Journal of Yeungnam Medical Science

Original article

A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study: Hyun Ji Kim, Geon Ho Lee; J Yeungnam Med Sci. 2022;39(3):216-222. Published online November 3, 2021; DOI: https://doi.org/10.12701/yujm.2021.01361

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Background
This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19.
Methods
In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants.
Results
Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19–related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19–related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients.
Conclusion
Nurses who performed COVID-19–related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19–related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

Citations

Citations to this article as recorded by

Key predictors of psychological distress and wellbeing in Australian frontline healthcare workers during COVID-19 (Omicron wave)
Brian En Chyi Lee, Mathew Ling, Leanne Boyd, Craig A. Olsson, Jade Sheen
Frontiers in Psychology.2023;[Epub] CrossRef
Depression and burnout among Chinese nurses during COVID-19 pandemic: a mediation and moderation analysis model among frontline nurses and nonfrontline nurses caring for COVID-19 patients
Jingjun Wang, Xia Huang, Mengmeng Wang, Lei Huang, Ya Wang
BMC Psychiatry.2023;[Epub] CrossRef
Frontline nurses' burnout and its associated factors during the COVID-19 pandemic in South Korea
Eun-Young Noh, Yeon-Hwan Park, Young Jun Chai, Hyun Jeong Kim, Eunjin Kim
Applied Nursing Research.2022; 67: 151622. CrossRef
Characteristics of Occupational Burnout among Nurses of Various Specialties and in the Time of the COVID-19 Pandemic—Review
Robert Ślusarz, Klaudia Cwiekala-Lewis, Mariusz Wysokiński, Karolina Filipska-Blejder, Wiesław Fidecki, Monika Biercewicz
International Journal of Environmental Research and Public Health.2022; 19(21): 13775. CrossRef

Original Article

Associations between smartphone addiction scale and sociopsychological aspects in medical school students: Hye In Kim, Seong Hi Cheon, Hwa Jeong Kang, Keunmi Lee, Seung Pil Jung; Yeungnam Univ J Med. 2017;34(1):55-61. Published online June 30, 2017; DOI: https://doi.org/10.12701/yujm.2017.34.1.55

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Abstract PDF

BACKGROUND
Smartphone addiction, academic stress and anxiety of university students are increasing gradually; however, few studies have investigated these factors in medical school students. Therefore, this study investigated associations between smartphone addiction scale and sociopsychological aspects in medical school students. METHODS: A total of 231 Yeungnam University College of Medicine students were enrolled in this study in March 2017. Gender, school grade, type of residence, and smartphone usage patterns of the students were surveyed. The Korean Smartphone Addiction Proneness Scale and each Korean version scale were used to assess sociopsychological aspects such as loneliness, stress and anxiety. RESULTS: There was a direct statistical correlation between loneliness, stress of negative perception, anxiety and smartphone addiction scales. There was also a negative statistical correlation between stress of positive perception and smartphone addiction scales. There was a higher level of anxiety among female students than male students. Additionally, there was a higher level of stress associated with negative perception and anxiety among medical students in the first grade than other students. Moreover there was a higher level of loneliness, stress of negative perception and anxiety among students who live with friends than students who live with their own family. CONCLUSION: Smartphone addiction scale and sociopsychological aspects significantly correlated. Moreover, the results suggest that female medical students in the first grade who have been separated from their family need more attention and management of loneliness, stress and anxiety to avoid smartphone addiction.

Citations

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Exploring the role of cognitive fusion and experiential avoidance in predicting smartphone use among medical university students
Jimin Lee, Seunghee Won, Sung Man Chang, Byung-Soo Kim, Seung Jae Lee
Journal of Contextual Behavioral Science.2023; 28: 18. CrossRef
Prevalence of Addictive Behaviors in Medical Students and Their Association With Stress
Jimin Lee, Seunghee Won, Sung Man Chang, Byung-Soo Kim, Seung Jae Lee
Psychiatry Investigation.2022; 19(1): 44. CrossRef
How addicted are newly admitted undergraduate medical students to smartphones?: a cross-sectional study from Chitwan medical college, Nepal
Sirisa Karki, Jaya Prasad Singh, Gita Paudel, Sushma Khatiwada, Sameer Timilsina
BMC Psychiatry.2020;[Epub] CrossRef

Case Report

Exacerbation of spasticity in ipsilateral shoulder after right brachial plexus block in a patient with right hemiplegia.: Sang Jin Park, Jong Yoon Baek; Yeungnam Univ J Med. 2015;32(1):22-25. Published online June 30, 2015; DOI: https://doi.org/10.12701/yujm.2015.32.1.22

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Abstract PDF: Spasticity is a common impairment in patients with central nervous system disease. Clinical observation has demonstrated that spasticity can be aggravated by various factors such as emotional state as well as noxious stimuli. A 51-year-old male patient was scheduled for arteriovenous fistula surgery. He had right hemiplegia including motor weakness and spasticity. It was decided that the surgery would be performed under an axillary brachial plexus block (BPB). He appeared nervous when blockade was terminated. The spasticity of the right shoulder increased after ipsilateral BPB. However, when we administered sedative drugs and performed interscalene BPB 2 days later, spasticity did not occur. Exacerbation of spasticity might be evoked by an anxious emotional state. Thus, it seems to be good to consider removing of anxiety and using an appropriate approach when it is tried to perform nerve blocks in individuals with spasticity.

Original Article

The Relationship of Spiritual Well-being and Anxiety, Depression and Quality of Life in Active Old Age.: Hyong Uk Youm, Seung Deuk Cheung, Wan Seok Seo, Bon Hoon Koo, Dai Seg Bai; Yeungnam Univ J Med. 2005;22(1):27-42. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.27

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Abstract PDF

BACKGROUND
This study assessed the mental health, in order to determine the effect of the subject's spiritual well-being on anxiety depression and quality of life in active old people, and to verify whether or not spiritual well-being is a new factor for comprehensive health in old people. MATERIALS AND METHODS: This study selected 184 old people aged over 65 years. The subject's spiritual well-being was assessed by the Korean Spiritual Well-Being Scale (SWS) that was composed of the Religious Well-being Scale (RWS) and Existential Well-being Scale (EWS). The quality of life was assessed using Quality of Life Scale, which was composed of the subjective feeling about life and the subject's satisfaction of their whole life. RESULTS: Among the psychosocial factors, the educational level and physical health, showed significant discriminative score in the SWS. A prior medical history was associated with a significantly low SWS score. Satisfaction with life was associated with a significantly high SWS score. These factors a showed significant discriminative EWS score rather than a RWS. Among the religion factors, the satisfaction with their religion showed significant difference in the SWS. The SWS score especially the EWS affected the anxiety and depression of the Korean Combined Anxiety and Depression Scale (CADS). The subjective feeling of life score was associated with a significantly EWS low score and the subject's satisfaction with their whole life score was associated with a significantly high EWS score. CONCLUSION: Spiritual well being has significantly effects on anxiety depression and the quality of life in active old age people, and the subject; s spiritual well-being might be a new factor for assessing health in old age.

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Cultural involvement and attitudes toward tourism: Examining serial mediation effects of residents’ spiritual wellbeing and place attachment
Jieyi Li, Li Pan, Yaou Hu
Journal of Destination Marketing & Management.2021; 20: 100601. CrossRef
The Mediating Effect of Spirituality between Nurses' Empathy and Elderly Care Performance in the Long Term Care Hospitals
Heeok Park, Eun Kyung Kim, Kyoung Ja Moon, Min Ji Kim
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 34. CrossRef
Effect of Death Education Program on Self-Esteem, Spiritual Well-Being, and Pain of Adults
Bock-Ryun Kim, Chung-uk Oh, Hye-kyung Kang
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 156. CrossRef
Factors Influencing Suicidal Ideation in Male Baby Boomers
Hee Sook Kim, Kwang Za Yu, Gyeong Ran Park
Journal of Korean Public Health Nursing.2014; 28(2): 347. 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

Review

Brain Benzodiazepine-like Molecules and Stress-anxiety Response.: Jeoung Hee Ha; Yeungnam Univ J Med. 1999;16(1):25-33. Published online June 30, 1999; DOI: https://doi.org/10.12701/yujm.1999.16.1.25

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Abstract PDF: Benzodiazepines(BZDs) are among the widely prescribed drugs in the world. They are potent anxiolytic, antiepileptic, hypnotic, and muscle relaxing agents. There is an emerging model of the role of several neural systems in anxiety and their relation to the mechanism of action of BZDs. It has been postulated that BZD drugs exert their anxiolytic action by regulating GABAergic transmission in limbic areas such as the amygdala, in the posterior hypothalamus, and in the raphe nuclei. The involvement of the amygdala in the behaviors triggered by fear and stress has been suggested by many previous studies. In this review, reports about regulatory effects of endogenous BZD receptor ligands on the perception of anxiety and memory consolidation were summerized. These findings further support the contention that BZD receptor ligands modulate memory consolidation of averse learning tasks by influencing the level of stress and/or anxiety that accompanies a learning experience. The findings suggest that the decrease in the limbic levels of BZD-like molecules seen after the various behavioral procedures represent a general response to stress and/or anxiety, since it occurs in proportion to the level of stress and/or anxiety that accompany these tasks. In addition, these findings further support the hypothesis that the GABAA/BZD receptor complex in limbic structures plays a pivotal role in the stress and anxiety.

Case Report

A case of child separation anxiety disorder with severe weight loss and school refusal: Sang Ruyl Jang, Hyung Bae Park; Yeungnam Univ J Med. ;10(1):226-236. Published online June 30, 1993; DOI: https://doi.org/10.12701/yujm.1993.10.1.226

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Abstract PDF: Separation anxiety disorder (SAD) is characterized by excessive anxiety about being apart from the individuals to whom a child is most attached. We noticed a case of a 13 year old boy's SAD with symptoms of nausea/vomiting, stomachache, school refusal, and severe weight loss. His mother was overanxious and overdependent but her dependency was frustrated due to family problem. We investigated this case from a point of developmental aspect and family dynamics and tried to attempt therapeutic approach.

Original Articles

Anxiety and depression of the Korean residents in China.: Jeong Kyu Sakong, Seung Douk Cheung, Chang Su Kim, Cheol Gu Kim, Bong Jin Kim; Yeungnam Univ J Med. 1992;9(2):275-287. Published online December 31, 1992; DOI: https://doi.org/10.12701/yujm.1992.9.2.275

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Abstract PDF: In order to survey the reality of anxiety and depression among the Koreans residing in china, a study was conducted between January and March of 1991, on the residents of Yun-Kil city, with subjects of 472 Koreans and 479 Chinese. The evaluation was based on the questionnaires, named Combined self-rating anxiety depression scale (CADS), distributed among the subjects. ANOVA and t-test were applied for data processing. The results were as follows: There was not significant difference in the mean of total scores between the two groups. The scores of Koreans were 29.70±7.03, while those of Chinese were 29.45±9.01. The score of the CADS above 50 (clinically significant level) was seen in 12 (2.54%) Koreans and 21 (4.38%) Chinese. The anxiety-depression scores relating to the items of indigestion and decreased appetite, sleep disturbance, apprehension, decreased libido were relatively high among the Koreans. The items appeared low in scores among the Koreans were faintness, fear, suicidal rumination, hopelessness, paresthesias. The highs among the Chinese were facial flushing, anxiousness, dissatisfaction, suicidal rumination. The items appeared low among the Chinese were fear, faintness, paresthesias, weight loss, suicidal rumination. In the compatison of evaluation by items between the two groups, the items placing the Koreans significantly higher over the Chinese are indigestion & decreased appetite, sleep disturbance, apprehension, decreased libldo. The Chinese marked significantly higher in facial flushing, anxiousness, dissastisfaction, suicidal rumination. Those in the case of female (p<0.01 respectively), less than twenty years old (p<0.01 respectively), dissatisfied with family relationship (p<0.01 respectively), with past history of psychiatric hospitalization (Koreans p<0.01, Chinese p<0.05), pessimistic toward future, present, past self image (p<0.01 respectively) had significantly higher scores in both groups. In religion, neither group showed significant difference. In religion, neither group showed significant difference. In marital status, the Koreans showed a higher degree of divorce and separation and the Chinese in singleness (p<0.01 respectively). The Korean were higher in illiteracy and the Chinese had more college education (p<0.01 respectively). In place of growth, The Koreans showed not much difference in the areas while more Chinese grew up un large cities (p<0.01). More Koreans lived in the dormitory while the Chinese were engaged more in self-cooking (p<0.01 respectively), In pocket money per mouth, more Koreans were less than 1 dollar while the Chinese were between 7 and 10 dollars (p<0.01 respectively). There were no significant difference between two groups about religion.

Comparison of the depression and anxiety between the elderly in the home for the aged and those in the community.: Hyo Seok Seo, Sung Duk Jung, Chang Su Kim; Yeungnam Univ J Med. 1992;9(2):256-268. Published online December 31, 1992; DOI: https://doi.org/10.12701/yujm.1992.9.2.256

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Abstract PDF

This survey was conducted from January 1991 to May 1991. Two hundred and eight residents in 4 government supported homes for the aged and hundred and eleven living in the community in Taegu, Korea, were examined to evaluate the depression and the anxiety of the aged with combined anxiety and depression scale (CADS) and somatization symptom check list (SCL). There are no significant differences between residents in the home for the aged and those living in the community on the total scores of CADS and SCL. However, in the case of the total score of CADS of the female subjects in the home for the aged were significantly higher than those of the community residents. The elderly in the home for the aged tended to have pure depression, while community residents were likely to have anxiety and depression. Fifty-two subjects of home for the aged and sixty-nine of the community scored over 50 points of CADS, which indicates considerable depression or anxiety. In psychosocial factors, the subjects who in the following situations had statistically significant higher scores than others. The results were as follow. Poor health, unhappiness, unsatisfaction to the past occupation, pessimistic thought in future view for both group and unsatisfaction of the relationship with familiar people for the elderly in the community. The SCL scores of two groups subgrouped by under 49 and 50 on CADS showed significant differences between each subgroup on all of the SCL items. It could be suggested that somatic symptoms for the aged is a sign of depression.

Citations

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Factors Influencing Depression among Elderly Patients in Geriatric Hospitals
Young Ju Jee, Yun Bok Lee
Journal of Physical Therapy Science.2013; 25(11): 1445. CrossRef

A study on anxiety-depression and psychoticism in hospitalized patients.: Jin Sung Kim; Yeungnam Univ J Med. 1992;9(1):54-67. Published online June 30, 1992; DOI: https://doi.org/10.12701/yujm.1992.9.1.54

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Abstract PDF: The author studied the mental status of 497 patients admitted in non-psychiatric wards and 42 patients diagnosed as mental disorders by DSM-III-R criteria and admitted in three general hospitals located in Pusan city, using NADS and PSCS. The assessment were obtained from October, 1991 to March, 1992 and the results as follows: The mean±SD of Anxiety-Depression scores were 34.4±10.4 in non-psychiatric patients and 50.0±18.3 in psychiatric patients. The psychiatric group had significantly higher scores than non-psychiatric group. The mean±SD of Psychosis scores were 3.9±4.4 in non-psychiatric patients and 20.3±9.8 in psychiatric patients. The psychiatric group had significantly higher scores than non-psychiatric group. In the psychosocial factors, dissatisfaction in family atmosphere and acquaintanceship with parents (P<0.001, relatively), pessimistic in future, present and past self-images (P<0.001, relatively), and yes in previous psychiatric treatment of admission (p<0.01, relatively) had common significant relationships to Anxiety-Depression and Psychosis scores. There were correlationships between NADS scores and PSCS scores (γ=0.74), past and present self-images (γ=0.45), present and future self images (γ=0.45), past and future self-images (γ=0.34) and family atmosphere and acquaintanceship with parents (γ=0.49) The regression analysis revealed that present self-image, acquaintanceship with parents, future self-image, past self-image, and family atmosphere, in order of significance were to be descriptive or predicable variances for Anxiety-Depression status. The discriminant analysis according to Anxiety-Depression scores showed that the cases of incorrect classification were 22 for non-psychiatric patient group and 2 for psychiatric patient group.

A study of anxiety scale applied to patients with anxiety disorder.: Jung Hoon Lee, Byung Tak Park; Yeungnam Univ J Med. 1992;9(1):156-166. Published online June 30, 1992; DOI: https://doi.org/10.12701/yujm.1992.9.1.156

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Abstract PDF

The authors studied anxiety, using Zung's self-rating anxiety scale (SAS), in the subjects of 127 male and 38 female patients with anxiety disorder. The authors investigated 165 patients in Yeungnam university hospital from January, 1987 to June, 1991. In order to analyze the data on anxiety scores Pearson's product moment coefficient correlation method and factor analysis were carried out by SPSS/PC+ program. The results were as follows: There was significant difference in the mean averages of total anxiety scores among patients with anxiety disorder and male and female college freshmen: patients with anxiety disorder scored 42.40±7.74, male students scored 32.91±5.70, female students scored 34.48±6.00. The anxiety scores relating to the items of body aches & pains, fatigue, anxiousness, panic and urinary frequency were relatively high in patients with anxiety disorder. The anxiety scores on the items of restlessness, apprehension, dyspnea, sweating, and insomnia were relatively low in patients with anxiety disorder. Twenty-nine anxiety disorder group (17.5%) showed significantly high anxiety scores of 50 or over. The inter-rater reliability of Zung's self-rating anxiety scale was 0.71.

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Impact of Quality of Communication With Clinicians on Depression, Anxiety, and Quality of Life Among Korean Family Caregivers in End-of-Life Care Settings
Min Young Jung, Alicia Matthews, Chang Park, Colleen Corte, Geraldine Gorman, Sujeong Kim
American Journal of Hospice and Palliative Medicine®.2022; 39(10): 1137. CrossRef
Reliability and Validity of Korean Geriatric Anxiety Inventory(K-GAI)
Jiyun Kim, Myung Sook Park, Doo Nam Oh
Journal of muscle and joint health.2014; 21(1): 75. CrossRef

Transcultural research for mental health between the rural population of Nepalese and Korean.: Young Uck Kim, Seung Douk Cheung; Yeungnam Univ J Med. 1991;8(1):142-153. Published online June 30, 1991; DOI: https://doi.org/10.12701/yujm.1991.8.1.142

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Abstract PDF: In order to make transcultural research for mental health centered on anxiety and depression between two countries of which psychosocial factors are different, the author studied 698 Nepalese in Dolka in January 1990 and 417 Korean of Chungdo and Kyungju in Korea from July to August 1990 by using the Combined Self-Rating Anxiety Depression Scale (CSADS). The author applied t-test and ANOVA to compare these two groups. The results were as follows: The total scored of Nepalese scored 51.27±11.10 while Korean Scored 44.29±11.79. The anxiety-depression scores relating to the items of restlessness, depressed affect, apprehension, crying spells and fatigue were significantly high in Nepalese, while fatigue, sleep disturbance, dissatisfaction, dizziness, and anxiousness were significantly high in Korean. Both groups showed an increase of score with age. The item relating to education, the scores of the CSADS was significantly high in lower education level in Nepal but Korean showed no significant difference among education level. The score of the CSADS above 50 (clinically significant level) was seen in 361 (51.7%) Nepalese and 116 (27.9%) Korean, which shows the proportion of Nepalese are significantly higher than that of Korean.

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