Browse > Article
http://dx.doi.org/10.14400/JDC.2017.15.10.579

A Path Analysis on the Effect of Anxiety and Depression on Health-related Quality of Life of Middle aged Women  

Oh, Yeong-Kyong (Graduate School of Nursing, Hanyang University)
Hwang, Seon-Young (Dept. of Nursing, Hanyang University)
Publication Information
Journal of Digital Convergence / v.15, no.10, 2017 , pp. 579-588 More about this Journal
Abstract
The purpose of this study was to examine the effect of anxiety and depression on health-related QOL(Quality of Life) of middle aged women and to test hypothetical model of QOL. This study is a pathway analysis study using 1692 middle aged women whose age range is between 40 and 64. This study was performed as secondary analysis using the data from the 2015 Korean Social Psychological Anxiety Examination Survey. Data were analyzed using descriptive statistics, correlation analysis and pathway analysis. As a result, Stress, social support, aged preparation, self-esteem, anxiety, depression and QOL showed significant correlation. Anxiety was directly affected by stress(.21, p=.009) and social support(-.05, p=.046). Depression was directly affected by stress(.28, p=.016), social support(-.10, p=.008) and self-esteem(-.38, p=.039). Both anxiety(-.16, pp=.009) and depression(-.17, p=.011) had effect on QOL but depression was mediated by anxiety in affecting to QOL. Anxiety and depression of middle aged women affect to QOL and QOL is affected by depression via anxiety. It suggests that it needs to provide nursing intervention for mental health such as anxiety and depression for QOL of middle aged women.
Keywords
Anxiety; Depression; Middle aged Women; Path Analysis; Quality of Life;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
연도 인용수 순위
1 H. S. Ahn, H. M. Kim, J. K. Anh, Y. H. Kim, " Effects of The Degree of Preparation for Old Age and Perception of the Successful Aging on Life Satisfaction of Middle-aged Women", Korean Family Resource Management Association , Vol. 13, No. 3, pp.137-155, 2009.
2 I. S. Lee, C. S. Park, "Factors Influencing Quality of Life by Anxiety, Depression, Uncertainty, and Social Support in Women with Cancer", INC2015 10th International Nursing Conference, Vol. 2015, No. 10, pp.334-334, 2015.
3 M. S. Lee, Y. A. Ju, "A Study on the Effectiveness of Group Counselling Program for Middle-Aged Women s Life Quality Improvement", Journal of Lifelong Education, Vol. 22, No. 3, pp.87-116, 2016.
4 Y. R. Chae, M. A. Choe, "Development of a Quality of Life Scale for Patients with Breast Cancer in Korea." Journal of Korean Academy of Adult Nursing, Vol. 13, No. 4, pp.486-495, 2001.
5 M. Y. Cha, H. S. Hong, "Effect and Path Analysis of Laughter Therapy on Serotonin, Depression and Quality of Life in Middle-aged Women.", Journal of Korean Academy of Nursing, Vol. 45, No. 2, pp. 221-230, 2015.   DOI
6 Chao, S. Y. Chao., Liu, H. Y., Wu, C. Y., Jin, S. F., Chu, T. L., Huang, T. S., and Clark, M. J., "The effects of group reminiscence therapy on depression, self esteem, and life satisfaction of elderly nursing home residents". Journal of Nursing Research, Vol. 14, No. 1, pp.36-45, 2006.   DOI
7 Calvaresi, E., and Bryan, J., "Symptom experience in Australian men and women in midlife", Maturitas, Vol. 44, No. 3, pp.225-236, 2003.   DOI
8 K. Z. Yu, "Factors Influencing Middle - aged W omen's Depression and Anxiety", The Journal of Korean Society of Health Sciences, Vol. 9, No. 2, pp.31-44, 2012.
9 E. J. Lee, "Factors Influencing Health-related Quality of Life in Middle-aged Women: the sixth Korea National Health and Nutrition Examination Survey", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 2, pp.659-670, 2017.   DOI
10 H. K. Chang, "Influencing Factors on Health Related Quality of Life in Middle Age ", Journal of Korean Academy of Adult Nursing, Vol. 24, No. 4, pp.339-347. 2012.   DOI
11 K. R. Shin, J. H. Yang, "Influencing Factors on Quality of Life of Middle-aged Women Living in Rural Area". Journal of Korean Academy of Nursing , Vol. 33, No. 7, pp.999-1007, 2003.   DOI
12 S. H. Lee, E. H. Choi, "The Characteristics of the Households Prepared for the Stable Elderlyhood Financially and Analysis of Factors Influencing on them". Korean Family Resource Management Association. Vol. 14, No. 4, pp.193-194, 2010.
13 http://kostat.go.kr, Statistics Korea Portal
14 S. Y. Lee, J. W. Jeong, D. K. Hwang, C. K. Son, S. M. Yun, S. M. Chae, M. R. Cha, H. J. Kim, Some Causes of the Psycho-social Anxiety in Korea and How to Address Them, Korea Institute for Health and Social Affairs, 2015-22
15 H. J. Park, "The Influence of Self-Esteem on Depression among the Middle-aged women The Mediating Effect of Family-Life Satisfaction". Journal of Korea Society for Wellness, Vol. 10, No. 3, pp.151-161, 2015.
16 G. J. Park, K. H. Lee, "A Structural Model for Depression in Middle-aged Women ", Korean journal of women health nursing, Vol. 8, No. 1, pp.69-84, 2002.
17 K. H. Kim,, H. S. Kim, K. S. Park, "The Effects of Family Function, Self-esteem, and Loneliness on Subjective Health Status in Middle-aged Women". The Korean Academic Society of Adult Nursing, Vol. 17, No. 2, pp.200-207, 2005.
18 Pimenta F, Maroco J, Leitao M, Leal I., "Predictors of stress and depressive mood in Portuguese middle-aged women", Journal of Women Aging, Vol. 28, No. 5, pp.444-453, 2016.   DOI
19 S. S. Lee, "A Study on the Life Satisfaction of the Korean Elderly according to Their Preparation for Old Ages", Korean Consumption Culture Association, Vol. 15, No. 4, pp.43-61, 2012.
20 S. J. Yu, S. Yang, J. Y. Yoon, "The relationship among depression, social support, and gender role barrier in middle aged women", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 9, No. 4, pp.619-630, 2000.
21 H. Y. Lee, H. S. Jeon, "Effects of Life Satisfaction Expectancy, Mindfulness and Social Support on Depression of the Marital Middle-aged Women", The Journal of the Korea Contents Association, Vol. 11, No. 7, pp.275-284, 2011.   DOI
22 Jeon BJ. "Self-esteem: a test of its measurability", Yonsei Nonchong, Vol. 11, No. 1, pp.107-130, 1974.
23 Zung, William WK., "A rating instrument for anxiety disorders", Psychosomatics, Vol. 12, No. 6, pp.371-379, 1971.   DOI
24 J. H. Lee, "Development of the Korean Form of Zung's Self-Rating Anxiety Scale". Yeungnam University Journal of Medicine, Vol. 13, No. 2, pp.279-294, 1996.   DOI
25 Radloff, Lenore Sawye, "The CES-D scale: a self-report depression scale for research in the general population", Applied Psychological Measurement. Vol. 1, No. 3, pp385-401, 1977.   DOI
26 Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J., "Two shorter forms of the CES-D depression symptoms index". Journal of Aging and Health. Vol. 5, No. 2, pp.179-9, 1993.   DOI
27 Rosenberg M. "Society and the adolescent self-image". Princeton, NJ: Princeton University Press, pp.347, 1965.
28 M. H. Sung, J. W. Yoon, H. Y. Son, "A Study of the Relationship between Stressful Life Events and Mental Health in Middle-aged Women", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 14, No. 2, pp.186-194, 2005.
29 M. R. Kim, "What makes women in their 50s feel depressed?", Korean Journal of Social Welfare Research, Vol. 53, pp.55-79, 2017.   DOI
30 S. J. Park, E. Y. Choi, "Relationships among Hwabyung, Depression and Quality of Life in Middle-Aged Women", Journal of Asian Women, Vol. 53, No. 2, pp.167-188, 2014..
31 K. J. Lim, "Effects of the middle aged preparation for old age on their middle age life's crisis-consciousness and life satisfaction", Chonnam National University Graduate School of Education, Master's Thesis, 2002.