근막통 증후군을 지닌 조선업근로자들에서 스트레스생활사 정도에 따른 통증의 비교

송혜란,김진하,이용환 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Background : Myofascial pain syndrome is a regional pain syndrome which is abruptly developed by psychological stress or physical stress causing direct muscular trauma or muscular tension. Shipbuilding workers are suffering from pain caused by the hard works treating heavy materials or keeping in an uncomfortable position for a long time in addition to the psychological stress which happened on the life events. This study was performed to survey the psychological feature and the degree of pain according to the stressful life event values of the shipbuilding workers who are suffering from the myofascial pain syndrome. Methods : The study subjects were 61 workers who worked at one of the shipbuilding industrial company. They were diagnosed as a myofascial pain syndrome in April 2002. For the close examination these workers visited in the department of occupational environmental medicine of the Kosin University. They were classified as high stressful group and low stressful group using Holmes and Rahe stressful life event values. We compared high stressful group with low one by visual analogue scale (VAS乂 Results : In high stressful and low stressful groups according to stressful life event values, mean age was 43.7 years and 43.4 years,and mean working duration was 13.9 years and 143 years respectively, which doesn't show significant difference statistically. There was no significant difference in alcohol drinking in those two groups,on the other hand, in high stressful group the frequency of smoking is higher as 21 (87,5%)people than in low stressful group as 16 (43.2%)people,The number of patients who reported severe pain which affected the daily life is 12 (50%) in high stressful group and 17 (45.9%) in low stressful group, and the number of patients who felt pain even by the small amount of daily activity is 5 (20.8%) in high stressful group and 13 (35J%) in low stressful group, which shows no statistical significance. The duration of pain more than 5 hours was 17 (70.8%) and 26 (70.3%) in each group, and visual analogue scale was higher in high stressful group than in low stressful group as 6.3 points and 5.6 points each without statistical significance. As a result of physical examination, the number of palpable trigger points was 14 (58.3%) in high stressful group and 27 (73,0%) in low stressful group. As a r於ult of EMG, the case of positive findings was 8 (33.3%) in high stressful group and 13 (35J%)in low stressful group. Conclusion : As a result of citifying the stressful life event values into high stressful group and low stressful group in the case of myofascial pain syndrome,objective findings(EMG, palpable trigger point) were not significantly different between high stressful group and low stressful group, but visual analogue scale was higher in high stressful group than in low stressful group. Therefore,it is assumed that in order to reduce the pain considered the most severe problem in the case of myofascial pain syndrome, we should analyze the cause of stress caused by daily lives and need proper psychological treatment and intervention as well as reduce the burden on the parts of body. Background : Myofascial pain syndrome is a regional pain syndrome which is abruptly developed by psychological stress or physical stress causing direct muscular trauma or muscular tension. Shipbuilding workers are suffering from pain caused by the hard works treating heavy materials or keeping in an uncomfortable position for a long time in addition to the psychological stress which happened on the life events. This study was performed to survey the psychological feature and the degree of pain according to the stressful life event values of the shipbuilding workers who are suffering from the myofascial pain syndrome. Methods : The study subjects were 61 workers who worked at one of the shipbuilding industrial company. They were diagnosed as a myofascial pain syndrome in April 2002. For the close examination these workers visited in the department of occupational environmental medicine of the Kosin University. They were classified as high stressful group and low stressful group using Holmes and Rahe stressful life event values. We compared high stressful group with low one by visual analogue scale (VAS乂 Results : In high stressful and low stressful groups according to stressful life event values, mean age was 43.7 years and 43.4 years,and mean working duration was 13.9 years and 143 years respectively, which doesn't show significant difference statistically. There was no significant difference in alcohol drinking in those two groups,on the other hand, in high stressful group the frequency of smoking is higher as 21 (87,5%)people than in low stressful group as 16 (43.2%)people,The number of patients who reported severe pain which affected the daily life is 12 (50%) in high stressful group and 17 (45.9%) in low stressful group, and the number of patients who felt pain even by the small amount of daily activity is 5 (20.8%) in high stressful group and 13 (35J%) in low stressful group, which shows no statistical significance. The duration of pain more than 5 hours was 17 (70.8%) and 26 (70.3%) in each group, and visual analogue scale was higher in high stressful group than in low stressful group as 6.3 points and 5.6 points each without statistical significance. As a result of physical examination, the number of palpable trigger points was 14 (58.3%) in high stressful group and 27 (73,0%) in low stressful group. As a r於ult of EMG, the case of positive findings was 8 (33.3%) in high stressful group and 13 (35J%)in low stressful group. Conclusion : As a result of citifying the stressful life event values into high stressful group and low stressful group in the case of myofascial pain syndrome,objective findings(EMG, palpable trigger point) were not significantly different between high stressful group and low stressful group, but visual analogue scale was higher in high stressful group than in low stressful group. Therefore,it is assumed that in order to reduce the pain considered the most severe problem in the case of myofascial pain syndrome, we should analyze the cause of stress caused by daily lives and need proper psychological treatment and intervention as well as reduce the burden on the parts of body.

중년기 성인의 심리적 복지감에 대한 성인기 이전 생활사건과 사회적 지지의 영향

김유정(Yu-jeong Kim),안정신(Jeong-shin An) 한국노년학회 2011 한국노년학 Vol.31 No.3

본 연구는 생애과정적인 시각에서 성인기 이전 생활사건과 사회적 지지에 따라 중년기 성인의 심리적 복지감에 차이가 있는지, 그리고 중년기 성인의 심리적 복지감에 대한 성인기 이전 생활사건과 사회적 지지의 영향을 규명하고 그에 대한 실천방향을 모색하는 데 그 목적을 두고 있다. 이를 위하여 40-59세의 중년기 성인 남녀 511명의 자료를 분석하였다. 연구결과는 성인기 이전 생활사건 경험여부와 사회적 지지여부에 따라 중년기 성인의 심리적 복지감에 차이가 있었고, 성인기 이전 폭력, 죽음, 부모관련 생활사건과 정서적 지지, 정보적 지지는 중년기 성인의 심리적 복지감에 영향을 미치는 것으로 나타났으며 성인기 이전 부모관련 생활사건 경험에 따른 중년기 성인의 심리적 복지감은 성인기 이전 정보적 지지에 의해 완화되는 것으로 나타났다. 이러한 결과는 예전의 경험이 누적되고 서로 맞물려서 지속적 영향을 미치며 개인의 생애발달 과정이 의미있는 타인의 생애과정과 밀접하게 연관되어 있다는 생애과정관점의 견해를 지지한다. 또한 심리적 복지감을 위한 개입에 있어서 생활사건을 예방하는 것뿐만 아니라, 생활사건 경험 이후 보호해줄 수 있는 사회적 지지를 증가시키는 것이 필요한데, 이때 생활사건 영역에 적합한 구체적인 전략이 필요하다는 것을 시사한다. The purpose of this study was to examine if there was difference of psychological well-being in mid adulthood on experience of life events and social support in pre-adulthood and the effects of life events and social support in pre-adulthood on psychological well-being in mid adulthood from life course perspective. The data came from 511 mid-life adults aged from 40 to 59. The main results were as follows: (1) middle aged who were experienced life events concerning school, parent, violence, and death in pre-adulthood showed lower psychological well-being than those who didn't experience life events in pre-adulthood. Psychological well-being of middle aged who received social support in emotional, material, and informational area in pre-adulthood was higher than one of the whom didn't receive social support in pre-adulthood. (2) the experienced life events concerning parent, violence, and death in pre-adulthood effect on psychological well-being in mid adulthood. Also, the received emotional support and informational support in pre-adulthood influence on psychological well-being in mid adulthood. And there were adjusting effects of life events concerning parent and received informational support in pre-adulthood on the psychological well-being in mid adulthood. These findings support life course perspective that past experiences have cumulative and interconnected effect and the individual life was closely connected with other people having meaningful relationships. Also, the intervention on psychological well-being requires not only prevent life events but augment social support that can protect after experience of life events. The intervention should suggest suitable and specific method on life events.

메가이벤트 개최지 지역주민의 삶의 질 계량 측정 모델링 연구

이태숙,황미란 한국관광학회 2014 관광학연구 Vol.38 No.1

This study aimed at verifying the types of impacts exerted by mega events on the quality of life of residents. In other words, it was intended to derive MEQOL (mega event and quality of life) index, which suggests the degree of impact exerted by mega events on the quality of life of local residents, using the MEQOL scale. This study was conducted with EXPO 2012 Yeosu Korea as the target mega event. As a result of the surveys conducted, the MEQOL dimensions were derived as 'social environment,' 'cultural environment,' 'economic environment,' 'living infrastructures environment,' 'ecological environment' and 'natural environment.' Through these dimensions, the MEQOL index of residents, in relation to EXPO 2012 Yeosu Korea was analyzed. According to the results of the analysis, residents were found to recognize that EXPO 2012 Yeosu Korea made the largest contributions to their quality of life in terms of cultural aspects. It was followed by contributions in terms of economic aspects, and finally, social aspects. On the other hand, contributions to the quality of life in terms of natural environment, ecological environment and living infrastructures environment were found to be small. These results lead to identifying improvements to be made in terms of increasing the quality of life of resident‘s by hosting of mega events.

문화이벤트 태도에 따른 삶의 질 연구 - 관여도 조절효과를 중심으로 -

김은진,이희정,윤유식 관광경영학회 2016 관광경영연구 Vol.68 No.-

The study aims to explore attitude of cultural events that affect quality of life and to investigate if there are moderating effects of involvement in a relationship between attitude of cultural events and quality of life. Although many different cultural events such as department event, concert, music festival, and street performance are held in a city or region, the concept of cultural events’ attitudes have not been widely discussed. Understanding participants' attitudes of cultural events are crucial to develop more effective and appropriate contents and programs as well as strategic marketing for cultural events. It has also been generally believed that participation of cultural events enhance quality of life, but few study has been conducted. From the literature review, the measurement of cultural event attitude and quality of life were developed. The on-site survey was conducted and a total of 513 useful survey questionnaires were collected. The results showed that cultural event attitude affects quality of life. There are also some moderating effects of involvement in the relationship between the cultural events’ attitudes and quality of life. These results would be helpful for strategic planning of cultural events program.

우울장애 환자에서 Bipolar Spectrum Diagnostic Scale의 선별결과에 따른 생활사건 경험 및 주관적 스트레스 인지 비교

천용준(Yong Jun Cheon),강태욱(Tae Uk Kang),문은수(Eunsoo Moon),박제민(Je Min Park),이병대(Byung Dae Lee),이영민(Young Min Lee),정희정(Hee Jeong Jeong),이강윤(Kang Youn Lee),최윤미(Yoonmi Choi),정봉주(Jeong Bong Joo) 대한생물치료정신의학회 2016 생물치료정신의학 Vol.22 No.1

Objectives:There are some evidences that patients with bipolar depression experience more stressful life events than patients with unipolar depression do. However, there is lack of evidence that bipolarity in depressive patients is associated with more frequent and severe stressful life events. The current study is aimed to compare life events and perceived stress according to the Bipolar Spectrum Diagnostic Scale(BSDS) results in depressive patients. Methods:A total of 102 patients who have experienced major depressive episodes were recruited. Two groups with or without positive screening of Bipolar Spectrum Diagnostic Scale(BSDS) were divided. Stress-related factors were measured by the Life Experiences Survey(LES) and Perceived Stress Scale(PSS). Results:Patients with depressive disorders who screened positive on the BSDS showed more life events(p=.006) and higher impact of life events(p=.005) checked on the LES, and higher score on the PSS negative perception subscale(p=.010) than those who screened negative on the BSDS did. After the adjustment of Beck Depression Inventory(BDI), depressive patients with BSDS(+) experienced more life events(p=.019) and higher impact of life events(p=.029) than those with BSDS(-). However, the difference of PSS negative perception subscale between two groups disappeared after adjusting the effects of depressive symptoms. Conclusion:These results suggest that depressive patients with positive screening of BSDS may response to life events in negative ways and feel more stressful. The positive screening of BSDS in depressive patients can affect their trajectories of depression. Further, large scale and prospective studies are needed to clarify these relationships between bipolar spectrum disorder and stress.

성공적 노화여부에 따른 중요 생애사건 비교분석

윤현숙(Hyunsook Yoon),유희정(Hijung Yoo) 한국노년학회 2007 한국노년학 Vol.27 No.4

본 연구의 목적은 생애과정 시각에 입각하여 성공적 노화 여부에 영향을 미치는 요인을 노인이 전 생애를 걸쳐 경험한 중요한 생애사건과 관련하여 이해하는 데 있다. 특히 성공노인과 실패노인, 대조적인 두 집단의 비교를 통해서 생애사건과 그것의 주관적 의미가 성공적 노화와 어떻게 관련되는지를 분석해 보고자 하였다. 이를 위하여 노인 1405명 가운데 엄격한 기준을 적용하여 선발된 성공노화노인 44명과 실패노화노인 36명을 면접한 자료를 활용하여, 양적 분석과 질적 분석을 병행하였다. 우선 이들이 경험한 중요 생애사건은 교육, 직업, 경제, 건강, 가족, 국가관련 6개의 영역으로 나누어졌다. 또한 면접내용을 지속적 비교의 방법으로 분석하여 '생애 사건의 영향의 범위', '생애사건에 대한 개인의 대처방식' 이라는 2가지 주제를 발견하였다. 분석결과 두 집단 간에는 중요 생애사건의 경험과 이것이 인생에 미친 영향에 대한 주관적 인식 두 측면에서 차이가 있었다. 특히 가족과 관련된 부정적인 생애사건의 경험과 그 영향이 성공적 노화냐 실패냐에 결정적으로 중요하였다. 또한 성공적 노화는 생애사건에 대한 대처방식과도 관련이 되었다. 마지막으로 연구의 함의와 성공적 노화를 촉진하기 위한 개입방법이 논의되었다. The purpose of this study is to understand the factors that influence the successful aging in connection with the critical life events that the seniors have experienced throughout the life course. This study is to analyze how critical life event and its subjective meaning are interrelated by comparing two contrasting groups; the successfully aged and unsuccessfully aged. 4 Successfully aged seniors and 36 unsuccessfully aged seniors who have been selected from 1406 elders according to the rigorous criteria are interviewed. Then the data are analyzed both quantitatively and qualitatively. The critical life events are classified into 6 areas: education, occupation, economy, health, family, and state. Also two themes, such as the scope of life events' impacts and individual styles to cope with life events, are found through the method of continuous comparison. The results show that there are obvious differences between two groups in respect of experience of critical life events and their influences on their lives. Especially, the negative life events in family-related areas and their influences are very important in respect of whether the individuals are successfully aged or not. Moreover, successful aging is related to individual styles to cope with the critical life events. Finally, the implications of the study and the intervention strategy to promote the successful aging are discussed.

일부지역 생산직 근로자의 스트레스 생활사건과 삶의 질과의 관계 연구

문정란,김인숙 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.1

This study was designed to identify the relationship between stressful life events and quality of life in blue-collar workers. The subjects were 113 workers working at Korea Tobacco & Ginseng coorporation manufacturer located in Kwang-ju city. The data were collected by use of qustionnaire from July 11 to 19, 1995. The instruments used for this study were the Stressful Life Events Measure Instrument developed by Lee and the Quality of Life Scale developed by Ro. The data were analysed by t-test. ANOVA and Pearson's Correlation Coefficient. The results of this study were as follows: 1. This study hypothesis, "there would be relationship between stressful life event and quality of life" was not supported (r=-0.16994, P> 0.05). 2. The total average score for stressful life events was 292.3 with a range between the lowest 101.0 to the highest 374.0. Of each factor of the stressful event, death factor (4.4) showed the highest mean score and sociability and recreation factor(3.0) showed the lowest mean score. 3. The total average score for quality of life was 149.8 with a range between the lowest 101.0 to the highest 217.0. Of each factor of the quality of life, family relationship factor(3.5) showed the highest mean score and ecconomic life factor(3.0) showed the lowest mean score. 4. There were no significant differences in relationship between general characteristics of subjects and stressful life events. 5. There was significnat difference between health state(F=4.26, P<0.05) and quality of life.

임부의 스트레스 생활사건과 태아애착행위, 출산변인과의 관계연구

박미경 ( Mi-kyung Park ),이영숙 ( Young-sook Lee ) 한국모자보건학회 1999 한국모자보건학회지 Vol.3 No.1

The purpose of this study was to examine on the relationship among stressful life events, maternal- fetal attachment behaviors and childbirth variables(the weight gain of the mother during pregnancy, pregnancy-induced complication, the period of the pregnancy, the weight of the neonate). The number of subjects was 133 parturient women at two local general hospitals and one university hospital in Kwangju. The research design was a retrospective survey using by the questionnaire. Data were collected by interviewing subjects from February, 15 to March, 15.1998. Measurement tool of stressful life events developed by Lee(1988) and Cranley’s maternal-fetal attachment scale modified by Kim( 1991) were adopted. Data were processed using SAS/PC⁺ and analyzed in terms of percentage, t-test,ANOVA, and pearson’s correlation coefficient. The results were summarized as follows: 1). The mean score of stressful life events was 1.26poinls. Stressful life events were related to the lower education(F-5.09, p<.01), the low income(F=6.60, p<.001), a period of marriages or more years(F=3.50, p<.05), the unsatisfied the marital relation(F=13.13, p<.001) 2). The high stressful life events were related to the experience of abortion(t=-2.42, p<.05) and the low weight gain of the mother during pregnancy(F=2.79, p<.05). The mean score of maternal-fetal attachment behaviors was 3.47points. Maternal-fetal attachment behavior was high in the taekyo group(F=7.94, p<.001). 3). The correlation between stressful life events and maternal-fetal attachment behaviors was not statistically significant. 4). The mean scores of stressful life events were high in the pregnancy-induced hypertension(t=-2.53, p<.05) and severe hyperemesis gravidarum(t=-232, p<.05). 5). Stressful life events and the weight gain of the mother during pregnancy was negatively correlated(r=-0.178, p<.05). The correlation among stressful life events, the period of the pregnancy and the weight of the neonate were not statistically significant The pregnancy-induced hypertension and severe hyperemesis gravidarum were negatively affected by the experience degree of stressful life events. As the experience degree of stressful life events became higher, the scores of the weight gain of the mother during pregnancy became lower.

부정적 생활사건, 자아탄력성 및 또래관계가 아동의 외현화 문제행동에 미치는 영향

김보라,이규민 한국교육학회 2010 敎育學硏究 Vol.48 No.3

This study examined the influence of negative life events, ego-resiliency, and peer relationships on children’s externalizing behavior problems. The data were collected and analyzed from 618 subjects(345 boys and 273 girls) in the 5th and 6th grade elementary school students. The data were analyzed by correlation, multiple regression, and path analyses with SPSS 12.0 and AMOS 7.0 computer application programs. The results showed that negative life events had some effects on other variables. As students had more negative school life events, their ego-resiliency is lower, peer relationships were lower. And, consequently students showed more externalizing behavior problems. Negative family life events influenced more directly on children’s behavior problems than did negative school events. Total effect of Ego-resiliency was the biggest among variables in the model, followed by negative school life events, negative family life events, and peer relationships. For boys, negative school life events only affected externalizing behavior problems only in indirect ways. But for girls, negative school life events influenced on externalizing behavior problems in both direct and indirect ways. 이 연구는 아동이 겪은 부정적 생활사건이 자아탄력성과 또래관계를 매개로 하여 외현화 문제행동에 이르게 되는 경로, 부정적 가정생활사건과 부정적 학교생활사건이 아동의 외현화 문제행동에 미치는 상대적 영향력, 성별에 따른 외현화 문제행동 경로의 차이를 살펴보았다. 서울 소재 초등학교 5, 6 학년 학생들을 대상으로 설문을 실시하여 총 618명의 자료가 분석에 사용되었으며, 변인들 간의 관계를 규명하기 위해 상관분석과 일원변량분석, 경로분석을 실시하였다. 부정적 가정생활사건, 부정적 학교생활사건, 자아탄력성 및 또래관계는 모두 아동의 외현화 문제행동에 유의한 영향을 미치는 것으로 나타났다. 이들 변인이 외현화 문제행동에 미치는 영향을 살펴보면 자아탄력성이 가장 큰 영향을 미쳤고, 그 다음으로 부정적 학교생활사건, 부정적 가정생활사건, 또래관계 순으로 총효과가 나타났다. 부정적 가정생활사건과 부정적 학교생활사건이 외현화 문제행동에 미치는 총효과는 비슷했지만, 부정적 가정생활사건이 부정적 학교생활사건에 비해 아동의 외현화 문제행동에 미치는 직접적인 영향력이 더욱 컸다. 성별에 따른 외현화 문제행동 경로를 보면, 남아의 경우 부정적 학교생활사건은 자아탄력성을 통해 간접적으로만 외현화 문제행동에 영향을 미쳤으나, 여아의 경우는 부정적 학교생활사건이 외현화 문제행동에 직·간접적인 영향을 모두 미쳤다.

간호대학생의 생활스트레스와 삶의 질

송영숙(Song, Yeoungsuk) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.1

Purpose: This study was conducted to assess stressful life events and quality of life in nursing students. Methods: We performed a cross-sectional research design. A structured questionnaire was designed to collect data on participants’ socio-demographics, stressful life events (interpersonal relationship & task-related events) and quality of life (WHOQOL-Bref) in September 2011. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient and hierarchical multiple regression were applied to data analysis. Results: A total of 135 nursing students were surveyed. The score of the task-related stressful life events was higher than that of the interpersonal stressful life events. Physical domain score (13.53 ± 2.33) was highest but environmental domain score (12.75 ± 2.34) was lowest in quality of life. Satisfaction with campus life affected stressful life events (F=11.82, p<.001) and quality of life (F=17.77, p<.001), and extracurricular activities affect quality of life (t=-2.51, p=.013). Quality of life was negatively associated with task-related stressful life events (r=.-51, p<.001). Multiple regression analyses showed that extracurricular activities, satisfaction with campus life and task-related stressful life events were statistically significant in predicting quality of life with the explanatory power of 40.6%. Conclusion: This study could be a reference to improve the quality of life of nursing students.