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Volume 15(4); December 2007
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Review Articles
Lifetime Health Maintenance Program for Korean Adults
Young Sik Kim, M.D.
Korean J Str Res. 2007;15(4):255-262.   Published online December 25, 2007
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Stress of the Mid-life Stage
Kuem Sun Han
Korean J Str Res. 2007;15(4):263-270.   Published online December 25, 2007
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Stress of the Korean Aging Adults
Kyung-Hyun Suh
Korean J Str Res. 2007;15(4):271-278.   Published online December 25, 2007
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Becoming an ageing society, the Korean consider the influence of stress in senescence and is fully aware of the importance of how to cope them. Quality of life depends on how to adjust to changes and stress in senescence. With getting older, people decline in physical and physiological functions and become vulnerable to chronic diseases. There are another risk factors for Korean aging adults that lead to stress, such as retirement, financial difficulties, loosening social role and authority in family, conflict with adult children who live together, change of Korean traditional value, loneliness, fear of death, death of spouse and so on. There are also many other internal and external stresses that aging adults are susceptible to. Korean, not living in western culture, might have in particular the challenges of retaining or adjusting their later years. Social supports, especially supports from offspring, are very important to quality of life in senescence, because supports from offspring have influence on pride of the older. The Korean elders may be afraid of disclosing the conflict with their offspring. Avoiding self-disclosure excludes other source of social supports and harms individual's health. Because unforgiving someone and resentfulness is another risk factor for aging people, self-integration could be completed with forgiveness. Although stress can speed up aging, if the elders learn to manage and reduce stress in senescence and they have a better chance to live a long, healthy life. Many seniors still manage their later years and retain quality of life. (Korean J Str Res 2007;15:271∼278)
Smoking Cessation: the Updated Behavioral Therapy and Pharmacotherapy
Hong Gwan Seo
Korean J Str Res. 2007;15(4):279-285.   Published online December 25, 2007
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Smoking is one of the most important preventable cause of morbidity and mortality in Korea. Nicotine dependence and withdrawl symptoms are classified as a disease entity in DSM-IV and ICD-10 (international classification of diseases). All the health professionals should deal with smoking as a part of health care. The effective way of smoking cessation consists of behavioral therapy and pharmacotherapy. Stress, with or without alcohol, is one of the most important stimulant of smoking and is a most common cause of failure in smoking cessation. So behavioral therapy should include stress management. Smokers smoke almost everytime when they get stressed. They do not know how to confront stress without smoking. The health professionals should convince the smokers that non-smokers can manage stress in their own way. Pharmacotherapy is well documented way of smoking cessation. NRT (nicotine replacement therapy) includes nicotine patch, gum and lozenge. Oral medication includes bupropion and varenicline. NRT and bupropion increase success rate about 2 times. Varenicline seems to be the most effective medication so far and increase success rate about 3 times. (Korean J Str Res 2007;15:279∼285)
Female Sexual Dysfunction and Stress
Hana Yoon
Korean J Str Res. 2007;15(4):287-293.   Published online December 25, 2007
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In stress response, the autonomic nervous system (ANS) and stress hormones paticipate as one of important mediators. The ANS is also thought to control the sexual response in human. Clinically, it is not uncommon to develop sexual dysfunction as the sequelae of acute or chronic stress with or without loss of libido. In this study, we review the incidence, etiology of female sexual dysfunction, and investigate the clinical relationship between stress and female sexual dysfunction. Treatment of sexual problems should also address stress-sexual dysfunction relationship issues and include a focus on helping individuals improve their stress management skills. (Korean J Str Res 2007;15:287∼293)
Geriatric Depression and Stress
Sang-Hyuk Lee
Korean J Str Res. 2007;15(4):295-301.   Published online December 25, 2007
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Stress and Irritable Bowel Syndrome
Joon Yong Park
Korean J Str Res. 2007;15(4):303-306.   Published online December 25, 2007
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Alcoholism from the Perspective of Stresses
Byoung-Kang Park, M.D., Ph.D.
Korean J Str Res. 2007;15(4):307-313.   Published online December 25, 2007
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Drinking is entrenched among Korean people as a traditional token of friendship. Diverse problems with drinking can proceed, uninhibited and unnoticed, to alcoholism. There is no way to predict how severe an alcoholism may be, but in general it is proportional to the quantity and duration that an individual has been drinking. Those aspects of drinking, however, are not considered to be essential components for diagnosing drinkers as having substance use disorders based on DSM-IV criteria. The clinicians dealing with physical and behavioral consequences from habitual drinking usually face frequent withdrawals before completing a course of treatment even in the established relationship. To avoid the higher rate of drop-outs, it can be advisable to address alcohol problems for their side. To reduce denial and foster relationship, socially stable chronic drinkers can be viewed as those with chronic stress disorders. In our culture-bound context, the end point of managing alcoholism can be directed to controlled drinking to some extent. Its success, then, can be attributed to the competence for control over drinking and another parade of addictive phenomena associated with life style diseases. (Korean J Str Res 2007;15:307∼313)
A Study on Grandparenting
Hongjik Lee
Korean J Str Res. 2007;15(4):315-320.   Published online December 25, 2007
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Successful Aging
Hwee Sook Jang
Korean J Str Res. 2007;15(4):325-330.   Published online December 25, 2007
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The purpose of this article is to explain what is the successful aging. Since 1986, being introduced formally about the concept of successful aging at Annual Meeting of American Gerontological Association, the study of successful aging has been performed interdisciplinary through the sponsorship of MacArthur Foundation Research Network on Successful Aging. Many researchers including Rowe and Kahn (1997) and Crowther, Parker, Achenbaum, Larimore & Koenig (2002) contributed to the development of this field. In this article conceptual framework of successful aging, central findings of that work, and some strategies or mechanisms that make for successful old age are summarized and considered. (Korean J Str Res 2007;15:325∼330)
Family Caregivers' Stress of the Old Adults
Yeon-Hwan Park
Korean J Str Res. 2007;15(4):331-337.   Published online December 25, 2007
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