특수목적 고등학교 대입 수험생의 입시스트레스, 자기효능감, 스트레스반응

최은정 한국자료분석학회 2014 Journal of the Korean Data Analysis Society Vol.16 No.1

The purpose of this study were to examine the college entrance examination stress, self-efficacy and stress response of foreign language high school students and to identify the predictors of stress response. A total of 274 foreign language high school students were participated in this study. The data were analyzed by descriptive statistics, t-test or ANOVA, Pearson correlation coefficient, and stepwise multiple regression. The mean of college entrance examination stress was 3.09, the mean of self-efficacy was 3.36 and the mean of stress response was 1.48. College entrance examination stress was negatively correlated with self-efficacy (r=-.406, p<.001) and positively correlated with stress response (r=.538, p<.001). Also self-efficacy was negatively correlated with stress response (r=-.389, p<.001). Insufficient free time (β=.267, p<.001), self-efficacy (β=-.262, p<.001), and test tension (β=.232, p<.001) accounted for 30.1% of stress response (F=40.250, p<.001). Health education program should be developed to enhance self-efficacy and decrease college entrance examination stress. 본 연구는 특수목적 고등학교 대입 수험생의 입시스트레스와 자기효능감 및 스트레스반응을 조사하고 스트레스반응에 영향을 미치는 요인을 규명하여 특수목적 고등학교 수험생의 건강증진을 위한 보건교육프로그램 개발의 기초자료로 사용하고자 시행된 서술적 상관관계연구이다. 연구대상자는 부산시내 특수목적 고등학교 수험생 274명이었고 연구도구는 입시스트레스, 자기효능감, 스트레스반응 척도를 사용하였다. 자료분석은 SPSS 프로그램을 이용하여 기술통계, t-test 및 ANOVA를 이용한 차이검증, 피어슨 상관계수 및 다중회귀분석을 실시하였다. 특수목적 고등학교 대입 수험생의 입시스트레스 평균점수는 3.09점이었고 자기효능감의 평균점수는 3.36점이었으며 스트레스반응의 평균점수는 1.48점이었다. 특수목적 고등학교 대입 수험생은 입시스트레스가 높을수록 자기효능감이 낮았고(r=-.406, p<.001) 스트레스반응이 높았으며(r=.538, p<.001) 자기효능감이 낮을수록 스트레스반응이 높았다(r=-.389, p<.001). 스트레스반응에 영향을 미치는 요인으로 여가부족(β=.267, p<.001), 자기효능감(β=-.262, p<.001), 시험긴장/성적부진(β=.232, p<.001))이 확인되었고(F=40.250, p<.001) 예측요인들은 스트레스반응을 30.1% 설명하였다. 향후 보건교육프로그램 개발 시 스트레스반응에 영향을 미치는 요인을 고려하여 여가활동을 권장하고 자기효능감을 증진시키며 시험긴장으로 인한 스트레스를 관리하는 내용을 포함시켜야 할 것이다.

University Entrance Examination Stress Syndrome in the South Korean Society : A Challenge to the Youth Ministry

Jeon, Byoung-Jae 한국복음주의실천신학회 2017 복음과 실천신학 Vol.42 No.-

이 논문은 입시 스트레스로 인해 고통 받고 있는 한국 교회안의 청소년의 경험에 관한 이론적·경험론적 연구이다. 연구의 목적은 학업 스트레스와 입시 스트레스로 고통 받고 있는 기독 청소년을 관계지향적인 돌봄 사역을 통해 효과적이고 능동적으로 그들을 돌볼 수 있는 구체적인 전략적 방법을 한국의 지역 교회에 제시하는데 있다. 본 연구는 아스머(Osmer)의 실천 신학 방법을 기반으로 하고 있으며, 크루거(Krueger)와 케이시(Casey)가 제시한 포커스 그룹 인터뷰 방법론을 사용하여 인터뷰한 데이터(data)를 분석하였다. 결론은 사회적 지지 및 멘토링 시스템의 역할로서의 회중(congregation)이 지역 교회 안에 있는 청소년의 입시 스트레스를 완화시키고 입시에 대한 소명자로서의 정체성을 확립하도록 돕기 위해 한국 사회와 지역 교회를 이어주는 다리 역할을 수행해야 한다. This article presents theoretical and empirical research regarding the experience of the youth who belong to South Korean churches, that are suffering from entrance examination stress. The purpose of this article is to present a possible method to the South Korean local churches, to strategically care for and support those youth suffering from entrance examination stress and academic pressures, by means of a relationship-oriented care ministry. The research in this study is based on Osmer's practical theological method, and Krueger and Casey’s methodology was used to analyse the focus group interview data. In conclusion, the congregation as a part of the social support and mentor system should fulfil the role of a bridge connecting the Korean society and the local church, as to ease the entrance examination stress of youth in the local church and to establish their identity as God’s called to the entrance examination.

시험 스트레스에 의한 단핵구의 IL1β합성 증가

임창훈,이 철,황채연,도규영,백인호 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

연구목적: 심리적 스트레스는 주로 면역계와 신경내분비계를 포함한 중추신경계를 통하여 인체에 영향을 미친다. Cytokine은 스트레스에 대한 면역계의 반응을 총괄하며, 중추신경계와의 상호작용에 중요한 매개체로서 작용한다. 특히 IL1β는 스트레스에 의하여 발생되는 우울증과 같은 행동상의 변화와 밀접한 관계가 있는 것으로 알려져 있다. 따라서 본 연구에서는 45명의 건강한 의과대학생을 대상으로 시험 스트레스에 의한 스트레스 지각도 및 IL1β의 변화를 조사하고, IL1β유전자 TaqI 다형성과 관련을 알아보고자 하였다. 방 법: 시험당일과 시험 2주 후에 채혈을 하였으며, IL1β를 측정하기 위하여 말초혈액 단핵구를 37℃, 5% CO₂에서 3일간 배양하였다. DNA의 분리에는 Ficoll-Paque 방법을 이용하였으며, 다형성 부위를 PCR을 통하여 증폭하였다. TaqI 다형성의 대립유전자형을 구분하기 위하여, 증폭된 DNA를 TaqI으로 처리한 후 15% polyacrylamide gel에 전기영동 하였다. 결 과: 시험당일의 스트레스척도와 IL1β값이 시험 2주 후에 비하여 유의하게 높았으며, 스트레스 척도의 차이 값과 IL1β의 변화 값 사이에 상관관계가 있는 것으로 나타났다. 그러나 대립유전자 A2의 빈도가 매우 낮아 스트레스척도 및 IL1β값에 대한 유전적 관련은 통계적인 의의를 구하지 못하였다. 결 론: 이상의 결과는 시험스트레스가 말초혈액 단핵구의 IL1β 생성을 증가시키며, 스트레스의 자각정도와 IL1β의 변화 값 사이에 유의한 상관관계가 있는 것으로 보여준다. 뿐만 아니라 이는 심리적 스트레스에 의하여 유발될 수 있는 우울증의 발생기전의 이해에 중요한 단서를 제시해준다고 하겠다. Objectives: There is now some evidence that, in humans, psychological stress may affect immune and neuroendocrine system. In stress response, cytokines are known to orchestrate the cellular interaction of immune system and act as a major messenger in a communication with CNS. Specifically, IL1β has been reported to be colsely related with stress induced behavior change, such as depression. Accordingly, we assessed cytokine production by peripheral blood mononuclear cells(PBMC) before and after an academic examination in 45 healthy medical students. Furthermore the possibility that IL1β TaqI polymorphism may be associated with stress response of IL1β production was investigated. Methods: Blood samples were collected on the day of examination and at the second week after examination. For cytokine assay seperated PBMC were incubated for 3 days at 37℃, 5% CO₂. DNA was prepared by Ficoll-paque method and polymorphic region was amplified by PCR. After TaqI restriction, products were seperated by 15% polyacrylamide gel electrophoresis. Results: IL1β production and stress score were significantly higher on the examination day. The change of stress score was significantly correlated with the change of IL1β production. However. the frequency of allele A2 was too low that the significance of genetic association could not be properly estimated. Conclusion: This study reports that psychological stress is accompanied by an increased production of IL1β with significant correlation.

침자극과 이완요법이 시험 스트레스에 미치는 영향 - 심박변이도와 동공크기변이도를 사용하여 -

곽선,이승기,박경모,최우진,Kwak, Sun,Lee, Seung-Gi,Park, Kyung-Mo,Choi, Woo-Jin 경락경혈학회 2004 대한침구의학회지 Vol.21 No.2

Objectives : The purpose of this study was to investigate the effects of acupuncture stimulation and relaxation therapy on autonomic nervous system for students with examination stress by HRV, PSV and to find out relationship with anti-stress effect. Methods : The study group consists of 42 students were classified into three groups randomly : acupuncture stimulation group(male n=8, female n=6), relaxation therapy group(male n=8, female n=6) and rest group(male n=8, female n=6). Using heart rate variability and pupil size variability, we measured the value of HRT, SDNN, SDSD, LF norm, HF norm, LF/HF ratio, Pupil area, and compared the changes the sympathetic- parasympathetic activity. Measurement value were compared before and after, during midterm examination and normal times. Results : 1. HRT, LF/HF ratio, LF norm of acupuncture group was significantly decreased and HF norm were significantly increased in HRV after acupuncture stimulation at a term of examination. While variables of the other group were no significantly different. 2. SDNN of acupuncture group were significantly increased in HRV after acupuncture stimulation at normal times. 3. Pupil area, LF norm, HF norm of three group were no significantly different in PSV at a term of examination. 4. Pupil area of relaxation group were significantly decreased in PSV at normal times. While variables of the other group were no significantly different. 5. HRT of rest group were significantly decreased in HRV between three groups at a term of examination and normal times. 6. Pupil area of relaxation group were significantly decreased in PSV between three groups at a term of examination and normal times. Conclusion : The results suggest that acupuncture stimulation is associated with changed activity in the sympathetic and parasympathetic nervous system. Measurement values of HRV and PSV are suitable to estimate the activity of automatic nervous system.

침자극과 이완요법이 시험 스트레스에 미치는 영향 -심박변이도와 동공크기변이도를 사용하여-

곽선 ( Sun Kwak ),최우진 ( Woo Jin Choi ),이승기 ( Seung Gi Lee ),박경모 ( Kyung Mo Park ) 대한경락경혈학회 2004 Korean Journal of Acupuncture Vol.21 No.2

Objectives: The purpose of this study was to investigate the effects of acupuncture stimulation and relaxation therapy on autonomic nervous system for students with examination stress by HRV, PSV and to find out relationship with anti-stress effect. Methods: The study group consists of 42 students were classified into three groups randomly: acupuncture stimulation group(male n=8, female n=6), relaxation therapy group(male n=8, female n=6) and rest group(male n=8, female n=6). Using heart rate variability and pupil size variability, we measured the value of HRT, SDNN, SDSD, LF norm, HF norm, LF/HF ratio, Pupil area, and compared the changes the sympathetic- parasympathetic activity. Measurement value were compared before and after, during midterm examination and normal times. Results: 1. HRT, LF/HF ratio, LF norm of acupuncture group was significantly decreased and HF norm were significantly increased in HRV after acupuncture stimulation at a term of examination. While variables of the other group were no significantly different. 2. SDNN of acupuncture group were significantly increased in HRV after acupuncture stimulation at normal times. 3. Pupil area, LF norm, HF norm of three group were no significantly different in PSV at a term of examination. 4. Pupil area of relaxation group were significantly decreased in PSV at normal times. While variables of the other group were no significantly different. 5. HRT of rest group were significantly decreased in HRV between three groups at a term of examination and normal times. 6. Pupil area of relaxation group were significantly decreased in PSV between three groups at a term of examination and normal times. Conclusion: The results suggest that acupuncture stimulation is associated with changed activity in the sympathetic and parasympathetic nervous system. Measurement values of HRV and PSV are suitable to estimate the activity of automatic nervous system.

스트레스와 인구학적 특성의 연관성 분석 : 2015년 국민건강영양조사를 중심으로

이성임,김상균,서미경 통계청 2018 통계연구 Vol.23 No.4

Recent surveys indicate that a high percent of Koreans feel a lot of stress. In this paper, we construct the five-dimensional contingency table from the Korean National Health and Nutrition Examination Survey(KNHANES) in 2015. We also analyze the association between sex, age, smoking status, economic activity, and stress by fitting a proper log-linear model. The odds ratio between gender and stress differ across age groups. The odds of feeling more stress appear higher in women than in men especially in the age group ‘over sixty years’. Unlike men, women had little difference in stress between group ‘between forty years and sixty years’ and group ‘over sixty years’. The odds ratios between age groups and economic activity also differ across gender. The odds of participation in economic activity is the highest in group ‘between forty years and sixty years’, and the difference among age groups is higher in men than in women. The results show that there is a relationship between various characteristics and that all the demographic characteristics used in the analysis had a significant relationship with stress. 최근 우리나라는 다양한 조사를 통해 스트레스를 느끼는 사람의 비율이 높은 것으로 나타났다. 본 논문에서는 2015년 국민건강영양조사로부터 수집한 자료를 통해 성별, 나이, 흡연 여부, 경제활동 상태 및 스트레스 간의 연관성에 대해 실증분석 하였고, 5차원 분할표에 로그선형모형을 적합하여 변수 간 연관성을 확인하였다. 성별과 스트레스 인지 정도 간의 오즈비는 나이의 영향을 받는 것으로 나타났는데, 남성과 달리 여성은 중년층과 노년층의 스트레스 차이가 거의 없었다. 또한, 중년층이 경제활동을 참여할 오즈가 가장 크게 나타났는데, 나이와 경제활동 상태 간의 오즈비는 성별의 영향을 받아 남성일 때 연령층별 오즈의 차이가 더 크게 나타났다. 위의 결과를 통해 다양한 특성 사이의 연관성을 확인할 수 있었고, 특히 분석에 사용한 모든 특성은 스트레스와 유의한 연관성이 존재하는 것으로 나타났다.

구강건강인식과 증진행위에 따른 스트레스 수준

이미옥(Mi-Oak Lee),윤현서(Hyun-Seo Yoon) 한국구강보건과학회 2018 한국구강보건과학회지 Vol.6 No.2

The purpose of this study was to examine the relationships of oral health care, oral health awareness, and self-rated stress based on the data of the 2017 community health survey for South Gyeongsang Province, in an effort to provide some information on the development of programs geared toward promoting the oral health of local residents and relieving their stress. The questionnaire used in this study consisted of six items on general characteristics, five on oral health promotion behaviors, three on self-rated oral health, and one on self-rated stress. Crosstabs, t-test, ANOVA and correlation analysis were carried out. As for stress by general characteristics, stress levels were higher among respondents who were female, who were younger, who were unmarried, who were better educated, whose household income was larger, and who engaged in economic activity. Regarding oral health awareness by general characteristics, the levels of self-rated oral health in all three items were lower among the respondents who were older, who had been married yet didn t have spouses, who earned a lower level of income, who were less educated, and who engaged in economic activity. As to oral health promotion behaviors by general characteristics, the experience rates of dental checkups, scaling, dental floss and interdental brush were higher among the respondents who were female, who were in their 30s and 40s, who had been married and had spouses, who were better educated, whose income levels were higher and who engaged in economic activity. Unmet dental needs were higher among the respondents who were female, who were in their 30s, who had been married yet didn t have spouses, who were less educated, whose income levels were lower and who didn t engage in economic activity. In regard to stress levels according to oral health promotion behaviors, stress levels were higher among the respondents who received dental checkups, who had unmet dental needs, and who made use of dental floss and interdental brushes. Stress levels were lower among the respondents who had no unmet dental needs, and who used dental floss and interdental brushes. Self-rated stress was lower when self-rated health status was better, when chewing discomfort was less, and when the perceived gingival health state was better. Accordingly, oral health promotion behaviors were linked to oral health awareness, and stress levels are expected to become lower when systematic educational programs are prepared to change oral health awareness.

시험스트레스가 대학생의 질소대사에 미치는 영향

김미경,노경아 이화여자대학교 생명과학연구소 1996 생명과학연구논문집 Vol.7 No.-

This study was performed to investigate effects of examination-stress and protein supplementation on nitrogen metabolism and blood protein levels of Korean college students. Experiment was conducted at the beginning of a academic term and during midterm exmination. During midterm examination, subjects were classified into two groups randomly: protein supplemental group(male n=6, female n=10)and placebo group(male n=4, female n=9). Protein capsules(2g/day)above 10% of indispensible amino acids requirement estimates were given to supplemental group for 10 days. At the beginning of the term, male students(n=12)ingested 223.15mgN/kg/d, excreted 20.74mgN/kg/d in feces, and excreted 94.31mgN/kg/d in urine. Their apparent protein digestibility was 90.72%, true N balance was +100.11mgN/kg/d, and the mean maintenance N requirement of mixed Korean diet calculated was 112.13mgN/kg/d. Female students(n=19)ingested 171.44mgN/kg/d, excreted 22.13mgN/kg/d in feces, and excreted 122.92mgN/kg/d in urine. Their apparent protein digestibility was 86.76%, true N balance was +18.39mgN/kg/d, and the mean maintenance N requirement calculated was 135.31mgN/kg/d. Blood levels of serum total protein, albumin, and BUN were within normal range. During midterm exmination, fecal and urinary N excretions of female subjects(n=19)were increased, especially urea N markedly, and urea N/creatinine N ratio was augumented significantly. Apparent protein digestibility of male subjects(n=10)was decreased. Examinationstress showed 8.05mgN/kg/d(7.2%)increase of mean maintenance N requirement in male and 8.55mgN/kg/d(6.3%)increase in female students in comparison with that of the beginning of the term. Serum total protein and albumin levels showed no significant change, but serum transferrin level of female were decreased significantly. During midterm examination, females supplemented with protein capsules(2g/d)had no significant increase in fecal and urinary N excretions.

의학전문대학원생의 스트레스, 자아탄력성, 자기효능감과 임상수행능력과의 관계

홍선연(Hong, Sun-Yeun) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.12

최근 의학교육은 의과대학에서 의학전문대학원으로의 체제변화와 의사국가고시 실기시험 도입에 따른 변화 에 대처해야하는 과제를 안고 있다. 따라서 의학전문대학원 학생들의 특성을 고려하고 국가고시 실기시험을 대비한 임상수행능력향상을 위한 교육이 필요하다. 본 연구는 의대생들의 스트레스, 자아탄력성, 자기효능감에 따른 임상수 행능력과의 관계를 알아보기 위한 서술적 상관관계 연구로 D시에 소재한 일 의학전문대학원생 97명을 대상으로 2011년 8월19부터 20일까지 설문조사를 실시하였다. 연구결과는 스트레스는 자아탄력성과는 부적상관관계를 나타냈 었고 자기 효능감의 하부영역인 자신감과는 정적상관관계를 보였다. 자아탄력성은 임상실기수행능력의 하부영역인 CPX와는 정적상관관계를 나타내었다. 자기효능감의 하부영역인 과제난이도 선호는 OSCE와 부적상관관계를 나타내 었고, 임상실기수행능력의 하부영역인 OSCE와 CPX는 정적상관관계를 나타내었다. 따라서 학생들의 스트레스 감소 는 자아탄력성을 향상시킬 수 있으며 궁극적으로 임상실기수행능력을 향상시킬 수 있다고 본다. 이상의 결과로 볼 때, 임상실기수행능력 향상을 위해서는 학생 개인의 특성을 파악하여 자아탄력성 향상을 위한 교육프로그램을 개발 하고 교육과정에 반영하여야 할 것이다. Recently, the medical education is undergoing system transition from a medical college to a medical graduate school and introduction of performance test in the doctor license state examination. Therefore, To deal with these challenges, it is needed that medical faculty prepare the education programs for considering student's personal characteristics and improving Clinical performance. So, The purpose of this study was to understand relation among Stress, ego-resilience, self-efficacy and Clinical performance in graduate medical student, and for this study, We conducted a survey of 97 medical graduate school students in D city during the period from August 19st to 20st. 2011. The study found a negative correlation between Stress and Ego-Resilience, a positive correlation of stress with confidence at low region in Self-Efficacy. Ego-Resilience correlates positively with CPX at low region in Clinical performance, Preference for difficulty level of the task at low region in Self-Efficacy correlates negatively with OSCE. OSCE and CPX at low region in Clinical performance are positively correlated. Therefore, Stress reduction of students can improve Self-Efficacy, Furthermore, improve ultimately Clinical performance. According to this study, To improve Clinical performance competence, student's personal characteristics should be considered and education programs for self-efficacy and ego-resilience advancement be reflected in curriculum.

University Entrance Examination Stress Syndrome in the South Korean Society: A Challenge to the Youth Ministry

전병재 한국복음주의실천신학회 2017 복음과 실천신학 Vol.42 No.-

This article presents theoretical and empirical research regarding the experience of the youth who belong to South Korean churches, that are suffering from entrance examination stress. The purpose of this article is to present a possible method to the South Korean local churches, to strategically care for and support those youth suffering from entrance examination stress and academic pressures, by means of a relationship-oriented care ministry. The research in this study is based on Osmer's practical theological method, and Krueger and Casey’s methodology was used to analyse the focus group interview data. In conclusion, the congregation as a part of the social support and mentor system should fulfil the role of a bridge connecting the Korean society and the local church, as to ease the entrance examination stress of youth in the local church and to establish their identity as God’s called to the entrance examination.