1.Effects of a Peer Gatekeeper Training Program on Self-esteem, Interpersonal Relationships with Friends, and Suicide Probability for High School Students.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):241-251
PURPOSE: This study was done to investigate the effects of a Peer Gatekeeper Training Program on self-esteem, interpersonal relationships with friends and suicide probability for high school students. METHODS: The recruited participants were forty-three students a vocational high school in G city. The study was done from August 31, 2012 to September 25, 2012. To test the effects of the Peer Gate Keeper Training Program, the participants were divided into two groups, an experimental group (22) and a control group (21). The Peer Gate Keeper Training Program was provided to the control group after the posttest was completed. Data were analyzed using chi2-test, t-test, and Fisher exact test with the SPSS/WIN 18.0 program. RESULTS: After attending the Peer Gate Keeper Training Program, significant differences were found in self-esteem, interpersonal relationships with friends, and suicide probability scores between the experimental group and the control group (t=3.24, p=.002) (t=2.16, p=.036) (t=-2.95, p=.006). CONCLUSION: The results indicate that the Gate Keeper Training Program enhances self-esteem and interpersonal relationships with friends and reduces suicide probability in high school students. Therefore, this program is a good strategy that teachers and community mental health nurses can use for suicide prevention in high school students.
Adolescent*
;
Friends*
;
Humans
;
Mental Health
;
Suicide*
2.Childhood Domestic Violence, Alcoholic Parents, and Adult Psychological Features.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):230-240
PURPOSE: In this study relationships of different types of domestic violence experiences and parental alcoholism in childhood with adult mental and family health were explored. Adult mental health outcomes included resilience, sense of belonging, life satisfaction, and depression. METHODS: Data for this secondary analysis were from a cross-sectional study employing a web-based survey of 206 Koreans, including 30 adult children of alcoholics (ACOAs). A two-step cluster analysis was performed with seven domestic violence experience items as determinants of cluster membership. RESULTS: In the ACOA cohort, four clusters were identified by childhood domestic violence experience-Low Violence, Witness, Emotional Violence, and Multiple Violence. Only two clusters were found among non-ACOAs-None versus Multiple Violence. All adult mental health and family health characteristics were significantly different between these six empirically-derived clusters. The ACOAs in the Emotional Violence group showed the lowest resilience and sense of belonging, and highest depression scores, which were significantly different from each corresponding score of the ACOAs in the Witness group. ACOAs who experienced multiple violence showed lowest level of family health among the six clusters. CONCLUSION: The findings indicate that ACOAs and non-ACOAs may have very different patterns of childhood domestic violence, which are associated with distinct psychological entities in adulthood.
Adult Children
;
Adult*
;
Alcoholics*
;
Alcoholism
;
Cohort Studies
;
Cross-Sectional Studies
;
Depression
;
Domestic Violence*
;
Family Health
;
Humans
;
Mental Health
;
Parents*
;
Violence
3.Development of a Scale to Measure Stress in Parents of Adolescents.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):216-229
PURPOSE: This study was done to develop the scale to measure stress in parents of adolescents for primary mental health care providers such as school nurses who work with adolescents and their parents. METHODS: The study design for the scale included qualitative and quantitative methods. Qualitative data from in-depth interviews with parents were analyzed using content analysis methodology. Quantitative data were collected from 581 parents with adolescent children in grades 7 through 11 from 6 different middle and high schools. RESULTS: Factor analysis revealed twelve factors explaining 59.1% of total variance. The final scale consisted of 3 sub-scales including 51 items: Adolescent domain (16 items/4 factors); Parent domain (20 items/5 factors); and Adolescent-Parent relationship domain (15 items/3 factors). The internal consistency was acceptable (Cronbach's alpha=.93). CONCLUSION: The results indicate that the scale is useful to measure stress in parents of Korean adolescents. Also, the results of this research provide basic data regarding adolescent parenting stress.
Adolescent*
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Child
;
Humans
;
Interviews as Topic
;
Mental Health
;
Parenting
;
Parents*
;
Stress, Psychological*
4.Effects of Meditation Program on Power, Anxiety, Depression and Quality of Life in Women with Breast Cancer.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):205-215
PURPOSE: The purpose of this study was to evaluate the effects of meditation program on power, depression and Quality of Life (QoL) in women with breast cancer. METHODS: In this study Barrett's Power theory derived from Rogers' Unitary Human Being Paradigm was used as a theoretical framework. A randomized controlled design was used with 50 participants recruited and randomly allocated. The experimental group (n=20) received the 8-week meditation program. The control group (n=21) received the same program as the experimental group after completion of the first- and eighth-week questionnaires. Collected data were analyzed using SPSS for Windows. RESULTS: Results of homogeneity verification of preliminary investigation data showed that there were no significant differences between the experimental and control groups except for power scores. Compared with the control group, patients in the meditation treatment group showed significant improvement in scores for power (t=-6.07, p<.001) and QoL (t=-3.45, p=.001), a significant reduction in scores for anxiety (t=2.74, p=.009) and depression (t=2.20, p=.033). CONCLUSION: The present trial results demonstrate that the 8-week meditation program significantly reduced anxiety and depression, and improved power and QoL in patients with breast cancer. These results suggest that meditation has positive effects on power, emotion and QoL.
Anxiety*
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Breast Neoplasms*
;
Breast
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Depression*
;
Female
;
Humans
;
Meditation*
;
Power (Psychology)*
;
Quality of Life*
;
Surveys and Questionnaires
5.Impact of Childhood Trauma on Post-traumatic Stress Symptoms and Dissociation: Mediating Effect of Bullying.
Seong Sook KONG ; Jae Hyun BAE
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):193-204
PURPOSE: The purposes of the study were to determine whether specific forms of childhood traumatic experience predicts post traumatic stress symptoms and dissociation and to investigate the mediating effects of bullying experience on forms of childhood trauma and post traumatic stress symptoms or dissociation. METHODS: Participants were patients (n=90) from "S" clinic for psychological trauma. Data were collected from January 2012 to January 2013 through semi-structured interviews and self-reports using a modified Lifetime Incidence of Traumatic Events, Korean Version of Impact of Event Scale-Revised, and Dissociative Experience Scale. RESULTS: The participants showed high rates for childhood trauma and high scores on post traumatic stress symptoms and dissociation, and 38.9% of participants self-reported experiencing more than three types of trauma. Physical abuse was found to be a significant predictor of post traumatic stress symptoms and dissociation. It was also found that bullying experience partially mediated the association between physical abuse and post traumatic stress symptoms or dissociation. CONCLUSION: Future interventions for patients with childhood trauma should focus on assessing the possibility of dissociation. As boys and girls who experienced physical abuse in childhood are likely to be victims of bullying, school counselors should assess their support system and refer to mental health professionals as necessary.
Bullying*
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Counseling
;
Dissociative Disorders*
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Humans
;
Interviews as Topic
;
Mental Health
;
Negotiating*
;
Self-Assessment
;
Stress Disorders, Post-Traumatic*
6.Development and Effectiveness of the Job Stress Management Program for Health Care Professionals.
Kuem Sun HAN ; Mi Young CHOI ; Eun Mi LEE ; Hee Su LIM ; Young Hee PARK ; Yun Kyung YANG ; Sun Kyung CHA
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):180-192
PURPOSE: The purpose of this study was to evaluate the effects of the Job Stress Management Program (JSMP) combined with communication skills training for health care professionals. METHODS: The study design was a nonequivalent control group pre-post test design. Study participants were 42 health care professionals in the experimental group and 38 in the control group. Eight sessions of JSMP were provided over 6 weeks, through on-line and off-line education. Data were analyzed using chi2-test, t-test with the SAS 9.2 program. RESULTS: There were statistically significant differences in job satisfaction, emotional labor, symptoms of stress, interpersonal stress, and type of communication between the experimental group and the control group. CONCLUSION: The results of this study indicate that the JSMP based on communication skills training developed in this study has positive, effects on job stress and communication.
Delivery of Health Care*
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Evaluation Studies as Topic
;
Job Satisfaction
;
Stress, Psychological*
7.Effects of Human Rights Sensitivity Program on the Human Rights Consciousness and Attitudes Toward the Mental Illness by Psychiatric Mental Health Nurses.
Hyo Goung JU ; Kwang Ja LEE ; Hyun Sook KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):169-179
PURPOSE: This study was done to identify the effects of human rights sensitivity training on human rights consciousness and attitudes toward the mentally ill by psychiatric mental health nurse. METHODS: A non equivalent control group pre-posttest design was used for this study. The 54 participants were selected from the mental health institute in Y city. The experimental group (n=26) received the interventions 3 times a week for 2 weeks. The evaluation tools were Human Right Consciousness and Community Attitude toward the Mentally Ill (CAMI). Data were analyzed using chi2-test, Fisher's exact test, t-test, paired t-test, repeated measure ANCOVA with the SPSS/WIN 12 program. RESULTS: There was a significant mean change in human rights consciousness in the experimental group. But there was no significant difference in attitudes toward mentally illness. CONCLUSION: The results of the study indicate that the human rights sensitivity program is effective in increasing human rights consciousness of psychiatric mental health nurses. Therefore, this program can be utilized in the field of mental health care services to improve human rights of person with mental illness.
Human Rights*
;
Humans
;
Mental Health*
;
Mentally Ill Persons
8.Cultural Competence and Factors Influencing Cultural Competence in Nursing Students.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):159-168
PURPOSE: The purpose of this study was to identify cultural competence and factors influencing cultural competence of nursing students in South Korea. METHODS: Participants in this study were 248 nursing students who agreed to participate in the study. Data were collected during November and December, 2012 using structured questionnaires. Data were analyzed using PASW/WIN 20.0 program and included t-test, one-way ANOVA, Scheffe test, and multiple regression. RESULTS: The mean score for cultural competence in nursing students was 3.0 points out of a possible 5. Factors influencing cultural competence in nursing students were identified as being female (beta=-.23), third year (beta=.30), having foreign friends (beta=.29) and fluency (beta=.12). These factors explained 18% of cultural competence reported by nursing students (F=10.13, p<.001). CONCLUSION: The results of this study show the major factors influencing cultural competence in nursing students. Therefore, it is recommended that further cultural competence promotion programs for nursing students be considered directly along with ongoing transcultural experiences.
Cultural Competency*
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Female
;
Friends
;
Humans
;
Surveys and Questionnaires
;
Students, Nursing*
9.Impact of Relational Self Psychology and Community Attitudes toward Mentally Ill Persons on Adjustment during Army Life.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):147-158
PURPOSE: The purpose of this study was to identify predictors influencing adjustment during army life after analyzing the relationship among relational self, community attitudes toward the mentally ill (CAMI), and adjustment during army life in Korea. METHODS: A cross sectional study design was conducted with 230 soldiers from two military units located in Y and B cities. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 18.0. RESULTS: Empathy-care showed significantly positive correlations with adjustment during army life. Avoidance of relationships showed significantly negative correlations with adjustment. Negative concepts in CAMI, such as authoritarianism and social restrictiveness, became were getting more negative. Positive concepts in CAMI, such as benevolence and community mental health ideology, were lacking. Significant factors were empathy-care, authoritarianism, overdependence on relations, and social restrictiveness which explained 30.1% (F=8.55, p<.001) of adjustment during army life. CONCLUSION: To improve military adjustment for soldiers, it is necessary to reduce misunderstandings of people with mentally illness as well as to make efforts towards systematic interpersonal relationship interventions for positive evaluation of self and others to enhance the mental health of soldiers.
Authoritarianism
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Beneficence
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Humans
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Mental Health
;
Mentally Ill Persons*
;
Military Personnel
;
Self Psychology*
;
Social Adjustment
10.Insight, Self-esteem, and Coping Skills among Patients with Alcohol Addiction.
Myungsun HYUN ; Juhyun WOO ; Hyunlye KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(3):137-146
PURPOSE: This study was conducted to investigate the related factors of insight, self-esteem, and coping skills and the relationships among them in patients with alcohol addiction. METHODS: The participants enrolled in this study were 106 patients from two alcohol treatment hospitals in Gyeonggi Province. Data were collected from May, 12 to 20, 2010 using self-report questionnaires. The instruments were the Hanil Alcohol Insight Scale, Rosenberg Self-esteem Scale, and the Ways of Coping Checklist. Data were analyzed using the SPSS-Win 12.0 program. RESULTS: Among the participants, 24.5% had poor insight, 45.3% fair insight, and 30.2% good insight. Insights of participants who had experienced withdrawal symptoms (t=-3.79, p<.001) and of those not living with family (t=-2.07, p=.041) were higher than those who had not experienced the symptoms and who were not living with family. Self-esteem of participants living with family (F=3.60, p<.001) and of those with better academic backgrounds (F=3.39, p=.021) were higher than those of the other groups. Also, self-esteem showed a positive relation with active coping (r=.34, p<.001). CONCLUSION: The results of the present study suggest that mental health practitioners need to focus on insight and self-esteem enhancement, coping skill development when treating patients with alcohol addiction.
Adaptation, Psychological*
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Alcoholics*
;
Checklist
;
Humans
;
Mental Health
;
Surveys and Questionnaires
;
Substance Withdrawal Syndrome