• Title/Summary/Keyword: Psychological anxiety

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Total Pain of Patient with Terminal Cancer (말기 암환자의 총체적 고통)

  • Lee, Won-Hee
    • Journal of Hospice and Palliative Care
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    • v.3 no.1
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    • pp.60-73
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    • 2000
  • Purpose : The purpose of this study was to describe a total pain model in patients with terminal cancer and to identify factors relating to total pain using the Twycross Pain Management Model, which included physical, psycho-social and spiritual pain. Method : The study was a retrospective descriptive study. The first stage included 87 patients who received hospice service at Y hospital in 1997. The second stage included five model patients who suffer severe pain as selected by the four hospice nurses. Data collection was from 1) chart analysis and 2) in-depth interviews with the hospice nurses about their selected patients. Data analysis was performed using SPSS-WIN and content analysis. Result : 1) The main problems of 3 patient with terminal cancer were pain(77%), constipation (25.3%), family coping(35.6%), psycho-spiritual distress(17.2%)and other symptoms. 2. The Twycross model was a useful model. However, new items were added; loneliness, depression, and no improvement in condition as depression factors. In anger, new items were anger due to family neglect, at God and in relationships. The case studies identified the followsing; 1) Patient suffer from physical pain as well as multiple other symptoms when cancer is advanced. 2) Body concept, role change, threat to self concept, fear of pain, fear of death, anxiety, family conflict, financial burden, spiritual distress, hope for a cure, are all affected. Conclusion : 1) It is believed that the Twycross model is useful but further tests and revisions are necessary for deciding priorities in the care plan. 2) Pain management must improve culturally appropriate and family support, psychological, spiritual care are imperative for patient with terminal cancer. 3) Further study is recommended to test correlations of depression, anxiety, spiritual distress and family coping using valid instruments. A qualitative study on the spiritual journey of the patient with terminal cancer is also recommended.

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Study on the Perceived Stress Level of Mothers in Neonatal Intensive Care Unit (NICU에 입원한 미숙아 어머니의 스트레스)

  • Kim, Tae-Im
    • Journal of Haehwa Medicine
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    • v.8 no.1
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    • pp.865-878
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    • 1999
  • With advances in neonatal medicine, smaller and sicker infants are surviving premature birth. As these tiny patients battle for their lives, their parents also struggle with psychological consequences of an unexpected role. The birth of a sick infants has long been documented as stressful events for the parents. High stress levels may alter parents' interaction with their baby and impair their communication with health professionals, which can in turn affect parents' participation in care planning and decision making. Nursing interventions aimed at reducing the parental stress and anxiety levels during this crisis may have a positive impact on their ability to form an attatchment to their baby and make prudent decisions about his care. The planning of such interventions would be inhanced if the contributions of various factors to increased parental stress levels were identified. This descriptive study was conducted to understand the contents and degree of parental stress in the NICU during their premature's hospitalization, and to give a baseline data in developing nursing intervention program. Subjects were the 60 mother of hospitalized newborn in NICU of 2 University Hospital in Taejon City from April 1st, 1999 to June 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales:NICU(PSS:NICU) developed by Miles et al.. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressfu1"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's ${\alpha}$ coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers of premature baby was slightly high($3.66{\pm}1.1$). The highest scored dimension was 'relationship with their baby and parental role change'($4.21{\pm}0.9$), and next were 'appearance and behavior of the baby'($3.92{\pm}1.1$), 'communication with health team'($3.32{\pm}1.3$), 'sight and sounds of NICU'($3.30{\pm}1.1$). 2. There were statistically significant correlation noted ; mother's perceived severity of the baby's condition(F=8.0012, P= .0125) and baby's gestational age(r = -.4724, P = .0500). In summary, information about physical environment of NICU, the mother's perceived severity of premature baby's state, maternal role change related variables and the knowledge of characteristics of premature baby must be included in nursing intervention program of mother's of premature baby in reducing the parental stress and anxiety level. It is suggested that each NICU needs to develop a nurse managed supportive care program for parents of premature baby. Also, it is suggested that there need to investigate the coping mechanism of mother of premature baby.

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Two-Year Follow Up Study of Change in Satisfaction Level and Mental Health among North Korean Defectors (북한이탈주민의 삶의 만족도와 정신 건강 실태 변화에 대한 2년간 추적 연구)

  • Lee, Hye Rin;An, Ji Hyun;Yoon, Se Chang;Jeong, Seo Hyun;Chang, Hye In;Hong, Jin Pyo
    • Anxiety and mood
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    • v.15 no.2
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    • pp.109-114
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    • 2019
  • Objective : The purpose of this study was to investigate changes in the satisfaction levels and mental health among North Korean defectors over two years. Methods : At the beginning of the study, the subjects were comprised of 300 North Korean defectors registered with a regional adaptation center (the Hana Center) in South Korea. Participants reported self-questionnaires including socio-demographic variables and self-rating scales for satisfaction levels, depression symptoms, trauma-related symptoms, resilience and alcohol use behavior. In the follow up study after two years, 189 North Korean defectors participated in an online survey, responding to the same questionnaires as at baseline. Results : The self-rated scores for satisfaction with one's overall life (p=0.008), sense of autonomy (p=0.001), sense of physical health (p<0.001), and expected life satisfaction five years later (p<0.001) had all decreased significantly at follow-up after two years. Depression symptoms (p<0.01) and trauma-related symptoms (p<0.001) increased significantly over two years, and the resilience score (p<0.01) decreased significantly during the same period. No significant differences in alcohol use behavior (p=0.059) were observed at follow-up. Conclusion : Satisfaction levels among North Korean defectors gradually decreased over the follow-up period, and this may be due to the difficulties encountered in the process of assimilating to daily life in South Korea. Economic, medical, and psychological support is needed for successful assimilation of North Korean defectors.

The Moderating Effect of Self-Awareness on the Relationship between Schadenfreude and Cyberbullying (청소년의 샤덴프로이데가 사이버불링 가해행동에 미치는 영향: 자기인식의 조절효과)

  • Myung Hyun, Cho;Doyoun, An
    • Korean Journal of Culture and Social Issue
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    • v.28 no.4
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    • pp.597-625
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    • 2022
  • This study aimed to examine the hypothesis that intrapersonal, interpersonal, and environmental self-awareness would alleviate the association between sSchadenfreude and cyberbullying. 300 middle and high school students answered survey questionnaires including sSchadenfreude, cyberbullying behavior, (intrapersonal. interpersonal, and environmental) self-awareness, depression, and anxiety. After controlling depression and anxiety, theThe results reveal that first, Schadenfreude predicts cyberbullying behavior, so those who have a high level of Schadenfreude commit more online cyberbullying behavior. Second, intrapersonal and interpersonal self-awareness moderated the association between schadenfreude and cyberbullying, and those who were above average on intrapersonal and interpersonal self-awareness were more liable to commit cyberbullying, but those below average did not show a significant moderation effect. Third, whereas environmental self-awareness did not show a significant moderation effect. Specifically, those who know well what they think and do and what they look like in interpersonal relationships perpetrate more cyberbullying when their schadenfreude was high. However, knowing well about what was happening around them was not related to the likelihood of schadenfreude that lead to cyberbullying. The results of this study revealed that Schadenfreude, which deals with emotions on expecting the misfortune of others and the possibility of having antisocial characteristics, lead to actual cyberbullying behaviors of adolescents. Also, this study identified that intrapersonal and interpersonal self-awareness are harmful in causing cyberbullying in those with high Schadenfreude. Finally, the implication and the limitation of this study were discussed.

Estimation of Overall Household Utility for Heavy Metal Reduction in Shrimp (새우류 중금속 저감에 대한 전체가구의 효용 추정)

  • Hyun Joung Jin;Ye Jin We
    • Journal of Food Hygiene and Safety
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    • v.38 no.4
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    • pp.255-263
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    • 2023
  • The standards for heavy metal levels in crustaceans are 0.5 mg/kg and 1.0 mg/kg or lower for lead and cadmium, respectively. Further, the contamination levels of arsenic, mercury, methyl mercury, and tin are being continuously investigated, considering their current exposure levels. Shrimps are potentially exposed to heavy metals because they inhabit areas with abundant organic matter, such as sandy or muddy shores, places with a lot of seaweed, and estuaries. This study measured the monetary value of reducing consumer anxiety and increasing consumer confidence if the government prohibits the sale of shrimp species that exceed the threshold for specific heavy metals and of the top shrimp species for which no threshold for heavy metals is specified. We derived consumer willingness-to-pay (WTP). Combining the estimated WTP with the number of households in the country, the total value of benefits was estimated to be 363.9 billion won. The results of this study will provide an important empirical finding, showing to what extent specific policies regarding heavy metals in seafood can alleviate consumer anxiety and provide psychological reassurance.

A Retrospective Observational Study on the Emotional Characteristics of Hwa-Byung Inpatients in a Korean Medicine Hospital Using the Core Seven-Emotions Inventory-Short Form (한방병원에 입원한 화병 환자의 정서적 특성에 대한 핵심칠정척도 단축형을 활용한 후향적 관찰연구)

  • Kim, Ju Yeon;Kang, Dong Hoon;Kang, Hyung-Won;Jung, In Chul
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.1
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    • pp.1-19
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    • 2022
  • Objectives: The objective of this study was to confirm the Chiljeong (七情) characteristics of Hwa-byung patients using the core seven-emotions inventory-short form. Methods: We conducted a retrospective observational study based on the electronic medical records from a Korean medicine hospital. We included patients who were diagnosed with Hwa-byung and examined with Core Seven-Emotions Inventory-short Form (CSEI-S) during hospitalization periods. We presented the characteristics of Hwa-byung by demographic information, CSEI-S, Hwa-byung scale, and Korean Symptom Checklist 95. A correlation analysis was performed between CSEI-S and other clinical and psychological characteristics. Results: The Chiljeong characteristics of Hwa-byung were high in the order of Sorrow (悲), Thought (思), Fear (恐), Fright (驚), Depression (憂), Joy (喜), and Anger (怒). There was no significant difference between each emotion. After combined Korean medical treatment, Sorrow (悲) and Thought (思) significantly decreased. There were static correlations between sorrow (悲) and fright (驚), thought (思) and sorrow (悲), depression (憂) and sorrow (悲), depression (憂) and fright (驚), thought (思) and depression (憂), fear (恐) and fright (驚), anger (怒) and thought (思), thought (思) and fright (驚), sorrow (悲) and fear (恐). Sorrow (悲) and Hwa-byung characteristics scale showed static correlation. Joy (喜) showed a static correlation with disharmony between the heart and kidney scores of the Hwa-byung pattern identification. Between KSCL-95 and CSEI-S, static correlation appeared in depression (憂) with depression, anxiety, and sleep problem scale, sorrow (悲) with depression and anxiety, fright (驚) with depression and obsessive symptoms. Conclusions: Despite several limitations due to the study design and small sample size, this research successfully used CSEI-S to study the Chiljeong (七情) characteristics of Hwa-byung for the first time.

Comparisons between envy and admiration in motivational and attentional benefits: Emotion regulation of working memory capacity (질투와 존경의 이득 비교: 작업기억용량의 정서조절효과)

  • Hong Im Shin;Juyoung Kim
    • Korean Journal of Culture and Social Issue
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    • v.22 no.1
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    • pp.41-64
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    • 2016
  • In two experiments, we compared envy with admiration in attentional and motivational benefits. In addition, we tested whether individual differences in working memory capacity (WMC) have consequences for emotion regulation. In Study 1, following WMC tasks, the participants were primed either with envy or with admiration through a recall task, in which they had to recall their own experiences about envy or admiration. The participants in the envy condition considered it more undeserved that another person had an advantage over them, than in the admiration condition. Additionally, in the envy condition, WMC was related to happiness, and anxiety was related to the motivation to study more. In contrast, there were no significant relationships between WMC, emotion and study hours in the admiration condition. Study 2 (N=43) found greater memory for the envy scenario in the envy condition than in the admiration and in the control condition. Additionally, there were significant relationships between WMC, anxiety and recall accuracy in the envy condition. However, these relations were not found in the admiration and in the control condition. Findings implicate that envy may play an important role in memory systems and that WMC is related to emotion regulation abilities.

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Effects of Family Violence during Childhood on Early Adulthood Adaptation. - Focusing on 'experienced violence' and 'observed violence' - (성장기 가정 내 폭력 경험이 성인 초기 적응에 미치는 영향 - 부모간의 폭력 관찰 경험과 자신에 대한 폭력 행동 경험을 중심으로 -)

  • Gwi-Yeo-Roo Ahn;Kyung-Hyun Suh
    • Korean Journal of Culture and Social Issue
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    • v.13 no.4
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    • pp.83-100
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    • 2007
  • It is the aim of present paper to examine the effects of experienced violence and observed violence in original family on adaptation in college students. In addition, the degree of contribution of two types of aggression in family were examined. Participants were 220 college students. Among them, those who have experienced violence from mother are 60.3%. And 52.3% reported violence from father. Those who have observed their parents violent behavior are 28.8%. These childhood 'experienced violence' and 'observed violence' was significantly associated early adulthood adaptation. But its effect is dependent on participant's sex. Experienced violence from mother is positively related to confidence in scholastic achievement in female. Experienced violence from father is positively related to trumatic symptoms and trait anxiety in male. On the other hand, observed violence showed significant relationship with traumatic symptoms, impulsivity, depression, self-esteem and trait anxiety. Most importantly, multiple regression analysis showed observed violence explains early adulthood adaptation more significantly than experienced violence. The discussion addressed implications of the findings for future research and for clinical practice.

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A Comparative Study of Symptoms in Patients with Hwabyung according to Yin-Yang Personality Types (음양 성격 유형에 따른 화병 환자의 증상 비교 연구)

  • Seok-In Yoon;Han Chae;Hui-Yeong Park;Hyun Woo Lee;Chan Park;Sun-Yong Chung;Jong Woo Kim
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.141-151
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    • 2024
  • Objectives: To compare symptoms and characteristics among patients diagnosed with Hwabyung according to their yin-yang personality types. Methods: A structured clinical interview was conducted to diagnose Hwabyung, followed by a cross-sectional study involving a total of 118 Hwabyung patients (95 females). Various measures including the Sasang Personality Questionnaire (SPQ), Hwabyung Comprehensive Test (HCT), HwaByung Scale (HBS), State-Trait Anger Expression Inventory (STAXI), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), Eogul Scale (ES), and Patient Health Questionnaire-15 (PHQ-15) were administered. Results: SPQ-total showed significant negative correlations with HBS-personality and STAXI-control, and a significant positive correlation with STAXI-out. SPQ-behavior showed significant positive correlations with HBS-symptom, STAXI-trait, STAXI-in, STAXI-out, BDI-II, BAI, ES, and PHQ-15. SPQ-cognition exhibited significant negative correlations with HBS-personality, STAXI-control, and ES. SPQ-emotion had significant negative correlations with HBS-personality and STAXI-in and a significant positive correlation with STAXI-out. SPQ-Yin demonstrated a significantly higher HBS-personality than SPQ-Yang. SPQ-Yang exhibited significantly higher STAXI-out than SPQ-Yin, whereas SPQ-Yin showed significantly higher STAXI-control and STAXI-in than SPQ-Yang. Although differences in depression, anxiety, resentment, and physical symptoms between yin and yang were not statistically significant, variations in interpretation criteria were observed. Conclusions: Anger expression patterns and physical/psychological symptoms among Hwabyung patients are different based on their yin-yang personality types. These findings can inform the prediction of symptoms in Hwabyung patients according to their yin-yang personality types and aid in establishing appropriate treatment plans.

Mediated Effect of Mobile Financial Crime Fear on the Relationship between Mobile Financial Crime Vulnerability Perception and Mobile Financial Using (모바일금융범죄 취약성인식과 모바일금융 사용 간의 관계에서 모바일금융 범죄두려움의 매개효과)

  • Kwon, Joon-Sung;Gong, Jung-Sik
    • The Journal of the Korea Contents Association
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    • v.20 no.4
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    • pp.305-314
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    • 2020
  • Mobile environment is relatively free from time and space constraints, and has unique characteristics such as not applying physical and social vulnerability because of it's non-face-to-face channel. Since such spatial and temporal speciality is likely to appear in a different form from psychological action and action in a general face-to-face environment, it is necessary to conduct an empirical study based on the results of the existing research that has been studied as major psychological variables of action in mobile environment. However, advance research have not been conducted in earnest on the vulnerability and anxiety of the consumers in a new environment called mobile finance. so this study intends to establish the basis through empirical research. As a result, women among traditional vulnerable groups perceived themselves to be vulnerable in mobile financial environments than men and felt fear of crime strongly. In addition, the vulnerability of mobile financial crime did not have a significant direct effect on mobile financial use, but it was confirmed that mobile crime fear was mediated completely and had an indirect effect on mobile financial use.