showed significantly different according to sex(t=-3.243, p=.001) 4. General characteristics related to stress symptoms were showed significantly different according to sex(t=-2.268, p=.024), family circumstances(F=8.697, p=.000), academic scores(F=11.216, p=.000) and parental concerns on a child(t=-2.561, p=.011). 5. The relation between stress and stress symptoms showed a positive correlation, which was significant statistically(r=.453, p=.000). In conclusion, elementary school students experience various stresses and the stress symptoms have positive close connection with health problems. Therefore, to study the students stress and consequent symptoms further, it is recommended that we should subdivide and analyze the stressor and stress symptoms by proper areas. In the meantime, in order to promote children's health using the data in this study, we should develop the correlated program among individual, family, school and community while we are deeply concerned about and support children continuously.

• 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.

• Child Health Nursing Research
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• 제8권1호
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• pp.97-109
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• 2002

This study was conducted to understand the degree and contents of stress which the mothers of high-risk infants can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to he nursing intervention program for these. Subjects were the 171 mother of hospitalized newborn in NICU of 1 University Hospital in Busan from June, 20, 2001 to September, 15, 2001, who agreed to take part in this study. The instruments used in this study were Parental Stressor Scale:NICU(PSS:NICU) developed by Miles et al. The questionnaire has 4 dimensions and 45 items ; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The data was analysed as average, frequency, Standard Deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study are as follows ; 1. The total perceived stress level score of mothers of high-risk infants was slightly high(3.44±0.71). The highest scored dimension was 'appearance and behavior of the baby'(4.06±0.80), and next were 'relationship with their baby and parental role change'(3.55±0.98), 'sight and sounds of NICU'(3.22±1.01), 'communication with health team'(2.93±0.91). 2. The total perceived stress level score was significantly correlated with birth weight (F=2.35, p<.05). 3. In sight and sounds of NICU, the perceived stress level score was significantly correlated with nursing in the incubator(t=2.28, p<.05) and birth weight(t=2.26, p<.05). In summary, information about physical environment of NICU, birth weight and nursing in the incubator must be included in nursing intervention program of mother's of high-risk infants in reducing the patents stress level. And, it is suggested that there need to find the coping mechanism of mother of high-risk infants.

• 한국사회복지학회:학술대회논문집
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• 한국사회복지학회 2004년도 추계공동학술대회 자료집
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• pp.507-532
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• 2004

탈북자에 대한 관심의 고조에 탈북자에 대한 영구가 증가하고 있지만 아직도 다른 분야에 비하면 상대적으로 미약한 편이다. 본 연구는 탈북자를 대상으로 한 연구로는 비교적 많은 대상을 조사하여 과학적인 분석방법으로 그들의 적응 스트레스에 대한 사회적지지의 영향으로 추론하였다. 샘플의 크기는 171명이며 분석방법은 위계적 회귀분석을 사용하였다. 중요한 탈북자의 인구학적인 변인과 탈북 이후의 변인인 중간경유지의 체재기간, 한국에서의 거주기간, 한국에서의 교육유부가 통제변인으로 사용되었다. 연구결과에 의하면 무직상태는 그들의 적응스트레스로 나타나고 있으며 구조적 사회지지적인 친척의 수, 남한에서 사귄 친구와의 접촉빈도, 탈북자 친구와의 접촉빈도, 사회단체의 구성원 등은 개별적으로는 우울증 증상에 유의미하게 영향을 미치고 있지는 않지만 구조적 사회지지는 우울증 증상에 유의미하게 영향을 미치는 것으로 나타나고 있다. 기능적 사회적지지 중 정서적지지는 우울증증상을 감소시키지만 도구적지지는 우울증 증상을 증가시키므로 탈북자들의 상황에 따른 사회적지지의 적절성이 요청된다.

• 지역사회간호학회지
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• 제29권1호
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• pp.87-96
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• 2018

Purpose: The aim of this study is to identify Korean high school students' health behaviors and perceived stress and to examine effects of their health behaviors on their stress perception. Methods: The subjects were 33,744 high school students who participated in the 11th Korea youth risk behavior web-based survey 2015 in Korea. Data were analyzed using complex samples analysis with the PASW 18.0 program. The questionnaire utilized in this study is designed to find the subjects' general characteristics, health behaviors, and perceived stress. Results: The prevalence of subjects with high level stress was 38.9% (n=13,137) in this study. There were significant differences in the general characteristics and stress perception among the Korean high school students in terms of gender, grade, school achievement, family's affluence, mother's education, perceived happiness, perceived health status, and stressor. The variables of health behaviors of Korean high school students were significantly different from stress perception. Under complex samples logistic regression, predictive factors of stress for the high school students include gender, grade, father's education, family's affluence, living arrangement, perceived health status, perceived happiness, current smoking, current alcohol experience, and enough sleep. Conclusion: The study suggests multilateral efforts are needed to help high school students' stress management including health behaviors for high school students.

• 대한한방소아과학회지
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• 제16권1호
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• pp.105-124
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• 2002

With the progress of civilization, the disorders due to the stress, which derived from the social-structural complexity and diversity, are on an increasing trend in our times. Accordingly, the accurate diagnosis and appropriate treatment for them are required. Especially in the current years, children's disorders delivered by the emotional problems keep increasing. In this research, the researcher tried to figure out the cause of the children's stress and its treatment, studied the theories of the stress in the modem medicine and the sever emotions in oriental medicine, and came to the conclusion as follows: 1. The stress can be defined as the combination of the reaction to noxious stimuli and its defense mechanism of the body, In oriental medicine, it is considered as pathological notions which includes seven emotions as the internal factor, six evils as the external factor and other foods, expectoration, ecchymoma as the non-internal/external factors. 2. Children usually get stressed by various reasons in a growth process such as schooling, relationship with friends, the opposite sex of family, or change of surroundings, and these can cause the various disorders. 3. In the study of the children's stress symptoms, it is found that the silent reaction is uncommon. It usually appeared in both reactions: firs, physical reactions such as stomachache, vomiting, headache, neural frequent urination, bronchial asthma or excessive respiration and/or, second, behavioral reactions such as a decline of performance, alimentary disorder, e.g. anorexia nervosa or bulimia, sleep disorder, e.g. nightmare or panic in sleep, anthrophobia, refusal to a school attendance or hyperactiveness. Besides, the peculiar mental disorder such as paroxysm of anger, tic, autism, nocturnal enuresis, lack of attentiveness, impediment in linguistic development, learning difficulty, intellectual decline, etc. can be appeared, and the heavy stress during the babyhood can cause the regression of behavior or the immaturity of formation of character. 4. The appropriate treatments for the children's stress are Osteopathy, Manpulation, Aroma Therapy, Alexander Technique, Autonomic Never Control Treatment, Biofeedback, Chiropractic, Dance Therapy, Feldenkrasis Technique, Gravity Therapy, Homepathy, Aquatherapy, Hypnotherapy, Naturopathy and Meditation.