• Title/Summary/Keyword: 정신적 스트레스

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Psychosomatic Integrative Care for Psychosocial Distress of Patients With Breast Cancer (유방암 환자의 정신사회적 디스트레스에 대한 정신신체의학적 통합치료)

  • Yang, Chan-Mo;Jang, Seung-Ho;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.77-85
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    • 2021
  • Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

The Convergence Study on the Relationship between the Job Stress and Mental Health of Nurses (간호사의 직무 스트레스와 정신건강 관련성에 대한 융합적 연구)

  • Kim, Mi-Jin;Kang, Gyun-Young
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.39-47
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    • 2015
  • This study was to explore the relationship between the job stress and mental health of nurses. The participants were 291 nurses from two general hospitals in C city. Job stress, mental health, and general characteristics of nurses were measured. The data were collected from April 7 to 30, 2015. The collected data was analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. The mean score for job stress was 61.96 point and 92.45 for mental health. The mean scores for job stress were significantly different by age and turnover experience in nurses. Job stress was positively correlated with mental health(r=.233, p=.000). The findings indicate that job stress has an influence on mental health. We'd like to provide basic data on developing convergence programs to prevent and intervene job stress considering nurses' mental health problems in nursing service that is rapidly changing and specialized for the convergence generation.

A Study of Stress Situation Analysis Using Multi-Index (멀티지수를 이용한 스트레스 상황 분석)

  • Lee, Seung-Jae;Kim, Young-Kil;Han, Seung-Heon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.05a
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    • pp.394-397
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    • 2008
  • We always live with stress. Stress is caused by physical pain, mental pain, discouragement, pressure and so like physical things and psychological things on in our life. Therefore this paper propose algorithm to know degree of stress. In this paper, value used by any instrument is not put but psychological stress and physiological stress are mixed by multi-index for to express degree of stress to relative value.

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Change of Heart Rate Variability in Depressive Disorder after Physical or Psychological Stress (우울장애 환자에서 육체적 및 정신적 스트레스 시 심박변이도의 변화)

  • Lee, Jong-Hwa;Yu, Jaehak;Ryu, Seung-Ho;Ha, Ji-Hyeon;Jeon, Hong-Jun;Park, Doo-Heum
    • Sleep Medicine and Psychophysiology
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    • v.25 no.1
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    • pp.15-20
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    • 2018
  • Objectives: This study was designed to assess the change of heart rate variability (HRV) at resting, upright, and psychological stress states in depressive disorder patients. Methods: HRV was measured at resting, upright, and psychological stress states in 62 depressive disorder patients. We used visual analogue scale (VAS) score to assess tension and stress severity. Beck depression inventory (BDI) and state trait anxiety inventories I and II (STAI-I and II) were used to assess depression and anxiety severity, respectively. Differences between HRV indices and VAS score were evaluated using paired t-tests. Gender difference analysis was conducted with ANCOVA. Results: SDNN (standard deviation of normal to normal intervals), LF/HF (low frequency/high frequency), and VLF (very low frequency) were significantly increased, while NN50 and pNN50 were significantly decreased in the upright position compared to resting state. SDNN, RMSSD (root mean square of the differences of successive normal to normal intervals), and VLF were significantly increased, while pNN50 was significantly decreased in the psychological stress state compared to resting state. SDNN, NN50, and pNN50 were significantly lower in an upright position compared to a state of psychological stress, and LF, HF, and LF/HF showed no significant differences Conclusion: The LF/HF ratio was significantly increased after physical stress in depressive disorder. However, the LF/HF ratio was not significantly increased after psychological stress, and the change in LF/HF ratio after physical stress and psychological stress did not significantly differ from each other. Significant increase in SDNN, NN50, and pNN50 in an upright posture compared to psychological stress suggests that depressive patients react more sensitively to physical stress than psychological stress.

스트레스

  • Han, Chang-Su;Jeon, Hyeon-Du
    • 건강소식
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    • v.30 no.10 s.335
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    • pp.6-11
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    • 2006
  • 현대 사회를 살아가는 사람들은 각종 스트레스에 노출되어 있다. 불안한 미래와 과다한 업무, 가족 간의 불화, 각종 사회적 위험요소가 팽배한 현실에서 현대인들이 받은 스트레스는 회피할 수도, 저항할 수도 없는 삶의 과정에서 자연스럽게 나타나는 것이다. 심한 스트레스는 우리의 정신적인 안정을 깨뜨리고 불안감과 긴장감을 유발한다. 스트레스는 정신건강을 해치는 주범이 되기도 하지만 그렇다고 스트레스가 모두 다 해로운 것만은 아니다. 스트레스는 어려움을 극복하게 하고, 목표를 성취하도록 힘을 주며, 동기를 유발시키고 삶의 활력을 불어넣기도 한다. 따라서 건설적일 수도 있고, 파괴적일 수도 있는 스트레스를 어떻게 다루는가에 따라 우리의 건강과 행복을 크게 영향을 받게 된다. 이번 10월호에서는 고디 안산병원 한창수 교수와 한국 심리적성센터 전현두 원장의 도움말로 스트레스에 관해 자세히 알아본다.

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Relationship between Acculturative Stress and Mental Health of Multicultural Youths - Focused on the Mediating Effect of Social Support - (다문화 청소년의 문화적응 스트레스와 정신건강의 관계 -사회적 지지 매개 효과 중심으로-)

  • Jang, Seon-Ah;Go, Jeonghun
    • The Journal of the Korea Contents Association
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    • v.21 no.1
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    • pp.662-673
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    • 2021
  • This study is to investigate the mediating effects of social support on the relationship between acculturative stress and mental health of multicultural youth. The results of the study were as follows: 1.573 of the 4th(middle 1) to 6th(middle 3) of the multicultural youth panel were analyzed by AMOS 22.0. First, the acculturation stress of multicultural youths had a positive effect on mental health. Second, acculturation stress of multicultural youths had a negative effect on social support. Third, social support of multicultural youths had a negative effect on mental health. Fourth, social support of multicultural youths had a mediating effect on the effect of acculturation stress on mental health. This result shows that the stress of multicultural youths in the process of adapting to the dual culture negatively affects social support, and this social support has a positive effect on the mental health of multicultural youths.

Influence of Marital Intimacy, Family Support, and Fatigue on the Stress of Pregnant Woman (임부 스트레스에 부부친밀도, 가족지지 및 피로가 미치는 영향)

  • Kim, Miok;Yu, Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2179-2188
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    • 2014
  • During pregnancy, the woman experiences physical and psycho-social changes. Such changes and other factors may become stress for the pregnant woman, making it difficult to maintain healthy and happy pregnant period. In this study, we identify factors for the stress, marital intimacy, family support, and fatigue, in order to provide the foundation for developing intervention programs and improve the quality of nursing. The subjects of there search were 185 pregnant women. Stress had a negative correlation with marital intimacy and family support, and positive correlation with fatigue. Family support, fatigue, adjustment to change due to pregnant, and breastfeeding experience were the influencing factors on the stress of pregnant women. A stress management program for pregnant women needs to be designed to help them with their physical and psychological adjustments. The program will be more effective when accompanied by the family support.

Effects of the Marriage Migrant Women's Discriminatory Experience on the Physical and Mental Health (결혼이주여성의 차별경험이 신체적, 정신적 건강에 미치는 영향)

  • Ryu, Han Su
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.345-356
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    • 2016
  • This study analysed the relationship between the discrimination that international marriage migrant women experience and various self-reported health indicators. The participants included 545 international marriage migrant women who responded to a self-questionnaire that was handed out to them at multicultural family support centers they attended in the C area. We designed this causal model to examine the relationship between the discrimination that international marriage migrant women feel they experience and their mental and physical health. Results of the study are as follows. First, the fit indices were found to be $x^2$(df)=236.403(76), CFI=.945, RMSEA=.077. These were statistically acceptable levels. In addition, perceived discrimination produces significantly heightened stress and negative effects on mental and physical health among immigrant women. Therefore, discrimination may constitute a risk factor for the health of immigrant women and could be the fact that explains health inequalities among immigrant populations in Korean society. These results suggest the need to find ways to reduce discrimination within Korean society as it becomes a multicultural society rapidly.

고위험 공무직군의 직무스트레스 연구동향 및 과제: 경찰관, 소방관을 중심으로

  • Byeon, Sang-Hae;Yu, Sang-Hyeon
    • 한국벤처창업학회:학술대회논문집
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    • 2018.04a
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    • pp.143-147
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    • 2018
  • 직무스트레스를 이해하기 위해 많은 선행연구가 있어왔다. 특히 고위험 공무직군의 직무스트레스는 다양한 정신건강에 영향을 미쳐오고 있는 만큼 연구된 내용을 이해할 필요가 있다. 선행연구내용을 경찰관과 소방관을 중심으로 분류하고 적용된 직무스트레스 모델과 척도를 분석하였다. 분석된 논문에서 직무스트레스가 영향을 주고 있는 정신장애를 확인하고, 직무스트레스와 정신장애 간의 영향을 조절할 수 있는 조절변인들을 확인하였다. 직무스트레스 모델과 척도는 JCQ, ERI, NIOSH 모델을 바탕으로, 척도는 KOSS(52%)가 가장 많았다. 또한 직무스트레스가 영향을 주는 요인들로는 직무태도(62%)로 가장 많았으며, 우울(19%)로 나타났다. 직무스트레스를 조절하는 변인으로 직무만족(20%), 사회적지지(19%), 직무특성(15%)로 나타났다. 논의에서는 연구의 한계와 직무스트레스가 영향을 주는 정신장애와 조절변인들을 분석하는 것을 통해서 이후 연구에 나아갈 방향을 제시하였다.

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