• Title/Summary/Keyword: psychological functioning

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

  • Rhee Seonja;Oh Jin-Joo
    • Journal of Korean Public Health Nursing
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    • v.6 no.2
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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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Children with Epilepsy: Quality of Life and Management (간질아동의 삶의 질과 간호관리)

  • Shin Yeong-Hee
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.225-232
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    • 2004
  • The purpose of this article is to describe the overview of current medical treatments of childhood epilepsy in Korea and to review several recent nursing researches related to quality of life problems, especially psychological functioning in children with epilepsy and the stress of the family. The prognosis of childhood epilepsy has been improved considerably and about 80% of patients can now be expected to achieve complete seizure control by the antiepileptic drug treatment. Even for the intractable epilepsy, with the combination of ketogenic diet program and antiepileptic drug therapy or surgical treatment, the prognosis became very much better than before. The majority of research has reported that children with epilepsy were experiencing quality of life problems. They are at risk for impaired functioning, compared to either general population controls or to other chronic illness groups such as asthma and diabetes. The ultimate goal of providing care to children with epilepsy is to control seizures while facilitating an optimal quality of life for the child as well as the family. Recommendations are included for future research and intervention programs for children, parents and our society.

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Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series

  • Ko, Myung-Sook;Jeon, Yong-Jin
    • Physical Therapy Korea
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    • v.22 no.2
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    • pp.59-69
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    • 2015
  • The purpose of this study was to identify the effects of an upper extremities group exercise program based on motor learning in chronic stroke patients and to assess improvements in upper sensory motor function and activities of daily living (ADL). Five chronic stroke patients participated for the duration of 25 weeks. On the assessment of motor and process skills, there was a statistically significant improvement in motor area functioning in 4 of the subjects. In process area functioning, there was a statistically significant change in 3 of the subjects. Therefore, further studies are needed to assess sensorimotor area and ADL changes in chronic stroke patients to reduce medical cost and assess for positive psychological changes.

A Study on Psychological and Physical Health of Families of Victims One Year after the Sewol Ferry Disaster (세월호 재난 1년 후 유가족의 심리적, 신체적 건강에 대한 연구)

  • Ko, Jeong-Kyung;Han, Eunjin;Shin, Cheolmin;Lee, Seung-Hoon;Park, Sol A;An, Sora;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.179-187
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    • 2018
  • Objectives : The purpose of this study was to assess physical illnesses, psychological difficulties, and daily life function of victims' family members one year after the Sewol ferry disaster, in order to establish a basis of strategies to promote their mental health and resilience. Methods : We statistically analyzed self-reported data collected from a survey conducted between March 22 and 28, 2015 with 139 family members of victims. Results : All respondents complained about one or more psychological difficulties, and 95.4% of them had newly diagnosed or exacerbated physical illnesses. An increased number of psychological difficulties was associated with a greater tendency to present physical illnesses including chronic headache, gastrointestinal, musculoskeletal, obstetrico-gynecological, genitourinary, and cardiovascular disease. In addition, the majority of respondents reported a decrease in life functioning. Specifically, 71.9% reported interpersonal avoidance and 63.9% reported difficulty in returning to work. Conclusions : Not only psychological trauma but also physical illness and daily functioning should be evaluated in detail and actively addressed in the bereaved family members after a catastrophe.

Factors related to Self-Rated Health in Adolescents: Findings form the Korea Youth Panel Survey (청소년의 주관적 건강인식 관련 요인: 한국청소년패널 자료 활용)

  • Choi, Kyung Won
    • Korean Journal of Health Education and Promotion
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    • v.31 no.3
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    • pp.39-50
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    • 2014
  • Objectives: The purpose of this study is to examine the factors for self-rated health by gender in South Korean adolescents. Methods: The population consisted of a nationally representative sample of adolescents(n= 37,414 boys, 37,522 girls) in middle and high school who completed the Korea Youth Risk Behavior Web-based Survey(KYRBWS) in 2011. Using logistic regression analysis, self-rated health was regressed on all predictors, including socioeconomic factors, behavioral and psychological factors. All analysis were conducted according to gender. Results: Girls showed more negative self rated health than boys (respectively 28.4%, 40.7%). Adolescent perceptions of health was associated with socioeconomic status, behavioral and psychological factors. Logistic regression analysis revealed that physical activity, body weight perception, despair, level of happiness and stress were the main influencing factors. Conclusions: The findings show that adolescent perceptions of their health are associated with overall sense of functioning, which are associated with health behaviors and psychological factors. Further interventions that focus on improving health behaviors and psychological health may make adolescents more healthy.

The Mediating Effect of Ex-offenders, Anger Expression between the in Childhood Trauma and Family Functioning (성인 출소자의 아동기 외상과 가족기능성과의 관계에서 분노표현방식의 매개효과검증)

  • Lee, A-Reum;Kim, Ji-Yun;Lee, Dong-Hun
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.100-113
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    • 2019
  • The purpose of this study was to confirm the characteristics of released prisoners through demographic and sociological variables and to investigate the effects of childhood traumatic experiences on family functioning and the mediating effects of anger expression method. For this purpose, Korea Rehabilitation Agency were selected and finally 400 released prisoners were analyzed. As a result, it appeared that anger expression method played a role of mediating variable when childhood trauma experience affects family functioning. Childhood trauma experience not only directly affects family functioning, but indirectly affects family functioning through anger expression method and the anger expression method played a role as partial mediating variable. Based on the results of this study, we emphasized the need for intervention and education for anger expression method in psychological counseling interventions to improve family functioning as a way to suppress the second offense of released prisoners with childhood abuse experience.

The Relationship between North Korean Refugee Mothers' Perceived Home Psychological Characteristics and Ego-resilience of Young Children : The Moderating Effect of Social Support (북한이탈주민 어머니가 지각한 가정의 심리적 특성과 유아의 자아 탄력성 간의 관계: 사회적 지지의 조절효과)

  • Jo, Hye Young;Noh, Hyun Ju
    • Korean Journal of Childcare and Education
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    • v.11 no.6
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    • pp.59-78
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    • 2015
  • This study aims to explore the relationship between North Korean refugee mothers' perceived home psychological characteristics and ego-resilience of their young children focusing on moderating effect of social support. For this purpose, we sampled 96 North Korean refugee mothers with 3-5 year old children. Home psychological characteristics consisting of family strength, family environment and family functioning, social support, and ego-resilience was analyzed by Pearson correlation analyses and hierarchical regression method. The results of this study were as follows. First, there is a significant correlation between North Korean refugee mothers' perceived home psychological characteristics and ego-resilience of their young children. Second, the perceived factors by North Korean refugee mothers of home psychological characteristics explained their young children's self-resilience 73.4% of the time and social support had a significant moderating effect. These results suggest that more effective social support to North Korean refugees has to be offered. Not only financial but emotional support is also needed.

The Moderating Effect of Psychological Flexibility on the Relationship between Perceived Stress and Depression in University Administration Staff (대학 행정직원의 지각된 스트레스와 우울 간의 관계에서 심리적 유연성의 조절효과)

  • Lee, Jung-Min;Jang, Ki-Won
    • Journal of Convergence for Information Technology
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    • v.11 no.12
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    • pp.201-210
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    • 2021
  • The purpose of this study was to verify the moderating effects of psychological flexibility on the relationship between perceived stress and depression in university administration staff. A total of 186 participants completed the questionnaire. This data was analyzed using the SPSS program. The results of the analysis showed that perceived stress, positive perception and psychological flexibility had significant effects on depression, but negative perception didn't have significant effect on depression. The results verified the moderating effects of psychological flexibility on the relationship between perceived stress and depression. We discussed that the stress of university administration staff was more closely related to positive perception such as a decrease in positive functioning than negative perception such as loss of control. We also discussed that psychological flexibility can reduce the effect of stress on depression and prevent it. We suggested acceptance commitment therapy to improve psychological flexibility as an intervention method for stress and depression issues in university administration staff.

Predictors of Obesity and Physical Health Complaints Among 911 Telecommunicators

  • Lilly, Michelle M.;London, Melissa J.;Mercer, Mary C.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.55-62
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    • 2016
  • Background: This study aims to: (1) examine rates of obesity and physical health complaints among 911 telecommunicators; and (2) document the role of emotion dysregulation, psychological inflexibility, duty-related distress and dissociation, and psychopathology in predicting obesity and physical health complaints in this population. Methods: The sample consisted of 911 telecommunicators from across the country (N = 758). Participants completed an online survey assessing their mental and physical health functioning. Results: A total of 82.5% of the sample reported a body mass index that fell within the overweight or obese category and an average of 17 physical health complaints within the past month. Peritraumatic reactions (distress and dissociation), emotion dysregulation, and psychological inflexibility had effects on physical health largely through psychopathology (alcohol abuse, post-traumatic stress disorder, and depression). Conclusion: Development of adapted prevention and intervention efforts with this population is needed.

Trajectory of Family Functioning: Self-esteem and Behavior Problems of Children (가족기능의 변화 양상에 따른 자녀의 자아존중감, 문제행동 차이)

  • Yeon, Eun Mo;Choi, Hyo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.84-93
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    • 2020
  • This study had two aims (1) to explore the trajectory of family functioning (flexibility and cohesion) in the mothers' perspective and classify it according to the development of their child, and (2) to examine the differences in children's self-esteem as well the internal and external behavioral problems based on the latent groups. A total of 1,348 mothers and their children who participated in the survey in 2013 through to 2017 were analyzed. The group was subdivided into low incremental, average incremental, average-above incremental, and high unchanged groups according to the flexibility, and into low incremental, average incremental, decremental, high incremental, and above-high unchanged groups in terms of cohesion. From 2015 to 2017, the self-esteem of elementary school-age children showed differences depending on the flexibility and cohesion of family functioning; children in the high-unchanged group of flexibility and the above-high unchanged group of cohesion showed high self-esteem. Behavior problems of early childhood and elementary school-age children varied according to the latent classes of flexibility and the cohesion of family functioning. Children in low incremental and average incremental groups of flexibility and low incremental, average incremental, and decremental groups of cohesion showed more internal and external behavioral problems. These findings suggest that family functioning has significant effects on the psychological aspects of children.