• Title/Summary/Keyword: 인지적 스트레스

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Awareness, Job Stress, Turnover Intention, Safety Management Perception Change of Nurses in a General Hospital -Before and After Medical Institution Certification System- (일개 종합병원 간호사의 의료기관 인증평가 인지, 직무스트레스, 이직의도, 안전관리 인지 변화 -의료기관 인증평가 전·후 비교-)

  • Kim, Mi-Ran;Kim, Myung-Sook
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.385-395
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    • 2019
  • The purpose of this study was to compare the perception of medical institution certification evaluation, job stress, turnover intention, safety management cognition of a general hospital nurse before and after the medical institution certification system. Data were collected from June 1, 2016 to July 17, 2016. The collected data were analyzed by mean, standard deviation, and paired t-test using SPSS 21.0. The results of this study showed that there was no significant difference between before and after certification of medical institution recognition, turnover intention, and safety management awareness, but mean score was high and job stress showed significant difference before and after certification.(t = 2.825, p = <. 005). That is, the job stress was higher than that after the authentication. Therefore, in order to reduce job stress of nurses preparing for certification, active and diverse human and physical support of medical institutions that can reduce work burden is needed.

Cognitive Processing Therapy as a First-line Treatment for Post-Traumatic Stress Disorder (인지처리치료: 외상후 스트레스 장애의 일차 치료)

  • Jin-Hee, Choi;Hyung-Seok, So;Soonjo, Hwang;Ji-Woo, Suk;Hayun, Choi;Seung-Hoon, Lee;EunYoung, Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.80-98
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    • 2022
  • Posttraumatic stress disorder (PTSD) is well known to have a limited response to drug treatment. Many recently published clinical care guidelines recommend trauma-focused psychotherapies such as cognitive processing therapy (CPT) and prolonged exposure therapy (PE) as first-line treatment and medication such as serotonin reuptake inhibitors and venlafaxine as second-line treatment. Current review introduces the session composition and contents of CPT and presents various CPT studies that show therapeutic effect for civilian and veterans/military with PTSD. In order for clinicians to help effectively patients with PTSD, it is necessary to learn and actively use evidence-based trauma-focused psychotherapies including CPT and PE.

The Effect of Social Supports, Psychological Behaviors, and Stress on the Depression Symptoms of College Students -Validation of Casual Model using Covariance Structure Analysis- (대학생의 사회적지지, 심리적 행동특성 및 스트레스가 우울수준에 미치는 영향 -공분산구조분석에 의한 인과모델의 검증-)

  • Park, Ui-Su;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.209-218
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    • 2017
  • This study examined the influence of social support (social support from family, social support from friends), psychological behavioral characteristics (self-esteem, interpersonal dependency, locus of control), and stress on the depression levels of college students. The study subjects were 546 college students in D city. The survey was conducted using a self-administered questionnaire in October 2015. As a result, the depression levels were significantly higher in the group showing lower family and friends' social support, self-esteem, and locus of control, while it was significantly higher in the group showing higher interpersonal dependency and stress. The depression levels of the subjects showed a negative correlation with family and friends' social support, self-esteem, and locus of control, but a positive correlation with interpersonal dependency and stress. Covariance structure analysis revealed an increase in the depression levels of college students when the awareness of the stress source was higher, and when the awareness of social support or psychological behavioral characteristics was lower. These results suggest that the depression levels of college students would be increased when the social support and psychological behavioral characteristics are low, and when stress is high. In particular, it was influenced much more by stress than other factors. Therefore, to decrease the depression levels of college students, it would be necessary to put efforts to understand their main stress sources and then reduce them.

Response Characteristics of Perceived Stress Response Inventory in Patients with Upper Gastrointestinal Disorder (상부 위장관 장애 환자에서의 스트레스반응 지각척도의 반응특성)

  • Suh, Yong-Woo;Cho, In-Hee;Shin, Kwang-Chel;Chung, Yong-Kyoon
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.172-180
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    • 2000
  • Objectives : We investigated the characteristics of perceived stress response and relationship between some variables of gastrointestinal symptoms(esp., dyspepsia) and subscales of perceived stress response inventory(PSRI) in patients with upper gastointestinal disorder when they perceived stress. Methods : 84 patients with upper gastrointestinal disorder(gastritis, gastric ulcer, duodenal ulcer etc.) and 94 normal controls completed the PSRI developed by Korean psychiatrists. The patient group performed the questionnaire including some variables of gastrointestinal symptoms. Results : Internal consistency was statistically significant in all subscales of PSRI. The patient group was significantly higher at total score of PSRI, general somatic symptom subscale score, specific somatic symptom score than control group. As the result of stepwise regression analysis for relationship between some variables of gastrointestinal symptoms ans subscales of PSRI, specific somatic symptom subsclae closely related with illness duration, past illness history and severity of symptom, and the lowered cognitive function & general negative thinking subscale related with the existence of emotional distress. Conclusion : Patients with upper gastrointestinal disorder showed stronger perceived stress response than control group and they experiences somatic symptoms related to autonomic nervous system and/or gastrointestinal symtoms rather than emotional, cognitive, behavioral symtoms when they perceived stress. They also responded to stress as they expeirenced specific somatic symtom when they had long illness duration, past illness history, and high severity of symptom and the existence of emotional distress could develop lowered congnitive function and general negative thinking.

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A Study on the Effects of a Bibliotherapy Program on the Stress Recognition and Reactions of Middle School Students: With a Focus on Picture Books and Paper Craft Art Activities (독서치료 프로그램이 중학생의 스트레스 인지와 반응에 미치는 영향에 관한 연구 - 그림책 조형활동을 중심으로 -)

  • Ryu, Ji-Seon;Cho, Miah
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.25 no.4
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    • pp.129-146
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    • 2014
  • This study aims to present the effects that a bibliotherapy program based on picture books and paper craft art activities had on middle school students' stress recognition and the changes in their reactions. To this end, we adopted an experimental research design model with pre/post-test measurements of stress recognition and reactions using first grade middle school students with emotional difficulties. The results show that a bibliotherapy program based on picture books and paper craft art activities does have significant effects on the stress recognition and reactions of middle school students. The 5 of 5 sub-domains of the stress recognition had significant difference. The sub-domains are: family environment, friends, study, teacher/school. The 6 of 7 sub-domains of the stress reactions except fatigue had significant difference. The sub-domains are: tention, frustration, anger, depression, somatization, aggression.

Relation of Mental Health and Health Risk Behaviors in Korean College Students (대학생의 정신건강과 건강위험행위의 관련성)

  • Kim, Jae-Hee;Park, Kwang-Hi
    • Journal of the Korean Applied Science and Technology
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    • v.34 no.4
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    • pp.1036-1045
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    • 2017
  • This study aimed to investigate the relationship between mental health and health risk behaviors of college students and to verify that depression has mediating effects in the relation between perceived stress and health risk behaviors. Data were obtained from the 2015 Community Health Survey conducted nationally, and the subjects of this study were 8,422 college students ranging in age from 19 to 29. Rao-Scott Chi-square test, logistic regression analysis, and Sobel test were used for data analysis. The results of the study showed that perceived stress, depression, present smoking, binge drinking, and high risk drinking of college students were associated with sex, age, and monthly household income. Smoking, binge drinking and high-risk drinking were affected by perceived stress, and depression was an influence factor of current smoking and binge drinking. Depression showed partial mediating effect between perceived stress and current smoking and between perceived stress and binge drinking. Such results suggest that a comprehensive behavioral health intervention strategy that covers mental health care of college students is necessary.

Effects of Ego Resilience, Cognitive Emotion Regulation Strategies on Mental Health of Nursing Students (간호대학생의 자아탄력성, 인지적 정서조절전략, 학업스트레스가 정신건강에 미치는 영향)

  • Byun, Eun Kyung;Yang, Hyun Joo
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.85-93
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    • 2020
  • This study was conducted to investigate ego resilience, cognitive emotion regulation strategies, academic stress on mental health of nursing students and provide data to increase mental health for nursing students based on the results. This research involved 299 nursing students in B city. The analyzed by the t-test, ANOVA, Pearson's correlation coefficient, multiple regression using SPSS/WIN 22.0. In results of the study, the average of mental health was 3.77±.98. Mental health were positively correlated with ego resilience (r=.450, p<.001), cognitive emotion regulation strategies (r=.408, p<.001), and was negatively correlated with academic stress (r=-.469, p<.001). Regression analysis showed 38.4% of variance in nursing student's the mental health can by experience of dating with age (β=-.171, p=.001), adjustment to college life (β=.223, p<.001), ego resilience (β=.203, p<.001), cognitive emotion regulation strategies (β=.179, p=.001), academic stress (β=-.193, p=.001). The fallow-up survey about various factors influencing nursing student's the mental health increasing program developing are required.

Study on Correlation between Cognitive Impairment and Geriatric Depression or Geriatric Stress (인지기능과 노인성 우울, 노인성 스트레스의 연관성에 대한 연구)

  • Kim, Dae Jin;Cho, Soo-Young;Choi, Jeong Su;Lee, Min Woo;Cho, Eun-Kyung;Kang, Se-hee;Kim, Suhng Wook
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.1
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    • pp.105-113
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    • 2019
  • This study examined the effects of geriatric depression and geriatric stress on cognitive impairment. In particular, the dementia groups were divided into Alzheimer's disease and vascular dementia. A normal group was used as the control group. For each group, the geriatric depression using the geriatric depression scale (GDS) and geriatric stress using the geriatric stress scale (GSS) was compared with the regression and correlation results of cognitive impairment. Statistical tests, such as descriptive statistics, Kruskall-Wallis, correlation analysis, and multiple regression analysis, were performed. For the Alzheimer's group, the GDS and GSS correlated with the cognitive impairment, but only the GDS showed a cause-and-effect relationship with cognitive impairment. In particular, the male group with Alzheimer's disease showed clear confirmation. In addition, geriatric stress was found to be associated with geriatric depression. In conclusion, geriatric depression affects the cognitive impairment directly and geriatric stress affects the cognitive ability indirectly through geriatric depression. In this study, the Alzheimer's disease, vascular dementia, and control groups had a small sample size. Therefore, the external validity in future studies can be increased using a larger sample size for each group.

The Difference of Cognitive Function in Posttraumatic Stress Disorder after Traffic Accident According to Severity of Symptom (교통사고로 인한 외상 후 스트레스 장애에서 증상 정도에 따른 인지기능의 차이)

  • Lee, Jae-Young;Kee, Baik-Seok;Jo, Sun-Dong;Suh, Dong-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.1
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    • pp.36-43
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    • 2003
  • Objectives: The purpose of this study was to evaluate the difference of cognitve function among patients with posttraumatic stress disorder according to severity of symptoms. Methods: The subjects were 90 psychiatric inpatients and outpatients with posttraumatic stress disorer(by DSM-IV criteria) after traffic accident. The severity of symptoms was assessed by MMPI subscales; depression, psychasthenia, schizophrenia. The impairment of cognitive function was assessed by Korean Wechsler Intelligence Scale(K-WAIS). Based on scores of the MMPI subscales, the patients were divided into high group(above 70 percentile) and low group(below 30 percentile). We estimated the difference of the K-WAIS score and subtest score in the low group and high group of the MMPI subscales by indedpendent t-test. Results: The scores of high group is significantly higher in the subtests of information, vocabulary, similarity, picture completion, and picture arrangement than the low group for psychasthenia subscale of MMPI. And the score of high group is significantly higher in full scale I.Q., verbal I.Q., performance I.Q., verbal subscales except digit span and simiarity, and performance subscales than low group for schiozphrenia subscale of MMPI. Conclusion: It was found cognitive function was more impaired in the group of PTSD with severe symptom compared to the group of PTSD with mild symptoms. We suggest that psychiatrist should consider various cognitive approaches as well as pharmacotherapy in the management of PTSD.

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Explaining Variance in Children's Recall of a Stressful Experience: Influence of Cognitive and Emotional Individual Differences (스트레스적 경험에 대한 아동 기억의 신뢰성과 인지 및 정서적 개인차 특성들과의 관계)

  • Seungjin Lee
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.343-365
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    • 2013
  • This study examined the effects of various individual differences on children's memory of a stressful experience. The participants for the current study were children (N=85) aged 4-9 years those who experienced a naturally occurring stressful experience from a dental procedure. There was overall negative relation between the level of stress and children's memory performance. However, more interestingly, the results of this study provided some further evidence that several cognitive (i.e., receptive language ability and working memory capacity) and emotional (i.e., children's general anxiety condition, children's self-report of pain and anxiety about the event) individual difference factors were associated with variations in children's remembering across ages. The results suggest that the relation between stress and children's memory might be impacted in part by children's various individual characteristics. Furthermore, the findings are discussed in the applied context that based on the results clinical and legal professionals can tailor interviews to best meet children's needs and capabilities, and create developmentally and individually sensitive guidelines for interviewing children in the legal system.

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