• Title/Summary/Keyword: 신체 요인

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Effects of Somatic Symptoms, Aging Anxiety and Social Support on Depression in Middle-aged Women (중년여성의 신체화 증상, 노화불안, 사회적 지지가 우울에 미치는 영향)

  • Lee, Nan-Young
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.847-855
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    • 2022
  • The purpose of this study is descriptive research to understand the effects of somatic symptoms, aging anxiety, and social support of middle-aged women on depression. Data collection was conducted from March 2020 to May 2020 using a structured questionnaire from a sample of 110 middle-aged women. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Pearson's correlation coefficients and multiple linear regression analysis using SPSS Window 25.0 program. As a result of the study, the influence factors on the depression were confirmed by the somatic symptoms(β=0.42, p<.001), aging anxiety(β=0.35, p<.001) and total explanatory power of the variables was found to be 48.0%. Therefore, based on the result of this study, it suggests that more research is needed a program that considers somatic symptoms and aging anxiety when developing interventions to reduce depression and to verify the effectiveness.

An Experiential Analysis of Anger in Children (아동의 분노 체험분석)

  • Park, Hyang-Sook;Park, Sung-Hee
    • The Korean Journal of Elementary Counseling
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    • v.7 no.2
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    • pp.159-168
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    • 2008
  • The purpose of this study is to examine the characteristics or significances of anger in children by understanding the common factors observed in children's anger and the psychological process of children's anger, applying the experiential analysis method. In order to conduct the study, 8 elementary students in 5th grade participated in the experiential study as joint researchers. This study was conducted during 6 sessions. Joint researchers learned about the experiential analysis method and recorded what they had experienced at the stage of anger on their analysis sheets. 34 experiential analysis sheets were used for this study. The following provides a summary of the study results. Children were observed to perceive the factors representing desires more intensely than the factors indicating a mood or senses. Secondly, when they felt urge to express an extreme anger, they were just explored without the cognitive process of judgment. Thirdly, the processes that children feel and treat anger are "the stage of awareness of the situation," "the stage of initial cognitive evaluation," "the stage of induction of anger," "the stage of secondary cognitive evaluation or the stage of intensive drive of anger," and "the stage of anger management".

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The Intervention and Outcome Measurement Tools of Children With Attention Deficit Hyperactivity Disorder: A Systematic Review (주의력결핍과잉행동장애 아동의 중재방법과 측정도구에 관한 체계적 고찰 : 국제 기능.장애.건강 분류 모델의 분류기준에 근거하여)

  • Lee, Na-Hae;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.1
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    • pp.39-50
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    • 2014
  • Objective : The purpose of this study was to provide for the intervention and outcome measurement tools of children with Attention Deficit Hyperactivity Disorder (ADHD) through ICF model. Methods : The systematic review methods were used. Papers published in the journal between January, 2000 and July, 2014 were searched through MEDLINE/PubMed, Sciencedirect, Ovid. The main terms searched were 'ADHD, Children, intervention, outcome measure', and 8 papers were analyzed. Results : 1. The subjects of ADHD were pure ADHD (75.8%), ADHD with dyslexia (9.1%), ADHD with conduct disorder (5.8%), ADHD with tic disorder (3.8%), ADHD with DCD (3.0%), ADHD with emotional disorder (2.5%). 2. The nonpharmacologic intervention of ADHD were functioning and disability (80%) and contextual factors (20%). Most frequently used intervention were body function and structure (60%). 3. The outcome measurement tools of ADHD were functioning and disability (80.5%) and contextual factors (19.5%). Most frequently used outcome measurement tools were body function and structure (70.8%). Conclusion : This study can provide information on the intervention and outcome measurement tools of ADHD.

Burnout Process Model of Social Workers: Analysis of the Paths from the Job-related Stressors, Job-stress and Professional Self-efficacy to Burnout (사회복지사의 소진과정(Burnout Process) 모델 - 직업관련 스트레스 요인, 직무스트레스와 전문직효능성에 의한 소진 경로분석 -)

  • Lee, Myung-Shin
    • Korean Journal of Social Welfare
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    • v.56 no.4
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    • pp.5-34
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    • 2004
  • This study aims to find out the determinants of burnout in order to better understand the burnout process among social workers. For this purpose, a hypothetical model which explains the relationships among 8 job-related stressors (role ambiguity, role overload, difficulties in solving problems of clients, conflict with the clients, lack of support from the supervisor, closed communication pattern, bureaucracy, and lack of accountability), 4 mediators (job-stress, professional role performance, abiding by the agency policy and partiality in service delivery), and 4 dimensions of burnout (physical exhaustion, psychological exhaustion, depersonalization and personal accomplishment) was developed. Using the data collected from 207 social workers, the hypothetical model was tested. For data analysis, a path analysis was used, and the best-fitting model was found(df=66, $x^2$=63.250, GFI=0.962, CFI=1.00). As a result of this study, the following results were found. Burnout among social workers was increased by the 6 job-related stressors(role ambiguity, role overload, difficulties in solving problems of clients, conflict with the clients, lack of support from the supervisor, closed communication pattern). Job-stress, the mediating variable of the emotional path to burnout, increased professional role performance and the abiding by agency policy, and finally increased burnout. On the other hand, professional self-efficacy (which consists of professional role performance, abiding by agency policy and partiality in service delivery), the mediationg variable of the cognitive path to burnout, reduced burnout when the professional role performance was high, and abiding by agency policy and partiality in service delivery were low.

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Development and Validation of Perceived Stigma of Delirium Scale (섬망 환자의 지각된 낙인 척도 개발 및 타당성 검증)

  • Kim, Seon-Young;Kim, Sung-Wan;Kim, Jae-Min;Shin, Il-Seon;Yoon, Jin-Sang
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.121-128
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    • 2015
  • Objectives : This study developed and validated the Perceived Stigma of Delirium Scale(PSDS), which is designed to measure perceived stigma associated with delirium in patients suffering from that disorder. Methods : Based on a literature review of scales assessing stigma, a preliminary scale comprising seven items was developed. After recovering from delirium, 128 patients completed the PSDS and the Distress Thermometer (DT). Factor analysis was used to examine construct validity, and internal consistency and test-retest reliability were examined to ensure reliability. Concurrent validity was assessed using the correlation between the total scores on the PSDS and the DT. Results : Factor analysis yielded a single-factor structure from the seven candidate items. One item was excluded due to low factor loading. The internal consistency was computed and Cronbach's ${\alpha}$ was 0.85 for the total score. The overall test-retest reliability was 0.71, with items ranging from 0.58 to 0.83. The total score on the PSDS was significantly correlated with the DT score. Conclusions : The PSDS may be a reliable, valid instrument for evaluating perceived stigma in patients who have recovered from delirium. Further study of the perceived stigma by delirium patients is required to assess the implications of the PSDS for clinical practice and research.

Development of the Scale for Healthy aging (건강한 노후 척도 개발에 관한 연구)

  • Ko, Dae Sun
    • 한국노년학
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    • v.29 no.1
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    • pp.117-134
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    • 2009
  • The purpose of this study was designed to develop an questionnaire for healthy aging. The subjects of this study were total 335 people who participated in regular exercise and went to welfare centers in Seoul. The validity and reliability were tested for verifying the developed questionnaire for healthy aging. The data were collected between June 12, 2006 and October 27, 2006. The mean, standard deviation, kurtosis, skewness, reliability, exploratory factor analysis and confirmatory factor were analyzed for statistical purpose using by SPSS-Win 12.0 program. The results were as follows; First, to obtain content validity, the results of previous research and the value system responses were submitted to a judgement group. Second, the results of the factor analysis of the 20 items making up the questionnaire were classified into the following 3 factors; physiological health(6 items), cognitive-mental health(6 items), social-support health(8 items). Third, the reliability of the questionnaire for healthy aging was 0.891(Cronbach's alpha). In the factor analysis Cronbach's alpha correlations for the 4 factors ranged from 0.642 to 0.885. Fourth, the results of confirmatory factor analysis, all the index values(NFI, RFI, CFI, Delta 2 IFI) were close to 1. Thus, this questionnaire demonstrated good reliability and validity and therefore it was an appropriate measurement of healthy aging.

Fall Risk Assessment (FRA) of Korean community-dwelling elderly (지역 재가 노인의 낙상위험평가)

  • Shin, Sohee;Sato, Susumu
    • 한국노년학
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    • v.39 no.4
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    • pp.895-902
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    • 2019
  • This study reviewed the diagnosis accuracy and evaluation criteria of the fall risk assessment questionnaire that proved validity through factor analysis in previous studies. The purpose of this study was to diagnose high-risk groups and propose personal fall risk profiles for the Korean community-dwelling elderly. The participants of this study were 439 elderly people living in S, U, B, and Y cities Korea (mean age 75.0 ± 5.7 years). Receiver operating characteristic analysis was conducted to review the accuracy of the fall risk assessment and evaluation criteria of the FRA. The results showed that the four sub-factors of the FRA: 'Potential for fall', 'Disease and physical symptoms', 'Environment' and 'Physical function', can effectively diagnose the fall risk of the community-dwelling elderly. The evaluation criteria was presented based on the sensitivity and specificity results. In addition, as a result of analyzing the patterns by the sub factors of the fall risk, the high-risk group accounted for 80% of the elderly who had problems with two or more factors. Therefore, the four sub-factors of FRA can effectively diagnose the fall risk level, and could be present individual fall risk profiles based on the evaluation criteria.

Social Support for Grandparent-headed Families and Its Effects on Grandparent Caregivers' Physical and Mental Health (조손가족에 대한 사회적 지지 실태와 조부모의 신체적 건강과 정신건강에 미치는 영향)

  • Choi, Hae-Kyung
    • Korea journal of population studies
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    • v.29 no.2
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    • pp.115-142
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    • 2006
  • This study examined the level of social support for grandparent-headed families and its effects on the grandparents' physical and mental health. For this purpose, the survey data was collected from 141 grandparents raising their grandchildren in Daejeon Metropolitan City. The study generated several findings. First, grandparent-headed families tended to rely on formal support system rather than informal one. Second, grandparent's physical health was found to be very poor that 82.3% of the grandparents reportedly needed some assistance in at least one ADL, and their mean score of depression measured by CES-D was 27.4, indicating a moderate level of psychological distress. Third, among the sociodemographic and stressor variables, grandparents' sex, the number of their children and household keeping burden were statistically significant predictors of their ADL restriction. As for depression level of the grandparents, their monthly income, parenting duration, the number of their children, economic difficulties, household keeping burden and social restrictions were found to be statistically significant. Fourth, grandparents who reported of having more social support from their friends, a higher level of satisfaction of the friends' social support and also of being satisfied with social support from their religious associations tended to experience significantly less ADL restrictions. The more kinds of social support received from friends and social welfare agencies and the less satisfied they were with social support from governmental sector, the higher their depression level was. Implications for social welfare services and programs for grandparent-headed families were discussed.

Well-being of young and middle aged diabetic patients with medication according to combination of non-pharmacological treatment: a path analysis (청장년층 약물치료 당뇨환자의 비약물적치료 병행 여부에 따른 웰빙: 경로분석)

  • Kim, Sun-Kyung;Kim, Yu-Mi;Kim, Sun-Ae
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.401-410
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    • 2020
  • The purpose of this study was to investigate predictors and mediating effects of physical activity and nourishment regulation on well-being among young and middle aged patients on DM medication and to compare between those with non-pharmacological treatment and those without. Data were obtained from 2017 community health survey including 1,480 DM patients with oral medication in the age between 20 and 49. Using SPSS 25.0 and AMOS 25.0, path analysis was performed to explore the association between personal factors (socio-economic status, health habit, eating habit and compliance of health examination) and well-being, along with mediating effects of physical activity. Results demonstrated the different mediating role of physical activity. In medication only group, there was no direct effect of physical activity and no indirect effect of personal factors. Direct effect of physical activity and indirect effects of predictors were found in those with non-pharmacological treatment group. When developing strategies to enhance well-being of young and middle aged diabetic patients, proper reflection of their age specific traits and disease management capability are essential.

Effects of Physical Activity Practice Rates and Knowledge Related to Cardiocerebrovascular Disease Prevention on Health Behavior Case Study Focusing on Middle Aged Women with Risk of Central Obesity (중심비만 위험인자를 가진 중년여성의 신체활동 실천율, 심뇌혈관질환 예방관련 지식이 건강행위에 미치는 영향)

  • Lee, Byeong-Ju;Hwang, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.342-352
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    • 2018
  • This study was conducted to evaluate the effects of physical activity practice rates and knowledge related to cardiocerebrovascular disease prevention on the health behavior of middle aged women. Data were collected from Oct to Nov 2017 from 142 middle-aged women living in 24 Eup, Myeon, and Dong areas in North Gyeongsangbuk-do Province using a structured questionnaire. The obtained data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation, and stepwise multiple regression analysis. The major factors influencing health behavior were found to be alcohol consumption (${\beta}=0.15$, p=0.009), diet (${\beta}=0.16$, p=0.003), vigorous intensity (${\beta}=0.14$, p=0.011), marriage (${\beta}=0.19$, p<0.001), interest in one's own health (${\beta}=0.23$, p<0.001), and health recognition (ill: ${\beta}=0.31$, p<0.001). Alcohol consumption and diet were factors of cardiocerebrovascular knowledge, vigorous intensity was a factor of physical activity practice rate, marriage and interest in one's own health were factors of general characteristics, and health recognition was a factor in health-related characteristics. Health-promotion activity was positively correlated with knowledge regarding cardiocerebrovascular disease prevention (r=0.41, p<0.001) and physical activity practice rate (r=0.44, p<0.001). It will be necessary to develop and apply practical intervention programs based on disease prevention knowledge and physical activity to enhance the health behavior of middle aged women.