• Title/Summary/Keyword: 우울불안

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Attitude and Belief About Menopause and Menopausal Symptoms in Depressive or Anxiety Disorder Patients (우울, 불안장애 환자에서 폐경에 대한 태도 및 인식과 폐경기 증상)

  • Choi, In Kwang;Lee, Moon-Soo;Ham, Byung-Joo;Lee, Hwa-Young;Ko, Young-Hoon;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.2
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    • pp.82-93
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    • 2010
  • Objectives : The purpose of this study was to explore attitude and belief about menopause and severity of menopausal symptoms according to menopausal status. This study conducted a cross-sectional assessment of the effects of depressive symptoms and the severity of trait anxiety on the severity of menopausal symptoms. Methods : Participants were all outpatients at the psychiatric outpatient clinic of Korea University Guro Hospital. All participants, aged 40 to 64, had depressive or anxiety disorders and were divided into the premenopause, perimenopause, premenopause, and postmenopause groups. Menopause Rating Scale(MRS) was used to measure the severity of menopausal symptoms. The attitude toward menopause was examined by a self-report questionnaire regarding menopause. Beck Depression Inventory(BDI) and State-Trait Anxiety Inventory(STAI) were used to assess depressive symptoms and anxiety. Results : The severity of menopausal symptoms was not different among the groups according to menopausal status. There was a significant correlation between a negative attitude toward menopause and the severity of menopausal symptoms. Patients with moderate to severe depressive symptoms and trait anxiety had more severe menopausal symptoms. Conclusion : Negative attitude toward menopause, depressive symptoms, and anxiety had a significantly negative impact on the severity of menopausal symptoms. The results of this study suggest that treatment to relieve depressive symptoms and anxiety and intervention to reduce negative attitude toward menopause are required. Further studies with larger sample size are needed to evaluate potentially effects of depressive symptoms and anxiety on severity of menopausal symptoms in middle-aged female psychiatric patients.

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The Relationship of Anxiety Symptoms and Depressive Symptoms to Glycemic Control in Diabetic Patients (당뇨병 환자에서 우울증상 및 불안증상과 혈당조절과의 연관성)

  • Jeon, Byung-Hee;Kim, Hyun-Woo;Kim, Hee-Jin;Lim, Myung-Ho;Lee, Seok-Bum;Paik, Ki-Chung;Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.2
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    • pp.95-102
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    • 2008
  • Objectives : Diabetes patients suffer from severe stress in maintaining the diet therapy and exercise therapy as well as the disease itself, and this stress has bad effects on controlling the glucose level and causes high prevalence rate of depressive and anxiety disorders. These symptoms again have deleterious effects on blood glucose control. A lot of researches about the relationship between glycemic control and symptoms of depression and anxiety and about the positive effects of the treatments of depression and anxiety disorder on glycemic control in diabetic patients are being performed. In Korea, the research regarding the relationship between glycemic control and depression and anxiety symptoms are seldom performed. In this study, we tried to find out the correlation between the glycemic control and depressive symptom and anxiety symptom. Methods : The study included 65 patients(male 34, female 31) with Diabetes in outpatient clinic of the Department of Endocrinology in Dankook University Hospital. We used the HbA1c levels to check glycemic control through blood sample analysis and used Beck Depression Inventory(BDI) and Beck Anxiety Inventory(BAI). Results : Among the 65 Diabetes patients, 21(32.30%) had mild depressive symptoms, and 6(9.23%) had moderate or severe depressive symptoms. The relation of HbA1c and BDI was not statistically significant, but was significant between HBA1c and BAI, (R=0.567, P<0.001). In the linear regression analysis, BAI had an effect on HbA1c($\beta=0.533$, T=5.012, P=0.00), but BDI, diabetes complications, diabetic morbid period and BMI had no effect on HbA1C. The relationship between HbA1c and BDI was not statistically significant, but the relationship between HbA1c and BAI was statistically significant(R=0.254, P<0.001). Conclusions : In this study, the rates of diabetic patients with depressive symptoms were higher, but those with anxiety symptoms were not higher than the general population. We could not find out significant relationship between depressive symptom and glycemic control, but found the significant relationship between the anxiety symptom and glycemic control in diabetic patients.

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Analysis of State-Trait Anxiety Inventory for Patients Diagnosed with Insomnia in an Outpatient Department (상태-특성 불안척도를 이용한 불면 장애 환자 군들에 대한 분석)

  • Lee, Sang Don;Ryu, Seung-Ho;Ha, Jee Hyun;Jeon, Hong Jun;Park, Doo-Heum
    • Sleep Medicine and Psychophysiology
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    • v.26 no.2
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    • pp.104-110
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    • 2019
  • Objectives: Insomnia patients who visited the psychiatric outpatient of a university department, were divided into those patients with insomnia alone and those with depression or anxiety disorder, along with insomnia. The study analyzed their demographic characteristics and the differences in State-Trait Anxiety Inventory (STAI) results among the patient groups. Methods: Patients who visited the psychiatric department in Konkuk University hospital from 1 January 2006 to 31 December 2018. If they were diagnosed with insomnia disorder based on DSM IV-TR and had undergone STAI, their electronic records were retrospectively analyzed. Based on the records, the patients were classified into those with insomnia disorder only, those with insomnia and anxiety disorder, and those with insomnia and depressive disorder. This study analyzed the demographic characteristics and STAI results of each group, and compared the differences among those groups. Results: During the period, 99 of 329 insomnia disorder patients who had performed STAI were diagnosed with depressive concurrent disorder and 61 with concurrent anxiety disorder. There was no difference in demographic characteristics of age and sex ratio among the three patient groups, and all had greater than 70% proportions of patients aged from 50s to 70s (71.8%, 77.1%, and 73.8% respectively). The average scores of STAI-I were 51.85 ± 10.15 for the patients with anxiety disorders and 54.18 ± 10.32 for those with depressive disorders, both of which were higher than the score of the patients with insomnia alone (44.55 ± 8.89). However, the score difference was not statically significant between the anxiety and depression groups. Similarly, in the STAI-II comparison, the averages of patients with anxiety or depressive disorders along with insomnia were 49.98 ± 8.31 and 53.19 ± 10.13 respectively, which were higher than that of the insomnia only group (42.71 ± 8.84), but there was no significant difference between the anxiety and depressive disorder groups. Conclusion: Although there were no differences in demographic data between the patients with insomnia only and those with accompanying depressive or anxiety disorder, the STAI-I and II scores were lower in the insomnia only group. In the future, it is necessary to consider other demographic characteristics including comorbidities and to conduct similar analyses with a larger sample.

Factors Influencing of Smartphone Addiction among University Freshmen (대학신입생의 스마트폰 중독에 미치는 영향요인)

  • Gang, Moon-Hee;Oh, Eun-Jin;Kim, Seon-Hee;Park, Hyeok-Gyu
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.488-495
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    • 2020
  • The purpose of the study was to identify the associated factors on the smartphone addiction of university freshmen. Collected data were analyzed with SPSS 26.0 using t-test, Pearson's correlation coefficients and logistic regression. Depression and anxiety was statistically significant. As a result of the multiple regression I. the factors affecting were self-injury attempt experience, gender. The results of regression model II with depression and anxiety were depression and gender. It is intended to present the necessity of a program related to predicting smartphone addiction of university freshmen.

Influence of Social Contact, Depression and Anxiety on Suicidal Ideation of the Elderly in the COVID-19 pandemic (코로나19 팬데믹 상황에서 노인의 사회접촉, 우울, 불안 정도가 자살사고에 미치는 영향)

  • Kim, Ji Eun
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.870-878
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    • 2021
  • This study aimed to identify how social contact, depression, and anxiety influence suicidal ideation of the elderly related to general characteristics. The objects were 198 elderly living in Mungyeong-si, Gyeongsangbuk-do. The data were collected from 2, March to 15, April 2021. Collected data were analyzed by t-tests, ANOVA, Pearson's correlation coefficient, and multiple stepwise regression analysis using SPSS 24.0. Findings revealed 1) Pearson's correlation coefficient indicated significant association among social contact, depression, anxiety, and suicidal ideation 2) Multiple regression analysis showed that the influencing factors have 44.9% of explanation power in suicidal ideation of the elderly: depression(β=.430, p< .001), perceived financial status(β=-.198, p<.001), psychiatric treatment history (β=-.182, p=.002), and social contact (β=-.155, p=.007) in order. The conclusion of this study indicates that we need to pay interdisciplinary attention to the mental health of the elderly in the Covid-19 pandemic. Based on the findings, health professionals should provide elderly persons with comprehensive and appropriate management to prevent suicidal ideation upon factors. Additionally, there should be establishing a system to access and ensure social contact for the elderly.

The Effects of Exercise Program on Cognitive Function, Depression, and Life Satisfaction in Elderly (12주간 운동 프로그램이 노인의 인지기능, 불안 및 생활 만족도에 미치는 영향)

  • An, Sang-Hyun
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.401-408
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    • 2019
  • The purpose of this research was to examine conduction of 12 week exercise program for the aged of sanatorium on their cognitive function, depression, uneasiness, and living satisfaction. The subject of this research was 60 aged persons of H sanatorium in H-si and mental status examination and survey on depression criterion, uneasiness measurement, and living satisfaction of the aged were conducted. To examine the effects of the program, paired t-test was conducted. As a result, there were significant differences after 12-week exercise program in all factors such as cognitive function, depression, uneasiness and living satisfaction of the subjects. In conclusion, regular exercise program may positive effects on mental status cognitive status, depression, uneasiness, and living satisfaction of the aged. Therefore proper exercise form and program are necessary to the aged in long term care facilities.

A DOUBLE BLIND CROSS-OVER COMPARISON OF ANTIDEPRESSANT AND ANTIANXIETY EFFECTS OF PAROXETINE AND PLACEBO IN CHILD-ADOLESCENT AND ADULT DEPRESSIVE NEUROSIS (소아 ${\cdot}$ 청소년 및 성인 우울신경증 환자에 대한 Paroxetine의 항우울 및 항불안 효과 검증 : 위약과의 이중맹 교차 비교실험)

  • Kim, S. Peter;Hong, Kyung-Sue
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.83-92
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    • 1994
  • Paroxetine is a potent and selective serotoin re-uptake inhibitor. It is well known as an effective and safe antidepressant and increasingly used for neurotic or non-psychotic depression with anxiety symptoms. The present study assessed antidepressant and antianxiety efficacy and tolerability of paroxetine against placebo in child-adolescent and adult depressive neurosis patients. 232 subjects aged 8-55 years and meeting DSM-III-R criteria for depressive neurosis or dysthymia were divided into 8 subgroups according to their sex and age(8-11 yeard old, 12-17 years old, 18-35 years old and 36-55 years old subgroup in each male and female group). In each subgroup, the randomly assigned half of the patients were treated with paroxetine(10-30mg/day) and the others with placebo for the first 2 weeks in double blind fashion. After 1 week of drug-washout period, paroxetine and placebo groups were crossed over. The depression and anxiety symptoms were assessed with Hamilton Depression Scale(HDS) and Hamilton Anxiety Scale(HAS) at baseline and every 1 week during the trial periods. The levels of reduction in HDS and HAS scores from baseline after 2-week trial were compared between paroxetine- and placebo- treated periods by paired t-test. In all the 8 subgroups, statistically significant differences between paroxetine and placebo were found on the antidepressant efficacy after 2-week treatment. The antidepressant efficacy of paroxetine compared to placebo was most prominent in child and adolescent female groups. On anxiety symptoms, paroxetine was also significantly more effective than placebo. The antianxiety efficacy of paroxetine compared to placebo was most prominent in male and female child groups and young adult female group aged 18-35 years. As for the adverse effects of paroxetine, 3 out of 232 subjects reported mild indigestion and abdominal pain. however, in all the 3 cases, the symptoms improved without reduction of dosage or discontinuation of the drug. In conclusion, paroxetine showed significantly higher antidepressant and antianxiety efficacy compared to placebo in child-adolescent and adult depressive neurosis patients after 2-week treatment. Further trials of paroxetine in depressive neurosis are warranted to elucidate the long-term antidepressant and antianxiety efficacy of paroxetine.

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The impact of depression and anxiety on life satisfaction in psychiatric patients : Moderating effect of humor style (정신건강의학과 환자들의 우울 및 불안이 삶의 만족도에 미치는 영향 : 유머양식의 조절효과)

  • Kim, Keun-Hyang;Cho, Young Eun
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.125-132
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    • 2016
  • Conventionally, humor has been regarded as an indicator of mental health, but several researchers has proposed that the effects of humor in mental health may be different depending on humor styles. Therefore, further studies about humor style and the effect of humor are worthwhile. In the present study, we shall pay attention to buffering effect of humor on a decline in mental health. we attempted to identify weather the buffering effect of humor is different depending on humor styles in psychiatric patients. For this purpose correlation analysis on humor style, depression, anxiety and life satisfaction were carried out, and hierarchical regression analysis were applied to analyse moderating effect of humor style. Consequently, self-enhancing humor has a significant moderating effect on both depression and anxiety. Whereas, affiliative humor has a significant interactive effect with only depression. The conclusion which can be drawn from this study is that positive humor can work as a protective factor on a decline in mental health, and using self-enhancing humor is effective to increase life satisfaction. It might have a convergent meaning on adaptation that psychiatric patients could have a good adaptation(by using positive humor) in real world.

The Effect of Empathy on Anxiety and Depression in COVID-19 Disaster : through Risk Perception and Indirect Trauma (코로나19 재난 상황에서 공감이 불안과 우울에 미치는 영향 : 위험지각과 간접외상을 통하여)

  • Han, Jeong-Soo;Choi, Ju-Hee;Lee, Sang-Ok;Kim, Yoo-Ri;Kim, Sung-Soo
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.609-625
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    • 2021
  • It has now been more than a year since the start of the COVID-19 pandemic in Korea, which has claimed thousands of lives and changed every aspect of life. The corona pandemic not only caused physical damages but also psychological one which is a collective social stress phenomenon often termed as 'corona blue'. The purpose of this study is to examine how empathy affects anxiety and depression through risk perception and indirect trauma, which are psychological variables related to the corona pandemic as a disaster. The survey data from 214 people were analyzed with a structural equation modelling. The results shows that 53.3 % of the participants experienced anxiety and 35.7% suffered from depression, which were about 6 times higher than ones from the 2019 government data. Affective empathy had a significant effect on risk perception, and cognitive empathy had a significant effect on indirect trauma. Risk perception and indirect trauma both had a significant effect on anxiety, and anxiety had a significant impact on depression. Only cognitive empathy had a significant indirect effect on anxiety and depression. This study provides an important insight into understanding a social phenomenon of 'corona blue' from a empathic perspective.

Comparison of the Depression and Anxiety between the Elderly in the Home for the Aged and Those in the Community (양로원 노인과 재가 노인의 불안과 우울에 관한 비교조사)

  • Seo, Ryo-Seok;Jung, Sung-Duk;Kim, Chang-Su
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.256-268
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    • 1992
  • This survey was conducted from January 1991 to May 1991. Two hundred arid eight residents in 4 government supported homes for the aged and two hundred and eleven living in the community in Taegu, Korea, were examined to evaluate the depression and the anxiety of the aged with combined anxiety and depression scale(CADS) and somatization symptom check list(SCL). There are no significant differences between residents in the home for the aged and those living in the community on the total scores of CADS and SCL. However, in the case of total score of CADS of the female subjects in the home for the aged were significantly higher than those of the community residents. The elderly in the home for the aged tended to have pure depression, while community residents were likely to have anxiety and depression. Fifty-two subjects of home for the aged and sixty-nine of the community scored over 50 points of CADS, which indicates considerable depression or anxiety. In psychosocial factors, the subjects who in the following situations had statistically significant higher scores than others. The results were as follow. Poor health, unhappiness, unsatisfaction to the past occupation, pessimistic thought in future view for both group and un satisfaction of the relationship with familiar people for the elderly in the community. The SCL scores of two groups subgrouped by under 49 and 50 on CADS showed significant differences between each subgroup on all of the SCL items. It could be suggested that somatic symptoms for the aged is a sign of depression.

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