OBJECTIVES: The purpose of this study to examine if the levels of anxiety(emotional, cognitive, and behavioral measures) during performance are influenced by interaction of both achievement related self discrepancy(=psychological vulnerability variable) and evaluative threat stress(=stressor) based on vulnerabilitystress model in order to identify the mechanism of development of performance anxiety and furthermore to suggest psychological intervention strategies to reduce and prevent it effectively. METHOD: High and low self discrepancy subjects consisted of students from the upper(n=40) and lower 15%(n=40) on achievement related self discrepancy scale, respectively. They were randomly assigned to either evaluative threat condition or neutral condition, and then all subjects took intellective task(verbal reasoning test and digit symbol test). RESULTS: The results were as follows; 1) High self discrepancy subjects under evaluative threat reported significantly higher level of state anxiety during performance than low self discrepancy subjects under any condition and also experienced higher degreee of state anxiety with marginal significance than high self discrepancy subjects under neutral condition, whereas there were no significant effects on the anxiety level of group variable under neutral condition or of stress variable in low self discrepancy subjects. 2) High self discrepancy subjects reported more cognitive interference during performance than low self discrepancy subjects regardless of the level of stress. 3) High self discrepancy subjects performed marginally significantly more poorly in digit symbol test than low self discrepancy subjects regardless of the level of stress, whereas there were no significant effects on verbal reasoning test. CONCLUSION: The hypothesis that performance anxiety could be affected by achievement related self discrepancy and stress, and specially by interaction between self discrepancy and stress was relatively strongly supported by the results on emotional measure of performance anxiety. In addition, this hypothesis received partial support by the results on cognitive and behavioral measures. We might conclude that it is important to consider achievement-related self discrepancy and evaluative threat stress together to understand the mechanism of development of performance anxiety and to reduce or prevent this anxiety effectively.
Anxiety ; Humans ; Performance Anxiety*

BACKGROUND: In dentistry, pain is a factor that negatively affects treatments and drug use. The aim of this study was to evaluate the correlations of the postoperative analgesic use with pain catastrophizing and anxiety in patients who underwent removal of an impacted mandibular third molar.METHODS: We recruited 92 patients who underwent the extraction of impacted mandibular third molar. In this study, the Pederson index was used to preoperatively determine the difficulty of surgical extraction. Patients were asked to note the number of analgesics used for 7 postoperative days. Patients were divided into two groups based on the Pain Catastrophizing Scale: low and high score groups. State-Trait Anxiety Inventory-trait and State-Trait Anxiety Inventory-state questionnaires were used to determine the anxiety levels of the patients. The obtained data were examined to evaluate the correlations of pain catastrophizing and anxiety with the postoperative analgesic use.RESULTS: In this study, 92 patients, including 60 women and 32 men, were recruited. The analgesic use was higher in women than in men but with no significant difference (P > 0.05). Pain Catastrophizing Scale scores were higher in women than in men but with no significant difference (P > 0.05). The analgesic use was higher in patients with high pain catastrophizing than in those with low pain catastrophizing but with no significant difference (P > 0.05). State-Trait Anxiety Inventory-trait scores were higher in women than in men but with no significant difference. However, state-Trait Anxiety Inventory-state scores were significantly higher in women than in men (P < 0.05).CONCLUSION: The postoperative analgesic use may be higher in patients who catastrophize pain than in others. Knowing the patient's catastrophic characteristics preoperatively would contribute to successful pain management and appropriate drug selection.
Analgesics ; Anxiety ; Catastrophization ; Dental Anxiety ; Dentistry ; Female ; Humans ; Male ; Molar, Third ; Pain Management ; Tooth, Impacted

BACKGROUND: To assess the multidisciplinary aspects of pain, various self-rating questionnaires have been developed, but there have not been sufficient relevant studies on this topic in South Korea. The aim of this study was to develop a new pain sensitivity-related questionnaire in the Korean language that would be simple and would well reflect Koreans' senses. METHODS: A new pain assessment questionnaire was developed through a pre-survey on "geop", which is the Korean word expressing fear, anxiety, or catastrophizing. We named the new assessment questionnaire the Geop-Pain Questionnaire (GPQ). The GPQ was composed of 15 items divided into three categories and rated on a 5-point scale. As a preliminary study, internal consistency and test-retest reliability analyses were conducted. Subsequently, 109 individuals completed the GPQ along with three pain-related questionnaires translated into Korean (Pain Sensitivity Questionnaire [PSQ], Pain Anxiety Symptoms Scale [PASS], and Pain Catastrophizing Scale [PCS]), and the correlations were analyzed. RESULTS: All items in the GPQ showed appropriate internal consistency, and the test-retest reliability analysis showed no statistically significant differences. The correlations between the GPQ and the existing questionnaires revealed that the GPQ scores had mid-positive correlations with the PSQ scores and strong positive correlations with the PASS and PCS scores. CONCLUSIONS: This study attempted to develop a questionnaire assessing pain sensitivity multidimensionally using the Korean word geop for the first time. The self-rating GPQ showed high correlations with the existing questionnaires and demonstrated potential to be utilized as a pain prediction index in clinical practice.
Anxiety ; Catastrophization ; Korea ; Pain Measurement ; Reproducibility of Results ; Surveys and Questionnaires

OBJECTIVE: Several psychological characteristics of medical students were investigated, the relationhip between these characteristics and academic achievement was identified, and futhermore some significant predictors of their academic achievement were explored. METHOD: Subjects were a total of 489 medical students, 1st, 2nd, 3rd year in Chosun university as of in 1998. We administered self-report questionnaires including age, sex, grade failure, and transfer experience. And Beck Depression Inventory, Achievement Self-Discrepancy Scale, Self-Efficacy Scale, State-Trait Anxiety Inventory(state) Test Anxiety Scale, and the Inventory of Performance Anxiety were handed out to them on April 1998. After the semester, we examined the academic achievement according to grade point average. Pearson's correlations were calculated to explore the relationships between grade failure and other psychological variables, as well as the relationships between academic achievement and other psychological variables. The amount that academic achievement was explained by the psychological variables was obtained using multiple regression analysis. RESULT: 1)In 489 students, grade failure was 168(34.3%) non-failure was 321(65.7%) and transfer was 33(6.7%) 2)While G.P.A., performance anxiety, and self-efficacy, respectively, were negatively correlated with the failure, test anxiety was positively correlated with the grade failure. There were no statistically significant correlations between grade failure and depression, self-discrepancy, or state anxiety. 3)Academic achievement was positively correlated with both gender and self-efficacy, whereas it was negatively correlated with depression, self-discrepancy, test anxiety, and state anxiety, respectively. Female students were better than males in academic achievement. 4)The amount that age, gender, grade failure, transfer, depression, self-discrepancy, test anxiety, state anxiety, performance anxiety, and self-efficacy accounted for academic achievement was 10.86% totally. CONCLUSION: Gender, grade failure, and depression in medical students affected their academic achievement significantly.
Anxiety ; Depression ; Female ; Hand ; Humans ; Male ; Performance Anxiety ; Surveys and Questionnaires ; Students, Medical* ; Test Anxiety Scale

Background: Dental anxiety (DA) creates a vicious cycle of dentist avoidance, oral health neglect, increased unmet treatment needs, compromised well-being and quality of life (QoL), which then generates added anxiety. The prevalence of DA among adult Filipinos has not been investigated. Objectives: This study aimed to establish baseline data on dental anxiety among the adult residents of Barangay (Brgy.) Cambaog, Bustos, Bulacan, Philippines. Methodology: Three hundred thirty-six (336) randomly selected adult residents completed a questionnaire that included demographics, frequency of dental visits, self-assessment of their oral health status, the Corah's Dental Anxiety Scale (DAS), and reasons for their DA. Results: The study showed that 11% of the 336 participants had DA, were young adults, affecting twice as many women than men, had lower levels of education, and with a lessening of anxiety with age. Participants with DA were also found to have infrequent dental visits, were symptom-driven, had poorer self-assessed oral health status, and only 13% of the respondents with DA viewed their oral health as healthy. Needles, tooth extraction, pain, previous negative experience, and sound of the drill were some of the triggers that elicited anxiety. Conclusion DA affects a proportion of the adult residents of Brgy. Cambaog and can be considered a dental public health problem. The use of screening tools like DAS should be considered for the early recognition of patients with DA so that management measures may be taken to enhance the delivery of oral health services.
Dental Anxiety

BACKGROUND: The word "geop" is a unique Korean term commonly used to describe fright, fear and anxiety, and similar concepts. The purpose of this pilot study is to examine the correlation between the Numeric Rating Scale (NRS) score of geop and three different questionnaires on pain perception. METHODS: Patients aged 20 to 70 years who visited our outpatient pain clinics were evaluated. They were requested to rate the NRS score (range: 0-100) if they felt geop. Next, they completed questionnaires on pain perception, in this case the Korean version of the Pain Sensitivity Questionnaire (PSQ), the Pain Catastrophizing Scale (PCS), and the Pain Anxiety Symptoms Scale (PASS). The correlations among each variable were evaluated by statistical analyses. RESULTS: There was no statistically significant correlation between the NRS score of geop and the PSQ score (r = 0.075, P = 0.5605). The NRS score of geop showed a significant correlation with the PCS total score (r = 0.346, P = 0.0063). Among the sub-scales, Rumination (r = 0.338, P = 0.0077) and Magnification (r = 0.343, P = 0.0069) were correlated with the NRS score of geop. In addition, the NRS score of geop showed a significant correlation with the PASS total score (r = 0.475, P = 0.0001). The cognitive (r = 0.473, P = 0.0002) and fear factors (r = 0.349, P = 0.0063) also showed significant correlations with the NRS score of geop. CONCLUSIONS: This study marks the first attempt to introduce the concept of "geop." The NRS score of geop showed a moderate positive correlation with the total PCS and PASS score. However, further investigations are required before the "geop" concept can be used practically in clinical fields.
Anxiety ; Catastrophization ; Humans ; Outpatients ; Pain Clinics ; Pain Perception* ; Pilot Projects* ; Surveys and Questionnaires*

OBJECTIVE: To investigate gender differences in pain patterns and psychological variables among patients with chronic musculoskeletal pain. METHOD: Thirty-five male and thirty-eight female patients who visited our outpatient clinic due to chronic musculoskeletal pain were evaluated using a questionnaire survey. Chronic musculoskeletal pain was defined as pain lasting longer than 6 months. Patients were evaluated with visual analogue scale (VAS), pain site, pain duration and frequency. Beck depression inventory, state-trait anxiety index, somatization scale of symptom checklist-revised, symptom interpretation questionnaire, and pain catastrophizing scale were checked for psychological variables. Correlations among each variable were evaluated statistically. RESULTS: Female patients with chronic musculoskeletal pain recorded higher scores on number of pain site, pain catastrophizing scale, rumination, magnification and catastrophic attribution than male patients (p<0.05). In female patients, VAS was correlated significantly with depression, static anxiety, somatization, catastrophizing thought. rumination, magnification, helpless, and catastrophic attribution. Pain frequency was correlated significantly with somatization, catastrophizing thought, rumination, and helpless. Number of pain site was correlated with somatization, catastrophizing thought, magnification, and helpless. The correlation between pain patterns and psychological variables was also observed in male patients, but statistically less significant than female patients. CONCLUSION: We found gender difference associated with pain patterns and psychological variables in chronic musculoskeletal pain patients. Consideration of psychological factors may be important for management in female patients with chronic musculoskeletal pain.
Ambulatory Care Facilities ; Anxiety ; Catastrophization ; Depression ; Female ; Humans ; Male ; Musculoskeletal Pain ; Surveys and Questionnaires

OBJECTIVE: To investigate the relations among pain, emotional factors and cognitive-behavioral factors in chronic musculoskeletal pain patients. METHOD: This study was designed as a questionnaire survey. 73 patients who visited our outpatient clinics due to chronic musculoskeletal pain were evaluated. They checked visual analogue scale (VAS), pain site and frequency. Beck depression inventory (BDI) and state-trait anxiety index (STAI) were checked for evaluation of emotional factors. Somatization scale of symptom checklist-revised (SCL-R- 90) and pain catastrophizing scale (PCS) were checked for cognitive-behavioral factors. Correlations among each variable were evaluated by statistical analysis. RESULTS: VAS was correlated with pain frequency (r=0.538, p<0.01), somatization and catastrophizing thought. Rumination thought was correlated with VAS (r=0.443, p<0.01), pain frequency (r=0.446, p<0.01) and static anxiety (r= 0.449, p<0.01). Magnification thought was correlated with depression (r=0.403, p<0.01) and static anxiety (r=0.447, p<0.01). Helpless thought was correlated with VAS (r= 0.442, p<0.01), pain frequency (r=0.429, p<0.01), depression (r=0.510, p<0.01), static anxiety (r=0.640, p<0.01) and somatization (r=0.504, p<0.01). Duration was not correlated with VAS, depression, anxiety, somatization and catastrophizing thought in chronic musculoskeletal pain patients (p>0.05). CONCLUSION: Cognitive-behavioral factors such as catastrophizing thought are strongly correlated with both pain aspects and emotional factors. Consideration of cognitive- behavioral factors as well as emotional factors may be important for management of chronic musculoskeletal pain.
Ambulatory Care Facilities ; Anxiety ; Catastrophization ; Depression ; Humans ; Musculoskeletal Pain ; Surveys and Questionnaires

OBJECTIVES: This study aims to determine the maternal reactions and emotions towards an initial "refer" result in the newborn hearing screening test and to determine the proportion of mothers who fully comprehended the test results of the newborn hearing screening test.
METHODS: In this study, mothers of newborns with a "refer" result in the Universal Newborn Hearing Screening (UNHS) are given questionnaires which cover their understanding of the hearing screening test, the emotions they felt and attitude towards the results.
RESULTS: Our findings showed that the UNHS program protocol was properly understood by almost all the respondent mothers. Of the emotions listed from the questionnaire, being "worried" was the most persistently felt emotion.
CONCLUSION: It is important that the results of the newborn hearing screening test be properly understood by the mothers. Mothers who experienced negative emotions brought about by the hearing screening test still believed that the newborn hearing screening test was important, were glad that their child underwent the newborn hearing screening test and will request it for their future offspring.

This study was designed to compare the outcomes between my ocardial infarction' participation and not-participation in cardiac rehabilitation, so explain how participation in cardiac rehabilitation can be a worthwhile intervention that facilitates recovery from MI. B furthermore this research is intended to provide the fundamental backgrounds in developing cardiac rehabilitation program that can help to improve the patients' the quality of life. A total of 80 out-patients were selected as subject to data collection from April 1th to May 10 1996. The rehabilitated group, consisting of the 40 out-patients had participated with the non-rehabilitation group of 40 out-patients had received usual care during hospitalization. The tools for this study were state-anxiety scale devised by Spielberger(1976) performance health behavior scale developed by Lee(1992) and quality of life scale producted by McGirr(1990). The data were analyzed by use of chi test, ANCOVA, t-test, ANOVA, Pearson's correlation and simple regression using the SPSS program. The study was concluded as follows : 1. Hypothesis 1 : that "the rehabilitation group's anxiety was lower than the non-rehabilitation group's was accepted(t=-2.60, p=0.011). 2. Hypothesis 2 : that "the rehabilitation group's level of performance health behavior was higher than the non-rehabilitation group's" was accepted(t=6.39, p=0.000). 3. Hypothesis 3 : that "the rehabilitation group's quality of life was higher than the non-rehabilitation group's was accepted(t=2.73, p=0.008). 4. The correlations between anxiety, performance health behavior and quality of life. The relationship between anxiety and performance health behavior revealed a significant correlation(r=-.4433, p<.05). And the relationship between anxiety and quality of life revealed a significant correlation(r=-.7679, p<.05), the relationship between performance health behavior and quality of life revealed a significant correlation(r=3934, p<.05). As a result, it was found that the cardiac rehabilitation groups' anxiety was lower than the non-rehabilitation group's, the rehabilitation group' level of performance health behavior was higher than the non-rehabilitation group's. And the rehabilitation group's quality of life was higher than the non-rehabilitation group's. Therefore this study explained how participation in cardiac rehabilitation can be a worthwhile intervention that facilitates recovery from MI.
Anxiety ; Data Collection ; Health Behavior ; Hospitalization ; Humans ; Myocardial Infarction* ; Outpatients ; Performance Anxiety ; Quality of Life ; Rehabilitation*