• 지역사회간호학회지
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• 제28권4호
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• pp.440-449
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• 2017

Purpose: This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas. Methods: This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions. Results: Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms. Conclusion: The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.

• Safety and Health at Work
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• 제12권2호
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• pp.217-224
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• 2021

Introduction: We evaluated depression and anxiety in service and sales workers from Korea who interacted with angry clients to identify factors that mediated and moderated depression and anxiety in these workers. Methods: This was a secondary analysis of data from the fifth Korean Working Conditions Survey conducted in 2017. A structural equation model was used for mediation and moderation analysis. Results: Service and sales workers who had more interactions with angry clients had increased risk for depression and anxiety. Experiencing clients' adverse behaviors (acute episodes) mediated the relationship between interacting with angry clients (a chronic situation) on depression and anxiety. Job satisfaction and managers' support moderated the relationship between interacting with angry clients and mental health problems. Conclusion: We suggest that employers of service and sales workers should recruit staff based on their aptitude for such work, thus ensuring job satisfaction, and train them to deal with angry clients in such a way that they experience less emotional burden. Employers should also make bylaws requiring managers to directly take care of adverse social behavior by clients. Furthermore, a sociocultural campaign to prevent adverse social behavior by clients is also needed.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8127-8133
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• 2016

Background: The objective of this study was to evaluate the effect of back massage on the anxiety state, cortisol level, systolic/diastolic blood pressure, pulse rate, and sleep quality in family caregivers of patients with cancer. Materials and Methods: Forty-four family caregivers were randomly assigned to either the experimental or control group (22 interventions, 22 controls) after they were matched on age and gender. The intervention consisted of back massage for 15 minutes per day for a week. Main research outcomes were measured at baseline (day I) and follow-up (day 7). Unpaired t-test, paired t test and chi-square test were used to analyse data. Results: The majority of the caregivers were women, married, secondary school educated and housewife. State anxiety (p<0.001), cortisol level (p<0.05), systolic/diastolic blood pressure (p<0.001, p<0.01 respectively), and pulse rate (p<0.01) were significantly decreased, and sleep quality (p<0.001) increased after back massage intervention. Conclusions: The study results show that family caregivers for patients with cancer can benefit from back massage to improve state anxiety, cortisol level, blood pressure and heart rate, and sleep quality. Oncology nurses can take advantage of back massage, which is non-pharmacologic and easily implemented method, as an independent nursing action to support caregivers for patients with cancer.

• 여성건강간호학회지
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• 제17권2호
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• pp.178-186
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• 2011

Purpose: The purpose of this study was to identify effects of guided imagery on stress including cognitive, affective, marital and social, and anxiety among women receiving in vitro fertilization (IVF). Methods: Data were collected between April, 21 and June, 17, 2008. The participants in this study were 57 women (26 for the experimental group, 31 for the control group) receiving IVF for primary or secondary infertility in one of the outpatient infertility centers in Seoul. The guided imagery (Suk, 2001) was provided through audio CD to the experimental group by themselves 8 minutes per day for 2 weeks. Data were analyzed by SPSS 12.0 windows program. Results: After guided imagery, the experimental group showed significantly lower affective stress and total stress scores. Anxiety scores increased significantly in the control group, but not in the experimental group after treatment. Conclusion: The findings suggest that guided imagery is an effective nursing intervention for reducing stress especially affective stress and anxiety among infertile women receiving IVF in outpatient infertility center.

• 한국간호교육학회지
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• 제29권1호
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• 한국과학교육학회지
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• 제13권3호
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• pp.341-358
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• 1993

In this study, the researcher analyzed relationship between stuents' science anxiety and achivement, and investigated the tendency of the science anxiety by students' variables. For the survey of this study. 5,304 stuents were sampled from the population of Korean secondary school. The researcher adopted R&D procedure for the development of SAMS(science anxiety measurement scale) and the SAT(science achivement test). The instrument SAMS consisted of 38-item scale. Cronbach a for SAMS was 0.92, concurrent validity was 0.66. SAT consist of 2O-item, the reliable coefficent of KR-20 was 0.70. The data were analyzed by using Pearson-Product coefficient and Regression analysis for the correlation between dependent and independent variable. The tendency of science anxiety were analyzed Multi-way analysis of variance, and all hypotheses were evaluated as the significant level of 0.001. Results of this study were summarized as follows : 1) The relationship between the science anxiety and the achivement showed negative correlation(r=-O.24) in all grades. 2) The relationship between the male and the female showed negative correlation (male;r=-Q.23. female=-O.22), but 11ths' humanities course and female of the science course didn't showed correlation. 3) The size of city where the school located showed negative correlation to the students anxiety(big city;-O27. medium;-O.24, small city;-O.22). 4) Tendency of students' science anxiety according to the variable of grades and sex variables was found to significant difference. The effects of interaction were found to significant difference between two variables of grade and sex. sex and local, local and grade. The effects among three variables were formed to significant difference grade, sex and local.

• 산업융합연구
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• 제20권10호
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• pp.95-101
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• 2022

본 연구의 목적은 코로나19 팬데믹 이후 한국 청소년의 신체활동과 불안 수준의 연관성을 확인하는 것이다. 연구방법은 2020년 청소년건강행태조사 국가자료를 활용한 이차분석 연구이다. 통계분석은 SPSS 27 프로그램을 사용하여 복합표본 빈도와 백분율, 복합표본 교차분석을 실시하였다. 연구결과, 하루에 60분 이상 신체활동을 하는 청소년은 60.9%, 하지 않는 청소년은 39.1%였다. 청소년의 불안 수준은 경도 불안 22.2%, 중등도 불안 7.6%, 심한 불안 3.6%로 나타났다. 청소년의 신체활동은 불안 수준과 유의한 연관성이 있는 것으로 나타났다(p <.001). 따라서 청소년의 정신건강 증진을 위한 국가 정책에 신체활동을 증가시키기 위한 방안이 마련되어야 한다.

• 한국응용과학기술학회지
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• 제39권5호
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• pp.596-604
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• 2022

본 연구의 목적은 청소년들의 스마트폰 과의존과 피로회복 간의 관계에서 불안의 매개효과를 검증하여, 청소년의 스마트폰 과의존 중재의 근거자료를 확보하는 것이다. 연구 대상자는 '제16차 청소년 건강행태 온라인조사'를 이용한 청소년 54,948명이다. 연구변수 간의 관계는 상관분석, 요인분석, 매개효과 분석을 실시하였다. 연구 결과 청소년의 스마트폰 과의존은 피로회복에 영향을 미치는 직접효과와, 불안을 경유하여 피로회복에 영향을 주는 간접효과가 나타났다. 청소년의 스마트폰 과의존이 매개변인인 불안에 유의한 영향을 주었고, 피로회복에 유의한 영향을 주었다. 또한 또한 불안은 스마트폰 과의존과 피로회복 간의 관계에서 매개효과가 있는 것으로 확인되었다. 따라서 스마트폰 과의존 청소년을 대상으로 피로회복을 향상하기 위해 불안을 관리할 필요가 있다.

• 수면정신생리
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• 제17권1호
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• pp.34-40
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• 2010

목 적: 본 연구는 일차성 및 이차성 불면증 환자에서 인지행동치료(Cognitive Behavioral Therapy, 이하 CBT)의 임상적 효능을 평가하고자 하였다. 방 법: 2008년 1월부터 2009년 6월까지 일차의료기관 수면클리닉에 방문한 환자들을 대상으로 하였다. 전체 64명의 외래 환자가 모집되었으며, DSM-IV에 의거하여 진단 된 일차성 불면증 환자는 30명, 이차성 불면증 환자는 34명이었다. 환자들은 CBT 전후로 수면 일지, 수면에 대한 역기능적 신념 및 태도 척도(Dysfunctional Beliefs and Attitudes about Sleep Scale-16, 이하 DBAS) 및 상태-특성 불안척도(State-Trait Anxiety Inventory, 이하 STAI)를 각각 시행하였다. CBT는 1주 간격으로 7회, 1회당 40~50분 동안 개별적으로 진행하였다. 결 과: 일차성, 이차성 불면증 환자군 모두 입면 잠복기, 총 수면 시간, 수면 효율과 같은 수면 지표와 DBAS 점수의 유의한 호전을 보였다. 반복측정 분산분석에서는 두 군간에 시간에 따른 DBAS와 수면 지표의 유의한 차이는 없었다. 이차성 불면증에서의 CBT의 효과는 일차성 불면증에서의 효과와 동등하였다. 결 론: 이번 연구는 CBT가 일차의료 환경에서 일차성 및 이차성 불면증의 치료에 있어 효과적이라는 것을 시사한다.

• 한국응급구조학회지
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• 제13권2호
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• pp.5-15
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• 2009

Purpose : This study was to examine the secondary traumatic stress(STS) and related factors of emergency medical technicians. Methods : This study was conducted among 190 emergency medical technicians, over the age of 25, with the 1st or 2nd grade qualification, who serve at fire stations in U and P city of Korea. The collected data for this study was analyzed using SPSS 12.0. Result : The average character type of A-type personality technicians was 43.25 points and the average of B-type personality technicians was 37.82 points. It suggested that the former was higher than the latter. State anxiety did not show statistically significant difference between A-Type group and B-Type group with the score of 48.51 for A-Type and 47.91 for B-Type. Physical symptoms showed statistically significant difference between the two groups with the higher score of 28.45 for A-type group than that of 28.13 for B-Type group. The level of STS related to the volunteers' job characteristics was found to be low when the volunteers were satisfied with their job and didn't want to transfer to another division. Those on duty who had slept more than seven hours that day had the highest points. The number of points was highest when the frequency for the onset of trauma was between 20~30 times. Furthermore it was found that for most technicians, 71.05%, the period of symptoms lasted for a few weeks at most, and this was where the STS was the lowest, whereas on the other hand the highest STS occurred when the symptoms lasted for a period of up to six months. The findings showed significant correlations with a relation of r=.24 between STS and level of anxiety and r=.45 between STS and physical symptoms. However, no significant correlation was found between the level of anxiety and physical symptoms. Conclusion : The more emergency medical technicians are exposed to accidents, the more serious the STS are. Those with an A-type personality are especially prone to have higher STS. The higher the STS level is, the higher the level of physical states and anxiety is.