• 제목/요약/키워드: psychological functioning

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건강과 삶의 질에 영향을 주는 요인에 대한 분석: 자기효능감, 사회적 지원 및 질병관리를 중심으로 (Factors influencing health and quality of life among allergy and asthma patients: With specific focus on self-efficacy, social support and health management)

  • 김의철;홍천수 ;이정권 ;박영신
    • 한국심리학회지 : 문화 및 사회문제
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    • 제11권2호
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    • pp.143-181
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    • 2005
  • 이 연구의 주된 관심은 건강과 삶의 질에 영향을 주는 요인들을 탐색하는데 있다. 신체적인 증상과 생리적인 기능 외에, 심리적인 기능과 인간관계가 건강 및 삶의 질에 미치는 영향을 분석하였다. 이 연구의 분석을 위해, 알레르기 비염과 천식 환자 70명을 대상으로 면접을 하였다. 연구자들이 제작한 반구조화된 질문지에서는 여섯 개 영역을 측정하였다 : 질병 발생의 원인, 심리적 특성, 질병의 관리, 신뢰, 사회적 지원, 신체증상과 삶의 질 지각. 상호작용모형 (Bandura, 1997; Kim & Park, 2005)을 기초로 분석한 결과들을 종합하여 건강회복과 질병악화의 순환과정에 대한 잠정적 모형을 제안하였다. 이 모형은 발병 단계, 대처 과정, 결과적 증상의 세 단계로 구성되었다. 첫째, 발병 단계에서는 개인요인과 환경요인이 포함되었다. 둘째, 대처과정에서는 세 측면이 다루어졌다. 환자의 심리적 기능과 관련된 특성으로는 자기효능감(자기조절 효능감, 주위사람도움 효능감, 환경통제 효능감, 어려움극복 효능감), 긍정적 성격과 목표의식, 스트레스, 대리적 통제가 포함되었다. 인간관계는 의미있는 주위 사람들로부터 받는 사회적 지원(재정적, 정서적, 정보적)과 신뢰(의사환자관계, 가족관계)가 포함되었다. 질병 관리 행동으로는 적절한 병원 진료, 의사처방 이행정도, 환경관리, 일상생활 관리가 포함되었다. 셋째, 결과적 증상으로 신체증상 및 삶의 질에 대한 주관적 지각이 포함되었다. 분석 결과와 제안된 모형에 토대하여 다음과 같은 몇 가지 논의가 있었다 : 생리적, 심리적, 관계적, 환경적 요인들이 상호작용하고 나아가서 건강과 삶의 질에 관련되어 있다는 점이다. 또한 자기효능감 가족으로부터의 사회적 지원, 의사에 대한 신뢰, 의료 복지를 위한 사회적 체제가 건강한 삶과 삶의 질을 증진시키는 핵심요인으로 확인되었다. 이러한 결과는 간학문적이고 토착적이며 문화심리적인 시각에서의 후속 연구가 필요함을 시사한다.

대화적 탐구를 적용한 '지층과 화석' 단원 수업에서 초등학생들의 심리기능 형성 및 내면화 과정 (Elementary Children's Mental Functioning and Internalization in Social Constructivist Teaching with Dialogic Inquiry about Strata and Fossils)

  • 이연진;맹승호
    • 한국초등과학교육학회지:초등과학교육
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    • 제37권4호
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    • pp.416-429
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    • 2018
  • In social constructivist teaching, knowledge construction is achieved through learners' collective social interaction. Vygotsky argued that this process is mediated with language use, and the development of higher order thinking is realized through the transition from inter-personal psychological functions to intra-personal psychological functions. In so doing scientific concepts are internalized to learners. This study examined the third grade elementary students' inter/intra-personal psychological functions and their internalization processes during social constructivist teaching plan about strata and fossils. The lessons were designed along with Wells' dialogic inquiry and Leach and Scott's social constructivist teaching-learning sequences. Results showed that a teacher's utterances of talking with questioning to switch attention, creating cognitive disequilibrium, and expanding the width of students' opinions could make effective inter-personal psychological function. In addition, a learner's inner speech expressed into social discourse through talking about personal experiences, comparing epistemic idea with visual representation, or applying to different situation showed his/her intra-personal psychological function. Some cases of learners' internalization through language use could be at the stage of knowledge building and understanding of the spiral of knowing, but not all. Thus it is argued that a teacher's deeper insight into Vygotskian social constructivist teaching can make elementary science classroom teaching more effective in their inter/intra-psychological functions.

Emotion Regulation as a Pathway Through Which Personality Affects Psychological Well-being: A Preliminary Study in Korea and the United States

  • Kim, Min Young;Tocker, Yonca
    • 감성과학
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    • 제17권1호
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    • pp.63-70
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    • 2014
  • Emotion regulation has been suggested as a pathway through which personality traits (e.g., extraversion or neuroticism) affect psychological well-being. However, the pathway needs further investigation across cultures due to variations in parts of the relationship reported in recent culture research. With an aim of improving current understanding of the pathway, we investigated the role of emotion regulation mediating the link between personality traits and well-being across two college samples from different cultural backgrounds: Korea and the United States (US). Results of mediation analysis revealed that the extraversion-well-being relationship was fully mediated by the degree to which individuals regulate negative emotions in both Korean and US samples. However, the neuroticism-well-being relationship was partially mediated by emotion regulation in the US sample, while it was fully mediated in the Korean sample. The role of emotion regulation differently functioning across cultures suggests the importance of investigating cultural-specific mechanism of psychological processes.

백혈병 생존 청소년의 신체적.정서적 후유장애, 사회적응 및 삶의 질 (Late Effects, Social Adjustment, and Quality of Life in Adolescent Survivors of Childhood Leukemia)

  • 홍성실;박호란;김광성;최선희
    • 대한간호학회지
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    • 제44권1호
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    • pp.55-63
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    • 2014
  • Purpose: This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents. Methods: Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child's physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS. Results: Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects. Conclusion: The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.

유도선수의 성별, 체급 및 연령에 따른 신체적 기능과 심리적 기능의 비교 (The Compare Physical and Psychological Functioning by Sex, Weight and Age in Judo Athletes)

  • 김혜영;정은정;이병희
    • 한국콘텐츠학회논문지
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    • 제20권3호
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    • pp.678-686
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    • 2020
  • 본 연구는 유도선수의 성별, 체급 및 연령에 따른 신체적 기능과 심리적 기능을 비교하기 위해 시행되었다. 연구의 대상자는 고등학생, 대학생, 실업팀 선수 124명이 참가하였으며, 신체적 검사로 무릎기능 검사지, 발목기능 검사지, 허리 검사지를 자기 기술하여 신체적 검사를 측정하고, 심리적 검사로 기분상태 질문지, 운동선수 자기관리행동 질문지, 운동 대처기술 검사지를 측정하였다. 신체적, 심리적 기능의 성별, 체급별, 연령별 기능을 비교한 결과, 성별에 따른 신체적 검사의 결과에서는 무릎과 허리에서 남녀의 차이가 있었고, 심리적 검사에서는 기분 상태 중 활력과 자기관리행동, 스포츠 대처기술에는 차이가 있었다. 체급별 신체적 검사의 결과, 무릎의 통증과 스포츠 항목에서 체급별 차이가 있었고, 심리적 검사의 결과 기분상태는 활력을 제외한 모든 항목에서 체급별 차이가 있었다. 연령별 신체적 검사는 무릎, 발목, 허리에서 연령별 차이가 있었고, 심리적 검사의 결과, 기분상태검사 중 긴장과 활력을 제외한 모든 항목에서 차이가 있었으며, 자기관리행동 중 몸관리 문항에서만 연령별 유의한 차이가 있었다. 본 연구 결과는 향후 유도선수의 성별, 체급 및 연령에 따른 스포츠 상해 관련 훈련 프로그램 및 의학 기술 개발 관련 기초자료로 활용될 수 있을 것으로 예상한다.

편모가족의 청소년 자녀가 지각한 가족자원 및 심리적 적응 (Family Resources and Psychological Well-Being among Adolescents of Single Mother Families)

  • 정현숙;서동인
    • 아동학회지
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    • 제18권2호
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    • pp.163-176
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    • 1997
  • Using survey data collected from 275 adolescent children of widowed or divorced single mother families, this study investigated the characteristics of family coping resources, including individual, financial, social, and mother-child relational resources and their effects on the psychological wellbeing of these adolescents. After controlling background variables of the family, higher depression among adolescents was associated with low grade point average, mother's high exposure to negative experiences after loss of father, low attachment to mother, and low sense of self-control. Furthermore, higher grade point average, strong attachment to mother, and high self-control in problem solving were factors predicting higher self-esteem of adolescents. Social network resources were not related to the psychological well-being of the adolescents. Discussion included recommendations for future research. Implications for policy and parent-child relations were discussed with a view to enhancing family functioning of adolescents in single-mother families.

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Quality of Life and Psychological Well-Being of Breast Cancer Survivors in Jordan

  • Abu-Helalah, Munir;Al-Hanaqta, Motasem;Alshraideh, Hussam;Abdulbaqi, Nada;Hijazeen, Jameel
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5927-5936
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    • 2014
  • Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

알코올중독자 가정 청소년 자녀의 성인아이성향과 심리사회적 문제 (Association between Psychological Characteristics of Adult-Children of Alcoholics and Psychosocial Problems)

  • 박현선;이상균
    • 한국사회복지학
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    • 제46권
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    • pp.118-144
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    • 2001
  • To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

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성공적인 노화 정의를 위한 문헌연구 (In Search of a Definition of Successful Aging: A Review of Literature)

  • 홍현방;최혜경
    • 가정과삶의질연구
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    • 제21권2호
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    • pp.145-154
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    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

노인의 건강사정도구에 대한 일고찰 - 신체기능 측정도구를 중심으로 - (A Study of the Scale to Measure Health Status of the Elderly - In Regard to Measures of Physical Functioning-)

  • 이선자;오진주
    • 한국보건간호학회지
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    • 제6권2호
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    • pp.11-20
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    • 1992
  • The major goal of caring the elderly is not to cure the patient, but rather to improve or maintain the individual functional ability. With the aged population increases, there is increasing consensus among health care workers about the importance of developing a tool to measure and evaluate the health status of the elderly. As many writers is pointing out, care of the elderly embraces the spectrum of physical-social-psychological problems and an enormous number of variables could be introudeced into the health worker's routine measurement. But such an expansive approach to measurement could have disadvantages. The purpose of this study is to introduce the measurement tools of physical functioning, perhaps the most important measure required in long-term care, which are separated into three categories of measures; general physical health, ADL, IADL. It is important that all health workers who provide care to the elderly incorporate the concepts of functional health status into the routine assessments. And continuous study about reliability and validity is needed to apply those foreign tools to Korea.

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