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Volume 27(3); September 2019
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Original Articles
Burnout, Depression, Suicide Idea, Anxiety, ADHD, and Impulsiveness, Self-Esteem, and Quality of Life with Social Workers
Youn Kim, Ji Hee Wee, Nam Hee Kim, Myung Ho Lim
STRESS. 2019;27(3):209-214.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.209
  • 203 View
  • 15 Download
  • 2 Citations
Abstract PDF
Objective:

This study aimed to evaluate relationships between attention-deficit/hyperactivity disorder (ADHD) symptoms, depression, suicidal ideation, anxiety, impulsiveness, burnout, self-esteem and quality of life and social sorkers group in Korea.

Methods:

A set of questionnaires were provided to a total of 153 social workers and 454 other participants as a comparison group. All subjects were evaluated using the Korean Adult Attention- Deficit/Hyperactivity Disorder Scales, the Beck’s Depression Inventory, Beck’s Scale of Suicide Ideation, Beck’s Anxiety Inventory, Baratt’ Impulsiveness Scale, Maslach Burnout Inventory, Rosenberg‘s Self-esteem Inventory, Quality of Life Scale.

Results:

The participants who belonged to the social workers group were more likely to demonstrate the symptoms of ADHD and higher levels of depression, suicide idea, anxiety, impulsiveness, burnout and lower levels of self-esteem, quality of life. Further, the results of logistic regression analysis confirmed the association between the social workers group and ADHD symptoms, depression, self-esteem.

Conclusions:

Timely and effective evaluation and treatment of ADHD, self-esteem, as well as depression was required for social workers.

The Effect of Emotional Labor, Job Stress and Social Support on Nurses’ Job Satisfaction
Seung Young Lee, Duck Ho Kim
STRESS. 2019;27(3):215-223.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.215
  • 217 View
  • 7 Download
  • 3 Citations
Abstract PDF
Background:

This study was a descriptive survey research on nurse’s job satisfaction to identify the effects of emotional labor, job stress, social support.

Methods:

The participants were 177 shift nurses working at three general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, pearson correlation coefficients and multiple regression with SPSS 22.0.

Results:

Job satisfaction of nurses was positively correlated with deep acting of emotional labor and social support, while job satisfaction and job stress were negatively correlated. Social support was positively correlated with deep acting of emotional labor. And job stress had a positive correlation with the surface acting of emotional labor. The most important factor affecting nurse’s job satisfaction was deep acting of emotional labor (β=.446), social support (β=.326), job stress (β=−.198), and age (β=.161), which together explained there job satisfaction up to 42.5% (F=22.690, p<.001).

Conclusions:

Through this study result, we found the factors influencing nurse’s job satisfaction were such as deep acting of emotional labor, social support, job stress, and age, among which the deep acting was the most influential factor. The results of this study reveals that an operation of educational program relating to the deep acting is needed for improving the nurse’s job satisfaction. And social support is also required highly, such as the active communication programs for cooperation of nurses and the providing resources necessary for work. In addition, a special program coping the stress intensification should be operated to reduce job stress.

The Influence of Lateral Violence on Burnout and Empathy with Patients among Nurses: The Moderating Effect of Communication
Soohyun Nam, Boyoung Hwang
STRESS. 2019;27(3):224-231.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.224
  • 131 View
  • 5 Download
Abstract PDF
Background:

Horizontal violence or lateral violence among nurses is a critical social issue given its global prevalence and frequency. In this study, we examined the effects of lateral violence on nurses’ burnout and empathy with patients by examining the moderating effect of communication in each relationship.

Methods:

This was a secondary analysis of data from a cross-sectional descriptive study, including a total of 211 registered nurses who had worked for more than six months at a medical institution in Seoul, South Korea. The data were collected between March 20, 2019 and June 1, 2019 using self-administered online surveys. Descriptive statistics and Pearson’s correlation coefficient were calculated, and hierarchical multiple regression analyses were performed. To test the moderating effect of communication, an interaction term was added to each model.

Results:

Communication negatively moderated the relationship between lateral violence and burnout. On the other hand, there was no significant moderating effect of communication on the relationship between lateral violence and empathy with patients.

Conclusions:

From these findings, we revealed the effect of communications between lateral violence and burnout. The higher the communication ability, the less the effect of lateral violence on burnout. Our findings highlight the importance of communication when developing interventions to reduce burnout in the presence of lateral violence.

Risk Factors Influencing Frequency of Suicidal Ideation in Korean Middle School Students: Applying Zero-Inflated Negative Binomial Regression Model
KyungIm Kang, Chanhee Kim, Jaewon Joung
STRESS. 2019;27(3):232-239.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.232
  • 125 View
  • 4 Download
Abstract PDF
Background:

Suicide among Korean middle school students is a growing social concern. Exploring factors associated with suicide ideation is important for suicide prevention in middle school adolescents. The purpose of this study was to identify risk factors influencing frequency of suicidal ideation among middle-school students in Korea.

Methods:

The study was a cross-sectional descriptive study. The participants were 391 middle school students and data were obtained from the 13th wave of Korean Welfare Panel Study in 2018. Zero-inflated Negative Binomial Regression model was employed to identify risk factors.

Results:

Among participants, 67.3% reported they did not have current suicidal ideation. By zero- inflated negative binomial regression analysis, gender, grade, and peer attachment were found to be significant predictors in the count model, and depression/anxiety and parental neglect were found to be significant predictors in the logistic model. These findings suggest that middle school adolescents who were female, 3rd grade students, or had lower peer attachment were associated with increased severity of suicidal ideation. Also, depression/anxiety and parental neglect were identified as risk factors affecting the future likelihood of suicidal ideation among middle school adolescents.

Conclusions:

Identified risk factors affecting severity and possibility of suicidal ideation may help health care providers to tailor effective suicide prevention interventions for middle school students.

Development and Evaluation of a Self-Empowerment Intervention Program for Inpatient at High Risk of Suicide
Hee-Yeon Kim, Kuem-Sun Han
STRESS. 2019;27(3):240-250.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.240
  • 276 View
  • 29 Download
  • 1 Citations
Abstract PDF
Background:

The purpose of this study, which uses an nonequivalent control group non-synchronized design, was to develop of a self-empowerment intervention program for for inpatient at high risk of suicide, and to assess its effects on positive emotions (subjective well–being, psychological well–being, gratitude, optimism, Self-esteem), empowerment and suicide ideation.

Methods:

Data were collected from January to December, 2016. The experimental group participated in 8 sessions of self-empowerment intervention program. The control group was granted general intervention program to the psychiatric ward. The collected data were analyzed in SPSS Win 20.0.

Results:

The results of this study showed the proposed self-empowerment intervention program for inpatient at high risk of suicide had the effect of improving positive emotions (subjective well–being, psychological well–being, gratitude, and optimism, self-esteem), empowerment and reducing the suicide ideation.

Conclusions:

The program, developed in accordance with King’s theory of goal attainment, will serve as a useful reference in developing standard guidelines for nursing intervention program suicide prevention in psychiatric department. The results are expected to contribute to the practice of intensive nursing care for inpatient at high risk of suicide.

The Moderating Effects of Ego-Resilience and Relationship with Colleague Teachers on the Association between the Effects of Technostress and Teaching Efficacy of Early Childhood Teachers
Jiyoung Lee, Sungwon Kim
STRESS. 2019;27(3):251-258.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.251
  • 151 View
  • 3 Download
Abstract PDF
Background:

This study was intended to investigate the level of technostress, teaching efficacy, ego-resilience, and the relationships with colleagues of early childhood teachers. It was also intended to identify correlations between these four variables, and any moderating effects of ego-resilience, and relationship with colleagues on the association of technostress and teaching efficacy.

Methods:

The data were collected from 202 early childhood teachers in Seoul and Kyoung-gi province, from September 3, 2018 to September 29, 2018, and were analyzed by descriptive statistics, pearson correlation, and hierarchical regression analysis using the SPSS 22.0 program.

Results:

The results showed technostress at a moderate level, and teaching efficacy, ego-resilience, and relationship with colleague at slightly higher levels. There were negative associations between technostress and teaching efficacy, ego-resilience, and relationship with colleague teachers, and positive associations among teaching efficacy, ego-resilience, and relationship with colleague teachers. A partial moderating effect of ego-resilience and relationship with colleague teachers on the association between technostress and teaching efficacy, was found.

Conclusions:

These results suggest that the effects of a high level of technostress on teaching efficacy of early childhood teachers could be alleviated dependant on the levels of ego-resilience and relationship with colleagues.

The Psychiatric Comorbidity in Disaster Victims with PTSD: Comorbidity Rates, Severity of Psychological Disorders and Factors Predicting Comorbidities
Kyungok Sim
STRESS. 2019;27(3):259-267.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.259
  • 160 View
  • 7 Download
Abstract PDF
Background:

The purpose of this study was to investigate the psychiatric comorbidity rates, severity of psychological disorders, and factors predicting cormorbidities in disaster victims with PTSD.

Methods:

Three hundred and fifty-three disaster victims who scored over the threshold to be classified as potentially meeting criteria for PTSD were selected data from Long-term Investigation of Disaster Victims and Development of Life-Friendly Relief Policy Technology in South Korea.

Results:

First, total comorbidity rate of depression or anxiety disorder only and both depression and anxiety disorder in individuals with PTSD was found in 37.4%. Second, the severity of psychological disorders increased with the number of comorbid disorders. Third, factors predicting comorbidities were sex (women), marital status (unmarried), economic distress (monthly income reduction and recipient of basic living) and low resilience.

Conclusions:

The findings may help to identify vulnerable individuals that may develop other psychological disorders in individuals with PTSD and maximize treatment effects.

The Effect of Work-Life Balance on Job Satisfaction and Turnover Intention of Hospital Nurses: Compared to Female Wage Workers
Dong Min Son, Young-Il Jung
STRESS. 2019;27(3):268-276.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.268
  • 163 View
  • 4 Download
  • 4 Citations
Abstract PDF
Background:

The purpose of this study was to examine the differences in work-life balance (WLB) between hospital nurses and female wage workers and to investigate its effect on job satisfaction and turnover intention.

Methods:

This exploratory comparative study used data from five general hospital nurses (n=437) and college-graduate level female wage workers (n=786). After propensity score matching, the effects of WLB subtypes (work→life balance, life→work balance) on job satisfaction and turnover intention were analyzed.

Results:

Hospital nurses had lower levels of WLB subtypes (2.6±0.5, 2.6±0.5), lower job satisfaction (2.8±0.7), higher turnover intention rate (65.5%) than wage workers (3.1±0.4, 2.9±0.4, 3.5±0.5, 1.7%). Analysis of job satisfaction showed significant relationship between work→life balance and job satisfaction in both groups (β=0.32, p≤.001; β=0.18, p=.004). Second, the analysis of turnover intention differed between the two groups. Among hospital nurses, the higher the level of work→life balance, the lower the turnover intention rate (OR=0.49, p=.015), while among wage workers, the opposite was true (OR=0.29, p=.038).

Conclusions:

The level of WLB of hospital nurses was relatively low, negatively affecting job satisfaction and turnover intentions. Despite being one of the major female professions, the nursing occupation lacks support for WLB, suggesting a need for tailored support through organizational and social systems.

Stress and Coping of Recovering Alcoholics in Communities
Jaewon Joung, KyungIm Kang
STRESS. 2019;27(3):277-286.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.277
  • 108 View
  • 1 Download
Abstract PDF
Background:

The purpose of this qualitative study is to identify stresses and coping of recovering alcoholics in communities.

Methods:

Individual interviews were conducted with a total of 8 recovering alcoholics. Data were analyzed using qualitative content analysis.

Results:

Two categories and six subcategories for each category were derived. Two categories were ‘life problems and stresses encountered without drinking’ and ‘constant change efforts and growth’. The identified stresses of the participants were summarized as ‘a body weakened by drinking’, ‘constant vigilance against the ongoing temptation of drinking’, ‘painful regrets for the past’, ‘difficulties in building new relationships’, ‘a lonely life left alone’, ‘a long way to self-reliance’. In addition, the revealed helpful factors in coping with the stresses were ‘strong power by being together’, ‘strong family support’, ‘firm wills constantly strengthened’, ‘healing power of letting-go’, ‘awareness through learning’, ‘participation in various activities to replace drinking’.

Conclusions:

Participants were experiencing various stresses caused by physical, mental and social problems in their recovery process and trying to overcome the difficulties by applying various methods. The results of this study may provide significant information to prevent relapse and maintain the recovery process of alcoholics.


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