• Title/Summary/Keyword: 심리적 불안

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The Road Less Traveled: Path of Life that Ex-offenders' Wives Experiences After Husbands' Release From Prison (아직도 가야 할 길: 출소자의 아내가 경험하는 삶의 도정(道程))

  • DongHun Lee ;Jiyeol Jeon ;Juyeon Kim
    • Korean Journal of Culture and Social Issue
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    • v.22 no.2
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    • pp.223-261
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    • 2016
  • This study examines the experiences of 17 ex-offenders' wives who received housing support by the Korea Rehabilitation Agency using Strauss and Corbin's grounded theory. In open coding, 143 concepts, 43 subcategories, and 16 categories emerged from the data. In axial coding, the causal condition were 'ambivalence of wives who encounter the husbands' release from prison', 'anxiety about the husbands' release from prison and recidivism', and 'trials and tribulations of everyday life after husbands' release from prison'. Central phenomenon was 'precarious livelihood by concealment of imprisonment'. Strategies were 'compromise with reality' and 'support husbands to reentry to the society'. Consequence was 'thanks to life via adversity' and 'the road less traveled.' In process analysis, main theme was 'process towards family resiliency after get over the stigma and family conflicts', and five phases were derived from the data and in selective coding. Based upon the research outcomes, psychological experiences of ex-offenders' wives and the needs for ex-offenders' families resiliency was discussed.

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Associations between Vasomotor Symptoms and Depression, Stress and Quality of Life in Midlife Women (중년여성에서의 혈관운동증상과 우울, 스트레스, 삶의 질과의 상관성)

  • Nam, Yoon-Min;Joe, Sook-Haeng;Kwon, Eun-Joo;Ham, Byung-Joo;Han, Chang-Su;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.146-156
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    • 2016
  • Objectives : The aim of this study was to evaluate the associations between vasomotor symptoms and factors such as sociodemographics, health behaviors, medical condition, depression, stress, anxiety, attitude toward menopause, and quality of life. Methods : We conducted a cross-sectional study in peri- and post-menopausal women enrolled by the Korean Association of Health Promotion. Subjects submitted self-report questionnaires about vasomotor symptoms and other clinical symptoms. Associations between vasomotor symptoms and clinical variables were analyzed using stepwise multiple regression analyses. Results : 1951 women completed self-report questionnaires and 1022 women were enrolled in the study. The prevalence of vasomotor symptoms in peri- and post-menopausal women was 63.9%. Variables showing significant differences between subjects with vasomotor symptoms and subjects without them were score of Beck Depression Inventory, Brief Encounter Psychosocial Instrument-Korean Version, proportions of clinically significant depression(Beck Depression Inventory ${\geq}16$), Menopausal rating scale, attitude towards menopause, the 4 subscales of World Health Organization Quality of Life-BREF(Physical health, psychological, social relationships, environment), and a History of Premenstrual syndrome/Premenstrual dysphoric disorder. Stepwise multiple regression analyses indicated that Beck Depression Inventory, Brief Encounter Psychosocial Instrument-Korean Version, Menopausal Rating Scale, and the Psychological subscale of World Health Organization Quality of Life -BREF show associations with vasomotor symptoms. Conclusions : Menopausal vasomotor symptoms are associated with various psychological factors, especially with depression. Midlife women suffering vasomotor symptoms should therefore be screened for depression. Future prospective studies where clinical subjects are diagnosed using structured interviews, focusing on the causal relationship between depression and vasomotor symptoms are necessary.

A Study on Psychosocial Trait and Mental Health of the Adolescent's Addiction to Cybersex (인터넷 섹스중독 청소년의 심리사회적 특성과 정신건강 연구)

  • Lee, Sang-June
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.341-364
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    • 2003
  • The purpose of this study was to investigate the relationship between adolesccents' cybersexual addiction and psychosocial traits. In addition, the relationship between cybersexual addiction and mental health were examined. For the study, 1,742 students attending middle schools and high schools were surveyed. According to the results of study, first, 1.3% of the adolescents reported the severe degree of cybersexual addiction, 2.3% of them had the moderate degree of addiction, 4.2% of them showed the minor degree. The result indicated that 7.8% of entire adolescents had cybersexual addiction. Second, middle school students showed the highest rate of cybersexual addiction and the students attending general high schools reported the lowest rate. Third, the following groups were likely to have the higher levels of cybersexual addiction; students who were males, had low self-control and less emotional support from the family and friends, and whose parents had marital problems. Fourth, the cybersexually addicted adolescents had experienced more psychological symptoms than general internet users had. Fifth, there was the positive relationship between cybersexual addition and psychological symptoms among adolescents. In particular, cybersexual addiction had the most serious effect on phobic anxiety. Finally, T-score measuring the degree of psychopathological symptoms had the positive relationship with the level of cybersexual addiction among adolescents. Moreover, adolescents who had clinical psychopathology and T-score over 70 showed the various rates from 10.9% to 45.2% in the 9 domains of symptoms.

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Mental Status Change of Patients Receiving Radiation Therapy (방사선치료 시 환자의 심리적 상태의 변화 양상)

  • Yang, Eun-Ju;Lee, Seung-chul;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.11 no.2
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    • pp.123-130
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    • 2017
  • Patients diagnosed with the serious disease of cancer may have anxiety and fear of closed spaces while receiving radiation therapy. This study investigated patients receiving treatment based on Linac and Tomotherapy to look into this anxiety and fear. Study method was survey. The survey was performed according to treatment duration (treatment within 5 minutes, 10 minutes, over 20 minutes, and over 30 minutes). The patients were also surveyed about any experience of changing treatment rooms or machines due to machine failure. A total of 200 survey questionnaires with full answers were researched in this study. As a result, it was found that the less the patients' experience on radiation therapy, the higher their anxiety was. The dominating reason for this result was because the patients expected possible pain during the treatment process. In terms of treatment machine, Linac showed the highest anxiety of all for the openness of its patient stand. The most stable status was found in the case of treatment between 20 minutes and 30 minutes using Tomotherapy. The reason was the coziness of Tomotherapy machine. In the case of receiving the treatment for over 30 minutes, patients felt anxious for the isolation from the outside. The study findings are expected to serve as the necessary data for quality medical service with enhanced patient satisfaction in the clinical field.

A Phenomenological Study on the Self-care of Middle-aged One-person Households (중년 1인 가구의 자기돌봄에 대한 현상학적 연구)

  • Ko, Hyeyun;Kim, Boram;Lee, Sang Min;Lee, Janghee
    • Korean Journal of Culture and Social Issue
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    • v.28 no.2
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    • pp.273-305
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    • 2022
  • The purpose of this study is to understand and explore the essence of the self-care experiences of middle-aged one-person households considering their individual circumstances and situational context. In this study, 10 middle-aged people in one-person households were interviewed. The interview data were analyzed using the phenomenological analysis. In result, middle-aged one-person households considered self-care as 'means to protect themselves', 'preparation for their single life in late adulthood', and 'behavior to feel gratitude and happiness in the present.' Their motives for self-care were 'being aware of their physical aging and possibility of illnesse', 'feeling threatened about their safety', 'sensing that their daily livings may be at a risk', 'absence of a caregiven person who can take care of them', 'maintaining of their psychological health', 'being burned out from busy working schedules', and 'to lessen their own and their family's worries and anxiety.' Their specific ways of self-care were 'physical health care', 'private activities for emotional care', and 'meeting people.' Consequently, the self-care of middle-aged people had a positive impact on their work and relationships, lessened their sense of isolation, and brought comfort to their lives. Based on the results of the study, this study proposed the implications, limitations, and suggestions for further research.

Psychosomatic Symptoms Following COVID-19 Infection (코로나19 감염과 그 이후의 정신신체증상)

  • Sunyoung Park;Shinhye Ryu;Woo Young Im
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.72-78
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    • 2023
  • Objectives : This study aims to identify various psychiatric symptoms and psychosomatic symptoms caused by COVID-19 infection and investigate their long-term impact. Methods : A systematic literature review was conducted, selecting papers from domestic and international databases using keywords such as "COVID-19" and "psychosomatic." A total of 16 papers, including those using structured measurement tools for psychosomatic symptoms, were included in the final analysis. Results : Psychiatric symptoms such as anxiety, depression, and somatic symptoms have been reported in acute COVID-19 infection, while long-term post-COVID symptoms include chest pain and fatigue. The frequency of long-term psychosomatic symptoms has been estimated to be 10%-20%. Factors contributing to these symptoms include psychological and social stress related to infectious diseases, gender, elderly age, a history of psychiatric disorders, and comorbid mental illnesses. It is suggested that systemic inflammation, autoimmune responses, and dysregulation of the autonomic nervous system may be involved. Conclusions : Psychosomatic symptoms arising after COVID-19 infection have a negative impact on quality of life and psychosocial functioning. Understanding and addressing psychiatric aspects are crucial for symptom prevention and treatment.

Psychometric Properties of the Korean Version of 12-Item Obsessive-Compulsive Inventory in Accordance With Obsessive-Compulsive Symptom Dimensions in Individuals With Obsessive-Compulsive Disorder (강박장애 환자에서 강박증상차원에 부합하는 12문항 강박증상목록의 심리측정적 특성)

  • Ho Seok Seo;Mina Choi;Seung Jae Lee
    • Anxiety and mood
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    • v.19 no.1
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    • pp.10-18
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    • 2023
  • Objective : The 18-item Obsessive-Compulsive Inventory-Revised (OCI-R) is widely employed to assess symptoms of obsessive-compulsive disorder (OCD). However, this instrument's factor structure does not align with contemporary dimensional models of OCD. Therefore, the objective of this study was to examine psychometric properties of the 12-item Korean OCI (OCI-12) on four obsessive-compulsive symptom dimensions, in patients with OCD. Methods : A total of 157 patients with OCD and 51 healthy controls completed psychological measures, including the OCI-R, Dimensional Obsessive-Compulsive Scale (DOCS), and scales evaluating anxiety and depressive symptoms. Pychometric characteristics of the OCI-12 with three neutralizing and three hoarding items eliminated from the OCI-R, were analyzed. Results : All OCI-12 items registered excellent internal consistency at 0.83. Confirmatory factor analysis revealed strong association between individual items and their proposed latent factors (i.e., subscales). Convergent validity was appropriate. A high correlation was particularly observed for the DOCS score (r=0.71, p<0 .001). Moreover, the OCI-12 was as sensitive as the OCI-R for determining effects of empirically supported treatment for OCD. Conclusion : The OCI-12 is a 12-item measure that adheres to the prevailing 4-factor model of OCD dimensions. Like OCI-R, it possesses good to excellent psychometric properties, including reliability, validity, and sensitivity to treatment.

Psychosocial Characteristics and Quality of Life in Patients with Functional Gastrointestinal Disorder (기능성위장질환 환자들의 정신사회적 특성과 삶의 질)

  • Lee, Dong-Ho;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.20-28
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    • 2020
  • Objectives : The aim of this study was to compare psychosocial characteristics of the functional gastrointestinal disorders FGID group, non-FGID group, and control group and determine factors affecting the QOL of patients with FGID. Methods : 135 patients diagnosed with FGID were selected. 79 adults had no observable symptoms of FGID (control group) and 88 adults showed symptoms of FGID (non-FGID group). Demographic factors were investigated. The Korean-Beck Depression Inventory-II, Korean-Beck Anxiety Inventory, Korean-Childhood Trauma Questionnaire, Multidimensional Scale of Perceived Social Support, Connor-Davidson Resilience Scale, Patient Health Questionnaire-15 and WHO Quality of Life Assessment Instrument Brief Form were used to assess psychosocial factors. A one-way ANOVA was used to compare differences among groups. Pearson correlation test was performed to analyze the correlation of psychosocial factors and QOL of the FGID group. Further, a hierarchical regression analysis was conducted to determine factors affecting the QOL of the FGID group. Results : Between-group differences were not significant in demographic characteristics. Depression (F=48.75, p<0.001), anxiety (F=14.48, p<0.001), somatization (F=24.42, p<0.001) and childhood trauma (F=12.71, p<0.001) were significantly higher in FGID group than in other groups. Social support (F=39.95, p<0.001) and resilience (F=17.51, p<0.001) were significantly lower in FGID group than in other groups. Resilience (β=0.373, p<0.01) was the most important explanatory variable. The explained variance was 47.2%. Conclusions : Significantly more symptoms of depression, anxiety, childhood trauma, and somatization were observed for the FGID group. This group also had less social support, resilience, and quality of life than the non-FGID and control groups. The key factor for quality of life of the FGID group was resilience.

A Case Study of Neurotic Depression (우울성 신경증 환자의 증례분석과 간호)

  • Lee, So-Woo
    • Journal of Korean Academy of Nursing
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    • v.5 no.2
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    • pp.51-73
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    • 1975
  • 인간은 누구나 자기 인생과정 중 우울한 때를 만날 수 있다. 실로 인생 그 자체가 참을 수 없는 우울의 연속인지도 모른다고 느끼는 사람도 있을 수 있다. 특히 대인관계의 실패나 인생목표의 좌절, 심지어 사소한 사건에서의 실망은 곧 잘 인간에게 여러 가지 감정반응을 일으킨다. 이는 정신건강이 건전한 사람에게는 문제가 될 수 없지만 신경증인 사람에게는 자신의 안정감을 보호하기 위해 현실과 환상의 세계에서 심각한 투쟁을 하고 있다. 그러므로 신경증적인 사람이 자신의 보호에 실패하였을때 불안이나 우울의 정도가 건강한 사람보다 그 농도가 짙게 되어진다고 말할 수 있다. 특히 신경증적 우울은 저하된 자기존중이나 자기의 무가치로 특징지어지며 여러 가지 신체증상도 있고 이러한 증상들은 독립성 강퇴나 죄의식 또는 흥미저하로 이끌어 종극에는 자살을 시도하려는 경향도 나타낸다. 바로 이리한 자살로까지 이끄는 우울의 현상이 저자로 하여금 증례를 찾아 연구해 보겠다는 의욕을 만들게 한 것이다. 이 증례에서 나타난 가정과 결론은 다음과 같다. \circled1 우울반응은 Separation파 loss의 한 반응이다. \circled2 연속된 긴장, 새로운 직장 또는 반복된 실직, 부모의 어린시절의 사별. 창녀생활. 새로운 문화의 적응모국어의 기억상실. 환자의 성격 그리고 환경 등이 우울로 이끌게 한 요인들이다. \circled3 자살은 개인의 양가감정을 나타내는 매우 복잡한 심리학적 반응이다. 즉 그것은 죽고싶은 비관적인 표현일수도 있고 동시에 살고싶은 욕망의 표현일수도 있다.

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Development of Theories on Labor Negotiation: Public Sector (노사협상이론의 새로운 영역과 적용 : 공공부문을 중심으로)

  • Kim, Taigi
    • Journal of Labour Economics
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    • v.24 no.2
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    • pp.197-225
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    • 2001
  • Bargaining theory with asymmetric information is widely accepted to explain labor disputes. Even though it secures theoretical consistency, it needs to be supplemented to explain disputes and negotiation more accurately. This paper shows that it may be assisted by bargaining theories based on the economics of psychology as well as theories on bargaining practices which are popular in other academic fields. The former suggests the occurrence of asymmetric information is related with the perception of the players of bargaining. The latter does they do not exchange offers as the typical theory of bargaining with asymmetric information assumes. When the latter is applied to explain the labor disputes of the public sector, it explains clearly their features and the differences from those of the private sector.

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