Hur, Sun;Yoon, Bo-Hyun;Kim, Kyung-Min;Jeong, Yu-Ran;Sea, Young-Hwa;Park, Su Hee;Song, Jye-Heon;Jeong, Ha Ran;Ma, Soo-Jin
Mood & Emotion
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v.16
no.3
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pp.158-162
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2018
Objectives : The purpose of this study was to examine psychosocial factors related to burnout of social welfare officers working in Jeonnam Province. Methods : A total of 395 social welfare officers (male 99, female 296) working in 22 areas of Jeollanam-do province, were subjects of this study. We examined socio-demographic factors, using a self-reporting questionnaire. Subjects were asked to complete the Maslach Burnout Inventory-General Survey (MBI-GS), Center for Epidemiological Studies Depression Scale (CES-D), Perceived Stress Scale (PSS), and the Generalized Self-Efficacy Scale (GSS), to assess psychosocial factors affecting to burnout of social welfare officers. Results : Among 395 subjects, 221 (55.9%) reported recent experiences of burnout. There was no significant difference in age between two groups, divided by burnout. Sex (p<0.001), rank (p=0.003), working period (p=0.034), depression (p<0.001) revealed differences between the burnout group and control group. Scores of PSS (p<0.001) were higher, while the scores of GSS (p<0.001) were lower in the burnout group, than control group. Multivariate logistic regression analysis revealed that female (OR 2.840, 95%CI 1.466-5.504, p=0.002), depressive high-risk group (OR 6.824, 95%CI 2.893-16.096, p<0.001) PSS (OR 1.247, 95%CI 1.153-1.349, p<0.001) and GSS (OR 0.950, 95%CI 0.930-0.971, p<0.001), were significantly associated with burnout. Conclusion : We found that some factors, were associated with experienced burnout in social welfare officers. Depressive symptoms were the strongest associative factor, for burnout in public servants in charge of social welfare. Sex, stress and self-efficacy also correlated with burnout, and especially self-efficacy was a protecting factor.
Objectives : This study aimed to describe the use of over-the-counter (OTC) drugs and to identify predictors for their use in the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,099 subjects. Data regarding socio-demographic status, medical condition, cognition, mood disorder and use of OTC drugs were collected using self-administered questionnaire and from a specific semi-structured interview by a trained nurse. Data regarding use of OTC drugs were analyzed using descriptive statistics. Logistic regression analysis was applied to examine factors associated with the use of OTC drugs. Results : The use of OTC drugs were reported by 35.4% of the subjects. Analgesics (13.6%) was the most frequent drugs. Depression (OR=1.10, 95% CI=1.10-1.87) and comorbidities measured by cumulative illness rating scale (CIRS) (OR=1.08, 95% CI=1.03-1.12) were significantly associated with the use of OTC drugs in the elderly living alone. Conclusions : Depression and severity of underlying medical conditions could be a predictor of the use of OTC drugs in the elderly living alone. The clinicians should be vigilant regarding the potential use of nonprescription medications in the elderly.
The value and validity of elite oral materials have been questioned because of their gaps with 'fact'. The purpose of this article is to analyze these gaps and to propose some solutions that can reduce the gaps. According to the analysis of this article, there are three types of the gaps that qualitatively differ from each other. The first type of the gaps is produced in the process of generation of memory. This type is made because informants cognize and memorize the facts that exist outside themselves. Selective cognition, selective memory and individual experience come under this category. The second type is produced in the process of preserving the memory. Forgetting and memory transformation are main examples of this type. The third type is produced in the process of the interviews with the informants. False statements or lies fall into this category. The main conclusions are as follows. 1) all gaps in oral materials are not necessarily negative. It is because Some of these gaps- the first and the second type- are not only parts of the real world but also very useful for interpreting the world. 2) The third type of the gaps are very harmful and it is need to be eradicated or reduced. For this, this article proposes some solutions.
Kim, Jaewon;Kim, Se Hyun;Jang, Jin-Hyeok;Moon, Sun-Young;Kang, Tae Uk;Kim, Minah;Kwon, Jun Soo
Korean Journal of Biological Psychiatry
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v.28
no.2
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pp.50-57
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2021
Objectives Clozapine is the most effective atypical antipsychotic agent for the treatment-resistant schizophrenia (TRS), however, only 40%-70% of TRS patients respond to clozapine. Moreover, TRS encompasses various symptom dimensions. Therefore, augmentation with other medications for clozapine is frequently applied. However, the prescription pattern of clozapine and combined medications in Korea is yet to be examined. This study aims to investigate the maintenance treatment pattern of clozapine and augmentation agents in one Korean tertiary hospital. Methods The patients with schizophrenia spectrum disorders under clozapine maintenance, defined as one-year clozapine continuation, were subjected for analysis. Medication data at one-year time-point after clozapine initiation was extracted and analyzed. Results Among total 2897 patients having clozapine prescription experience from January 2000 to December 2018, 1011 patients were on clozapine maintenance. The mean age of clozapine initiation was 30.2 ± 11.3 years, and the maintenance dose of clozapine was 217.8 ± 124.3 mg/day. Combination rate of antipsychotics, mood stabilizers, and antidepressants were 43.5%, 25.3%, 38.6%, respectively. Most frequently prescribed drugs in each category were aripiprazole, valproate, and sertraline. Olanzapine equivalent dose of combined antipsychotics was 10.4 ± 7.7 mg/day. Male patients were prescribed higher dose of combined antipsychotics and higher rate of antidepressants. Female patients had later onset of clozapine prescription. Patients with two or more combined antipsychotics were prescribed higher dose of clozapine and higher rate of antidepressants compared to patients with one combined antipsychotic. Conclusions Taken together, among the patients taking clozapine, a substantial rate of patients were under polypharmacy. The present findings based on the real-world prescription pattern could provide the valuable clinical information on the treatment of TRS-related conditions.
With the gradual improvement of China's residents' economic level, the continuous improvement of the holiday system, and the main purpose of relaxing mood and experiencing life, rural tourism has developed rapidly. In order to further achieve the goals of farmers' entrepreneurship, agricultural income increase, rural prosperity, and tourism management departments and tourism enterprises' management and operation objectives, this paper puts forward research hypotheses on the basis of relevant literature review and references. Based on the previous research results, this paper designs a questionnaire on Residents' rural tourism behavior intention, and uses SPSS23.0 to conduct correlation analysis and hypothesis test on the sample data, and draws the following conclusions: (1) rural tourism attitude, subjective norms, and perceived behavior control have a significant positive impact on rural tourism behavior intention; (2) policy system and resource conditions have a significant positive impact on rural tourism behavior intention; (3) policy system has a significant positive impact on subjective norms and perceived behavior control, and resource conditions have a significant positive impact on rural tourism attitude, subjective norms, and perceived behavior control.
Journal of agricultural medicine and community health
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v.45
no.4
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pp.183-193
/
2020
Objectives: As an ecological study, this study was performed to identify the community-level variation of health related quality-of-life (HRQOL), and to explore the factors that explain the variation, using 2017 Korean Community Health Survey (KCHS) data. Methods: Community health indicators of KCHS, which are correlated with the EQ-5D index of Si-gun-gu districts, were selected as independent variables. Multiple linear regression model was used to derive factors that explain regional variations in the EQ-5D index. Results: The EQ-5D index variation in 229 districts nationwide was 1.1 times for extremal quotient (EQ) and 1.0 for coefficient of variance (CV). The Si-gun-gu districts with the EQ-5D index in the lower 25% were more distributed in the province (27.7%) than in the metropolitan area (20.3%). As a result of multiple linear regression analysis, the depressed mood experience rate, perceived stress rate, suicide ideation rate, and physician diagnosed arthritis rate were derived as major factors of the variation. Conclusions: In order to reduce the gap in HRQOL between the districts, the priority of local health policies should be placed on the above factors including psychosocial factors.
Kim, Gwang Suk;Kim, Layoung;Shim, Mi-So;Baek, Seoyoung;Kim, Namhee;Park, Min Kyung;Lee, Youngjin
Journal of Korean Academy of Nursing
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v.53
no.3
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pp.295-308
/
2023
Purpose: This study evaluated the validity and reliability of Shively and colleagues' self-efficacy for HIV disease management skills (HIV-SE) among Korean participants. Methods: The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson's correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability. Results: The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: "managing depression/mood," "managing medications," "managing symptoms," "communicating with a healthcare provider," "getting support/help," and "managing fatigue." The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodness-of-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach's α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001). Conclusion: This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.
In order to understand the gender differences in factors affecting willingness for self-sufficiency, this study examined the level of willingness for self-sufficiency of 424 male and female program participants from 36 local self-sufficiency centers nation-wide in Korea, and investigated the factors affecting willingness for self-sufficiency. The results show that, in the male group, age, debt, and family support were statistically significantly associated with willingness for self-sufficiency while depressed mood, professionals ' support, and family support were significantly associated in the female group. While males' willingness for self-sufficiency were found to be higher with older age, possessing no debt, and higher family support, femails' willingness for self-sufficiency were found to be higher when they felt less depressed, and received more support from professionals and their family. Based on these findings, it was confirmed that family support played an important role both in male and female participants, and was found that different factors were associated with willingness for self-sufficiency in male and female program participants. It was also discussed that policy and micro-level intervention need to consider the gender differences in promoting willingness for self-sufficiency.
Jong-Wook Jeon;Se Joo Kim;Su-Young Lee;Jhin Goo Chang;Chan-Hyung Kim
Anxiety and mood
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v.19
no.2
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pp.77-82
/
2023
Objective : During the coronavirus disease 2019 (COVID-19) pandemic, hospital avoidance had a significant impact on public health. We investigated the factors associated with hospital avoidance and explored practical strategies hospitals could employ to address this phenomenon. Methods : We conducted a patient experience survey in a general hospital in Korea during the COVID-19 pandemic. Between July 6, 2020, and July 20, 2020, a total of 842 patients who had previously visited hospitals before the COVID-19 outbreak participated. Self-reported hospital avoidance, factors associated with hospital avoidance, and satisfaction with the hospital's infection control policies were the main outcomes. Binary logistic regression analysis was used to identify associated factors. Results : Data indicated that 29.9% (n=252) of the respondents avoided visiting the hospital after the COVID-19 outbreak. Satisfaction with the hospital infection control policy (odds ratio [OR]=2.297, p<0.001), female sex (OR=1.619, p<0.05), and higher educational level (OR=1.884, p<0.001) were associated with hospital avoidance. The "entrance body temperature check" was the most satisfactory policy among the hospital's infection control policies. Conclusion : To manage hospital avoidance during an infectious disease crisis, targeted policies for at-risk groups and hospital policies to reassure and satisfy patients are needed.
The Wan-Tang(晩唐) period was the time of political and social gloom. This background gave the poets deep thought and sorrow. Therefore, the poets were so emotional that they displayed sensitive and delicate strokes. The poets of this period made metaphorical and symbolic expressions to escape from the gloomy reality and created poems with a sweet mood. They wrapped their sufferings and sorrows in a gentle and beautiful way. In particular, Tingyun,Wen(溫庭筠) and Shangyin,Li(李商隱) were the representative poets of this period. They wrote poems using colorful and soft expressions to escape the dark realities. Their Wan-Yue(婉約) style was also the result of learning the splendor and beauty of the Qi(齐) and Liang(梁) period, meanwhile they were building their own aesthetic art world, which is different from the splendor of the the Qi(齐) and Liang(梁) period. Therefore, this study used poems by Tingyun,Wen(溫庭筠) and Shangyin,Li(李商隱) as analysis targets, and studied 'Wanyue(婉約)' style that appear in Wan-tang(晩唐) period. The 'Wanyue(婉約)' style wasn't just the originality of the 'Ci(詞)'. We found that the time of the cross between poetry and 'Ci(詞)' was formed from a common social and literary background and the creative psychology of poets.
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