• Title/Summary/Keyword: 우울불안

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Relationship between Somatization and Mental Health of Registered Nurses (간호사의 신체화 증상과 정신건강의 관계)

  • Joo, Jungmin;Goo, Ae Jin;Kim, Sung-Wan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.135-142
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    • 2020
  • Objectives : To identify the relationship between somatization, stress, depression, anxiety, and psychological symptoms risk for nurses working in the intensive care unit. Create clinical evidence of psychosomatic medicine research and complement the meaning of somatization. Methods : Seventy of the mental health checkups conducted by the National Mental Health Center among the nurses using tools including Perceived Stress scale, Fatigue Severity Scale, Patient Health questionnaire-15, Korean Beck Depression Inventory, Korean Beck Anxiety Inventory, and Symptom Checklist-90-Revision. Results : 12.9% of the patients experienced more than moderate somatization. There was no statistical relationship between somatization and psychological stress perception, but feeling of anxiety and decreased self-confidence were related to the level of somatization. The group with severe somatization experienced more depression and anxiety. The group with high physical fatigue also had no statistical relationship with psychological stress perception, but had an effect on the feeling of tension, stress, or decreased control. Physical fatigue level was increased by experience of depression, not by anxiety. For psychological symptoms the higher the level of somatization, the higher the obsession and hostility was explored. In the linear regression model, stress, depression, and anxiety accounted for 39.3% of somatization and 16.1% of physical fatigue symptoms. Conclusions : We can estimate the decrease in stress cognitive symptoms, accompanying depression and anxiety, compulsion and hostility as characteristics of somatization. The causal relationship between somatization and psychological symptoms cannot be confirmed in this study, but the interrelationships are observed, can be referred to mediation strategies.

The Structural Relationship between Career Anxiety and Depression in School Drop-Out Adolescents: Focusing on the Mediating Effect of Social Relationships and Self-Elasticity (학업중단 청소년의 진로불안과 우울 사이의 구조적 관계: 사회적 관계와 자아탄력성의 매개효과를 중심으로)

  • Lee, Hyoung-Ha;Kwon, Choong-hoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2020.07a
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    • pp.167-168
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    • 2020
  • 본 연구는 학업중단청소년 패널조사 5차년도 조사(2017년) 데이터를 활용하여 학업중단 청소년의 진로불안이 우울에 영향을 미치는 과정에서 외적 보호요인으로 작용하는 사회적 관계(부모애착, 또래애착)와 내적 보호요인으로 작용하는 자아탄력성의 매개효과를 검증하고자 한다.

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Meta-Analysis of the Effects of Nonpharmacological Interventions for Anxiety Disorder (불안장애 대상자에게 적용한 비약물적 중재효과 메타분석)

  • Kim, Hyeun sil;Kim, Eun Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7273-7284
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    • 2015
  • The purpose of this study was to investigate the effect size of non-pharmacological intervention applied to patients with anxiety disorder and to provide information about evidence-based intervention. Twenty three studies were selected for meta-analysis through a systematic review of domestic studies. We searched journal articles published in Korea up to May, 2015 using the key words "Anxiety Disorders (MeSH)" and "Treatment or Intervention". Meta-analysis was performed using a random effects model, and the effect sizes on each of anxiety and depression were calculated. The effect size for anxiety of non-pharmacological intervention in this study was Hedges' g=1.693 (95% CI; 1.267-2.120), indicating a large effect size. The effect size for depression was Hedges's g=1.571 (95% CI; 0.481-2.661), indicating a large effect size. It is significant that this study systematically synthesized the study results for non-pharmacological intervention effects applied to patients with anxiety disorders in Korea. It also established a basis that can be applied to nursing intervention.

Effects of Aromatherapy on Anxiety and Depression of Caregivers for Patients in Rehabilitation Therapy (재활치료 환자 보호자의 불안감과 우울감에 대한 향기치료의 효과)

  • Kwon, Young-Moon;Lee, Sang-Ick;Kim, Sie-Kyeong;Son, Jung-Woo;Shin, Chul-Jin;Choi, Young-Rak
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.1
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    • pp.24-31
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    • 2005
  • The aim of this study was to assess effects of aromatherapy on anxiety and depression of caregivers for patients in rehabilitation therapy and to provide basic data for the aromatherapy. Beck Anxiety Inventory(BAI) and Beck Depression Inventory(BDI) for the preliminary assessment of anxiety and depressive mood were administered to caregivers for patients in rehabilitation therapy in Chungbuk National University Hospital. Forty two out of seventy subjects who got scores above 10 in BDI were selected. Forty two Participants were divided into orange group, lavender group and control group. They had got the aromatherapy by using the lamp diffusion method for 4 weeks. Only forty participants completed a trial. Effects of the aromatherapy were measured using BAI, Hamilton Anxiety Rating Scale(HAM-A), BDI, Hamilton Depression Rating Scale(HAM-D), Self Esteem Scale(SES) and Index of Wellbeing(IOWB) before and after the aromatherapy. Orange group showed significant difference in the change of BDI scores compared with control group. Lavender group showed significant difference in the mean change of BAI, BDI and IOWB scores compared with control group. These results suggested that aromatherapy with orange oil was effective for depression and the aromatherapy with lavender oil was effective for anxiety as well as depression.

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Effects of Depression and Anxiety Symptoms on Specific Cognitive Function by Evaluating Healthy Subjects (정상인을 통해 알아본 우울 증상과 불안 증상이 특정 인지 기능에 미치는 영향)

  • Kim, Kyuho;Nam, Yoon-Young;Han, Jiyeon;Yu, Rina;Ryu, Vin
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.42-48
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    • 2021
  • Objectives : Based on the fact that cognitive functions decline known as comorbid symptoms of depression can precede depression, this study seeks to observe the effects of depressive symptoms and anxiety symptoms on cognitive function in healthy subjects. Methods : To recruit 50 general populations to evaluate cognitive and clinical symptoms and to find out the effects of clinical symptoms on cognitive functions, Pearson correlation and multivariate regression were conducted. Correlation analysis of subdomain cognitive function was conducted for reliability analysis. Results : Trail making test-B that evaluates the execution function correlates with depressive symptoms (r=0.300, p=0.03) and age (r=0.323, p=0.02). Depressive symptoms (β=0.304, p=0.03) and age (β=0.335, p=0.01) were significantly related to Trail making test -B (Adjusted R2=0.148). Subjective cognitive tests correlates with anxiety symptoms (r=0.434, p=0.002). In the correlation between cognitive functional items, Subjective cognitive tests was found to be correlated with other test except Spotter. Conclusions : In this study, depressive symptoms contribute independently to executive functions in addition to demographic characteristics such as age and duration of education. Given that cognitive decline is a common long-term clinical outcome in depression, we expect active early intervention and evaluation of cognitive function to be helpful.

Factors Influencing the Death Anxiety of the Elderly Living Alone (독거노인의 죽음불안 영향요인)

  • Kwon, Young-Eun;Kim, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.262-269
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    • 2016
  • The aim of this study was to identity the death anxiety of elderly people living alone, and the factors that affect their death anxiety. The subjects did not have an impaired cognitive function, and were from one Chungcheongnamdo 2 district in the elderly University. The subjects were 187 elderly people over the age of 65 living alone in the district. The character, communication, and data was collected from February, 2014 to 2 May, 2015 and analyzed using the SPSS 18 program. The death anxiety whole point of elderly people living alone was 2.94 (${\pm}0.32$); it was 3.06 (${\pm}0.32$) points according to the sub-region 'death process anxiety', 2.88 (${\pm}0.51$) points according to 'after-death anxiety', and 2.75 (${\pm}0.43$) points according to 'presence loss anxiety'. The factors affecting the death anxiety were economic status, depression, and spiritual wellbeing. Economic status (${\beta}=-.36$, p= .000) had the largest effect with an overall explanatory power of 20.3%. Therefore, for the death anxiety of elderly people living alone, life needs to be strengthened through social security systems with intervention programs to improve the quality of depression and spiritual wellbeing.

A Study for Alexithymia in the Patients with Panic Disorder (공황장애환자에서 감정표현불능증에 대한 연구)

  • Choi, Young-Hee;Jang, Hyuck-Jin;Kim, Min-Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.1
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    • pp.53-61
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    • 2006
  • Objectives: This study was designed to evaluate difference of the alexithymia between panic patients and normal controls by examination of the relationships between different components of the alexithymia construct and level of anxiety and depression in panic patients and normal controls. Methods The subjects were 167 patients who met DSM-IV criteria for panic disorder and 110 normal controls. They drew up symptom checklists and self-rating scales, and were measured by Anxiety Disorders Interview Schedule-Panic attack & Agoraphobia(ADIS-P & A), Korean version of Toronto Alexithymia Scale (TAS-20K), Spielberger State-Trait Anxiety Inventory-State & Trait (STAI-S & T), Beck Depression Inventory (BDI), and Revised Anxiety Sensitivity Index (ASI-R). For statistical analysis, we performed t-test to compare the sociodemographic characteristics and the scores of self reported scales between panic patients and normal controls. Pearson correlation was performed between TAS-20K and it's subfactors, STAI-S & T, ASI-R and BDI in panic patients and normal controls. And stepwise multiple regression analysis was preformed to explain results of correlation analysis for alexithymia. Results: The panic patients reported more significant alexithymic (p<0.001), more difficulty identifying feeling (p<0.001) and describing feeling (p=0.001) than normal controls. Futhermore, panic patients were more significant anxious, sensitive to anxious feeling and depressive than normal controls. Moreover, the alexithymia of panic patients was explained by trait-anxiety $({\Delta}R^2=0.255)$ and anxiety sensitivity $({\Delta}R^2=0.062)$, that of normal controls was predicted by depression $({\Delta}R^2=0.144)$ and anxiety sensitivity $({\Delta}R^2=0.033)$ Conclusion: The panic patients reported more anxious and sensitive to anxious feeling, and these symptoms predict alexithymia in panic patients. However, the alexithymia of normal controls was explained by depression more than anxiety sensitivity, and such a result isn't consistent with previous studies and this may be mainly due to difference of the homogeneity in object of the studies.

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Affecting Factors in Unemployment Stress among College Students -Focused on Physical Symptoms, Depression, Anxiety and Self-esteem- (대학생의 취업스트레스에 영향을 미치는 요인 -신체증상, 우울, 불안, 자아존중감을 중심으로-)

  • Choi, Seung-Hye;Lee, Haeyoung
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.808-816
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    • 2013
  • This study examined the correlation between college students' unemployment stress and affecting factors including physical symptoms, mental health, and self-esteem. In the results, students appeared to have more stress when they were female, in higher grades, in low satisfaction in their school life, in the lack of leisure time, in inadequate preparation for employment, and when they had none of those who could share their feeling on unemployment than students in the opposite situations. Students' physical and mental health had a positive relation with unemployment stress, and self esteem had a negative relation with unemployment stress. After multivariate analysis, the factors affecting unemployment stress were senior grade and depression. On the other hand, the factors predicting low umemployment stress were male sex, high level of self esteem, and satisfaction in preparation for employment. Therefore, the counselling program for employment preparation should include intervention strategies for enhancing self-esteem besides providing with information of employment.

The Relationship between Anxiety, Depression and 24-hour Ambulatory Blood Pressure in Hotel Employees (호텔 종사자들에서 불안 및 우울과 24시간 활동혈압 관련성)

  • Bae, Jun-Ho;SaKong, Jeong-Kyu;Kim, Sang-Kyu
    • Journal of agricultural medicine and community health
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    • v.36 no.3
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    • pp.157-166
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    • 2011
  • Objectives: Anxiety and depression are known to be associated with hypertension, and blood pressure can vary spontaneously throughout the day. The aim of this study was to evaluate anxiety, depression and 24-hour ambulatory blood pressure (24-h ambulatory BP) in employees at their worksite. Methods: A total of 107 volunteers among 136 employees at a hotel in Gyeongju, Korea were enrolled in this study between December 2009 and March 2010. The Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) were used to assess anxiety and depression, respectively. Blood pressure was measured using a 24-h ambulatory BP monitoring system. Results: No significant differences in either BAI or BDI scores were found when hypertensive individuals were compared to normotensive individuals. The frequency of diastolic non-dipper was significantly higher in individuals with depressive symptoms compared to those without (p<0.05). Depression was significantly associated with diastolic non-dipper (OR: 6.85, 95% CI: 1.50-30.01). Conclusions: The results of this study indicate that depression should be considered when deciding upon blood pressure control regimens, and appropriate additive psychotherapy may be beneficial in the treatment of hypertensive patients.

Effects of Depression, Anxiety, and Alcohol Abstinence Self-efficacy on Drinking Problem among College Students : Health and Welfare Department Students (대학생의 우울, 불안, 금주 자기효능감이 음주문제에 미치는 영향 : 보건복지계열 학생을 중심으로)

  • Yang, Seung Hee;Yoon, Ji-Won
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.304-313
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    • 2015
  • The purpose of this study was to identify the significant predictors of drinking problem among college students attending health and welfare department. A total of 538 college students attending health and welfare department were selected through convenient sampling. Data were collected using self-reporting questionnaires, which were constructed to include depression, anxiety, abstinence self-efficacy, and drinking behavior. SPSS 18.0 was used for data analysis and descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson Correlation coefficients, and multiple regression were done. Drinking problem was positively correlated to the depression and anger while negatively correlated to the abstinence self-efficacy. The significant predictors of drinking behavior were sex, grade, anxiety, and abstinence self-efficacy. The result of this study suggest that drinking problem prevention program should consider improving self management skills by effective management of negative emotions along with enhancing self-efficacy as a cognitive strategy.