• Title/Summary/Keyword: 만성 우울증

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Self-Rated Health of the Chronic Disease Patients with Depression in Aged over 65 (65세 이상 노인에서 우울증을 동반한 만성질환상태에 따른 자가 평가 건강수준)

  • Lee, Myeong Jin;Sohn, Hae Sook
    • Journal of agricultural medicine and community health
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    • v.37 no.4
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    • pp.246-257
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    • 2012
  • Objectives: To compare the self-rated health in chronic disease patients with depression, chronic disease patients, and depression patients, and to observe the related factors to the self-rated health of people age 65 and older. Methods: The subjects were 2,549 elderly people, over 65 years old in Busan Metropolitan City who participated in 2009 community health survey. Association between self-rated health and general characteristics, life style and disease status were observed. Depressive symptoms were measured using the Centre for Epidemiologic Studies Depression Scale (CES-D). Analysis of complex sample was done with SAS (ver. 9.2), using ${\chi}^2$-test and multiple logistic regression. Results: Among total 2,549, there were 740 normal people (29.8%), 50 people with depression (1.8%), 1,495 people with other chronic diseases (58.2%), and 264 people with the comobidity of depression and other chronic diseases (10.1%). Good self-related health accounted for 20.3% for the whole, 33.4% for normal, 16.7% for chronic disease, 16.1% for depression, and 3.2% for chronic diseases with depression. Disease, gender, education, income, alcohol drinking, regular exercise and regular walking were independent factors associated with the good self-related health. Conclusions: It is suggested that when the chronic disease control program for the elderly is developed, depression care should be considered along with the program. This program should be given priority to the women and the vulnerable classes and should also be related to the regular walking.

Factors Affecting Suicidal Ideation by Medical Institutions Users - Focusing on elderly people with chronic diseases (일 의료기관 이용자의 자살생각 영향요인 - 만성질환 노인을 중심으로)

  • Lim, Gyeong-Tae
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.644-654
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    • 2019
  • The purpose of this study was to investigate the effects of depression, self-esteem and daily life ability on suicidal ideation in elderly people with chronic illness. The subjects were 170 outpatients and inpatients in a general hospital in D city. After conducting questionnaires for data collection, t-test, ANOVA and multiple regression analysis were performed and analyzed using SPSS 12.0 / win program. The results showed that suicidal ideation was influenced by gender, health status, chronic disease diagnosis, and experience of suicide attempt, with a positive correlation with depression and a negative correlation with daily life ability. The suicide attempt experience, depression, self-esteem and daily living ability showed 50.8% explanatory power against suicidal ideation. In order to reduce suicidal ideation, it is necessary to reduce suicidal ideation of elderly people with chronic diseases by managing an intervention program that reduces depression and improves daily life ability.

Impact of Depression, Comorbid Chronic Diseases, and ADL on Health-Related Quality of Life Among Community-Dwelling Elderly People in Korea (한국의 지역사회 거주노인들에게 있어서 우울증, 만성질환, 일상생활활동이 삶의 질에 미치는 영향)

  • Kim, Myung-Wha
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.190-198
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    • 2014
  • The purpose of study was evaluated associations among risk factors to have influence on HRQOL of community dwelling Elderly People. Total 314 community dwelling elderly persons(age:$75.80{\pm}5.64$[$mean{\pm}SD$]) who had no disease(n=81) and more than two chronic diseases (n=233) were interviewed based on the QOL questionnaires. During two months. The activities of daily living were evaluated using BI and FAI. Neuropsychological status was evaluated using GDS. Health related QOL was evaluated using the SF-36. The results emphasize the importance of preventing and controlling depression, chronic diseases, and low basic activities of daily living in order to reduce their impact on HRQOL among community dwelling elderly people.

Ingestion of Gouda Cheese Ameliorates the Chronic Unpredictable Mild Stress in Mice (마우스 모델에서 Gouda Cheese 섭취에 따른 만성 스트레스 개선 효과)

  • Kang, Min Kyoung;Yun, Bohyun;Oh, Sangnam
    • 축산식품과학과 산업
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    • v.9 no.2
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    • pp.58-65
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    • 2020
  • 우울증은 동기, 의욕, 관심, 주의력, 정신기능 및 식욕의 감소를 특징으로 하는 일종의 기분 장애이다. 우울증은 유전적, 내분비 및 환경적 스트레스를 포함한 다양한 원인에 의해 발생하지만 가벼운 우울증은 식이요법으로 개선되는 것으로 보고되었다. 따라서 우울증 환자를 치료하기 위해서는 기능성 및 영양 보충제를 포함한 다양한 식품 공급원이 필요하다. 치즈에는 숙주 건강에 유익한 영향을 미치는 생리 활성 펩타이드가 포함되어 있다. 특히 저지(Jersey) 우유는 홀스타인(Holstein) 우유보다 고형분 함량이 높은 것으로 보고되었다. 이 연구는 저지(Jersey) 와 홀스타인(Holstein) 우유의 가우다 치즈(Gouda cheese)가 만성 스트레스(CUMS, chronic unpredictable mild stress)에 미치는 영향을 조사했다. 치즈를 먹인 만성 스트레스 마우스 모델의 개선적 변화는 젖소 종에 관계없이 통계적으로 유의미하게 효과적으로 나타났다. 흥미롭게도 PCR을 통한 분변 미생물 균총 분석에서 저지 치즈를 섭취함으로써 Bacteroidetes가 증가하고 Firmicutes가 유의적으로 감소하는 것으로 나타났다. 종합하면, 본 연구는 치즈 섭취가 스트레스 개선 작용이 있음을 제시하며, 특히 장내 미생물 균총의 유익한 방향으로의 변화가 관찰되는데, 치즈의 생리활성물질 혹은 장내미생물 균총의 대사물질들이 이러한 행동·정신학적 개선 작용과의 연관성이 있음을 시사한다.

명사칼럼-여름철 만병의 근원, '만성피로'

  • Park, Byeong-Ran
    • 건강소식
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    • v.32 no.8
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    • pp.4-5
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    • 2008
  • 요즘 같은 삼복더위엔 고온다습한 기후 때문에 체력 소모가 커서 쉽게 피로해진다. 하지만 적당한 피로감은 밤에 숙면을 이루게 해주는 상쾌한 피로이며 다음날 아침 유쾌한 기상을 할 수 있게 해준다. 따라서 단순한 피로 자체가 걱정거리는 아니다. 문제는 몇 주나 몇 달이 가도 가시지 않는 만성적인 피로감이다. 만성피로는 흔히 두통, 뒷목의 뻣뻣함, 식욕부진, 권태증, 성욕감퇴, 신경쇠약, 의욕상실, 우울증 등을 동반한다. 쉬운 말로 각종 종합검사에서는 정상이지만 온몸이 나른하고 무기력하며 아무런 의욕도 없고 만사가 귀찮아지며 단지 피로할 뿐이다. 만성피로는 모든 질병의 근원이다. 으레 그러려니… 하면서 애써 참다가 낭패를 볼 수 있다. 그렇기 때문에 만성피로를 예방하는 것은 건강한 삶을 위한 첫걸음이다.

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A Convergence Study on the Effects of Depression on Chewing Problems: National Health and Nutrition Survey 2008 and 2018 Data (우울증이 씹기 문제에 미치는 영향에 관한 융합연구: 국민건강영양조사 2008, 2018년 자료)

  • Son, Eun-Gyo;Park, Il-Soon
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.369-376
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    • 2021
  • The purpose of this study is to identify the effect of depression on chewing problems and the importance of oral aids through a point-in-time analysis. The data are the 4th(2008, 2nd year) and the 7th(2018, 3rd year) of the National Health and Nutrition Survey. The analysis method was frequency analysis and regression analysis using the SPSS/WIN 24.0 program. Studies have shown that depression has affected chewing problems(p<.001). Chronic diseases and the use of oral aids affected the chewing problem. The prevalence and treatment of depression affected the chewing problems(p<.001). In addition, private health insurance coverage increased in 2018 compared to 2008. In the future, the comparative studies considering various subjects and chronic diseases, the educational methods for the use of oral aids are needed.

우울증

  • 김광일
    • The Korean Chronic Disease News
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    • no.90
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    • pp.8-8
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    • 1988
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Change on Quality of Life and Depression after whole body hydrotherapy vs local hot pack treatment to patients with chronic pain (만성 통증 환자에서 제주도 상수원을 이용한 전신 수치료와 온습포 치료 후 우울증 지표 및 삶의 질 척도의 변화)

  • Im, Sang-Hee;Han, Eun-Young
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.1041-1043
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    • 2010
  • 만성 통증 환자의 우울증 및 삶의 질 저하에 대한 많은 보고가 있으며, 통증 조절을 위해 심리적 측면도 중요한 요소로 포함된다. 온열 수치료는 통증 조절을 위하여 가장 많이 시행되는 치료법 중의 하나이며 다양한 방법으로 임상에서 적용될 수 있다. 현재까지 전신 온열 수치료가 통증, 심리, 주관적인 삶의 질에 미치는 영향에 대하여 포괄적인 연구가 시행된 사례가 없으므로, 본 연구에서는 만성 통증 환자에게 제주도내 상수원을 이용한 온습포치료, 즉 통증 부위의 부분치료 또는 전신 온열 수치료를 시행한 후 통증의 정도, 정서, 주관적 삶의 질 평가 결과에 변화가 있는지 알아보기로 하였다.

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Prevalence and Risk Factors of Depression in Patients with Chronic Obstructive Pulmonary Disease (폐쇄성폐질환에서 우울증상의 빈도 및 위험 인자)

  • Chin, Hyun Jung;Lee, Kwan Ho;Park, Chan Soh;Son, Chang Woo;Lee, Hi-young;Yu, Sung Ken;Shin, Kyeong Cheol;Chung, Jin Hong;Kim, Jung Youp
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.3
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    • pp.191-197
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    • 2008
  • Background: Due to the irreversible nature of chronic obstructive pulmonary disease (COPD), the treatment aim in patients with COPD is not to cure but to reduce the symptoms, increase lung function, and improve the quality of life. It has been suggested that depression is a common emotional disturbance in patients with COPD who are faced with a major physical impairment and embarrassing symptoms. This study evaluated the prevalence and risk factors of depression in patients with chronic obstructive pulmonary disease. Methods: A total of 59 patients with a registered diagnosis of chronic obstructive pulmonary disease were selected. Depression was assessed using the Centers for Epidemiologic Studies Depression (CES-D) scale. The quality of life was assessed using the Korean version of the St. George's Respiratory Questionnaire. Results: The prevalence of depression was 17.0%. In the correlation model, the interaction of the $FEV_1%$ over predicted value and SGRQ score(symptom, activity, impact, overall score) was statistically significant. The interaction of the $FEV_1%$ over predicted value and depression scale(CES-D) was also statistically significant. There was a positive correlation between the SGRQ scores(symptom, activity, impact, overall score) and the depression scale. Conclusion: The prevalence of depression in patients with chronic obstructive pulmonary disease is relatively high. The pulmonary function and the living standards were found to be significant risk factors for depression.