• Korean Journal of Psychosomatic Medicine
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• v.25 no.2
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• pp.111-119
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• 2017

Objectives : The purpose of this study is to investigate the effects of stress on psychosocial wellbeing at the time of an outbreak of Middle East respiratory syndrome(MERS) and to investigate the effect of resilience as a mediator on the relationship between stress and psychosocial wellbeing. Methods : Perceived Stress Scale, Psychosocial Wellbeing Index Short Form, and the Conner-Davidson Resilience Scale was implemented for 156 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 127 ordinary people. We conducted a Pearson correlation coefficient and a hierarchical multiple regression to confirm the effect of stress on psychosocial wellbeing and the mediating effect of resilience between stress and psychosocial wellbeing. Results : The higher the perceived stress, the lower the psychosocial wellbeing in both healthcare workers and the public. The higher the perceived stress, the lower the resilience and the research results showed that there was a partially mediating effect of resilience in the relationship between stress and psychosocial wellbeing. Conclusions : This study demonstrated that the degree of individual resilience can indirectly give a positive effect on the psychosocial wellbeing when people under the stress by MERS shows adverse effects on psychosocial wellbeing. This suggests that clinical intervention and psychosocial approach aiming at strengthening resilience is important to maintain mental health during crisis development.

• Journal of muscle and joint health
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• v.6 no.2
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• pp.211-225
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• 1999

This descriptive correlational study was carried to identify the relationship among social support, compliance, and psychosocial adjustment of patients with rheumatoid arthritis. The study was done with 100 rheumatoid arthritic patients who were visited in Outpatient clinic of university hospital in Taegu, Korea from the 23rd of February to the 20th of March in 1998. The Data were collected through person to person interviews which were performed by five researchers. The instruments used for this study were Yu's social support scale(1996), Cho's compliance scale(1987), and Kim's psychosocial adjustment scale(1997). The data was analyzed by using a t-test, Pearson correlation coefficient, ANOVA, and Tukey test with the SAS Program. The results of this study were as follows ; 1. The mean score of social support was 2.76 for 4 full marks, compliance was 3.20 for 5 full marks, and psychosocial adjustment was 2.26 for 4 full marks. 2. Hypothesis 1 : "The higher the social support degree, the higher the compliance degree of the rheumatoid arthritis patient". It was supported(r=0.54, p<0.001). Hypothesis 2 : "The higher the compliance degree, the higher the psychosocial adjustment degree of the rheumatoid arthritis patient". It was supported(r=0.34, p<0.001). Hypothesis 3 : "The higher the social support degree, the higher the psychosocial adjustment degree of the rheumatoid arthritis patient". It was supported(r=0.24, p<0.05). 3. In general, the spouse group compared to other groups was demonstrated as the most dependable group for patients to trust and expect support. And the sons and daughters group was shown higher than other groups in terms of social support(F=4.19, p=0.01). There was no difference in terms of compliance in degree. In the degree of psychosocial adjustment the highly educated group(more than high school) is a little higher than the lowly educated group(F=3.08, p=0.03). In the costs of medical care, the group that could afford was significant higher than the group which could not afford results in terms of the psychosocial adjustment degree(F=3.99, p=0.01). The outcome of this study is that the social support that related rheumatoid arthritic patients had an effect on the following compliance, and the following compliance helps psychosocial adjustment of patients. It also shows that social support related psychosocial adjustment. Therefore, to increase the level of psychosocial adjustment of rheumatoid arthritic patients, it will be effective in supportive nursing intervention to improve social support and compliance.

• Journal of Korean Academy of Nursing
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• v.44 no.4
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• pp.446-457
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• 2014

Purpose: This study was done to evaluate the effects of psychosocial interventions on cortisol and immune response in adult patients with cancer. Methods: MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and domestic electronic databases were searched. Twenty controlled trials (11 randomized and 9 non-randomized trials) met the inclusion criteria with a total of 862 participants. Methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non randomized studies. Data were analyzed using the RevMan 5.2.11 program of Cochrane library. Results: Overall, study quality was moderate to high. The weighted average effect size across studies was -0.32 (95% CI [-0.56, -0.07], p=.010, $I^2 $=45%) for cortisol concentration, -0.62 (95%CI [-0.96,-0.29], p<.001, $I^2 $=0%) for T lymphocyte (CD3) and -0.45 (95%CI [-0.74, -0.16], p=.003, $I^2 $=0%) for Th lymphocyte (CD4) numbers. Psychosocial interventions were not effective for Tc lymphocyte (CD4), NK cell, monocyte, and cytokine response. Conclusion: Although these results provide only small evidence of successful immune modulation, they support the conclusion that psychosocial interventions can assist cancer patients in reducing emotional distress and improving immune response.

• Korean Journal of Health Education and Promotion
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• v.20 no.4
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• pp.1-11
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• 2003

The main purposes of this study were to investigate the content of health behaviors and to examine factors influencing the health behaviors of the elderly. Data regarding the health behavior of 126 people over 65 years of age living in community settings were used. All subjects were interviewed using a semi-structured questionnaire. The questionnaire consisted of sociodemographic variables, health behaviors, present chronic disease, subjective health status, a scale for worthy life, a scale for self-esteem, and a scale for loneliness. Health behaviors included 27questions on diet, exercise, stress-coping, smoking, drinking, a regular medical check-up, social activities, etc. The data analysis procedure included stepwise regression using health behavior as the dependent variable, and sociodemographics, illness, and psychosocial variables as independent variables. Stepwise regression revealed that factors such as feelings of worthy life($\beta$＝-0.350, p＜0.0001), communicating with otjers or the lack there of ($\beta$＝0.183, p＜0.05), and self-esteem($\beta$＝0.196, p＜0.05) were independently and significantly associated with health behaviors. For example, individuals who showed higher levels of worthy life and who had confiding relationships with others tended to practice more health behaviors. Subjects who had a higher level of self-esteem showed the same tendency. These results suggest the necessity of a intervention that considers psychosocial aspects should be included in care of the elderly so as to promote positive health behavior.

• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.829-837
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• 2014

This study was conducted to investigate the factors that influence the psychosocial adaptation and quality of life of hemodialysis patients. The study participants consisted of 246 hemodialysis patients from 8 hemodialysis centers located in 3 cities ('K', 'P', and 'U') in South Korea. The questionnaire used for data collection was administered between April 1 and 30 of 2014. SPSS/WIN 18 program was used to perform descriptive, correlation, and stepwise regression analyses. It was found that stress response and acceptance were significantly correlated with psychosocial adaptation and quality of life. In the stepwise regression analysis, stress response appeared to be the most important influencing factor for psychosocial adaptation (${\beta}$=-.443, p<.001) and quality of life (${\beta}$=-.553, p<.001). Based on the study results, it is determined that in order to improve psychosocial adaptation and quality of life among hemodialysis patients, an intervention program to reduce stress response is needed, along with evaluating its efficacy.

• The Journal of the Korea Contents Association
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• v.20 no.1
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• pp.539-552
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• 2020

The purpose of this study was to examine the abuse experience of adolescents in out-of-home care on their psychosocial adjustment and the mediating effects of self-regulation skills. A survey was conducted on the adolescents who resided in the city of Busan and received out-of-home care service. The findings of the study were as follows: First, abuse experience was found to have exerted a negative influence on self-regulation skills. Second, abuse experience was found to have exerted a negative influence on psychosocial adjustment. Third, self-regulation skills were found to have exercised a positive influence on psychosocial adjustment. Fourth, self-regulation skills were found to have had a mediating effect on the relationship between abuse experience and psychosocial adjustment. The findings of this study were of significance in that neglect and emotional abuse should be prevented to promote the psychosocial adjustment of teenagers with abuse experience who are in out-of-home care, and in that the importance of the intervention of counseling programs which could foster the self-regulation skills of adolescents was urged.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.29 no.4
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• pp.161-171
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• 2018

Objectives: This study aimed to identify the process of psychosocial assessment, the experience of intervention, and the improvement after the disaster that Danwon high school students survived from the sinking of the Motor Vessel (MV) Sewol in South Korea on April 16, 2014. Methods: We conducted in-depth qualitative research using individual interviews from January to February 2017. Twenty-one of 75 Danwon high school students survived by the MV Sewol disaster were studied. Two interviewers participated in the in-depth interview. Interviews were transcribed verbatim, coded, and analyzed through content analysis based on psychosocial assessment and intervention after the disaster. Results: Twenty-one participants were 20 years old, where 10 were male (47.62%), and 11 were female (52.38%). More than 75% of the interviewed students felt that mental health services were needed, and more than 85% required mental health assessments. Regarding psychiatric symptoms, the students reported that they suffered depression and insomnia (19.05%), anxiety (14.29%), nightmares and phobias (9.52%), and difficulties regarding concentration, aggression, and game addiction (4.76%). Conclusion: Despite survivors experiencing the same disaster, there were differences in their responses to mental health assessments and interventions experienced during the three years, and conflicting opinions were reported. In planning future evaluations and interventions, it is necessary for strategies to cope with flexibly to consider the characteristics and symptoms of the survivors while maintaining principles.

• Journal of the Korea Convergence Society
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• v.12 no.4
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• pp.317-326
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• 2021

This study is a systematic review of literature to analyze the characteristics and outcome variables of intervention research programs for domestic thyroid patients. We systematically reviewed the literature published until 2019 in five domestic databases. Six of the 824 confirmed articles were extracted according to the selection criteria. The results of this study were classified into education, activities, and counseling. Education and counseling therapy had a significant effect on psychosocial and physiological variables. Activity therapy had a significant effect on physiological variables. This study presented the basis for the development and implementation of various intervention programs for domestic thyroid patients and can be used for the study of the convergence program development considering physiological and psychosocial problems of the thyroid patients.

• Korean Journal of Family Social Work
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• no.43
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• pp.87-110
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• 2014

This study is to understand the psychosocial experience in 'Cheonan Warship Incident Survivors'. The study question was how psychosocial experience in The Union of Family Bereaved by Cheonan Warship had been progressed. To answer this question 4 representers ofthe group and 2 reporters had been interviewed using a qualitative research method based on Phenomenology method. From this study the group's experience in had been revealed that they first crisis intervention are to identify and reinforce the strengths and coping skills of a one's family. Second, they gathered their opinion together and assigned the roles to the members, and then, requested what they want responding reasonably. The families' love, the representers' quick judgements and decisions, and the embarrassment of the military and media for the dead, who had been abandoned for long and decayed under the cold ocean, made the national support and respectful treatment possible for the dead and the family. The results of study will be applicable for individuals and groups, who need social work service as an empowerment intervention approach and crisis intervention are to identify and reinforce the strengths and coping skills of a one's family. The social worker's ability to anticipate, understand, and give therapeutic direction to the crisis reaction and the concerns of family members helps to bring around a successful crisis resolution. It is clear to us that wars, suicides, homicides in school settings, disaster and other events are providing unique challenges to social workers who are interested in learning more about the effects such events have on victims of traumatic events.

• Journal of Korean Biological Nursing Science
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• v.20 no.2
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• pp.122-131
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• 2018

Purpose: This study was conducted to ascertain the effectiveness of forest healing therapy by analyzing researches on forest healing therapy applied to Korean adults and to confirm that forest healing therapy can be used as a therapeutic intervention program for elderly nursing or rehabilitation nursing. Methods: We searched 972 research papers on forest therapy applied to Korean adults. We reviewed appropriate 25 research papers with experimental design among them in the final analysis. Results: Forest healing therapy had physiological and psychosocial effects. First of all, it showed physiological effects to reduce stress index such as heart rate variation. Forest therapy also improved melatonin level in blood of middle-aged women with menopause and increased alpha wave in electroencephalogram and decreased lipid level and superoxide dismutase in blood. Second, forest healing therapy showed psychosocial effects to reduce depression and to improve mental health. But the effects appeared differently depending on the implementing type, period of forest healing therapy, and the professionalism of therapists. Therefore, if forest healing therapy would be applied to nursing, it should be based on its key principle, in other words, its principle of action-interaction-response of forest healing therapy. Conclusion: The results of this study could be used to develop a forest healing program as an intervention of nursing.