• Title/Summary/Keyword: 신체 요인

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Development of the Somatization Rating Scale (신체화 평가 척도의 개발)

  • Koh, Kyung-Bong;Park, Joong-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.78-91
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    • 2002
  • Objective : The purpose of this study was to develop the somatization rating scale (SRS), and then to use the scale in clinical pracitice. Methods: First, a preliminary survey was conducted for 109 healthy adults to obtain 40 response items. Second, a preliminary questionnaire was completed by 215 healthy subjects. Third, a comparison was made regarding somatization responses among 242 patients (71 with anxiety disorder. 73 with depressive disorder, 47 with somatoform disorder, and 51 with psychosomatic disorder) and 215 healthy subjects. Results : Factor analysis yielded 5 subscales : cardiorespiratory and nervous responses, somatic sensitivity, gastrointestinal responses, general somatic responses, genitourinary, eye and muscular responses. Reliability was computed by administering the SRS to 62 healthy subjects during a 2-week interval. Test-retest reliability for 5 subscales and the total score was significantly high, ranging between .86-.94. Internal consistency was computed, and Cronbach's ${\alpha}$ for 5 subscales ranged between .72-.92, and .95 for the total score. Convergent validity was computed by correlating the 5 subscales and the total score with the total score of the global assessment of recent stress (GARS) scale, the perceived stress questionnaire (PSQ), and the symptom checklist-90-revised (SCL-90-R). The correlations were all at significant levels. Discriminant validity was computed by comparing the total score and the 5 subscale scores of the patient and control groups. Significant differences were found for 5 subscales and the total score. Only the depressive disorder group was siginificantly higher than control group in all the subscale scores and total scores of SRS among 4 patient groups. In somatic sensitivity, only depressive disorder patients were significantly higher than the normal controls, whereas in general somatic subscale, depressive disorder and somatoform disorder groups were significantly higher than the normal controls. In total scores of the SRS, female subjects were significantly higher than males. Conclusion : These results indicate that the SRS is highly reliable and valid, and that it can be utilized as an effective measure for research in stress- and somatization-related fields. The depressive disorder and somatoform disorder groups showed more widespread somatization than the anxiety and psychosomatic disorder groups.

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The Influence of Medical Workers' Emotional Labor on Somatic Symptoms -Focusing on Mediating Effects of Depression and Anxiety- (의료 종사자의 감정노동이 신체증상에 미치는 영향 -우울 및 불안의 매개효과를 중심으로-)

  • Lee, Jung-Min;Jang, Ki-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.586-594
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    • 2020
  • The purpose of this study is to propose interventions on emotional labor and health issues through verifying the mediating effects of depression and anxiety on the relationship between emotional labor and somatic symptoms in medical workers. For this study, a sample of 200 medical workers completed the questionnaires of the Korean Emotional Labor Scale, the Patient Health Questionnaire-15, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7. The data was analyzed using the SPSS 25.0 program. The results of this study can be summarized as follows. 1. Results showed a risk of emotional labor, depression, and somatic symptoms in medical workers. 2. The risk group of the emotional labor's 4 factors (excluding organizational support and protection system) had a significantly higher level of depression compared with the normal group. Particularly in emotional dissonance and impairment, depression in the risk group was moderate, while depression in the normal group was normal. 3. Only emotional dissonance and impairment had a significant influence on somatic symptoms. Reflecting the results, the mediating effects of depression and anxiety on the relationship between emotional dissonance and impairment and somatic symptoms were verified. Results showed that depression had a partial mediating effect, whereas anxiety did not have a mediating effect. Finally, we discuss the necessity of dealing with emotional dissonance and depression in emotional labor and health issues.

Factors influencing metabolic syndrome perception and exercising behaviors in Korean adults: Data mining approach (대사증후군의 인지와 신체활동 실천에 영향을 미치는 요인: 데이터 마이닝 접근)

  • Lee, Soo-Kyoung;Moon, Mikyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.581-588
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    • 2017
  • This study was conducted to determine which factors would predict metabolic syndrome (MetS) perception and exercise by applying a machine learning classifier, or Extreme Gradient Boosting algorithm (XGBoost) from July 2014 to December 2015. Data were obtained from the Korean Community Health Survey (KCHS), representing different community-dwelling Korean adults 19 years and older, from 2009 to 2013. The dataset includes 370,430 adults. Outcomes were categorized as follows based on the perception of MetS and physical activity (PA): Stage 1 (no perception, no PA), Stage 2 (perception, no PA), and Stage 3 (perception, PA). Features common to all questionnaires for the last 5 years were selected for modeling. Overall, there were 161 features, categorical except for age and the visual analogue scale (EQ-VAS). We used the Extreme Boosting algorithm in R programming for a model to predict factors and achieved prediction accuracy in 0.735 submissions. The top 10 predictive factors in Stage 3 were: age, education level, attempt to control weight, EQ mobility, nutrition label checks, private health insurance, EQ-5D usual activities, anti-smoking advertising, EQ-VAS, education in health centers for diabetes, and dental care. In conclusion, the results showed that XGBoost can be used to identify factors influencing disease prevention and management using healthcare bigdata.

A Study on the Stress of Clinical Practice, Stress Coping and Somatization for Dental Hygiene Students (치위생과 학생들의 임상실습스트레스와 스트레스대처방식 및 신체화경향에 관한 연구)

  • Hong, Su-Min;Han, Ji-Hyoung;Kim, Hee-Kyoung;Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.9 no.2
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    • pp.219-224
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    • 2009
  • The purpose of this study was to investigate the relationship among the stress on clinical practice, stress coping method and the somatization symptom of dental hygiene students and propose strategies for effective instruction of clinical practice. The survey was performed by self-reported questionnaires for 268 dental hygiene students who have recently experienced clinical practice. Collected data were analyzed using by t-test and Pearson correlation coefficient with the SPSS Win 12.0 program. Its results are as follows. 1. In the satisfaction of clinical practice, 'Satisfaction', 'Average' and 'Unsatisfactory' were 32.5%, 42.2% and 25.4%, respectively. The reason for dissatisfaction of clinical practice were 'insufficient education of college'(29.8%), 'environment of clinical practice institute'(23,4%), 'interpersonal relationship'(21.3%) in order. 2. Somatization symptoms was positive correlation(0.307, p < 0.01) associated with stress of clinical practice. Also it was negative correlation associated with satisfaction level of the subjects and stress of clinical practice. Correlation coefficient of the interpersonal relation factor was found the most significantly high as much as 0.331, according to the analysis carried out between subordinate factors of clinical practice stress and somatization. 3. According to stress coping method. Subjects were distributed into two group of active method and passive method. Thereafter as a result of verifying the difference of somatization symptoms, there was statistically significant difference between active method group and passive method group. Based on the study results, we suggests that effective management program of clinical practice should be developed and applied to the dental hygiene students to make them cope with stress and somatic symptom during their clinical practice.

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The Effect of Individuals' Vulnerability to the Different Sex's Physical Attractions on Their Own Acceptance of Extramarital Relationship and Intentions of Open Marriage (이성의 신체적 매력에 대한 취약성이 본인의 혼외관계 수용성 및 개방결혼의도에 미치는 영향)

  • Lee, Hee-Jin
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.203-216
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    • 2020
  • The purpose of this study is to reveal the effects of the VDSPA(Vulnerability to the Different Sex's Physical Attraction) on IOM(the intention of open marriages), the mediating effect of the SAEMR(Self Acceptance of Extra-Marital Relationship) and the moderating effect of gender. This is an empirical research based on data analysis obtained by surveying 655. The notable findings are as follow: First, respondents' perceptions of their own extramarital affairs(M=2.284) and open marriages(M=2.175) are generally negative, but women were more negative than men. Second, both men and women were vulnerable to the physical attraction of the opposite sex(M=3.569), especially men than women. Third, the more vulnerable to the physical attraction of the opposite sex, the more receptive to their own infidelity. The more receptive to their own extramarital affair, the more clear their intention to open marriage. Lastly, in the case of women, it is confirmed that the vulnerability of the physical attraction of the opposite sex has a significant effect on the intention of an open marriage, with the acceptability of the one's own infidelity as a mediator. In the case of men, there is no mediating effect of accepting their own extramarital affairs, which proved to be a moderating effect by gender. Unlike men, in the case of women, it is concluded that 'accepting their own extramaritality is a critical factor that directly or indirectly has a significant effects on their intention to open marriage.

The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients (뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과)

  • Kim, Eun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8525-8534
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    • 2015
  • The purpose of this study was to investigate relations among the Health Promotion Behavior, Physically, Psychological, and Social factors of the stroke patients. The subjects include the patients that were Stroke was diagnosed and being admitted to hospital. The data of total 223 stroke patients were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and Structural Equation Analysis. As a result, The higher medical support health promotion behavior scores were higher. Health Promotion Behavior had correlations with the subjective health state(r=.56, p=.000), family support (r=.68, p=.000), medical support(r=.65, p=.000), Fatigue(r=.27, p=.004), and behavioral intentions(r=.75, p=.000). Factors Affecting Health Promotion Behaviors of the Stroke patients Physically factors of(${\beta}$=-.156, p=.014), Psychological factors of subjective health(${\beta}$ =.283, p=.001), behavioral intentions((${\beta}$=.362, p=.000), Social factors such as family support(${\beta}$=.219, p=.010), the medical support(${\beta}$=.246, p=.004) was found to be significant influence factors. In conclusion, health promotion behavior in stroke patients is subjective health, behavioral intentions, a family support. The higher medical support health promoting behavior appears score was found to be highly Psychological factors and social factors are important factors in promoting healthy behavior. Therefore, psychosocial personalized approach to maintaining the stroke health promotion, health promotion action program itdaneunde be used as basis for relapse prevention is significant.

Study on Influencing Factors on Subjective Quality of Life and Family Burden of Caretaking Family Members who have a Patient with a Psychiatric Disorder - Comparison between Schizophrenia and Alcohol Dependence - (정신과 환자 주 보호자의 삶의 질과 부담 영향 요인 - 정신분열병과 알콜 의존 환자의 보호자 비교 -)

  • Ryu, Seuk-Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.56-65
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    • 2004
  • Objectives: The aim of this study was to investigate the quality of life of caretaking family members who have a patient with psychiatric disorders. The results will be served as a basic data of ameliorating the quality of life of caregivers. Methods: 78 caretaking family members who have a patient with schizophrenia and 54 caretaking family members who have a patient with alcohol dependence, a total of 132 persons completed the questionnaire, and analyzed. The Korean version of the SmithKline Beecham Quality of Life Scale and the Family Burden Scale were applied. Results: There was no statistically significant correlation between burden and sex, age, income, and duration of living with patients before onset. The male caregiver showed higher quality of life than that of female. It showed statistically significant correlation between age and factor physical well-being and factor activity. 41% of variance of quality of life of caregivers were explained by the stress response, burden, and overall merits of the field of psychiatry, and the tension had the most explanatory power. Conclusion: The chronic illness may give a burden on caregivers, and that decrease the quality of life of caregivers. The longer duration of illness of patients, the lower quality of life of caregivers on competence factor. Therefore, the authors recommend the therapeutic modality must be offered to the caregivers who may experience the stress and burden.

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A Factor Analysis on Subjective Symptom of Musculoskeletal Diseases in Dental Hygienists (치과위생사의 근골격계질환 자각증상에 관한 요인)

  • Jeong, Mi Ae
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.347-348
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    • 2012
  • 본 연구의 목적은 치과위생사의 근무환경, 근골격계 질환 예방교육에 대한 인식, 작업관련성 근골격계 질환과 근무특성과의 연관성에 대하여 알아보고자 하였으며, 근골격계 질환 증상 감소를 위한 관리방안을 제시하고자 한다. 전국(서울, 경기, 대구, 포항) 210명의 치과위생사를 대상으로2011년 8월 1일부터 12일까지 자기기입식 설문지 조사를 시행한 후 회수하여 응답이 불분명하거나 크게 사고를 당한 5명을 제외한 205명에 대해서 분석 하였다. 수집된 자료는 SPSS WIN 15.0 프로그램을 이용하여 분석하였다. 그 결과 근골격계질환 예방에 관한 교육을 받은 적이 없는 치위생사가 78.0%로 대부분을 차지하였으며, 근골격계 질환 예방프로그램이 필요하다고 인식하는 치과위생사가 93.2%로 대부분을 차지하였다. 신체부위별 통증빈도를 보면, 평균이 '어깨-목 사이(오른쪽)'가 3.07로 가장 높았고, 신체부위별 통증 정도를 보면, 평균이 '발목/종아리(왼쪽)'가 1.47로 가장 높게 나타났다. 신체부위별 근골격계 질환 통증경험 관련 작업능력 지장여부를 보면, 평균이 '무릎(오른쪽)'이 1.84로 가장 높게 나타났다. 손에 대한 근골격계 질환 증상으로는 오른손의 불편함 정도를 보면, 평균이 'Abductor hallucis muscle' 부분이 2.05로 가장 높았고, 왼손의 불편함 정도를 보면, 평균이 'Thumb' 부분이 1.69로 가장 높게 나타났다.

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The Study of Constraint Factors to Leisure Sports Participation Degree in Silver Class (실버계층의 레저스포츠 참여정도와 제약요인에 관한 연구)

  • Kim, sung-hun;Choi, woong-jae
    • Proceedings of the Korea Contents Association Conference
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    • 2008.05a
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    • pp.270-273
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    • 2008
  • The point of the meaning, this study selects population which is aged over 65 and new silver generation who is aged between 55 to 64. The objects were selected by purposeful sampling method and the 933 objects who participated in leisure sports age over 55 were used for this thesis's analysis. The results of the study were as follow; First, the weekly participation frequency was physical psychological burden, facilities, information technology, interpersonal relations, concern lack, time lack, bear. there was statistically significant difference. Second, the daily workout time was physical psychological burden, facilities, information technology, interpersonal relations, concern lack, time lack, bear. there was statistically significant difference. Third, the participant experience was physical psychological burden, facilities, information technology, interpersonal relations, concern lack, time lack, bear. there was statistically significant difference.

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Long-term Combined Exercise has Effect on Regional Bone Mineral Density and Cardiovascular Disease Risk Factors of the Elderly with Osteoporosis (장기간의 복합운동이 골다공증 노인의 신체부위별 골밀도와 심혈관질환 위험요인에 미치는 영향)

  • Choi, Pil-Byung
    • 한국노년학
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    • v.31 no.2
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    • pp.355-369
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    • 2011
  • The purpose of this study was to find the effects of long-term combined exercise on regional bone mineral density(BMD) and cardiovascular disease(CVD) risk factors in the elderly with osteoporosis(OP). For the purpose, the subjects of this study were separated by two groups with thirty-one elderly women, who the first group was combined exercise group(CEG, n=16) and second group was non exercise group(CON, n=15). The combined exercise program was made up of warm-up (10min), work-out (aerobic; 30~45min/HRR 40~60%, resistance; 1RM * 50-70%, 8-10 * 2set ~ 10-15 * 1set), and cool-down (10min). Exercise group of the inspection have been trained 5 times a week for 1years. The results : At first, the variables of regional BMD were significantly different to pelvis, spine, trunk and T-score in two groups. At second, the variables of CVD risk factors were significantly different to SBP and DBP as well as TC, TG, LDL-C and HDL-C in two groups. As results of these conclusion, this study have positively effect shown that CEG was superior to CON in regional BMD(pelvis, spine, trunk and T-score), blood pressure(SBP, DBP) and plasma lipids(TC, TG, and LDL-C). Especially, the long-term combined exercise was provides a striking overall health quality of life with improving BMD and reduced CVD risk factors in the elderly with OP. In the future, other researches should deal with specific measures that reduction in mortality due to chronic disease and improvement quality of life for the development of programs in multiple researches of osteoporosis and chronic diseases.