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8 "Hyun Jeong Shin"
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Original Articles
Anger and Health Status in Late School-Age Children
Young Joo Park, Eun Sook Park, Soo Jeong Kim, Seung Sook Yang, Hyun Jeong Shin, Hye Sang Im, So Hyun Moon
Journal of Korean Academy of Nursing 2005;35(5):888-895.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.888
AbstractAbstract PDF
Purpose

This cross-sectional study was designed to identify anger-expression types in late school-age children and investigate the relation between the identified anger-expression types and their health status.

Methods

One thousand twenty seven children in elementary school fifth and sixth grades were recruited from November to December, 2004. Data was analyzed using descriptive statistics, cluster analysis, 2-test, ANOVA, Duncan's multiple comparison test, and Wilcoxon rank sum test.

Results

Three anger-expression types in late school-age children were found; Anger-out/in, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher state anger reported higher psychosomatic symptoms and depression. Children from a divorced or separated family reported higher state anger.

Conclusion

This study suggests that a specific anger management program needs to be developed for late school-age children with high state anger and frequently using the anger out/in expression type. For understanding the anger level and the anger expression types of Korean school-age children, further research needs to be done with large samples using a randomized sampling method.

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Anger, Problem Behaviors, and Health Status in Adolescent Women
Young Joo Park, Keum Sun Han, Hyun Jeong Shin, Hyun Chul Kang, So Hyun Moon
Journal of Korean Academy of Nursing 2004;34(7):1234-1242.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1234
AbstractAbstract PDF
Purpose

This cross-sectional study was designed to identify anger-expression typesof adolescent women and investigate the relation between the identified anger-expression types and their problem behaviors and health status.

Method

One hundred ninety nine high school freshmen were recruited from September to November, 2003. Data wasanalyzed using descriptive statistics, cluster analysis, χ2-test, ANOVA, and Duncan's multiple comparison test.

Result

Three anger-expression types in adolescent women were found; Anger-out/in, Anger-control/in, and Anger-control type. Adolescent women with frequently using the anger-out/in type and with higher state anger reported more delinquent behaviors, more health risk behaviors, and higher psychosomatic symptoms. However, adolescent women with lower state anger and frequently using the anger-control type reported more depression scores.

Conclusion

There is a need to further clarify the relationship between anger-expression typesand depression in adolescent women. The findings suggest the necessity of a development of the program for lowering the anger level and controlling the unfavorable anger expression types such as the anger-out in.

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The Predictors of Postpartum Depression
Young Joo Park, Hyun Jeong Shin, HoSihn Ryu, Suk Hee Cheon, So Hyun Moon
Journal of Korean Academy of Nursing 2004;34(5):722-728.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.722
AbstractAbstract PDF
Purpose

This study was designed to determine the predictors of postpartum depression.

Method

One hundred- sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression.

Result

The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress.

Conclusion

Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

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Prediction Model on Mother-infant Attachment during the Early Postpartum Period
Hyun Jeong Shin, Young Joo Park, Hyun Choel Kang
Journal of Korean Academy of Nursing 2004;34(3):504-514.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.3.504
AbstractAbstract PDF
Purpose

The purpose of this study is to identify the influencing factors of mother-infant attachment and construct a descriptive model that explains mother-infant attachment during the early postpartum period.

Method

The hypothetical model of this study consisted of 8 variables with 23 constructed paths. The subjects of this study were 152 postpartum women. Data was analyzed to test the hypothetical model using covariance structure analysis.

Result

The final model which is modified from the hypothetical model improved to Chi-Square 41.92, GFI .95, AGFI .89, RMSR .02, RMSEA .06, NFI .94, and NNFI .95. Mother-infant attachment during the early postpartum period was proven to be influenced directly by neonatal perception, maternal sensitivity, and maternal-fetal attachment and also indirectly by social support, maternal-fetal attachment and maternal identity. These variables accounted for 32% of the variance of the mother-infant attachment during the early postpartum period.

Conclusion

It is necessary that the nurses provide postpartum women with an intervention using social support for improving maternal identity and alleviating maternal role strain. It can be helpful to improve maternal sensitivity and in the end it will facilitate the mother-infant attachment during postpartum period.

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Maternal Transition in Mothers with High Risk Newborns
Hyun Jeong Shin
Journal of Korean Academy of Nursing 2004;34(2):243-251.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.243
AbstractAbstract PDF
Purpose

The purpose of this study was a comprehensive understanding about maternal transition in mothers with high risk newborns according to the degree of situational meaning.

Method

A methodological triangulation that combines qualitative and quantitative methods was used. The situational meaning of a high risk newborn mother was identified using a Family Meaning Attribution Scale. According to the degree of situational meaning, in-depth interviews were conducted at 3 time periods postpartum : between 3-10 days after childbirth, around the time of the newborn's discharge, and between 10-12 weeks after childbirth. Quantitative data was analyzed using descriptive statistics and t-test. Qualitative data was analyzed using Tutty, Rothery, & Grinnell's methodology.

Result

The average score of the situational meaning in high the risk newborn mother was 53.57(possible score is between 0-96) and the average score of each item was 1.67. A Maternal transition process in the mother that has a positive situational meaning was conceptualized in three distinctive phases : confusion, accepting, and shaping phases. The Maternal transition process in the mother that has a negative situational meaning was also conceptualized in three distinctive phases : avoiding, conflicting, and accepting phases.

Conclusion

It is necessary that the nurses provide high risk newborn mothers with individualized care considering both the situational meaning that is attributed to them and the maternal transition phase that they are faced with.

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Situational Meaning and Maternal Self-esteem in Mothers with High Risk Newborn
Hyun Jeong Shin
Journal of Korean Academy of Nursing 2004;34(1):93-101.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.93
AbstractAbstract PDF
Purpose

This study was designed to explore the relationship of situational meaning with maternal self-esteem in mothers with high risk newborn.

Method

The subjects of this study were 82 mothers with high risk newborn. Data were collected using a translated Family Meaning Attribution Scale and Maternal Self-Report Inventory. Data were analyzed using descriptive statistics, t-test, Pearson Correlation Coefficients and Stepwise Multiple Regression.

Result

The average score of the situational meaning in high risk newborn mothers was 64.01(possible score is between 0-96) and the average score of each item was 1.98. The average score of the maternal self-esteem in high risk newborn mothers was 81.96(possible score is between 26-104) and the average score of each item was 3.15. No significant differences were found in situational meaning according to general characteristics except whether it was a planned pregnancy or not. No significant differences were found in maternal self-esteem according to general characteristics except disease or admission experience during pregnancy. There was significant positive correlation between situational meaning and maternal self-esteem.

Conclusion

It is necessary for nurses to provide high risk newborn mothers with care for improving situational meaning that is attributed to the mothers. It can be helpful to improve maternal self-esteem and in the end it will facilitate the maternal transition in mothers with high risk newborn.

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Prediction on the Negative Outcomes of Anger in Female Adolescents
Young Joo Park, Kuem Sun Han, Hyun Jeong Shin, Hyun Chul Kang, Sook Hee Chun, So Hyun Moon, Young Sik Lee, Hun Soo Kim
Journal of Korean Academy of Nursing 2004;34(1):172-181.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.172
AbstractAbstract PDF
Purpose

This study was designed to construct a structural model for explaining negative outcomes of anger in female adolescents.

Method

Data was collected by questionnaires from 199 female adolescents ina female high school in Seoul. Data analysis was done with SAS for descriptive statistics and a PC-LISREL Program for Covariance structural analysis.

Result

The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 7 paths and adding free parameters to it. The modified model withthe paths showed a good fit to the empirical data(χ2 =5.62, p=.69, GFI=.99, AGFI=.97, NFI=.99, NNFI=1.01, RMSR=.02, RMSEA=.00). Trait anger, state anger, and psychosocial problems were found to have a significant direct effect on psychosomatic symptoms. State anger, psychosocial problems, and learning behaviorswere found to have direct effects on depression of female adolescents.

Conclusion

The derived modelis considered appropriate for explaining and predicting negative outcomes of anger in female adolescents. Therefore, it can effectively be used as a reference model for further studies and is a suggested direction in nursing practice.

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Anger, Cardiovascular Health and Depression in Middle-aged Korean Men: the Mediating Effect of Social Support
Young Joo Park, Soonim Baik, Hyun Jeong Shin, Ji Won Yoon, Sook Hee Chun, Sohyun Moon
Journal of Korean Academy of Nursing 2006;36(5):863-871.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.863
AbstractAbstract PDF
Purpose

A descriptive correlational study was designed to examine the relationship of trait anger and anger expression to blood pressure, cholesterol, and depression in middle-aged Korean men. In addition, this study investigated the mediating effect of social support in relation to anger and other variables.

Methods

Two hundred and ninety nine men aged 40 to 64 years were recruited from a health center at K University Hospital located in Ansan City, Kyungki province, Korea. The instruments used were Spielberger's state trait anger expression inventory-the Korean version for trait anger and anger expression, Beck's depression inventory for depression, and a Personal resource questionnaire for perceived social support.

Results

Men with high trait anger showed significantly higher systolic blood pressure(BP) and diastolic BP. The level of cholesterol did not have a significant relationship with trait anger and anger expression. The severity of depression was significantly higher in men with high trait anger or more frequent uses of anger-in or anger-out. The perceived social support had a significant mediating effect in relation to trait anger and depression.

Conclusions

Various nursing interventions for managing anger or improving social support need to be developed in a future study.

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