• Journal of the Korean Home Economics Association
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• v.29 no.1
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• pp.203-216
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• 1991

Coping strategy and mid-life crisis were examined in a sample of 325 mid-life couples ranging in age 40∼59. Each participant was administered stressful life event scale, coping strategy scale, family cohesion scale and mid-life crisis scale. The results were as follows: 1. There is no significant differences between husbands and wives in the experiences of stressful life event, but the perceived stress level of wives significantly higher than the husband's. 2. Husbands seem to use problem solving strategy and wives seem to use restrain strategy more often. 3. Wives appear significantly higher mid-life crisis than husbands. Especially family cohesion and passive coping strategy have turned out to be significant on the mid life crisis of couples. Besides these predictors, experiences of stressful life event and perceived stress level are significant predictors for husband's mid-life crisis. As for wive's mid-life crisis, coping stratigies are significant predictors.

• Journal of Oriental Neuropsychiatry
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• v.33 no.3
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• pp.241-257
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• 2022

Objectives: To investigate emotional characteristics of healthy adults using the Core Seven Emotions Inventory-Short Form (CSEI-s) and to investigate the correlation between the CSEI-s and Korean version of the Perceived Stress Scale (K-PSS). Methods: Overall, 2,178 healthy adults aged ≥19 years who completed the CSEI-s and K-PSS in a nationwide multicenter study were included in this study. One-way analysis of variance was performed to identify associations of seven emotions with sociodemographic characteristics. Bonferroni corrected post-hoc tests were performed for multiple comparisons. Pearson's correlation analyses were conducted to examine the correlation between each emotion and stress. Results: Scores of all emotions except for joy (喜) and stress were significantly greater in women than in men. However, the score of joy (喜) in women was significantly less than that in men. There were significant differences in joy (喜), thought (思), depression (憂), fear (恐), and fright (驚) according to age groups in both men and women. The score of depression (憂) was significantly lower in women attending or graduating from graduate school than in those attending or graduating from undergraduate school. Significantly lower scores in joy (喜), thought (思), depression (憂), sorrow (悲), fear (恐), and fright (驚) were observed in married men than in single men. There were significant positive correlations between depression (憂) and stress and between sorrow (悲) and stress in both men and women. Conclusions: There were significant associations of seven emotions with sociodemographic characteristics in healthy adults.

• Korean Journal of Psychosomatic Medicine
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• v.10 no.1
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• pp.18-26
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• 2002

Objectives : The object of this study was to investigate the relationship between coping strategies and perceived stress or pain discomfort in patients with chronic low back pain. 80 patients with chronic low back pain and 100 normal controls participated in this study. Methods: Global assessment of recent stress (GARS) scale and Stress Response Inventory (SRI) were used to measure perception for stressors and stress responses. Coping scale and pain discomfort scale were used to measure coping strategies and pain perception. Results : Scores of perceived stress related to work or job, interpersonal relationship, changes in relationship, sickness or illness and the total scores on the GARS scale were significantly higher in those with chronic low back pain than normal controls. Scores of the SRI fatigue subscale scored significantly higher in those with chronic low back pain than normal controls. No significant difference was found on total scores of the pain discomfort scale between those with chronic low back pain and normal controls. The patients with chronic low back pain scored significantly higher on planful problem solving and positive reappraisal than normal controls. In the patient group, pain perception had significant positive correlations with total scores of the SRI and scores of stress perception related to illness or injury. The extent of escape-avoidance showed significant negative correlations with age, whereas the extent of distancing or escape-avoidance had significant negative correlations with the level of education. Significant difference was also found in accepting responsibilities between male subjects and females. However, no significant correlations were found between coping strategies and perceived stressors, stress responses or pain perception. Conclusion : The results suggest that patients with chronic low back pain were more likely to use more active coping strategies than normal controls, though the former had more perception for stressors than the latter. It was also found that coping strategies used by the patients were associated with sociodemographic factors, but that they were not associated with perceived stressors, stress responses or pain perception.

• Journal of Korean Academy of Nursing
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• v.42 no.1
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• pp.136-147
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• 2012

Purpose: This study was conducted to compare the degree of depression between men and women and to identify factors influencing their depression. Methods: Participants in this cross-sectional descriptive study were 263 persons over 65 years old (men: 103, women: 160). Data were collected through face to face interviews using questionnaires and were done in two urban areas in 2010. Research instruments utilized in this study were SGDS, MMSE-K, SRH, FILE, sleep pattern scale, family and friend support scale, and social support scale. Multivariate regression analysis was performed to identify factors influencing depression in elders. Results: The proportions of participants with depression were significantly different between men and women (52.4% vs. 67.5%). Regression model for depression in elderly men significantly accounted for 54%; disease stress (32%), economic stress (10%), perceived health status (4%), and family support, educational level, age, and hypertension. Regression model for depression in elderly women significantly accounted for 47%; disease stress (25%), perceived social loneliness (8%), friend support (5%), family stress (4%), and sleep satisfaction, and family support. Conclusion: Results demonstrate that depression is an important health problem for elders, and show gender differences for factors influencing depression. These results could be used in the developing depression prevention programs.

• Journal of Oriental Neuropsychiatry
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• v.21 no.2
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• pp.45-60
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• 2010

Objectives : The aim of this study was to investigate the correlation between the effectiveness of Brief Qigong-based Stress Reduction Program(BQSRP) and personality. Methods : Twenty nine women and nine men from the community with symptoms of distress(mean age 39.4 years, SD=11.4) were randomized into a group receiving a 4-week intervention of BQSRP(n=19) or a waiting-list control group. All subjects completed the temperament and character inventory (TCI) before the intervention. Before and after the intervention period, questionnaires were completed on perceived stress scale(PSS), anxiety, and quality of life. Results : 1. Those who have higher temperament of harm avoidance or lower character of self-directedness showed higher PSS, Hwa-Byung character, Hwa-Byung symptom, STAI and lower WHOQOL-BREF scores. 2. In the BQSRP training group, a correlation analysis demonstrated an association between higher temperament of harm avoidance and greater improvement of perceived stress and an association between lower character of self-directedness and greater improvement of perceived stress. 3. Those who have high Hwa-Byung symptom scores prefer the breathing meditation and there were no differences in effects of BQSRP group by the preference Brief Qigong-based Meditation(BQM) component. Conclusions : These results suggest that a BQSRP training may be effective for those with higher harm avoidance trait and low self-directedness.

• Journal of Korean Academy of Nursing
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• v.35 no.1
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• pp.195-205
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• 2005

Purpose: This study was to identify the relationship between perceived stress, anger expression, and level of depression in cancer patients. Method: A cross-sectional descriptive study design was used. Data was collected by uestionnaires from 185 in- and out-patients who were diagnosed with cancer at 3 university hospitals and the National Cancer Center using Spielberger et al.’s Anger Expression Scale, Cohen, Kamarch & Mermelstein's Perceived Stress, and Derogatise's SCL-90. The data was analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression with SAS/PC. Result: The perceived stress in cancer patients indicated a significant positive correlation to anger-in(r=.288, p=.000), anger-out(r=.232, p=.001), and depression(r=.68, p=.000), but no significant correlation to anger-control. The anger-in of cancer patients showed a significant positive relationship to anger-out(r=.53, p=.000), and depression(r=.383, p=.000), but no significant correlation to anger-control. Anger-out showed a significantly negative correlation to anger-control (r=-.248, p=.001) and a positive correlation to depression (r=.240, p=.001). The most significant predictor which influenced depression in cancer patients was perceived stress, followed by anger-in and hobby, and these factors explained their depression with a variance of 54%. Conclusion: These results suggested that cancer patients with a high degree of perceived stress are likely to be high in anger-out and anger-in. Perceived stress and anger-in are major factors which affect depression in cancer patients.

• Korean Journal of Psychosomatic Medicine
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• v.11 no.2
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• pp.159-169
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• 2003

Objectives: The object of this study was to compare between perceived stress, coping strategies and quality of life between parents of childhood cancer and normal controls. Methods: Global assessment of recent stress(GARS) scale and symptom checklist-90-revised (SCL-90-R) were used to measure perception for stressors and stress responses(psychopathology). Coping scale and Smithklein Beecham quality of life scale were used to measure coping strategies and quality of life. Results: Scores of perceived stress related to interpersonal, changes in relationship, sickness or illness, financial, unusual happenings on the GARS scale were significantly higher in parents of childhood cancer than normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility subscale were also significantly higher in parents of childhood cancer than normal controls. Scores of self control and positive reappraisal were significantly higher in parents of childhood cancer than normal controls. Parents of childhood cancer scored significantly lower in quality of life than normal controls. Scores of depression were also significantly higher in parents of children diagnosed as acute lymphocytic leukemia(ALL) than those as acute nonlymphocytic leukemia(ANLL). Conclusions: The results suggest that patients with parents of childhood cancer were likely to have higher levels of perceived stressor and psychopathology and lower quality of life than normal controls.

• Journal of Korean Academy of Nursing
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• v.44 no.6
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• pp.630-638
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• 2014

Purpose: The purpose of this study was to develop a scale to evaluate stress in elderly patients with coronary artery diseases (CAD) and to examine validity and reliability of the scale. Methods: The development process for the preliminary scale included construction of a conceptual framework and initial items, verification of content analysis, sentence correction, and pilot study. This study was conducted using a questionnaire survey with one-to-one interviews during January and February, 2012. Participants were 240 elderly patients with CAD. Data were analyzed using item analysis, factor analysis, criterion related validity, and internal consistency. Results: The developed scale consisted of 32 items and 6 factors - aging and disease (7 items), family relations (5 items), anxiety and withdrawal (9 items), management of daily living (3 items), compliance of medical regimen (4 items), poverty and finance (4 items), and explained 68.5% of total variance. The scale had significantly positive correlation with the Korean Perceived Stress Scale (KPSS). Cronbach's alpha was .96, and Guttman split half coefficient was .91. Conclusion: Results indicate that the Stress Scale for Elderly Patients with CAD has validity and reliability, and is a suitable scale in health care settings to assess stress in elderly patients with CAD.

• Korean Journal of Psychosomatic Medicine
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• v.6 no.2
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• pp.126-135
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• 1998

The object of this study was to investigate the relationship between stress and the extent of coronary artery stenosis in 101 patients with coronary artery diseases. Global assessment of recent stress(GARS) scale and perceived stress response inventory were used to measure perception for stressors and stress responses. Biological variables such as the extent of coronary artery stenosis, the number of the affected lesions on coronary angiography, serum Low Density Lipoprotein(LDL)-cholesterol, High Density Lipoprotein(HDL)-cholesterol, and total cholesterol were measured in all the subjects. Scores of perceived stress related to changes in relationship and overall global scores on GARS scale had significantly positive correlation with the extent of coronary artery stenosis. On the other hand, scores of percieved stress related to changes in relationship and changes or no changes in routine had significantly positive correlation with the number of the lesions. Scores of perceived stress related to change or no change in routine also positively correlated with serum level of LDL-cholesterol and total cholesterol. In contrast, general somatic symptoms negatively correlated with the extent of coronary artery stenosis. Impulsive-aggressive behavior negatively correlated with the number of the lesions. However, impulsive-aggressive thinking positively correlated with LDL-cholesterol. The above results suggest that perception for stressors may negatively affect the extent of coronary artery stenosis, the number of the lesions, serum LDL-cholesterol and total cholesterol. However, some stress responses showed inconsistent effect on the above biological variables. Thus, strategies designed to modify perception for stressors and some stress responses are likely to help the patients minimize the extent of coronary artery stenosis and prevent the diseases.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.16 no.1
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• pp.63-71
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• 2005

Objectives : This study was intended to compare coping style, family support, and parenting behavior between adolescent groups with different levels of perceived stress. Methods : A total of 795 high school students participated in this study. First, they were tested on the Perceived Stress Scale and then were separated into two groups depending on the level of perceived stress. Both groups completed the Scale for the Coping Style, the Family Environment Scale (relationship subscale) and Parenting Behavior Inventory. Results : The high stress group had significantly higher scores on all their coping scores than the low stress group. Also, the high stress group had significantly higher family conflict scores, lower family cohesiveness scores and lower expression scores than the low stress group. The high stress group experienced negative parenting behavior from both parents more often than the low stress group. In the adolescents with low family cohesiveness and expression, the use of active behavioral coping was decreased, if the higher stressful events occurred. The use of avoidant coping by these adolescents increased when there were higher levels of stress in their environment. Conclusion : Low family support directly reduced the usage of active behavioral coping and increased the use of avoidant coping strategy through the mediation of high stress condition.