A Study on the Stress and Fatigue Symptoms of High School Students according to the Life Styles

일부 고등학생들의 일상생활특성에 따른 스트레스와 피로자각증상의 평가

  • Lee, Ju-Young (Graduate School of Public Health, Chungnam National University) ;
  • Song, In-Soon (Daejeon Gao Middle School) ;
  • Jeong, Yong-Jun (Department of Preventive Medicine and Public Health, College of Medicine, Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, College of Medicine, Chungnam National University)
  • 이주영 (충남대학교 보건대학원) ;
  • 송인순 (대전 가오중학교) ;
  • 정용준 (충남대학교 의과대학 예방의학교실) ;
  • 조영채 (충남대학교 의과대학 예방의학교실)
  • Published : 2003.06.01

Abstract

The present study was designed to evaluate the factors influential on stress and subjective fatigue symptoms based on school life environments and daily life styles among high school students. The self-administered questionnaires were delivered to 2,381 high school students of both sexes in Taejon Metropolitan city during the period from Mar. 1st to Jun. 30th, 2000. The analysis of study results revealed the following findings: 1. According to the magnitude of stress, the normal subjects were 3.1%, the groups with potential stress were 64.7%, and the groups at high risk for stress were 32.2%. Higher level of stress existed in the female than the male students, and in the third grader than the 1st and 2nd graders. According to the classification of typical constitutional symptoms of fatigue, category III (group with bodily projection of fatigue) was the most frequent and it was followed by category II (group with difficulty in concentration) and category I (group with dullness and sleepiness) in a decreasing order of frequency, which showed that the predominant pattern of fatigue arose from the body parts. 2. With regard to the school life characteristics and stress scores, the higher scores of stress were shown in the groups with the lower grades, with worse friend's relation and with the lower satisfaction with the school life. The scores for the subjective fatigue symptoms were higher in the male, in the low graders, in the better friend's relation, and in the satisfactory group than the respective counterparts. 3. Concerning home life characteristics, the higher scores of stress were associated with the students characterized by the recognized poor economic conditions, lower interests of parents, lack of satisfaction with the home life, the poor subjective health status. On the other hand, the scores for the subjective fatigue symptoms were higher in the student groups with good economic conditions, higher interests of parents, presence of satisfaction with the home life, and good subjective health status. 4. Concerning daily life styles, the higher scores of stress were in the students who had inappropriate sleep hours, skipped breakfasts, daily consumption of intermeal snacks, lack of exercise, daily smoking, normal indices of obesity, and lower indices of health habit. Conversely, the scores of subjective fatigue symptoms were higher in the groups who had daily breakfasts, no intermeal snacks, daily exercise, no smoking than their counterparts. 5. The factors exerting influence upon the stress included the satisfaction with school life, friend's relation, satisfaction with the home life, exercise, school grades, interests of parents, school year, sex, scores of health habit, degree of obesity, economic conditions of home. Those influencing on the degree os stress included stress, intermeal snacks, smoking, friend's relation and satisfaction with the home life.

Keywords

References

  1. 김광일, 천호택, 김이영, 김명정. 고등학교 재학생의 정신건강실태조사(Ⅰ). 개인집중조사에 의한 소견. 정신건강연구 제1집, 1983; 1-4
  2. 박종원. 청소년 정신장애 환자의 생활사건에 관한 연구. 신경정신의학, 1982;21(4):587-594
  3. 박중섭. 최영민, 이정호: 소아우울에 관련된 요인. 신경정신의학, 1995; 34(5):1485-1491
  4. 송인순, 조영채. 중학생의 피로자각증상과 체형 및 건강의식과의 관련성성에 관한 연구. 한국학교보건학회지, 1997; 10(2):169-178
  5. 오장균. 한 사업장 근로자들의 스트레스 생활습관 및 건강수준간의 관계. 대한산업의 학회지, 2000; 12(1):26-40
  6. 이명학, 남해성, 손석준, 이정애, 김병우. 한 대학 신입생의 우울수준과 관련변인에 관한 연구. 대한보건협회지, 1994; 20(2):71-83
  7. 이영수. 일부 산업장근로자들에 있어서 스트레스 자각정도와 건강습관과의 관련성. 예방의학회지, 1990; 23(1):33-42
  8. 이해진, 김택준, 전정일, 구정완, 정치경. 약사의 피로증상. 대한산업의학회지, 1997;9(1):26-39
  9. 장세진. 건강통계자료수집 및 측정의 표준화 연구-스트레스. p92-143, 2000
  10. 주영숙. 고등학생의 불안요인과 심리적 제 특성과의 상관연구. 연세대학교 대학원 박사논문, 1984; 113-117
  11. 門田新一郞. 中學生の生活管理に關する硏究- 疲勞自覺症狀に及ぼす生活行動の影響について-. 日本公衛誌, 1985; 32(1):25-35
  12. 門田新一郞. 高校生の疲勞自覺症狀と日常生活狀況, 行動との關連について, 數量化Ⅱ類を用いた檢討. 學校保健硏究, 1990; 32:239-247
  13. 飯 飯島久美子, 森本兼.. ライフスタイルの健康影響評價- 生活習慣, 不定呼訴と精神的健 康との關連性. 日本公衛誌, 1988; 35:573-578
  14. 池田順子, 米山京子, 完岡市光. 中學生期における食生活, 生活狀況の變化と疲勞自覺症狀との關連. 日本公衛誌, 1998; 45:1099-1114
  15. 高倉 實. 大學生の蓄積的疲勞症候と生活の質, 健康習慣, 生活條件の關連について. 保健の科學, 1992; 34(6):272-279
  16. 日本産業衛生協會産業疲勞硏究會. 産業疲勞の自覺症狀しらべ. 勞動科學, 1970;25:12-33
  17. 河野友信, 曾根陸子, 坂本洋子. 新しい學校保健. 東京, 朝倉書店, 1989
  18. Breslow L, Belloc NB. Relationship of physical health status and health practices. Preventive Med, 1972; 1:409-421 https://doi.org/10.1016/0091-7435(72)90014-X
  19. Deogatis LR. SCL-90-R administration, scoring and procedures manual. Clinical Psychometric Research, 1;Baltimore, 1977
  20. Dupuy HJ. Self-representations of general psychology well-bing of american adults. Paper presented at American Public Health Association Meeting, Los Angeles, California, October 17, 1978
  21. Elinson J. Introduction to the theme: sociomedical health indicators. Int J Health Serv, 1978; 6:385-391 https://doi.org/10.2190/28BW-HJ92-XJ07-HGTR
  22. Goldberg DP. The detection of psychiatric illness by questionnaire. London, Oxford University Press, 1972
  23. Goldberg DP. Manual of the General Health Questionnaire. Windsor, England:NFER Publishy, 1978
  24. McDowell I, Newell C. Measuring health: A guide to rating scales and questionnaires. Oxford University Press, New York, 2nd edition, 1996
  25. Metzner HL, Carman WJ, House J. Health practice, risk factors and chronic disease in Techmsch.Prevent Med, 1983; 12:491-507 https://doi.org/10.1016/0091-7435(83)90204-9
  26. Piper BF, Dibble SL, Dodd MJ. The revised Piper Fatigue Scale: Psychosomatic evaluation in women with brest cancer. Nursing Diagnosis 1998; 4:677-684
  27. Schwartz AL. The Schwartz Cancer Fatigue Scale. Oncology Nursing Forum, 1998; 25:711-717
  28. Smets EMA, Garsssen B, Bonke B. The multidimentional fatigue inventory(MFI) psychometric qualifies of an instrument to assess fatigue. J psycho Res 1995; 39:315-325 https://doi.org/10.1016/0022-3999(94)00125-O
  29. Stein KD, Martin SG, Hann DM, Jacobsen PB. A multidimentional measure of fatigue for use with cancer patients. Cancer Practice, 1998; 6(3):143-152 https://doi.org/10.1046/j.1523-5394.1998.006003143.x
  30. Ware JE, Jonston SA, Davis-Avery A, Brook RH. Conceptualization and measurement of health for adults in the Health Insurance Study: Vol Ⅲ, Mental Health, Santa Monica, California: Rand Corporation, 1979
  31. Ware JE, Brook RH, Davis AR Lohr KN. Choosing measures of health status for individuals in general populations. Am J Public Health, 1981; 71:620-625 https://doi.org/10.2105/AJPH.71.6.620