• Journal of Preventive Medicine and Public Health
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• v.36 no.1
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• pp.71-76
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• 2003

Objectives : New organizational work systems, and their impact on the mental health of employees, are considered to beone of the most important topics in the area of industrial health. This study was conducted to compare job characteristics (job demand and decision latitude) levels, and psychosocial distress of workers in acompany introducing to new organizational work systems, to those of workers managed by traditional work systems. Methods ; A study sample of 627 shipbuilding workers (446the new work organizational system and 181 the traditional system) were recruited for this study. A structured-questionnaire was used to assess general characteristics, job characteristics(work demand, decision latitude), and psychosocial distress. Results : The decision latitude was not significantly higher in the new work system compared to the traditional system. However, the job demand was significantly higher in the new work system than in the traditional system. The psychosocial distress was higher within the new work system than the traditional system, but no significant relationships were found. The proportion of increased strain was significantly greater with the new system than the traditional system. Conclusion : These results suggest that increases in the decision latitude did not sufficiently compensate for higher job strain or increased work intensity. If the increase in the decision latitude was temporary, with the typical job demand remaining high, such work can be still be considered to have a job strain Futureresearch should consider psychosocial distress and fatigue as importantproblems caused by new work organizational systems, and should be performed to assess their impact through out industry.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.77-85
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• 2021

Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.19 no.3
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• pp.250-260
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• 2009

To improve work environment for health managers, it was investigated about effect of job stress, psychosocial stress and job satisfaction of health managers on job commitment. The sample used in this study consisted of 166 persons of industrial health managers. The data were collected with self-administered questionnaires between November 2007 and January 2008, and the results analyzed with ANOVA and multiple regression analysis. Job stress was evaluated by using a Korean Occupational Stress Scale(KOSS), and Psychosocial wellbeing index-Short Form(PWI-SF) was used for a psychosocial stress level evaluation. Organized commitment evaluated loyalty, compensation, welfare, job immersion, external employment opportunity, total agreement with employer and personal ability development. In path analyses, interpersonal conflict, lack of reward, psychosocial distress were associated with job satisfaction. And psychosocial distress, job demand, job insecurity, organizational system, occupational climate were associated with organizational commitment. In considering above findings, the health program for psychosocial distress, improvement of job demand, job insecurity, organizational system, occupational climate would be implemented to increase organizational commitment of Health manager.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.5
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• pp.2459-2464
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• 2016

Background: Cancer treatments can have long-term physical, psychological, financial, sexual and cognitive effects that may influence the quality of life. These can vary from urban to rural areas, survival period and according to the type of cancer. We here aimed to describe demographics and psychosocial analysis of cancer survivors three to five years post-treatment in rural Australia and also assess relationships with financial stress and quality of life domains. Materials and Methods: In this cross-sectional study, 65 participants visiting the outpatient oncology clinic were given a self-administered questionnaire. The inclusion criteria included three to five years post-treatment. Three domains were investigated using standardised and validated tools such as the Standard Quality of Life in Adult Cancer Survivors Scale (QLACS) and the Personal and Household Finances (HILDA) survey. Included were demographic parameters, quality of life, treatment information and well-being. Results: There was no evidence of associations between any demographic variable and either financial stress or cancer-specific quality of life domains. Financial stress was however significantly associated with the cancer-specific quality of life domains of appearance-related concerns, family related distress, and distress related to recurrence. Conclusions: This unique study effectively points to psychosocial aspects of cancer survivors in rural regions of Australia. Although the majority of demographic characteristics were not been found to be associated with financial stress, this latter itself is significantly associated with distress related to family and cancer recurrence. This finding may be of assistance in future studies and also considering plans to fulfil unmet needs.

• Journal of Korean Biological Nursing Science
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• v.11 no.2
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• pp.136-142
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• 2009

Purpose: The purpose of this study was to identify the factors influencing health related to quality of life with hypertension patients. Methods: The subjects of this study were 409 hypertensive patients. Data were collected from March 1st to April 30th, 2008. A questionnaire consisting of exercise barrier, Psychosocial Wellbeing Index (PWI), EuroQol 5D (EQ-5D) was given. The collected data were analyzed with the SPSS program which was used for descriptive statistics, univariate and multivariate analysis. Results: There was a significant relationship between exercise barrier (t=3.57, p=.000), psychosocial wellbeing (F=29.96, p=.000) and health related to quality of life. According to the result of multiple regression, the identified significant factors were an exercise barrier (F=7.09, p=.000) and psychosocial wellbeing (F=21.5, p=.000) with health related to quality of life. Conclusion: Hypertension patients experienced exercise barrier and psychosocial distress which led to a negative effect on health related to quality of life. Therefore it is needed to encourage motivation of lasting of exercise compliance and relieving of psychosocial distress for better health promotion and high quality of life.

• Korean Journal of Adult Nursing
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• v.22 no.1
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• pp.19-30
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• 2010

Purpose: The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. Methods: Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. Results: As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. Conclusion: The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

• Journal of the Korean Society of School Health
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• v.20 no.2
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• pp.91-102
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• 2007

Purpose: This study was performed to determine the levels of psychosocial distress among high school students to reveal the various related factors. Methods: Self-administered questionnaires were administered between June 1st and July 31th, 2006, to 992 different high school students in Daejeon City. The survey items included questions concerning the subjects' family and school life characteristics, health-related behaviors, sense of self-esteem, and locus of control. Results: The results showed that 27.8% of the subjects were categorized as high risk stress, 66.6% as latent stress, and 5.5% as normal. The level of psychosocial distress was found to be influenced by various related factors such as family and school life characteristics, health-related behaviors and personality traits (locus of control, self-esteem). Conclusion: The above results of the study suggest that the more stresses the high school students felt, the higher the correlation with self esteem and self control. Therefore, it is required that there be more development of programs designed towards harmonizing human relationships, promoting regular life styles and positive self perceptions; as well as building self confidence and assisting in course selection. Also, there is a need for further research and education in accessing effective strategies for coping with stress.

• Journal of Korean society of Dental Hygiene
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• v.9 no.3
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• pp.319-328
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• 2009

The levels of psychosocial stresses of dental hygienist were analyzed to reveal the various factors related to them. The self-administered questionnaires were performed, to 276 dental hygienist in Daejeon City. Univariate analysis and multiple regression were performed with survey results, in which a degree of psychosocial stress was dependent variable and others were independent variable. 1. In terms of various levels of psychosocial stress according to the higher level of stress was found in the group of lower age, unmarried, and without spare times for hobby activities, the group with shorter-term job career, lower salary, and stress was found in the group who think that their job is considered as low position or their job is not high position in society or their prospect about job is discouraging, the group without regularly exercise, without regularly eating habits, in the group with higher level of job demand, lower job autonomy, and lower social support from colleagues in work than their respective counterparts. 2. Concerning correlation between psychosocial stress and various factors, while level of stress was negatively correlated with age, job career, salary, socioeconomic status of oneself, socioeconomic status of dental hygienist, future status of dental hygienist, job autonomy, social support from superiors, social support from colleagues, social support, but it was positively correlated with job demand. 3. Multiple regression revealed that the factors which influence on psychosocial stress included hobby activities, sleeping hours, job demand, which has explanatory powers of 29.9%. Therefore, to reduce of stress of dental hygienists, it is required to develop an effective strategy that institutional support for improvement of job environments and research for them be revitalized.

• Asian Oncology Nursing
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• v.12 no.4
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• pp.289-296
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• 2012

Purpose: The purposes of this study were to find the levels of distress and quality of life of breast cancer survivors in Korea and to identify relationship between distress and quality of life. Methods: The data were collected from 122 breast cancer survivors in 2009. To measure the distress and quality of life, the 'Distress Thermometer and Problem List' and the 'Functional Assessment Cancer Therapy-Breast' were used respectively. Results: The mean score of distress was 4.77 (${\pm}2.35$) and 63.1% of the subjects reported a distress score of 4 or more, indicating a clinically significant level of distress. Among these, the most frequently reported problem area was emotion, followed by family. The mean score of the quality of life was 88.22 (${\pm}18.41$), signifying 6.13 out of 10. The levels of distress and the quality of life were negatively correlated (r=-.38, p<.001). Conclusion: The results of the study indicate that distress is prevalent in Korean breast cancer survivors and the distress is related negatively with their quality of life. Thus oncology professionals continuously need to assess distress of breast cancer survivors and to provide appropriate psychosocial interventions to improve their quality of life.

• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.661-670
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• 2015

Purpose: The purpose of this study was to examine the mediation of psychological distress in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life in order to provide a basis for planning nursing interventions to improve the quality of life in cancer patients. Methods: A purposive sample of 130 patients treated with chemotherapy were recruited in the cross-sectional survey design. Data were collected using self-report questionnaires. The instruments were the Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: The mean score for disturbance in ADL from chemotherapy induced peripheral neuropathy was 3.30. Overall quality of life was 2.48. The mean score was 1.04 for psychological distress. The prevalence was 35.4% for anxiety and 47.7% for depression. There were significant correlations among the three variables, disturbance in ADL from chemotherapy induced peripheral neuropathy, psychosocial distress, and quality of life. Psychosocial distress had a complete mediating effect (${\beta}$= -.74, p <.001) in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life (Sobel test: Z= -6.11, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on disturbance of ADL management, and decrease of psychological distress are highly recommended to improve quality of life in cancer patients.