Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지

Factors Affecting Physical Symptoms of Elders

노인의 신체화 증상 영향 요인 분석

  • Received : 2010.02.05
  • Accepted : 2010.03.31
  • Published : 2010.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to identify the relationship of trait anger, health state, physical symptoms. and general characteristics to physical symptoms and to identify factors affecting physical symptoms of elderly in urban areas. Methods: The research design for this study was a descriptive survey design using a convenience sampling. Elders (n=276), who agreed to participate in this study completed a self-reporting questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. Results: Study participants reported low trait anger (M=18.61), physical symptoms (M=7.15), and moderate health state (M=3.30). The 45.4%of variance in physical symptoms was significantly explained by emotional function health state (${\beta}$=-.284, p=.013), which is one of the sub-domain of the elderly health state, and trait anger (${\beta}$=3.841, p<.001). Conclusion: Findings of this study provide that the most important factors in explaining physical symptoms for the elders in Korea were emotional function health state and trait anger. Based on the findings of this study, further nursing practice and nursing research for the elders with physical symptoms should be focused on emotional support.

Keywords

References

  1. Cho, K. S., Lee, K. Y., & Kim, S. Y. (1999). A study on the powerlessness, self-esteem, and family support of elderly home residents. Journal of Korean Academy of Adult Nursing, 11(3), 436-448.
  2. Choi, H. J. (2008). A study on perceived health status, physical symptom, depression in the elderly of rural areas. Korean Journal of Rehabilitation Nursing, 11(2), 74-80.
  3. Choi, K. H. (2006). Aerger im alter und beratung. Korean Journal of Christian Counseling, 11, 169-190.
  4. Choi, S. I., Kim, Z. S., Shin, M. S., & Cho, M. J. (2001). Modes of anger expression in relation to depression and somatization. Journal of Korean Neuropsychiatric Association, 40(3), 425-433.
  5. Chon, K. K., Hahn, D. W., & Lee, C. H. (1998). Korean adaptation of the state-trait anger expression inventory (STAXIK): The case of college students. Korean Journal of Health Psychology, 3(1), 18-32.
  6. Deffenbacher, J. L., Oetting, E. R., Lynch, R. S., & Morris, C. D. (1996). The expression of anger and its consequences. Behavior Research and Therapy, 34, 575-590. https://doi.org/10.1016/0005-7967(96)00018-6
  7. Jung, T. Y. (2008). Psychological Characteristics of the Aged Dealt with in the "Journal of the Korean Gerontological Society": Historical Review and Future Task. Journal of Korean Gerontological Society, 28(4), 815-829.
  8. Kang, H. J. (2000). The relationship among self-discrepancies, emotions, and physical symptoms. Korean Journal of Health Psychology, 5(2), 193-208.
  9. Kim, E. S. (2003). The effects of dynamic imagery therapy on 'anger-in' and immune function in patients with breast cancer. Journal of Korean Academy of Adult Nursing, 15(4), 639-649.
  10. Kim, K. B., Lee, Y. J., & Sok, S. R. (2008). A comparative study on health status, deprssion and quality of life between the elderly living with family and the elderly living alone. Journal of Korean Academy of Adult Nursing, 20(5), 765-777.
  11. Korean Institute for Health and Social Affairs (2005, December). Research on the actual condition of the elderly national long-term care insurance desire and policy plan. Retrieved January, 26, 2010, from the web site: http://www. kihasa.re.kr/html/jsp/kihasa/news_03_view.jsp?bid=85& ano=324.
  12. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64(2), 258-266.
  13. Kwon, S. M. (2003). Modern abnormal psychology . Hakjisa. Seoul.
  14. Lee, H. S. (2006). The influence of the gym-ball exercise program on the health fitness strength and life quality of the old female Symptoms. Unpublished master's thesis, Taegu University, Daegu.
  15. Lee, K. S., & Kim, K. H. (2000). Effects of anger-in tendency and problem-solving on anger experiences and blood pressure. Korean Journal of Health Psychology, 5(1), 60-72.
  16. Lee, S. H. (1997). Psychiatric approach of Hwabyeong. Seongnam: The Academy of Korean Studies.
  17. Lipowsky, Z. J. (1988). Somatization: The concept and its clinical application. American Journal of Psychiatry, 145(11), 1358-1368.
  18. Malatesta, C., & Izard, C. E. (1984). Facial expression of emotion in young, middle-aged, and older adults. In C. malatesta & C. E. Izard (Eds), Emotion in adult development. Beverly Hills: Sage Publications.
  19. Min, S. G., & Kim, K. H. (1998). Symptoms of Hwabyung. Journal of Korean Neuropsychiatric Association, 37(6), 1138-1145.
  20. Oh, P. J., & Choi, S. Y. (2009). Development of a program for anger management based on self-efficacy in patients with breast cancer. Journal of Korean Academy of Adult Nursing, 11(3), 436-448.
  21. Park, Y. N. (1984). Clinical study on psychiatric outpatients with somatic complaints. Keimyung Medical Journal, 3(27), 169-174.
  22. Park, Y. R., Yoo, M. S., & Son, Y. J. (2007). The relationship between trait anger, life style and physical symptoms in elderly people. Journal of Korean Academy of Fundamental Nursing, 14(1), 71-82.
  23. Ryu, J. B. (2000). The relations between multidimensional aspects of anger and physical symptoms. Unpublished master's thesis, Taegu University, Daegu.
  24. Shin, H. C. (2002). The development of a Korean health status measure for the elderly. Journal of the Korean Academy of Family Medicine, 23(4), 440-457.
  25. Shin, H. K. (1998). Interpretation, inference, and memory biases of bodily sensations in somatization group. Unpublished doctoral dissertation, Seoul National University, Seoul.
  26. Shin, H. K. (2000). The effects of negative affectivity, alexithymia, somato-sensory amplification, and somatic attribution on somatization: Test of a linear mediation model. Korean Journal of Clinical Psychology, 19(1), 17-32.
  27. Shin, K. R., Byeon, Y. S., Kang, Y. H., & Oak, J. W. (2008). A study on physical symptom, activity of daily living, and health-related quality of life in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38(3), 437-444. https://doi.org/10.4040/jkan.2008.38.3.437
  28. Spielberger, C. D. (1985). The experience and expression of anger: Construction and validation of an anger expression scale. In M. A. Chesney, & R. H. Rosenman (Ed.). Anger and hostility in cardiovascular and behavior disorder. Washington, D. C. Hemisphere Publishing.
  29. Sternbach, R. A. (1978). Psychological dimensions and perceptual analyses, including pathologies of pain. In E. D. Carterett, M. D. Friedman (Ed.), Handbook of perception . New York, Academic.