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Volume 21(4); December 2013
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Review Article
The Effects of Mindfulness-Based Stress Reduction (MBSR) Program on Pain and Anxiety in Cancer Patients
Bong-Keon Lee
Korean J Str Res. 2013;21(4):263-274.   Published online December 30, 2013
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The purpose of this study was to investigate the effects of MBSR on the psychological dimensions such as the level of mindfulness, the quality of sleep, anxiety & depression in cancer patients. Korean version of MBSR program (K-MBSR) produced the more significant results in reducing the level of depression and pulse rates compared to the psycho-education group and the waiting-control group of the Korean cancer outpatients in the university hospital. The follow-up results after 3 months suggest the MBSR patients practice regularly the meditation techniques learned in the program at home and the possibility of long-term effects. These findings suggest the urgent inclusion of meditation programs in the healing process of the cancer patients. (Korean J Str Res 2013;21:263∼274)
Original Articles
Associations of Demographic and Psycho-Social Characteristics with Frequent Watching Pornography Material or the Adults-Only Internet Chatting among Middle and High School Students in Seoul
Sun Mi Shin
Korean J Str Res. 2013;21(4):275-281.   Published online December 30, 2013
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Purpose of this study was to identify prevalence of frequent watching pornography or chatting in the adults-only internet sites and to investigate association with demographic and psychosocial characteristics. It was cross-sectional study by using secondary data from 14,289 subjects, Standard Survey of middle and high school in 2010, Seoul. Descriptive and Chi-square and multiple logistic regression were conducted to identify prevalence of and odds ratios of frequent watching pornography or chatting in the adults-only internet sites associated with psychosocial characteristics. The prevalence of frequent watching pornography or chatting in the adults-only internet sites was 5.8% and was higher in male (9.1%) and high school students (7.4%). Its odds ratios associated with frequent watching pornography or chatting in the adults-only internet sites were 6.08 times for male, high vs middle school students 2.07 times. Also, its odds ratio associated with psychosocial characteristics were school bullying 2.31 times, threatened safety because of violence 1.55 times, and severe consideration of a runaway from home 1.60 times. Therefore, to prevent the use of frequent watching pornography or chatting in the adults-only internet sites, it is necessary to develop an alternative program for health promotion to intervene male and high school students and psychosocial weak students including school bullying, violence, and a runaway from home. (Korean J Str Res 2013;21:275∼281)
The Effects of Flow on Stress and Well-being in Korean College Students: The Moderating Effect of Flow and the Mediating Effect of Coping Strategies
Hyunjung Ko*, Min-gyu Lee
Korean J Str Res. 2013;21(4):282-292.   Published online December 30, 2013
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The study was conducted to investigate the effects of flow on a person’s well-being and stress-buffering ability. General- Dispositional Flow Scale-2, Positive and Negative Affect Scale, Satisfaction with Life Scale, Perceived Stress Scale, Ways of Coping Questionnaire were administered to a sample of 268 undergraduate students. Results showed that the disposition toward flow was associated with cognitive and emotional well-being and negative correlation of the stress and cognitive well-being was remarkable for low-flow group. These results confirm the flow's stress buffering effect on cognitive well-being. However, this effect on emotional well-being was not verified. Participants who experience flow frequently use problem-focused coping and this coping strategy mediated the relations between flow and cognitive and emotional well-being. These results confirm the function of flow for subjective well-being and suggest flow experience is an effective way of the happier life. (Korean J Str Res 2013;21:283∼292)
The Relationships of Marital Conflicts, Developmental Level of Object Relations and Depressiveness Kyung Soon Park
Kyung Soon Park
Korean J Str Res. 2013;21(4):293-302.   Published online December 30, 2013
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Successful marital life is an important part of experiencing happiness. Marital problems and issues may lead to depressiveness, and many psychological factors involving the family history have been suggested regarding the conflicts. This study aims to provide a structural explanation for the relationship between marital conflicts and depressiveness by applying the object relation theory. Object relation theory emphasizes that the initial relational structure between mother and child continuously influences the quality of adult object relation. Therefore, the maturity of one's object relation may be closely related marital satisfaction or depressiveness. The study aims to provide a realistic analysis of the current rate of marital conflicts for couples in Korea and their correlation to depressiveness. The study further investigates if the level of object relation mediates the correlation. The study have conducted self reported questionnaire that consists of Martial Adjustment Scale, Beck's Depression Scale, and Separation Individuation Scale. Especially, the level of Separation Individuation has been found to be a significant variable that moderates the correlation between marital conflicts and depressiveness. The results of the study suggest that martial conflicts and depressiveness are influenced not just by ostensible reasons but by a long-held internal object relation of an individual. The results also suggest significant implications in therapeutic intervention. (Korean J Str Res 2013;21:293∼302)
Influencing Factors on Quality of Life in Patients with Metabolic Syndrome
Kuem Sun Han*, Young Hee Park, So Nam Kim, Sook Ja Lee*, Seung Hee Yang§
Korean J Str Res. 2013;21(4):303-311.   Published online December 30, 2013
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The purpose of this study was to identify influencing factors on quality of life in patients with metabolic syndrome. Data were collected by self-reporting questionnaires on perceived stress, depression, lifestyle for health promotion and quality of life. The subjects of this study were 150 patients with metabolic syndrome. Data were collected from March 1 to April 30, 2013 at Nine public health centers in Seoul, Korea. Data were analyzed using Pearson correlation coefficients, and multiple regression by SAS 3.2 ver. The perceived stress, depression, lifestyle for health promotion were identified as factors influencing quality of life in patients with metabolic syndrome. The model explained 66% of the variables. Results suggest that health care giver should include strategies to decrease stress and depression and to increase lifestyle for health promotion in their intervention programs in order to improve the quality of life in patients with metabolic syndrome. (Korean J Str Res 2013;21:303∼311)
Relationship of Clinical Practice Stress to Clinical Competence among One College Nursing Students
Sun-Jung Park*, Byung-Jun Park
Korean J Str Res. 2013;21(4):312-322.   Published online December 30, 2013
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The purpose of this study was to examine the relationship of the clinical practice stress of nursing students to their clinical competence in an effort to provide some information of intervention. The subjects in this study were every junior and senior who earned all the necessary credits for clinical practice in a nursing college located in the province of G. The number of the selected students was 349. The collected data were analyzed by the statistical package SPSS WIN 18.0, and a structural inventory was utilized to grasp the general characteristics, clinical practice stress and clinical competence of the students. As a results, the students got a mean of 3.24±.61 and 3.20±.41 in self-perceived clinical practice stress and clinical competence respectively, which were both above the average, and the personal characteristics of their clinical practice stress had a statistically significant negative correlation to their clinical competence. Given the findings of the study, nursing education tailored to individual characteristics is required in association with clinical practice, and should be implemented to determine influential sociopsychological variables. (Korean J Str Res 2013;21:313∼322)
Influencing Predictors of Suicidal Ideation in the Korean Middle Age
Hyo Mi Park*, Hea Shoon Lee
Korean J Str Res. 2013;21(4):323-329.   Published online December 30, 2013
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The purpose of this study was to identify life stress, depression, social support, suicidal ideation and to examine factors influencing suicidal ideation in the Korean middle age. Data were collected by questionnaires from 251 middle age at two high schools and three sports clubs. Data were analyzed using the SPSS/WIN 18.0 version. Suicidal ideation showed significant differences according to the demographic characteristics of sex, spouse occupation and monthly income. Suicidal ideation showed significantly positive correlations to life stress and depression and significantly negative correlations to social support. The significant factors influencing suicidal ideation in the Korean middle age were sex, spouse occupation, monthly income, ife stress, depression and social support. The result of this study suggest that in developing nursing interventions to prevent for suicide. (Korean J Str Res 2013;21:323∼329)
Association between Exonic SNPs of TLR5 and Benign Prostate Hyperplasia in Korean Population
Hosik Seok*, Byung-Cheol Lee, Young Ock Kim, Joo-Ho Chung*
Korean J Str Res. 2013;21(4):330-337.   Published online December 30, 2013
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Benign prostatic hyperplasia (BPH) is prevalent in aging male, and it is increasing in Korean male. Factors affecting BPH development include family history. Toll-like receptor (TLR) 5 is a major part of innate immune, and it may contribute to the immunologic responses linked to the BPH pathophysiology. To investigate the genetic effect of the TLR5 polymorphisms on the development and clinical features of BPH, three missense single nucleotide polymorphisms (SNPs) of TLR5 (rs5744168, rs5744174, rs2072493) were tested in 219 BPH and 211 control subjects. The SNPs were genotyped and statistically analysed in multiple logistic regression analysis. rs5744174 was significantly associated with BPH in genotype analysis (codominant2, OR=9.60, p=0.005; recessive, OR=9.15, p=0.001; and log-additive, OR=1.56, p=0.018). rs2072493 was significantly associated with BPH (codominant1, OR=0.65, p=0.042; dominant, OR=0.63, p=0.022; log-additive, OR=0.69, p=0.018; and allele frequencies, OR=0.70, p=0.02). In conclusion, we suggest that TLR5 polymorphisms may be associated with BPH, and that rs5744174 and rs2072493 may be associated with the development of BPH. This study has some limitation, therefore further studies with larger sample size and other populations will be needed to verify our results. (Korean J Str Res 2013;21:331∼337)

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