• Title/Summary/Keyword: 신체 관련 스트레스

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Effects of 24-week Swimming Program on the Health Related Physical Fitness, Stress Hormones and Immune Functions in Adults with Intellectual Disabilities (24주간의 수영프로그램이 성인 지적장애인의 건강체력, 스트레스 호르몬 및 면역기능에 미치는 영향)

  • Park, Chan-Ho;Bae, Hye-Young;Cheon, Ji-Un
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.551-563
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    • 2020
  • The purpose of this study was to identify the characteristics of health-related indicators according to the participation of swimming program by adults with intellectual disabilities(ID). To this end, 20 adults with IDs, aged 20-39 living in Busna, were selected. Participants divided into two groups: swimming program participation(n=10) and non-participation(n=10). Data were collected by measuring the subjects health-related physical fitness, stress hormones, and immune function and data analysis was conducted using SPSS 18.0, paired t-test, independent t-test and two-way ANOVA. As a result, muscle strength(p<.001), muscular endurance(p<.001), flexibility(p<.001), cardiovascular endurance(p<.01) improvement of exercise group significantly but there was no significant difference in the control group. The stress hormone cortisol(p<.01) was significantly decreased in the exercise group and there was no significant difference in the control group. The immunoglobulins, IgA(p<.05), IgG(p<.001), IgM(p<.05) were significantly increased in the exercise group, but not significantly different in the control group. Therefore, regular swimming program can be said to be a very effective exercise program for improving the physical fitness of adults with IDs, and it is thought that it can reduce stress and help improve immune function. This suggests the need for active physical activity program development and intervention to maintain the health of adults with IDs and prevent chronic diseases.

The relations between the Musculoskeletal Symptoms and Job Stress of Occupational Therapists at Rehabilitation Hospitals (재활병원 작업치료사의 근골격계 증상과 직무스트레스와의 관련성)

  • Park, So-Yeon;Kim, Jin-Kyung
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.43-51
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    • 2017
  • The purpose of this study was to identify correlations between the musculoskeletal symptoms and job stress of occupational therapists at rehabilitation hospitals. To this end, the study conducted a survey on 210 occupational therapists at rehabilitation hospitals located in Seoul and Gyeonggi-do between June 1 and July 30, 2014. The average age of the subjects who participated in this study was $25.4{\pm}3.4$ years old, and their average work period was $2.3{\pm}2.1$ years. The subjects included 151 women (71.9%) and 171 permanent workers (81.4%). Among the subjects, 114 individuals (54.3%) had experienced a musculoskeletal symptom, and their major affected areas included hands/fingers (21%) and legs (18.6%). The percentage of high risk group of job stress was higher in musculoskeletal symptom group. And the proportion of high risk for job stress was higher in females. In particular, males showed significant differences in 'job demands', 'inappropriate reward', 'occupational climate' and females showed significant differences in 'Interpersonal conflict', 'inappropriate reward'(p<0.05).

Factors Influencing Health Promotion Behavior in Patients with Pulmonary Tuberculosis (폐결핵 환자의 건강증진행위와 관련요인)

  • Kim, Soon-Mi;Seo, Nam-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.129-136
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    • 2019
  • This study was conducted to identify the health promotion behavior of patients with pulmonary tuberculosis and examine the factors influencing this behavior. The subjects were 152 outpatients who were treated for pulmonary tuberculosis at the national tuberculosis hospital located in M City. Data were collected from July to September, 2016 and analyzed using the t-test, ANOVA, Duncan's test, Pearson's correlation coefficient, and multiple regression analysis. Health promotion behavior was negatively correlated with physical symptoms, perceived barriers, and depression, but positively correlated with self-efficacy. The most powerful variable influencing health promotion behavior was depression and the model showed an explanatory power of 63.5%. The results of this study suggest that it is necessary to employ a variety of strategies to practice and maintain the health promotion behavior of pulmonary tuberculosis patients to decrease their depression and provide psychological support.

The Relationship between Walking exercise and Quality of Life for Korean Adults (우리나라 성인의 걷기운동과 삶의 질의 관련성)

  • Jang, Young-Hee;Kim, So-Hui;Kim, Yu-Suk;Jung, Sun-Hee;Park, Jong
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.325-334
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    • 2013
  • The study is to observe a degree of relation between quality of life and a degree of walking exercise for adult residents of cities of Korea. From data of the 4th round 3rd-year Korea National Health and Examination Survey, 7,851 in which 3,892 were male residents and 3,959 females, were selected as subjects, excluding 723 who didn't answer at least more than one question for 5th degree of EQ-5D and physical activities. As a result, quality of life showed statistically significant relation among gender, education level, spouses, average monthly income, stress, a number of chronic diseases, health recognition and whether walking exercise undertaken. Especially one who carried out walking exercise showed higher quality of life than one who did not. This showed more significant difference of quality of life between whether the exercise was undertaken and whether it is intensified or intermediate. Therefore, in accordance with results of this study, it is necessary to develop an effective exercise program that is designed to let residents to exercise in a regular basis and to guarantee a sustainable support from government.

Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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Trauma Signature (TSIG) Analysis of Hebei Spirit Oil Spill, Taean, Korea : 2007 (허베이 스피리트호 유류 유출사고에 대한 Trauma Signature (TSIG) 분석)

  • Choi, Young-hyun;Lee, Moo-Sik;Lee, Jae-Kwang;Kim, Jee-A;Kim, Jung Sun
    • Journal of agricultural medicine and community health
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    • v.43 no.3
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    • pp.158-171
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    • 2018
  • This TSIG analysis regarding national actions for marine oil spills could be indicated and suggested improvements in the response system could be made based on the present study.

Job Stress and Stress Coping Strategy among Workers in A Regional Statistics Office : A Preliminary Study (일 통계청 근무자의 직무스트레스와 스트레스 대처 방식에 대한 예비 연구)

  • Lee, Hyun-Soo;Yoon, Bo-Hyun;Oh, Eun-Joo;Sea, Young-Hwa;Kim, Kyung-Min;Jung, Haran;Kim, Moon-Doo;Baek, Man-Ki;Son, Eun-Rak;Jung, Ja-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.93-99
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    • 2015
  • Objectives : The purpose of this preliminary study was to investigate job stress and stress coping strategy among workers in a regional statistics office. Methods : A total of 133 workers in regional statistics office participated in this study and they were divided into two groups, survey group(n=109) and support group(n=24) depending on relation to statistical survey task. They were asked to respond to Short Form of Korean Occupational Stress Scale(KOSS-SF) and Stress Coping Strategy(SCS) to investigate sociodemographic characteristics, job stress, and stress coping strategy. Results : The proportion of the 133 participants in the sample was 59(44.4%) of men, 74(55.6%) of women. There were no significant differences in KOSS-SF scores in relation to age, sex, education, and marital status, while the KOSS-SF scores were significantly different between the two groups. In regard to the subscales of KOSS-SF, the two groups had significant differences in insufficient job control, interpersonal conflict, job insecurity, and organization system. In addition, the total score of KOSS-SF had a negative correlation with problem-focused coping strategy and social support coping strategy of SCS. Conclusions : Our results suggest that workers of survey group had more job stress compared to those who works in support group in regional statistical office. In addition, in comparison with workers of support group, both men and women of survey group get stressed when they were confronted with interpersonal conflicts. Our results suggest that using problem-focused coping and social support coping strategy lowers job stress.

A convergence study on the relationships of alcohol consumption patterns to mental distress and self-rated health (성인 음주자의 음주 패턴에 따른 정신건강과 주관적 건강상태에 대한 융합적 연구)

  • Lee, Eun-Sook;Cho, Hye-Chung
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.319-328
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    • 2020
  • The purpose of this study is to assess the relationships of alcohol consumption patterns to mental distress and self-rated health. Data of 19,856 adult drinkers over 19 years of age and older from the Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. Risks of experiencing perceived high stress, depressive symptoms and suicidal thoughts were higher in alcohol use disorder group in male, whereas the risks were higher in both alcohol use disorder and hazardous drinking groups in female, reflecting higher susceptibility to mental distress. In both male and female, former drinkers presented poor self-rated health compared with low-risk drinkers, although no difference was found in the prevalence of mental distress. Specialized mental health management measures for female drinkers are required, and former drinkers are suggested to be assessed separately from never or low-risk drinkers for their physical and mental health status.

Heart Rate Variability and Parenting Stress Index in Children with Attention-Deficit/Hyperactivity Disorder (주의력결핍 과잉행동장애 아동에서의 심박 변이도와 양육 스트레스)

  • Kim, Soo-Young;Lee, Moon-Soo;Yang, Jae-Won;Jung, In-Kwa
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.2
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    • pp.74-82
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    • 2011
  • Objective:The aim of this study was to evaluate the relationship between sustained attention deficits in Attention-Deficit/Hyperactivity Disorder(ADHD) children and short-term Heart Rate Variability(HRV) parameters. In addition, we evaluate the relationship between The ADHD rating scale(ARS), the computerized ADHD diagnostic system(ADS) and Parenting stress index- short form(PSI-SF). Methods:This study was performed in the department of children and Adolescent psychiatry, Korea university Guro hospital from august 2008 to January 2009. We evaluated HRV parameters by short-term recordings of 5 minutes. K-ARS and ADS are used for screening and identifying ADHD children. Intelligence was measured using Korean educational Developmental Institute-wechsler Intelligence Scale for Children. The caregivers Complete Parenting Stress Index scale for evaluation parent stress. Results:The low frequency(LF) was significantly correlated with response variability of ADS. However, the other variables of ARS and ADS were not significantly correlated with LF. Hyperactivity subscale of ARS was significantly correlated with parental distress subscale and difficult child subscale of PSI-SF and inattention subscale of ARS was also significantly correlated with dysfunctional interaction and difficult child subscale of PSI-SF. Conclusion:The LF, 0.10-Hz component of HRV is known to measure effort allocation. This study shows that the LF component of HRV is significantly correlated with the response variability of ADS. This means that more severe symptoms of ADHD were correlated with the increase in the LF that means decreased effort allocation. These results also support the clinical usability of HRV in the assessment of ADHD. Furthermore, PSI-SF is correlated with hyperactivity and inattention variables of ARS.

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Needs and Related Factors for Return-to-Work Support in Cancer Survivors (암 경험자의 직장복귀지원에 대한 요구도 및 관련 요인)

  • Lee, Sungwon;Lee, Kwang-Min;Oh, Gyu-Han;Yeom, Chan-Woo;Jung, Sanghyup;Hahm, Bong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.126-134
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    • 2020
  • Objectives : The purpose of this study was to investigate the needs for return-to-work support of cancer survivors and related factors in patients with cancer and their caregivers. Methods : 182 patients and 114 caregivers were recruited. Distress Thermometer and Problem List and scale ranging 0~10 measuring the degree of needs for return-to-work support were utilized. The needs for return-to-work support between the patient group and caregiver group (patient's needs evaluated by the caregiver) were compared, and related factors were investigated using logistic regression analysis. Results : 34.6% and 28.1% of patients and caregivers reported return-to-work support of cancer survivors is "very necessary". The degree of needs was 6.60±3.365 points in the patient group and 6.17±3.454 points in the caregiver group, with no significant difference (p=0.282). The needs for return-to-work support evaluated by patients was high when they underwent surgery (OR=2.592, p=0.007), has fertility problems (OR=6.137, p=0.025), has appearance problems (OR=2.081, p=0.041), or has fatigue (OR=2.330, p=0.020). The needs for return-to-work support of patients evaluated by caregivers was high when patients treated with breast cancer (vs respiratory cancer, OR=13.038, p=0.022 ; vs leukemia/lymphoma, OR=4.517, p=0.025 ; vs other cancer, OR=13.102, p=0.019), has work/school problems (OR=4.578, p=0.005), or has depression (OR=3.213, p=0.022). Conclusions : The degree of needs for return-to-work support of cancer survivors was high, and factors related to the needs were different between the two groups. This suggests that return-to-work support of cancer survivors is required, and clinical characteristics, the distress of patients, and differences between patients and their caregivers should be considered in establishing a support plan.