PURPOSE: This study was done to examine the effects of a literary therapy intervention on ego-resilience and maladaptive behavior among children of broken homes. METHODS: The intervention consisted of 16 sessions designed to achieve a positive self-concept and was constructed as an interaction between participant and certain literature including poetry, narratives, dramas, art therapy, and willingness to share it with others. The study was carried out from May 2 to July 25, 2006. The participants were 36 children resided in a vulnerable region in G city. The collected data for Ego-resilience, Korean-Children Behavior Checklist (K-CBCL), Korean-Youth Self-Report (K-YSR) were respectively analyzed using descriptive statistics, t-test, repeated measures ANOVA with Post Hoc, and ANCOVA with the SPSS/WIN version 12.0 program. RESULTS: After the intervention, there was a significant difference between the experimental and the control group for Ego-resilience, K-CBCL, and K-YSR. There were significant differences according to time process in ego-resilience and K-YSR. CONCLUSION: The results indicate that literary therapy is an effective nursing intervention for enhancing ego-resilience and reducing maladaptive behavior in children of broken homes.
Art Therapy ; Checklist ; Child* ; Drama ; Ego* ; Humans ; Nursing

PURPOSE: This study was conducted to test the effects of a community-based depression prevention program on community people and the effectiveness was measured by assessing depression, self-esteem, and quality of life. The theoretical framework supporting the program was Ellis' REBT (Rational Emotive Behavior Therapy) theory (1962). METHODS: A nonequivalent control group pretest-posttest design was used. Study participants were 29 community residents (experimental: 14, control: 15). The depression prevention program consisted of music activity, bibliotherapy, and cognitive behavior therapy and was provided for 6 weeks (a twelve-session). Data were collected before and after the program and 3 months later for follow-up testing. Data were analyzed using the SPSS/WIN 12.0. RESULTS: There were no differences in outcome variables between the experimental and control groups. From the additional analyses, statistically significant differences by time point were observed for Self-esteem and Quality of life at 3 months later for experimental group. And 50% of the participants with depression symptoms no longer scored in the depression symptoms in the experimental group. CONCLUSION: The study findings indicate that depression prevention programs are positive in reducing depression in people suffering from depression symptoms. However some modifications are required to increase effectiveness.
Bibliotherapy ; Cognitive Therapy ; Depression* ; Follow-Up Studies ; Music ; Quality of Life*

PURPOSE: The purpose of this study was to identify sleep quality, job stress, symptoms of stress (SOS), and coping and to examine factors influencing sleep quality in clinical nurses. METHODS: A cross-sectional study was conducted with 265 clinical nurses at three general hospitals. A self-administrated questionnaire was used for data collection, and data were analyzed using descriptive statistics, Pearson correlation coefficients, t-test, ANOVA, and backward multiple regression with the SAS statistical program. RESULTS: Sleep quality showed significant differences according to the sociodemographic characteristics of age, length of work, education, current workplace, current job position, shift work, and marital status. Sleep quality was negatively associated with SOS and job stress. Significant factors influencing sleep quality of the clinical nurses were cognitive-behavioral SOS, physiological SOS, inappropriate rewards, physical work environment, and shift work. CONCLUSION: The findings indicate that cognitive-behavioral SOS, physiological SOS, job stress regarding inappropriate rewards and physical work environment, and shift work are useful to predict levels of sleep quality of clinical nurses. These factors should be considered when developing nursing interventions to improve sleep quality of clinical nurses through stress management.
Cross-Sectional Studies ; Data Collection ; Education ; Hospitals, General ; Marital Status ; Nursing ; Surveys and Questionnaires ; Reward

PURPOSE: This study was to use Parse's research method to discover the structure of the lived experience of sufferings of women who have attempted suicide. METHODS: This study was a qualitative research based on Parse's research method. Participants were 7 women who had attempted suicide and who were hospitalized in a Mental Hospital and in the Suicide-Prevention Center of G City. Data were collected by dialogical engagement between participants and the researcher from November, 2011 to February, 2013, and were analyzed through the extraction-synthesis and heuristic interpretation processes. RESULTS: Through the analyses, the structure was identified; The lived experience of suffering of women who have attempted suicide is the process that they ultimately found new meaning and value of life by speaking out their concealed pain through the intimate human contact with other people, although the women once decided to commit suicide to escape from extreme agony. CONCLUSION: This study results suggest, therefore, that the nurses working in this field should try wholeheartedly to understand the suffering and agony of women who have attempted suicide and to provide practical nursing to help them revitalize their lives.
Female ; Hospitals, Psychiatric ; Humans ; Nursing, Practical ; Qualitative Research ; Stress, Psychological ; Suicide ; Suicide, Attempted* ; United Nations ; Value of Life

PURPOSE: This study was to examine the effects of tailored drug-related side effects management program using video designed to help patients with schizophrenia with self-control ability of drug-related side effects, attitude, and adherence to medication. METHODS: A non-equivalent control group, pretest-posttest design was used. The participants were 51 patients with schizophrenia, 26 in the experimental group and 25 in the control group. The tailored drug-related side effects management program using video was conducted for the experimental group twice a week for 60 minutes/session for 4 weeks. The self-control ability for drug-related side effects, attitude and adherence of medication were measured before and after the experiment. Data were analyzed by using IBM SPSS/WIN 20.0 program. RESULTS: At follow-up, we found statistically significant increases in self-control ability for drug-related side effects, attitude and adherence of medication for the experimental group. CONCLUSION: The results of this study suggest that tailored drug-related side effects management program using video was to increase self-control ability for drug-related side effects, attitude and adherence of medication in patients with schizophrenia.
Follow-Up Studies ; Humans ; Medication Adherence ; Schizophrenia*

PURPOSE: This study was to identify the stop-out experiences of female nursing students. Stop-out is defined as the withdrawal temporarily from enrollment at a university. METHODS: Data was collected through in-depth individual interviews from February 2013 to February 2014 (N=8) and analyzed with Colaizzi's phenomenological methodology. The participants were interviewed once or twice, for 30minutes to 1hour per interview. RESULTS: Five theme-clusters were identified from 14 themes. The theme-clusters were 'Craving for self-directed life', 'Anxiety about leaving regular orbit', 'Responsibility for selection of the stop-out', 'Reinvention of self and nursing major', and 'Making of mental power'. CONCLUSION: The results showed that the stop-out experience of female nursing students in this study has positive aspects in craving for self-directed life and challenges to live a new life. Therefore research is needed on various angles in studying stop-out experience as well as balance quantitative and qualitative research methods. Also it is suggested that continuous managements should be given to the students during stop-out period.
Female ; Humans ; Nursing ; Qualitative Research ; Students, Nursing*

PURPOSE: This study was conducted to examine the association among therapeutic relationship with mental health professionals, hope, and recovery, and to explore the mediation of therapeutic relationship with mental health professionals in the relation between hope and recovery in South Korean patients with a mental illness. METHODS: A cross-sectional study design was employed. Eligible participants were 99 people with a mental illness who were enrolled as members at two Community Mental Health Centers in Gyeonggi Province. Data were collected from October, 4 to 14, 2011. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple regression analysis. RESULTS: Hope was positively correlated with recovery, and therapeutic relationship with mental health professionals was also positively associated with recovery. The mediating effect of therapeutic relationship with mental health professionals was found in the relation between hope and recovery. CONCLUSION: The results suggest that therapeutic relationship with mental health professionals plays an important role in promoting recovery of the patients with a mental illness. Therefore, mental health professionals should focus on developing a therapeutic relationship with their clients and also consider these recovery-related factors for persons who have a mental illness.
Community Mental Health Centers ; Cross-Sectional Studies ; Gyeonggi-do ; Hope* ; Humans ; Mental Health* ; Mentally Ill Persons ; Negotiating* ; Professional-Patient Relations ; Recovery of Function

PURPOSE: In this study an exploration was done of the quality of lives of patients with schizophrenia in South Korea and factors related to quality of life, and to develop a model that predicts the quality of their lives. METHODS: The participants were 225 patients with schizophrenia, aged 18 and above, residing in Seoul and Gyeonggi-Province. Collected data was analyzed using SAS 9.3 and AMOS 18.0. RESULTS: Social support and psychological well-being were the two factors that most affected the quality of life in patients with schizophrenia. Symptoms, empowerment, and internalized stigma were not found to influence the quality of the patients' lives. However, symptoms, social support, empowerment, internalized stigma affected the patients' psychological well-being, and psychological well-being was identified as an influential variable for quality of life in patients with schizophrenia. Therefore, symptoms, social support, empowerment, and internalized stigma are influential to the patients' quality of lives through psychological well-being. CONCLUSION: These results suggest that the quality of life in patients with schizophrenia should be examined through the variable of psychological well-being as many variables related to the patients' quality of life affect psychological well-being.
Humans ; Korea ; Models, Structural ; Power (Psychology) ; Quality of Life* ; Schizophrenia* ; Seoul

PURPOSE: This study was done to investigate the relation between psychiatric nurse image, job satisfaction and assertiveness of psychiatric mental health nurses. METHODS: The participants for this study were 159 psychiatric nurses in G-city and J-province. The instruments were the Psychiatric Nurses Image Scale, Job Satisfaction Scale, and Assertiveness Scale. Collected data were analyzed using mean, t-test, ANOVA, and Pearson' correlation coefficients with the SPSS/WIN 20.0 program. RESULTS: Mean scores for psychiatric nurse image, job satisfaction, and assertiveness, were 3.9+/-0.5 and 3.3+/-0.4 and 93.5+/-12.0 respectively. Significant positive correlations were found between psychiatric nurse image and job satisfaction (r=.51, p<.001), and assertiveness (r=.25, p=.002). CONCLUSION: The result indicate that nurses with higher levels of psychiatric nurses image disposition exhibit positive job satisfaction, and assertiveness. Therefore it would be helpful to provide intervention programs to improve the psychiatric nurse image, job satisfaction, and assertiveness of psychiatric nurses.
Assertiveness* ; Job Satisfaction* ; Mental Health*

PURPOSE: The purpose of the study was to identify the discriminating power of dissociation as defined by depression, obsession, and Minnesota Multiphasic Personality Inventory(MMPI; psychopathology) in patients with psychological trauma. METHODS: Participants were patients (N=114) from "S" clinic for psychological trauma. Data were collected from April to June 2014 through semi-structured interviews and self-reports using a modified Lifetime Incidence of Traumatic Events, Dissociative Experience Scale (DES), Beck Depression Inventory-2, Maudsley Obsessional Compulsive Inventory, and MMPI-2. RESULTS: Participants were grouped in to two groups depending on DES scores; dissociative (n=15) and non-dissociative (n=99). Depression, F-scale (infrequency), Ma (Hypomania), and Hs (Hypochondriasis) scale of MMPI correctly discriminated 86.8% of the sample. There were also significant differences in Obsession, K-scale (korrection), D (Depression), Hy (Hysteria), Pd (Psychopathic Deviate), Pa (Paranoia), Pt (Psychasthenia), Sc (Schizophrenia), Si (Social Introversion) scales of MMPI between two groups, but they were not significant discriminant factors. CONCLUSION: Future interventions for patients with high levels of dissociation and psychological trauma should focus on the prevention of suicide and chronic dissociation by assessing depression-related factors; suicidal behavior, impulsivity, aggression, and alexithymia. Therapists should also interpret patients' MMPI profiles carefully, especially in the presence of an extremely elevated F-scale.
Affective Symptoms ; Aggression ; Depression ; Dissociative Disorders ; Humans ; Impulsive Behavior ; Incidence ; Minnesota ; MMPI ; Obsessive Behavior ; Suicide ; Weights and Measures