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Patterns of Anger Expression among Middle-aged Korean Women: Q methodology
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Yong Mi Lee, Geun Myun Kim
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J Korean Acad Nurs 2012;42(7):1001-1008. Published online December 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.7.1001
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Abstract
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- Abstract
Purpose
The purpose of this study was to identify the characteristics of anger expression in middle-aged Korean women by categorizing their patterns of expression while considering the complexity and multidimensionality of anger, and by investigating the characteristics relative to the patterns.
Methods
The research design was a descriptive design using Q methodology, which is a method of measuring subjectivity. A convenience sample of 42 participants aged 40–60 years and living in the community in Korea was recruited. The PC-QUANL software program (a factor analysis program for the Q technique) was used to analyze the Q-sort data.
Results
Four factors were extracted that described different expressions of anger among middle-aged Korean women; these factors explained 50.1% of the total variance. The frames of reference of the four factors were a) direct diversion, b) silent masking with remaining anger, c) self digestion, and d) controlling anger with objectification.
Conclusion
In this study has identified patterns and characteristics of anger expression among middle-aged Korean women were identified, which will aid the development of effective anger-management programs for controlling anger in this population. In future studies, it would be helpful to investigate how the patterns of anger expression established herein are associated with specific health problems such as cardiovascular disorder and cancer.
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Citations
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- An Exploration of Pediatricians’ Professional Identities: A Q-Methodology Study
Mao-Meng Tiao, Yu-Che Chang, Liang-Shiou Ou, Chi-Fa Hung, Madalitso Khwepeya Healthcare.2024; 12(2): 144. CrossRef
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Prediction Model on Mental Health Status in Middle-aged Women of an Urban Area
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Pyong Sook Lee, Jung Nam Sohn, Yong Mi Lee, Hyun Cheol Kang
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Journal of Korean Academy of Nursing 2005;35(2):239-251. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.2.239
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Abstract
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Purpose
This study was designed to construct a structural model for explaining mental health status in middle - aged women.
Methods
The data was collected by self - reported questionnaires from 206 middle - aged women in Seoul. Data analysis was done with the SAS pc program for descriptive statistics and a PC - LISREL Program for finding the best fit model which assumes causal relationships among variables.
Results
The overall fit of the hypothetical model to the data was good, but paths and variables of the model were modified by considering theoretical implications and statistical significances of parameter estimates. Thus it was modified by excluding 3 paths. The modified model showed was good fit to the data(χ2=177.55, p=.00), GFI=0.908, AGFI=0.860, RMR=0.013, NFI=0.972, NNFI=0.982). Perceived stress, anger expression method, and self -esteem were found to have direct effects on mental health status in middle - aged women. These predictive variables of mental health status explained 66.6% of the model.
Conclusion
Programs to enhance mental health status in middle - aged women should include stress management skill, anger expression skill, and self-esteem enhancement skills to be effective.
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Citations
Citations to this article as recorded by 
- The Effects of Laughter Therapy on Anger, Anger Expressions and Mental Status After Oil Spill in Victimized Community Residence
Yong Mi Lee, Jung Nam Sohn Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 186. CrossRef - Anger Expression Type and Mental Health in Middle Aged Women
Il-Rim Choi Journal of Korean Academy of Nursing.2009; 39(4): 602. CrossRef
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A Correlational Study among Perceived Stress, Anger Expression, and Depression in Cancer Patients
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Pyong Sook Lee, Jung Nam Sohn, Yong Mi Lee, Eun Young Park, Ji Sun Park
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Journal of Korean Academy of Nursing 2005;35(1):195-205. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.1.195
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Abstract
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Purpose
This study was to identify the relationship between perceived stress, anger expression, and level of depression in cancer patients.
Method
A cross-sectional descriptive study design was used. Data was collected by questionnaires from 185 in- and out-patients who were diagnosed with cancer at 3 university hospitals and the National Cancer Center using Spielberger et al.'s Anger Expression Scale, Cohen, Kamarch & Mermelstein's Perceived Stress, and Derogatise's SCL-90. The data was analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression with SAS/PC.
Result
The perceived stress in cancer patients indicated a significant positive correlation to anger-in(r=.288, p=.000), anger-out(r=.232, p=.001), and depression(r=.68, p=.000), but no significant correlation to anger-control. The anger-in of cancer patients showed a significant positive relationship to anger-out(r=.53, p=.000), and depression(r=.383, p=.000), but no significant correlation to anger-control. Anger-out showed a significantly negative correlation to anger-control(r=-.248, p=.001) and a positive correlation to depression(r=.240, p=.001). The most significant predictor which influenced depression in cancer patients was perceived stress, followed by anger-in and hobby, and these factors explained their depression with a variance of 54%.
Conclusion
These results suggested that cancer patients with a high degree of perceived stress are likely to be high in anger-out and anger-in. Perceived stress and anger-in are major factors which affect depression in cancer patients.
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- Effects of Urban Forest Therapy on Depression, Anxiety, and Sleep Quality in People Experiencing Cancer
Youngsin Jeon, Ye-Seul Kim, Ga Yeon Kim, Poung-Sik Yeon Journal of People, Plants, and Environment.2024; 27(4): 303. CrossRef - Effects of Mindfulness Exercise Guided by a Smartphone App on Negative Emotions and Stress in Non-Clinical Populations: A Systematic Review and Meta-Analysis
Jinlong Wu, Yudan Ma, Yifan Zuo, Kangyong Zheng, Zhenhui Zhou, Yifan Qin, Zhanbing Ren Frontiers in Public Health.2022;[Epub] CrossRef - Dispositional Mindfulness, Perceived Stress, and Mental Well-Being in the Cancer Survivorship
Xiaoyan Liu, Pei Hwa Goh, Wei Xu, Jingjing Zhang, Shuai Li International Journal of Psychotherapy Practice and Research.2019; 1(4): 9. CrossRef - Factors influencing health-promoting behaviors in Korean breast cancer survivors
Myungsun Yi, Jeongeun Kim European Journal of Oncology Nursing.2013; 17(2): 138. CrossRef - Anxiety, Depression and Uncertainty in Cancer Patients Participating in Clinical Trial of Anticancer Drugs
Haejin Kim, Myungsun Yi Korean Journal of Adult Nursing.2013; 25(1): 53. CrossRef - Distress, Depression, Anxiety, and Spiritual Needs of Patients with Stomach Cancer
Eun Sook Wi, Jinsun Yong Asian Oncology Nursing.2012; 12(4): 314. CrossRef - The Relation Among Parenting Stress, Anger and Anger Expression in Infant's Mothers
Dong-Young Park Journal of the Korea Academia-Industrial cooperation Society.2012; 13(3): 1170. CrossRef - A Study on the Relationship among Family Support, Stress and Quality of Life on according to the Phases of Illness in Breast Cancer Patients
Sang Sun Cheon, So Young Choi Korean Journal of Women Health Nursing.2010; 16(1): 10. CrossRef - Comparison of Anger Expression, Assertive Behavior, and Self-esteem between a Nursing Student Group and an Educational Student Group
Ki-Wol Sung, Oh-Gye Kwag, Won-Hee Lee Journal of Korean Academy of Community Health Nursing.2010; 21(1): 1. CrossRef - Effects of Foot Massage and Supportive Communication by Hospice Volunteers on Depression, Anxiety, and Mood of Cancer Patients Who Undergo Intravenous Chemotherapy at Out-patient Department
Hea Kung Hur, Hee Young Song The Korean Journal of Hospice and Palliative Care.2010; 13(4): 232. CrossRef - Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
Eun Ok Lee, Aeyong Eom, Rhayun Song, Young Ran Chae, Paul Lam Journal of Korean Academy of Nursing.2008; 38(5): 649. CrossRef
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The Relationship of Stress, Social Support and Depression in the Elderly
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Pyoung Sook Lee, Yong Mi Lee, Ji Young Lim, Ra IL Hwang, Eun Young Park
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Journal of Korean Academy of Nursing 2004;34(3):477-484. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.3.477
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Abstract
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Purpose
This study was to identify the relationship between stress, social support and depression in the elderly.
Method
The subjects were 283 elderly adults over 60 in Seoul. Data was collected by questionnaire surveys using convenience sampling. The instruments used in this study are the ELSI developed by Aldwin(1990), the Interpersonal Support Evaluation List developed by Cohen & Hoberman (1983), and the Geriatric Depression Scale by Yesavage & Brink(1982). Data was analyzed by the SAS program, using descriptive statistics, Pearson Correlation Coefficient, t-test, ANOVA and progressed Multiple Regression.
Result
The relationship between stress and depression had a positive correlation (r= 0.33), but the relationship between stress and social support had no significant correlations. The relationship between social support and depression had a negative correlation (r= -0.38). The most powerful predictor of depression was the economic status and then a combination of stress, and social support account for 39% of the variance in depression in the elderly.
Conclusion
These results suggested that stress and social support deficits can be potential risk factors in old age depression. Therefore, these findings give useful information for constructing an intervention program focused on depression in the elderly.
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ИНСОМНИЯ КАК ТРАНСДИАГНОСТИЧЕСКИЙ ФЕНОМЕН У ПОЖИЛЫХ С ДЕПРЕССИВНЫМИ И ТРЕВОЖНЫМИ РАССТРОЙСТВАМИ
Е.Б. Мизинова, Т.А. Караваева, А.В. Васильева, Д.С. Радионов Успехи геронтологии.2024; 37(5): 546. CrossRef - Social Support, Activities of Daily Living, and Depression among Older Japanese and Koreans Immigrants in the U.S
Bumjung Kim, Hyeyoun Jun, Jisun Lee, Yun Min Kim Social Work in Public Health.2020; 35(4): 163. CrossRef - Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers
Gyong-Ae Choi, Hyun-Jung Choi, So-Young Park Korean Journal of Health Promotion.2019; 19(1): 32. CrossRef - Factors Influencing Depression in Middle Aged Women: Focused on Quality of life on Menopause
Jung Nam Sohn Journal of Health Informatics and Statistics.2018; 43(2): 148. CrossRef - Effects of Indirect Experience of Forest Healing Factors on Stress Reduction, Self-Esteem and Social Connectedness Improvements in the Elderly Participating in Horticultural Activities Program
Gue Hong Park, Chang Seob Shin, Yang Soon Hahn Journal of People, Plants, and Environment.2018; 21(5): 411. CrossRef - Differences of Characteristics of Life and Psycho-social Factors in Elderly Women Participating in Leisure Activity
Kyung-Hee CHUN, Euna PARK Journal of Fisheries and Marine Sciences Education.2016; 28(2): 428. CrossRef - The Relationships between Stress and ADL in Elderly Living Alone
Eun-Joo Seo, Nam-Hyun Cha Journal of Digital Convergence.2016; 14(7): 251. CrossRef - Examination of the Adlerian constructs of activity and social interest with depression among recent Korean retirees: Meaning in life as a mediator
Eunha Kim, Hae-Jeong Park, Ingrid Hogge Archives of Gerontology and Geriatrics.2015; 61(3): 378. CrossRef - The Effect of the Elderly's Stress on Depression -Focused on Mediating Effect of Resilience and Moderating Effect of Social Activity-
Young Ja Jeon Korean Journal of Human Ecology.2015; 24(2): 219. CrossRef - Factors Affecting a Health Promoting Lifestyle in Middle-Aged Women
Yong-Mi Lee, Geun-Myun Kim, You-Hee Jung The Journal of the Korea Contents Association.2014; 14(10): 570. CrossRef - Spiritual Well-Being, Social Support, Life Satisfaction and Depression in the Community Dwelling Elderly
So Nam Kim, Sang Bok Lee journal of east-west nursing research.2013; 19(2): 186. CrossRef - Factors Influencing Depressive Symptoms in Community Dwelling Older People
Jung Nam Sohn Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(2): 107. CrossRef - Gender Difference in Risk Factors for Depression in Community-dwelling Elders
Chul-Gyu Kim, Seungmi Park Journal of Korean Academy of Nursing.2012; 42(1): 136. CrossRef - Prevalence and Correlates of Depression in Older Koreans: Comparison of Young-old and Old-old
Kyung-Choon Lim, Seonho Kim Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(1): 1. CrossRef
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Influencing Factors on Symptoms of Stress of Middle Aged Women
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Kuem Sun Han, Pyoung Sook Lee, Yong Mi Lee
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Journal of Korean Academy of Nursing 2000;30(6):1427-1436. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.6.1427
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Abstract
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The purpose of this study was to identify the influencing factor on Symptoms of Stress of Middle Aged Women.
The subjects of this study were 35 middle aged women who lives in Seattle, Washington in U.S, and 74 middle aged women who lives in Seoul. Data collection was performed at the University of Washington and Seoul from Oct.
1998 to May. 1999. Data collected through 4 types of questionnaires : SOS, Ways of Coping, Mood Status, Perceived Stress.
The results of this study are as follows:
1. The stress symptoms showed positive correlation with emotion-oriented coping, mood status, and perceives stress.
2. Stepwised multiple regression analysis revealed that most powerful predictor of Stress Symptoms was mood status. A combination of perceived stress, mood status and ways of coping account for 64% of the variance in Symptoms of stress in Middle aged women.
From the results of the study, the following recommendations are presented as follow:
1. It is necessary to replicate this study with a larger sample.
2. It is necessary to develop a stress management program focused on ways of coping, mood status, perceived stress for middle aged women.
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