• 제목/요약/키워드: Stress-coping

검색결과 948건 처리시간 0.032초

스트레스 대처 척도 12개 항목에 대한 심리측정 속성 (Item-Level Psychometrics of the 12 Items of the Coping Orientation to Problems Experienced Scale)

  • 남상훈;;이미정;;배수영;홍익표
    • 재활치료과학
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    • 제11권3호
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    • pp.65-80
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    • 2022
  • 목적 : 본 연구는 라쉬 분석을 이용하여 12개 항목의 스트레스 대처 척도의 항목 심리측정 속성을 조사하고자 하였다. 연구방법 : 본 연구는 ICPSR(Inter-university Consortium for Political and Social Research)에서 제공하는 공공 자료를 활용하여 로스엔젤레스에 거주하는 노인 480명을 대상으로 조사하였다. 주성분 분석을 사용하여 척도의 일반적 요인을 조사하였다, 라쉬 분석의 내·외적합 지수의 제곱평균(Mean Square)과 표준값(ZSTD)를 통해 항목 적합도를 알아보고, 척도의 신뢰도와 쉬운 항목과 어려운 항목을 식별하기 위해 항목-난이도 계층을 조사하였다. 마지막으로 성별과 연령 그룹에 대해 차등 항목 기능을 조사하였다, 결과 : 주성분 분석을 통해 스트레스 태처 척도의 12개 항목이 하나의 요인으로 구성되었음을 가정하였다. 라쉬 분석을 통하여 항목 2번이 부적합한 결과로 제거되었다(내적합 제곱평균=1.33, 내적합 표준값=5.05, 외적합 제곱평균=1.56, 외적합 표준값=7.15). 항목 2번을 제외한 11개 항목의 평가자 층(Person Strata)은 3.10으로 신뢰도 지수 0.81에 해당하는 값을 보였다. 차등 항목 기능을 조사한 결과 성별과 연령 그룹에 대한 차등 항목 기능은 없었다. 결론 : 라쉬 분석을 통해 개정된 COPE-11은 항목 간 심리측정 속성이 적절하여 측정 시 시간 단축과 정확한 측정이 가능할 것으로 사료된다.

문화적 자기관에 따라 스트레스 대처방식이 행복 및 대인관계 만족도에 미치는 영향 (The Role of Cultural Self-construal on Stress Coping and Psychological Wellbeing)

  • 류승아;김경미;한민
    • 한국심리학회지 : 문화 및 사회문제
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    • 제20권3호
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    • pp.177-203
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    • 2014
  • 스트레스에 대한 대처방식의 차이는 개인의 심리적 안정에 영향을 미친다. 또한 개인의 특성에 따라 대처방식이 심리적 안정에 미치는 영향력은 달라질 수 있다. 그러나 개인이 가지는 특성 중 문화적 자기에 따라 스트레스 대처방식과 행복의 관계가 달라지는 지에 대하여는 확인된 바 없다. 기존의 문화적 자기관으로 대표되는 개인주의-집단주의 또는 상호독립적-상호협조적 자기는 한국인의 특성을 설명하는 데 한계를 보여왔다. 따라서, 본 연구는 한국문화를 설명할 수 있는 새로운 문화적 자기관인 주체성-대상성 자기를 기준으로 그 관계를 알아보고자 하였다. 분석에 사용된 설문은 총 283부이며, 참여자의 평균 나이는 21.66세(SD = 1.46)이며, 남자는 125명(44%), 여자는 158명(55.8%)이었다. 설문은 행복, 대인관계 만족도, 주체성-대상성 자기, 그리고 스트레스 대처방식(문제해결, 조력추구, 소망적사고, 부인) 등으로 구성되었다. 분석 결과, 주체성 자기가 대상성 자기보다 우세한 집단이 문제해결, 조력추구를 많이 사용하였고, 부인은 적게 사용하였다. 다음으로, 주체성 자기가 대상성 자기보다 강할수록 행복과 대인관계 만족도는 높았다. 마지막으로, 대상성 자기 우세 집단이 주체성 자기 우세 집단보다 문제해결과 조력추구의 대처방식에 있어서 행복과 대인관계 만족도에 미치는 영향력이 유의미하게 높았다. 이러한 연구 결과를 바탕으로 새로운 문화적 자기관의 한국 문화의 이론적 적용과 실제적 활용을 논의하였다.

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상호교류분석으로 본 간호학생의 자아상태와 스트레스 대처방법 및 건강상태에 관한 연구 (Study on Ego states in the view of Transactional analysis, Coping style and Health states of Nursing Students)

  • 원정숙;김정화
    • 동서간호학연구지
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    • 제7권1호
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    • pp.68-81
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    • 2002
  • The purpose of this study is to analyze the type of ego states and stress coping style on female college students who are in the course of nursing study. This study is performed in the view of Transactional Analysis and designed to scrutinize descriptive correlations between the type of ego states and stress coping style. The subject is consists of 144 freshmen and sophomore, 138 junior and senior students group, who are students of K nursing college located in Seoul. The sampling investigation period is on Sept. 14, 2002 to Oct. 26, 2002. The measuring instrument used for Transactional Analysis ego state is 50 items Ego-gram research paper devised by Dusay(1997). For studying coping style, Folkman & Lazarus's measurement(1984) was adopted, which is translated and modified by Han, and Oh,(1990). Health states is adopted by standardized health inspecting instrumental table (Cornell Medical Index:CMI) which is designed for Korean people by Ko and Park(1980) Statistic average and standard deviation were generated by using SPSS PC+, t=test and Pearson correlation. The results were as follows: 1) In the type of ego states on both groups indicated the arithmetic apex NP(maximum value), then the point A was high and the data made a down slope to point AC. In the comparison to type of ego states between two groups, only at point CP, the data value of upper year students represented higher than that of lower year ones by c(t=2.28, p=.023). 2) Stress coping style of whole students were highly and affirmatively dedicated to research. Especially hopeful aspect(t=.67, p=.05), relaxation of tension(t=-2.16, p=.03) made significant difference each other in the view of arithmetic calculation. 3) In view of nursing students' physical health states, there is significant difference in past history(t=2.50, p=.013) and in case of mental health states, there are considerable discrepancies between lower group(73.52) and upper group(75.11)(p<.05). In view of all field, state of tension(t=2.13, p=.048) has difference. 4) While verifying coping style in terms of ego states level between lower and upper students group, In type CP, high level ego states group indicated significant difference on stress coping style area than low leveled group and made such sequences as the central point of problem, In type NP, sequences such as the central point of problem, In type A, the central point of problem, In type FC, hopeful aspect and In type AC, hopeful aspect and indifference were derived significantly different (p<.05). 5) While verifying health state differences in the level of lower and upper ego states, In type FC, low level group(150.29) marked higher point than upper group(145.19), there is remarkable discrepancy and so did whole health state(p=.014), In type AC both mental state(p=.000) and whole health state (p=.015) showed differences. 6) When analyzing correlations between whole students' ego states, copying style and health state, all type of ego state showed differences(p<.001). In correlations between ego state and health state, in type FC physical state had an apex and there are inverse correlations among the other types. Especially, type FC showed inverse correlations with great discrepancies(p<.05). In mental state, type NP(${\gamma}=.198$, p<.001) and type A(${\gamma}=.166$, p<.05) represented straight correlations with remarkable differences. Especially, In type AC showed inverse correlations(${\gamma}=.282$, p<.001). In case of correlations between copying style and health state, indifference(${\gamma}=-.157$) and relaxation of tension(${\gamma}=-.158$) presented great difference(p<.05). In mental state, central point of problem and search for social support showed straight correlations with great discrepancies(p<.05), hopeful aspect and indifference showed inverse correlations with considerable differences(p<.001).

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여성알코올중독자의 외상경험과 재발위험성의 관계에서 문제중심대처, 정서중심대처, 음주기대의 매개효과 (Mediating Effects of Problem Focused and Emotion Focused Coping, Drinking Anticipation Between the Female Alcoholics Traumatic Experienced and Their Warning of Relapse)

  • 우재희
    • 한국콘텐츠학회논문지
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    • 제13권4호
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    • pp.230-238
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    • 2013
  • 본 연구는 신체적, 성적 학대의 외상경험이 있는 여성알코올중독자들의 외상경험과 외상 후 스트레스 증상에 초점을 맞추어 알코올중독 재발위험성에 영향을 미치는 매개변인을 파악하여 여성알코올중독자들을 재발에 이르게 하는 스트레스대처와 음주기대의 심리적 요인을 이해하고, 알코올중독 사회복지 실천현장의 실천적 방안을 모색하는데 그 목적을 두고자 하였다. 분석결과 첫째, 연구대상자의 신체적, 성적 외상경험관련 특성은 18세 이전 지인에 의한 신체적 성적 학대경험이 18세 이후의 경험보다 많았다. 둘째, 연구모형의 분석에서 총 10개의 직접경로 중 8개의 경로가 통계적으로 유의하였고, 셋째, 매개변수를 통한 간접영향에 대한 검증결과 외상 후 스트레스 증상, 문제 중심 대처, 정서 중심 대처, 음주기대를 매개로 하는 6개의 간접경로 중 4개의 경로가 유의하였다. 이와 같은 연구결과를 바탕으로 여성 알코올중독자의 재발을 예방하기 위한 구체적인 실천적 방안과 함의를 제시하였다.

간호학과 학생의 스트레스 대처 양상 (Type of Coping with Stress of Nursing Students)

  • 김윤정
    • 한국융합학회논문지
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    • 제5권3호
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    • pp.29-39
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    • 2014
  • 본 연구는 Q방법론을 적용하여 간호학과 학생의 스트레스 대처유형에 관한 주관성을 유형화하고 각 유형별 특성을 파악함으로써 간호학과 학생의 스트레스 관리에 관한 이해를 도우며, 스트레스 관리 유형에 따른 개별화 되고 차별화된 프로그램 개발에 기초자료를 마련하고자 실시하였다. 본 연구는 간호학과 학생 44명을 P표본으로 하여 43개 Q표본을 9점 분포도상에 강제 분포하도록 하고, 수집된 자료는 PC QUANL program에 의한 주인자 분석법으로 처리하였다. 가장 본 연구 결과 간호학과 학생의 스트레스 관리 유형은 4가지로 분류되었으며, 전체 변량은 49.52%였다. 제1유형은 '긍정적 해결형', 제2유형은 '상황 무시형', 제3유형은 '자가 해결형', 제4유형은 '대화형'이며 각 유형별 설명력은 31.73%, 10.03%, 5.73%, 4.65%로 나타났다. 본 연구결과에서 간호학과 학생의 스트레스 대처 유형분류를 통해 간호교육과 임상실습교육에 대한 개발과 함께 개별화된 중재 전략도 다르게 제공되어야 함을 알 수 있다.

사상체질에 따른 신체화 기제의 차이에 대한 연구 (A Study on Difference of Somatization Psychological Mechanism among Sasang Constitution(Four type constitution))

  • 이고은;박장호;유윤선;노동진;박인숙;강형원
    • 동의신경정신과학회지
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    • 제22권3호
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    • pp.23-42
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    • 2011
  • Objectives : The purpose of this study was to investigate the difference of somatization psychological mechanism among Sasang constitution. Methods : Subjects were seventy four students of Won-Kwang university responded the questionnaire. We evaulated the subjects using Minnesota Questionnaire for the Sasang Constitution Classification II(QSCC II), Multiphasic Personality Inventory-2(MMPI-2), 20-item Toronto Alexithymia Scale (TAS-20), Somato-Sensory Amplification Scale(SSAS), Symptom Interpretation Questionnaire(SIQ) and The Ways of Stress Coping Questionnaire(SCQ). Results : From the results of Clinical scale of MMPI-2, the scores of 2nd, 9th, 10th scales was significantly difference. In Lesser Yin group 10th score was the significantly highest of the others, 1st, 3rd, 6th, 7th, 8th score were the highest but not significant. and From the results of PSY-5 scale(The Personality Psychopathology Five scale) of MMPI-2, In Lesser Yin goup, INTR(Introversion/Low Positive Emotion) score was significantly highest, PSYC(psychoticism), NEGE (Negative Emotionality/Neuroticism) was higher than the others. In TAS-20K, SSAS, SIQ and SCQ Lesser Yin group was not significantly difference. but Lesser Yin group had the tendency of difficulty describing feelings and externally oriented thinking and higher score in physical and psychological interpretation. We observed generally lower levels of stress coping strategy scores than the others. Conclusions : These results showed that Lesser Yin group tend to somatization compared other constitution.

간호대학생의 임상실습 스트레스 영향요인에 관한 경로분석: Lazarus와 Folkman의 스트레스-대처 모델 기반으로 (Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model)

  • 김성해;이주희;장미라
    • 대한간호학회지
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    • 제49권4호
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    • pp.437-448
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    • 2019
  • Purpose: This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model. Methods: This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0. Results: The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (${\beta}=-.22$, p=.003) and Nun-chi behavior (${\beta}=-.17$, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (${\beta}=.20$, p=.006) and self-efficacy (${\beta}=.45$, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (${\beta}=.20$, p<.001) and Nun-chi behavior (${\beta}=.09$, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (${\beta}=.09$, p=.005) and Nun-chi behavior (${\beta}=.09$, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively. Conclusion: In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.

백혈병 청소년의 회복력 영향 요인 (Predictors of Resilience in Adolescents with Leukemia)

  • 홍성실;박호란
    • 대한간호학회지
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    • 제45권4호
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    • pp.595-603
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    • 2015
  • Purpose: The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors. Methods: From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program. Results: The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience. Conclusion: The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.

근위축성측삭경화증 가족 돌봄제공자의 심리사회적 안녕감에 영향을 미치는 요인 (Factors Influencing Psychosocial Well-Being in Family Caregivers of People with Amyotrophic Lateral Sclerosis)

  • 추현식;탁영란;김승현
    • 대한간호학회지
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    • 제48권4호
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    • pp.454-464
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    • 2018
  • Purpose: The purpose of this study was to identify factors influencing psychosocial well-being in family caregivers of patients with amyotrophic lateral sclerosis (ALS). Methods: A descriptive correlational design was used. The transactional model of stress and coping was used to investigate the psychosocial well-being of 137 family caregivers of patients with ALS. Data were collected through self-reported questionnaires from January to November 2016. Data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis with the SPSS WIN 21.0 program. Results: The regression model had an adjusted $R^2$ of .49, which indicated that meaning-focused coping, social support, ALS patient-family caregiver relationship (especially a spousal relationship), and tracheostomy were significant predictors of caregivers' psychosocial well-being. Conclusion: Meaning-focused coping and social support significantly influenced caregivers' psychosocial well-being. Therefore, interventions to improve caregivers' psychosocial well-being must focus on increasing meaning-focused coping and social support resources.

종합병원 간호사가 경험한 폭력 유형과 대처방식 (Types of Violence and Coping Methods Experienced by General Hospital Nurses)

  • 강미정;박인숙
    • 임상간호연구
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    • 제21권1호
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    • pp.92-104
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    • 2015
  • Purpose: The purpose of this study was to identify the types of violence and coping methods experienced by general hospital nurses. Methods: Data were collected from March 17 to 24, 2014, using self-report questionnaires. Responses from 449 nurses were analyzed. Results: The majority of the respondents experienced violence from patients, visitors, doctors, and other nurses. Verbal violence was more frequent than physical threats and physical violence. Most violence happened in ERs, followed by surgical units, and ICUs. The most frequent response by nurses after violence was an emotional response, especially 'anger' ($4.01{\pm}1.059$). Based on general characteristics, the responses were significant for professional experience (F=2.935, p=.013) and work areas (F=2.290, p=.021). The most frequent coping method for nurses after violence had occurred was to 'just complete their duties as if nothing happened'. Conclusion: Most nurses are exposed to frequent violence, but they feel defenseless. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. In addition, educational programs should be provided for nurses to improve their attitudes and abilities to cope with violence. Also, hospitals should offer sufficient support, stress reduction programs and counseling programs for nurses.