• 제목/요약/키워드: anxiety level

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갈등적인 부부관계와 한부모가족, 어느 것이 아동의 정신건강에 더 해로운가? (Influences of Single-Parent Family and Parental Conflict on Children's Mental health)

  • 정소희
    • 사회복지연구
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    • 제42권4호
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    • pp.165-186
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    • 2011
  • 본 연구는 아동의 정신건강에 위험요인으로 작용할 수 있는 부부갈등과 한부모가족 중 어느 것이 더 아동의 정신건강(아동의 우울/불안, 스트레스, 정서조절, 자아존중감, 삶에 대한 만족도)에 영향을 많이 미치는지, 그리고 부부갈등과 한부모가족 등이 양육행동을 통해 아동에게 어떻게 영향을 미치는지를 확인하기 위해 진행되었다. 한국청소년패널조사(KYPS) 중 초등학교 패널 1차년도 데이터를 사용하였고 전체 대상자 2,844명 중 2,816명이 최종 분석대상으로 사용되었다. 분석결과는 부부갈등이 높다고 응답한 청소년들이 부부갈등이 낮은 양부모가정이나 모자가정, 부자가정 청소년에 비해 우울/불안 및 스트레스가 높은 반면 정서조절, 삶에 대한 만족도, 자아존중감은 낮은 것으로 나타났다.. 또한 부모의 양육행동도 부부갈등이 높은 집단이 가장 좋지 않은 것으로 나타나 갈등적인 부부관계가 가족구조보다도 아동의 정신건강에 있어 위험요인으로 작용하고 있음을 확인하였다. 그러나 부부갈등이 청소년에게 미치는 부정적 영향은 부모의 양육행동을 통제한 후에는 더 이상 유의하지 않아 부부갈등보다는 부모양육행동이 아동의 정신건강에 훨씬 중요한 요인임을 확인하였다. 이와 같은 분석결과를 바탕으로 몇 가지 실천적 함의를 제시하였다.

운전행동 결정요인을 이용한 위험운전자의 판별 (Discriminating Risky Drivers Using Driving Behavior Determinants)

  • 오주석 ;이순철
    • 한국심리학회지 : 문화 및 사회문제
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    • 제18권3호
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    • pp.415-433
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    • 2012
  • 본 연구는 위험한 운전행동을 일으킬 수 있는 운전자의 성격과 태도요인, 즉 운전행동 결정요인의 영향력을 밝히고, 이들 요인을 통해 위험운전자를 판별해낼 수 있는 타당한 방법을 개발하기 위해 시행되었다. 성인 운전자 534명을 대상으로 조사한 결과, 다섯 가지의 운전행동 결정요인들(문제회피성향, 이익/자극 추구, 대인불안, 대인분노, 공격성)은 운전자의 다양한 위험운전행동들에 통계적으로 유의한 수준의 영향력을 미치는 것으로 확인되었으며, 이들 요인을 이용하여 운전자들을 위험도에 따라 별개의 집단(일반운전자, 비의도적 위험운전자, 의도적 위험운전자)으로 구분할 수 있었다. 이 같은 결과는 운전자의 성격과 태도와 같은 심리적 요인들을 통해 운전자의 위험행동 수준을 예측하는 것이 가능하다는 것을 의미한다. 따라서 추후 연구들을 통해 본 연구에서 다룬 운전행동 결정요인 모델과 그 기준 점수체계를 보완한다면, 운전자의 위험성향을 사전에 예측하고 문제점을 확인하여 그에 따른 차별적 안전운전 교육서비스를 제공하는데 도움이 될 것으로 기대한다.

Impact of COVID-19 Pandemic on Psychological Well-Being of Firefighters

  • Elisabetta Riccardi;Luca Fontana ;Daniela Pacella;Fabio Fusco;Ilaria Marinaro;Giovanna Costanzo;Francesco Vassallo ;Maria Triassi ;Ivo Iavicoli
    • Safety and Health at Work
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    • 제14권3호
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    • pp.317-324
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    • 2023
  • Background: COVID-19 pandemic represented a unique stressful event that affected the physical health and psychological well-being (PWB) of individuals and communities. Monitoring PWB is essential not only to clarify the burden on mental health effects but also to define targeted psychological-supporting measures. This cross-sectional study evaluated the PWB of Italian firefighters during the pandemic. Methods: Firefighters recruited during the pandemic period filled out a self-administered questionnaire, the Psychological General Well-Being Index, during the health surveillance medical examination. This tool is usually used to assess the global PWB and explores six subdomains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. The influencing roles of age, gender, working activities, COVID-19, and pandemic restrictive measures were also explored. Results: A total of 742 firefighters completed the survey. The aggregate median PWB global score was in the 'no distress"" range (94.3 ± 10.3), which was higher than that observed in studies conducted using the same tool in the Italian general population during the same pandemic period. Similar findings were observed in the specific subdomains, thus suggesting that the investigated population was in good PWB condition. Interestingly, significantly better outcomes were detected in the younger firefighters. Conclusion: Our data showed a satisfactory PWB situation in firefighters that could be related to different professional factors such as work organization and mental and physical training. In particular, our results would suggest the hypothesis that in firefighters, maintaining a minimum/moderate level of physical activity (consisting of even just going to work) might have a profoundly positive impact on psychological health and well-being.

방사선에 대한 지식 및 인식도 연구 (Research on Knowledge and Awareness of Radiation)

  • 강연희;양성희;조용인;김정훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제47권2호
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    • pp.79-86
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    • 2024
  • This study was to conducted on the general public living in the Busan area to determine their knowledge and awareness of radiation. A questionnaire written in Google Form was distributed, and 193 questionnaires were analyzed. Independent samples t-test and one-way ANOVA were conducted to verify differences in variables according to the characteristics of the study subjects. Correlation analysis was conducted to determine the relationship between variables. Multiple linear regression analysis was conducted to confirm the correlation between variables. As a result of the study, firstly, The knowledge and awareness of radiation and confidence level of radiological information were found to be high among men and unmarried group. Second, as a result of analysis according to occupation, it was found that students had a positive perception of radiation. Third, the Internet and TV are the most commonly used channels for obtaining information about radiation. Lastly, the thing that has the greatest impact on the awareness of radiation is the reliability of the obtained radiation information. In order to relieve excessive anxiety about radiation and to gain a proper understanding of radiation, the reliability of information about radiation is important. Therefore, it is believed that active efforts are needed to provide accurate information about radiation by utilizing media that are widely used by citizens.

Silymarin attenuates escitalopram (cipralex) induced pancreatic injury in adult male albino rats: a biochemical, histological, and immunohistochemical approach

  • Rasha Mamdouh Salama;Sara Gamal Tayel
    • Anatomy and Cell Biology
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    • 제56권1호
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    • pp.122-136
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    • 2023
  • Depression is a prevalent global problem since ages, predominately treated with SSRI. Cipralex, is an antidepressant of the SSRIs class used as a remedy for mood, depression and anxiety. Silymarin (SIL), a natural free radical scavenging, has an antioxidant and anti-inflammatory properties. This hypothesis evaluates, for the first time, the role of cipralex on the structure of the endocrine and exocrine components of the pancreas and assess the beneficial effects of SIL on these changes. Forty-five rats were divided into control, cipralex, and cipralex plus SIL groups. During sacrifice, all rats and pancreases were weighed and the ratio of pancreatic weight (PW) to rat weight (RW) was calculated, blood samples were collected to estimate fasting glucose, insulin and amylase levels, the specimens were prepared for histological, immunohistochemical (inducible nitric oxide synthase [iNOS], tumour necrosis factor-alpha [TNF-α], caspase 3, proliferating cell nuclear antigen [PCNA], and anti-insulin antibody), and morphometrical studies. Cipralex group exhibited marked destruction of the pancreatic architecture of the exocrine and endocrine parts, with a dense collagen fiber deposition. Also, there is highly significant decrease (P<0.001) of PW/RT ratio, insulin, and amylase levels, the number and diameter of islets of Langerhans, the number of PCNA positive immunoreactive cells, and the number of insulin positive β-cells. Furthermore, a highly significant increase of glucose level, iNOS, TNF-α, and caspase-3 positive immunoreactive cells in the islets of Langerhans and acinar cells were observed. SIL improves the pancreatic histological architecture, weight loss, biochemical, and immunohistochemical analyses. Administering SIL is advantageous in managing cipralex induced pancreatic injury via its anti-inflammatory, antioxidant, and anti-apoptotic qualities.

음악을 하는 세 청년에게서 관찰된 공황발작의 의미 (The Meaning of Panic Attacks in Three Young People who Play Music)

  • 이기경
    • 심성연구
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    • 제37권1호
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    • pp.1-30
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    • 2022
  • 이 글은 음악을 하는 20대 초반 청년들에게 발생한 공황발작의 의미를 분석 심리학적으로 이해해보고자 하는 시도이다. 공황발작은 주로 20대에 발생한다고 알려진 불안신경증의 일종으로 다양한 자율신경계 증상에 동반되는 극심한 공포와 두려움이 특징이다. 공황발작과 감정기복, 자살사고나 자해행동이 동반된 세 사례에서 공황발작이 나타났던 상황을 살펴보고, 각 사례에서 공황발작의 심리적 의미를 살펴보았다. 첫 번째 사례의 공황발작은 무의식적인 상태로 남아 있고자 하는 이에게 의식성을 가지고 생각하거나 사고하게끔 한다. 두 번째 사례에서 미래를 향한 삶으로의 전진을 망설이며 갈등하는 이에게 내면의 문을 열어 자신의 깊은 마음과 접촉할 수 있게 하여 갈등을 초월할 가능성을 열어주기도 한다. 세 번째 사례에서는 무의식의 실현되고자 하는 본능과 충동을 공황발작으로 경험하고, 그 충동을 의식적으로 실현해간다. 각각 다른 의미가 있는 것처럼 보이는 그들의 공황발작은 청년기 이전 시기의 의식 수준으로부터 새로워질 것을 촉구하는 무의식의 강력한 접근일 것이다.

The impact of chronic insomnia disorder on menstruation and ovarian reserve in childbearing-age women: A cross-sectional study

  • Minmin Gong;Yang Gao;Zhi Wang;Fuer Lu;Hui Dong
    • Clinical and Experimental Reproductive Medicine
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    • 제51권2호
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    • pp.142-150
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    • 2024
  • Objective: Diminished ovarian reserve (DOR) is a disorder characterized by impaired ovarian function. Sleep disorders are disruptions of the circadian rhythm, which appears to be closely linked to reproductive systems. This study aimed to investigate the impact of poor sleep quality on the ovarian reserve of childbearing-age women. Methods: A cross-sectional study was conducted in China from June 2021 to March 2023. In total, 102 participants diagnosed with chronic insomnia disorder were included in the study. Questionnaires were administered to assess participants' menstrual patterns, insomnia severity, anxiety, and depression. The anti-Müllerian hormone level and the basal antral follicle count were measured for ovarian reserve evaluation. Correlation analysis and ordinal logistic regression analysis were conducted. Results: The women with insomnia presented high percentages of hypomenorrhea, premenstrual syndrome, and dysmenorrhea (78.4%, 74.5%, and 46.1%, respectively). Severe sleep disorder in the past month was identified as an independent risk factor for hypomenorrhea and premenstrual syndrome (odds ratio [OR], 2.64 and OR, 2.688; p<0.05). The prevalence of DOR among women with insomnia (33.3%) was significantly higher than the average reported in previous studies for young women. Insomnia duration exceeding 1 year was determined to be an independent risk factor for DOR in women aged 36 to 40 years (OR, 4.5; p=0.033). Conclusion: This study highlights the association between sleep disorders and menstrual problems. Prolonged poor sleep quality in women aged 36 to 40 years was identified as a significant risk factor for DOR. We should pay more attention to improving sleep quality in order to maintain normal ovarian function.

COVID-19 Vaccine 접종 인식이 현장실습에 미치는 영향 (Influence of COVID-19 Vaccination Awareness on Clinical Practice)

  • 김은재;박부연
    • 보건의료생명과학 논문지
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    • 제11권2호
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    • pp.191-196
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    • 2023
  • 본 연구는 COVID-19 시기에 보건계열 학생들의 임상실습 교육의 비대면 방향으로 전향하는 시기에 백신접종과 임상실습의 관련성을 살펴보고자 진행되었다. 임상실습은 보건계열 학생의 면허 필수 과목이다. 또한, 학생들이 졸업 후 임상실습의 경험이 그들의 전문직종에 중요한 부분을 차지한다. 연구결과 보건직에 취업하길 희망하는 학생의 대면 임상실습 정도가 희망하지 않은 학생보다 높게 나타났다(OR: 3.421, 95%CI: 1.333-8.775). 백신접종을 완료한 학생의 대면 임상실습이 높게 나타났다OR: 2.522, 95%CI: 1.017-6.254). 코로나19 상화에서 진행된 비대면 임상실습은 학생들에게 전염병의 감염우려로 전만적이 임상실습의 만족도가 낮게 나타났다. 또한, 취업 후 현장 업무에서도 불안하게 생각하였다. 이에 전염병 감염에 대한 불안을 해소할 수 있는 백신접종을 적극 지지하여 대면 임상실습을 실행하여 학생들의 전문직군의 역할을 향상 시킬 수 있을 것이다.

코로나-19 팬데믹 상황에서 자영업자의 정신건강: 자영업자와 임금근로자의 비교 (The Mental Health of Self-Employed During the COVID-19 Pandemic: A Comparison Between Self-Employed and paid-employed)

  • 양혜경
    • 문화기술의 융합
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    • 제10권5호
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    • pp.537-545
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    • 2024
  • 본 연구는 코로나-19 팬데믹 상황에서 자영업자의 정신건강수준을 파악하기 위해 임금근로자와 비교하여 분석하였다. 연구대상은 한국근로환경조사 제6차(2020~2021년)자료를 이용하여 자영업자 6,736명, 임금근로자 15,196명을 대상으로 하였다. 연구결과 자영업자는 임금근로자에 비해 불안(F=-2.81, p=0.001)., 수면장애(F=-18.05, p=2.035), 우울수준이(F=19.80, p=1.176) 모두 높게 나타났고, 주관적 건강(F=29.70, p=1.020)에 대한 긍정적 인식도 임금근로자에 비해 낮은것으로 나타났다. 따라서 코로나-19에 의해 특별히 더 불리한 집단에 대한 장기적이고 실질적인 정부대책 및 사회보장제도 마련이 필요함을 제언한다.

The impact of mental health on shoulder arthroplasty and rotator cuff repair: a meta-analysis

  • Mohammad Daher;Ryan Lopez;Peter Boufadel;Oscar Covarrubias;Jack C. Casey;George A. Casey;Mohamad Y. Fares;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • 제27권3호
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    • pp.295-308
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    • 2024
  • Background: The aim of this study was to evaluate the impact of mental health attributes, such as the presence of psychiatric comorbidities or psychological comorbidities (low resilience), on outcomes after rotator cuff repair (RCR) and total shoulder arthroplasty (TSA). Methods: PubMed, Cochrane, and Google Scholar (results pages 1-20) were searched up to November 2023. Mental health problems of interest included the presence of psychiatric comorbidities (depression, anxiety) or indicators of poor psychological functioning, such as low resilience or the presence of distress. Patients were assigned to poor or good mental health groups in this study based on their grouping in the original study. Results: Fourteen studies were included in the meta-analysis. Patients with good mental health had greater improvements in postoperative American Shoulder and Elbow Surgeons and Simple Shoulder Test scores in the TSA cohort (P=0.003 and P=0.01), RCR cohort (P<0.001), and the combined TSA and RCR cohort (P<0.001). No difference was found in visual analog scale score, satisfaction, external rotation, or flexion between the two mental health groups. Patients with poor mental health undergoing RCR experienced higher rates of adverse events and transfusions (P<0.001). Patients with poor mental health also had greater rates of revision and emergency department visits in the TSA cohort (P<0.001), RCR cohort (P=0.05 and P=0.03), and combined cohort (P<0.001). Patients with poor mental health undergoing TSA had a higher rate of re-admission (P<0.001). Conclusions: Patients with poor preoperative mental health showed inferior patient-reported outcome scores and increased rates of adverse events, revisions, and re-admissions. Level of evidence: III.