• Journal of Korean Academy of Nursing
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• v.35 no.7
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• pp.1371-1378
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• 2005

Purpose: This study was designed to examine the relation of trait anger and anger expression to blood pressure, cholesterol, and depression in middle-aged Korean women. Methods: This descriptive correlational design was conducted using a convenient sample taken from the health center of K University Hospital located in Kyungki province, Korea. The subjects were 252 women aged 40 to 64 years. Spielberger's state trait anger expression inventory - Korean version and Beck's depression inventory were used for measuring trait anger, state anger, anger expression and depression. Data was analyzed by descriptive statistics, t-test, Pearson correlation, two-way ANOVA, and cluster analysis using a pc-SAS program. Results: The anger expression types by cluster analysis were Anger out/in type, Low anger expression type, and Anger control type. The level of cholesterol and depression were significantly higher in women with high anger in and high trait anger. In addition, the level of depression was significantly higher in women with a high anger temperament. Conclusions: Trait anger and anger in might be related to cholesterol and depression in women. However, this study does not reveal the relation between blood pressure and trait anger and anger expression.

• Child Health Nursing Research
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• v.15 no.2
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• pp.155-163
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• 2009

Purpose: The purpose of this study was to examine the relationship between the behavioral responses of children with burns, and anxiety and depression in their parents. Methods: Ninety-three parents of children with burns, ages 4 to 15 years who were admitted to hospital for an acute burn agreed to participate in this study. The Child Behavior Checklist, Beck Anxiety Inventory and Korean Version of Beck Depression Inventory were used for data collection. Results: The mean scores for acute traumatic disorder, post traumatic disorder, anxiety and depression were $9.05{\pm}3.04,\;39.59{\pm}8.75,\;11.89{\pm}11.53$, and $10.16{\pm}8.22$, respectively. There were significant relationships between depression and gender of children, education of parents, and number of family members. Child's behavioral responses were positively correlated with parents' anxiety and depression. Conclusion: The study found that the greater the behavioral responses of the children with burns, the more anxiety and depression experienced by the parents. The results indicate that psychological support must be provided for both the children with burns and their parents in conjunction with treatment of the burns.

• Korean Journal of Biological Psychiatry
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• v.11 no.2
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• pp.77-87
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• 2004

Due to the high population prevalence of major depression and the strong emphasis on pharmacotherapy for this disorder, antidepressants are among the most frequently prescribed pharmacological agents. But the clinicians are still unable to predict accurately the response of their depressed patients to medication. This article reviews the biological predictors of treatment response including monoamine, neuroendocrine, pharmacogenetic, and psychophysiologic markers. The biological predictors of response, despite some interesting leads that may in the long term be of considerable importance, are not yet sufficiently established to be of routine clinical usefulness. Many of the predictive factors explored in this article are examples of mediators and moderators that affect outcomes. Each one alone may not provide definitive answers for predicting response to treatment, but each must be taken into account at the outset of treatment. It is clear that treatments must be individualized for each patient. It would be necessary to develop the algorithm in order to predict the responsiveness of antidepressant treatment with integration of the results from the previous studies.

• Korean Journal of Psychosomatic Medicine
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• v.15 no.1
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• pp.14-21
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• 2007

Premenstural dysphoric disorder(PMDD) imposing 4-5% of women is possibly caused by an enhanced responsiveness to the changes of sex steroid hormones and the decrease of serotonin, melatonin and GABA. The common clinical features between PMDD and depression, seasonal affective disorder, panic disorder and anorexia nervosa suggest a relatedness between PMDD and each of them. The diagnostic criteria of DSM-IV-Tr for PMDD requires psychological symptoms, that commonly include irritability, anger, depression, mood swing, affect lability, tension, anxiety, fatigue and food craving. As of today, the best pharmacological treatment for PMDD is the selective serotonin reuptake inhibiter, and leuprolide, danazol, estradiol, spironolactone and bromocriptine are possible alternatives. Nonpharmacological treatments for patients with mild to moderate symptom severity are diet, exercise, light therapy, psychotherapy and keeping a diary.

• The Korean Journal of Rehabilitation Nursing
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• v.9 no.2
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• pp.145-152
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• 2006

Purpose: The purpose of this study was to investigate the depression, anxiety, stress response and self-care, to analyze the correlation among depression, anxiety, stress response and self-care by gender, and to determine factors associated with self-care in diabetic patients. Method: The subjects of this study were 103 participants with diabetes mellitus. Data were analyzed by chi-square test, t-test, Pearson correlation coefficient and multiple regression analysis by using SAS program. Result: Items for self-care evaluation by gender were significant differences in hospital visit, hypoglycemia preparation, proper hygiene, taking a rest, foot injury check, drinking, and smoking. The female patients are more likely to have higher self-care score than the male patients. However, there were no differences in depression, anxiety and stress response by gender. In male patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In female patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In multiple regression analysis, gender and experienced admission is associated with self-care. Conclusion: We should consider integrated approaches for psychological problems in the management of diabetic patients.

• Journal of East-West Nursing Research
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• v.16 no.1
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• pp.35-43
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• 2010

Purpose: The purpose of the study was to identify the effect of humorous video on the depression and stress responses in patients undergoing hemodialysis. Methods: The quasi-experimental study was designed with a nonequivalent control group pre-post test. Research participants were assigned to a treatment group (n=23) and a control group (n=21). Treatment was watching humorous video tapes 30 min each time, three times a week. The depression level and state anxiety level were assessed using a questionnaire. Cortisol was measured by a blood test. The data were analyzed using $x^2$-test, and t-test. Results: Depression and anxiety were decreased significantly in the treatment group. Conclusions: Humorous video tape could be a usefull tool at home and clinical setting as a nursing intervention to decrease depression and anxiety among the patients on hemodialysis.

• Journal of the Korea Society of Computer and Information
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• v.27 no.6
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• pp.109-116
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• 2022

Before examining stress and physiological variables (immunity, inflammation), this study conducted a pilot test to provide basic data by analyzing depression and anxiety symptoms by age group for stress coping and coping methods. As a non-face-to-face method, BDI and STAI by age group (20s to 70s) and face-to-face survey were conducted concurrently and as follow-up surveys. In 20s to 60s, according to the coping method, there was a significant decrease after stress relief, and in all age groups, anxiety decreased significantly after stress relief, and in the 50s, stress coping with exercise was the lowest after stress relief. Based on the results of this study, through basic research according to psychological variables, physiological variables according to actual stress coping methods were further verified, and subjects with high stress levels were treated with long-term exercise therapy for depression and anxiety symptoms by exercise therapy. It will be necessary to additionally verify the appropriate stress coping method for each age group and subject, such as the correlation between improvement and immunity and inflammatory response.

• Journal of the Korean Institute of Landscape Architecture
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• v.43 no.3
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• pp.43-51
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• 2015

Stresses from desolate urban environments cause illnesses and worsen health conditions of urban residents, while natural environments have a positive influence on human. Natural healing programs such as forest therapy and horticultural therapy can be differentiated by the characteristic of activity space. However, previous studies of healing programs have focused on either forest therapy or horticulture therapy and there is a limit to comprehending the effects of adopting and connecting various healing programs. This study compares and analyzes the physiological and psychological effects of forest therapy and horticultural therapy to identify the effects and differences by types of healing programs. The before and after effects of horticultural therapy and forest therapy are measured by experiment and survey for 5 days with 5 subjects in each program. For physiological reaction, blood pressure, pulse, and cortisol levels are measured and the profile of moods states(POMS) is used to measure psychological reaction. Collected data are analyzed with the analysis of variance(ANOVA) and Paired-Sample T-test in SPSS 18.0. The results of this study are as follows: 1) forest therapy and horticultural therapy show positive effects in physiological and physiological aspects, 2) forest therapy is more effective than horticultural therapy in physiological relaxation and stress mitigation, 3) horticultural therapy has a tendency to alleviate depression more effectively than forest therapy. In conclusion, this study contributes to providing fundamental information for the development of healing programs and design guidelines for healing spaces through identifying the characteristics of each healing program.

• Journal of Yeungnam Medical Science
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• v.11 no.1
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• pp.63-71
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• 1994

The purpose of this study was to evaluate the effect of stroke on hypothalamic-pituitary axis using dexamethasone suppression test. The effects were evaluated according to age, sex, type, size, and lesion site of stroke. These tests were performed in 62 patients with stroke(cerebral infarction, 42 cases : intracerebral hemorrage, 20 cases) and 21 disabled controlled patients without intracranial diseases at Yeungnam University Hospital from June 1992 to June 1993. The results summarized as follows. 1. Cerebral infarction showed significantly higher frequency of DST non-suppression in stroke patients than control(p<0.05). 2. Patients with left hemisphere stroke showed more frequent abnormal neuroendocrine test results(p<0.01) 3. Patients with large infarction revealed strongly non-suppressed DST results(p<0.01). 4. Sinificantly higher basal cortisol level in patients with cerebral infarction was noted(p<0.01). 5. There are no statistical significance between DST results and sex, age, motor impairment, type of cerebral infarction.

• Sleep Medicine and Psychophysiology
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• v.25 no.1
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• pp.15-20
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• 2018

Objectives: This study was designed to assess the change of heart rate variability (HRV) at resting, upright, and psychological stress states in depressive disorder patients. Methods: HRV was measured at resting, upright, and psychological stress states in 62 depressive disorder patients. We used visual analogue scale (VAS) score to assess tension and stress severity. Beck depression inventory (BDI) and state trait anxiety inventories I and II (STAI-I and II) were used to assess depression and anxiety severity, respectively. Differences between HRV indices and VAS score were evaluated using paired t-tests. Gender difference analysis was conducted with ANCOVA. Results: SDNN (standard deviation of normal to normal intervals), LF/HF (low frequency/high frequency), and VLF (very low frequency) were significantly increased, while NN50 and pNN50 were significantly decreased in the upright position compared to resting state. SDNN, RMSSD (root mean square of the differences of successive normal to normal intervals), and VLF were significantly increased, while pNN50 was significantly decreased in the psychological stress state compared to resting state. SDNN, NN50, and pNN50 were significantly lower in an upright position compared to a state of psychological stress, and LF, HF, and LF/HF showed no significant differences Conclusion: The LF/HF ratio was significantly increased after physical stress in depressive disorder. However, the LF/HF ratio was not significantly increased after psychological stress, and the change in LF/HF ratio after physical stress and psychological stress did not significantly differ from each other. Significant increase in SDNN, NN50, and pNN50 in an upright posture compared to psychological stress suggests that depressive patients react more sensitively to physical stress than psychological stress.