• 정신신체의학
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• 제28권2호
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• pp.135-142
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• 2020

연구목적 간호사의 신체화 증상과 스트레스, 우울 및 불안, 정신 증상 위험의 관계를 확인하여 정신신체의학 연구의 임상 근거를 창출하고, 신체화 증상의 의미에 대해 제고하는 것을 목적으로 한다. 방 법 서울시 내 1개 상급종합병원 외과계 중환자실 간호사 70명에게 자가기입형 도구(Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, Symptom Checklist-90-Revision)를 사용하여 수집한 데이터를 분석하였다. 결 과 대상자 중 12.9%가 신체화 증상을 경험하였고 피로, 낮은 에너지, 생리통, 허리 통증이 나타났다. 신체화 증상과 정신적 스트레스 인지의 통계적 관련성은 없었으나 불안한 느낌이나, 자신감의 감소는 신체화 증상의 수준과 관련이 있었다. 신체화 증상이 심한 집단은 우울, 불안을 더 많이 경험하였다. 신체적 피로가 높은 집단은 정신적 스트레스 인지의 통계적 관련성은 없었으나 긴장이나 스트레스를 느끼거나 통제력이 감소되는 경험에 영향을 미쳤다. 신체적 피로 수준의 증가는 불안과는 관련이 없었고 우울을 더 많이 경험하는 것으로 확인되었다. 신체화 수준이 높을수록 정신 증상 중 강박과 적대감이 증가하였다. 선형회귀모형에서 스트레스, 우울, 불안은 신체화 증상을 39.3%, 신체적 피로 증상을 16.1% 설명하였다. 결 론 이 연구의 결과를 바탕으로 우리는 한국 문화에서 신체화 증상의 특징으로 스트레스 인지 증상의 감소, 우울과 불안 경험, 강박 및 적대감의 동반 가능성을 추정할 수 있다. 이 연구에서 신체화와 정신 증상은 인과관계를 확인할 수 없었으나 상호관련성이 관찰되어 향후 중재 전략 마련에 참조할 수 있을 것이다.

• 한국초등수학교육학회지
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• 제14권3호
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• pp.583-613
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• 2010

수학불안은 방치할 경우 수학학습 장애 요인으로 작용할 수 있기에 수학불안 요인을 찾고 그에 알맞은 처치 방안을 고안해내는 것이 중요하다 하겠다. 이에 본 연구는 초등학생의 수학불안 감소를 위한 수학 친화적 활동 프로그램을 개발하고, 개발된 프로그램을 적용시킴으로써 수학불안 감소에 어떠한 효과가 있는지를 연구하였다. 서울시 동대문구 I 초등학교 4학년 한 학급 32명의 학생을 연구 대상으로 하였고, 사전 수학 불안 검사를 통하여 나타난 평균값 보다 높은 수학불안 하위 요인인 시험불안 부모의 태도 시간 부족 이해 학습동기의 수학불안 감소에 중점을 둔 수학 친화적 활동 프로그램을 개발하였는데, 이것은 사전 수학불안 검사 결과와 7차 교육과정 수학과 목표 및 내용 체계, 4-가, 나 수학과 교과서의 내용을 분석하여 심리적 처치(긍정적 사고 훈련)와 비심리적 처치(수학활동)를 복합적으로 구성한 활동지 형태의 프로그램이다. 또한 프로그램을 적용한 후, 조사한 수학불안 검사로부터 전체 학생의 수학불안 하위 요인에 대한 유의미한 감소를 확인할 수 있었다.

• 성인간호학회지
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• 제18권4호
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• pp.564-572
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• 2006

Purpose: The purpose of this study is to examine predictors of anxiety and PTSD in battered women. Method: The data were collected from 555 women who were stratified samples according to 15,000:1 from a target population in Korea from November 18, 2004 to February 18, 2005. The data was analysed using the SPSS program. Results: Predictors of anxiety were self esteem, stress, state anger, social support, trait anger, negotiation, and psychological violence. These variables explained 55.8% of anxiety. Predictors of PTSD were self esteem, state anger, trait anger, psychological violence, stress, and anger-in. These variables explained 43.2% of PTSD. Conclusion: It is considered that the importance of separating the effects of the different types of violence when taking into account its effects on women's mental health. To promote women's mental health, it is needed to develop self esteem improvement programs, and anger and stress management programs.

• ETRI Journal
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• 제38권4호
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• pp.757-766
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• 2016

This study was conducted to examine the usage effects of an augmented reality head-up display (AR-HUD) system on the risk perception and psychological changes of drivers. To do so, we conducted an experiment to collect the driver response times for vehicles and pedestrians as their risk perception behavior, and used a driving behavior determinants questionnaire consisting of Problem Evading, Benefits/Sensation Seeking, Anti-Personal Anxiety, Anti-Personal Angry, and Aggression factors for collecting the psychological characteristics of the drivers. Thirty drivers were randomly assigned into an in-vehicle AR-HUD using group and a control group. As a result, the Anti-Personal Anxiety and Anti-Personal Angry factors were negatively correlated with the response time for the control group. In contrast, these results were not shown for the in-vehicle AR-HUD system using group. These results indicate that the in-vehicle AR-HUD system may partially induce a relaxation of tension or stress for drivers with a high level of interpersonal anxiety. Therefore, the in-vehicle AR-HUD system might contribute to not only the visual safety driving behaviors of drivers, but also to their psychological driving safety with specific characteristics.

• 대한불안의학회지
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• 제15권2호
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• pp.122-126
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• 2019

Objective : Dynamic proteolysis, through the ubiquitin-proteasome system, is an important molecular mechanism for the constant regulation of synaptic plasticity and stress responses in humans. In this study, we examined whether genetic variants in the ubiquitin-specific peptidase (USP) genes were associated with psychological traits of resilience and susceptibility to neuropsychiatric disorders for each gender. Methods : A total of 344 Korean healthy youths (190 males, 154 females) were included in the study. A genotyping of rs2241646 of USP2 and rs346006 of USP46 was performed. The Connor-Davidson Resilience Scale and Brief Fear of Negative Evaluation Scale were administered for measuring trait resilience and social anxiety, respectively. The genetic associations of the USP variants were tested using multiple analyses of covariance with psychological traits as dependent variables after controlling for age in each gender. Results : For USP2 rs2241646, women with the TT genotype showed significantly higher resilience and lower social anxiety, as compared to those carrying the C allele. There were no associations between USP46 rs346005 and the psychological traits in both genders. Conclusions : The present study showed a possible genetic association between the USP2 rs2241646 and stress resilience and trait anxiety in women. The findings suggest that ubiquitin-proteasome system may be related to the resilience and susceptibility to stress-related neuropsychiatric disorders such as anxiety disorders, possibly through the regulation of dynamic proteolysis responses to stress.

• 정신신체의학
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• 제32권1호
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• pp.34-42
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• 2024

Objectives : This study aimed to explore the association between depression and perceived stress, viral anxiety, reassurance-seeking behavior, and poor sleep quality among the general population in Bangladesh, with self-efficacy as a possible mediator. Methods : Data on stress and anxiety during the pandemic in Bangladesh were collected through an online survey from September 16, 2021 to October 4, 2021. Viral anxiety and depression were measured using the Bangla version of Stress and Anxiety to Viral Epidemic-6 (SAVE-6) and Patient Health Questionnaire-9 (PHQ-9), respectively. Self-efficacy was measured by the General Self-efficacy (GSE) scale. Reassurance-seeking behavior related to the coronavirus disease 2019 infection was measured by the Coronavirus Reassurance-Seeking Behaviors Scale (CRBS). Results : The CRBS showed a significant correlation with SAVE-6 (r=0.281, p<0.001) and PHQ-9 (r=0.227, p<0.001). People with higher anxiety, reassurance-seeking behavior, and poor sleep quality had lower self-efficacy, which led to depression. In contrast, perceived stress increased self-efficacy. The psychological factors impacted depression directly as well as indirectly, and self-efficacy mediated the association. Conclusions : Viral anxiety, reassurance-seeking behavior, perceived stress, and poor sleep quality have a close correlation with depression both directly and indirectly. Self-efficacy can be a mediating factor in the association between psychological distress and depression. Viral anxiety, reassurance-seeking behavior, and poor sleep quality reduce self-efficacy. On the other hand, perceived stress can strengthen self-efficacy.

• The Korean Journal of Pain
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• 제27권1호
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• pp.30-34
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• 2014

Background: Myofascial pain dysfunction syndrome (MPDS), otherwise called myofascial pain is one of the most common temporomandibular disorders, which in turn is the most common cause of orofacial pain of non-dental origin. Its etiology is multifactorial and still poorly understood. Psychological factors have been shown to play a role in the etiology. The aim of the study was to evaluate the association between anxiety and salivary cortisol levels in patients with myofascial pain. Methods: Twenty patients suffering from myofascial pain were recruited as the study group. The same number of age and sex matched healthy individuals were taken as the control group. The salivary samples collected between 9-9:15 am from both groups were analyzed for cortisol levels with the competitive enzyme-linked immunosorbent assay method. Anxiety levels of 40 patients were measured using Hamilton's anxiety scale. Results: The mean serum cortisol level of the MPDS group showed a highly significant difference (P < 0.001) from the controls. The mean anxiety scores of the MPDS group showed a highly significant difference (P < 0.001) from the controls. A positive correlation was found between anxiety and the salivary cortisol levels in MPDS patients. Conclusions: These findings suggest that anxiety plays a vital role in the etio-pathogenesis of MPDS; thus, besides pharmacological treatment, psychological support is also needed.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.491-502
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• 2020

본 연구는 중년의 노화불안이 심리적 안녕감에 영향을 미치는 과정에서 인지적 유연성과 주관적 경제수준의 조절된 매개효과를 확인하고자 하였다. 이를 위해 40세~64세의 성인 317(남159명, 여158명)명을 대상으로 온라인설문지를 실시하였으며, 설문기간은 2017년 9월 3일부터 9월 28일까지였다. SPSS 21.0 및 SPSS Macro를 사용하여 상관분석, 회귀분석, 유의성 검정을 하였다. 연구 결과, 첫째, 상관 분석 결과 노화불안, 인지적 유연성, 주관적 경제수준, 심리적 안녕감 간의 유의한 상관이 나타났다. 둘째, 중년의 노화불안과 심리적 안녕감의 관계에서 인지적 유연성이 유의한 부분매개효과(β = .530, p < .001)를 보이는 것으로 나타났다. 셋째, 인지적 유연성과 심리적 안녕감의 관계에서 주관적 경제수준의 조절효과(β = .080, 𝜟R² =.006, p <.05)가 유의한 것으로 나타났다. 넷째, SPSS Macro를 통한 검증 결과, 노화불안과 심리적 안녕감의 관계에서 인지적 유연성과 주관적 경제수준의 조절된 매개효과가 검증되었다. 마지막으로 본 연구의 의의와 제한점, 후속연구에 대한 제언을 논의하였다.

• 대한가정학회지
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• 제48권3호
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• pp.55-69
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• 2010

A college student who exhibited several post traumatic stress disorder (PTSD) symptoms was used as a case study in order to investigate the therapeutic effects of sandplay therapy for PTSD sufferers. In total, 27 sessions of the sandplay treatment program were used to conduct psychological tests before and after the sessions. Any changes in the manner of expressions on the sand box during the treatment, and the results of pre and post psychological tests on aspects of depression, anxiety and interrelationships were analyzed. Overall results showed that the subject exhibited progressive behavioral improvement and signs of recovery. Psychological tests revealed reduced levels of depression and anxiety, and improved interrelationship scores. In conclusion, sandplay therapy does exhibit positive benefits as an effective treatment modality for PTSD in adolescents and young adults.

• 한국치위생학회지
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• 제18권1호
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• pp.77-92
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• 2018

Objectives: The purpose of this study was to review depression and anxiety associated with pain during scaling procedures, and to establish measures for reducing scaling pain encompassing not only physical factors but also psychological aspects of patients. This study also attempts to reduce anxiety through proper patient education prior to scaling procedures. Methods: In Seoul, and Gyeonggi area from July 26, 2017 to August 19, 2017, there were 327 copies of questionnaire data collected, excluding 23 questionnaires with insufficient information such as missing entries. The following inductions were made based on data collected. Results: There are positive correlations between pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, stronger correlation is present between pain and dental anxiety. Depression (${\beta}=0.439$, p<0.001) is the most influential factor associated with pain. Next is dental anxiety (${\beta}=0.292$, p<0.001). Higher the depression and dental anxiety tend to increase pain over scaling procedure. This model is with adjusted explanatory power of 28.2%. Conclusions: The result demonstrates that there is a correlation between scaling pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, depression and dental anxiety were prominent factors in affecting scaling pain. Therefore, considering aforementioned-findings, a dental hygienist's positive attitude may help in reducing the pain of the patient during scaling procedures, by affecting the psychological state of the patient and reduce the anxiety through proper education prior to scaling procedures.