Korean Journal of Family Medicine

"Seok Hoon Kang"

Original Articles

Development of a Modified Korean East Asian Student Stress Inventory by Comparing Stress Levels in Medical Students with Those in Non-Medical Students: Hee Kon Shin, Seok Hoon Kang, Sun-Hye Lim, Jeong Hee Yang, Sunguk Chae; Korean J Fam Med 2016;37(1):14-17. Published online January 27, 2016; DOI: https://doi.org/10.4082/kjfm.2016.37.1.14

Abstract
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Background

Medical students are usually under more stress than that experienced by non-medical students. Stress testing tools for Korean medical students have not been sufficiently studied. Thus, we adapted and modified the East Asian Student Stress Inventory (EASSI), a stress testing tool for Korean students studying abroad, and verified its usefulness as a stress test in Korean university students. We also compared and analyzed stress levels between medical and non-medical students.

Methods

A questionnaire survey was conducted on medical and non-medical students of a national university, and the responses of 224 students were analyzed for this study. Factor analysis and reliability testing were performed based on data collected for 25 adapted EASSI questions and those on the Korean version of the Global Assessment of Recent Stress Scale (GARSS). A correlation analysis was performed between the 13 modified EASSI questions and the GARSS, and validity of the modified EASSI was verified by directly comparing stress levels between the two student groups.

Results

The 13 questions adapted for the EASSI were called the modified EASSI and classified into four factors through a factor analysis and reliability testing. The Pearson's correlation analysis revealed a significant correlation between the modified EASSI and the Korean version of the GARSS, suggesting a complementary strategy of using both tests.

Conclusion

The validity and reliability of the EASSI were verified. The modified Korean EASSI could be a useful stress test for Korean medical students. Our results show that medical students were under more stress than that of non-medical students. Thus, these results could be helpful for managing stress in medical students.

Citations

Citations to this article as recorded by

Thriving beyond the stethoscope: Unveiling positive mental health among medical students at a University in South Africa
Rajesh Vagiri, Mabitsela Mphasha, Varsha Bangalee, Wandisile Grootboom, Letlhogonolo Makhele, Neelaveni Padayachee
Dialogues in Health.2024; 5: 100188. CrossRef
Validation of the perceived stress scale (PSS-10) in medical and health sciences students in Hong Kong
Julie Yun Chen, Weng-Yee Chin, Agnes Tiwari, Janet Wong, Ian C K Wong, Alan Worsley, Yibin Feng, Mai Har Sham, Joyce Pui Yan Tsang, Chak Sing Lau
The Asia Pacific Scholar.2021; 6(2): 31. CrossRef
False Replies on Smoking Rate Surveys and an In-Hospital Smoking Cessation Clinic
Jungun Lee
Korean Journal of Family Medicine.2016; 37(3): 135. CrossRef

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Association between Smoking Status, C-reactive Protein and the Metabolic Syndrome in Long-term Smokers among Middle-aged Korean Men.: Ha Young Lee, Jun Su Kim, Seok Hoon Kang, Jun Hyun Yoo; J Korean Acad Fam Med 2008;29(2):94-101. Published online February 10, 2008

Abstract
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Background
There are few studies about association between the metabolic syndrome and smoking status (onset of smoking, duration, number of cigarettes per day, pack-years) in long-term smokers. And CRP level, a risk factor of the metabolic syndrome, is known to be higher in smokers than in non-smokers. This study was done to assess the association of smoking status and CRP level with the metabolic syndrome in long-term smokers. Methods: Healthy men aged 40 years old or more who visited the Samsung Medical Health Promotion Center were selected. We examined the participants' clinical characteristics by using self-reporting questionnaires, laboratory data, and Bruce treadmill test. We estimated the prevalence of the metabolic syndrome and identified the association between smoking status, CRP, and the metabolic syndrome by multiple logistic regression method. Results: The prevalence of the metabolic syndrome was higher in the long-term smokers (21.4%) than in the non-smokers (17.5%). The odds ratios of developing the metabolic syndrome were 2.46 (95% CI 1.31∼4.62) and 2.57 (95% CI 1.20∼5.50) in men who smoked 20∼29 and 30 or more cigarettes, respectively, compared with those who smoked 1∼9 cigarettes. And the odd ratio was 1.41 (95% CI 1.01∼1.97) in men who had high CRP level (≥0.3 mg/dl) compared with the normal CRP group. The number of cigarettes had statistically positive association with the CRP level (coefficient Ղ=0.059; P＜0.05). Conclusion: The prevalence of the metabolic syndrome was higher in the long-term smokers than in the non-smokers, and proportional to the number of cigarettes in the long-term smokers. The number of cigarettes smoked per day was correlated positively to the CRP level in the middle-aged Korean men. (J Korean Acad Fam Med 2008;29:94-101)

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Home-based Hospice-palliative Care Service Administered by University-based Family Practice.: Seok Hoon Kang, Ha Young Lee, Jun Su Kim, Jung Kwon Lee, Hwa Kyung Jung; J Korean Acad Fam Med 2006;27(11):889-894. Published online November 10, 2006

Abstract
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Background
: Systematic care is not well provided in patients with terminal cancer and their families in Korea. Unnecessary hospitalization, multiple emergency room visits for controlling acute symptoms and the use of unqualified alternative care services are typical health care utilization patterns in such patients. We operated home-based hospice-palliative care services to help these patients and their families at a university-based family practice setting. Our experience is presented for the development of care model of hospice-palliative care services.

Methods : We investigated the demographic characteristics, the clinical findings and the utilization of medical care services of 72 terminally ill cancer patients before and after enrollment to hospice-palliative care unit from April 25, 2003 to April 21, 2005.

Results : The frequency of emergency room visits and the number of hospitalizations were decreased by Wicoxon Signed Ranks Test after the enrollment to home-based hospice-palliative care service unit. The duration of emergency room visits decreased from 7.7 hours to 0.3 hours and the duration of hospitalization decreased from 6.5 days to 0.0 days in median. The cost per emergency room visits decreased from 268,801 won to 153,816 won and the cost per hospitalization decreased from 285,491 won to 106,294 won in median.

Conclusion : Home-based hospice-palliative care services can be an efficient and effective model for the care of terminally ill cancer patients at a low cost.