• Title/Summary/Keyword: 정신적 적응

Search Result 209, Processing Time 0.031 seconds

The Study of the Two-Dimensional Suicidal Type Based on Psychological Autopsy: A Focus on Suicidal Behaviors and Suicidal Risk Factors (한국형 심리부검 기반 이차원적 자살유형 연구: 자살행동과 자살위험요인을 중심으로)

  • Sung-pil Yook;Jonghan Sea
    • Korean Journal of Culture and Social Issue
    • /
    • v.29 no.1
    • /
    • pp.75-99
    • /
    • 2023
  • The current study aimed to explore the suicidal behaviors and risk factors of completed suicides using psychological autopsy and use them as index variables to classify suicidal types. In addition, this study looked into the influential factors that affect each suicidal type. related to suicidal behaviors and suicidal risk factors by psychological autopsy. In addiction, the distinctions among the classes were analyzed. For this, psychological autopsies were conducted on the families and the close ones of 128 completed suicides. Then, the index variables were finally chosen for classifying suicidal types. The selected index variables for suicidal risk factors were mental disorders, suicide/self-harm, significant changes in physical appearance, marital conflict, adjustment and relationship issues at work/school, unemployment/layoff, jobless status and serious financial problems. The selected index variables for suicidal behaviors were expressing their suicidal attempts, writing suicidal notes, asking for help, the time/place/method of suicidal behavior, past suicidal/self-harm experience and the first person who witnessed the suicide. The Latent Class Analysis(LCA) and the 3-step method were used for classifying suicidal types. Then external variables(financial changes, cohabitation, existence of stressors, changes in stress level or relationships and family members with mental disorder/alchohol problems/ physical disorders, and work/school stisfaction) were applied for distinguishing classes. As a result, 5 classes(financial problems, adjustment problems, complex problems, psychiatric problems, and response to event[s]) were revealed on suicidal behaviors and 3 classes(residence- suicidal attempt- found by family, nonresidence- nonsuicidal attempt- found by acquaintances, residence- nonsuicidal attempt- found by family) were presented on suicidal risk factors. External variables such as gender, marital status, cohabitation, changes in relationships significantly differentiated among the 3 classes. Especially, class 3(residence- nonsuicidal attempt- found by family) tended to cohabit with others, were married, and had a significantly high level of interpersonal conflicts. When comparing the 5 classes of suicidal risk factors, auxiliary variables such as economic changes, cohabitation, stress, relationship changes, and family-related problems, and school/work satisfaction significantly differentiated the 5 classes. Especially class 3 (complex problems) experienced comparatively less family-related problems, but showed an aggravating level of personal stress. Suicial prevention strategies should be provided considering the characteristics of each class and the influential factors.

Effects of College Life Characteristics on Depression, Anxiety, and Somatic Symptoms among Freshmen (대학생활 특성이 대학 신입생의 우울, 불안 및 신체증상에 미치는 영향)

  • Park, Mijeong;Choi, Jihea;Lee, Eun Young;Park, Miyoung
    • The Journal of the Korea Contents Association
    • /
    • v.14 no.1
    • /
    • pp.346-355
    • /
    • 2014
  • The study was undertaken to identify college freshmen' depression, anxiety, and somatic symptoms and clarify college life characteristics influencing it. The study was a descriptive study with 300 freshmen from H university. Data were collected from April 22 to 26, 2013 using a structured self-report questionnaire. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. As a result, first, the mean scores of the subjects were 2.33 in depression, 1.94 in anxiety, and 1.63 in somatic symptoms. Their depression, anxiety and somatic symptoms were higher as their sex and perceived self-efficacy. Second, college life characteristics explained 46.1% of variance in depression and 26.3% of variance in anxiety. college life characteristics, depression and anxiety explained 35.8% of variance in somatic symptoms among freshmen. These results will be used for developing programs to increase mental and physical health and to adapt in college life for freshmen.

The Effects of Anxious Attachment on Depression among College Students: Mediation Effect of Self-Absorption (대학생의 애착불안이 우울에 미치는 영향: 자기몰입의 매개효과)

  • Kim, Eun Young;Lee, Jieun
    • Journal of Digital Convergence
    • /
    • v.18 no.7
    • /
    • pp.255-263
    • /
    • 2020
  • According to the notion that anxious attachment may not explain depression fully, there has been abundant studies investigating the mediating factors affecting the relationship between anxious attachment and depression. However, there was no previous study examining the mediating effect of self-absorption. Therefore, the present study examined the mediating effect of self-absorption on the relationships between adult anxious attachment and depression for 283 college students. To examine relationships among variables, structural equation modeling analysis was utilized. and the present study found a partial mediation effect of self-absorption in the relationship between anxious attachment and depression. This result suggests that anxious attachment influences attentional process and as a result, the maladoptive self-focused attention can precipitate depression. Current findings can contribute to the field by providing knowledge about risk factors and cognitive mediators affecting mental health of college students who are in "transitional period" in their life. Future studies can investigate interactions among risk, protective, and mediating factors affecting the relationship between anxious attachment and depression among college students.

Resilience and Characteristics of Sleep and Defense among Shift Work Nurses (교대근무자의 회복력과 수면 및 방어 특성)

  • Lee, So-Jin;Park, Chul-Soo;Kim, Bong-Jo;Lee, Cheol-Soon;Cha, Boseok;Lee, Dongyun;Seo, Ji-Yeong
    • Sleep Medicine and Psychophysiology
    • /
    • v.21 no.2
    • /
    • pp.74-79
    • /
    • 2014
  • Objectives: Shift work is a stressful situation. It is important to know the factors associated with the ability to adapt to a shift work schedule. The aim of the present study was to investigate the association between sleep, as well as personality variables, and the resilience of shift work nurses. Method: Self-report questionnaires were administered to 95 nurses who worked in one national university hospital. Connor-Davidson resilience scale, hospital anxiety and depression scale, morningness-eveningness scale, Pittsburgh sleep quality index, other sleep-related questionnaires, and Korean defense style questionnaires were used. Results: Age, shift work duration, off-day oversleep, depression, anxiety, adaptive defense style, and self-suppressive defense style were significantly associated with resilience (p < 0.05). Multiple regression analysis showed that age (${\beta}=0.34$, p < 0.05), depression (${\beta}=-0.25$, p < 0.05), adaptive defense style (${\beta}=0.45$, p < 0.001), and self-suppressive defense style (${\beta}=-0.19$, p < 0.05) significantly predicted the resilience of shift work nurses. Concerning individual defense mechanisms, resignation (${\beta}=-0.20$, p < 0.05), sublimation (${\beta}=0.19$, p < 0.05), omnipotence (${\beta}=0.19$, p < 0.05), and humor (${\beta}=0.20$, p < 0.05) significantly predicted the resiliency. Conclusion: The findings indicate that a specific defense style and other mechanisms were associated with the resilience of shift work nurses. A future prospective study with more participants could further clarify the relationship between sleep-related variables, as well as personality factors, and resilience of shift work nurses.

Nurses Attitudes toward Death, Coping with Death and Understanding and Performance Regarding EOL Care: Focus on Nurses at ED, ICU and Oncology Department (임종 다빈도 부서 간호사의 죽음에 대한 태도 및 대처정도와 생애 말기환자 간호와의 관계 - 응급실, 중환자실, 종양내과 병동 간호사를 중심으로)

  • Seo, Min-Jeong;Kim, Jung Yeon;Kim, Sanghee;Lee, Tae Wha
    • Journal of Hospice and Palliative Care
    • /
    • v.16 no.2
    • /
    • pp.108-117
    • /
    • 2013
  • Purpose: The objectives of this study were to 1) explore nurses' attitudes toward death, coping with death, understanding and performance regarding end-of-life (EOL) care, 2) describe correlations among the above factors, and 3) determine the factors affecting nurses' EOL care performance. Methods: Study participants were 187 nurses stationed at departments that post higher mortality than others such as the oncology department, intensive care unit (ICU) and emergency department (ED). Data were collected from three urban university-affiliated hospitals. Multi-dimensional measure was performed for study instruments such as "attitude toward death", "coping with death" and "understanding and performance regarding EOL care". Data were analyzed by using descriptive statistics, correlation, and multiple regressions. Results: First, nurses showed significantly different attitudes toward death by age, religion, work unit and EOL care education. Younger nurses tend to score low on the understanding of EOL care, and ED nurses' score was lower than their peers at the oncology department and ICU. Second, EOL care performance was positively correlated with attitude toward death (P<0.001), coping with death (P=0.003) and understanding of EOL care (P<0.001). Third, nurses' EOL care performance was affected by work unit (P<0.001) and understanding of EOL care (P<0.001). Conclusion: Because nurses' performance was influenced by their work unit and understanding of EOL care, they should be provided with appropriate training to improve their understanding of death and EOL care according to work unit.

A Study on the Quality of life and Posttraumatic growth among North Korean refugees (북한이탈주민의 삶의 질이 외상 경험 이후 심리적 성장에 미치는 영향)

  • Kim, Hyun-Kyoung;Jeon, Woo-Taek
    • Korean Journal of Social Welfare Studies
    • /
    • v.40 no.2
    • /
    • pp.363-397
    • /
    • 2009
  • The purpose of this study was to find out correlation and predictors of posttraumatic growth of North Korean refugees in South Korea in 7years. This survey was conducted on 105 North Korean refugees in 7 years with questions on socio-demographic characteristics, personal & social variables, psychological trauma in North Korea and stress experience in South Korea. The influence of these variables was analysed. Result indicated that hope for future, perceived satisfaction, and acculturative stress had influence on the total quality of life in the South. And total quality of life affected PTG, especially emotional factors of quality of life during the early 3years living in the South affected PTG.. Additionally not only emotional but also social factors of quality of life also affected PTG with North Korean refugees in the South in 7 years. Finally, social and mental health service programs for North Krean refugees was discussed.

Effects of the Mental Health Promotion Program based on Positive Psychology for Adolescents with Problem Behavior (문제행동 청소년을 위한 긍정심리학 기반 정신건강증진 프로그램의 효과)

  • Hyun, Myung Sun;Yun, Mi-kyung;Jung, Sun-mi;Son, Jung-A;Park, Eunyoung
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.23 no.1
    • /
    • pp.5-14
    • /
    • 2017
  • Purpose: The purpose of this study was to examine the effects of the mental health promotion program based on Positive Psychology for adolescents with problem behavior. Methods: The study used a nonequivalent control group pretest-posttest design. Eligible participants were first grade students in two high schools in K Province. The inclusion criteria for the study were those with scores in the upper 15% on the Korean Youth Self-Report. A total of 74 participants were assigned to an 8-session program (n=38) or to a control (n=36) group. The outcome variables were psychological well-being, depression, and self-esteem. Results: There were no statistically significant differences in demographic variables or outcome variables, except self-esteem, between the two groups at the baseline. The experimental group had higher mean scores on psychological well-being and self-esteem and a lower mean score on depression. There were significant differences in psychological well-being (t=3.45, p=.001), self-esteem (F=5.45, p=.022), and depression (t=-2.80, p=.007) between the two groups. Conclusion: The mental health promotion program based on Positive Psychology was effective in decreasing depression as well as improving psychological well-being and self-esteem for adolescents with problem behavior. This study contributes to suggesting a framework for promoting mental health for high school students with problem behavior.

A Longitudinal Study about Relationship between Somatic Symptom and Depression of Adolescents (청소년의 신체화 증상과 우울의 관계에 관한 종단연구)

  • Park, So-Youn
    • Journal of Digital Convergence
    • /
    • v.19 no.7
    • /
    • pp.409-417
    • /
    • 2021
  • The purpose of this study is to find out how individual, family, and school factors influence adolescents' depression, and to explore the long-term influence between somatic symptom and depression. To do this, data from two points of the 4th wave (year of 2013) and the 6th wave (year of 2015) of the first-year middle school panel survey (KCYPS) were used and structural equation model analysis was conducted on 1,668 adolescents. As for results, frist, in terms of individual factors, gender, physical health status, and self-resilience significantly affected depression in adolescents. Second, among school factors, learning activities and peer relationship significantly affected depression in adolescents. Third, somatic symptom and depression had effects and auto-regressive effects over time. Based on these results, the prevention and intervention measures for somatic symptom and depression of adolescents were discussed. Future study is needed include varaiables of parental mental health that affect depression in adolescents.

Jet Lag and Circadian Rhythms (비행시차와 일중리듬)

  • Kim, Leen
    • Sleep Medicine and Psychophysiology
    • /
    • v.4 no.1
    • /
    • pp.57-65
    • /
    • 1997
  • As jet lag of modern travel continues to spread, there has been an exponential growth in popular explanations of jet lag and recommendations for curing it. Some of this attention are misdirected, and many of those suggested solutions are misinformed. The author reviewed the basic science of jet lag and its practical outcome. The jet lag symptoms stemed from several factors, including high-altitude flying, lag effect, and sleep loss before departure and on the aircraft, especially during night flight. Jet lag has three major components; including external de synchronization, internal desynchronization, and sleep loss. Although external de synchronization is the major culprit, it is not at all uncommon for travelers to experience difficulty falling asleep or remaining asleep because of gastrointestinal distress, uncooperative bladders, or nagging headaches. Such unwanted intrusions most likely to reflect the general influence of internal desynchronization. From the free-running subjects, the data has revealed that sleep tendency, sleepiness, the spontaneous duration of sleep, and REM sleep propensity, each varied markedly with the endogenous circadian phase of the temperature cycle, despite the facts that the average period of the sleep-wake cycle is different from that of the temperature cycle under these conditions. However, whereas the first ocurrence of slow wave sleep is usually associated with a fall in temperature, the amount of SWS is determined primarily by the length of prior wakefulness and not by circadian phase. Another factor to be considered for flight in either direction is the amount of prior sleep loss or time awake. An increase in sleep loss or time awake would be expected to reduce initial sleep latency and enhance the amount of SWS. By combining what we now know about the circadian characteristics of sleep and homeostatic process, many of the diverse findings about sleep after transmeridian flight can be explained. The severity of jet lag is directly related to two major variables that determine the reaction of the circadian system to any transmeridian flight, eg., the direction of flight, and the number of time zones crossed. Remaining factor is individual differences in resynchmization. After a long flight, the circadian timing system and homeostatic process can combine with each other to produce a considerable reduction in well-being. The author suggested that by being exposed to local zeit-gebers and by being awake sufficient to get sleep until the night, sleep improves rapidly with resynchronization following time zone change.

  • PDF

The Aspects of Change of Sijo (시조의 변이 양상)

  • Kang Myeoung-Hye
    • Sijohaknonchong
    • /
    • v.24
    • /
    • pp.5-46
    • /
    • 2006
  • Korean verse has flexibly changed its form and contents according to the historical background of the times. This fact arouses reader sympathy because it has reflected ideas, historical aspects and realities of the times. However, korean verse has kept its own characteristics in some ways, allowing it to exist today. It holds its form as 3 verses of three by three or four meter and three letters of the last of three verses. It makes every different version which has specific aspects of each times in the same 'sijo' area. 'Sijo' in Korean poems, is the first form that has been changed from formal to private functionally. As a result of that common verses in the Goryeo to Joseon eras were going with the stream of the times. Verse was the plate for justice so that there was no double meaning, symbols, or technical sentences. It had to show the idea of Myungchundo Jwonginryun. The theme was commonly fitted within certain areas. such as blessings, fidelity, devotion, etc. Around the end of the Joseon era, there was activation of private verses - a form of sijo with no restrictions on the length of the first two verses. Some ideas had been changed because Sarimpa gained power, domestic conflict, and the introduction of practical science. These things had an effect on the form of Sijo. After all, it shows the ideas of collapsing feudalism, resistance of confucian ideas, equality of the sexes, and opposition to the group who rule the government. Thus Sasul Sijo seems to have the tendency of resistance to reality. It was a specialty of realism poetry It explained our life in detail and reflected real life by being an intermediary of realism. This met and represented the demand of a reader's expectations. After 1905, there was new form of sijo that is very different, in form and content, from the previous versions. It was even different in areas of what people accepted. They started to think sijo was not the form of lyrical verse that is once was. It became a 'record of reading'. The form changed to 'hung or huhung' that satirized the times and the ending of a word in the last verse. Although this form could deliver the tension in statement, it was too iu from the original form. Therefore, it didn't last long, and its position got smaller because of the free verse that had western influence and was emerging in the times. In the middle of 1920, there was a movement of Sijo revival. It was lead by Choinamsun. He wrote poems and Sijo which were effected by western ideas in his early works. Although he worked with that, he took the lead in the movement of Sijo revival. He published the collection of Sijo $\ulcorner$Baekpalbunnwoi$\lrcorner$ that has one major theme-patriotic sentiment. He thought an ancient poem was a part of racial characteristics so that he expressed the main theme which represented the times and situations of his era. Modern Sijo is difficult. Sijo has to have modern and Korean verse characteristics at the same time. If it considers a modern aspect too much, it could not be distinguished from sijo and free verse. If it overly leans toward Sijo. it would seem to be too conservative which it then could be said to have no real charm of a poem. In spite of these problems, it is written constantly, because it has its own specialty. It has been focused on some works because they reflect awareness of modern times, the democratic idea, and realism. Overall, the authors of Modern Sijo express various themes by using different forms. The more what we can guess in this work, Sijo will exist permanently because of its flexibility. Furthermore, one special characteristic-flexibility of the korean verse will make it last forever and it will be a genre in Korean poetry.

  • PDF