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Original Articles

Association between Weight Changes over a 4-Year Period and Health-Related Quality of Life in Middle-Aged and Older Adults in Korea: The Korean Genome and Epidemiology Study Cohort
Sinyoung Cho, Mun Young Yoo, Na Hyun Kim, Sooah Paik, Doyeon Won, Jong Soo Han, Hyejin Lee, Woo Kyung Bae
Received August 28, 2023  Accepted March 16, 2024  Published online June 14, 2024  
DOI: https://doi.org/10.4082/kjfm.23.0152    [Epub ahead of print]
Background
The relationship between weight change and quality of life remains controversial. This study aimed to investigate whether changes in body weight among participants in different baseline body mass index categories are associated with physical and mental health functioning.
Methods
We conducted an analysis involving 5,106 adults who participated in the Korean Genome and Epidemiology Study, a cohort comprising Korean adults aged 40 to 69 years. We categorized participants into three groups based on body weight change, and physical and mental health were assessed using the 12-Item Short-Form Health Survey in year 4. We employed logistic regression analysis to assess the association between body weight change and poor functioning at year 4. We also utilized a generalized estimating equation to determine the relationship between weight changes and mental component summary (MCS) scores over the study period for each weight group.
Results
Weight gain in both the normal weight (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.13–3.11; P=0.01) and overweight groups (OR, 1.75; 95% CI, 1.05–2.91; P=0.03) was associated with poor MCS. Normal weight weight-losers were associated with a greater increase (2.69 points; 95% CI, 0.50–4.88) in MCS compared to weightmaintainers. Significant differences in mean MCS were observed for overweight weight-losers, obese weight-gainers, and underweight weight-gainers when compared to weight maintainers in each respective weight group.
Conclusion
Different patterns of relationships between weight change and mental health-related quality of life were observed. Hence, it is crucial to focus on the mental health of middle-aged and older adults when assessing body weight changes.
  • 1,099 View
  • 17 Download
Alcohol Use and Its Relation with Demographic, Environmental, and Psychological Factors among Adolescents in Nabawan, Sabah
Selly Jaimon, Pravina Deligannu, Fredie Robinson
Received November 28, 2023  Accepted March 16, 2024  Published online June 7, 2024  
DOI: https://doi.org/10.4082/kjfm.23.0262    [Epub ahead of print]
Background
Adolescence is an essential stage of a child’s development, transitioning them into adulthood. During this time, they are vulnerable to various social issues, such as experimenting with alcohol, among others. Although alcohol consumption was proven to be detrimental to physical and cognitive development toward adulthood, and almost one in 10 Malaysian adolescents aged 13 years and above are current drinkers, studies concerning the driving factors are still scarce. This cross-sectional study aimed to determine alcohol use among 244 adolescents in Nabawan, Sabah.
Methods
This study assessed the associations between alcohol use and three potential factors: demographic, environmental, and psychological. Respondents who were selected through stratified proportionate random sampling answered a set of assessment tools.
Results
Results showed that 30.7% (95% confidence interval [CI], 24.91–36.48) of Nabawan adolescents use alcohol. Analysis revealed that older age adolescents 18 years and 19 years, respectively (adjusted odds ratio [aOR], 3.93; P=0.021; aOR, 5.38; P=0.003), having parents (aOR, 4.11; P=0.001) and peers (aOR, 11.57; P<0.001) who consume alcohol were significantly associated with alcohol use. Unexpectedly, good parental monitoring (aOR, 2.46; P=0.019) and discussing serious problems with parents (aOR, 3.86; P=0.001) were significantly associated with alcohol use.
Conclusion
Conclusively, policies on alcohol-related harm reduction and prevention should be developed, especially school-based programs, programs addressing family functioning, and parent-child communication, among others, should be further looked into. Future research on the school environment, adolescents’ drinking motives, and the development of practical adolescent-friendly alcohol screening tools are recommendations for improvements.
  • 1,714 View
  • 27 Download
The Effect of Psychological Resilience on Cognitive Decline in Community-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study
Sunwoo Kim, Chang Won Won, Sunyoung Kim, Jung Ha Park, Miji Kim, Byungsung Kim, Jihae Ryu
Korean J Fam Med 2024;45(6):331-336.   Published online March 25, 2024
DOI: https://doi.org/10.4082/kjfm.23.0145
Background
Chronic stress is associated with an increased risk of cognitive impairment and Alzheimer’s disease. This study aimed to assess whether better coping with stress, as assessed using the Brief Resilience Scale (BRS), is associated with slower cognitive decline in community-dwelling older adults.
Methods
This study used 2018/2019 data and 2-year follow-up data from the Korean Frailty and Aging Cohort Study. Of the 3,014 total participants, we included 1,826 participants (mean age, 77.6±3.7 years, 51.9% female) who completed BRS and Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Battery and the Korean version of the Frontal Assessment Battery (FAB).
Results
Higher BRS score at baseline was associated with a lesser decline in the Mini-Mental State Examination score over 2 years after adjusting for age, sex, years of education, smoking status, hypertension, diabetes, and depression (B, 0.175; 95% confidence interval, 0.025–0.325) for 2 years, which represents global cognitive function. Other cognitive function measurements (Word List Memory, Word List Recall, Word List Recognition, Digit Span, Trail Making Test-A, and FAB) did not change significantly with the BRS score at baseline.
Conclusion
These findings suggest that better stress-coping ability, meaning faster termination of the stress response, may limit the decline in cognitive function.

Citations

Citations to this article as recorded by  
  • The Association between Frailty, Quality of Life and Resilience in Community-dwelling Retirement Village Residents
    Katherine Bloomfield, Zhenqiang Wu, Annie Tatton, Cheryl Calvert, Joanna Hikaka, Michal Boyd, Dale Bramley, Martin J. Connolly
    Journal of the American Medical Directors Association.2024; 25(11): 105256.     CrossRef
  • Comprehensive Health Strategies for the Post-pandemic Era: Integrating Physical Health, Psychological Resilience, Lifestyle Choices, and Occupational Well-being
    Su Hwan Cho
    Korean Journal of Family Medicine.2024; 45(6): 303.     CrossRef
  • 2,539 View
  • 93 Download
  • 3 Web of Science
  • 2 Crossref
The Mediating Role of Parental Support in the Relationship between Life Stress and Suicidal Ideation among Middle School Students
Bong-Hee Kang, Jae-Heon Kang, Hyun-Ah Park, Young-Gyu Cho, Yang-Im Hur, Won Yong Sim, Gyeong-Ran Byeon, Kyoungwoo Kim
Korean J Fam Med 2017;38(4):213-219.   Published online July 20, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.4.213
Background

Youth suicide is increasingly being recognized as a major social problem in South Korea. In this study, we aimed to explore the effects of parental support on the relationship between life stress and suicidal ideation among middle-school students.

Methods

This study analyzed data from a cross-sectional study on mental health conducted by the South Korea National Youth Policy Institute between May and July of 2013. Questionnaire responses from 3,007 middle-school students regarding stress factors, thoughts of suicide during the past year, and parental support were analyzed in terms of 3 subscale elements: emotional, academic, and financial support.

Results

Among the participants, 234 male students (7.8%) and 476 female students (15.8%) reported experiencing suicidal ideation in the past year. Life stress significantly influenced suicidal ideation (P<0.001), and parental support and all of the subscale elements had a significant influence on decreasing suicidal ideation. As shown in model 1, life stress increased suicidal ideation (adjusted odds ratio [aOR], 1.318; P<0.001), and, in model 2, the effect of life stress on suicidal ideation decreased with parental support (aOR, 1.238; P<0.001).

Conclusion

Parental support was independently related to a decrease in suicidal ideation, and life stress was independently related to an increase in suicidal ideation. Parental support buffered the relationship between life stress and suicidal ideation.

Citations

Citations to this article as recorded by  
  • Stress in Caregivers of Youth Hospitalized for Suicide Ideation or Attempt
    Valerie J. Micol, Alejandra Arango, Cheryl A. King, Ewa K. Czyz
    Behavior Therapy.2025; 56(1): 110.     CrossRef
  • Brief Report: The Association of Adverse Childhood Experiences and Suicide-Related Behaviors Among 10th-Grade Secondary School Students
    Daniel Núñez, Jorge Gaete, Viviana Guajardo, Nicolás Libuy, Ana María Araneda, Lorena Contreras, Paula Donoso, Carlos Ibañez, Adrian P. Mundt
    Archives of Suicide Research.2024; 28(1): 399.     CrossRef
  • Disclosures of self‐injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation
    Alexandra H. Bettis, Taylor A. Burke, Samantha R. Scott, Cara Bedock, Caroline Ambriano, Jordan Parrish, Destinee Marsh, Kathryn R. Fox
    Journal of Clinical Psychology.2024; 80(3): 537.     CrossRef
  • The effect of parent–adolescent discrepancies in reports of familial dysfunction and depression on suicidal ideation in adolescents
    Raney Sachs, Paul A. Nakonezny, Kennedy M. Balzen, Jessica Heerschap, Betsy D. Kennard, Graham J. Emslie, Sunita M. Stewart
    Suicide and Life-Threatening Behavior.2024; 54(3): 515.     CrossRef
  • Coping Strain and Suicidal Ideation Among Pakistani adolescents: A Moderated Mediation Model of Depression and Parental Connectedness
    Amna Tauqeer, Asfa Eman, Laraib Arif, Ammara Ali Bakhteyar, Sumara Masood Ul Hassan
    Pakistan Journal of Psychological Research.2024; 39(4): 851.     CrossRef
  • Family processes: Risk, protective and treatment factors for youth at risk for suicide
    Guy Diamond, Tamar Kodish, E. Stephanie Krauthamer Ewing, Quintin A. Hunt, Jody M. Russon
    Aggression and Violent Behavior.2022; 64: 101586.     CrossRef
  • How Worries about Interpersonal Relationships, Academic Performance, Family Support, and Classmate Social Capital Influence Suicidal Ideation among Adolescents in Japan
    Masato Nakano, Chiho Yamazaki, Hideta Teshirogi, Hidaka Kubo, Yunosuke Ogawa, Satomi Kameo, Ken Inoue, Hiroshi Koyama
    The Tohoku Journal of Experimental Medicine.2022; 256(1): 73.     CrossRef
  • Suicidal ideation in mothers of asthmatic children and adolescents in a subspecialty outpatient practice
    Auxiliadora Damianne Pereira Vieira da Costa, Leticia Marques dos Santos, Mércia Lamenha Medeiros, Camila Oliveira Hansen, Yasmin Cardoso Monteiro Formiga, Claudio Torres de Miranda
    Psico.2022; 53(1): e37342.     CrossRef
  • Parent-adolescent relationships and their associations with adolescent suicidal behaviours: Secondary analysis of data from 52 countries using the Global School-based Health Survey
    Sayedul Ashraf Kushal, Yahia Md Amin, Shusama Reza, Md Shajedur Rahman Shawon
    EClinicalMedicine.2021; 31: 100691.     CrossRef
  • Risk factors for suicide in psychiatric emergency patients in Beijing, China: A large cross-sectional study
    Yizhu Pan, Gang Wang, Hui Zhu, Xiao Ji, Jingyuan Li, Li Yin, Yuan Chen
    Psychiatry Research.2021; 304: 114067.     CrossRef
  • Self-esteem, perceived social support, social capital, and risk-behavior among urban high school adolescents in Nepal
    Ratna Shila Banstola, Tetsuya Ogino, Sachiko Inoue
    SSM - Population Health.2020; 11: 100570.     CrossRef
  • Adolescent suicide in South Korea: Risk factors and proposed multi-dimensional solution
    Chae Woon Kwak, Jeannette R. Ickovics
    Asian Journal of Psychiatry.2019; 43: 150.     CrossRef
  • Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study
    Melissa Macalli, Marie Tournier, Cédric Galéra, Ilaria Montagni, Aicha Soumare, Sylvana M. Côté, Christophe Tzourio
    BMC Psychiatry.2018;[Epub]     CrossRef
  • 6,128 View
  • 89 Download
  • 12 Web of Science
  • 13 Crossref
Attachment Style and Resiliency in Patients with Obsessive-Compulsive Personality Disorder
Ali Zakiei, Mostafa Alikhani, Vahid Farnia, Zinab Khkian, Jalal Shakeri, Sanobar Golshani
Korean J Fam Med 2017;38(1):34-39.   Published online January 18, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.1.34
Background

The goal of the present study was to determine the relationships between attachment styles and resiliency in obsessive-compulsive personality disorder.

Methods

A random sample of 260 subjects was obtained from the population of undergraduate students of the Nour Branch of Islamic Azad University, which is located in Mazandaran, and these subjects were enrolled in this descriptive and correlational study. The collected data included the subjects' responses to an adult attachment style questionnaire, resilience scale, and obsessive-compulsive personality disorder questionnaire. The data were analyzed with Pearson correlation coefficient indices and multiple regressions.

Results

The results of the data analysis showed a positive correlation (relationship) between ambivalent/avoidant attachment styles and obsessive-compulsive personality disorder and a negative correlation between resilience and obsessive-compulsive personality disorder. Furthermore, these results demonstrated that attachment style and resiliency can predict obsessive-compulsive personality disorder. In addition, no significant relationships were found between the demographic variables (convertibles) and obsessive-compulsive personality disorder.

Conclusion

These results suggested that attachment style and resiliency contribute to the development of obsessive-compulsive personality disorder.

Citations

Citations to this article as recorded by  
  • Adverse Childhood Experiences and Obsessive-Compulsive Personality Traits: Mediating Effects of Attachment and Metacognition
    Emily Gray, Simon Boag
    Studia Psychologica: Theoria et praxis.2024;[Epub]     CrossRef
  • Child Abuse and Neglect and Obsessive–Compulsive Personality Traits: Effects of Attachment, Intolerance of Uncertainty, and Metacognition
    Emily Gray, Naomi Sweller, Simon Boag
    Journal of Child & Adolescent Trauma.2024; 17(4): 1189.     CrossRef
  • The relationship between moral judgment ability, parenting style, and perfectionism in obsessive–compulsive disorder patients: A mediating analysis
    Jiacheng Cui, Kongmei Zhu, Jianglin Wen, Wanjie Nie, Dong Wang
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Obsessive-Compulsive Personality Disorder: A Review of Symptomatology, Impact on Functioning, and Treatment
    Anthony Pinto, Jonathan Teller, Michael G. Wheaton
    Focus.2022; 20(4): 389.     CrossRef
  • Does a Secure Attachment Style Predict High Psychological Resilience in Patients With Cancer Receiving Chemotherapy?
    Fatma Basal, Seda Onur, Deniz Yamac, Cengiz Karacin, Guliz Zengin, İrem Bilgetekin, Umut Demirci, Berna Oksuzoglu
    Cureus.2020;[Epub]     CrossRef
  • Stressful Life Events and the Clinical Expression of Obsessive–Compulsive Disorder (OCD): An Exploratory Study
    André Kracker Imthon, César Antônio Caldart, Maria Conceição do Rosário, Leonardo F. Fontenelle, Euripedes Constantino Miguel, Ygor Arzeno Ferrão
    Journal of Clinical Medicine.2020; 9(10): 3371.     CrossRef
  • Obsessive compulsive disorder and attachment
    František Hodný, Ján Praško, Marie Ocisková, Michaela Holubová, Jakub Vaněk, Dana Končelíková, Petra Kasalová, Vlastimil Nesnidal, Jana Zmeková
    Psychiatrie pro praxi.2020; 21(3): 142.     CrossRef
  • 6,017 View
  • 102 Download
  • 6 Web of Science
  • 7 Crossref
Accuracy of Korean-Mini-Mental Status Examination Based on Seoul Neuro-Psychological Screening Battery II Results
In-Woong Kang, In-Gyu Beom, Ji-Yeon Cho, Hyo-Rim Son
Korean J Fam Med 2016;37(3):177-181.   Published online May 26, 2016
DOI: https://doi.org/10.4082/kjfm.2016.37.3.177
Background

The Korean-Mini-Mental Status Examination (K-MMSE) is a dementia-screening test that can be easily applied in both community and clinical settings. However, in 20% to 30% of cases, the K-MMSE produces a false negative response. This suggests that it is necessary to evaluate the accuracy of K-MMSE as a screening test for dementia, which can be achieved through comparison of K-MMSE and Seoul Neuropsychological Screening Battery (SNSB)-II results.

Methods

The study included 713 subjects (male 534, female 179; mean age, 69.3±6.9 years). All subjects were assessed using K-MMSE and SNSB-II tests, the results of which were divided into normal and abnormal in 15 percentile standards.

Results

The sensitivity of the K-MMSE was 48.7%, with a specificity of 89.9%. The incidence of false positive and negative results totaled 10.1% and 51.2%, respectively. In addition, the positive predictive value of the K-MMSE was 87.1%, while the negative predictive value was 55.6%. The false-negative group showed cognitive impairments in regions of memory and executive function. Subsequently, in the false-positive group, subjects demonstrated reduced performance in memory recall, time orientation, attention, and calculation of K-MMSE items.

Conclusion

The results obtained in the study suggest that cognitive function might still be impaired even if an individual obtained a normal score on the K-MMSE. If the K-MMSE is combined with tests of memory or executive function, the accuracy of dementia diagnosis could be greatly improved.

Citations

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  • Oral Health-Related Factors Associated with Dysphagia Risk among Older, Healthy, Community-Dwelling Korean Adults: A Pilot Study
    Da-Som Lee, Hee-Eun Kim, Jun-Seon Choi
    Healthcare.2024; 12(2): 267.     CrossRef
  • A screening method for mild cognitive impairment in elderly individuals combining bioimpedance and MMSE
    Min-Ho Jun, Boncho Ku, Kahye Kim, Kun Ho Lee, Jaeuk U. Kim
    Frontiers in Aging Neuroscience.2024;[Epub]     CrossRef
  • The Value of Subjective Olfactometry as a Predictive Biomarker of Neurodegenerative Diseases: A Systematic Review
    Laia Ramos-Casademont, Daniel Martin-Jimenez, Brenda Villarreal-Garza, Serafín Sánchez-Gomez, María Amparo Callejon-Leblic
    Life.2024; 14(3): 298.     CrossRef
  • Efficacy and Safety of Panax ginseng Sprout Extract in Subjective Memory Impairment: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
    Hyang-Im Baek, Ki-Chan Ha, Yu-Kyung Park, Tae-Young Kim, Soo-Jung Park
    Nutrients.2024; 16(12): 1952.     CrossRef
  • Enhancing physical and cognitive function in older adults through walking & resistance exercise: Korean national aging project randomized controlled study
    Parivash Jamrasi, Xinxing Li, Yunho Sung, Dong Hyun Kim, Seo Hyun Ahn, Yu Seon Kang, Wook Song
    Journal of Exercise Science & Fitness.2024; 22(4): 383.     CrossRef
  • The Development of a Quantitative Disability Assessment Tool in Patients with Idiopathic Parkinson’s Disease
    Han Gil Seo, Seo Jung Yun, Yoojin Song, Ho Seok Lee, Dae Hyun Kim, Won Hyuk Chang
    Diagnostics.2024; 14(18): 2063.     CrossRef
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    Yun-A Kim, Yoon Jeong Cho, Sang Gyu Kwak, Hae-Jin Ko
    Medicine.2024; 103(40): e39952.     CrossRef
  • Orofacial Muscle Strength and Associated Potential Factors in Healthy Korean Community-Dwelling Older Adults: A Pilot Cross-Sectional Study
    Da-Som Lee, Ji-Youn Kim, Jun-Seon Choi
    Applied Sciences.2024; 14(22): 10560.     CrossRef
  • Quality of life outcomes in terminal cancer patients attending regional cancer centers in South Korea: protocol for a prospective cohort study
    Jung hye Kwon, Jung Hun Kang, Jung-Sik Huh, Su-Jin Koh, Kyu-Hyoung Lim, Byungho Choi, Rock Bum Kim, Young Jin Choi, Eun-Kee Song, Hyun Woo Lee, Ye-Seul Kim, Se-Il Go, Hwan Jung Yun, Sun Jin Sym, Hyewon Ryu, Myung-won Lee
    BMC Cancer.2024;[Epub]     CrossRef
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    International Journal of Environmental Research and Public Health.2023; 20(2): 898.     CrossRef
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    Hyung Jin Choi, Minjung Seo, Ahro Kim, Seol Hoon Park
    Medicina.2023; 59(5): 945.     CrossRef
  • Association of Denture Use and Chewing Ability with Cognitive Function Analysed Using Panel Data from Korea Longitudinal Study of Aging (2006–2018)
    Nu-Ri Jun, Jae-Hyun Kim, Jong-Hwa Jang
    Healthcare.2023; 11(18): 2505.     CrossRef
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    Nutrients.2023; 15(23): 4957.     CrossRef
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    IL Han Choo, Ari Chong, Ji Yeon Chung, Jung-Min Ha, Yu Yong Choi, Hoowon Kim
    Psychiatry Investigation.2022; 19(5): 394.     CrossRef
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    Mohammad Nahid Hossain, Mohammad Helal Uddin, K. Thapa, Md Abdullah Al Zubaer, Md Shafiqul Islam, Jiyun Lee, JongSu Park, S.-H. Yang, Cosimo Ieracitano
    Journal of Healthcare Engineering.2021; 2021: 1.     CrossRef
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    JinShil Kim, Jiin Choi, Mi-Seung Shin, Jin-Kyu Park, Minjeong An, Sun Hwa Kim, Nayeon Choi, Mee Ok Lee, Seongkum Heo
    Heart & Lung.2020; 49(5): 530.     CrossRef
  • The Relationship between Physical Exercise and Cognitive Function in Korean Middle Aged and Elderly Adults without Dementia
    Youngseung Koh, Yeonsu Oh, Haesung Park, Woorim Kim, Eun-Cheol Park
    International Journal of Environmental Research and Public Health.2020; 17(23): 8821.     CrossRef
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    Haemi Jee, Jaehyun Park
    Journal of Exercise Rehabilitation.2020; 16(6): 489.     CrossRef
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    JinShil Kim, Seon Young Hwang, Seongkum Heo, Mi-Seung Shin, Sun Hwa Kim
    European Journal of Cardiovascular Nursing.2019; 18(5): 418.     CrossRef
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    Hyo-Weon Suh, Jieun Kim, Ojin Kwon, Seung-Hun Cho, Jong Woo Kim, Hui-Yong Kwak, Yunna Kim, Kyung Mi Lee, Sun-Yong Chung, Jun-Hwan Lee
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    Ae Young Lee, Juyoun Lee, Eungseok Oh, Soo Jin Yoon, Bora Yoon, Seong Dong Yu
    Journal of the Korean Neurological Association.2019; 37(3): 277.     CrossRef
  • Effects of Low-carbohydrate and High-fat Diet Supplemented with Ketogenic Drink on Cognitive Function and Physical Performance in the Elderly at High Risk for Dementia
    Eun-Ji Kim, Jung-Sik Park, Won-Sun Choi, Yoo Kyoung Park
    Korean Journal of Community Nutrition.2019; 24(6): 525.     CrossRef
  • Neuropsychological Assessment of Dementia and Cognitive Disorders
    Eun Hyun Seo
    Journal of Korean Neuropsychiatric Association.2018; 57(1): 2.     CrossRef
  • 5,755 View
  • 94 Download
  • 29 Web of Science
  • 32 Crossref
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
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
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    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
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Perceived Stress, Alexithymia, and Psychological Health as Predictors of Sedative Abuse
Nader Rajabi Gilan, Ali Zakiei, Sohyla Reshadat, Saeid Komasi, Seyed Ramin Ghasemi
Korean J Fam Med 2015;36(5):210-215.   Published online September 18, 2015
DOI: https://doi.org/10.4082/kjfm.2015.36.5.210
Background

The harmful effects of sedative medications and substances in conjunction with limited research regarding predictive psychological constructs of drug abuse necessitate further investigation of associated factors. Therefore, the present study aimed to elucidate the roles of perceived stress, alexithymia, and psychological health as predictors of sedative abuse in medical students.

Methods

In this cross-sectional study, 548 students at Kermanshah University of Medical Sciences, Iran, were selected using stratified random sampling. The data were obtained using the Perceived Stress Scale, an alexithymia scale (Farsi version of the Toronto Alexithymia Scale-20), and a General Health Questionnaire to assess psychological health. Data were analyzed using discriminant analyses.

Results

The results demonstrated that the user and non-user of sedative substances groups had significantly different predictive variables (except for social function disorder) (P>0.05). Physical complaints, alexithymia, and perceived stress, which had standard coefficients of 0.80, 0.60, and -0.27, respectively, predicted sedative drug use.

Conclusion

The results of the present study indicate that perceived stress, alexithymia, physical complaints, anxiety, and depression are associated with sedative drug abuse.

Citations

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  • Psychotropic medicine use without current or prior medical advice, storage at home and association with perceived stress in a primary health care setting in Greece
    P. Volkos, E.I. Kritsotakis, E.K. Symvoulakis
    Medicina de Familia. SEMERGEN.2024; 50(3): 102150.     CrossRef
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    Hadis Ashrafizadeh, Azam Shirinabadi Farahani, Arndt Büssing, Maryam Rassouli
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    Kirsi Honkalampi, Markus Jokela, Soili M. Lehto, Mika Kivimäki, Marianna Virtanen
    Scandinavian Journal of Psychology.2022; 63(5): 427.     CrossRef
  • Perceptions of Spiritual Dryness in Iran During the COVID-19 Pandemic
    Arndt Büssing, Sara Hamideh Kerdar, Mohammad Esmaeil Akbari, Maryam Rassouli
    Journal of Religion and Health.2021; 60(5): 3347.     CrossRef
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Relationship between Family Adaptability, Cohesion and Adolescent Problem Behaviors: Curvilinearity of Circumplex Model
Ju Youn Joh, Sun Kim, Jun Li Park, Yeon Pyo Kim
Korean J Fam Med 2013;34(3):169-177.   Published online May 24, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.3.169
Background

The Family Adaptability and Cohesion Evaluation Scale (FACES) III using the circumplex model has been widely used in investigating family function. However, the criticism of the curvilinear hypothesis of the circumplex model has always been from an empirical point of view. This study examined the relationship between adolescent adaptability, cohesion, and adolescent problem behaviors, and especially testing the consistency of the curvilinear hypotheses with FACES III.

Methods

We used the data from 398 adolescent participants who were in middle school. A self-reported questionnaire was used to evaluate the FACES III and Youth Self Report.

Results

According to the level of family adaptability, significant differences were evident in internalizing problems (P = 0.014). But, in externalizing problems, the results were not significant (P = 0.305). Also, according to the level of family cohesion, significant differences were in internalizing problems (P = 0.002) and externalizing problems (P = 0.004).

Conclusion

The relationship between the dimensions of adaptability, cohesion and adolescent problem behaviors was not curvilinear. In other words, adolescents with high adaptability and high cohesion showed low problem behaviors.

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Review
Diagnosis of Dementia: Neuropsychological Test.
Joon Hyun Shin
Korean J Fam Med 2010;31(4):253-266.   Published online April 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.4.253
Dementia is the syndrome declined the human cognitive function, especially the memory. It is important that each sub-domain of cognition must be evaluated in the diagnosis of dementia. The neuropsychological test is needed for proper evaluation of the cognitive state of patients suspected dementia. Because many neuropsychological (NP) tests have been developed and validated in Korea, we have to understand the characteristics and the pros and cons of each test. Clinical Practical Guideline (CPG) for dementia has been developed by clinical research center for dementia since 2007 and NP tests that have been used and validated frequently in Korea was presented in this CPG. As elderly population increases, the more patients have been diagnosed as dementia. Therefore, the primary physician examining and diagnosing the dementia patients have to understand the NP test fundamentally.

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