한국과 일본 대학생의 스트레스와 우울에 대한 분석: 부모의 사회적 지원, 어려움극복 효능감, 스트레스 관리행동의 영향

박영신,Tsuda Akira,김의철,한기혜,김의연,Horiuchi 한국문화및사회문제심리학회 2009 한국심리학회지: 문화 및 사회문제 Vol.15 No.1

This study examines factors influencing stress and depression among Korean and Japanese university students and the role that parental social support, resiliency of efficacy and stress management behavior play. Four hypotheses are presented. First, parental social support will have a direct influence on resiliency of efficacy. Second, resiliency of efficacy will have a direct influence on stress management behavior and stress and depression symptoms. Third, resiliency of efficacy will have a mediating influence between parental social support and stress and depression symptoms. Fourth, stress management behavior will have a direct influence on stress and depression symptoms. A total 469 participants, consisting of 289 Korean university students (male=156, female=133) and 180 Japanese university students (male=112, female=68) completed a questionnaire that included Rhode Island Stress Inventory-Short Version (Horiuchi, Tsuda, Tanaka, Yajima & Tsuda, in press), Stress Management Behavior (Evers et al., 2006), CES-D (Radloff, 1977), BDI-II (Beck, Steer & Brown, 1996), Resiliency of Efficacy (Bandura, 1995) and Parental Social Support (Kim & Park, 1999). The results supported the first three hypotheses for both samples. Hypothesis 4 was not supported for the Japanese sample and it was partially supported for the Korean sample. The results indicate that parental social support had a direct and positive influence on resiliency of efficacy. Second, resiliency of efficacy had a direct and positive influence on stress management behavior and stress and depression symptoms. Third, resiliency of efficacy had a mediating influence between parental social support and stress and depression symptoms. Fourth, stress management behavior did not have a direct influence on stress symptoms. Overall, parental social support had a direct positive influence on resiliency of self-efficacy, which in turn had a direct negative influence on stress and depression symptoms. 이 연구는 한국과 일본 대학생의 스트레스와 우울에 미치는 부모의 사회적 지원과 어려움극복 효능감 및 스트레스 관리행동의 영향을 분석하는데 주된 목적이 있다. 연구가설은 다음과 같다: [가설 1] 부모의 사회적 지원은 어려움극복 효능감에 직접적인 영향을 미칠 것이다. [가설 2] 어려움극복 효능감은 스트레스 관리행동과 스트레스 및 우울에 직접적인 영향을 미칠 것이다. [가설 3] 어려움극복 효능감은 부모의 사회적 지원이 스트레스와 우울에 영향을 미치는 심리적 과정에서 매개변인의 역할을 할 것이다. [가설 4] 스트레스 관리행동은 스트레스 및 우울에 직접적인 영향을 미칠 것이다. 이러한 가설에 기초하여 연구모형이 제안되었다. 분석대상은 총 469명으로, 한국 대학생 289명(남 156, 여 133)과 일본 대학생 180명(남 112, 여 68)이었다. 측정도구는 간편형 로드아일랜드 스트레스 척도(Horiuchi, Tsuda, Tanaka, Yajima & Tsuda, in press), 스트레스 관리행동 척도(Evers et al., 2006), 우울 척도(CES-D, Radloff, 1977; BDI-II, Beck, Steer & Brown, 1996), 어려움극복 효능감 척도(Bandura, 1995), 부모의 사회적 지원 척도(김의철, 박영신, 1999b)를 활용하였다. 분석결과, 가설 1, 2, 3은 한국과 일본 대학생 자료에서 모두 긍정되었다. 가설 4는 일본 대학생 자료에서는 부정되었고, 한국 대학생 자료에서는 부분적으로 부정되었다. 결과를 요약하면 다음과 같다. 첫째, 부모로부터 사회적 지원을 많이 받을수록 어려움극복 효능감이 높았다. 둘째, 어려움극복 효능감이 높을수록 스트레스 관리행동을 잘 하고, 스트레스가 낮을 뿐만 아니라, 우울 수준이 낮았다. 셋째, 어려움 극복효능감이 매개변인으로 의미 있는 작용을 하였다. 넷째, 스트레스 관리행동은 스트레스에 대해 의미 있는 영향이 없었다. 따라서 부모의 사회적 지원과 어려움극복 효능감은 스트레스와 우울에 영향을 미치는 중요한 변인으로 확인되었다.

스트레스와 우울에 대한 부모의 사회적 지원, 어려움극복효능감, 스트레스 관리행동의 영향: 초, 중, 대학생 집단을 중심으로

김의철,박영신,김의연,Tsuda Akira,Horiuchi, Satoshi 한국문화및사회문제심리학회 2010 한국심리학회지: 문화 및 사회문제 Vol.16 No.2

This study examines the influence of parental social support and resiliency of efficacy on stress, depression and stress management behavior. A total of 799 participants (male=386, female=413), consisting of 184 elementary school, 354 middle school, 274 university students completed a questionnaire that included Rhode Island Stress Scale (Horiuchi, Tsuda, Tanaka, Yajima & Tsuda, in press), Stress Management Behavior Scale (Evers, Prochaska, Johnson, Mauriello, Padula & Prochaska, 2006), Becks' Depression Inventory (BDI-Ⅱ, Beck, Steer & Brown, 1996; CES-D, Radloff, 1977), Resiliency of Efficacy (Bandura, 1995), and Parental Social Support (Kim & Park, 1999). The results of path analysis are as follows. First, resiliency of Efficacy had a direct and negative effect on stress and depression and direct positive effect on stress management. Second, stress management behavior did not have any influence on stress. Third, parental social support had a direct and positive effect on resiliency of efficacy. This pattern of results were found for elementary school, middle school and university students. When depression was measured by CES-D Scale (Center for Epidemiological Study of Depression) parental social support and resiliency of efficacy had a different parental of influence on stress, depression and stress management behavior, pointing out the importance of conducting comparative analysis of various measures of depression.

A Study of The Transmission System from MTR to The Personal Computer without The Synchronized Signal

Tetsuji TSUDA,Akira HYOGO,Keitaro SEKINE 대한전자공학회 2003 ITC-CSCC :International Technical Conference on Ci Vol.2003 No.7

Nanowell Array based Sensor and Its Packaging

Lee, JuKyung,Akira, Tsuda,Jeong, Myung Yung,Lee, Hea Yeon The Korean Microelectronics and Packaging Society 2014 마이크로전자 및 패키징학회지 Vol.21 No.3

This article reviews the recent progress in nanowell array biosensors that use the label-free detection protocol, and are detected in their natural forms. These nanowell array biosensors are fabricated by nanofabrication technologies that should be useful for developing highly sensitive and selective also reproducible biosensors. Moreover, electrochemical method was selected as analysis method that has high sensitivity compared with other analysis. Finally, highly sensitive nanobiosensor was achieved by combining nanofabrication technologies and classical electrochemical method. Many examples are mentioned about the sensing performance of nanowell array biosensors will be evaluated in terms of sensitivity and detection limit compared with other micro-sized electrode without nanowell array.

Trends and characteristics of fertility-sparing treatment for atypical endometrial hyperplasia and endometrial cancer in Japan: a survey by the Gynecologic Oncology Committee of the Japan Society of Obstetrics and Gynecology

Kimio Ushijima,Naotake Tsuda,Wataru Yamagami,Akira Mitsuhashi,Mikio Mikami,Nobuo Yaegashi,Takayuki Enomoto 대한부인종양학회 2023 Journal of Gynecologic Oncology Vol.34 No.3

Objective: The objective of this study was to examine the current trends in fertility-sparing (FS) treatment for young atypical endometrial hyperplasia (AEH) and endometrial cancer (EC) patients in Japan. Methods: This study was conducted by the Committee on Gynecologic Oncology of the Japan Society of Obstetrics and Gynecology (JSOG) in the 2017–2018 fiscal year. A nationwide, retrospective questionnaire-style survey—as performed. We collected the data of 413 patients from 102 JSOG gynecological cancer registered institutions. Results: FS treatment was performed with medroxyprogesterone (MPA) (87.2%) or MPA + metformin (11.6%). Pathological complete remission (CR) after initial treatment was achieved in 78.2% of patients. The significant clinicopathological factors correlated to CR after initial treatment were histology (AEH vs. endometrioid carcinoma grade 1 [ECG1]), body mass index (BMI) (<25 vs. ≥25 kg/m2), and treatment period (<6 vs. ≥6 months). ECG1, time to complete remission (TTCR) ≥6 months, maintenance therapy (−), and pregnancy (−) were associated with a significantly higher risk of recurrence on multivariate analysis. The total pregnancy rate was 47%, and the live birth rate was 40.1%. Patients who received infertility treatments showed a higher live birth rate (50.6%) than those who did not (7.7%). Conclusion: In this survey, we confirmed that FS treatment in Japan is centered on MPA alone and in combination with metformin, and that the treatment efficacy is similar to that reported in previous reports. A multicenter survey study in Japan showed FS treatment for young AEH and EC patients in compliance with the indications is feasible.

Current status of hereditary breast and ovarian cancer practice among gynecologic oncologists in Japan: a nationwide survey by the Japan Society of Gynecologic Oncology (JSGO)

Yusuke Kobayashi,Kenta Masuda,Akira Hiraswa,Kazuhiro Takehara,Hitoshi Tsuda,Yoh Watanabe,Katsutoshi Oda,Satoru Nagase,Masaki Mandai,Aikou Okamoto,Nobuo Yaegashi,Mikio Mikami,Takayuki Enomoto,Daisuke A 대한부인종양학회 2022 Journal of Gynecologic Oncology Vol.33 No.5

Objective: The practices pertaining to hereditary breast and ovarian cancer (HBOC) in Japan have been rapidly changing owing to the clinical development of poly(ADP-ribose) polymerase inhibitors, the increasing availability of companion diagnostics, and the broadened insurance coverage of HBOC management from April 2020. A questionnaire of gynecologic oncologists was conducted to understand the current status and to promote the widespread standardization of future HBOC management. Methods: A Google Form questionnaire was administered to the members of the Japan Society of Gynecologic Oncology. The survey consisted of 25 questions in 4 categories: respondent demographics, HBOC management experience, insurance coverage of HBOC management, and educational opportunities related to HBOC. Results: A total of 666 valid responses were received. Regarding the prevalence of HBOC practice, the majority of physicians responded in the negative and required human resources, information sharing and educational opportunities, and expanded insurance coverage to adopt and improve HBOC practice. Most physicians were not satisfied with the educational opportunities provided so far, and further expansion was desired. They remarked on the psychological burdens of many HBOC managements. Physicians reported these burdens could be alleviated by securing sufficient time to engage in HBOC management, creating easy-to-understand explanatory material for patients, collaboration with specialists in genetic medicine, and educational opportunities. Conclusion: Gynecologic oncologists in Japan are struggling to deal with psychological burdens in HBOC practice. To promote the clinical practice of HBOC management, there is an urgent need to strengthen human resources and improve educational opportunities, and expand insurance coverage for HBOC management.

한국, 일본, 중국 대학생의 사회적 지원과 자기효능감이 스트레스 지각과 웰빙에 미치는 영향 비교분석

김의연,박영신,김의철,Tsuda Akira,Matsuda, Terumi,Deng, Ke 한국인간발달학회 2013 人間發達硏究 Vol.20 No.4

The purpose of this research was to examine the influence of social support and self-efficacy on perceived stress and well-being among Korean, Chinese and Japanese university students. A total of 1,276 respondents (400 Korean, 450 Chinese and 426 Japanese university students) completed a self-reported questionnaire that included the following scales: self-efficacy, social support, well-being, and perceived stress. Data were analyzed using structural equation modeling. The results were as follows. First, Korean and Chinese students had greater social support, higher resilience of self-efficacy, lower scores on the perceived stress and higher score on well-being than Japanese students. Second, social support reduced perceived stress and increased well-being directly or through self-efficacy. Third, self-efficacy influenced perceived stress to a larger extent for Korean and Japanese students than Chinese students. Fourth, perceived stress influenced the well-being of Korean students to a larger extent than it did for Japanese and Chinese students. The results indicate that social support and self-efficacy improve well-being and alleviate the experience of perceived stress for Korean, Japanese and Chinese students.

학교 스트레스의 비교연구 : 한국과 일본의 초 중학생을 중심으로

홍광식,강안 효 홍,진전창 한국초등교육학회 1994 초등교육연구 Vol.8 No.1

학교교육에 적응하지 못하고 중학교를 중퇴한 자는 2만 2천명이 넘는다(1991). 이같은 학교 부적응은 학교스트레스가 원인이 된다는 관점에서, 본 연구는 한·일 양국의 초·중학생이 학교생활에서 어느 정도 스트레스를 인지하고 있으며 그것이 스트레스 반응과 어떤 관련이 있는가를 비교·분석함으로써 학교생활에서 불건강을 초래하는 요인을 예방하고 학생들이 보다 건강하게 학교생활을 할 수 있는 대책을 마련하는데 필요한 정보를 제공하고자 하였다. 그 결과, 아동의 스트레스 주요인은 한·일 아동 모두 「교사·교우관계」, 「공부」, 「규칙」, 「지원결여」였고 중학생은 「교사와의 관계」, 「학업성취」등이었으며 스트레스원의 경향성은 우리나라 학생이 일본의 학생보다 높았고, 스트레스 반응의 표출인 「불쾌 ·분노감정」, 「우울·불안감정」, 「무력감」, 「신체적 반응」에서 한국의 중학생은 모두 「학업성취」와 가장 깊은 관련성이 있는 것으로 밝혀졌으나 일본 중학생은 「교우관계」와 「학업성취」의 영향이 큰 것으로 나타났다. Recently, a wide variety of maladaptation, such as school refusal or mental disorder, has remarkably increased elementary and junior high school students in Korea and Japan. The increase of stressful events which students experience in their school life is regarded as one of the causes of this phenomenon. In the previous study which attempted to clarify the school stress process(Okayasu et al., 1992) developed the School Stressor Scale for junior high school students(SSS-J) to assess both the frequency and the aversiveness of events which students encounter in their daily school life, and extracted four main factors, i.e., relationship with teachers, relationship with friends, club activities, and achievement. Furthermore, it was found that aggravating relationship with friends highly correlated to depressive-anxious feeling, and achievement did to helplessness. However, the cognitive appraisal of stressful events is considered to be extremely dependent on person variables, such as values, commitments, or general beliefs(Lazarus & Folkman, 1984), which were influenced by the differences of culture, social system, and/or nationality. Therefore, the purpose of this study was to compare the nature of school stress in two countries, Japan and Korea, and to examine the influence of the differences of nationality or educational system on school stress process. 400 Korean and 452 Japanese elementary school students completed stressor scale. The main results were as follows : (a) Korean students evaluated all the events more stressful than Japanese did. (b) Korean students also perceives achievement than Japanese did. 378 Korean and 542 Japanese junior high school students completed SSS-J and Stress Response Scale. The main results were as follows: (a) Korean students evaluated all the events more stressful except for club activities of SSS-J than Japanese did: (b) Korean student also perceives psychological and physical distress more than Japanese did; (c) multiple regression analysis indicated that relationship with friends and achievement could explain each distress more than the other events in both Japanese and Korean students: and (d) relationship with teachers was relatively highly correlated with irritated-angry feeling in Japanese students, but was not in Korean. In summary, Korean students felt the events in school more stressful and showed more distress than Japanese did, and, however, did not differ much from Japanese students on the kind of stressful events which caused psycholosical or physical distress.

Diastolic Mitral Regurgitation in Intact Mitral Valve Detected by Color Doppler Echocardiography in a Patient with Acute Aortic Regurgitation

Makoto Kodamag,Sen Koiyama,Toshio Yamaguchi,Haruo Hanawa,Shao Song Zhang,Akihiro Yokoyama,Takashi Tsuda,Tohru Izumi,Akira Shibata,Fumiaki Masani 대한내과학회 1992 The Korean Journal of Internal Medicine Vol.7 No.1