Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지
DOI QR코드

DOI QR Code

The Characteristics of Symptoms of Depression and Anxiety Associated with Suicidal Ideation in Korean Employees

한국 직장인의 자살생각과 관련된 우울 및 불안증상의 특성

  • Park, Jooyun (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jeon, Sang-Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Eun-Jin (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Dong-Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Oh, Kang-Seob (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Young-Chul (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lim, Se-Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 박주연 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 전상원 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 김은진 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 신동원 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 오강섭 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 신영철 (성균관대학교 의과대학 강북삼성병원 정신건강의학과) ;
  • 임세원 (성균관대학교 의과대학 강북삼성병원 정신건강의학과)
  • Received : 2017.09.18
  • Accepted : 2017.10.25
  • Published : 2017.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : We have explored the relationship between suicidal ideation and some very specific characteristics of the symptoms of depression and anxiety in Korean employees. Methods : During the period 2013 through 2014, 100,793 employees who visited the Health Screening Center were asked to complete questionnaires, including the Center for Epidemiologic Study-Depression scale (CSE-D), the Beck Anxiety Inventory (BAI) and the presence of suicidal ideation. We attempted to determine which specific subscale, of each the CES-D and BAI would be more closely related to suicidal ideation by different gender and age by logistic regression. Results : Depression has been found to be a more prevalent and predominant factor in suicidal ideation, when compared to the presence of the condition of anxiety. Of four subscales of CES-D, issues arising from interpersonal relationships were most often associated with suicidal ideation, regardless of the chronologic age or gender of the subject. In BAI, cognitive anxiety showed a more significant association with suicidal ideation than did somatic anxiety in our study participants, showing same pattern in different gender and age groups. Conclusions : Among subscales of CES-D and BAI, the interpersonal relationship in CES-D and cognitive anxiety in BAI showed a higher and more significant association with suicidal ideation in Korean employees.

Keywords

References

  1. Hong JP, Lee DW, Sim YJ, Kim YH. Awareness, Attitude and Impact of Perceived Depression in the Workplace in Korea. J Korean Neuropsychiatr Assoc 2015;54:188-201. https://doi.org/10.4306/jknpa.2015.54.2.188
  2. Park SG, Min KB, Chang SI, Kim HC, Min JY. Job stress and depressive symptoms among Korean employees: the effects of culture on work. Int Arch Occup Eviron Health 2009;82:397-405. https://doi.org/10.1007/s00420-008-0347-8
  3. Choi YS, Baek KH, Cho SO, Choi EY, Park EW, Cheong YS, et al. The Effect of Job Stress in Jobholders on Propensity to Anxiety. J Korean Acad Fam Med 2004;25:224-232.
  4. Sohn JH, Ahn SH, Seong SJ, Ryu JM, Cho MJ. Prevalence, work-loss days and quality of life of community dwelling subjects with depressive symptoms. J Korean Med Sci 2013;28:280-286. https://doi.org/10.3346/jkms.2013.28.2.280
  5. Breitbart W. Suicide risk and pain in cancer and AIDS patients. Current and emerging issues in cancer Pain: Research and practice. New York: Raven Press;1993. p.49-65.
  6. Sareen J, Cox BJ, Afifi TO, de Graaf R, Asmundson GJ, ten Have M, et al. Anxiety Disorders and Risk for Suicidal Ideation and Suicide Attempts. Arch Gen Psychiatry 2005; 62:1249-1257. https://doi.org/10.1001/archpsyc.62.11.1249
  7. Kessler RC. The categorical versus dimensional assessment controversy in the sociology of mental illness. J Health Soc Behav 2002; 43: 171-188. https://doi.org/10.2307/3090195
  8. Devins GM, Orme CM, Costello CG, Binik YM, Frizzell B, Stam HJ, et al. Measuring depressive symptoms in illness populations: Psychometric properties of the center for epidemiologic studies depression (ces-d) scale. Psychol Health 1988;2:139-156. https://doi.org/10.1080/08870448808400349
  9. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988;56:893-897. https://doi.org/10.1037/0022-006X.56.6.893
  10. Akechi T, Okamura H, Nakano T, Akizuki N, Okamura M, Shimizu K, et al. Gender differences in factors associated with suicidal ideation in major depression among cancer patients. Psychooncology 2010;19:384-389. https://doi.org/10.1002/pon.1587
  11. Crosby AE, Han B, Ortega LA, Parks SE, Gfroerer J. Suicidal thoughts and behaviors among adults aged >/=18 years--united states, 2008-2009. MMWR Surveill Summ 2011;60:1-22.
  12. Duberstein PR, Conwell Y, Seidlitz L, Lyness JM, Cox C, Caine ED. Age and suicidal ideation in older depressed inpatients. Am J Geriatr Psychiatry 1999;7:289-296. https://doi.org/10.1097/00019442-199911000-00003
  13. Ministry of Labor. 2015; Available from: http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EC%82%B0%EC%97%85%EC%95%88%EC%A0%84%EB%B3%B4%EA%B1%B4%EB%B2%95%20%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99#liBgcolor0.
  14. Korea Health Statistics. 2016; Available from: http://knhanes.cdc.go.kr /knhanes/index.do.
  15. Cho MJ, Kim KH. Use of the center for epidemiologic studies depression (ces-d) scale in korea. J Nerv Ment Dis 1998;186:304-310. https://doi.org/10.1097/00005053-199805000-00007
  16. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993; 32: 381-399.
  17. Leyfer OT, Ruberg JL, Woodruff-Borden J. Examination of the utility of the beck anxiety inventory and its factors as a screener for anxiety disorders. J Anxiety Disord 2006;20:444-458. https://doi.org/10.1016/j.janxdis.2005.05.004
  18. Chang SJ. Job stress and its status of korean workers. J Korean Prev Med 2002.
  19. Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 1997;170:205-228. https://doi.org/10.1192/bjp.170.3.205
  20. Sareen J, Cox BJ, Afifi TO, de Graaf R, Asmundson GJ, ten Have M, et al. Anxiety disorders and risk for suicidal ideation and suicide attempts: A population-based longitudinal study of adults. Arch Gen Psychiatry 2005;62:1249-1257. https://doi.org/10.1001/archpsyc.62.11.1249
  21. Wenzel A, Beck AT. A cognitive model of suicidal behavior: Theory and treatment. Appl Prev Psychol 2008;12:189-201. https://doi.org/10.1016/j.appsy.2008.05.001
  22. Fawcett J. Treating impulsivity and anxiety in the suicidal patient. Ann N Y Acad Sci 2001;932:94-102; discussion 102-105.
  23. Fawcett J, Busch KA, Jacobs D, Kravitz HM, Fogg L. Suicide: A four-pathway clinical-biochemical model. Ann N Y Acad Sci 1997; 836:288-301. https://doi.org/10.1111/j.1749-6632.1997.tb52366.x
  24. Rector NA, Kamkar K, Riskind JH. Misappraisal of time perspective and suicide in the anxiety disorders: The multiplier effect of looming illusions. Int J Cogn Ther 2008;1:69-79. https://doi.org/10.1521/ijct.2008.1.1.69
  25. Riskind JH. Looming vulnerability to threat: A cognitive paradigm for anxiety. Behav Res Ther 1997;35:685-702. https://doi.org/10.1016/S0005-7967(97)00011-9
  26. Riskind JH, Long DG, Williams NL, White J. Desperate acts for desperate times: Looming vulnerability and suicide. In: Joiner TE, Rudd MD, editors. Suicide science : Expanding the boundaries. New York: Plenum Press;2000. p.105-115.
  27. Weissman MM, Leckman JF, Merikangas KR, Gammon GD, Prusoff BA. Depression and anxiety disorders in parents and children. Results from the yale family study. Arch Gen Psychiatry 1984;41: 845-852. https://doi.org/10.1001/archpsyc.1984.01790200027004
  28. Goodwin RD. Association between physical activity and mental disorders among adults in the united states. Prev Med 2003;36:698-703. https://doi.org/10.1016/S0091-7435(03)00042-2
  29. Shin YC. Jung CH. Kim HJ. Lim SW. The associations among vitamin d deficiency, c-reactive protein, and depressive symptoms. Journal of Psychosomatic Research 2016;90:98-104. https://doi.org/10.1016/j.jpsychores.2016.10.001
  30. Ministry of Health and Welfare. The epidemiological survey of mental disorders in Korea. 2011; Available from: http://www.mohw.go.kr/ front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=0321&CONT_SEQ=274852&page=1.

Cited by

  1. 대학생의 지각된 사회적 지지가 우울 증상에 미치는 영향 : 낙관성과 자기효능감의 매개효과 vol.21, pp.7, 2017, https://doi.org/10.5392/jkca.2021.21.07.587