• Journal of Korean Medical Science
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• v.33 no.45
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• pp.284.1-284.12
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• 2018

Background: Posttraumatic stress symptoms (PTSS) in patients with psychological trauma lead to poor health-related quality of life. Understanding of the relationships among PTSS, anxiety, depression, and illness intrusiveness will guide the development of efficient approaches to enhance subjective well-being in patients with psychological trauma. This study investigated whether anxiety and depression mediate the relationship between PTSS and illness intrusiveness in the hope of providing more comprehensive and effective trauma treatment. Methods: Psychiatric outpatients who visited the trauma clinic of a university hospital (n = 260) participated in this study. Assessments were conducted for PTSS, anxiety, depression, and illness intrusiveness. Structural equation modeling and path analysis were performed to analyze the mediating effects of anxiety and depression on the relationship between PTSS and illness intrusiveness. Results: PTSS had both direct and indirect exacerbating effects on illness intrusiveness. Anxiety exhibited the largest direct exacerbating effect on illness intrusiveness. The indirect effects of PTSS on illness intrusiveness through anxiety alone and through a depression-to-anxiety pathway were significant, but the indirect effect through depression alone was not. Conclusion: The findings demonstrate that anxiety, both independently and as part of an interrelated pathway with depression, partially mediates the relationship between PTSS and illness intrusiveness. Appropriate interventions and a comprehensive approach to alleviate anxiety and depression could mitigate the negative effects of PTSS on illness intrusiveness in patients with psychological trauma.

• Journal of the Korea Society of Computer and Information
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• v.27 no.4
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• pp.119-125
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• 2022

In this paper, we intend to examine the mediating effects of self-esteem and school life adaptation in the path between cultural adaptation stress and life satisfaction of multicultural adolescents, and propose ways to improve the life satisfaction level of multicultural adolescents. As analysis data for this purpose, the 4th, 5th, and 6th panel data of multicultural youth of the Korea Youth Policy Research Institute were used, and multivariate potential growth model analysis was performed using the statistical programs SPSS 23.0 and Amos 23.0 version. In addition, the individual mediating effects of self-esteem and school life adaptation were verified using phantom variables. As a result of the analysis, it was possible to confirm the longitudinal mediating effects of self-esteem and school life adaptation, which suggests that multi-dimensional efforts are needed to improve self-esteem and school life adaptation level to improve the life satisfaction level of multicultural adolescents. Therefore, based on the results of this study, practical measures to improve the life satisfaction of multicultural adolescents were presented in detail.

• Geomechanics and Engineering
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• v.31 no.6
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• pp.557-571
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• 2022

Landslides are often triggered by weak interlayers initiated in tailings dam foundations, and hazards gradually occur. This is serious for landslides in high tailings dams due to their high potential energy. Tailing samples with a fine-grained interlayer at a set dip angle were prepared. Consolidated undrained (CU) triaxial shear tests were carried out by using a high-pressure triaxial apparatus. The results were compared with the results under a low confining pressure. Four reasons were summarized for high tailings dams more prone to instability than low dams. The shear strength of the samples with dipping interlayers decreases with increasing dip angle. An obvious straight drop in the stress path after the peak occurs in samples with dipping interlayers at an angle of 60°. The effect of the interlayer on the mechanical behaviour of tailings is very sensitive, especially for the sample with a dipping interlayer at an angle of 60°. Shear slipping along the interlayer should be given more attention in tailings dams. Compared with the results under low confining pressure, the stress decreases continuously for the samples with dipping interlayers at large angles under high confining pressure. The positive pore pressure, which reduces the effective stress, occurred in tailings samples under high confining pressure. The residual strength of tailings under high confining pressure is smaller than that under low confining pressure. These factors increase the dam break risk and the disaster impact for high tailings dams.

• Journal of Korean Tunnelling and Underground Space Association
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• v.12 no.1
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• pp.31-41
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• 2010

This paper presents both numerical and physical modeling approaches for the dilation and spalling of rock recognized as typical process of rock around an underground opening at depth. For physical approach, laboratory testing of rectangular beams using a synthetic rock was used to investigate the onset of dilation and spalling. The beams are axially compressed and subjected to 4-point bending to provide non-uniform compressive stresses which are similar to the maximum tangential stress distribution around circular openings. Discrete element numerical analyses using commercial code $PFC^{2D}$ (Particle Flow Code) were performed to evaluate the stress path at various locations in the beams. The findings from these approaches suggest that the onset of dilation in laboratory tests appears to be a good indicator for assessing the stress magnitudes required to initiate spalling.

• Journal of Preventive Medicine and Public Health
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• v.57 no.3
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• pp.197-211
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• 2024

Objectives: Recovery from drug addiction often poses challenges for the recovering person. The coping mechanisms employed by these individuals to resist temptations and manage stress play a key role in the healing process. This study was conducted to explore the coping strategies or techniques that individuals with addiction use to handle stress and temptation while undergoing treatment. Methods: A qualitative meta-synthesis approach was utilized to critically evaluate relevant qualitative research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were used for article selection, with these standards applied to 4 academic databases: Scopus, PubMed, ProQuest, and CINAHL. The present review included studies published between 2014 and 2023, selected based on pre-established inclusion criteria. The quality of the studies was assessed using the Critical Appraisal Skills Programme Qualitative Studies Checklist. This review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42024497789. Results: The analysis of 13 qualifying qualitative articles revealed 5 major themes illustrating the coping mechanisms employed in the pursuit of recovery by individuals who use drugs. These themes include seeking social support, as well as psychological coping strategies, spiritual experiences, professional interventions, and the enhancement of awareness. Conclusions: Among individuals with drug addiction, coping mechanisms are crucial for resisting stress and temptations throughout the recovery process. Healthcare professionals, as medical specialists, can establish more thorough and effective plans to support these patients on their path to recovery.

• Journal of dental hygiene science
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• v.16 no.5
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• pp.323-330
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• 2016

The purpose of this study was to understand the comprehensive relationship among sense of coherence, clinical practice stress, and major satisfaction of students in the department of dental hygiene. From four local universities, departments of dental hygiene were selected: two departments represented a three-year curriculum system and two represented a four-year curriculum system. Data from the final questionnaires of 319 students were analyzed. Differences between variables were analyzed using t-tests and ANOVAs, and correlations were checked using Pearson's correlation coefficients. Path analysis was conducted to analyze the relationship among clinical practice stress, sense of coherence, and major satisfaction. The results indicated that clinical practice stress had a negative influential relationship with both sense of coherence, and major satisfaction. In addition, sense of coherence had a positive influential relationship with major satisfaction. The direct and indirect effects among factors displayed significant differences, indicating that clinical practice stress has a partial mediation effect on sense of coherence and major satisfaction. Therefore, major satisfaction can be increased by developing and implementing programs to improve sense of coherence.

• The Journal of the Korea Contents Association
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• v.18 no.6
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• pp.73-87
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• 2018

The purpose of this study is to investigate the structural relationship among job stress, ego-resilience, social support, and burnout of art therapists. This study verified the relationship and the effect by setting a research model with job stress as independent variable, ego-resilience as mediator variable, social support as control variable, and burnout as dependent variable based on the previous studies. In order to do this study, 300 questionnaires were distributed to art therapists and the 233 questionnaires were used finally for empirical analysis. The results of this study are as follows. First, only career showed significant correlation among personal environmental factors (education, career, treatment time, income per hour, number of supervision). Second, the relationship between job stress and burnout was partially mediated by ego-resilience. Third, social support showed a regulation effect on the relationship between ego-resilience and burnout. Thus, ego-resilience showed a mediation effect in the path that job stress affects burnout, and this mediation effect varies with the level of social support. So the moderated mediation effect was confirmed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.9
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• pp.221-227
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• 2016

The purpose of this study is to investigate the effect of social factors and social stress with respect to alcohol consumption for university students and to provide basic data in efforts to develop educational method that teaches how to decrease alcohol consumption and deny demanding drinking. Questions concerning typical features and social stress from drinking were revised through 300 university students' self-recording surveys between April 8 and 9 in 2015. It consisted of 10 questions using a 4-point Likert scale. Moreover, the reliability of tool was Cronbach ${\alpha}=.82$. We used SPSS 18.0 and conducted frequency, ${\chi}^2$ and path analysis. If the frequency of drinking (B=.206, p<.001) gets low and the social stress from drinking is low (B=-.397, p<.001), the amount of drinking increases, particularly for men more than women (B=.169, p<.05). For women more than men (B=.274, p<.01), if monthly income is high (B=.178, p<.05) and stress from drinking is low (B=-.349, p<.01), the frequency of drinking is high. If the culture of practice in drinking has not formed voluntarily through education or publication, legal restriction that increases the cost of drinking has to be established, like smoking, to reduce the volume of drinking and promote moderation in drinking. The publication and education that teaches drinking leads to bad situations have to be conducted, much like the education programs involved for smoking. Also, discrimination of non-drinker has to be removed with the change of culture to reduce the stress by drinking.

• Industry Promotion Research
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• v.8 no.2
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• pp.81-91
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• 2023

This study aims to present basic data for preventing drop-out intention by identifying the mechanisms in which academic stress affects drop-out intention through self-esteem, peer relationships, and grit in high school students. The subjects of the study were 283 high school students purposively selected from three cities and counties in Chungcheongnam-do. The data were analysed using SPSS PC+ Win. ver. 25.0 and SPSS PROCESS macro ver. 4.2. The applied statistical techniques were descriptive statistics, reliability analysis, correlation analysis, and moderated mediation effect analysis. As a result of the study, first, academic stress showed a positive correlation with the drop-out intention, but a negative correlation with self-esteem, grit, and peer relationship. Second, grit not only played a moderating role in enhancing the relationship between self-esteem and peer relationship, but also played a moderated mediating role in the path of academic stress → self-esteem → peer relationship → drop-out intention. It was confirmed that the academic stress of high school students has a direct effect on the drop-out intention, and that self-esteem, peer relationships, and grit can be used as important factors to prevent the school drop-out.

• Journal of the Korean Geotechnical Society
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• v.20 no.8
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• pp.147-158
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• 2004

Laboratory dynamic tests are carried out to assess the liquefaction potential of saturated sands in most countries. However, simple results such as the maximum cyclic shear stress and the number of cycles at initial liquefaction are used in the experimental assessment of liquefaction potential, even though various results can be obtained from the dynamic test. In addition, it seemed to be inefficient because more than three dynamic tests with different stress ratio have to be carried out to draw a liquefaction resistance experimental curve. To improve the present assessment method fur liquefaction potential, a new critical resistible characteristic far soil liquefaction is proposed and verified through conventional cyclic triaxial tests with Jumunjin sand. In the proposed method, various experimental data such as effective stress path, stress-strain relationship, and the change of excess pore water pressure can be used in the determination of cumulative plastic shear strains at every 1/4 cycle. Especially, the critical cumulative plastic shear strain to initiate liquefaction can be defined in a specific point called a phase change point in the effective stress path and it can be calculated from a hysteric curve of stress-strain relationship up to this point. Through this research, it is found that the proposed cumulative plastic shear strain can express the dissipated energy to resist dynamic loads and consider the realistic soil dynamic behavior of saturated sands reasonably. It is also found that the critical plastic shear strain can be used as a registible index of soils to represent the critical soil dynamic state, because it seems to include no effect of large deformation.