• Title/Summary/Keyword: 우울불안

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The Comorbidity of Anxiety Disorder in Depressed Patients : A CRESCEND(Clinical Research Center for Depression in Korea) Cohort Study (우울증 환자에서 불안장애의 동반이환 : 우울증 임상연구센터 코호트연구)

  • Sakong, Jeong-Kyu;Lee, Do-Yun;Suh, Ho-Suk;Sung, Hyung-Mo;Kim, Jung-Bum;Jung, Young-Eun;Lee, Min-Soo;Kim, Jae-Min;Jo, Sunjin
    • Mood & Emotion
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    • v.9 no.1
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    • pp.30-36
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    • 2011
  • Purpose : Anxiety disorder and depressive disorder are often comorbid with each other, and the comorbidity is associated with poorer psychiatric outcome, resistance to treatment, increased risk for suicide, greater chance for recurrence. We aimed to investigate the comorbidity of anxiety disorder in Korea. Method : Subjects were total of 867 depressed patients recruited CRESCEND-K multicenter trial. We used SCID (Structured Clinical Interview for DSM - IV) to find comorbidity of anxiety disorders in depressed patient. Results : Of 867 patients, total 8.2% had anxiety disorder. Proportion of anxiety disorder Not Otherwise Specified was 3.5%, panic disorder was 1.7%, generalized anxiety disorder was 1.1%, post traumatic stress disorder was 0.9%, obsessive compulsive disorder was 0.6%, social phobia was 0.4%. Conclusion : In this study, anxiety disorder in depression were measured at a low comorbidity rate in compare to previous studies. Selection bias, use of antidepressants at registration, severity of depression symptoms, and point of SICD administration seems to have affected these results. It is probable that comorbidity evaluation would be more precise if shorter, structured interviews such as M. I.N.I.-Plus were used during first clinical interview for depression diagnosis.

The Effects of Railway Engineers' Perceived Job Characteristics and Organizational Characteristic on Psychological Depression and Human Errors: Moderating Effects of Perceived Organizational Support (철도기관사의 지각된 직무특성과 조직특성이 직무스트레스와 심리적 우울, 인적오류에 미치는 영향: 조직지원지각의 조절효과)

  • Kwon, Hyeok Gi;Han, Na Young
    • Journal of Korea Society of Industrial Information Systems
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    • v.24 no.1
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    • pp.95-108
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    • 2019
  • Urban railway engineers' job stress cause fatal evils to both individuals and entire society and brings a significant loss in competitiveness. Thus, this research aimed to examine the factors affecting engineers' job stress and their negative results and seek ways to reduce job stress. This study analyzed the effects of job characteristics(job insecurity, job demand) and organization characteristics(irrational workplace culture) on job stress as well as the effects of job stress on psychological depression and human errors. Also, this study analyzed the moderating effects of organizational support in the relationships between job stress and psychological depression as well as job stress and human errors. A survey was conducted on urban railway engineers and the results were as follows. First, the high level of job insecurity and job demand had a positively effect on job stress while an irrational workplace culture had a positively effect on job stress. Second, job stress had a positively effect on psychological depression and human errors. Third, while job stress and perceived organizational support had a significant interaction effect on psychological depression, there was no significant interaction effect on human errors.

Characteristics of Early Maladaptive Schemas in Patients with Panic Disorder (공황장애 환자의 초기부적응 심리도식의 특성)

  • Woo, Na Young;Lee, Byung Wook;Lee, Hong Seock;Jung, Myung Hoon;Yi, Jung Seo
    • Anxiety and mood
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    • v.7 no.2
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    • pp.85-91
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    • 2011
  • Objective : This study aimed to investigate the characteristics of the early maladaptive schemas in patients with panic disorder. Methods : Patients (n=35) included people who had met the DSM-IV-TR criteria for panic disorder. The normal control group (n=35) were those people who had no psychiatric disorder and had never experienced panic attack. The early maladaptive schemas and the severity of depression and anxiety were assessed by the Young Schema Questionnaire Short-form (YSQ-SF), the Beck Depression Inventory (BDI), and the Spielberger State-Trait Anxiety Inventory (STAI). Results : The scores on the STAI-S, STAI-T, and BDI were significantly higher in the patient group. Compared to the control group, the scores of vulnerability to harm and illness, and abandonment/instability schemas were significantly higher in the patient group. In the patient group, defectiveness/shame and subjugation schemas were found to predict BDI, dependent/incompetence, abandonment/instability schemas were found to predict STAI-S, and vulnerability to harm and illness, and abandonment/instability schemas were found to predict STAI-T. In normal controls, failure and insufficient self-control/self-discipline, failure, and emotion inhibition schemas were found to predict BDI, STAI-T, and STAI-S. Conclusions : Vulnerability to harm and illness and abandonment/instability schemas may be characteristic schema in patients with panic disorder.

The Levels of Job Stressors and Job Stress Results : Differences Between Incumbents in Two Different Country of the Same Company (동일한 기업의 국내 한국인 직원과 해외 현지인 직원 간의 직무 스트레스 원인 및 스트레스 수준 비교 연구)

  • Kim, Chung-eun;Jung, Sung-cheol
    • Journal of Venture Innovation
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    • v.1 no.2
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    • pp.75-87
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    • 2018
  • We designed this study for verifying the differences of causes and individual results of job stress between Koreans in Korea and Chinese in China of a same company. The results in the study are as follow. Significant differences between two groups were identified in job stressors: Koreans showed higher levels than Chinese for factors like inter-group conflicts, supervision/evaluation, job overload, task characteristics, socio-demographic factors, and Chinese showed higher levels than Koreans for factors like job conflicts, job ambiguity, family-related factors. We also identified that levels of stress perceived by individuals as anxiety, depression, and physical symptoms of Koreans are higher than those of Chinese. As to the influence of job stressors on stress level, Koreans show significant results for supervision/evaluation, decision making/responsibility, family-related factors, and Chinese show significant results for family-related factors, social support, socio-demographic factors. Based on the results of this study, implications, limitations, and future research topics were discussed.

FACTORS AFFECTING 6 MONTHS' SHORT-TERM PROGNOSIS OF CONDUCT DISORDER IN THE ADOLESCENTS II -RELATION TO DEPRESSION/ANXIETY AND ADHD INVENTORY- (청소년 품행장애의 6개월 단기 예후에 영향을 미치는 변인 II - 우울 및 불안척도와 주의력결핍 과잉활동 척도를 중심으로 -)

  • Bang, Yang-Won;Chae, Jeong-Ho;Chin, Tae-Won;Lee, Chung-Kyoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.161-166
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    • 1996
  • The major goals of this study are to investigate the correlation between the cormorbid symptom and the prognosis of conduct disorder in the adolescents. for this purpose, according to the result of 6-month follow-up of discharged patient who met the criteria of conduct disorder in admission, good-prognosis group(n=37) and poor-prognosis group(n=36) were selected. Authors applied Children's Depression Inventory and Trait Anxiety Inventory, Conners Parenting Rating Scale. Yale Children's Inventory to two groups. The results are summarized as follows : 1) Using CDI, the mean scores of poor-prognosis group were significantly higher compared with those of good prognosis group. 2) Using TAI, CPRS, YCI, the mean scores of poor-prognosis group were insignificantly higher compared with those of good prognosis. 3) The limitation of our study is that number of subjects is small, definition of prognosis is ambiguous, and period of 6 month follow-up is short.

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Related Factors of Quality of Life in Middle-male with Chronic Liver Disease (중년기 남성 만성 간 질환자의 삶의 질 관련요인)

  • Do, Eun-Su;Lee, Sun-Mi;Seo, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.267-277
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    • 2015
  • Purpose: The purpose of the study was to examine the related factors of quality of life (QOL) among middle-male with chronic liver disease. Method: The participants in this study were 110 patients with chronic liver disease who were recruited from the outpatient clinic of hospital. Between March and May 2014, data were collected through questionnaires and medical record review. Data analysis was performed using PASW (SPSS) 19.0 program, and one-way ANOVA, Pearson correlation coefficients, and enter multiple regression analysis. Results: The mean QOL of this study was 48.16/100. The significant correlates of QOL were anxiety-depression (${\beta}$=.33, p<.001), symptom experience (${\beta}$=.15, p=.001), health perception(${\beta}$=.31, p<.001), disease status(${\beta}$=.17, p=.022), spouse (${\beta}$=.23, p=.001), and these variables explained 68.6% of variance in QOL. Conclusion: The study suggests that psychological aspects are an important factor in explaining QOL of the middle-male with chronic liver disease. Screening and minimizing anxiety-depression could be effective strategies in enhancing QOL of middle-male with chronic liver disease.

Mediating Effects of Self-esteem and Social Support on the Relationship between Physical, Psychological Symptoms and Campus Life Satisfaction of Students (대학생의 신체적, 심리적 증상과 대학생활만족도와의 관계에서 자아존중감과 사회적 지지의 매개효과)

  • Lee, Yong-Ho;Kim, Hui-Kyung;Kim, Nam-Song
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.483-492
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    • 2013
  • The study aimed to understand how general characteristics, health consciousness and health behavior of college students are related to physical symptoms, psychological symptoms, self-esteem, social support and the students' satisfaction with college life while it examined how self-esteem and social support are affected by the physical symptoms and psychological symptoms as depression and anxiety and the college life satisfaction. According to the results from path analysis, age, with the social support as a medium, appeared to have had a positive influence on the students' satisfaction with college life while physical symptoms, depression and anxiety had been found, with self-esteem and social support as a media, to affect the students' campus life satisfaction, with physical symptoms positively while depression and anxiety negatively. In conclusion, the study verified mediated effects, sizes and paths of both self-esteem and social support when they are related to physical symptoms, psychological symptoms and college students' satisfaction with their campus life.

Meta-Analysis of Psychological·Emotional Variables and Quality of Life of the Elderly (노인의 심리·정서관련 변인과 삶의 질에 대한 메타분석)

  • Lee, Myung-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.338-347
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    • 2019
  • The purpose of this study is to provide policy and adaptive interventions for quality of life of the elderly and evidence-based data. For this, meta-analysis was performed using CMA program, and the final 65 researches were used for analysis. The results, (1)The risk factors(depression, solitude, anxiety, suicidal Ideation, stress) showed the effect size which is suitable for quality of life. The effect size of depression was the highest. (2)The protective factors(self-esteem, self-efficacy) showed medium effect size and large effect size. Among them, self-esteem showed the greatest effect size of quality of life. However, self - control appeared to have a low effect size.

폐업기업 대표의 불안과 우울 및 회복탄력성이 삶의 질과 재창업 의지에 미치는 영향

  • Jeong, Geum-Jong
    • 한국벤처창업학회:학술대회논문집
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    • 2019.04a
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    • pp.45-49
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    • 2019
  • 매년 수많은 기업이 폐업하고 있으며 그 숫자만큼 폐업 기업의 대표가 실패하고 있다. 중소기업연구원의 재기성공요인 분석을 통한 중소 벤처기업의 재도전 활성화 연구(백필규,2011)에 의하면 폐업이나 부도의 형태로 실패하는 기업이 급격하게 증가한 시점은 외환위기가 발생했던 1997년과 1998년의 사이로 보고 있다. 부도 기업의 숫자가 외환위기때는 약 4만사, 1999년부터 2010년까지도 평균 4만 7천여사가 발생하였고 폐업기업수는 부도기업보다 훨씬 많아 매년 80~90만개 전후의 기업이 실패하고 있다. 최근 IBK경제연구소의 실패기업인의 재창업 지원제도 설문조사 결과(김나라,2017)에 의하면 최근 5년간 창업기업은 연평균 77만개사, 폐업기업은 69만개사로 조사되었으며 창업기업의 5년 생존율은 27.3%로 OECD 주요회원국 17개국중 최하위를 차지했다. 오랜시간 대한민국 사회는 사업실패는 곧 패가망신이라는 인식이 깊게 자리잡고 있다. 연대보증이나 재기가 어려운 구조로 인하여 폐업기업의 대표가 실패하면 가족들도 모두 힘들어지고 본인은 경제적, 심리적 어려움에 직면하고 있는 현실이다. 정부와 민간 기관들이 실패기업인들의 재기를 지원하기 위하여 다양한 제도를 운영하고 있지만 아직 시행 초기 단계라 보다 재기를 원하는 기업인들에게 맞춤형으로 도움을 줄 수 있는 실질적이고 효과적인 시스템이 구축되었다 할 수 없다. 창업강국인 미국과 중국의 기업가들은 평균 2.8회의 실패 경험을 가지고 있으나 한국의 기업가는 1.3회의 실패 경험을 보유 한다.(중기청, 2014) 폐업기업 대표의 재무적 손실의 규모와 관계없이 불안과 우울이 낮고 회복탄력성이 높은 기업가가 본인과 가족의 삶의 질과 재창업의지에 긍정적인 효과가 있음으로 나타났다. 연구 대상은 재기중소기업개발원의 재기 기업인과 정부 재창업 지원 프로그램에 지원한 재기 기업인을 대상으로 조사 하였으며 본 연구를 통해 폐업기업 대표에게 필요한 사회적 안전장치와 국가의 창업지원이 고용창출, 매출증가로 이어질 수 있는 선순환 구조의 재기 창업 생태계를 만드는 데 일조하고자 한다.

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A Convergence Study on the Factors Affecting Teacher Efficacy among School Teachers in COVID- 19 Special Disaster Area (코로나바이러스감염증-19 특별재난 일개 지역 교사의 교사 효능감에 영향을 미치는 요인 융합 연구)

  • Kim, Eunl-Hwi;Ha, Young-Sun;Park, Young-Kyung
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.239-248
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    • 2021
  • This study was aimed to investigate the factors influencing teacher efficacy of depression, anxiety, stress among school teachers in COVID- 19 special disaster area. The data were collected from May 9 to 16, 2020 for 123 high school teachers in D city. As a result of the study, the influential factor of teacher efficacy was satisfaction with duty (β=0.27, p=.002), economic level (β=0.18, p=.022), education (β=0.18, p=.022), subjective health state (β=0.16, p=.047), stress (β=-0.16, p=.044), gender(β=0.16, p=.042). These factors accounted for 35% in teacher efficacy. It was found that depression(β=-0.09, p=.468) and anxiety(β=-0.12, p=.320) had no significant effect on teacher efficacy. When developing a program to improve teacher efficacy, it is required to prepare measures not only to manage stress but also to improve job satisfaction.