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Research Paper
A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities
Cho, Youyoung , Kim, Hyeonok
J Korean Acad Nurs 2022;52(4):407-420.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.21235
AbstractAbstract PDF
Purpose
This structural model study was constructed and verified a hypothetical model to examine the effects of parenting stress, social resources, family resources, and positive coping on resilience among mothers of children with developmental disabilities.
Methods
Data were collected using self‐report structured questionnaires, from October 19 to October 30, 2018, with 214 mothers caring for chil-dren with developmental disabilities under the age of 20 years.
Results
In the fitness test results of the hypothesis model, with the fit index χ 2 (p) = 69.27 (< .001), and the normed fit indices (χ 2 = 1.87, GFI = .94, CFI = .97, NFI = .93, and TLI = .95, RMSEA = .06, SRMR = .06), this study satisfies the good fitness in standards. There are seven statistically significant paths among the 10 paths set in the hypotheti-cal model. The explanatory power of parenting stress and social resources, which affects the family resources was 41.4%, the explanato-ry power of parenting stress, social resources, and family resources affecting the positive coping was 58.9%, and the explanatory power of parenting stress, social resources, family resources, and positive coping affecting resilience was 55.5%.
Conclusion
Positive coping, family resources, and social resources of mothers of children with developmental disabilities directly affect their resilience, and parenting stress indirectly affects it. Therefore, to improve the resilience of mothers of children with developmental disabilities, it is necessary to develop a systematic nursing intervention that considers parenting stress, social resources, family resources, and positive coping.
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Original Articles
Symptom Distress and Coping in Young Korean Breast Cancer Survivors: The Mediating Effects of Social Support and Resilience
Ji Hyun Lee, Hye Young Kim
J Korean Acad Nurs 2018;48(2):241-253.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.241
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to test the mediating effect of social support and resilience on the relationship between symptom distress and coping in young Korean breast cancer survivors.

Methods

A purposive sample of 209 young breast-cancer survivors (mean age 39.9) was recruited for a cross-sectional survey, and the data were collected between June and October 2015. The instruments used in this study were the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, 10-item Connor-Davidson Resilience Scale, and Cancer Coping Questionnaire. The collected data were then analyzed using the SPSS 23.0 and AMOS 23.0 programs.

Results

Symptom distress was found to have a significant indirect effect on coping (beta=-.32, p=.002), but not a significant direct effect (beta=.06, p=.577). Additionally, based on the values obtained for the squared multiple correlation, symptom distress, social support, and resilience were found to explain 46.4% of the total variance of coping.

Conclusion

Based on the results of this study, it can be suggested that in order to enhance young breast cancer survivors’ ability to cope with the distress they commonly feel, intervention methods that strengthen resilience and provide social support should be developed and made available to them.

Citations

Citations to this article as recorded by  
  • Factors affecting resilience among young breast cancer survivors: A cross-sectional study
    Hye Young Min, Yoonjung Kim, Hae Jeong An
    European Journal of Oncology Nursing.2025; 75: 102837.     CrossRef
  • Latent classes of health‐promoting lifestyle in breast cancer patients undergoing chemotherapy in China: A cross‐sectional survey
    Meixuan Song, Qiuyao He, Juan Yang, Jinyu Zhang
    Nursing Open.2024;[Epub]     CrossRef
  • How Online Patient-Provider Communication Alleviates Psychological Distress Among Patients with Chronic Diseases: The Role of Perceived Patient-Centered Communication and Adaptive Coping Strategies
    Bingqing Ling, Yu Zheng
    Health Communication.2024; : 1.     CrossRef
  • Factors Associated With Not Returning to Work Among Breast Cancer Survivors
    Leni Merdawati, Hui-Chen Lin, Chieh-Hsin Pan, Hui-Chuan Huang
    Workplace Health & Safety.2024;[Epub]     CrossRef
  • Postmastectomy Pain Syndrome: A Narrative Review
    Sajad Ahmad Salati, Lamees Alsulaim, Mariyyah H Alharbi, Norah H Alharbi, Thana M Alsenaid, Shoug A Alaodah, Abdulsalam S Alsuhaibani, Khalid A Albaqami
    Cureus.2023;[Epub]     CrossRef
  • Effects of the CALM intervention on resilience in Chinese patients with early breast cancer: a randomized trial
    Shaochun Liu, Runze Huang, Anlong Li, Sheng Yu, Senbang Yao, Jian Xu, Lingxue Tang, Wen Li, Chen Gan, Huaidong Cheng
    Journal of Cancer Research and Clinical Oncology.2023; 149(20): 18005.     CrossRef
  • Perceived social support and depressive symptoms in Chinese patients with ovarian cancer and the mediating role of resilience:a cross-sectional study
    Xiaoyan Pang, Fangmei Li, Lei Dou, Yichang Tian, Yi Zhang
    Current Psychology.2023; 42(24): 20485.     CrossRef
  • Resilience-related Breast Cancer: A Concept Analysis
    Fitria Endah Janitra, Nur Aini, Anggi Lukman Wicaksana
    Nurse Media Journal of Nursing.2023; 13(1): 31.     CrossRef
  • Factors influencing the coping strategies of liver cancer patients undergoing transarterial chemoembolization
    Su‐Chih Chen, Shu‐Fang Wu, Tsae‐Jyy Wang, John Rosenberg, Yu‐Ying Lu, Shu‐Yuan Liang
    International Journal of Nursing Practice.2022;[Epub]     CrossRef
  • Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study
    Kaina Zhou, Fan Ning, Xiao Wang, Wen Wang, Dongfang Han, Xiaomei Li
    BMC Women's Health.2022;[Epub]     CrossRef
  • Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study
    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
    PLOS ONE.2021; 16(10): e0258447.     CrossRef
  • A Mobile Healing Program Using Virtual Reality for Sexual Violence Survivors: A Randomized Controlled Pilot Study
    Mi‐ran Lee, Chiyoung Cha
    Worldviews on Evidence-Based Nursing.2021; 18(1): 50.     CrossRef
  • Factors related to the resilience and mental health of adult cancer patients: a systematic review
    Saori Tamura, Kumi Suzuki, Yuri Ito, Akiko Fukawa
    Supportive Care in Cancer.2021; 29(7): 3471.     CrossRef
  • Resilience in women with breast cancer: A systematic review
    Ibane Aizpurua-Perez, Joana Perez-Tejada
    European Journal of Oncology Nursing.2020; 49: 101854.     CrossRef
  • Individual resilience in adult cancer care: A concept analysis
    Dan Luo, Manuela Eicher, Kate White
    International Journal of Nursing Studies.2020; 102: 103467.     CrossRef
  • Relationship between cancer stigma, social support, coping strategies and psychosocial adjustment among breast cancer survivors
    No Eul Kang, Hye Young Kim, Ji Young Kim, Sung Reul Kim
    Journal of Clinical Nursing.2020; 29(21-22): 4368.     CrossRef
  • Effects of cyclic adjustment training delivered via a mobile device on psychological resilience, depression, and anxiety in Chinese post-surgical breast cancer patients
    Kaina Zhou, Jin Li, Xiaomei Li
    Breast Cancer Research and Treatment.2019; 178(1): 95.     CrossRef
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Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy
Young Mi Jang, Rhayun Song
J Korean Acad Nurs 2017;47(4):488-498.   Published online August 31, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.488
AbstractAbstract PDF
Purpose

The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies.

Methods

Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0.

Results

The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging.

Conclusion

The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.

Citations

Citations to this article as recorded by  
  • Development of a scale to measure selection, optimization, compensation (SOC) strategy in late middle-aged women: a methodological study
    Do-Young Lee, Gie Ok Noh
    Women's Health Nursing.2024; 30(3): 216.     CrossRef
  • Factors contributing to chronic obstructive pulmonary disease patients' functional performance: Structural equation modelling based on theory of unpleasant symptoms
    Hye Suk Jun, Younhee Kang
    Nursing Open.2023; 10(5): 3132.     CrossRef
  • Experiences on Self Management of Aged Men with Mild Chronic Obstructive Pulmonary Diseases
    Jeong-Soo KIM
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(3): 758.     CrossRef
  • The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
    Kyungmi Lee, Semi Lim
    Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421.     CrossRef
  • Life experience of older women with chronic conditions: Flow and Balance as a coping resource
    Sanghee Lee, Jinmoo Heo
    Educational Gerontology.2019; 45(4): 259.     CrossRef
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Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors: A Pilot Study
Cho Ja Kim, Hea Kung Hur, Duck Hee Kang, Bo Hwan Kim
Journal of Korean Academy of Nursing 2004;34(6):1069-1080.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.1069
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies.

Methods

One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks.

Results

There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress.

Conclusion

Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.

Citations

Citations to this article as recorded by  
  • Effects of BeHaS Exercise Program on Flexibility, Grip Strength, Stress and Self-esteem in Breast Cancer Survivors
    Sun Young Park, Jong Im Kim
    Journal of muscle and joint health.2013; 20(3): 171.     CrossRef
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Factors Influencing Headache in Children
Yeon Ran Hong
Journal of Korean Academy of Nursing 2005;35(6):1183-1189.   Published online October 31, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.6.1183
AbstractAbstract PDF
Objectives

This descriptive study was conducted to examine the degree of stress, coping styles, communication with the mother and depression between headache-suffering children and headache-free children and to explore predicted factors for headache occurrence in children.

Method

The subjects of this study consisted of 196 headache-free children and 107 headache-suffering children. They were 4th-6th graders of an elementary school in T city. The instruments in this study were David's stressor of children, Lazarus & Folkman's Stress Coping Style, PACI (Parent-Adolescent Communication Inventory) by Barnes & Olsen and Kovac's CDI (Children's depression inventory). Data were collected from May 2 to July 16, 2004.

Results

Total stress(t=-3.76, p=.035), school stress(t=-3.02, p=.001), mass media stress(t=-1.39, p=.029) and depression(t=7.62, p=.001) in headache-suffering children were significantly higher than those of headache-free children. Problem-oriented coping skills (t=1.23, p=.023), and the score of communication with the mother (t=2.32, p=.012) in headache-suffering children were lower than those of headache-free children. Logistic regression analysis (stepwise) showed that the most powerful predictor was stressors in school, followed by depression, stressors in mass media and communication with the mother.

Conclusions

This study revealed that important factors such as the degree of school stress, depression, the degree of mass media stress, communication with the mother and problem-oriented coping skills should be controlled for reducing of headaches in children.

Citations

Citations to this article as recorded by  
  • Factors Affecting Social Adjustment of Childhood Cancer Survivors.
    Su Mi Oh, Hye Jung Lee, Gwang Suk Kim, Kyung Duk Park
    Child Health Nursing Research.2013; 19(3): 238.     CrossRef
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  • 1 Crossref
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