PURPOSE: Stigma negatively affects individuals as well as entire families; therefore, it is necessary to understand "family stigma" in order to reduce the social and emotional distress of families suffering from stigma and prevent the resulting avoidance of social support and treatment. Thus, this study clarifies the concept of "family stigma" by using concept analysis method. METHODS: In order to analyze the concept, we reviewed the relevant literatures. Characteristics that appeared repeatedly throughout the literature were noted and categorized. RESULTS: Three key defining attributes were identified: (a) others' negative perceptions, attitudes, emotions, and avoidant behaviors toward a family, because of the unusualness of the family, including the negative situations, events, behaviors, problems or diseases associated with that family, or because of the unordinary characteristics or structures of that family; (b) others' belief that the unusualness of the family is somehow harmful, dangerous, unhealthy, capable of affecting them negatively, or different from general social norms; and (c) others' belief that the family members are directly or indirectly contaminated by the problematic family member, so that every family member is also considered as harmful, dangerous, unhealthy, capable of having a negative effect on others, or different from general social norms. CONCLUSION: The results of this study are expected not only to guide future research but also to enhance family care in nursing practice.
Humans ; Nursing ; Social Stigma ; Stereotyping

BACKGROUND: Dating violence refers to violence occurring between people in an intimate relationship. Forms of dating violence are often categorized into physical, psychological, and sexual violence, and most existing literature has followed this frame. However, few studies have focused on the phenomenon of living under the perpetrator's coercive control in victims of dating violence, although those experiences are known to be signs of severe forms of violence later on. PURPOSE: The purpose of this study was to explore the experiences of being coercively controlled in female victims who had experienced dating violence. METHODS: For this study, in-depth interviews were conducted with a total of 14 female victims, and all interviews were audio-recorded and transcribed. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. RESULTS: Three themes were derived in chronological order: idealizing the relationship (period of potential control), facing severer tyranny (period of coercive control), and escaping from the unending trap (period of post-control). The results showed that the victims experienced perpetrators' control with specific patterns. The perpetrators' controlling behaviors were invisible, literally benevolent, at the beginning; however, severe forms of violence seemed to appear as their relationship deepened and the perpetrators failed to control the victims. CONCLUSION: Findings from this study presented vivid experiences of female victims who needed help and care. Hopefully, the results can benefit in terms of developing evidence-based prevention strategies for victims as well as assessing the risks of severe forms of dating violence, such as physical attack or murder.
Crime Victims ; Female ; Homicide ; Humans ; Intimate Partner Violence ; Methods ; Physical Abuse ; Qualitative Research ; Sex Offenses ; United Nations ; Violence

BACKGROUND: Dating violence refers to violence occurring between people in an intimate relationship. Forms of dating violence are often categorized into physical, psychological, and sexual violence, and most existing literature has followed this frame. However, few studies have focused on the phenomenon of living under the perpetrator's coercive control in victims of dating violence, although those experiences are known to be signs of severe forms of violence later on.PURPOSE: The purpose of this study was to explore the experiences of being coercively controlled in female victims who had experienced dating violence. METHODS: For this study, in-depth interviews were conducted with a total of 14 female victims, and all interviews were audio-recorded and transcribed. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. RESULTS: Three themes were derived in chronological order: idealizing the relationship (period of potential control), facing severer tyranny (period of coercive control), and escaping from the unending trap (period of post-control). The results showed that the victims experienced perpetrators' control with specific patterns. The perpetrators' controlling behaviors were invisible, literally benevolent, at the beginning; however, severe forms of violence seemed to appear as their relationship deepened and the perpetrators failed to control the victims. CONCLUSION Findings from this study presented vivid experiences of female victims who needed help and care. Hopefully, the results can benefit in terms of developing evidence-based prevention strategies for victims as well as assessing the risks of severe forms of dating violence, such as physical attack or murder.

Purpose: The purpose of this study was to understand the meaning of gambling addiction from the perspective of problematic gamblers through their life stories. Methods: A narrative approach was utilized for this study. The data were collected from June 1 to September 30, 2019, from a purposive sample of three participants by using in-depth interviews, observations, and note-taking. Results: The participants told their life stories from childhood, stressing the experiences of being abused physically and emotionally by their own families. Their life stories commonly revealed that they became involved in gambling to escape the influence of the violence they had suffered. Due to their childhood abuse experiences, they had various problems, including distorted values toward money, low self-esteem, ambivalent feelings, and a lack of interpersonal coping skills, which often contributed to their addiction problems. Conclusion This study is meaningful in that it tried to understand the current addiction problem by focusing on the individual life experiences from the past to the present. Addiction recovery involves not only stopping the problematic behavior but also forming a new life meaning to lead a confident and independent future.

Myasthenia gravis (MG) crisis is a life-threatening condition characterized by respiratory failure requiring intubation and mechanical ventilation. Cardiac problem in patients with MG crisis is a rare condition, presenting as cardiomyopathy, arrhythmia, heart failure and sudden death. We report two cases that developed arrhythmia and stress-induced cardiomyopathy during MG crisis episodes.
Arrhythmias, Cardiac ; Cardiomyopathies ; Death, Sudden ; Heart Failure ; Humans ; Intubation ; Myasthenia Gravis ; Respiration, Artificial ; Respiratory Insufficiency

PURPOSE: The purpose of this study was to examine the association of multiple addiction risks with life satisfaction, depression, and suicidal ideation in Korean adults. METHODS: This study was descriptive correlational. Data were collected in 800 adults (405 males, 395 females) aged 20 to 69 years recruited using the proportional allocation in a city on April 2017. The structured questionnaire consisted of the Alcohol Use Disorders Identification Test, the Internet Addiction Proneness Scale for adults, the Problem Gambling Severity Index, the Drug Screening Inventory, the Korean version of the Satisfaction with the Life Scale, the Patient Health Questionnaire-9, and the Scale for Suicidal Ideation. RESULTS: Adults with multiple addiction risks had a low level of life satisfaction (p=.003) and high levels of depression and suicidal ideation (p<.001) compared to other participants. Multiple addiction risks were associated with low life satisfaction (β=.12), high depression (β=.21), and suicidal ideation (β=.20). Significant factors of life satisfaction were low suicidal ideation, a simple functioning job, high level of education, and unemployment status. CONCLUSION: Multiple addiction risks are associated with life satisfaction, depression, and suicidal ideation. The comprehensive mental health assessment for multiple addictions should precede the development of preventive multidimensional interventions.
Adult ; Behavior, Addictive ; Depression ; Drug Evaluation, Preclinical ; Education ; Gambling ; Humans ; Internet ; Male ; Mental Health ; Personal Satisfaction ; Suicidal Ideation ; Unemployment

Purpose: The purpose of this study was to develop a theory on the gambling addiction process in adults who experienced domestic violence in childhood. Methods: Data were collected from 20 adults from May 1st to August 30th, 2020. Data were analyzed using grounded theory methodology as suggested by Strauss and Corbin. Results: The core category of this study was revealed to be ‘becoming addicted to gambling to avoid the physical and emotional pain caused by childhood domestic violence and be rewarded’. The core phenomenon was ‘struggle from pain’, which was derived from casual and contextual conditions: ‘ruthless physical violence’, ‘intolerable psychological pain’, and ‘bystand of violence’, ‘family addiction problem’. ‘parental immoral attitude’, The action and interaction strategies were ‘making money by any means’, and ‘gambling to forget the pain’. The intervening conditions affecting them were ‘a distorted view of money’, ‘resignation to helpless’, and ‘avoiding emotional distress’. The phases abbreviated through the produced process were the trauma phase, the avoidance phase, and the addiction phase. Conclusion Adults became addicted to gambling as a manifestation of distorted compensation mentality in an attempt to avoid the physical and emotional trauma of domestic violence in childhood.

Purpose: The purpose of this study was to identify the mediating effects of insecure adult attachment and tact (nunchi) on the relationship between life stress and college adjustment in Korean college students.
Methods: A total of 170 college students were recruited into this study and were asked to participate in an online survey. By using SPSS/WIN 24.0, Pearson’s correlation analysis was performed to examine the relationships among the variables. The mediating effects were examined by using PROCESS Macro for SPSS Ver. 3.14 model 6.
Results: There were significant correlations among the four main variables of this study - insecure adult attachment, nunchi, life stress, and college adjustment. Insecure adult attachment and nunchi mediated the relationship between life stress and college adjustment in college students.
Conclusion Based on the findings of this study, various evidence-based programs can be developed to improve college adjustment and decrease life stress in college students.

Purpose: The purpose of this study was to identify how women who were adult children of alcoholics and spouses of alcoholics had grown up in difficult situations and found the meaning of life. Methods: This study used a life history research method and data were collected from three participants who are adult children of alcoholics and spouses of alcoholics. In-depth interviews with each participant were conducted three times from September to October 2020. Results: In this study, ‘realm of life’ includes taking care of the family like a young hero, difficulty in express one’s feelings and desire, facing the problems of the family at stake. ‘Turning point’ meeting a role model overcoming addiction problems, sharing one’s story in the Therapeutic Community, self-awareness to live independently not as a victim. ‘Adaptation’ includes recognizing and expressing one’s thoughts and feelings, trying to separate from the family psychologically and spatially, reinterpretation of one’s life and discovery of the meaning of life. Conclusion Their meaning of life was to love and respect themselves, make responsible choices in their circumstances, break the inheritance of addiction and had a healthy family life. Therefore, it is necessary to provide an existential meaning therapy program that helps them find the meaning of life and recover to their original self.

Purpose: The purpose of this study was to develop a theory on the gambling addiction process in adults who experienced domestic violence in childhood. Methods: Data were collected from 20 adults from May 1st to August 30th, 2020. Data were analyzed using grounded theory methodology as suggested by Strauss and Corbin. Results: The core category of this study was revealed to be ‘becoming addicted to gambling to avoid the physical and emotional pain caused by childhood domestic violence and be rewarded’. The core phenomenon was ‘struggle from pain’, which was derived from casual and contextual conditions: ‘ruthless physical violence’, ‘intolerable psychological pain’, and ‘bystand of violence’, ‘family addiction problem’. ‘parental immoral attitude’, The action and interaction strategies were ‘making money by any means’, and ‘gambling to forget the pain’. The intervening conditions affecting them were ‘a distorted view of money’, ‘resignation to helpless’, and ‘avoiding emotional distress’. The phases abbreviated through the produced process were the trauma phase, the avoidance phase, and the addiction phase. Conclusion Adults became addicted to gambling as a manifestation of distorted compensation mentality in an attempt to avoid the physical and emotional trauma of domestic violence in childhood.