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Relationship between Depression and Health Care Utilization (우울과 의료이용의 관계)

  • Hyo Eun Cho;Jun Hyup Lee
    • Health Policy and Management
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    • v.34 no.1
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    • pp.68-77
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    • 2024
  • Background: Depressive disorders can be categorized into daily depression and clinical depression. The experience of depressive disorder can increase health care utilization due to decreased treatment compliance and somatization. On the other hand, the clinical depression group may also experience social prejudice associated with the illness, which can limit their access to health care utilization. In terms of the significance of health care utilization as a factor in individual and social issues, this study aims to compare the health care utilization of the clinical depression group with that of the non-depressed group and the daily depression group. Methods: The analysis utilized the inverse probability of treatment weighting based on the generalized propensity score. Results: As a result of the analysis, clinical depression and daily depression were higher among women, low-income groups, individuals with low education levels, and so forth. The clinical depression group was also higher among individuals who were not economically active, did not have private health insurance, or had multiple chronic diseases. The number of outpatient department visits in the depression group was significantly higher than in the non-depressed group. In addition, the number of outpatient department visits for the clinical depression group was significantly higher than that for the daily depression group. Outpatient medical expenses were higher in the depression group than in the non-depressed group, and there was no significant difference between the clinical depression group and the daily depression group. Conclusion: Health care utilization was higher in the depression group than the non-depressed group, it was also higher in the clinical depression group than the daily depression group.

Interrelation of Internet Game Addiction and Depression of an Undergraduate Student (대학생의 게임 중독과 우울감과의 상관관계)

  • Choung, Hye-Myoung;Lee, Dong-Soo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.11a
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    • pp.417-420
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    • 2010
  • 본 논문은 대학생을 대상으로 인터넷 사용 및 인터넷 게임 중독 상태를 알아보고 인터넷 게임 중독에 따른 우울 정도를 알아보기 위하여 설문조사를 실시하였다. 그 결과 연구 대상자들의 인터넷을 사용하는 주된 목적은 과제나 기타 정보를 수집하기 위하여 사용한다고 응답한 경우가 67명(33.5%)로 가장 많았고 두 번째가 게임으로 54명(27.0%)으로 나타났다. 연구 대상자들의 인터넷 게임 중독 정도에 대한 결과는 일반 사용자 군은 175명(87.5%), 잠재적 위험 사용자 군은 23명(11.5%), 고위험 사용자 군은 2명(1.0%)으로 나타났다. 연구 대상자들의 우울 정도에 대한 결과는 정상 상태가 172명(86.0%)으로 나타났고 약간 우울한 상태가 11명(5.5%)이고 상당한 우울 상태가 7명(3.5%)으로 나타났으며 매우 심한 우울 상태는 10명(5.0%)으로 나타났다. 연구 대상자들의 중독 정도에 따른 우울 정도에 대한 결과는 일반 사용자 군에서도 약간 우울한 상태인 대상자가 8명(4.6%)이고 상당한 우울 상태인 대상자는 5명(2.9%)이고 매우 심한 우울 상태인 대상자도 7명(4.0%)이나 되는 것으로 나타났으며 잠재적 위험 사용자 군에서도 약간 우울한 상태인 대상자가 3명(13.0%)이고 상당한 우울 상태인 대상자도 2명(8.7%)이며 매우 심한 우울 상태인 대상자도 1명(4.4%)으로 나타났고 고위험 사용자 군에서는 2명(100.0%) 모두 매우 심한 우울 상태를 보이는 것으로 나타났다.

A study on dietary habits and food intakes in adults aged 50 or older according to depression status (50세 이상 성인과 노인의 우울여부에 따른 식습관 및 식품섭취상태에 관한 연구)

  • Lee, Seungjae;Kim, Yuri;Seo, Sunhee;Cho, Mi Sook
    • Journal of Nutrition and Health
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    • v.47 no.1
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    • pp.67-76
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    • 2014
  • Purpose: This study was conducted in order to analyze the dietary habits and food intake status according to the prevalence of depression in adults. Methods: A total of 496 subjects, 224 men and 272 women aged 50 to 100 years were recruited from more than 13 cities in Korea. The questionnaires consisted of general characteristics, dietary life status, food intakes, the mean mini dietary assessment and satisfaction with food-related life questionnaire of the subjects to ask according to the degree of depression. Depression status was evaluated according to the Korean form of the Geriatric Depression Scale (K-GDS). Results: All subjects were divided into depression or normal groups; the prevalence of depression was 13.8% (male) and 23.9% (female). People aged 65 or older were more likely to have higher prevalence of depression and to be bereaved. People in the depression group had poor appetite, almost never dined-out, and ate alone. The food intake of miscellaneous cereals, beans, tofu, chicken/duck meat, cabbage, carrot/amber, fungi, apple, pear, strawberry, grapes, and banana was significantly higher in the normal group compared with the depression group. In particular, significantly higher intake of vegetables and fruits was observed in the normal group. In addition, subjects in the depression group ate more fatty meat and were more dissatisfied with food-related life than those in the normal group. Conclusion: The results of this study imply that the prevalence of depression may affect the dietary habits, food intake, and dietary behaviors in the older adult population.

Survey of depression level of police officers (경찰관의 우울증 수준 조사)

  • Sin, Sung-Won;Kim, Seong-Hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2019.05a
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    • pp.133-134
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    • 2019
  • 이 연구에서는 우울증이 만연하고 있는 국내 실정에서 경찰관의 우울증 수준을 파악하여 그 심각성의 정도를 실증적으로 확인하고자 한다. 그리고 인구사회학적 특성에 따른 경찰관의 우울증 수준을 분석하여 보기로 한다. 우울증 수준 측정은 한국어판 우울증 선별도구(PHQ-9: Patient Health Questionnaire 9)를 활용하였다.

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A study on the relationship between sleep quality, anxiety, depression and cognitive function in the elderly (노인의 수면의 질, 불안, 우울, 인지기능과의 관계연구)

  • Hong, Sunyeun;Koo, Yoon Jung
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.07a
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    • pp.681-683
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    • 2022
  • 본 연구는 수면의 질, 우울, 불안, 인지기능을 확인하고 이들의 상관관계를 알아보는 서술적 상관관계연구 연구이다. K도 G시, D시에 위치한 10곳의 경로당에서 65세 이상 일반노인 130명을 대상으로 설문조사를 통해 자료를 수집하였다. 수집된 자료는 SPSS WIN 20.0 프로그램을 이용하여 대상자의 일반적 특성의 빈도, 백분율을 산출하였고 대상자의 수면의 질, 불안, 우울, 인지정도의 평균, 표준 편차을 산출하였으며, 대상자의 일반적 특성에 따른 수면의 질, 불안, 우울, 인지정도를 t-test와 one-way ANOVA로 분석하였으며, 대상자의 수면의 질, 불안, 우울, 인지정도의 상관관계 검정은 Pearson's correlation coefficient를 실시하였다. 연구결과는 수면의 질, 불안, 우울, 인지기능의 상관관계는 불안과 수면의 질(p=-.422), 우울과 수면의 질(p=-.552)간에 유의한 음의 상관관계가 있는 것으로 나타났고, 불안과 우울은 유의한 양의 상관관계가 있는 것으로 나타났다. 노인이 지각하는 수면의 질과 우울, 불안, 인지기능의 정도를 파악하고 노인수면증진을 위한 간호중재 개발에 기초자료가 될 수 있을 것이다.

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The Effect of Blood Nutrient Index on Depression (성인 여성의 혈액 영양소 지표가 우울지표에 미치는 영향)

  • Noh, Hyun Sun;Kim, Moon Ju
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.248-261
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    • 2021
  • The purpose of this study is that the blood nutrient indicator in adult women, is the depressive indicator. This study recruited 77 pre-menopausal women, and excluding missing values, 53 (mean age 44.2±6.5 years) blood indexes were statistically confirmed and then analyzed the effect of indexes on the Beck Depression Inventory. The Beck's Depression Inventory(BDI)'s average of the study subjects was 7.6±7.2, and most of the depression symptoms were within the normal range. Only two women were very serious and other two women were serious state. As a result of this study, 21 questions of BDI was classified into 5 sub-factors. Of these, 2 factors were considered physical depression, 1 factor was mood depression, 1 factor was cognitive depression, and 1 factor undecided. As a result of the correlation analysis, triglyceride, LDL(low density lipoprotein) cholesterol and potassium showed statistically significant positive relationship with depressive factors. On the other hand, HDL(high density lipoprotein) cholesterol, sodium and chloride ions showed negative relationship with depressive factors. When multiple regression analysis was performed. Considering the depression factors was dependent variable, and triglyceride, cholesterol, blood sugar, and ketone bodies was considered as independent variables. HDL(high density lipoprotein) cholesterol had a statistically significant negative effect on the depression factor 3. Considering the depression factors was dependent variable, and minerals were considered as independent variables. Potassium had a positive effect, and chloride ions had a negative effect on the depressive factor 3. This study was limited to 77 pre-menopausal women. In the future, post-menopausal women, men, and clinical neurological disorders group will be possible.

A Qualitative Research on the Experience and Recovery Process of the Korean Depression (우울증 경험과 회복과정에 대한 질적 연구)

  • Joo, Eunsun;Cho, Young-Im;Kim, Dan-Bi;Kang, Yu-Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.505-526
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    • 2017
  • This study explored and described the depression of Koreans for the true nature of the experience and recovery process. The sample included 13 men and women between 18 and 69 who experienced and recovered from depression. Participants attended interviews producing data, which was analyzed using Consensual Qualitative Research(CQR) method. The result yielded 4 domains, the life before depression, the experience of depression, the recovering process of depression, after the recovery of depression.

Identifying Influencing Factors of Soldiers' Depression using Multiple Regression and CART (다중회귀와 회귀나무를 활용한 군인 우울 요인 분석)

  • Woo, Chung Hee;PARK, JU YOUNG;Lee, Yujeong
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.171-172
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    • 2013
  • 우울은 군대 내 발생되는 극단적인 사고 중 하나인 자살의 주요 원인으로 제시되어 왔다. 본 연구는 군인들의 우울, 불안 및 자아존중감의 수준을 파악하고, 우울의 영향요인을 탐색하고 이들을 예측하는데 주로 사용해 왔던 다중회귀분석 방법과 효과적인 의사결정방법으로 알려진 회귀나무모형의 효과성을 비교해보고자 하였다. 방법: 횡단적 조사연구이며, 우울측정에는 CES-D, 불안측정은 SAI, 자아존중감은 Rosenberg(1965)의 도구를 사용하였다. 연구대상자는 강원도 전방 부대 근무 중인 군인이며, 534부가 회수되었다. SPSS/WIN 18.0을 이용하여 위계적 다중회귀분석과 회귀나무모형을 실시하였다. 결과: 대상자들의 우울, 불안 및 자아존중감의 정도는 각각 $10.7({\pm}9.8)$, $38.5({\pm}10.2)$$31.7({\pm}5.2)$이었다. 대상자의 23.6%(126명)가 경한 우울을 나타내었다. 다중회귀분석에 의한 우울 영향요인은 불안, 자아존중감과 복무기간이었으며, 우울에 대하여 62.0%의 설명력을 가지고 있었다. 또한 회귀나무모형에서는 높은 불안과 불안이 다소 낮더라도 전역 후 진로가 불확실한 집단이 우울 위험군일 것으로 예측되었다. 결론: 본 연구 대상자들의 우울의 주요 영향요인은 불안으로 나타났다. 군대 내에서 적용할 수 있는 불안 조절 방법 개발이 필요할 것으로 보인다. 또한 일부 요인에서 차이가 있어, 반복 연구가 필요하지만, 주요 변인인 불안을 예측했다는 점에서 보면 다중회귀분석과 회귀나무모형은 군인들의 우울을 예측에 유용한 방법으로 보인다.

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The Mediating Effects of Depression in the Relationships between Marital Conflict and Parenting Behavior of Young Children's Fathers (유아기 자녀를 둔 아버지의 부부갈등과 양육행동간 관계에 대한 우울의 매개효과)

  • Lee, Hyong-Sil
    • Journal of Convergence for Information Technology
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    • v.7 no.6
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    • pp.237-244
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    • 2017
  • The purpose of this study was to examine the mediating effects of depression in the relationships between marital conflict and parenting behavior of fathers. The data from fathers of 1703 4-year-old children participating in the Panel Study of Korean Children was analyzed. Findings of this study from structural equation modeling analysis indicated that marital conflict was associated positively with depression. Parenting behavior was predicted by depression. Marital conflict had a negative effect on parenting behavior. This study showed that the relationships between marital conflict and parenting behavior were mediated by depression.

Depression and Suicide in Korean Adolescents (한국 청소년의 우울과 자살)

  • Kyo-Heon, Kim
    • Korean Journal of Culture and Social Issue
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    • v.10 no.spc
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    • pp.55-68
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    • 2004
  • Recently, rates of depression and suicide of adolescents in industrialized countries, including Korea, were rapidly increasing. Adolescent depression was often associated with anxiety disorder, eating disorder, attention deficits hyperactivity/disruptive behavior disorder. and suicidal attempts. Epidemiological data about depression and suicide of adolescents are reviewed. Psychological theories of depression and suicide are integrated in terms of a control theory interpretation. Issues about 'relationships between depression and anxiety' 'relationships between depression and suicide' 'the reason why rates of depression and suicide are rapidly increasing at adolescence' 'the reason why the different prevalence of depression between female and male is conspicuous at adolescence' and 'Korean culture associated with depression and suicide of adolescents' are discussed in terms of the revised control theory interpretation.

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