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Drug Consumption and Nutritional Status of the Elderly in Chung-buk Area -III. Psychological Effect on Drug Consumption and Nutritional Status- (충북지역 노인들의 약물복용 및 영양상태 -III. 심리적요인이 약물복용 및 영양상태에 미치는영향 -)

  • 박동연;한경희;김기남
    • Korean Journal of Community Nutrition
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    • v.3 no.2
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    • pp.245-260
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    • 1998
  • The influences of depression and health anxieth on the elderly's drug use and nutritional status were evaluated by interviews with questionaire from August to October in 1996. One hundred and thirty-one male and 231 female elderly in Chung-buk area were the sample for this study. Men's depression score was 22.3 and 25.2 for women, respectively out of 27. Women showed a significantly higher score for depression and health anxiety than men. Gender, age, marital status, number of family, education, income, medical insurance, and mobility and region significantly affected the health anxiety score. The higher depression score the elderly had, the more frequently they took drugs. Conversely. the higher depression score the elderly had, the less frequently they took nutritional supplements. For women, the higher depression score the elderly had, the more they smoked. More depressed elderly showed a significantly smaller BMI compared to the less depressed ones. A negative correlationship existed between the depression score and the elderly's nutrient intakes, especially energy intake which showed a significant negative correlation. There were no significant differences between health anxiety score and nutrient intakes of men. Women who had a higher health anxiety score consumed more energy significantly. The depression score did not affect the elderly's blood biochemical indices. Women who had a low health anxiety score showed a significantly higher HDL-C level.

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The Relation of HRV, PSQI and IQ with Symptoms of Insomnia Patients (수면장애와 동반된 임상증상에 따른 심박변이도와 수면 관련 설문간의 상관성 연구)

  • Yang, Dong-Ho;Oh, Kyong-Min;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.143-169
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    • 2008
  • Objective: This study was to investigate the relation of what insomnia patients' symptoms with Heart Rate Variability(HRV), Pittsburgh Sleep Quality Index (PSQI) and Insomnia Questionaire(IQ). Methods: For this study, we carried out HRV, PSQI and IQ of 43 patients with insomnia who have come to Donguei oriental hospital of Donguei university from September 2007 to May 2008. We studied the relationship HRV with PSQI and IQ. For every symptom, this study classified the patients as none-symptom, symptom groups and analyzed each group's HRV, PSQI and IQ. Result : 1. The rate of xerostomia in female group is significantly higher than male group. 2. P1 (hypnagogic time), P3(awakening time), LF has negative correlation with age. The score of PI (hypnagogic time), P3(awakening time), P4(time of recoverable sleep) in the group whose age is more than 50 are higher than the group whose age is lesser than 50. 3. The frequency of using hypnotics(P6) in the group whose duration of onset are over 1 year was significantly higher than the score in the group whose duration of onset were below 1 year. 4. The accompanied symptoms in the group who started sleep disorder after stressor are higher than the number in the group whose duration of onset were poor-defined. 5. The drinking group have lower rate of anorexia, higher score of P1 (hypnagogic time) and TP than non-drinking group. 6. The score of P-total(general quality of sleep) have negative correlation with NNSO, HF, TP and positive correlation with LF/HF. 7. The score of P1(hypnagogic time) have negative correlation with LF. 8. The score of P5a(frequency of delayed hypnagogue) have positive correlation with LF/HF. 9. The score of P5e(frequency of cough or snoring) have negative correlation with RMSSD. 10. The score of I1a(degree of onset insomnia), I1b(degree of maintenance insomnia) have negative correlation with NN50, pNN50, HF. 11. The score of I1c(degree of termination insomnia) have negative correlation with RMSSD, NN50, pNN50, HF, TP and positive correlation with MHR, LF/HF. 12.. The score of P5i(frequency of night pain), LF/HF in the group with headache are higher than the group without headache. 13. The score of P5a(frequency of delayed hypnagogue), P5c(frequency of awakening for urine of stool) in the group with xerostomia are higher than the group without xerostomia. 14. The score of P9(degree of unrecoverable sleep) and I5a(degree of onset insomnia) in the group with chest discomfort are lower than the group without chest discomfort. 15. The score of P7(frequency of drowsiness for daytime) in the group with palpitation are lower than the group without palpitation. 16. The score of P5c(frequency of awakening for urine of stool), P5f(frequency of burning sensation), P5h(frequency of nightmare), I1c(degree of termination insomnia) in the group with burning sensation of upper trunk are higher than the group without burning sensation. 17. The score of NN50, pNN50, LF, TP in the group with anorexia are lower than the group without anorexia. 18. The score of P-total(general quality of sleep), P2(duration for sleep start) in the group with constipation are higher than the group without constipation. 19. The score of P4(recoverable sleep time) in the group with depression are higher than the group without depression. 20. In the group with anxiety, the score of P1(time of hypnagogue), P5a(frequency of onset insomnia) are lower and the score of I1b(degree of maintenance insomnia), I4(objective degree of impairment by insomnia) are higher than the group without anxiety. 21. The score of NN50, pNN50, HF, TP in the group with inertia are lower than the group without inertia. 22. The accompanied symptoms haver posirive correlation with P5f(frequency of burning sensation), P5h(frequency of nightmare), P5i(frequency of night pain) and LF/HF. Conclusion: This study provides insights into the complicated relations of the pattern of sleep disorder with many symptoms such as headache, chest discomfort, depression and any others. And this study showed that autonomic nervous system have important function in the regulation of sleep.

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Study on Correlation between Four Constitution Characteristics and Hwa-byung - Based on Hwa-byung Epidemiologic Study Data - (체질특성과 화병의 상관관계에 대한 연구 - 화병역학연구 자료에 기반하여 -)

  • Suh, Hynu-Uk;Chung, Sun-Yong;Kim, Myoung-Geun;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.2
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    • pp.15-25
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    • 2011
  • Objectives : The aim of this study was to find correlations between characteristics of Four constitution and Hwa-byung. Methods : Clinical data were collected from Hwa-byung Epidemiologic study data. we selected 130 self-labelled Hwa-byung patients data and 83 of them were diagnosed as Hwa-byung by SCID. We used Hwa-byung SCID, Hwa-byung scale, CES-D, STAI, STAXI and Personality and Physiological Symptom Questionnaire(PPSQ) as evaluation tools. We performed statistical analysis of each 2 groups, self-labelled Hwa-byung group(N=130) and diagnosed Hwa-byung group(N=83). Results : 1. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with 3 indices of Hwa-byung scale and significant positive correlation with 1 index. Lesser yin score showed significant positive correlation with 6 indices. In diagnosed Hwa-byung group, Greater yin score showed significant negaitive correlation with 5 indices. In both groups, Lesser yang score showed no significant correlation with any indices of Hwa-byung scale. 2. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with both trait anger score and state anger score of STAXI. Lesser yin score showed significant positive correlation with trait anxiety score, state anxiety score and CES-D score self-labelled Hwa-byung group. Lesser yang score showed significant positive correlation with anger-out score of STAXI. But Lesser yin score showed significant negative correlation with same index diagnosed Hwa-byung group. Conclusions : 1. The higher Greater yin score, suppression or denial, psychological defense mechanism, become more stronger. 2. The higher Lesser yin score, anger-out tendency become more weakened and increased prevalence of Hwa-byung symptoms. 3. The higher Lesser yang score, anger-out tendency become more stronger.

A Study on Pain, Discomfort, Depression and Coping Patterns in Chronic Arthritis Patients (만성관절염 환자의 동통, 불편감, 우울과 대응양상의 관계)

  • Mun, Mi-Suk
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.71-87
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    • 1994
  • The purpose of this study was to assess pain, discomfort, depression and coping patterns and the relations between these in chronic arthritis patients. The sampling method was a purposive sampling technique. 1) Who have been diagnosed as having chronic arthritis and. 2) Who were at the out patients clinic of rheumatoid arthritis departments of one University hospital in seoul between september, 11, 1993 to september, 18, 1993. The instruments used for this study were Graphic Rating Scales of pain, discomfort level of the activities of daily living(ADL) developed by Lee, Eun Ok and The Beck Depression inventory. The research used to measure coping patterns was a tool developed by the present study researcher. Analysis of data was done frequency, Pearson correlation coefficients, ANOVA, regression and ANCOVA. The results were summerlized as follows ; 1. Female exceed male patients in number and onset of joint pain were more prevalent in the age groups of the 40s and the 50s. The average duration of suffering from the pain were seven years six mounths. 2. The mean pain score : The mean sensory score was 119mm and the affective score was 109mm. 3. The discomfort level of ADL, the mean score was 2.95 out of a possible score of 5.0 and depression syndrome subjects were 62.2%. 4. The coping responses for each pattern were as follows : 1) "Active coping" mean score was 2.28. 2) "Wishful coping" mean score was 2.89. 3) "Receptive coping" mean score was 3.31. 4) "Negative coping" mean score was 1.82. 5. Significant differences were found in age, religion, marriage status and the coping patterns of patients. 1) In the coping pattern of "receptive coping", the score of the age groups of the 50s were higher than that of 20s, and in the coping pattern of "negative coping", the score of the age groups of the 20s were higher than other age groups. 2) In the coping pattern of "wishful coping", the score of the christian were higher than other religion groups. 3) In the coping pattern of "negative coping", the score of the marrieds were lower than other groups. 6. Patients who scored low on factor 2, wishful coping, were much more likely to report having pain sensory than patioets scoring high on this factor. 7. Patients who scored high on factor 4, negative coping, were significantly more likely to report having pain sensory than patients scoring high on this factor. Consider overall, chronic arthritis patients report using a wide varity of strategies, certain strategies such as receptive, wishful and active coping are used frequently, whereas other strategies such as negative coping are rarely used. One of the most important finding of present study is that the reported use of coping strategies is related to adjustment to a chronic pain problem. The present study suggests that negative coping is related to poor emotional adjustment as assessed by depression, but not pain ratings. Considered overall, this pattern of findings suggests that counseling patients to decreased their use of negative coping may be useful. The present study has a number of limitations. First, the sample is restricted to chronic arthritis patients. Weather chronic pain patients suffering from other types of pain syndromes use similar coping strategies needs to be determined in subsequent research. Second, the tool of coping pattern must be studied further to obtain reliability.

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Comparison of Raw versus Relative scores in the Assessment of Coping Patterns in Chronic Arthritis Patients (만성관절염 환자의 대응양상정도와 관련변수 분석 -원점수와 상대점수를 이용한 비교-)

  • Chun, Chung-Ja;Mun, Mi-Suk
    • Journal of muscle and joint health
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    • v.3 no.1
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    • pp.90-103
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    • 1996
  • The purpose of this paper is to compare two approach to assessment of coping patterns. The sampling method was a purposive sampling technique. The study participants were out patients 113 of rheumatoid arthritis center of one University hospitals in Seoul. Datas were collected from Nov. 13 to Nov. 24, 1995. The instruments used for this study were Graphic Rating Scales of pain, The Beck Depression Inventory and Coping Patterns tool. The collected data were analyzed for frequency, means, SD, factor analysis., Pearsons' correlations and ANOVA. The results were summerized as follows ; 1. When raw scores were used : there were not correlation in all three coping patterns. 2. When relative scores were used : there were significantly correlated in all three coping patterns. 1) Active coping and Positive-cognitive coping (r=-0.352, p< 0.0001) 2) Positive-cognitive coping and Negative-cognitive coping (r=-0.594, p< 0.0001) 3) Active coping and Negative-cognitive coping(r=-0.544, p< 0.0001) The results of this research with relative scales provided more insight into the correlation in all three coping patterns. 3. Pearsons' Correlations were computed for each coping pattern, age, pain level, duration of pain and BDI. 1) Using raw score : (1) Active coping was significantly related to pain level(sensory score ; r=0.268, p<0.05, affective score ; r=0.266, p< 0.05) (2) Positive-cognitive coping was significantly related to age (r=-0.252, p< 0.05), pain level (sensory score ; r= -0.244, p< 0.05) (3) Negative-cognitive coping was significantly related to depression level (r=0.312 p< 0.0001). 2) Using relative score (1) Active coping was significantly related to pain level(sensory score ; r=0.299, p<0.05, affective score ; r=0.246, p< 0.05) (2) Positive-cognitive coping was significantly related to age (r= -0.187, P< 0.05), pain level (sensory score ; r=-0.317, p<0.0001, affective score : r=-0.305, p<0.0001) and depression level(-0.339, p<0.0001)) (3) Negative-cognitive coping was significantly related to depression. level(r=0.313, p<0.0001). 4. When raw and realtive coping scores were compared to those of age groups, religious groups and BDI level(high, middle, low) ; 1) Using raw score : (1) Active coping : there were not significantly difference (2) Positive-cognitive coping ; 20-39 age group and 50-59age group had significantly higher scores than over 60age group. BDI-low level group had significantly higher scores than other groups. (3) Negative-cognitive coping : 20-39age group and over 60age group had significantly higher scores than 40-49age group. Non-religious group had significantly higher scores than christian group. BDI-high level group had significantly higher scores than other groups. 2) Using relative score : (1) Active coping : over 60 age group had significantly higher scores than 20-39 age group and 40-49age group had significantly higher scores than 20-39 age group (2) Positive-cognitive coping ; 40-49age group, 20-39age group and 50-59age group had significantly higher scores than over 60age group. Christian group had significantly higher scores than non-religious group. BDI-low level group had significantly higher scores than other groups. (3) Negative-cognitive coping ; Non-religious group had significantly higher scores than christian group and buddhistic group. BDI-high level group had significantly higher scores than other groups. The current data suggest that relative scores may yield a different perspective on coping patters than raw scores. The use of relative scores reveals the relation clearly, without its being blurred statistically by the effect of other coping strategies or being relegated to a partial correlation. The use of relative scores holds promise for delineating the relations between ways of coping and health-related behavior.

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Children's Positive and Negative Emotionality Depending on Their Eating Behaviors

  • Kim, Jung-Hyun;Hwang, Hae-Shin;Kim, Sook-Ryong
    • International Journal of Human Ecology
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    • v.12 no.1
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    • pp.15-24
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    • 2011
  • This study investigated childhood eating behavior, the influence of eating behavior on the positive and negative emotionality of children, and the pattern or eating behavior influence on emotionality depending on the age and gender of children. A total of 202 children (ages 5 to 7) were selected from 3 nurseries and 1 kindergarten ill Seoul and the survey data responses from teachers were analyzed. The results were as follows. First, children with higher levels of eating behavior showed a higher positive emotionality score compared to those with lower levels of eating behavior. The effect of gender was not significant and positive emotionality tended to increase in the 5 and 6 year old groups as the level of eating behavior increased; in addition, it was generally similar in the 7 year old group. Second, the children with lower level, of eating behavior showed a higher negative emotionality score compared to those with higher levels of eating behavior. The main effects by age and gender were insignificant; however, the interaction of age and eating behavior affected the negative emotionality of children. The eating behavior of children affects emotionality and children with better eating behaviors showed more positive emotional responses and less negative emotional responses in the same circumstances.

The Interrelations among Nutrition Education, Satisfaction with School Lunch, School Lunch Leftovers and Self-rated Mental or Physical Health - The Elementary School Children in Daejeon Area - (영양교육, 급식 만족도, 잔반, 정신적.신체적 건강에 관한 자각증상간의 관련성 - 대전지역 일부 초등학생을 중심으로 -)

  • Kwon, Sun-Ja;Sung, Soon-Jung;Ly, Sun-Yung
    • Korean Journal of Community Nutrition
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    • v.15 no.1
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    • pp.94-107
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    • 2010
  • The purpose of this study was to examine the interrelations among current status of nutrition education, satisfaction with school lunch, school lunch leftovers and self-rated mental or physical health in order to find out the effective method of nutrition education. For this, a questionnaire survey of 623 primary school 5th and 6th-graders in Daejeon area was carried out. The eating places were classrooms (41.1%) and restaurants (58.9%). A 59.2% of students have received nutrition education and the opportunity of receiving nutrition education was more in 5th-graders than in 6thgraders (p < 0.001). The score of nutrition knowledge was $9.4\;{\pm}\;2.8$ out of 15. When the score of nutrition knowledge was higher, the practical use of nutrition knowledge was higher (r = 0.134, p < 0.01); the score of school lunch leftovers were less (r = -0.116, p < 0.01); and the score of self-rated mental health was more positive (r = 0.198, p < 0.01). The practical use of nutrition knowledge was $2.9\;{\pm}\;1.1$ out of 5. When the practical use of nutrition knowledge was higher, satisfaction with school lunch was higher (r = 0.105, p < 0.01); school lunch leftovers were less (r = -0.103, p < 0.01); the score of self-rated positive mental health was higher (r = 0.293, p < 0.01); and the scores of self-rated negative mental health (r = -0.119, p < 0.05) and physical health (r = -0.126, p < 0.01) were lower, thus rating their health more positively. The score of satisfaction with school lunch was $3.4\;{\pm}\;1.0$ out of 5. When the satisfaction with school lunch was higher, the score of school lunch leftovers was less (r = -0.216, p < 0.01); the score of self-rated positive mental health was higher (r = 0.147, p < 0.01); and the score of self-rated negative health was lower (r = -0.121, p < 0.01). The score of school lunch leftovers was $2.9\;{\pm}\;1.4$ out of 5. When the school lunch leftovers were less, self-rated positive mental health was significantly higher (r = -0.146, p < 0.01); and the scores of self-rated negative mental health (r = 0.135, p < 0.01) and physical health (r = 0.223, p < 0.01) were significantly lower, thus presenting positive health. Therefore, in order to maintain positive health condition, it is necessary to carry out nutrition education, which is able to raise the nutrition knowledge and practical use of nutrition knowledge, school lunch satisfaction and to reduce the school lunch leftovers.

The Nutrition and Health Survey of Aged People ini a Rural Area I. The Relationshp Between the Food Habit and the health Responses to the Todai Health Index (일부지역 노인의 영양 및 건강상태에 관한 연구 I. 식습관과 건강상태와의 관4련성)

  • 조영숙
    • Journal of Nutrition and Health
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    • v.19 no.5
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    • pp.315-322
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    • 1986
  • The food habits and health complaints were studied for 459 persons, 60 years and over, in the rural area, JKurye-Gun Chonnam, from April 28 to May 1, 1986. by the questionnaire sheets ; one was for the food habits, and the other was for health complaints(the standarized questionnair designed in Todai Health Index). The results obtained were as follows. 1) Mean score of the food habit was 11.2$\pm$3.5 in male and 10.8$\pm$2.9 in female. The score in both sexes showed a falling tendency as their ages increased. 2) THI scores in surfferings eye & skin, mouth & anus were higher (p<0.01, p<0.05, p<0.01) in female than in male. As age increased, the THI score showed a rising tendency. In case of male, THI socre in digestive organs was higher (p<0.05) in sixties than in other age. 3) The rate of living together with their family or spouse in the male aged was 77% higher than in the female aged. whilte the rate of celibacy in the female aged was 28%, higher than 3% in the male aged. DMF value was higher in female than male. The amount of alcohol ingestion were 2.1 and 0.6 Cup in male and female, respectively and the amount of smoking were 10.5 and 3.1 cigarettes in male and female respectively. Both alcohol intake and smoking were higher in male(p<0.01) 4) In case of male, the correlation coefficient between the score of food habit and THI score was negative in suffering eye & skin, mouth & anus, respectively, and in female it was negative in digestive, mouth & anus. As the score of food habit become low, the THI score become high. 5) Those living alone in both sexes showed a low score in food habit.

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A Study of Cognitive Function and Psychiatric Disturbance in Normal Adults (정상인의 연식기능과 신경증경향에 관한 연구)

  • 정희숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.47-54
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    • 1984
  • In an attempt to take Comprehensive nursing care the author tested cognitive function and psychiatric disturbance produced by normal adults. Mini-mental state and simple reaction time were tested and general health questionnaire was conducted two hundred subjects. The data were analyzed statistically and the results follow: 1. The score of mini-mental state of the elderly group was less significant than that of the younger group in the tests of cognitive dysfunction. The score of MMS of the female group, the illiteracy group less significant than that of other groups in the test of cogntive dysfunction. 2. Reaction time of the elderly group was slower than that of the younger group. Reaction time of the female group was slower than that of the male group. Reaction time of the illiteracy group was the slowest & the unskilled group was slower than that of the other groups. 3. As a result of the results of psychiatric disturbance the score of general health questionnaire of the elderly group was significantly higher than that of the younger group in the tests of psychiatric disturbance. The test of psychiatric disturbance sho-wed that the score of general health questionnaire of the female group was significantly higher than that of the male group in the tests of psychiatric disturbance. The illiteracy group was the highest in the psychiatric disturbance among other groups and the unskilled group was significantly higher than the other groups. 4. Education had higher correlation to mini-men-tat state, while age negative correlation in comparison with other variables age had higher correlation to reaction time, while education had negative correlation in comparison with other variables. Sex had low correlation in these tests.

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A Study on the Psychological Characteristics of Sasang Constitution with Core Seven Emotions Inventory and Temperament and Character Inventory (핵심감정척도와 기질 및 성격검사로 살펴본 사상체질별 심리 특성 연구)

  • Kim, Lakhyung
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.1
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    • pp.23-30
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    • 2019
  • Objectives: The purpose of this study is to investigate the emotional characteristics of the Sasang constitution with the Core Seven Emotions Inventory (CSEI) and Temperament and Character Inventory (TCI). Methods: A total of 224 participants were assessed with a Sasang Constitutional Analysis Tool (SCAT) for Sasang Constitution Diagnosis, and completed the Core Seven Emotions Inventory (CSEI) and Temperament and Character Inventory (TCI). Results: 1. From the results of the CSEI, Soeumin showed a significantly higher fear (恐) score than the Soyangin. 2. From the results of the TCI, Soeumin showed a significantly higher harm avoidance (HA) score than Taeeumin and Soyangin. Moreover, the Soyangin showed a significantly higher reward dependence (RD) score than Taeeumin and Soeumin. 3. In the correlation tests of the CSEI sub-scales, there was negative correlation between joy (喜) and other emotions, which are thoughts (思), depression (憂), sorrow (悲) and fear (恐). There were positive correlations between the emotions except joy (喜). 4. In the correlation tests of the TCI sub-scales, there was negative correlation between HA and persistence (P), and HA and SD. Moreover, there was a positive correlation between RD and cooperativeness (C) and between P and self-directedness (SD). 5. In the correlation tests of the TCI and CSEI, joy (喜) showed a negative correlation with HA and a positive correlation with P and with SD. Anger (怒) showed a negative correlation with C and other emotions except joy (喜) showed a negative correlation with RD. Conclusions: The differences of psychological characteristics in Sasang Constitution were shown with CSEI and TCI from this study.