Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

A Meta-Analysis of the Variables Related to Psychological Crisis in Korean Middle Aged Adults

한국 중년기 성인의 심리적 위기감 관련 변인에 대한 메타분석

  • 전해옥 (청주대학교 보건의료과학대학 간호학과) ;
  • 김아린 (청주대학교 보건의료과학대학 간호학과) ;
  • 채명옥 (청주대학교 보건의료과학대학 간호학과)
  • Received : 2018.09.17
  • Accepted : 2018.11.19
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to determine the related factors for psychological crises in Korean middle aged adults. Methods: RISS, KISS, National Assembly Digital Library, CINAHL, and PubMed were searched for relevant articles published until October 3, 2016. Finally, a total of 23 studies were included. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0 software to calculate the effect size. Results: The related variables of psychological crisis were categorized into 23 variables and 5 factor groups. The effects size (ES) of the overall defensive variables was -0.28. In the defensive factors, the psychological factor (ES=-0.67), followed by cognitive and behavioral factor (ES=-0.34), physical factor (ES=-0.31), and social relational factor (ES=-0.29) had the greatest effect on psychological crises. The effects size of the overall risk variables was 0.48. In the risk factors, the physical factor (ES=0.61) had the greatest effect on psychological crises, followed by the psychological factor (ES=0.53), and cognitive and behavioral factor (ES=0.10). Conclusion: An intervention program is needed to strengthen the defensive factors and reduce the risk factors for psychological crises of Korean middle aged adults.

Keywords

BGGHB8_2018_v32n3_451_f0001.png 이미지

Figure 1. Flow Diagram of Article Selection

BGGHB8_2018_v32n3_451_f0002.png 이미지

Figure 2. Funnel Plot for Publication Bias

Table 1. Summary of Characteristics of Studies Included Meta-Analysis

BGGHB8_2018_v32n3_451_t0001.png 이미지

Table 1. Summary of Characteristics of Studies Included Meta-Analysis (Continued)

BGGHB8_2018_v32n3_451_t0002.png 이미지

Table 2. Effect Size of Defensive and Risk Variables related to Psychological Crisis

BGGHB8_2018_v32n3_451_t0003.png 이미지

References

  1. Beutel, M. E., Glaesmer, H., Wiltink, J., Marian, H., & Brahler, E. (2010). Life satisfaction, anxiety, depression and resilience across the life span of men. The Aging Male, 13(1), 32-39. http://doi.org/10.3109/13685530903296698
  2. Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. West Sussex: John Wiley and Sons. https://doi.org/10.1002/9780470743386
  3. Chang, H. K. (2018). Influencing factors on mid-life crisis. The Journal of Korean Academic Society of Adult Nursing, 30(1), 98-105. http://doi.org/10.7475/kjan.2018.30.1.98
  4. Cohen, J. (2011). Statistical power analysis for the behavioral sciences(2nd ed). Hillsdale, New Jersy: Lawrence Erlbaum Associates.
  5. Cummings, G., Lee, H., Macgregor, T., Davey, M., Wong, C., Paul, L., & Stafford E. (2008). Factors contributing to nursing leadership: A systematic review. Journal of Health Services Research and Policy, 13(4), 240-248. http://doi.org/10.1258/jhsrp.2008.007154
  6. Heinemann, L. A., Thiel, C., Assmann, A., Zimmermann, T., Hummel, W., & Vermeulen, A. (2000). Sex differences in ‘climacteric symptoms’ with increasing age? A hypothesis-generating analysis of cross-sectional population surveys. The Aging Male, 3(3), 124-131. http://doi.org/10.1080/13685530008500334
  7. Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PloS medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316
  8. Joung, Y. J., & Chae, K. S. (2016). The influence of life incident stress on mid-life crisis-focusing on the moderating effects of psychosocial maturity. Korean Journal of Family Welfare, 21(2), 201-227. http://doi.org/10.13049/kfwa.2016.21.2.2
  9. Jung, E. S., & Shim, M. S. (2016). Factors influencing suicidal ideation by age group in adults. Journal of Korean Public Health Nursing, 30(2), 326-336. http://dx.doi.org/10.5932/JKPHN.2016.30.2.326
  10. Jung, Y., & Oh, H. (2016). The effects of social support, self-efficacy and perceived health status on aging anxiety of the middle-aged women. Journal of Korean Public Health Nursing, 20(1), 30-41. http://dx.doi.org/10.5932/JKPHN.2016.30.1.30
  11. Kim, A. S., Yoon, G. (1993). The mid-life crisis (1): The timing and the effects of social-economic variables on mid-life crisis. Journal of the Korea Gerontological Society, 13(1), 1-16.
  12. Kim, E. Y., Jang, M. Y., & Jung, E. Y. (2014). The effects of subjective health status, climacteric symptoms and coping behaviors of office workers men on mid-life crisis. The Korean Journal of Stress Research, 22(2), 77-86. https://doi.org/10.17547/kjsr.2014.22.2.77
  13. Kim, K., Hong, H., Park, W., Ko, S., & Na, Y. (2016). Effects of an abdominal obesity management program on physiological bio-markers of middle-aged women in Korea: A meta-analysis. The Korean Journal of Obesity, 25(3), 138-149. http://doi.org/10.7570/kjo.2016.25.3.138
  14. Kim, S. H. (2010). The relationship between unconditional self-acceptance, middle-aged men's gender role and mid-life crisis. Unpublished master's thesis, Ewha Womans University, Seoul.
  15. Kim, T. I., Kim, H. S., Shin, Y. H., Shim, M. K., & Oh, W. O. (2016). Growth development and health(3rd ed). Paju: Gyomoon Press.
  16. Kim, Y. W., & Oh, S. H. (2017). Meta-analysis of the effects of exercise intervention on depression of the women. Journal of Korean Physical Education Association for Girls and Women, 31(2), 219-236. http://doi.org/10.16915/jkapesgw.2017.06.31.2.219
  17. Lachman, M. E., & Agrigoroaei, S. (2010). Promoting functional health in midlife and old age: Long-term protective effects of control beliefs, social support, and physical exercise. PloS one, 5(10), e13297. http://doi.org/10.1371/journal.pone.0013297
  18. Lachman, M. E., Teshale, S., & Agrigoroaei, S. (2015). Midlife as a pivotal period in the life course: Balancing growth and decline at the crossroads of youth and old age. International Journal of Behavioral Development, 39(1), 20-31. http://doi.org/10.1177/0165025414533223
  19. Lee, E., & Wang, E. (2017). Development and validation of the Korean mid-life crisis scale. Korean Journal Of Counseling And Psychotherapy, 29(2), 481-503. http://doi.org/10.23844/kjcp.2017.05.29.2.481
  20. Lee, E. A., & Chung, H. J. (2007). Individual and family variables related to middle-aged men’s psychological crisis. Journal of Korean Family Relations Association, 12(2), 301-329.
  21. Lee, J. I. (2012). Factors influencing death anxiety in the middle aged. Journal of Korean Public Health Nursing, 26(3), 572-580. http://dx.doi.org/10.5932/JKPHN.2012.26.3.572
  22. Lu, L. (2011). Leisure and depression in midlife: A Taiwanese national survey of middle-aged adults. Journal of Health Psychology, 16(1), 137-147. http://doi.org/10.1177/1359105310370501
  23. Ministry of Health and Welfare. (2016, December). Ministry of Health and Welfare statistical yearbook 2016(Report No. 11-1352000-000 137-10). Sejong: Ministry of Health and Welfare.
  24. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. (2016, December). Korea health statistics 2015I: Korea national health and nutrition examination survey (KNHANES VI-3)(Report No. 11-1351159-000027-10). Sejong: Ministry of Health and Welfare.
  25. Poole, S., & Snarey, J. (2011). Erikson's stage of the life cycle. In Goldstein S & Naglieri J(Eds.), Encyclopedia of Child Behavior and Development. New York: Springer-Verlag.
  26. Statistics Korea. (2016). 2016 Population Census. Retrieved March 7, 2018, from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1IN1603&conn_path=I3.
  27. Statistics Korea. (2017, December). 2017 Report on the social survey(Report No. 11-1240000-000165-10). Daejeon: Statistics Korea.
  28. Takizawa, T., Kondo, T., Sakihara, S., Ariizumi, M., Watanabe, N., & Oyama, H. (2006). Stress buffering effects of social support on depressive symptoms in middle age: Reciprocity and community mental health. Psychiatry and Clinical Neurosciences, 60(6), 652-661. http://doi.org/10.1111/j.1440-1819.2006.01579.x
  29. The Institute for the Study of Labor. (2011, June). Antidepressants and age(Report No. 5785). Bonn: Blanchflower, D. G., Oswald, A. J.
  30. Williams, D. (1999). Human responses to change. Futures, 31(6), 609-616. https://doi.org/10.1016/S0016-3287(99)00017-8