• Tuberculosis and Respiratory Diseases
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• v.62 no.1
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• pp.11-18
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• 2007

Background: Patients with chronic obstructive pulmonary disease (COPD) have often been reported to suffer from depression and anxiety possibly due to the exacerbation, hospitalization and mortality of COPD. However,scarce data are available in Korea. This study assessed degree of depression and anxiety, and evaluated the factors associated with depressive symptoms in COPD. Methods: The cross-sectional data on the lung function measurements, smoking behavior, body mass index (BMI), age, gender, depressive symptoms using Beck Depression Inventory (BDI) and anxiety using the State-Trait Anxiety Inventory (STAI) were evaluated in 72 outpatients with COPD and 50 controls without underling lung diseases from September, 2005 to October, 2006 in the Ewha medical center. Results: 1) The age, body mass index (BMI) and serum albumin levels were similar in the patients and controls. The BDI scores (16(0-37) vs. 12(1-30), p=0.001) and the prevalence of depression (36% vs. 6%, p<0.0001) were higher in the COPD patients than in the controls. In the COPD group, the prevalence of depression increased with increasing GOLD stage (p=0.008). The prevalence was 18%(4/22), in mild cases, 30%(6/20) in moderate cases, 52%(13/25) in severe cases and 60%(3/5) in very severe cases. 2) The SAI and TAI scores were higher in the COPD patients (44(20-67) and 47(20-66)) than in the healthy controls (39(26-65) and 44(33-90)). There were a significant correlation between the depression and anxiety scores (p<0.001). 3) A lower BMI, lower postbronchodilator $FEV_1$, current smoking behavior and severity of COPD were univariately associated with the depressive group in COPD, 4) while multivariate logistic analysis revealed only the severe-to-very severe group (OR 3.9, 95% CI 1.2 to 12.9) to be independently associated with depressive symptoms. Conclusion: COPD is strongly associated with depression and anxiety. Therfore, screening for psychological problems in COPD patients is essential, particularly in patients with severe-to-very severe COPD.

• Journal of agricultural medicine and community health
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• v.46 no.1
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• pp.23-31
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• 2021

Objectives: Frailty and sarcopenia are recent important concepts in elder health care. Sarcopenia is the most important factor influencing frailty, and exercise and nutritional status are known to affect sarcopenia. The purpose of this study was to identify the relationship between nutritional status, sarcopenia, and frailty. Methods: This study was a cross-sectional design. The subjects of this study were 411 elderly people aged 65 or older from 10 villages in Gyeongnam. The survey tools were the K-FRAIL for frailty, the GDS-SF for depression, the SARC-F questionnaire for sarcopenia, and the DETERMINE for nutritional status. Frequency analysis, the chi-square test, and multiple logistic regression analysis were performed using the SPSS 25.0 program. Results: As a result of the chi-square test, there was a significant difference in the nutritional status and the frailty proportion (p<0.001), and there was a significant difference between frailty and suspected sarcopenia (p<0.001). After adjustment, nutritional status was significantly associated with sarcopenia (OR=2.946, p<0.001). In addition, nutritional status was significantly associated with frailty (OR=2.958, p<0.001), and sarcopenia also had a significant effect on frailty (OR=5.898, p<0.001). Finally, even after including sarcopenia, nutritional status had a significant effect on frailty (OR=2.246, p=0.002). Conclusions: Nutritional status can have both a direct effect on frailty and an indirect effect through sarcopenia, and it was found that sarcopenia also affects frailty. Therefore, it is necessary to evaluate sarcopenia and nutritional status and to evaluate their levels in the elderly and to take appropriate interventions.

• Journal of the Korea Convergence Society
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• v.5 no.4
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• pp.69-74
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• 2014

Self-esteem and mental health care of students in dental hygiene department who will be responsible for the future of oral health related work is an important issue. In order to solve this psychological problem, a relational analysis between self-esteem, depression and stress is needed. Therefore, this study has examined the self-esteem, depression and stress of students in dental hygiene department by school system and looked into the correlation between these factors. A survey using an individual self entry method was conducted targeting 98 students of a three year course dental hygiene department and 164 students of a four year course dental hygiene department. As a result of this study, self-esteem was shown to be slightly higher for a four year course students than the three year students and for depression index and stress index, it was shown slightly higher for a three year course students than the four year course students. When examining the correlation between the self-esteem, depression and stress, when the self-esteem was higher depression index and stress index was lower, and when the self-esteem was lower the depression index and stress index was shown to be higher.

• Journal of the Health Care and Life Science
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• v.11 no.1
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• pp.135-140
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• 2023

Due to the aging population, the proportion of senior citizens is rapidly increasing. Naturally, managing the mental health of seniors has become crucial, and the need for programs to support a happy life for seniors is urgent. The proposed paper suggests ways to improve seniors' autobiographical reminiscence ability as a preventive measure for various mental illnesses, such as depression and dementia, and designs a mental digital healthcare program to support senior mental health counseling. The program is designed to gradually heal by focusing on counseling content that can recall past data.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.445-453
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• 2021

This study investigates the factors influencing quality of life for cancer patients based on demographic characteristics, physical-mental health, and oral health. These factors are analyzed using the results from 235 cancer patients in Korea's 7th national health and nutrition survey. Data were analyzed using PASW Statistics Ver. 18.0. Studies show that cancer patients experienced stress (74.5%), depression (84.3%), and activity limitations (15.3%). In oral health, problems chewing were often experienced in groups with low incomes (3.35±.21), activity limitations (2.71±.31), and depression (3.01±.27). The factors influencing quality of life were higher by 3.43 times in the low-income group and by 8.39 times in the activity-restricted group, by 2.74 times in the high-stress group, by 4.58 times in the depression group, by 2.68 times in the chewing-problems group, and were 4.92 times higher in the speech problems group (p<0.05). To improve quality of life, not only mental and physical health care, but also oral care is necessary. An integrated management plan for medical staff in the treatment process of cancer patients is required to prevent mental, physical, and oral discomfort.

• The Journal of the Korea Contents Association
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• v.14 no.3
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• pp.223-231
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• 2014

This study aims to identify job stress of firemen and the relations between their job stress, depression and fatigue, targeting firemen who are working for local fire stations. We interviewed the subjects using a short-answer type questionnaire or a online questionnaire. The data collected were analysed with a use of SPSS WIN 15.0 for confidence analysis, correlation analysis, step-by-step multi-regression analysis, and covariance structure analysis(CSA). This study result tasks and emotional stress had a direct effect on depression and fatigue. Therefore, this study suggests that governmental management should be provided for firemen that are classified as a high-risk group in occupational characteristics. Above all, the causes of stress should be diagnosed, its management goals should be set, and effective intervention programs should be provided.

• The Journal of the Convergence on Culture Technology
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• v.4 no.1
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• pp.111-117
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• 2018

This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.

• 한국노년학
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• v.29 no.2
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• pp.629-643
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• 2009

The purpose of this study is, by using the demographic variables, to identify self-efficacy, social support, and quality of life of the elderly with depression and to assess the impacts of these factors upon their quality of life. By analyzing the factors which have an impact upon the life quality of the elderly with depression, this study aims to provide important information which help understand them, and to find out what kind of care is necessary for their happy and satisfactory life. The study took purposive sampling and survey of 215 people among the elderly with depression who were under care of the outpatient clinics, day hospitals, and mental health clinics located in Seoul and Kyunggi Province, Korea. This study was conducted from November 10th to 20th, 2008 and the data were collected using the questionnaires of self-efficacy, social support, and quality of life scales. Using a SPSS/WIN 15.0 program, the analysis of the data showed the following results. First, among the demographic characteristics, the elderly with depression who were male, had spouse, higher education, no public assistance, shorter period of depression, and were healthy turned out to have higher self-efficacy. In terms of social support, the participants who had higher education, no public assistance, and were healthy turned out to have more social support. Further, in terms of quality of life, the variables of spouse, public assistance, period of depression, and health condition were statistically significant. Second, as a result of hierarchical regression, it appeared that the elderly with depression, who had higher self-efficacy, more social support, spouse, good health, no public assistance, and shorter period of depression, turned out to have higher quality of life. Based on the study findings, the implications of social work practice, policy, and future research were discussed.

• Journal of the Korea Convergence Society
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• v.8 no.1
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• pp.123-129
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• 2017

The purpose of this study is to investigate the effects of hypertension and diabetes mellitus on depression and suicidal impulse through the total inspection on specific rural areas in Gangwon-do. This survey selected adults over the age of 30 and conducted from May 19 to Sep. 30 in 2014. Of the 1,200 questionnaires distributed, 970 were completed and returned to be used for the study. To figure out the actual condition of hypertension and diabetes among the participants, the research examined the degree of their depression and suicidal impulse. It examined their smoking and exercise habits to check their health conditions. The research showed that patients diagnosed with hypertension and diabetes had a higher tendency of depression and suicidal impulse. The significant variable affecting depression is suicidal impulse(p<0.001>). Also, the significant variables affecting suicidal impulse are hypertension and depression. Based on these results, local health institutions need to include mental health services for the patients with hypertension and diabetes and coordinate them comprehensively and effectively.

• Journal of Digital Convergence
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• v.17 no.10
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• pp.301-311
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• 2019

The increasing prevalence of diabetes is a socioeconomic and health issue. Diabetes control is a lifelong management rather than a cure, and self-care should be undertaken. This study is to classify diabetes mellitus into non-regulatory group, and to prove the difference in risk factors for diabetes. Furthermore, we want to clarify the relationship between the emotional factors by diabetics and the prevalence of diabetes. As a result, the factor of prevalence for glycemic control which is a diabetic person was demonstrated. In addition, negative emotions such as depression and stress were found to be associated with diabetes mellitus and blood sugar control. Therefore, the diagnosis of diabetes is considered to be necessary in combination with negative emotions such as depression and stress.