• Title/Summary/Keyword: Stress-coping

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Daily Functioning in Chronic Pain: Study of Structural Relations with Posttraumatic Stress Disorder Symptoms, Pain Intensity, and Pain Avoidance

  • Cho, Sung-Kun;Heiby, Elaine M.;McCracken, Lance M.;Moon, Dong-Eon;Lee, Jang-Han
    • The Korean Journal of Pain
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    • v.24 no.1
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    • pp.13-21
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    • 2011
  • Background: This study aimed to evaluate processes from the mutual maintenance model in relation to daily functioning in patients with both chronic pain and a history of a traumatic experience. The mechanism illustrated the structural relations for daily functioning among pain intensity, hyperarousal, re-experiencing, trauma avoidance, and pain avoidance. Methods: Archival data (N = 214) was used for this study and data were analyzed for 142 chronic pain patients reporting a traumatic experience and seeking treatment at a tertiary pain clinic in Korea. Results: The results indicated that pain intensity, hyperarousal, and pain avoidance had significant direct effects on daily functioning. Also, pain intensity showed significant indirect effects on daily functioning through hyperarousal and pain avoidance; and hyperarousal through pain avoidance. Conclusions: Results suggest a direct contribution of high levels of pain, hyperarousal symptoms of PTSD, and pain avoidance behaviors to reduced daily functioning. Also, elevated pain as reminders of the trauma may trigger high levels of hyperarousal symptoms of PTSD. Subsequently, avoidant coping strategies may be used to minimize pain so that the trauma would not be re-experienced, thus inhibiting the activation of hyperarousal symptoms of PTSD. However, prolonged use of such strategies may contribute to decline in daily functioning.

A Study on the Effect of Psychological Anxiety Factors Perceived by Sky Divers on Self-confidence at the time of Sky Diving (Sky Diving시 Sky Diver의 심리적 불안요인이 자신감에 미치는 영향)

  • Kang, Myoung-Sook;Byun, Sang-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.5819-5828
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    • 2015
  • This study was carried out to analyze how psychological anxiety factors perceived by sky divers at the time of sky diving affect self-confidence. To that end, a survey was executed on 150 sky divers and 123 questionnaires were selected for the final analysis with SPSS v.21. Major findings of the study are as follows: first, sky divers use stretching and breathing the most to cope with stress-related symptoms; second, psychological anxiety and self-confidence were different in religion, age and the number of sky diving; third, sky divers' psychological anxiety affects self-confidence negatively. This study will contribute to developing a program to help sky divers enhance psychological coping techniques to reduce anxiety while increasing self-confidence at the time of sky diving.

A Meta-Analysis on Factors Related to Quality of Life in Heart Transplant Recipients (심장이식 수혜자의 삶의 질 관련 요인에 대한 메타분석)

  • Jang, Mi Ra;Im, Se Rah;Choi, Mona
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.251-264
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    • 2019
  • Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

An evaluation on in-pile behaviors of SiCf/SiC cladding under normal and accident conditions with updated FROBA-ATF code

  • Chen, Ping;Qiu, Bowen;Li, Yuanming;Wu, Yingwei;Hui, Yongbo;Deng, Yangbin;Zhang, Kun
    • Nuclear Engineering and Technology
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    • v.53 no.4
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    • pp.1236-1249
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    • 2021
  • Although there are still controversial opinions and uncertainty on application of SiCf/SiC composite cladding as next-generation cladding material for its great oxidation resistance in high temperature steam environment and other outstanding advantages, it cannot deny that SiCf/SiC cladding is a potential accident tolerant fuel (ATF) cladding with high research priority and still in the engineering design stage for now. However, considering its disadvantages, such as low irradiated thermal conductivity, ductility that barely not exist, further evaluations of its in-pile behaviors are still necessary. Based on the self-developed code we recently updated, relevant thermohydraulic and mechanical models in FROBA-ATF were applied to simulate the cladding behaviors under normal and accident conditions in this paper. Even through steady-state performance analysis revealed that this kind of cladding material could greatly reduce the oxidation thickness, the thermal performance of UO2-SiC was poor due to its low inpile thermal conductivity and creep rate. Besides, the risk of failure exists when reactor power decreased. With geometry optimization and dopant addition in pellets, the steady-state performance of UO2-SiC was enhanced and the failure risk was reduced. The thermal and mechanical performance of the improved UO2-SiC was further evaluated under Loss of coolant accident (LOCA) and Reactivity Initiated Accident (RIA) conditions. Transient results showed that the optimized ATF had better thermal performance, lower cladding hoop stress, and could provide more coping time under accident conditions.

School Health Teachers' Experience of Coping with the COVID-19 Pandemic (보건교사의 COVID-19상황 대응 경험)

  • Lim, Kyoung Mi;Kim, Jin Ah
    • Journal of the Korean Society of School Health
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    • v.34 no.1
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    • pp.76-86
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    • 2021
  • Purpose: This study was conducted to describe the experience of school health teachers in regard to the COVID-19 pandemic in South Korea. Methods: We conducted a qualitative study using content analysis. Ten school health teachers were recruited from 6 elementary schools, 2 middle schools and 2 high schools in Seoul, using purposive sampling. They participated in semi-structured in-depth interviews in person or using an online communication system from January to February, 2021. Interviews were transcribed verbatim and analysed using qualitative content analysis. Results: Three main categories and nine generic categories emerged from the analysis. Firstly, it was discovered that school health teachers had psychological and physical stress to cope with COVID-19 due to the 1) fear of the unexpected infectious disease, 2) burden of having to deal with it alone, 3) breakdown of personal life and physical exhaustion and 4) heavy duty as a health teacher caused by the lack of an organic cooperation system with institutions related to school infectious diseases. Secondly, school health teachers had an increased sense of empowerment in regard to infectious disease management as a result of 1) feeling rewarded and appreciated and 2) gaining confidence and trust in infectious disease management. Finally, school health teachers experienced the urgent need for an effective response strategy for infection control because of the 1) confusion over infectious disease response due to lack of practical manuals applicable to the field as well as training, 2) disappointing response system without an expert response team dedicated to managing infectious diseases in schools, and 3) growing awareness of the need for change. Conclusion: It is expected that school health teachers' experience of COVID-19 will be used as important data for building effective and advanced school infectious disease response systems.

The Effects of Stigma on Happiness among Children in Community Child Centers: Mediating Effects of Empowerment and Community Social Capital (지역아동센터 이용아동이 인식하는 낙인감이 행복감에 미치는 영향: 임파워먼트와 지역사회자본의 매개효과)

  • Kim, Su-Jeong
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.533-544
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    • 2021
  • This study was focused on social stigma in utilizing community child centers which are selective child welfare institutions. The study model derived from the stress process model. The purpose of this research was to investigate the effects of stigma on happiness among children in community child centers and mediating effects of empowerment and community social capital as coping resources. The data were collected from 5, 6th grade students who are attending community child centers located in Daegu and Gyeongsan city. Data of 175 were analyzed and SPSS Process Macro and bootstrapping method were used. The results of the study were follows. First, stigma among children in community child centers showed significant direct effects on happiness. Second, empowerment and community social capital had significant mediating effects on the relationship between stigma and happiness. Based on the results, the policy and practice implications to improve happiness of children in community child centers were suggested.

A study on the meaning of Death Observed by Nursing College Students (간호 대학생이 실습 중 관찰한 죽음의 의미고찰)

  • Kim, Mi–Hwa;Lee, Eun–Su
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.2
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    • pp.7-13
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    • 2022
  • The purpose is a qualitative study that explores the essential meaning of death for fourth-year students of nursing college who have completed the practical training in the Department of Nursing. The participants of this study were 15 students who were 4th graders at a university in M city, Jeollabuk-do and had a strong awareness of death. As for data collection, students who read a thesis related to death and completed 1004 hours of hospital practice were asked to write a self-report within 72 hours for questions. The collected data were analyzed using Krippendorff's phenomenological method. As a result of analyzing the experience related to death, it was derived into 30 meaningful statements in 3 categories, 9 topics. The three categories were derived from 'the end and together', 'death, fighting alone,' and 'fear and fear'. It is expected that the results of this study will be used as useful basic data for developing a professional understanding of death in nursing students and coping with the stress of death faced by new nurses.

Students' Responses and Self-understanding in Liberal Arts and Personality Class (교양과 인성 수업에 나타난 학생들의 반응과 자기 이해)

  • Park, Joo Eun;Park, Sung Hae
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.289-296
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    • 2022
  • The purpose of this study was to examine the students' responses and self-understanding in the liberal arts and personality class, one of the compulsory liberal arts subjects at S University. The results of the study are as follows. First, the degree of influence on students' positive change in this class was higher than normal using a five-step Likert scale. In particular, as a result of the film discussion conducted by the researcher, satisfaction was very high. Second, as a result of picture test analysis, changes in coping ability through stress and resource scales were seen in the students, and it was an opportunity for students to understand themselves by looking into their minds. This study presented example of classes that can cultivate students' personality through literature, art, and video, and cultivate their qualities as global citizens, such as responsibility, leadership, cooperation, consideration, communication, and empathy, through discussion.

The Association of Anxiety Severity With Health Risk Behaviors in a Large Representative Sample of Korean Adolescents

  • Woo, Kyung Soo;Ji, Yoonmi;Lee, Hye Jeong;Choi, Tae Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.32 no.4
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    • pp.144-153
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    • 2021
  • Objectives: Anxiety disorders are the most common psychiatric disorders in adolescents and seem to occur the earliest among all forms of psychopathology. The aim of this study was to investigate the association of anxiety severity with health risk behaviors and mental health in adolescents. Methods: Data from the 2020 Korean Youth Risk Behavior Web-Based Survey were analyzed. A total of 54948 adolescents responded to the 7-item Generalized Anxiety Disorder Scale (GAD-7) for the assessment of their anxiety severity as well as to the mental health and health risk behavior survey. Logistic regression analysis, t tests, and variance analysis of a complex sample general linear model were used to examine the association of anxiety severity with health behaviors and mental health. Results: After statistical adjustment for sociodemographic characteristics, the subjects in the severe anxiety group were significantly more likely to be current smokers (odds ratio [OR]: 2.08, 95% confidence interval [CI]: 1.72-2.50), current drinkers (OR: 1.91, 95% CI: 1.67-2.19), experience habitual substance use (OR: 10.89, 95% CI: 8.22-14.42), have sexual intercourse (OR: 2.10, 95% CI: 1.76-2.51), and have unprotected intercourse (OR: 2.21, 95% CI: 1.67-2.92) than those in the normal group. Anxiety severity negatively correlated with sleep satisfaction and happiness, but positively correlated with stress perception, loneliness, depressive symptoms, and suicidality. Conclusion: Adolescent anxiety is associated with health risk behaviors and poor mental health. Thus, early screening and intervention for anxiety in adolescents could contribute to the management and coping of youth health risk behaviors in the community.

Analysis of Yoga Keywords with Media Big Data (미디어 빅데이터를 통한 요가 관련 키워드 분석)

  • Chi, Dong-Cheol;Lim, Hyu-Seong;Kim, Jong-Hyuck
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.365-372
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    • 2022
  • South Korea is entering an aging society, and since the musculoskeletal system directly affects elders' daily life, muscle exercise and flexibility are required. In particular, yoga relaxes the mind and the body and heightens stress coping ability. To investigate keywords about yoga, news articles provided by BIGKinds, a news analysis system, was applied to collect articles from January 1, 2019, to December 31, 2021, and an analysis was conducted about the monthly keywords and the relationship followed by the weighted degree. Based on the research findings, first, it showed that there is high interest in yoga during the spring and autumn seasons. Second, yoga is offered in non-contact methods nowadays, and various social network services are applied for the operation. Third, there was high public attention to articles on yoga instructors and trainers, and this revealed the importance and interest in online coaching. It is anticipated to apply it for the development of yoga workout programs and base data to develop sports for all.