• Title/Summary/Keyword: 대인관계불안

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The Association Between Childhood Interpersonal Trauma and Psychiatric Symptom Complexity, and the Mediating Impact of Dissociation (아동기 대인관계 외상, 정신 증상의 복잡성 및 해리의 매개 효과)

  • Kim, Yaeseul;Kim, Seok Hyeon;Kim, Daeho;Kim, Eun Kyoung;Kim, Jiyeong;Choi, Nayeon
    • Anxiety and mood
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    • v.18 no.2
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    • pp.72-79
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    • 2022
  • Objective : Any traumatic event can be a risk factor, for subsequent mental disorder. However, childhood trauma, especially in interpersonal nature, is associated with later development of complex symptom patterns. This study examined the role of dissociation as a mediator between childhood trauma and symptom complexity. Methods : A pooled data of 369 psychiatric outpatients at a university-affiliated hospital was analyzed for descriptive statistics, group differences, and bivariate correlation analysis to verify a structural model. The questionnaires included the Symptom Checklist-90-Revised, the Trauma History Screen, the Dissociative Experiences Scale-Taxon, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : When other trauma variables were controlled, childhood interpersonal trauma had significant correlation with symptom complexity (r=0.155, p=0.003). Among the paths analyzed, that of childhood interpersonal trauma and dissociation showed the greatest impact on symptom complexity (b=9.34, t=5.75, p<0.001). Based on the significance of the indirect impact, the results suggest a complete mediation impact of dissociation on symptom complexity. Conclusion : This study validated that childhood interpersonal trauma impacts symptom complexity, through the sequential mediating impact of dissociation. Thus, clinicians should understand childhood interpersonal trauma, dissociation, and symptom patterns in a complex and interacting mode, and develop effective pertinent treatment strategies.

Effects of an Interpersonal Relationship Harmony Program on Nursing Students (간호대학생을 위한 대인관계조화 프로그램의 효과)

  • Kwak, Hye-Weon;Kim, Nahyun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.3
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    • pp.330-339
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    • 2015
  • Purpose: The purpose of this study was to develop an interpersonal relationship harmony program and to investigate the effect of interpersonal relationship harmony program on interpersonal relations, conflict resolution methods, interpersonal anxiety, salivary cortisol level for nursing students. Methods: The 8-week interpersonal relationship harmony program was developed based on interpersonal relationship harmony theory. The effectiveness of the program was evaluated using a quasi-experimental design. The participants were 58 third-year nursing students, 29 in the experimental group and 29 in the control group. Data were collected from July 5, 2014 to August 25, 2014 and analyzed through t-test. Results: The experimental group showed significantly higher post-test scores in interpersonal relationship harmony, interpersonal relationship ability, active conflict mitigation and significantly lower post-test scores in active conflict intensification, interpersonal relationship anxiety than those of the control group. Conclusion: The interpersonal relationship harmony program improved nursing students' interpersonal skills and conflict resolution methods and reduced interpersonal relationship anxiety through an integrated approach that covered the cognitive, emotional, behavioral, and physical aspects of harmony.

Psychological Characteristics in Oral Malodor Patients (구취 환자의 심리학적 특징에 관한 연구)

  • Lee, Seung-Ryeul;Kim, Hyung-Suk;Kim, Young-Ku
    • Journal of Oral Medicine and Pain
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    • v.26 no.3
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    • pp.225-241
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    • 2001
  • 구취에 대한 환자의 주관적 감각은 다양한 심리학적 요소들에 의하여 영향을 받을 가능성이 있다. 본 연구에서는 구취 환자의 심리학적 특징을 살펴보기 위하여, 구취를 주소로 내원한 환자 446명과 일반적인 치과 치료를 위하여 내원한 환자 63명을 대상으로 간이정신진단검사 (SCL-90-R), 구취 설문검사, 구취 측정 검사를 시행하여 분석한 결과 아래와 같은 결론을 얻었다. 1. 남성 구취 환자와 여성 구취 환자의 연령분포는 통계학적으로 유의한 차이를 보였다 (p<0.001). 남성에서는 20대, 30대, 40대에 고르게 분포한 반면, 여성에서는 20대와 30대에 집중되어 분포하였다. 2. 구취의 인식 유형은 남녀간에 통계학적으로 유의한 차이를 보였다 (p<0.01). 구취 인식 유형 중 타인에 의한 지적이나 타인의 행동으로 인한 추측 없이 스스로 구취를 인지하는 유형은 여성 구취 환자에서만 관찰되었다. 3. 구취 환자는 대조군에 비하여 강박증, 불안, 적대감, 전체심도지수에서 높은 수치를 보였다 (p<0.05). 4. 여성 구취 환자는 남성 구취 환자에 비하여 강박증(p<0.05), 불안 (p<0.05), 편집증 (p<0.001)에서 높은 수치를 보였다. 5. 남성 구취 환자에서는 표출증상합계를 (p<0.05) 제외한 모든 간이정신진단검사 항목에서 고농도 VSC군과 저농도 VSC군간에 유의한 차이를 보이지 않았다. 여성 구취 환자에서는 저농도 VSC군이 신체화를 제외한 모든 간이정신진단검사 항목에서 고농도 VSC군에 비하여 높은 수치를 보였다 (p<0.05). 6. 여성 구취 환자에서 주관적 구취심도는 강박증, 대인예민성, 불안, 적대감, 공포불안, 전체심도지수, 표출증상심도지수 들과 유의한 상관관계를 보였고 (p<0.05), 주관적 구취불편감은 모든 간이정신진단검사 항목들과 유의한 상관관계를 보였다 (p<0.05).

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SURVEY OF SELF-CONCEPT AND DEPRESSION-ANXIETY OF THE ELEMENTARY SCHOOL BOYS WITH LEARNING DISABILITIES (학습장애를 가진 초등학교 남학생의 자아상 개념과 우울-불안 특성 조사)

  • Kim, Bong-Soo;Seong, Deock-Kyu;Jung, Yeong;Yoo, Hee-Jung;Cho, Soo-Churl;Shin, Sung-Woong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.125-137
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    • 2001
  • We investigated the self-concept, subjective depression, and state-trait anxiety of the school boys with learning disabilities(abbr. LD, n=86) and compared them with normal boys(n=52) using Piers-Harris Self-Concept Inventory, Child Depression Inventory(abbr. CDI), and State-Trait Anxiety Inventory(abbr. STAI). With regard to Piers-Harris Self-Concept Inventory total scores, there was no significant difference between two groups, but normal boys showed higher scores in intellectual and school status, physical appearance, and happiness-satisfaction subscales than patients with LD. The male patients with LD showed significantly higher ratings in CDI total scores, and CDI subscales - ineffectiveness, anhedonia, negative self-esteem than normal children. The patients with LD reported significantly higher state anxiety, but not trait anxiety. Correlation analyses revealed that self-concept decreased over time, and depression-anxiety increased across grades in the patients with LD, but not in normal children. Especially, negative mood, anhedonia, negative self-esteem subscales of CDI, and state-trait anxiety showed significant positive correlation with grades. In both groups, CDI scores were inversely correlated with Piers-Harris Self-Concept and positively with State-Trait anxiety. In conclusion, self-concept problems which were related with school achievement and self-esteem were more abundant in the patients with LD than normal children, self-image problem, depression and anxiety increased across grades. According to regression analysis, age, behavior subscale, intellectual-school status, anxiety, popularity, happiness-satisfaction, CDI-ineffectiveness, interpersonal problem, negative self-esteem, and state anxiety could explain the self-concept in the patients with LD, not in normal children. So, the self-concept of the patients with LD were found to be related to the school achievement and stress when comparing with peers. In conclusion, elementary school boys with LD showed lower self-concept, higher depression and anxiety, and these differences increased across grades. Since the patients with LD have concomitant depression and anxiety disorders, it is important that comorbidity with emotional problems should be explored and managed properly.

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A Study on Smartphone Addiction, Mental health and Impulsiveness For High School Students at Korea (고등학생의 스마트폰 중독과 정신건강, 충동성에 관한 연구)

  • Yu, Myeong-Ok;Ju, Se-Jin;Kim, Joo Hyun
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.409-418
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    • 2014
  • The purpose of this study is to verify the causal relationship between the smartphone addiction proneness, mental health, and impulsiveness of high school students in Korea. 804 first and second year high school students participated in the survey that included the Smartphone addiction scale, Korean Brief Mental Diagnosis Exam - the highest 25% of total score (Addictive SmartPhone Use Group : ASPUG 213 persons), the lowest 25% of total score(Non-Addictive SmartPhone Use Group : NASPUG 204 persons), BIS-II Impulsiveness Scale and additional questions asking for demographical characteristics. The outcomes of this study were as follows. First, sex, grade of high school, academic accomplishment, student's satisfaction with school life, monthly allowance, the level of parental respect, having a opposite sex friend were related to smartphone addiction and impulsiveness. Second, ASPUG had worse mental health and impulsiveness than NASPUG, and the difference was statistically significant. Third, Students showed higher levels of mental health 9 subareas - anxiety, depression, phobic anxiety, Somatization, obsessive compulsive, interpersonal sensitivity, hostility, Paranoid ideation, Psychosis as their smartphone use increased.

The mediating effect of self-efficacy on the relationship between social anxiety and communication ability in nursing students (간호대학생의 대인불안과 의사소통능력의 관계에서 자기효능감의 매개효과)

  • You, Mi-Jin;Han, Hye-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.298-305
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    • 2021
  • Purpose: This study aims to identify the relationship between nursing students' social anxiety and communication ability, and in particular, to determine the mediating effect of self-efficacy. Methods: A total of 187 nursing students enrolled at four universities in Korea completed surveys between August and September 2020. The measurements included the Global Interpersonal Communication Competence Scale, self-efficacy scales, and interaction anxiousness scales. Data were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson's correlation, multiple regression following the Baron and Kenny method, and bootstrapping for mediation. Results: Communication ability was significantly negatively correlated with social anxiety (r=-.61, p<.001) and significantly positively correlated with self-efficacy (r=.77, p<.001). Furthermore, self-efficacy had a partial mediating effect on the relationship between social anxiety and communication ability. Conclusion: The findings of this study suggest that communication ability can be improved if individual characteristics such as social anxiety and self-efficacy are considered. Therefore, when developing communication ability improvement programs for nursing students in the future, it is considered important to actively consider these personal characteristics.

The Effects of the Group Forgiveness Program on Anger, Anxiety and Depression for Female Elders (용서프로그램이 여성노인의 분노, 불안, 우울에 미치는 영향)

  • Chang, Woo-Shim
    • 한국노년학
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    • v.30 no.1
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    • pp.109-126
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    • 2010
  • The purpose of this study was to examine the effectiveness of group forgiveness program for female elders who had deep and unfair personal hurt experiences from their social relationships. Subjects were divided into 2 groups. The sample was comprised of 20 elders, capable of verbal communication. Experimental and control groups composed of elders, each 2 elders dropped out of each group due to personal reasons. Experimental group completed a total of eight consecutive group forgiveness program sessions that combined listening and supportive techniques. Additionally, qualitative investigations were also done through interviews and observations. Following the intervention, experimental group experienced a significant improvement in degree of forgiveness(t=3.05, p<.01), anger(t=3.78, p<.01), anxiety(F=5.93, p<.05), depression(F=16.73, p<.01). Qualitative analysis also resulted that the elderly relationships were changing positively. This study implies that group forgiveness program was effective in improving elder's degree of forgiveness and reducing anger, anxiety and depression so that the participants were to value their whole life more.

A Study on type and characteristics of organization-related negative affect. (조직관련상황에서 구성원이 느끼는 불안 정서의 유형과 특성에 관한 연구)

  • Jong Dae Kim
    • Korean Journal of Culture and Social Issue
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    • v.21 no.4
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    • pp.617-647
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    • 2015
  • The purposes of this study was to develop a valid scale measuring organization-related anxiety and to use this scale to examine the relation of organizational anxiety to demographic variables, job satisfaction and organizational committment. A series of studies were conducted to develop a scale for organizational anxiety. Initially, the 97 items were adopted by expert ratings. A exploratory factor analysis with a sample of 435 workers yielded a preliminary version of organizational anxiety scale with 28 items. Subsequently, a confirmatory factor analysis was conducted with a sample of 566 workers, leaving 20 items. The final version of the organizational anxiety scale consisted of 4 sub-factors: perception of future uncertainty, perception of locus of control, interpersonal anxiety, and perception of alternatives. In this study, the examined demographic characteristics included sex, age, type of occupation, type of industry, occupational position, monthly income and educational level. Organizational effectiveness was composed of job satisfaction and organizational commitment. As mediators, organizational culture, life satisfaction, self efficacy, and social support were explored. The negative relationship was observed between organizational anxiety and organizational effectiveness. The results showed the significant differences in organizational anxiety by demographic characteristics. The mediators were explored for the relationship between organizational anxiety and job satisfaction and between organizational anxiety and organizational commitment. The negative relationship between organizational anxiety and job satisfaction was mediated by the group culture, the developmental culture, the rational culture, life satisfaction, self-efficacy, and social support. Individuals with the higher level of these mediators reported greater job satisfaction even if they experienced organizational anxiety. The partial mediation effect of the group culture, the developmental culture, the rational culture, life satisfaction, and social support was observed on the negative relationship between organizational anxiety and organizational commitment. These results implies that job satisfaction and organizational commitment can be improved with the interventions on organizational cultures, self-efficacy, and social support despite the presence of organizational anxiety. Based on these results, the implication and limitations of this study and the directions for future research discussed.

Construction of a counseling system to improve teenagers' problematic behavior: By Korean-youth self report (청소년 문제행동 개선을 위한 상담 시스템 구축 - 청소년 자기행동 척도를 통하여 -)

  • Kang, Byeong-Do;Kim, Kyung-Nam
    • Journal of Korea Society of Industrial Information Systems
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    • v.13 no.5
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    • pp.186-195
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    • 2008
  • Immoral and unethical cases are reported in newspapers and on TV everyday, and the number of serious juvenile problems such as suicide, truanting and extreme egoism has been increasing. Therefore, through this constructed counseling system, we can select some students who are at risk of causing juvenile problems such as delinquency and absenteeism. Moreover we can prevent the students from causing these problems and help the students adapt better to school circumstances.

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Emotional State and Personality Characteristics in Patients with Vitiligo (백반증 환자의 정서상태와 성격특성)

  • Lee, Kyung-Kyu;Lee, Jong-Hyun;Kim, Hyun-Woo;Paik, Ki-Chung;Kim, You-Chan
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.88-97
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    • 2000
  • Objectives : This study was aimed to investigate the emotional state and personality factors of patients with vitiligo, and the impacts of clinical characteristics. Methods : Twenty one patients with vitiligo and 20 normal controls were studied. Beck Depression Inventory(BDI), Spielberg's State and Trait Anxiety Inventory(STAI) and Cattell's 16 Personality Factors Questionnaire(16-PF) were used for assessment. Statistically, t-test, Oneway ANOVA, Mann-Whitney U test and Pearson's correlation test were used. Results : The Results were as follows. 1) The comparison of total score of BDI, state anxiety and trait anxiety between the patients with vitiligo and normal controls were not significantly different. 2) In first-stratum source traits of 16-PF, normal control group was significantly higher than the patients with vitiligo in H-factor(Boldness) and I-factor(Tender-mindedness). In second-stratum source traits of 16-PF, there was no significant difference between the patients with vitiligo and normal control in all factors. 3) According to sex, the comparison of total scores of BDI, STAI between male and female patients with vitiligo were not significantly different. In the comparison of 16-PF, female patients were higher than male patients in I-factor only. 4) As according to age(under and over 30 years of age), the comparison of total scores of BDI, STAI between patients over 30 years of age and under 30 years of age were not significantly different. In the comparison of 16-PF, patients over 30 years of age were higher than patients under 30 years of age in E-, G-, L-, M-, Q2-, Q3-, IND-, SUP-, and CRE-factor. 5) As according to the presence of progression of vitiligo and the presence of visible lesion, the comparison of total scores of BDI, STAI and 16-PF were not significantly different. 6) There were no significant correlation between the duration of the vitiligo and BDI, STAI-S, STAI-T, and 16-PF. Conclusions : There were no significant difference between patients with vitiligo and normal controls on the emotional state and personality characteristics. But patients with vitiligo were more bolder and tender-minded than normal controls on 16-PF. The author propose that methods of treatment to resolve problems of the interpersonal relations will be helpful.

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