• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.556-565
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• 2004

Purpose: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. Method: Data were collected from 50 subjects with successful primary PTCA. Result: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). Conclusion: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.

• Anxiety and mood
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• v.14 no.1
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• pp.14-20
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• 2018

Objective : The aims of this study are to investigate the correlation between spiritual well-being and the pattern of stress coping strategies, as well as understand how they impact depression and psychological well-being. Methods : We analyzed 320 undergraduate students in a capital area (135 males, 170 females; 15 students who answered irrelevantly were excluded). Spiritual well-being (religious and existential), stress coping strategies (active and passive), psychological well-being and, depression were rated using the Spiritual Well-Being scale, Ways of Coping checklist, Psychological Well-Being measurement, and Depression Scale (CES-D), respectively. For the analysis, we utilized Pearson correlation analysis and simple regression analysis. Results : The analysis revealed a positive correlation between Spiritual well-being and active coping strategies, a negative correlation between existential well-being and depression, and a positive correlation between religious well-being and psychological well-being. By regression analysis, it showed spiritual-well being affected depression negatively. Existential well-being, but not religious well-being, affected depression negatively. Furthermore, the impact of existential well-being on depression remained a strong predictor in males better than females. Existential well-being affected psychological well-being positively through active coping strategies. Conclusion : In this study, we verified a correlation between existential well-Being and active coping strategies which affected depression and psychological well-being in undergraduate students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.6
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• pp.226-236
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• 2021

The purpose of this study was to investigate the effect of social support on suicidal ideation among the elderly at welfare centers through the mediating effect of avoidance coping style. This is a descriptive research survey of 392 elderly people at four elderly welfare centers located in G city. Data were collected from October 21 to November 8, 2019, and analyzed using the IBM SPSS/win 26.0 program by t-test, ANOVA, and the Pearson's correlation coefficient. The mediating effect was analyzed by multiple regression analysis according to Baron and Kenny's 3-step analysis procedure. Social support of the subjects was found to be high with an average score of 5.73±1.23, avoidance coping style with 12.53±3.47 points, and suicidal ideations with 6.21±2.06 points. In the correlation between the variables, suicidal ideations were negatively correlated with social support (r=-.146, p=.004) and avoidance coping style (r=.315, p<.001), and these correlations were statistically significant. There was a positive correlation. The avoidance coping style of the elderly using the welfare centers was found to partially mediate the relationship between social support and suicidal ideation (Z=-.270, p<.001). Therefore, to prevent negative emotions such as suicidal ideations in the elderly, various policies and support programs at the local and government level should be continuously implemented.

• Korean Journal of Culture and Social Issue
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• v.29 no.2
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• pp.223-252
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• 2023

The aim of this study is to examine the longitudinal mediation effect of coping strategies(emotion-focused, problem-focused, and maladaptive) on the relationship between perceived stress during the COVID-19 andemic and psychological distress(negative affect, depression, anxiety, and anger). ). Also, This study sought to find generational differences between coping strategies used during the COVID-19 pandemic. The participants were 941 adult aged between twenties and seventies. The final participants were recruited on two separated longitudinal time points, Time 1 and Time 2. The result were as follows: Only Maladaptive coping strategy(Time 2) had a mediating effect on the relationship between COVID-19 stress(Time 1) and psychological distress(Time 2). . The result of the generation-based multi-group analysis did not yield significant differences in the use of coping strategies. This study is meaningful that it longitudinally examined the psychological distress of adults during the COVID-19 pandemic. Implications, limitations and directions for future research are presented.

• 한국노년학
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• v.31 no.3
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• pp.795-811
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• 2011

Recently, an interest on how to moderate parenting stress of grandparents is rising according to rising depression of grandparents of grandparents and grandchildren family(GGF) because of parenting stress So, this study tried to analyze moderating effects by setting social support and stress coping behaviors as moderator variable in order to know how much parenting stress of grandparents would influence their depression. For this purpose, we selected 369 cases of grandparents who were being provided social welfare service and to 334 cases out of them, did multigroup analysis using hierarchical regression analysis and structural equation model under spss Vor. 19.0 program. Followings are the results. First, the more parenting stress was high, the more depression high. But when social support was high, parenting stress low. And the more parenting stress was high, faith dependence, negative emotional expression and passive evasion as stress coping behaviors also high while problem reestablishment low. Second, emotional support, information support, and material support as social support had moderating effects in which parenting stress influenced depression while appraisal support had not. Third, faith dependence and low passive evasion as stress coping behaviors had moderating effects in influence of parenting stress to depression while problem reestablishment has not. On the one hand, emotional expression was meaningless in explaining moderating effects in connection with parenting stress. Through these, we draw a social welfare practical implication that could lift moderating effect of social support and stress coping behavior in between parenting stress and depression of grandparents of grandparents and grandchildren Family.

• Nutrition Research and Practice
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• v.17 no.2
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• pp.330-340
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• 2023

BACKGROUND/OBJECTIVES: Emotional eating is one of the eating behaviors in which negative emotions affect eating. During the luteal phase, premenstrual syndrome (PMS) and its associated psychological and physical symptoms can appear in some women, and a few of them suffer from premenstrual dysphoric disorder (PMDD), a severe form of PMS. Some women diagnosed with PMS/PMDD experience emotional eating during the luteal phase, which may be a coping mechanism for psychological stress. This study aimed to investigate how PMS/PMDD and negatively perceived stress are related to emotional eating. SUBJECTS/METHODS: A total of 409 women aged 20 to 39 yrs with a body mass index (BMI) ranging from 18.5 to 29.9 kg/m² participated in this study. Participants who responded to all the questions of the Shortened Premenstrual Assessment Form, Negative Perceived Stress Scale, and Emotional Eater Questionnaire were divided into a PMDD and a non-PMDD group according to the cut-off value for PMDD diagnosis. Independent t-tests and mediation analyses were performed to compare the 2 groups. RESULTS: No significant differences between the 2 groups were found in terms of BMI; however, the average values for emotional eating, PMS, and negative perceived stress of the PMDD group were significantly higher than those of the non-PMDD group. Only negative perceived stress had a significant effect on emotional eating in the non-PMDD group. In the PMDD group, PMS was statistically significant for both negative perceived stress and emotional eating mediated by negative perceived stress. Consequently, it appeared to have a partial or complete mediation depending on the independent variable for the PMDD group. CONCLUSIONS: This study highlights the importance of managing negative perceived stress to control emotional eating in PMS/PMDD for improved women's health.

• Korean Journal of Psychosomatic Medicine
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• v.10 no.1
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• pp.8-17
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• 2002

Objective : Increasing in frequency and success of hematopoietic stem cell transplantation and improved survival rates have led to growing concerns regarding the psychosocial aspects of hematopoietic stem cell transplantation recipients. In this study, we have examined the stress coping strategies and related psychiatric symptom in the hematopoietic stem cell transplantation recipients. Methods : In this study, we examined the psychological stress symptoms of hematopoietic stem cell transplantation recipients and differences of psychosocial variables between active coping group and passive coping group. Twenty nine recipients of hematopoietic stem cell transplantation were recruited prospectively and assessed at 2 weeks pretranplant and at 1-2 days posttranplant. Thirty normal controls were recruited. Assessments included a psychiatric interview, a variety of standardized questionnaires (Ways of Coping Questionnaires, Perceived Stress Scale, Hospital Depression and Anxiety Scale, Short-Form 36 Health Survey). Results : Hematopoietic stem cell transplantation patients showed higher degree of depression (p<0.001) and anxiety (p=0.011) symptoms than normal control group. However, no differences of depression and anxiety symptoms between pretransplant and posttransplant status were showed. And, passive coping group showed higher degree of depression (p=0.046) and anxiety symptoms (p<0.001) than active coping group. Conclusions : Our results suggested that many hematopoietic stem cell transplantation recipients would exhibit severe to moderate symptoms of anxiety and depression. Also, it seemed likely that passive coping style might influence the development of negative affect such as anxiety and depression. The implications of these findings were discussed in terms of the need to monitor the coping strategies and apply the appropriate psychiatric intervention. And, further prospective studies about long-term survival and psychological adaptive functions of hematopoietic stem cell transplantation patients are recommended.

• Korean Journal of Psychosomatic Medicine
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• v.23 no.2
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• pp.93-99
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• 2015

Objectives : The purpose of this preliminary study was to investigate job stress and stress coping strategy among workers in a regional statistics office. Methods : A total of 133 workers in regional statistics office participated in this study and they were divided into two groups, survey group(n=109) and support group(n=24) depending on relation to statistical survey task. They were asked to respond to Short Form of Korean Occupational Stress Scale(KOSS-SF) and Stress Coping Strategy(SCS) to investigate sociodemographic characteristics, job stress, and stress coping strategy. Results : The proportion of the 133 participants in the sample was 59(44.4%) of men, 74(55.6%) of women. There were no significant differences in KOSS-SF scores in relation to age, sex, education, and marital status, while the KOSS-SF scores were significantly different between the two groups. In regard to the subscales of KOSS-SF, the two groups had significant differences in insufficient job control, interpersonal conflict, job insecurity, and organization system. In addition, the total score of KOSS-SF had a negative correlation with problem-focused coping strategy and social support coping strategy of SCS. Conclusions : Our results suggest that workers of survey group had more job stress compared to those who works in support group in regional statistical office. In addition, in comparison with workers of support group, both men and women of survey group get stressed when they were confronted with interpersonal conflicts. Our results suggest that using problem-focused coping and social support coping strategy lowers job stress.

• Nutrition Research and Practice
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• v.14 no.1
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• pp.70-75
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• 2020

BACKGROUND/OBJECTIVES: The aim of this study was to determine the relationship among emotional eating behavior, tendency to eat palatable foods, and several risk factors. SUBJECTS/METHODS: This study was carried out on 2,434 persons (1,736 women and 698 men) aged between 19 and 64 years. A questionnaire form was used as a data collection tool, which consisted of items for the socio-demographic characteristics, anthropometric measurements, Emotional Appetite Questionnaire (EMAQ), and the Palatable Eating Motives Scale (PEMS). RESULTS: A positive significant correlation was observed between the BMI groups and the negative emotions, negative situations, and negative total scores of EMAQ (P < 0.01). The regression results on negative subscales showed that a one unit increase in BMI resulted in a 0.293 unit increase in negative situations scores, a 0.626 unit increase in negative emotions scores, and a 0.919 unit increase in negative total EMAQ scores. When the BMI groups and PEMS subscale scores were examined, a significant relationship was found in the social motives, rewarding, and conformity subscales (P < 0.01). A one unit increase in BMI increased the coping motives scores by 0.077 units. CONCLUSION: The emotional states have a significant effect on the eating behavior. On the other hand, an increase in eating attacks was observed, particularly in people who were under the effect of a negative emotion or situation. Nevertheless, there were some limitations of the study in terms of quantitative determination of the effects of this eating behavior depending on the BMI.

• Korean Medical Education Review
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• v.13 no.2
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• pp.25-37
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• 2011

Purpose: Core competencies for becoming a good physician have been the focus of recent discussion. Understanding students' state of mind should be included in this analysis. Thus, the purpose of this study was to review recent research papers on subjective well-being in medical education and propose some suggestions. Methods: A selective search was conducted of the literature that has been published since 2000 in the Medline, Riss4U, ERIC, and KoreaMed databases using the search terms "happiness", "subjective well-being", "satisfaction", and "stress". Thirty seven studies were included in this review. Each was categorized according to 3 subjects (satisfaction, positive affect, negative affect). Results: Most studies showed relatively high levels of distress in medical students, which was related to academic worries. Although medical students were under a great deal of distress, they regarded help-seeking behavior for their distress as weakness or something negative. Conclusion: To decrease medical students' distress and sustain their well-being, there should be a change in students' awareness through curriculum, teaching methods, and coping strategies in medical education.