• Title/Summary/Keyword: worry

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Metacognition : Its Relationship to Children's Worry, Depression, and Trait anxiety (아동의 특질불안, 우울, 걱정증상과 상위인지와의 관계)

  • Lim, Kyung Hee
    • Korean Journal of Child Studies
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    • v.25 no.3
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    • pp.41-57
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    • 2004
  • The subjects in this study were 442 5th and 6th grade school children in Seoul. Data were analyzed by Pearson's correlation, Stepwise Multiple Regression, and MANOVA. The principal findings were that worry, depression, and trait anxiety were positively related to meta-cognitive knowledge, particularly, meta-worry, positive beliefs about worry, negative beliefs about worry, lower appraisal about cognitive competence, and cognitive self-consciousness. These traits were also positively related to such metacognitive regulation strategies as worry displacement, self punishment, reappraisal, and social control. Metacognition influenced worry, depression, and trait anxiety; groups having more problems worry, depression, and trait anxiety showed high scores in metacognitive knowledge and metacognitive regulation strategies.

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Intolerance of Uncertainty, Negative Problem Orientation on Worry (불확실성에 대한 인내력 부족과 걱정과의 관계에서 부정적인 문제해결 지향의 매개효과)

  • Suh, Hae Ran;Lee, Bong-Keon
    • Stress
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    • v.26 no.4
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    • pp.350-355
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    • 2018
  • Background: The purpose of this study is to investigate the mediating effect of negative problem orientation in the association between intolerance uncertainty and worry. Methods: Participants who were 531 undergraduate students in Chungbuk were administered Intolerance Uncertainty Scale (IUS), Negative Problem Orientation (NPO; SPSI-R), Penn State Worry Questionnaire (PSWQ). Results: The results are as follows. Intolerance of uncertainty had statistically significant positive correlation with worry. Negative problem orientation had a partial mediating effect in the association between intolerance uncertainty and worry. Conclusions: This result suggested the importance of intolerance of uncertainty and negative problem orientation in psychological approach to university students who have difficulty in worry.

Contents and Severity of Worries in Outpatients with Generalized Anxiety Disorder Compared to Normal Control (범불안장애 환자와 일반인의 걱정 내용 및 심각도의 비교)

  • Kim, Hwigon;Kim, Daeho;Oh, Daeyoung;Seo, Ho Jun;Huh, Hyu Jung;Chae, Jeong Ho
    • Anxiety and mood
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    • v.11 no.1
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    • pp.47-53
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    • 2015
  • Objective : Generalized anxiety disorder (GAD) is a common anxiety disorder characterized by excessive worries and anxiety symptoms. To distinguish between pathological and normal worries, this study compared the contents and severity of worries among patients with GAD with those of matched non-psychiatric control Methods : Thirty outpatients with GAD receiving treatment at the psychiatric department of Hanyang University Guri Hospital were recruited. As a matched control group, we selected 30 adults without psychiatric history who participated in the Anxiety Disorder Survey, during the Mental Health Exposition held in Seoul in April, 2014. Matched demographic data were age, sex, education, and household income. Self-questionnaires included demographic data, contents of worry (10 categories of worries and each severity), and the Pennsylvania State Worry Questionnaire (PSWQ). Results : There was no statistical difference in the contents of worry between patient and control groups. However, the total PSWQ scores significantly higher in the GAD group. Conclusion : Our findings suggest that patients and non-patients worry about the similar contents and worries in GAD cannot be differentiated by what people worry about. Only the severity of worry was a distinguishable feature. Our finding supported inclusion of the diagnostic criterion of "excesslve wornes" in GAD.

Exploratory and Confirmatory Factor Analysis of the Korean version of the Penn State Worry Questionnaire (한글판 펜실베니아 걱정 질문지의 탐색적 및 확인적 요인 분석)

  • Jeon, Jun Won;Kim, Daeho;Kim, Eunkyung;Roh, Sungwon
    • Anxiety and mood
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    • v.13 no.2
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    • pp.86-92
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    • 2017
  • Objective : This study evaluated the factor structure of a Korean version of the Penn State Worry Questionnaire (K-PSWQ) with exploratory factor analysis in healthy adult subjects, and confirmatory factor analysis of subjects who have received psychiatric treatment. Methods : Exploratory principal component analysis was conducted with data from 318 non-psychiatric subjects, and 118 psychiatric patients were subjected to confirmatory factor analysis (maximum likelihood estimation). Participants were voluntary visitors at the booth who agreed to undergo screening for anxiety disorder at 2013 & 2014 Korea Mental Health Exhibitions. Results : Exploratory analysis revealed a two factor structure of the scale with total variance of 56.3%. Factor 1 was considered 'Worry engagement', and factor 2 was considered 'Absence of worry'. However, the results of the confirmatory factor analysis supported that both one factor model with method factor and two factor model are fit to structure of the scale considering fit indices. Internal consistency of total questions was good (Cronbach's ${\alpha}=0.899$). Conclusion : Our results supported the previously suggested factor structure of the PSWQ, and proved factorial validity of the K-PSWQ in both populations.

Experiences and Process of Patients' Healing Relation with Nurses (환자-간호사간의 치유적 관계형성 경험과 과정)

  • Kang, Byung-Ok;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.1
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    • pp.112-131
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    • 1995
  • The purpose of this study is to know experiences and process of patients' healing relation with nurses. This study had been conducted from July to September in 1994. The subjects were 7 patients who had hospitalized within 10 days at general surgery unit in C university hospital. The data were collected through in-depth interview and observation on the basis of Grounded Theory. In-depth interview were performed 3-6 times for each patient and taken 10-15 minutes at once. The result were as follows : (1) The main concepts are worry to operation, worry to hospital environment, worry to their children, worry to nurses, general appraisal, appraisal of appearance, appraisal of attitude, appraisal of nurses' response, appraisal of nurses' help, interest to patients, appraisal of explanation, appraisal of direct nursing, appraisal of nursing role, appraisal of nursing fairness, empathy, feeling of jung, discontent exposure, content, rapport. (Jung is a unique feeling that appeared in only korean culture) (2) The main categories are worry, general appraisal, concrete appraisal, empathy, and rapport. (3) These process is worry, appraisal, empathy, and rapport in the order. (4) The core category is the need of relation formation. The hospitalized patients have had need of relation formation with nurses. In order to satisfy this need, patients in the early of hospitalization had the worries to nurses, hospital environment, their children and themselves. The more patients have information about themselves, the more they have worries. In addition to, patients have general appraisal through the first impression or feeling to nurses. A time goes by, general appraisal has changed concrete appraisal. High educated group (above bachelor degree) have expressed concretely and variousely their needs. The patients who have empathy to nurses are content with nurses and form rapport to be shown frankly thier discontents. Therefore, patients' healing relation formation is the process of being filled up the need of relation formaton with Nurses. As mentioned above, researcher suggests that nurses need study nursing strategies to make earlier the last phase of the healing relation formation, rapport.

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TREATMENT OF TEST ANXIETY - Theoretical Background of the Treatment of Test Anxiety - (시험 불안의 치료 - 이론적 배경 -)

  • Paik, Young-Suk
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.49-55
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    • 1991
  • Test anxiety has been defined as a situational-specific personality trait, with cognitive worry and affective emotionality components. Various treatments differ in the extent to which they attempt to modify the emotional and cognitive components of test anxiety, and can thus be placed along a cognitive-emotional continum on the basis of the intended locus of impact of the therapeutic techniques. Various treatments along a cognitive-emotional continum and study habits, test-taking skills and modeling in the treatment of test anxiety were reviewed. On the basis of a recent review of a number of test-anxiety treatment studies, most cognitively-focused treatments tend to be more effective in reducing test anxiety and its worry and emotionality components.

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Development of the Korean Version of the Brief Measure of Worry Severity(BMWS) (한국어판 간이걱정척도의 개발)

  • Lim, Jae-Hyoung;Joe, Sook-Haeng;Han, Chang-Su;Kim, Seung-Hyun;Yang, Jae-Won;Lee, Moon-Soo;Jeong, Hyun-Ghang;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.2
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    • pp.92-100
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    • 2011
  • Objectives:We developed a Korean version of the Brief Measure of Worry Severity(BMWS), and examined its reliability, validity, and factor structures. We also explored the associations of pathological worry with depression and anxiety. Methods:Three hundreds fifty-two subjects including community population and college students completed the BMWS, and 27 subjects repeated the scale three weeks later. Reliability was assessed by Cronbach's coefficient ${\alpha}$ and test-retest correlation. The external validity was examined by the correlation of the BMWS score with the scores of Beck Depression Inventory(BDI), Patient Health questionnaire-2(PHQ-2), State Anxiety Inven-tory(SAI), and Trait Anxiety Inventory(TAI). And principal component analysis was performed to evaluate the construct validity. The associations of pathological worry with depression and anxiety were explored using partial correlation analysis. Results:Cronbach's coefficient ${\alpha}$ for the BMWS was 0.904 and test-retest correlation was 0.56(P<0.01). The Spearman correlation coefficients of the BMWS score with the scores of BDI, PHQ-2, SAI, and TAI were 0.60(P<0.01), 0.42(P<0.01), 0.36(P<0.01), and 0.59(P<0.01), respectively. The BMWS showed unifactorial construct. When controlling for TAI score, the correlation coefficient between the BMWS score and the BDI score was 0.357(P<0.01), and when controlling for BDI score the correlation coefficient between the BMWS score and the TAI score was 0.446(P<0.01). Conclusion:The Korean version of the BMWS was found to be a reliable and valid questionnaire for measuring pathological worry. And we could identify the associations of the pathological worry with depression as well as anxiety.

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Mental Health of Asymptomatic or Mildly Symptomatic COVID19 Patients in the Seoul Metropolitan City Community Treatment Center: Cross Sectional Analysis of Depression, Anxiety, Trauma Experience, and Suicidal Tendency (서울 생활치료센터에 입소한 경증 혹은 무증상 코로나19 감염자의 정신건강: 우울, 불안, 외상경험, 자살위험성에 대한 단면 분석)

  • Mun, Myeonghyeon;Lee, Haewoo;Yoo, Yongjoon;Shin, Juhee;Ahn, Chiung
    • Anxiety and mood
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    • v.18 no.2
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    • pp.101-108
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    • 2022
  • Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and suicidal tendency among patients who were hospitalized in a community treatment center and to identify the factors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center between March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or interview by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 patients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively associated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COVID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers.

The Role of Intolerance of Uncertainty in Anxiety and Depressive Disorders (불안 및 우울 장애에 있어서 불확실성에 대한 불내성의 역할)

  • Lee, Jun-Yeob;Lee, Sang-Hyuk;Suh, Ho-Suk
    • Anxiety and mood
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    • v.9 no.1
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    • pp.3-9
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    • 2013
  • Intolerance of uncertainty (IU) is defined as the tendency to react negatively on an emotional, cognitive, and behavioral level to uncertain situations and events. However, this definition is somewhat categorical and does not explain the phenomenology of IU. Intolerance of uncertainty scale (IUS), the standard measure of IU, was considered to have two factors : 'unacceptability and avoidance of uncertainty' and 'uncertainty leading to the inability to act'. IU may be a cognitive vulnerability factor for clinical worry and generalized anxiety disorder (GAD). A number of moderators and mediators including cognitive avoidance, experiential avoidance and rumination influence the relationship between IU, worry, obsessive-compulsive symptoms, anxious and depressive symptoms. IU may be more strongly related to the symptoms of GAD than to symptoms of other anxiety disorders including obsessive-compulsive disorder (OCD), and major depressive disorder. IU may serve as an important transdiagnostic feature across anxiety and depressive disorders. Incorporating IU-specific treatment components into therapeutic protocols may result in pervasive benefits, and not only for those with GAD or OCD, but for people with any anxiety disorder or with depression.