• Journal of muscle and joint health
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• v.6 no.1
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• pp.100-135
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• 1999

Typical symptoms of rheumatic disease affect overall daily living and cause severe stress. Individuals afflicted with rheumatic disease have many illness-related stresses. Pain was the predominantly perceived stress followed by limitation in mobility, difficulties in carrying out activities of daily living. helplessness, dependency on others, threat to self-esteem, interference in social activity, interference in family relationships. difficulties performing at work, and discomfort of the treatment. Patients with chronic arthritis are subjected to long periods of continuous stress, which may require the management by the health care provider. In these cases, the purpose of the nursing is helping to promote health through supporting patient's coping. Therefore, for the nursing intervention to be effective, it is critical to build a theoretical framework that describes stress-coping for chronic arthritis. Thus, the purpose of this dissertation is to present a theoretical framework which describes the stress-coping processes and to empirically test pathos of this framework for the people with chronic arthritis. The foundation upon which this framework is built in the Erickson, Tomlin, and Swain(1983) theory of Modeling and role-Modeling. The subjects were 275 patients with rheumatoid arthritis or osteoarthritis who visited the outpatient clinic. A hypothetical model of stress-coping was tested by covariance structure analysis with PC-LISREL 8.12 program. As a result, the overall fit was good(Chi-square=94.49, P=0.00, RMR=0.067, GFI=0.95, AGFI=0.91, NNFI=0.93, NFI=0.91) for the hypothetical model. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on coping resources. However, independent variables(basic need satisfaction, internal health locus of control, illness-related experience, emotional stress and coping resource) did not have significantly influence on coping. And then, the hypothetical model was modified by considering both the theoretical implication and statistical significance of the parameter estimates. The revised model had a better fit to the data(Chi-square=83.11(P=0.00), RMR=0.061, GFI=0.96, AGFI=0.92, NNFI=0.95, NFI=0.92). Hypothesis emerged from the revised model was tested. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on illness-related experience and coping resources. Internal health locus of control, illness-related experience, emotional stress and coping resources had a significantly influence on coping. According to the results of this dissertation, basic need satisfaction and internal health locus of control play a central role in appraisal of illness-related experience and coping resources. And illness related-experience, emotional stress, and coping resources affect on coping activities. In summary, nursing interventions to enhance basic need satisfaction and internal health locus of control will decrease illness related experience and emotional stress and increase coping resources. Increased coping resources will prompt coping activities.

• Research in Community and Public Health Nursing
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• v.11 no.2
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• pp.321-332
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• 2000

The purpose of this study was to test the hypothetical model designed to explain nursing students' perceived stress, coping levels, and stress outcomes. This hypothetical model was based on the Kim. Jung Hee(l987)' s stress model and stress-related literature. Exogenous variables were self-efficacy. hardiness. social support. and exercise. Endogenous variables were stress perception. coping levels. and stress outcomes. Empirical data for testing the hypothetical model consisted of 205 nursing students. SAS PC Program and LISREL 8.12a program were used for descriptive statistics and linear structural relationship(LISREL) modeling. The results were as follows. 1) The overall fit of the hypothetical model to the data was good( $x^2$=78.41(p=0.010), $x^2$/ df=1.50. RMSEA=0.05, standardized RMR= 0.05, GFI=0.95, AGFI=0.91, NNFI=0.90, NFI=0.94). 2) The results of statistical testing of the hypotheses were as follows. (1) As expected. self-efficacy had a significant effect on stress perception. But. hardiness. social support, and exercise did not have a significant effect on stress perception. Self-efficacy, hardiness. social support, and exercise explained 12% of the total variance of stress perception. (2) As expected, self-efficacy, hardiness, social support, exercise, and stress perception had a significant effect on coping behavior, Self-efficacy, hardiness, social support, exercise, and stress perception explained 53% of the total variance of coping behavior. (3) As expected, stress perception and coping behavior had a significant effect on stress outcomes. Stress perception and coping behavior explained 84% of the total variance of stress outcomes. In conclusion, the hypothetical model of this study was confirmed in explaining and predicting stress perception, coping levels, and stress outcomes in nursing students. And these findings suggest the need to develop nursing intervention to enhance self-efficacy, hardiness, social support, and exercise to decrease the harmful outcomes of stress.

• Korean Journal of Occupational Health Nursing
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• v.10 no.1
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• pp.93-109
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• 2001

The purposes of this study are to identify stress and coping strategies of married working women. Data were collected from 185 married working women, living in the metropolitan area. The results were as follows: 1. Low family function and high occupational stress affected stress symptoms of married working women significantly, but type A personality was not related to the stress symptoms. 2. The more the married working women perceived stress symptoms, the more they utilized organizational coping strategies. 3. The women who used personal coping strategies effectively also used more effective organizational coping strategies. 4. Two paths were statistically significant : family function$\rightarrow$stress symptoms, occupational stress$\rightarrow$stress symptoms. But the others were not. Based on those results, the model was modified by adding four paths : A type personality$\rightarrow$personal coping strategies, occupational stress$\rightarrow$organizational coping strategies, personal coping strategies$\rightarrow$organizational coping strategies, organizational coping strategies$\rightarrow$stress symptoms. 5. The modified model produced a better fit than hypothetical model(GFI=0.9985, ACFI=0.9893, NFI=0.9920, NNFI=1.1330, RMSR=0.0030, PNFI=0.1984). In conclusion, the stress management for married working women needs to focus on both organizational coping strategies and personal coping strategies.

• The Korean Journal of Community Living Science
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• v.14 no.2
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• pp.107-117
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• 2003

The purpose of this study was to investigate university freshmen' stress coping strategy and psychological wellbeing to appling ecological family life welfare model. Based on Bronfenbrenner's ecological perspective, “ecological family welfare model”, which includes person(individual attributes), context(family backgrounds), process(mechanism of development), and time (the specific period), was suggested as a new research paradigm for family welfare life research. The questionnaire study was done for 171 freshmen of an university in Pusan. The results show the suggested research model was significant and effective to explain the mechanism of stress coping strategy and psychological wellbeing. Individual attributes(i. e., attachment style) and family context have an impact on family cohesion and adaptability which in turn affect stress coping strategies which then affect individual psychological wellbeing.

• 아동간호학회:학술대회논문집
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• 1997.11a
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• pp.35-47
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• 1997

Mothers with cerebral palsy children have much stress that is related to the care of children with cerebral palsy and to other household duties, and this state of the mother has an effect on the cerebral palsy child and on other household member. Mothers in such stressful situations use various coping patterns. The purpose of this study was as follows : to develop instruments that can be used for measuring the stress and coping patterns of mothers with cerebral palsy children, and to test a hypothetical model on the relationship between the mother's stress, her coping patterns and the variable affecting the stress and coping patterns. The results of this study can be summarized as follows : 1. The stress scale was composed of 44 items and Cronbach's ${\alpha}$ was .94, and the coping pattern scale was composed of 19 items and Cronbach's ${\alpha}$ was .80. The mean score of stress scale was 136.12 out of a total of 220, and the mean score of the coping scale was 72.87 in a total of 95. 2. In test of the hypothetical model, it was found that extra-care demand, the support of the husband, the degree of handicap, health status and self-esteem had statistically significant influence on the mother's stress(r=.285, -.262, -.133, -.126). And the support of the husband, formal support, informal support, and economic status were found to have statitically significant influence on the mother's coping patterns(r=.412, .178, .178, .138).

• Journal of the Korean Home Economics Association
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• v.36 no.2
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• pp.19-34
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• 1998

The purposes of this article were to find the general trends of single mothers' stressor, self-esteem, family resources, coping, stress and psychological well-being, and to test a causal model of family resources, coping and stress influencing on psychological well-being. The data were analyzed from the 283 single mothers living in Kwang-ju. The major findings were as follows; 1. Scores of single mothers' stress, family resources were lower than median. But scores of single mothers' stressor, self-esteem, coping, life satisfaction and depression were higher than median. Their problem-focused coping scores were higher than emotion-focused coping. 2. Single mothers' life satisfaction were directly affected by self-esteem, family resources, problem-focused coping and stress, and were indirectly affected by stressor, emotion-focused coping. Single mothers' depression were directly influenced by self-esteem, family resources, emotion-focused coping, problem-focused coping and stress, and were indirectly influenced by stressor.

• Journal of the Korean Home Economics Association
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• v.40 no.3
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• pp.55-66
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• 2002

This purposes of study are to examine the effect of family related stress and social support on the ways of coping of adolescents and provide a ground necessary to improve it. A survey was conducted on 756 adolescents who were living in Naju. Collected data were analyzed by descriptive statistics, Pearson's correlation, and multiple regression analysis. This study utilized two different models, direct effect model and buffering effect of social support in order to examine the effects of social support on the ways of coping of adolescents. Research findings suggest that the level of coping appeared to be low in general among adolescents. The finding of direct effect model of social support was that mother's support, father's support, sibling's support, lather's grade, mother's grade, and economic level effected the ways of coping of adolescents. But it was not empirically supported that the social support buffered the family related stress on the ways of coping. In other words, the effects of family related stress factor didn't decrease with the increase in the level of social support, however the level of coping increased at a mercy of the age and economic level. Finally, this paper attempted to provide some alternatives to effectively improve the ways of coping among adolescents based on empirical findings.

• Korean Journal of Social Welfare Studies
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• v.44 no.2
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• pp.113-140
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• 2013

This study aimed to empirically test the causal model of stress-coping-adaptation for unwed mothers, which was built upon the Lazarus and Folkman's(1984) "Stress-Coping-Adaptation" model. In doing so researchers endeavored to provide practice implications as well as theoretical ones which would be helpful both to alleviate the unwed mothers' stress level, and to facilitate social adaptation of the unwed mothers. In order to fulfill research purpose data were collected from the national sample of 423 unwed mothers in Korea. The results showed that the overall goodness of the fit of the proposed causal model was excellent. Most of the path coefficients between social support, stress, coping, and adaption turned out to be statistically significant. The moderating effects of "pursuit of social support" between stress and adaption was not significant statistically, though. Implications and suggestions were provided to reduce the level of stress of the unwed mothers, and to facilitate the adaptation of the unwed mothers.

• Journal of Korean Academy of Nursing
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• v.50 no.6
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• pp.813-821
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• 2020

Purpose: This study aimed to identify the actor and partner effects of daily stress and dyadic coping on marital satisfaction using the Actor-Partner Interdependence Mediational Model (APIeM). Methods: Participants were 314 couples who met the study's eligibility criteria. Data were collected from March to April 2016 through apartment and cooperative company communities in Seoul. Two APIeMs of positive and negative dyadic coping were analyzed using SPSS 20.0 and Mplus 7.4. All measures were self-administered. Results: Daily stress and positive and negative dyadic coping in both spouses had direct actor effects on their marital satisfaction. Daily stress in both spouses had an indirect actor effect on marital satisfaction through their positive and negative dyadic coping. The husband's daily stress had an indirect partner effect on the wife's marital satisfaction through his positive dyadic coping, while the wife's positive dyadic coping had a direct partner effect on the husband's marital satisfaction. The husband's daily stress had an indirect partner effect on the wife's marital satisfaction through his negative dyadic coping, while the wife's negative dyadic coping had a direct partner effect on the husband's marital satisfaction. Conclusion: Dyadic coping is an effective way to deal with couple's daily hassles as it increase their satisfaction in marriage.

• Korean Journal of Child Studies
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• v.34 no.4
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• pp.37-52
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• 2013

This study was performed to model the effects of ego strength, stress coping styles, fear of negative evaluation, and the effects these concepts have upon children's peer relationships. Data were collected from 580 fifth and six graders in Seoul and Gyeonggi province. In summary, the results indicated the following. Firstly, there were significant correlations between ego strength, stress coping styles, fear of negative evaluation, and peer relationships. Secondly, the ego strength of children was found to have direct influences upon their stress coping styles, fear of negative evaluation and peer relationships. Thirdly, out of stress coping styles of children affected by ego strength, only the negative coping style was found to significantly influence the fear of negative evaluation and peer relationships. Fourth, the fear of negative evaluation on the part of children was affected by ego strength and negative stress coping styles, and in particular, negative stress coping styles influenced peer relationships through the anxiety induced from interpersonal relationships.