• Human Ecology Research
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• 제61권1호
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• pp.123-139
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• 2023

The study examined the mediating effect of internalized shame on the relationship between affiliate stigma and interpersonal anxiety among adolescents with siblings who had autism spectrum disorder (ASD) and the moderated mediating effect of mother-adolescent communication openness. The participants consisted of 139 adolescents (boys 48.9%, high-school students 79.8%) who had siblings with ASD. Interpersonal anxiety, affiliate stigma, internalized shame, and mother-adolescent communication openness were measured using the Social Anxiety Scale for Adolescents (La Greca & Lopez, 1998), the Affiliate Stigma Scale (Mak & Cheung, 2008), the Internalized Shame Scale (Cook, 1988), and the Parent-Adolescent Communication Scale (Barnes & Olson, 1982), respectively. The data were analyzed using descriptive statistics and Pearson's correlation coefficients. Process Macro Models 4 and 7 were used to examine the mediating effect and the moderated mediating effect. The results indicated that internalized shame mediated the effect of affiliate stigma on interpersonal anxiety among adolescents who had siblings with ASD. However, there was no significant moderated mediating effect of mother-adolescent communication openness on the relationship between affiliate stigma, internalized shame and interpersonal anxiety. These findings suggest that it is necessary to improve social awareness of individuals with ASD and their family members to prevent adolescents who have siblings with ASD from having affiliate stigma and to help them reduce interpersonal anxiety. The results also highlight the importance of counseling programs for adolescents with siblings with ASD as a way of preventing or alleviating their interpersonal anxiety by reducing internalized shame, even where they experience affiliate stigma.

• 한국간담췌외과학회지
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• 제27권2호
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• pp.172-179
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• 2023

Backgrounds/Aims: Cancer stigma (CS), a self-inflicted sense of hopelessness, has been identified as a major factor affecting cancer patients' outcomes. However, few studies have investigated the CS-related outcomes in hepatobiliary and pancreatic (HBP) cancer. Thus, the aim of this study was to investigate effects of CS on quality of life (QoL) of HBP cancer. Methods: From 2017 to 2018, 73 patients who underwent curative surgery for HBP tumor at a single intuitive were enrolled prospectively. The QoL was measured using the European Organization for Research and Treatment of Cancer QoL score, and CS was evaluated in three categories, "impossibility of recovery," "cancer stereotypes," and "social discrimination." the stigma was defined by higher scores of attitudes compared with the median value. Results: The stigma group showed a lower QoL (-17.67, 95% confidence interval [CI]: -26.75 to 8.60, p < 0.001) than the no stigma group. Similarly, most function and symptoms of the stigma group showed worse results than the no stigma group. The difference in function scores between the two groups according to CS was highest in cognitive function (-21.20, 95% CI: -30.36 to 12.04, p < 0.001). Fatigue showed the largest difference between the two groups at 22.84 (95% CI: 12.88-32.07, p < 0.001) and was the most severe symptom in stigma group. Conclusions: CS was an important negative factor affecting the QoL, function, and symptoms of HBP cancer patients. Therefore, appropriate management of CS is crucial for improved postoperative QoL.

• 한국농촌간호학회지
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• 제10권2호
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• pp.59-73
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• 2015

Purpose: This study was done to investigate the effect of self-esteem on perceived stigma in high school students toward people with disabilities. Methods: The participants in this study were 140 high school students from Gyeonggi Province. Data were collected during May 2013. Structured questionnaires were used for data collection. Data were analyzed using descriptive by statistics, t-test, ANOVA, Pearson correlation coefficients, and simple regression analysis with the SPSS 19.0 program. Results: The major findings of this study are as follows: There was a significant relationship between stigma toward people with disabilities and self-esteem among the high school students (r=-.205, p=.015). There was also a significant relationship between relationships with friends (r=.291, p<.001), health statement (r=.400, p<.001) and self-esteem among the high school students. Self-esteem explained 3.5% of the variance in high school students' stigma toward people with disabilities (F=6.041, p=.015). Conclusion: Findings of this study suggest a need to develop education to increase self-esteem as a strategy to decrease high school students' stigma toward people with disabilities. Also, findings of this study suggest the need for repeated study on the relationship between self-esteem and stigma toward people with disabilities among adults.

• 아동학회지
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• 제35권5호
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• pp.99-111
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• 2014

The purpose of this study was to investigate the relationship between sex role stereotypes and delinquency, and determine if it is mediated by stigma. The data was taken from the fourth wave of the 2010 Korea Youth Panel Survey(KYPS), which was administered by the Korea Youth Policy Institute. The major findings are as follows: First, sex role stereotypes were found to increase stigma and delinquency. Second, the relationship between sex role stereotypes and delinquency is mediated by stigma. Third, the results revealed that there was a significant gender difference in mediating models. As for the female participants, stigma had a mediating effect in the relationship between sex role stereotyping and delinquency. In contrast, for the male participants, the mediating effect of stigma was found to be insignificant. Based on these results, this research suggested that delinquency prevention programs need improvement considering gender difference and sex role stereotypes.

• 대한간호학회지
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• 제42권2호
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• pp.226-235
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• 2012

Purpose: The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons. Methods: Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi's framework. Results: Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were 'Incapable of struggling against unfair treatment', 'Living as an outsider', 'Being constrained by oneself', 'Being in suspense over disclosure of oneself'. Conclusion: The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

• Child Health Nursing Research
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• 제30권2호
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• pp.154-163
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• 2024

Purpose: This study is descriptive research aiming to identify factors influencing the stigma experienced by college students with coronavirus disease 2019 (COVID-19), focusing on COVID-19 pandemic stress, depression, and fear of negative evaluation as the main variables. Methods: An online survey was administered to 175 college students who had been diagnosed with COVID-19 from January to May 2022 and were enrolled in universities in Seoul, Cheongju, and Daegu, South Korea. The survey collected data on pandemic stress, depression, fear of negative evaluation, and stigma. The data were analyzed using the t-test, ANOVA, the Scheffe test, Pearson's correlation coefficients, and stepwise multiple regression in SPSS/WIN 26.0. Results: We analyzed differences in stigma scores based on general characteristics of the college students and found significant differences in stigma scores by age, major satisfaction, interpersonal satisfaction, date of COVID-19 confirmation, treatment modality, and recent subjective health condition. Factors influencing stigmatization were identified as COVID-19 pandemic stress, depression, date of COVID-19 confirmation, treatment modality, recent subjective health condition, and major satisfaction, with an overall explanatory power of 37.6%. Conclusion: This study is significant as it identifies emotional changes across various aspects of pandemic stress, depression, fear of negative evaluation, and stigma among college students who have been diagnosed with COVID-19. The findings of this study suggest the development of programs to reduce psychological distress and enhance mental health management skills among these students.

• 한국버섯학회지
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• 제3권3호
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• pp.109-114
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• 2005

표고골목 해균인 주홍꼬리버섯을 방제하기 위해 저항성 표고균주 선발을 시도하였다. 저항성 표고균주 선발 시험에서, 사용된 77개 균주 중 67개 균주가 저항력을 가지는 것으로 확인되었다. 이들 67개 균주 중 KFRI 5를 포함한 13개 균주가 주홍꼬리버섯균의 접근을 막는데 가장 큰 영향을 미쳤고 KFRI 180을 포함한 7개 균주가 주홍꼬리버섯의 영역으로 가장 많이 침범했다. 교잡을 통해 만든 31개 균주 중 KFRI 537을 포함한 8개 균주가 주홍꼬리버섯균의 접근을 막는데 가장 큰 영향을 미쳤고 KFRI 545를 포함한 4개 균주가 주홍꼬리버섯의 영역으로 가장 많이 침범했다. 온도와 접종순서의 변화에 따른 각 균주의 저항력 차이를 확인하기 위해 PDA 평판배지와 상수리나무톱밥을 넣은 시험관배지를 사용했다. PDA 평판배지 시험결과, 대부분의 처리구에서 KFRI 137은 주홍꼬리버섯에 대해 뛰어난 접근 억제력을 보였고 KFRI 180은 뛰어난 침범력을 보였다. 교잡균인 KFRI 545, 546, 547은 모균주들인 KFRI 488과 405에 비해 높은 저항력을 보였다. 시험관배지 시험결과, 표고균과 주홍꼬리버섯균이 대치를 하는 시점부터 $25^{\circ}C$에 두었을 때 모든 균주가 높은 저항력을 나타냈다. KFRI 393은 $25^{\circ}C$에서 지속 배양할 때 다른 균주에 비해 높은 저항력을 나타냈다. 또한 모든 균주들에서, $25^{\circ}C$ 배양 후 두 균이 대치를 할 시기에 $14^{\circ}C$로 옮겨 배양한 처리구는 다른 처리구들에 비해 낮은 저항력을 보였다. 이때의 저항력 정도는 각 균주 최고치의 7-20%에 불과했다. 또한 KFRI 259는 PDA 평판배지에서와 달리, 주홍꼬리버섯의 영역을 침범했다.

• 디지털융복합연구
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• 제18권1호
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• pp.343-355
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• 2020

본 연구는 학업중단 청소년의 게임중독과 사회적 낙인감 사이에 어떠한 관계가 있는지를 종단적으로 분석하고자 하였다. 게임중독과 사회적 낙인감은 시간이 흐름에 따라 어떻게 서로 영향을 주는지 그리고 양자사이에 시간적 인과관계를 규명하고자 기존의 여러 연구에서 검토된 사회적 낙인감 & 자기 낙인감 이론을 중심으로 선행연구를 고찰한 후 학교 밖 청소년 패널 3차 자료와 4차 자료, 5차 자료를 이용하여 학교 밖 청소년의 게임중독과 사회적 낙인감의 관계에 대해 종단적 측면에서 분석하고자 하였다. 연구방법은 Amos25 프로그램을 이용하여 게임중독과 사회적 낙인감 두 변수를 사용하여 자기회귀교차지연모델로 분석하였다. 분석결과, 학교 밖 청소년의 게임중독은 다음시기의 사회적 낙인감에 유의한 영향을 주지 못하였으나, 사회적 낙인감은 다음시기의 게임중독에 유의한 영향을 주는 것으로 나타났다. 그리고 게임중독과 사회적 낙인감은 강력한 자기회귀효과를 지니는 것으로 나타났으며 그 정도는 시간의 흐름에 따라 일정하게 유지되는 것으로 나타났다. 이에 따라 본 연구에서는 사회적 상생, 지역 사회 지지, 다학제적 관점과 민관 협치를 제언하였다.

• 동서간호학연구지
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• 제24권1호
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• pp.70-80
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• 2018

Purpose: This study was conducted to explore the mediating effects of internalized stigma on the relationship between hospitalization stress and quality of life among patients with mental illness in closed wards. Methods: A cross-sectional study design was employed. The participants were 141 hospitalized patients with mental illness in the closed wards of K university hospital and Y psychiatric hospital in Korea. Data were collected using self-report questionnaires including hospitalization stress, internalized stigma and quality of life. Data were analyzed using SPSS 21.0 and AMOS 21.0 programs and the mediating effects were examined by the method suggested by Baron and Kenny. Results: There was a significant correlation between hospitalization stress, internalized stigma and quality of life of psychiatric patients. In addition, internalized stigma was found to have a partial mediating effect on the relationship between hospitalization stress and quality of life. Conclusion: The results suggest that the internalized stigma plays an important role in improving the quality of life of the people with mental illness in a closed unit. Therefore, it is necessary to develop a program focusing on internalized stigma for improving the quality of life in hospitalized patients in a closed unit.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.6141-6147
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• 2015

Background: Cancer is a leading cause of death worldwide. A large proportion of cancer deaths are preventable through early detection but there are a range of social, emotional, cultural and financial dimensions that hinder the effectiveness of cancer prevention and treatment efforts. Cancer stigma is one such barrier and is increasingly recognized as an important factor influencing health awareness and promotion, and hence, disease prevention and control. The impact and extent of stigma on the cancer early detection and care continuum is poorly understood in India. Objectives: To evaluate cancer awareness and stigma from multiple stakeholder perspectives in North India, including men and women from the general population, health care professionals and educators, and cancer survivors. Materials and Methods: A qualitative study was conducted with in-depth interviews (IDIs) and focus group discussions (FGDs) among 39 individuals over a period of 3 months in 2014. Three groups of participants were chosen purposively - 1) men and women who attended cancer screening camps held by the Indian Cancer Society, Delhi; 2) health care providers and 3) cancer survivors. Results: Most participants were unaware of what cancers are in general, their causes and ways of prevention. Attitudes of families towards cancer patients were observed to be positive and caring. Nevertheless, stigma and its impact emerged as a cross cutting theme across all groups. Cost of treatment, lack of awarenes and beliefs in alternate medicines were identified as some of the major barriers to seeking care. Conclusions: This study suggests a need for spreading awareness, knowledge about cancers and assessing associated impact among the people. Also Future research is recommended to help eradicate stigma from the society and reduce cancer-related stigma in the Indian context.