Browse > Article
http://dx.doi.org/10.7475/kjan.2015.27.4.375

The Mediating Effects of Resilience between Symptom Experience and Depression in Patients with Chronic Obstructive Pulmonary Disease  

Kong, Kyoung-Ran (Department of Nursing, Dong-A University)
Lee, Eun-Nam (Department of Nursing, Dong-A University)
Publication Information
Korean Journal of Adult Nursing / v.27, no.4, 2015 , pp. 375-383 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the relationship of resiliency and symptom experience and depression. Subjects (N=152) were patients with chronic obstructive pulmonary disease (COPD).admitted to D University Medical Center in B City. Methods: Data collection was conducted from July 20 to August 25, 2013. The levels of symptom, resilience, and depression were measured using a seven question symptom experience measuring instrument, a 25-question resilience instrument, and a 15-question Short Geriatric Depression Scale (SGDS). The collected data were analyzed by descriptive analysis, Pearson's correlation coefficients, and path analysis using SPSS/Win 19.0 and AMOS 5.0. Results: There was a significant negative correlation between symptom and resilience, a significant positive correlation between symptom and depression, and a significant negative correlation between resilience and depression. Symptom showed a direct effect on depression and an indirect effect on depression scores through resilience as a mediating variable. Conclusion: It is necessary to develop nursing intervention programs to relieve symptom in COPD patients, and to develop appropriate resilience enhancement programs to reduce their depression.
Keywords
COPD; Symptoms; Resilience; Depression;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Kurtz ED. Effects of parental alcoholism and trauma exposure on depressive symptoms: a path model with resilience, social support, and family satisfaction. [dissertation]. Old Dominion University; 2014.
2 Wu WW, Tsai SY, Liang SY, Liu CY, Jou ST, Berry DL. The mediating role of resilience on quality of life and cancer symptom distress in adolescent patients with cancer. Journal of Pediatric Oncology Nursing. 2015:1-10. http://dx.doi.org/10.1177/1043454214563758
3 Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement. 1993;1(2):165-78.
4 Song YS. Determinants of resilience of the physically disabled at home. [master's thesis]. Busan: Kosin University; 2004.
5 Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research. 1983;17(1):37-49.   DOI
6 Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of the Korean Neuropsychiatric Association. 1999;38(1):48-63.
7 Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease [internet]. USA: Global Initiative for Chronic Obstructive Lung Disease; 2007 [cited 2015 March 10]. Available from: http://www.goldcopd.org/uploads/users/files/GOLDReport07_Changes.pdf.
8 Kang GJ, Kin MH, Hwang SK. Self-care, symptom experience, and health-related quality of life by COPD severity. Korean Journal of Adult Nursing. 2008;20(1):163-75.
9 Decramer M, Janssens W, Miravitlles M. Chronic obstructive pulmonary disease. The Lancet. 2012;379(9823):1341-51. http://dx.doi.org/10.1016/S0140-6736(11)60968-9   DOI
10 Cha KS, Kim KH. Impact of uncertainty on resilience in cancer patients. Asian Oncology Nursing. 2012;12(2):139-46. http://dx.doi.org/10.5388/aon.2012.12.2.139   DOI   ScienceOn
11 Kim SR, Chung SJ, Shin NM, Shin HW, Kim MS, Lee SJ. Resilience in patients with Parkinson's disease. Journal of Korean Academy Adult Nursing. 2010;22(1):60-9.
12 Song YM, Lee JH. Factors in post stoke depression of stroke patients hospitalized in university medical centers. Korean Gerontological Nursing Society. 2013;15(2):85-94.
13 Jeong YM, Kim MY. Comparative study on HbA1C, self-care behavior, and quality of life by depression status in type II diabetic patients. The Journal of Fundamentals of Nursing. 2012;19(3):353-62. http://dx.doi.org/10.7739/jkafn.2012.19.3.353   DOI
14 Kim DH, Yoo IY. Relationship between depression and resilience among children with nephrotic syndrome. Journal of Korean Academy Nursing. 2004;34(3):524-40.
15 Lee EJ, Yoon JH, Park DH, Park DL. Performance status and resilience in patients with colorectal cancer. Asian Oncology Nursing. 2013;13(4):273-279. http://dx.doi.org/10.5388/aon.2013.13.4.273   DOI
16 Lee EK. Structural equation modeling on adjustment of cancer patients receiving chemotherapy. Asian Oncology Nursing. 2011;11(2):101-7. http://dx.doi.org/10.5388/jkon.2011.11.2.101   DOI
17 Lim HS, Han KS. Effects of the family resilience enhancement program for families of patients with chronic schizophrenia. Journal of Korean Academy of Nursing. 2013;43(1):133-42. http://dx.doi.org/10.4040/jkan.2013.43.1.133   DOI
18 Quint JK, Baghai-Ravary R, Donaldson GC, Wedzicha JA. Relationship between depression and exacerbations in COPD. European Respiratory Journal. 2008;32:53-60. http://dx.doi.org/10.1183/09031936.00120107   DOI
19 Park SJ. Symptom experience and quality of life in patients with chronic lung disease-with a special reference to bronchial asthma and bronchiectasis. Korean Journal of Adult Nursing. 2002;14(3):470-8.
20 Maurer J, Rebbapragada V, Borson S, Goldstein R, Kunik ME, Yohannes AM, et al. Anxiety and depression in COPD: current understanding, unanswered questions, and research needs. Chest. 2008;134(4):43-56. http://dx.doi.org/10.1378/chest.08-0342   DOI   ScienceOn
21 Rennard S, Decramer M, Calverley PM, Pride NB, Soriano JB, Vermeire PA, et al. Impact of COPD in North America and Europe in 2000: subjects' perspective of confronting COPD international survey. European Respiratory Journal. 2002;20:799-805.   DOI
22 Stage KB, Middelboe T, Pisinger C. Depression and chronic obstructive pulmonary disease (COPD): impact on survival. Acta Psychiatrica Scandinavica. 2005;111(4): 320-3. http://dx.doi.org/10.1111/j.1600-0447.2004.00497.x   DOI
23 World Health Organization. World health statistics 2008 [internet]. Geneva: World Health Organization. 2008 [cited 2015 April 2]. Available from: http://www.who.int/whosis/whostat/EN_WHS08_Full.pdf
24 Ryu YJ, Chun EM, Sim YS, Lee JH. Depression and anxiety in outpatients with chronic obstructive pulmonary disease. Tuberculosis and Respiratory Disease. 2007;62(1):11-8. http://dx.doi.org/10.4046/trd.2007.62.1.11   DOI
25 Burgess A, Kunik ME, Stanley MA. Chronic obstructive pulmonary disease: Assessing and treating psychological issues in patients with COPD. Geriatrics. 2005;60(12):18-21.
26 de Voogd JN, Wempe JB, Koeter GH, Postema K, van Sonderen E, Ranchor AV, et al. Depressive symptoms as predictors of mortality in patients with COPD. Chest. 2009;135(3):619-25. http://dx.doi.org/10.1378/chest.08-0078   DOI
27 Kong MS. A study on the relationship between hope and resilience in dialysis patient. Nursing Science. 2009;21(1):24-37.
28 Yoo KH. A correlational study on the mastery and depression in chronic arthritis patients. The Korean Journal of Rehabilitation Nursing. 2006;9(2):161-5.
29 Koo BJ. The development and effect of logotherapy-based resilience promotion program for gynecologic cancer women. [dissertation]. Seoul: Korea University; 2007.
30 Wooten NR. Deployment cycle stressors and post-traumatic stress symptoms in army national guard women: the mediating effect of resilience. Social Work in Health Care. 2012;51(9):828-49. http://dx.doi.org/10.1080/00981389.2012.692353   DOI