• Title/Summary/Keyword: Anxiety-management

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A Study for Coping Strategies and Anxiety of Patients with Chronic Pain in the Oriental Clinic (한의원 내원 만성 통증환자의 통증대처방식 및 불안에 대한 연구)

  • Lee, Kye-Seung;Lee, Seung-Gi
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.123-132
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    • 2008
  • Objective: This clinical research is conducted to find out coping strategies and anxiety of patients with chronic pain, and the correlation between pain coping strategy and anxiety. Method: 50 subjects who came to the local oriental clinic answered the questionnaires about VPMI(Vanderbilt Pain Management Inventory) and SAS(The Self-rating Anxiety Scale). Then we researched the characteristics of pain coping strategies and the correlation. Results: 1. The mean scores of passive coping, active coping, and SAS are 29.62, 17.90, and 38.32 respectively. 2. In the analysis of nonparametric test, the female subjects tend to take more passive coping than the male. The older subjects tend to take less active coping than the younger. Subjects who reported more intense pain tend to take more passive coping. 3. There is significant difference between passive coping and anxiety. Conclusion: Pain coping strategies are related with age, sex, intensity of pain, and anxiety. The therapeutic intervention of decreasing passive coping and increasing active coping may be useful to manage the chronic pain. Further study is needed to find out more adequate inquiries of active coping.

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A Study of Depression, Anxiety, Stress Response and Self-care by Gender in Diabetic Patients (당뇨병 환자의 성별 우울, 불안, 스트레스 반응과 자가관리의 관계연구)

  • Song, Min-Sun;Cho, Young-Im
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.2
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    • pp.145-152
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    • 2006
  • Purpose: The purpose of this study was to investigate the depression, anxiety, stress response and self-care, to analyze the correlation among depression, anxiety, stress response and self-care by gender, and to determine factors associated with self-care in diabetic patients. Method: The subjects of this study were 103 participants with diabetes mellitus. Data were analyzed by chi-square test, t-test, Pearson correlation coefficient and multiple regression analysis by using SAS program. Result: Items for self-care evaluation by gender were significant differences in hospital visit, hypoglycemia preparation, proper hygiene, taking a rest, foot injury check, drinking, and smoking. The female patients are more likely to have higher self-care score than the male patients. However, there were no differences in depression, anxiety and stress response by gender. In male patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In female patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In multiple regression analysis, gender and experienced admission is associated with self-care. Conclusion: We should consider integrated approaches for psychological problems in the management of diabetic patients.

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The Effects of Self-Acceptance, Social Support and Internal Locus of Control on Speech Anxiety in Elementary School Students (초등학생의 자기수용, 사회적 지지, 내적통제성이 발표불안에 미치는 영향)

  • Kim, Yun-Jeon;Park, Boo-Jin
    • Journal of Families and Better Life
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    • v.30 no.1
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    • pp.41-53
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    • 2012
  • The purpose of this study was to determine how elementary school students' self-acceptance, social support and internal locus of control affect their speech anxiety. A questionnaire survey was distributed to 570 fifth and sixth graders attending 4 elementary schools located in Seoul. A total of 534 surveys were completed and were analyzed with SPSS WIN 12.0 including frequency test, t-test, Pearson's correlations analysis, simultaneous multiple regression and hierarchical multiple regression analysis. The findings of this study are summarized as follows. First, among self-acceptance, social support, internal locus of control and speech anxiety, gender affected speech anxiety. Second, speech anxiety was most affected by self-acceptance, followed by social support, internal locus of control and gender in the order of mention. Third, social support had moderating effects on the relationship between self-acceptance and speech anxiety.

Development of the Treatment Algorithm for Panic Disorder(1) - Background, Organization, Principles, Future Plan and Methods of Algorithm Development (공황장애 치료에 대한 한국형 알고리듬 개발(1) - 배경, 조직구성, 알고리듬 개발의 원칙, 개발계획, 개발방법)

  • Lee, Sang-Hyuk;Yu, Bum-Hee;Kim, Chan-Hyung;Yoon, Se-Chang
    • Anxiety and mood
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    • v.3 no.2
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    • pp.77-90
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    • 2007
  • In this special article, we presented the organization of the work group, basic principles of the algorithm, future plan and methods for developing a treatment algorithm for panic disorder in Korea. The psychiatrist work group from the Korean Association of Anxiety Disorders began to develop a treatment algorithm designed to improve the management of Korean patients with panic disorder by incorporating better evaluation techniques and treatment procedures. We have reviewed the treatment guidelines and algorithms for panic disorder published thus far, including the Practice Guideline for the Treatment of Patients with Panic Disorder established by the American Psychiatric Association, the Management of Anxiety (Panic Disorder, with or without Agoraphobia, and Generalized Anxiety Disorder) in Adults in Primary, Secondary and Community Care established by the National Institute for Clinical Excellence, and the Clinical Practice Guidelines established by the Canadian Psychiatric Association. We developed the basic materials to be used in the treatment algorithm for the management of panic disorder in Korea. Therefore, in this special article, we intro-duce the goal of the algorithm and the details of the algorithm development.

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Effects of Online Information Characteristics of Food Service Franchise on Enjoyment, Anxiety, and Visit Intention (외식프랜차이즈 기업의 온라인 정보특성이 즐거움, 불안, 방문의도에 미치는 영향)

  • Kang, Byoung-Seoung;Woo, Sung-Keun;Lee, Shin-Hwa
    • The Korean Journal of Franchise Management
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    • v.10 no.1
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    • pp.7-17
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    • 2019
  • Purpose - Generally, the consumer's decision-making process for restaurant selection is simple and familiar. However, online information becomes important because the decision-making process of consumers becomes complicated in new restaurants and special situations. Because consumers can search for information online, information retrieval is now possible in selecting new restaurants. In particular, consumers often make decisions based on online information when making restaurant reservations. Research design, data, and methodology - All items were measured based on previous studies. The data were collected from customers who had visited the store by visiting the web page of the food service franchise within the last 3 months for the panel of the online survey institute. The questionnaires were surveyed from July 2 to July 11, 2018 for about 10 days. A mail and a message were sent to 2,000 people, and 310 people were asked to complete the questionnaire. Total of 303 data were used in the questionnaire, excluding 7 insufficient data. Results - The findings of this study are as follows: Consensus, vividness, and neutrality have positive effects on enjoyment. Consensus have positive effect on anxiety, but vividness and neutrality did not have significant effect on anxiety. Also, enjoyment has a positive influence on intention to visit, and anxiety has a negative influence on visit intention. Conclusions - First, franchise companies online advertising in a variety of ways, but they are mixed with other customers' WOM and offered to consumers. In this case, the information provided by the company may be distorted. Therefore, a restaurant franchise company needs to operate an official online channel to provide accurate information to its customers. Second, it is necessary to make contents so that other customers can participate in online channels of food service franchise companies. Third, food service franchise company should produce enough online contents to experience indirectly even if the customer does not visit the store directly. Fourth, food service franchise company needs to prepare a way for many customers to participate in many official contents.

An Anxiety, Depressed Mood, and Insomnia in Newly Diagnosed Women Breast Cancer Patients and Thyroid Cancer Patients (처음 진단받은 여성 유방암 환자와 갑상선암 환자에서 나타나는 불안, 우울 및 불면 증상)

  • Park, So-Hyun;Choi, Hee-Yeon;Lim, Weon-Jeong;Moon, Byung-In;Lim, Woo-Sung
    • Korean Journal of Biological Psychiatry
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    • v.24 no.4
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    • pp.204-211
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    • 2017
  • Objectives In this study, we identified the symptoms of insomnia, anxiety, and depressed mood in newly diagnosed women breast and thyroid cancer patients. Methods The subjects of this study were 1794 women patients who visited the Ewha Womans University Cancer Center for Women. They included 1119 newly diagnosed primary breast cancer patients and 675 newly diagnosed primary thyroid cancer patients. The patients completed the National Cancer Center Psychological Symptom Inventory (NCC-PSI) during their first follow-up visit after surgery, before starting chemotherapy or radiotherapy. The NCC-PSI is composed of the modified distress thermometer (MDT) and the modified impact thermometer (MIT) for insomnia, anxiety, and depressed mood. Results Anxiety severity was found to be greater in breast cancer patients than in thyroid cancer patients. Significant levels of anxiety, depressed mood and insomnia were present in 28, 24.5, and 20.7% in all the subjects, respectively. Moreover, anxiety symptoms, depressed mood and insomnia interfered with the daily lives of 20, 18.4, and 14.2% of all the subjects, respectively. Dealing with anxiety (18.8%) was found to need the most help, followed by dealing with insomnia (8.9%) and depressed mood (8.7%). Conclusions A significant level of distress was found in about 40% of the total subjects. Nearly 30% of newly diagnosed breast cancer patients reported significant anxiety symptoms and interferences with daily living caused by anxiety, which most commonly needed special care. Early assessment and management of psychological distress, especially anxiety, in breast and thyroid cancer treatment are very important to establish integrated cancer care.

Investigating the Relationship among Co-Parenting, Maternal Parenting Stress, and Preschoolers' Anxiety and Hyperactivity (부모공동양육 및 어머니의 양육스트레스와 유아의 불안 및 과잉행동 간의 관계)

  • Choi, Mi-Kyung;Doh, Hyun-Sim;Kim, Min-Jung;Shin, Nana
    • Journal of Families and Better Life
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    • v.31 no.2
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    • pp.25-39
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    • 2013
  • The main purpose of this study was to examine the relationship among co-parenting, maternal parenting stress, and preschoolers' anxiety and hyperactivity with a sample of 155 mothers with 3 to 4 year old children (83 boys and 72 girls) living in Seoul. They completed a questionnaire on co-parenting, maternal parenting stress, and preschoolers' anxiety and hyperactivity. The results were analyzed by means of correlations and regressions. Co-parenting was positively correlated with preschoolers' anxiety and hyperactivity but affectionate, integrated co-parenting was negatively correlated with preschoolers' anxiety and hyperactivity. Maternal stress of parental suffering, dysfunctional interaction, and difficult temperament were positively related to preschoolers' anxiety and hyperactivity. Conflicting co-parenting was positively correlated with maternal stress of parental suffering, but affectionate and integrated co-parenting was negatively correlated with maternal stress of parental suffering and difficult temperament. Furthermore, maternal parenting stress mediated the relationship between co-parenting and preschoolers' anxiety and hyperactivity. Especially, maternal stress of parental suffering tended to play a perfectly mediating role between conflicting and integrated co-parenting and preschoolers' anxiety, between conflicting co-parenting and preschoolers' hyperactivity. Maternal stress of difficult temperament tended to play a perfectly mediating role between integrated co-parenting and preschoolers' anxiety and between conflicting co-parenting and preschoolers' hyperactivity. These results clearly indicate that maternal parenting stress plays a crucial role in the levels of preschoolers' anxiety and hyperactivity.

The Effect of Self-Management Intervention for Reducing Depression and Anxiety in Osteoarthritis Patients : A Meta-analysis (골관절염 환자의 우울과 불안 감소를 위한 자가관리중재의 효과: 메타분석)

  • Lee, Chun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.94-102
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    • 2020
  • This study conducted a meta-analysis of the effects of self-management intervention for reducing the depression and anxiety of osteoarthritis patients. The research sources were PubMed, EMBASE, CINAHL, Ovid-MEDLINE and Korean databases from the Korean and foreign literature published until September 30, 2019. The R version 3.5.1 program was used to identify the effectiveness of self-management intervention. As a result, 11 studies from a total of 1,877 articles in the relevant literature were analyzed, and the total number of participants was 2,751. The results showed that the overall effect size for reducing depression and anxiety was -0.44 (95% CI: -0.66, -0.22) in osteoarthritis patients (p <.001). On the sub-analysis, depression was -0.37 (95% CI: -0.66, -0.08), and anxiety was -0.56 (95% CI: -0.92, -0.20). To explain the heterogeneity, the meta-ANOVA was the setting, duration, and provider of intervention. Analysis of the publication bias was performed by a Funnel plot, which was visually relatively symmetrical and was not asymmetric according to Egger's Regression test (bias=0.19, p=.928). The results of this study established clinical evidence by identifying the effects of self-management intervention for reducing the depression and anxiety of osteoarthritis patients.

Sleep Behavior and Sleeplessness in Children (소아 수면 행태와 불면증)

  • Lee, Sung-Hoon
    • Sleep Medicine and Psychophysiology
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    • v.3 no.2
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    • pp.56-64
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    • 1996
  • The sleeplessness in childhood is quite different from that in adulthood in terms of causes, developmental process, and treatment. Sleep behavior in childhood is strongly influenced by parental personality and familial and cultural background. In understanding and management of sleeplessness of children, it is especially important to understand the separation anxiety and the ways of its management in bedtime because bedtime routine with children one of separation process from parents. Co-sleeping, parental intervention, transional object and bedtime routines can be appeared in order to reduce the anxiety from bedtime separation. Causes of sleeplessness in infant and toddler are bad sleep-onset association, nocturnal drinking, colic, and food allergy. In preschool and school aged children, limit-setting sleep problem and fears and nightmare can be causes of sleeplessness. When good sleep environment and habits are established sound sleep and more mature personality can be developed.

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The Effect of Aroma Inhalation Method on Stress Responses of Nursing Students (향기 흡입법이 간호대학생의 스트레스 반응에 미치는 효과)

  • 박미경;이은숙
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.344-351
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    • 2004
  • Purpose: The purpose of this study is to identify the effect of aroma inhalation on stress responses (physical symptoms, levels of anxiety, perceived stresses)of nursing students. Method: This study was a quasi-experimental research using anon-equivalent pre-post design and was conducted from June 1 to June 5, 2002. The subjects consisted of 77 junior nursing students who were divided into 39 experimental group members and 38 control group members. A pretest and Post-test were conducted to measure body symptoms, the level of anxiety, and the level of perceived stress. In the experimental group, aromas were given using an aroma lamp, lavender, peppermint, rosemary and Clary-Sage. In the control group, the treatment was not administered. Result: As a result of administering aroma inhalation to nursing students, their physical symptoms decreased, their anxiety scores were low, and their perceived stress scores were low, showing that aroma inhalation could be a very effective stress management method. Conclusion: Nursing educators should play an important role in contributing to college students' physical and psychological health by helping enhance their recognition of stress management and effectively relieving their stress using essential oils.