• Title/Summary/Keyword: Psychological anxiety

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A Case Study of Sandplay Therapy for a Boy in an Elementary School with Social and Emotional Difficulties (사회성과 정서에 어려움이 있는 초등학생 남아의 모래놀이치료 사례연구)

  • Kim, Shin Hwa;Sim, Hee-og
    • Human Ecology Research
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    • v.56 no.6
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    • pp.589-601
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    • 2018
  • This study explored the internal world through sandplay therapy for an elementary school boy who had social and emotional difficulties of poor peer relations, anxiety and withdrawal. This study examined the changing processes of sandboxes, how a boy expressed his internal world by the content themes in sandplay according to Turner (2009) based on analytical psychology and sandplay theories. There were 72 sessions. The initial phase was 1-6 (The beginning of war) expressing confusing wars as the start of a long internal journey. The intermediate phase was 7-55 (Struggle), dividing by phase I 7-18 (Hero's fight I), phase II 19-36 (Hero's fight II), phase III 37-48 (Seeking for a male identity), and phase IV 49-55 (Centering). The client identified himself as a teenaged hero and expressed the conflict between good and bad, between death and rebirth and struggled for seeking treasures in the fight of heroes. He found identity as a male by finding a sense of existence, establishing order in the middle of confusion, and expressing strong and rational masculinity. The final phase was 56-72 (The winner of the struggle). In the fights repeating, he expressed an adventurous and positive male energy such as racing, speed contests and a union in the opposites of hero and heroine as well as the birth of a new conscious. This study provides a basic knowledge of educational guidance in school and counseling fields by expanding the understanding of a boy's unconsciousness.

Exploring the Satisfaction with COVID-19 Prevention Measures and Awareness of the Tourism Crisis for Residents' Tourism Attitude

  • PARK, So-Young;PARK, Joo-Young;KIM, Ji-Won;Chang, Mona;KIM, Mincheol
    • The Journal of Industrial Distribution & Business
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    • v.12 no.7
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    • pp.27-39
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    • 2021
  • Purpose: The researchers reviewed the previous studies on the psychological anxiety and economic damage during the recent COVID-19 pandemic to understand the satisfaction, awareness and attitude of the residents in Jeju, Korea. Research design, data and methodology: 215 samples based on self-reported survey were collected for path analysis focused on controlling variables in demographic characteristics in PLS-SEM using Smart PLS 3.0. Results: The researchers found the Satisfaction with COVID-19 Prevention Measures and the Awareness of Tourism Crisis affect Attitude toward Tourism of the residents with the explanatory power (R2 = 0.209). Age was found to be the only significant controlling variable in this model for the Awareness of Tourism Crisis to Attitude toward Tourism. Conclusions: The attitude toward tourism is influenced by the level of satisfaction of the prevention service for COVID-19 as well as the awareness of the crisis. Residents have different level of the tourism crisis awareness by the status of their economic activities while there is no differences in all age groups for satisfaction in the quarantine service. The study suggests that the importance of the public health service should be preferentially concerned for residents to have stable economic activities where the tourism is the major industry.

A Study on Greater yin Disease in Gangpyeong-Shanghanlun by Analyzing Four Mental Illness Cases (정신과질환 4례를 통한 강평본(康平本) 『상한론(傷寒論)』의 태음병(太陰病) 진단 고찰)

  • Ha, Hyun-yee;Yun, Hyo-joong;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.23-48
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    • 2020
  • Objectives : This study aimed to suggest distinct signs of Greater yin disease (tàiyīnbìng, 太陰病) by researching the etymology of three terms: zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), which are exclusive found only in Greater yin disease (太陰病) in Gangpyeong-shanghanlun, but not in other categories. Methods : We studied the etymologies of the three terms that are unique in Greater yin disease, then found some pathological signs that are related with them through the four mental illness cases, which include somatization, obsessive-compulsive behavior, delusion, and panic disorder. Results : Based on the definitions of each term, we diagnosed the four patients who had mental illnesses as having Greater yin disease, and we observed meaningful improvements after administering herbal medication. After Gyejigajakyak-tang administration, the Insomnia Severity Index (ISI) score decreased from 18 to 7 and the Beck's Anxiety Index (BAI) score decreased from 36 to 18 in the first case, the ISI score decreased from 27 to 16 and the BAI score decreased from 50 to 33 in the second case, and the ISI score decreased from 23 to 4 and the BAI score decreased from 34 to 5 in the third case. In the last case, the ISI and BAI scores were 16 and 22, respectively, at the first visit, and it was found that the scores had changed to 6 and 22, respectively, at the last visit. Conclusions : We found that the unique terms in Greater yin disease, including zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), can be interpreted as groundless arbitrary assumption, resting strong tension, and psychological projection based on the etymological hypothesis. Therefore, we suggest these as specific signs of Greater yin disease.

The impact of self-esteem and unstable adult attachment on Compensatory consumption behavior among Millennials (밀레니얼세대의 자아존중감과 불안정 성인애착이 보상소비행동에 미치는 영향)

  • Hwang, JiHee;Cho, KyeongEun;Choi, HyeKyong
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.1
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    • pp.99-104
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    • 2021
  • The purpose of the study is to examine the impact of self-esteem and unstable adult attachment on compensatory consumption among millennials. The survey was conducted on millennials (19~34) in June, 2018. The results revealed the static relationship between self-esteem and compliment-type compensatory consumption, while the relationship of self-esteem with consolation-type compensation consumption become insignificant when unstable adult attachment was controlled. Unstable adult attachment(anxiety/avoidance) showed significant impace on both compliment-type and consolation-type compensatory consumption. The research findings imply that compensatory consumption behaviors can be explained with psychological and relational factors among consumers in their early adulthood.

Self-care in Patients with Atrial Fibrillation Based on the Theory of Unpleasant Symptoms (불쾌 증상 이론을 적용한 심방 세동 환자의 자가관리)

  • Kim, Min Young;Lee, Sun Hee;Park, Han Jong
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.23-33
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    • 2022
  • Purpose: This study aimed to identify the relationships among disease severity, anxiety, depression, social support, unpleasant symptoms and self-care among patients with atrial fibrillation based on the unpleasant symptom theory, and to examine the mediating effects of unpleasant symptoms. Methods: A cross-sectional study was conducted. The participants were 216 patients with atrial fibrillation who were being followed up on an outpatient basis at a university hospital in Seoul. Data were collected from November 1, 2020 to June 30, 2021, using self-report questionnaires. Data were analyzed using IBM SPSS/WIN 27.0 and PROCESS macro with 95% bias-corrected bootstrap confidence interval(CI). Results: The average age of participants in this study was 66.0years. Disease severity (β=10.19, p<.001) and depression (β=1.53, p<.001) had significant positive relationships with unpleasant symptoms. Also, unpleasant symptoms (β=-0.03, p=.006) had a negative relationship with physical activity, which is a subscale of self- care. Social support (β=0.06, p<.001) was positively related with physical activity. Unpleasant symptoms showed a mediation effect in the relationship between disease severity and physical activity (Bias corrected bootstrap CI -0.65, -0.04). Depression had an indirect effect on physical activity that was mediated by unpleasant symptoms (Bias corrected bootstrap CI -0.11, -0.00). Conclusion: The findings of this study suggest that integrated strategies including physical, psychological, and social factors should be considered to promote self-care in patients with atrial fibrillation.

Effect of Customized Visiting Exercise through Integrated Care Leading Project for the Elderly in the Community: Case Report (지역 사회 노인의 노화 예방에 따른 통합돌봄 선도사업 기반 맞춤형 방문운동의 효과: 증례 보고)

  • Kim, Jin-young;Park, Sung-doo;Bae, Jeong-hyun;You, Dal-young;Yang, Young-sik
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.99-105
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    • 2021
  • Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

Qualitative Study for Barriers for Medication and Health Care Service Use among the Visually Impaired and Hearing Impaired in Korea (시각장애인 또는 청각장애인의 의료기관 이용 및 의약품 안전사용 저해요인 관련 심층면접조사)

  • Lee, Soo-Hyun;Choi, Minji;Han, Euna
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.4
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    • pp.311-323
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    • 2021
  • Objective: The disabled are in a blind spot for obtaining information on drugs, and the pharmacies' counseling on drug use is centered on non-disabled people. Few studies have investigated the current statuses of drug use by type of disability. The purpose of this study is to understand the drug use by type of disability and by life cycle of visually impaired and hearing impaired in Korea. Methods: The study participants consisted of 16 people with visually impairments, 12 people with hearing impairments. One in-depth interview was conducted per participant, and each interview was recorded and documented. Results: Common barriers against safe medication and medical service uses across disability types are 'lack of consideration and service for the disabled, limited access to medical facilities due to disability, limited access to information regarding medication use, psychological anxiety about drug use and side effects, and inconvenience regarding COVID-19 epidemic. The specific factors were 'difficulties in identifying proper medicines and following prescribed dosages' in the case of visually impaired, and 'problems with sign language interpretation system' for the hearing impaired. Conclusion: Disabled people are hindered from using medicines properly due to various factors. Based on the content derived from this study, it is necessary to eliminate the inhibition factors and devise specific measures for the safety of each type of disorder such as developing a method for medication counseling considering disabilities and establishing communication support systems.

Clinical Features of the Persistent Idiopathic Dentoalveolar Pain Compared with Inflammatory Dental Pain

  • Jang, Ji Hee;Chung, Jin Woo
    • Journal of Oral Medicine and Pain
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    • v.47 no.2
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    • pp.87-94
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    • 2022
  • Purpose: This study aimed to evaluate the differences between clinical and quantitative sensory testing (QST) results among persistent idiopathic dentoalveolar pain (PIDP), inflammatory dental pain, and control group subjects to identify discriminative clinical features for differential diagnosis. Methods: Thirty-three patients (5 PIDP-a without surgical procedures 10 PIDP-b with surgical procedures, 8 dental pain patients, and 10 controls) were evaluated for clinical features and QST results. Cold pain threshold, heat pain threshold, mechanical pain threshold (MPT), mechanical pain sensitivity, and pressure pain threshold (PPT) were performed. Psychological factors were assessed using Symptom Checklist-90-Revision (SCL-90-R) and a chart review was conducted to evaluate additional discriminative clinical features such as pain quality and treatment prognosis. Results: The dental pain group had lower PPT than the PIDP-b and the control group. The PIDP-a group showed higher MPT and PPT than the PIDP-b and dental pain group but the difference was not statistically significant. Differences in SCL-90-R SOM (Somatization), O-C (obsessive-compulsive), ANX (anxiety), and PSY (Psychoticism) values were statistically significant among groups. PIDP-a and PIDP-b groups showed remaining symptoms after treatment and the pain tended to spread widely, whereas, in toothache patients, symptoms disappeared after treatment. However, factors that confound the diagnosis, such as an increase in pain during chewing and a decrease in the pain threshold at the affected site, could also be identified. Conclusions: PIDP and dental pain groups have distinct clinical symptoms, but there are also factors that cause confusing in diagnosis. Therefore, various clinical examination results should be carefully reviewed and comprehensively evaluated in the differential diagnosis process.

Radiation risk perception and its associated factors among residents living near nuclear power plants: A nationwide survey in Korea

  • Sung, Hyoju;Kim, Jung Un;Lee, Dalnim;Jin, Young Woo;Jo, Hyemi;Jun, Jae Kwan;Park, Sunhoo;Seo, Songwon
    • Nuclear Engineering and Technology
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    • v.54 no.4
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    • pp.1295-1300
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    • 2022
  • There has been increased interest in researching risk perception of radiation to implement successful risk communication, particularly given the recent worldwide nuclear policy movement regarding nuclear energy. This study aimed to investigate characteristics of risk perception among residents living near normally operating nuclear power plants in South Korea by identifying factors associated with risk perception. A survey was conducted with face-to-face interviews for 1200 residents aged 20e84 years by gender- and age-stratified random sampling. Risk perception was associated with trust perception in nuclear safety, but was not highly correlated with benefit perception for utilizing nuclear power. Relatively high risk perception was observed in women, older age groups, and residents not having experience of nuclear-related education or work. This association remained after adjusting for other factors including benefit perception, trust perception, and psychological distress. In addition to these individual characteristics, risk perception was also associated with a residential district's own unique context, indicating that a strategy of risk communication should be developed differently for residents facing nuclear-related circumstances. Given that risk perception can be changed, depending on social values such as safety culture and economic setting, further studies are required to understand the changing characteristics of radiation risk perception.

Grounded Theoretical Approach of Working Moms' Work and Family Balance Experience during the COVID-19 Pandemic (코로나 19 시기 워킹맘의 일과 가정의 양립 경험에 대한 근거이론적 접근)

  • Sohn, Youngmi;Hwang, HyeYoung
    • Korean Journal of Culture and Social Issue
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    • v.28 no.3
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    • pp.441-481
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    • 2022
  • This study attempted to explore the experience related to the work-family balance of working moms during the COVID-19 period. To this end, in-depth interviews were conducted by recruiting 17 part-time and full-time working moms with at least 1 child under the age of 13. As a result of analyzing the data using the method of grounded theory, 106 concepts, 50 subcategories, and 24 categories were derived. The central phenomenon that working moms experienced in the process of work and family balance were "physical and emotional exhaustion", "anxiety and guilt about not doing well in situations of role conflicts between various roles", "job crisis experienced by working mothers" and "deepening family conflicts". The process of working moms overcoming the central phenomenon and achieving work-family balance was identified as five stages: the 'shock and confusion stage', the 'struggling stage', the 'actively coping and making compromise stages', the 'acceptance stage', and the 'post-traumatic growth stage'. Based on these results, discussions on the work-family balance of working mothers during the COVID-19 period was dealt as well as suggestions for follow-up studies.