• Title/Summary/Keyword: 우울요인

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Multiple Trajectories of Depressive Symptoms Among Older Adults (노년기 우울의 다중변화궤적에 관한 연구)

  • Kang, Eun-Na;Choi, Jae-sung
    • 한국노년학
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    • v.34 no.2
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    • pp.387-407
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    • 2014
  • This study aims to identify the multiple trajectories of depressive symptoms and the characteristics of each trajectory group among the elderly. This study uses five waves of longitudinal data from the Korean Welfare Panel Study (KWPS, 2006-2010). Subjects were older adults aged 60 and over who had completed at least three waves between 2006 and 2010. A total of 4,181 respondents were analyzed. The latent growth mixture model and the multiple logistic regression model were mainly used for data analysis. The major findings were as follows: After controlling for the variables of gender, age, education, marital status, self-assessed health, and poverty, this study identified four different trajectory classes: stable low depressive symptoms (71.8%), high but decreased depressive symptoms (10.6%), moderate but increased depressive symptoms (7.9%), and an increased, then a decreased pattern of depressive symptoms (9.7%). The characteristics of theses trajectories as compared to previous studies were a lower percentage of 'stable low depressive symptoms', no 'persistently high depressive symptoms', and higher level of depressive symptoms. Also, the elderly in the stable low trajectory group had better health status, higher self-esteem and a good relationship with family members, having longer working periods, and more living in non-poverty. In addition, chronic health problems, loss of spouse, and household income differentiated the increased and then decreased pattern from the low stable pattern. Also, age and public pension differentiated the moderated but increased pattern from the low stable pattern. Based on the findings of this study, the researchers suggested political and practical implications for reducing depressive symptoms in later life.

A Study on the Effects of Pain, Sleep pattern, Life satisfaction on Depression in Elderly Women with Osteoarthritis (골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향)

  • Lee, Yun Jeong
    • 한국노년학
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    • v.31 no.2
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    • pp.211-222
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    • 2011
  • The purpose of this study was to assess pain, life satisfaction, sleep pattern, and depression and the relations between these in elderly women with ostearthritis. Methods: The subjects were 124 elderly women with osteoarthritis at senior center in C city. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression with SPSS/WIN 14.0. Results: The major findings of this study were as follows. 1) The mean score of variables were pain 2.58, life satisfaction 65.4, sleep pattern 37.6 and depression 13.58. 2) 43.5% of the subjects belonged to depression group. 3) There were significant relationships between depression and pain, life satisfaction, sleep pattern. 4) Significant factors influencing depression were life satisfaction, pain and sleep pattern. These factors explained 48% of depression in elderly women with ostearthritis. Among them, life satisfaction was the most significant factor. Conclusion: These finding give useful information for constructing an intervention and preventive program depression in the elderly women with osteoarthrtitis.

Nutritional Risk, Perceived Health Status, and Depression of the Young-Old and the Old-Old in Low-Income Elderly Women (저소득층 전기여성노인과 후기여성노인의 영양위험, 지각된 건강상태와 우울)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.37 no.1
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    • pp.12-22
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    • 2012
  • Objectives: This study aimed to compare the nutritional risk, health status and depression levels of young-old (65-74 years) and old-old (75-84 years) women on low-income. Methods: A total of 624 elderly women, each over 65 years of age, participated in this study under the auspices of a community social center. Data were collected from June to August 2011 by means of personal interviews which employed questionnaires. The research tools used in this study were the nutritional risk measuring Mini Nutritional Assesment (MNA) by Kim (2000), perceived health status developed by Lawton et al. (1982), Elderly Depression Criterion developed by Sheikh & Yesavage (1985). The collected data were analyzed using the SPSS WIN 12.0 Program. Results: Nutritional risk, perceived health status and depression levels showed a significant difference between young-old and old-old. There was a positive correlation between nutritional risk and depression and a negative correlation between nutritional risk and perceived health status. A 38.2% variance in depression levels of young-old and a 29.7% variance in depression levels of old-old were explained by perceived health status, nutritional risk and the number of people living together. Conclusion: The findings demonstrate variances in depression levels among low - income women differing in age. As a result, the outcomes of this study ought to be employed in the development of future programs aimed at promoting the health of elderly women.

Study of the Influence of the Depressive mood of the Elderly : Focused on the mediating effect of Communication between families and self-esteem (노년기 우울감에 미치는 영향에 관한 연구 : 가족간 의사소통과 자아존중감의 매개효과를 중심으로)

  • Jung, Shin-Sub;Ha, Kyu-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5525-5533
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    • 2014
  • This study examined the influence of communication between families and self-esteem on the depression mood of the elderly, and provides basic data for a depression care program. For those purposes, a questionnaire was developed based on the literature regarding the depression mood. To achieve the research aim, the surveys were conducted in Seoul, Gyenggi-do for 420 elderly people from April to May 2014. The results of the hypothesis testing were as follows. The degree of depression was increased significantly in the elderly with economic factors, factor in family relationships, health factors, and social factors. According to hierarchical regression analysis, a significant mediating effect was found with communication between families and self-esteem on the depression mood of the elderly. Therefore, the characteristics of the elderly individual communication between families and the increase in self-esteem, which can be specifically institutional, social and administrative unit and financial support should be considered.

The Effects of Life Stress and Circadian Rhythm on Depression in College Students (전문대학생들의 생활스트레스, 일주기성이 우울감에 미치는 영향)

  • Kim, Mee
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.247-257
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    • 2017
  • The purpose of this study was to measure the depression level of college students and to analyze the effects of college life stress and circadian rhythm on depression. A questionnaire survey was conducted to 720 students of college in Gwangju area from October 10, 2016 to October 31, and 687 of the collected questionnaires were analyzed. As this result, 34.5% of the students needed treatment for depression, and 71.6% of the students had mild depression. Second, depression was higher in female students, in higher grade students and students living apart from their parents. Third, evening activity type showed higher depression than morning activity type. Fourth, regression analysis revealed that depression was influenced by stress of value problem, circadian rhythm, academic stress, and getting a job stress. The results of this study suggest that students should be able to detect depression early and run a mental health program to relieve college life stress in college. However, this study is limited to some local college students and is not suitable for generalization. It is necessary to conduct research to compare university students and college students in the future.

Examining depressive symptoms of visually impaired adults in Korea (한국 후천적 시각장애인의 우울과 영향요인에 관한 연구)

  • Kim, Hyemee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.666-676
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    • 2016
  • This study was designed to examine the depressive symptoms of individuals who became visually impaired and identify factors associated with the symptom. For the analysis, data from the Korean National Survey of Individuals with Disability 2014 was used. Adults between the ages of 20 and 60 years who became visually impaired after the first year of birth were included with a total of 235 individuals in the final sample. To identify the determinants of their depressive symptoms, a multivariate logistic regression analysis was conducted. The results showed that about twenty percent of the respondents reported having depressive symptoms in the past year. Among the sociodemographic factors, age, gender, and marital status were identified as significant predictors, while smoking status, stress level, and self-reported health status were identified as important health-related predictors. Among the disability-related factors, the length of disability and activities of daily living level were found to be significantly associated with the likelihood of experiencing the symptom. The results indicate the need for practitioners working with visually impaired populations to be better aware of the risks of depression and develop a wide array of preventive measures and techniques to work with individuals suffering from depression.

A Study of Reliability and Validity on the Korean Version of Social Adaptation Self Rating Scale(SASS) (한국어판 사회적응자기평가척도(SASS)의 신뢰도 및 타당도 연구)

  • Kim, Hyeong-Seob;Kim, Yong-Ku;Yoon, Choong-Han;Jeong, Han-Yong;Cheong, Young-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.212-227
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    • 2000
  • This study was designed to testify the reliability and validation on the Korean version of the Social Adaptation Self-rating Scale(SASS) which was developed from Bose et al. for the evaluation of social motivation and behavior of depressed patients in 1997. Interests for the social world, those of social functioning, of patients were involved in the addition of new measure of disturbance. And those were distinct from abnormalities of thought, mood and symptoms of patients with major depression. As the previous reports there were several evidences that treatments may be less likely to be effective if the system they act on is dysfunctional. Thus, a better social situation favoured better outcome. As a matter of fact, however, those reports were developed in the course of the evaluation of interpersonal therapy(IPT) and cognitive therapy. Accordingly the conversed question -whether pharmacological therapy with antidepressants can impact on social functioning in addition to addressing the core features of illness- has been addressed. To date, anyhow, it is accepted that enhancement of social functioning may be a therapeutic principle in its own right and illness rarely divorced from social context. In terms of those concepts the introduction of an assessment of social functioning into pharmacotherapeutic studies of depression has been welcomed and might be a potent instrument for evaluating the relative pharmacoeconomic benefits of different treatments. Despite of many scales which were applied for the evaluation of symptoms in the patients with depression, however, the scale for the evaluation of social functiong has not been introduced in Korea yet. Thus, this study was designed to introduce the concepts of social functioning in the patients with depression and to testify the reliability and validation on Korean version of SASS. This Korean version of SASS was submitted to a reliability and validation procedure based on the data from healthy general population survey in 291 individuals and 40 patients with major depression. Cronbach a was 0.790 in total subjects group and the correlation of test-retest was statistically significant(y=0.653, p<0.0l). Thus, the Korean version of SASS might be shown to be valid and reliable. The results of multivariate analyses allowed the identification of 3 principle factors(factor 1 = intersts in social activities, factor 2 = active interpersonal relationship, factor 3 = selfesteem) in normal group, however, it could be counted as only one factor in the depression group because nearly total items of SASS were involved in factor 1. In the view of these results, the Korean version of SASS may be useful additional tool for the evaluation of social functioning in depression.

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저소득층 편부모의 자아통제가 심리적 안녕감에 미치는 영향

  • Kim, Mi-Suk;Won, Yeong-Hui
    • 한국사회복지학회:학술대회논문집
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    • 2003.05a
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    • pp.359-376
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    • 2003
  • 본 연구의 목적은 저소득층 편부모의 자아통제가 심리적 안녕감에 미치는 요인들을 살펴봄으로써 이들 대상의 심리적 안녕감을 향상시킬 수 있는 정색적 시사점을 얻고자 하였다. 본 연구는 편의표본추출방법에 따라 저소득층이 밀집된 48개 지역에 거주하는 635명의 편부모를 대상으로 구조화된 자기 기입식 설문지를 이용만 우편설문조사를 실시하였다. 본 연구에서 종속 변수인 심리적 안녕감은 우울증, 자존감, 삶의 만족도 등이며, 독립변수로 인구사회적 배경 요인(모델 1), 사회적 지원 요인(모델 2), 자아통제 요인(모델 3) 등이 사용되었다. 본 연구의 주요 초점인 자아통제 요인은 내외통제성, 적극적 대처, 소극적 대처 등으로 구성되었다. 자료분석은 위계적 다중회귀분석(Hierarchical Multiple Regression Analysis)이 활용되었다. 본 연구에서 나타난 주요 결과는 다음과 같다. 1) 우울증 모델에서는 자아통제 요인이 모두 유의한 영향을 미치는 것으로 판명되었다. 내적 통제감이 높고 소극적 대처력이 낮고 적극적 대처력이 높을수록 우울증이 낮게 나타났다. 다른 유의한 변인은 건강상태로 건강할수록 우울증이 낮았다. 2) 자존감 모델에서는 자아통제 요인 중 내외통제청과 적극적 대처력이 유의한 변인으로 판명되어, 내적 통제감이 놓고 적극적 대처를 많이 하는 편부모일수록 자존감이 높았다. 또한 고연령이고, 건강상태가 좋고, 종교를 갖고 있으며 자녀와의 관계가 가까울수록 자존감이 높았다. 3) 삶의 만족도 모델에서는 자아통제, 소극적 대처, 적극적 대처가 유의한 변인으로 분석되어, 내적 통제감이 높고, 소극적 대처는 낮으며 적극적 대처력이 높은 편부모가 삶의 민족도가 높은 것으로 나타났다. 수입, 건강, 종교, 자녀와의 관계는 두 모델에서는 유의하였으나, 자아통제 요인을 첨가하자 의미성이 없어졌다. 예상외로 부모, 형제, 친구, 공공기관, 종교기관으로부터 받는 사회적 지지는 거의 모든 모델에서 유의한 영향을 주지 않았다. 이러한 결과는 저소득층에게 제공되어지는 사회적 지지가 미미한 편으로 변이가 없기 때문으로 해결될 수 있다. 따라서, 저소득층 편부모에게 사회적 지지는 물론 자아통제를 제고하는 것이 그들의 심리적 안녕감을 높게 하는 주요 방안이라 팔 수 있다. 앞으로 저소득층 편부모의 자아통제를 제고할 수 있는 다양한 프로그램의 개발 및 이의 적극적 실행방안이 모색되어야 할 것이다.

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Relation between depression and dietary practice among middle-aged women: mediating effect of emotional eating (중년여성의 우울증과 식생활 실천과의 관계: 정서적 섭식의 매개효과)

  • Dayeon Jang;Seunghee Kye
    • Journal of Nutrition and Health
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    • v.56 no.1
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    • pp.86-96
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    • 2023
  • Purpose: This study analyzes the association between depression, emotional eating, and dietary practices, and investigates the mediating effects of emotional eating between depression and dietary practice. Methods: A total of 345 women aged 40-59 years participated in the Seoul and Gyeonggido region. Assessments were achieved by self-reported questionnaires for emotional eating (Dutch Eating Behavior Questionnaire), Nutrition Quotients (NQ), and depression (Patient Health Questionnaire-9). Results: Analyzing the NQ scores by considering the depression group, revealed that compared to the normal group, balance, diversity, and eating behavior scores were lower in the depression group, whereas the moderation score was lower in the borderline depression group and depression group. The emotional eating scores were determined to be higher in the depression group than in the normal group. Partial correlation analysis between depression, emotional eating, and NQ revealed that depression is positively correlated with emotional eating and negatively correlated with all other factors of the nutrition quotient, balance, diversity, moderation, and eating behavior. Among the nutrition quotient factors considered, emotional eating was determined to be negatively correlated with both diversity and moderation. The bootstrapping method was applied to analyze the mediating effect of emotional eating for determining the association between depression and NQ. Results indicate that among the nutrition quotient factors evaluated using emotional eating as a medium, depression exerted a negative effect on moderation. Conclusion: Results of this study confirm that emotional eating, as a medium, affects the intake of unhealthy foods especially when depression is associated with dietary practices.

Factors Influencing the Quality of Life of Community Residents (일개 지역사회 주민의 삶의 질 영향 요인)

  • Jung, Eun-Sook;Choi, Suk-Kyong;Baek, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.231-239
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    • 2015
  • This study aimed to identify factors that influence the quality of life of 509 community residents in a city in Gyeonggi Province. The study collected data on general characteristics, the incidence of depression, mental health status and quality of life through a structured questionnaire, and the data was analyzed used the SPSS20.0 statistical program. First, quality of life-related to the general characteristics of the research subjects revealed statistically relevant differences regarding gender, age, academic background, marital status, monthly income and stress status. Second, there were relevant differences among detailed factors related to depression and mental health status, overall mental health, social maladjustment and anxiety/depression, and these revealed correlations. Third, the factors that influenced the quality of life were age, stress levels, anxiety/depression of mental health level and the explanation of antecedent variables stood at 47.8%. The result is expected to be the fundamental data to facilitate the application of the program and lead to successful interventions to improve the quality of life of residents.