• Journal of Digital Convergence
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• v.22 no.2
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• pp.11-20
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• 2024

The aim of this study was to develop a group counseling program as an integrative psychotherapy program to alleviate depression and physical symptoms of 22 women in 60s who experience depression as a symptom of conversion disorder and also tried to prove the effectivity of the program by using comparative analyze of pre-post changes. The Korean-style Elderly Depression Test(K-GDS), Symptom Interpretation Questionnaire(SIQ), Hamilton Depression Assessment Scale Questionnaire, PHQ-9 and interpersonal relationship scale (RCS) were conducted and pre-post-corresponding sample t-test, correlation analysis and multiple regression analysis were performed. The results showed depression reduction, physical symptoms alleviation, decreases in negative emotions and beliefs, and positive changes in interpersonal relationships. The implications and limitations of this study were discussed.

• Journal of Hospice and Palliative Care
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• v.20 no.3
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• pp.188-193
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• 2017

Purpose: There has been very little study on the associations between patient's symptoms themselves and family caregiver (FC)'s depression in the palliative phase. This cross-sectional study was to investigate the relationship between symptom features of terminally ill cancer patients and their FC's depression. Methods: We performed a multicenter survey using the MD Anderson symptom inventory and the Hospital Anxiety and Depression Scale. A total of 293 patient-FC pairs were recruited from seven tertiary medical centers. A multivariate regression analysis was applied for identifying the relevant factors associated with FC depression and for estimating adjusted depression score of FCs. Results: Among various psychosocial factors, low FC quality of life, low social support, spouse, and more caregiving time were significantly associated with FCs' depression. According to the presence of FCs' depression, there were significant differences in some symptom characteristics of patients. Even after adjusting for the relevant confounders, depression scores were lower in FCs caring for patients who had negative symptoms (loss of appetite, P=0.005; drowsiness, P=0.024; and dry mouth, P=0.043) than in FCs caring for patients who had not. FCs caring for patients with severe appetite loss had lower depression scores than those with not severe one (P=0.039). Conclusion: Our result suggests that patient's symptom characteristics might be helpful when evaluating a FC's depression.

• The Journal of the Korea Contents Association
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• v.16 no.8
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• pp.29-38
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• 2016

The purpose of this study is to investigate the relationship between Korean women's experience of anxiety & depression and socioeconomic level. We used Korea National Health and Nutrition Examination Survey VI-1 data. Study population were consisted of 3,453 female adults, and used a binary logistic regression analysis to identify the relationship between socioeconomic status factors and experience of anxiety & depression after adjusting health factors. It was identified the variables that affect experience symptoms of anxiety & depression is age, marital status, education, income level, economic activity, health condition and stress. Based on the analysis, Korean women's socioeconomic level and anxiety & depression experience concluded to be associated. Thus, the program for low income, unemployed and low educated level women is needed.

• The Journal of the Korea Contents Association
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• v.14 no.1
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• pp.346-355
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• 2014

The study was undertaken to identify college freshmen' depression, anxiety, and somatic symptoms and clarify college life characteristics influencing it. The study was a descriptive study with 300 freshmen from H university. Data were collected from April 22 to 26, 2013 using a structured self-report questionnaire. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. As a result, first, the mean scores of the subjects were 2.33 in depression, 1.94 in anxiety, and 1.63 in somatic symptoms. Their depression, anxiety and somatic symptoms were higher as their sex and perceived self-efficacy. Second, college life characteristics explained 46.1% of variance in depression and 26.3% of variance in anxiety. college life characteristics, depression and anxiety explained 35.8% of variance in somatic symptoms among freshmen. These results will be used for developing programs to increase mental and physical health and to adapt in college life for freshmen.

• Journal of Convergence for Information Technology
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• v.9 no.8
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• pp.180-188
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• 2019

The purpose of this study is to identify various factors related to depression in adolescents. In this study, a multiple regression analysis was conducted to investigate the factors affecting depression in 1,881 1st grade students in middle school, using the 2016 Panel Investigation for Children and Adolescents of Korea. The attention problems, aggression, physical symptoms, and social withdrawal perceived by adolescents had significant effects on the depression. Out of them, the physical symptoms had the greatest effects on the depression. When the attention problems, aggression, physical symptoms, and social withdrawal of adolescents were higher, the symptoms of depression were increased, which explained 54.1% of adolescents' depression. Such results of this study could be helpful for the educational support and practical intervention for the enhancement of mental health of adolescents.

• 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.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.174-183
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• 2016

Objectives : The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts. Methods : A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year. Results : Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly. Conclusions : Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.2
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• pp.176-184
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• 2017

Objectives : Middle aged women with depression often experience hot flush symptoms. It is still unclear about the association between depression and hot flush symptoms. Therefore, we investigated hormonal profile, functional somatic symptoms, coping styles and attitude for menopause between depressed women with hot flush and those without hot flush. Methods : This study included 33 depressed patients with hot flush symptoms and 33 depressed patients without hot flush symptoms. Hot flush was confirmed through prospective daily symptom ratings for a week. Subjects' coping styles were assessed by the stress coping checklist. Somatic symptoms were assessed by the Patient Health Questionnaire-15(PHQ-15). Sex hormonal levels were assayed by a radioimmunoassay. The Brief World Health Organization Quality of Life Assessment Instrument(WHOQOL-BREF) was used to evaluate quality of life. Results : In coping style, depressed women with hot flush symptoms used less 'problem-centered coping'($13.15{\pm}3.17$) and 'search for social support'($11.83{\pm}2.84$) than those without hot flush symptoms($15.17{\pm}3.1$, p=0.028 ; $14.25{\pm}3.22$, p=0.009 ; respectively). Depressed women with hot flush symptoms showed more negative attitude toward post-menopause, but its statistical significance was marginally insufficient(p=0.059). We did not find any group differences in sex hormonal levels and somatic complaints assessed by the PHQ-15. The score of social relationship domain of WHOQOL-BREF was significantly lower in subjects with hot flush symptoms($8.62{\pm}2.04$) than subjects without hot flush symptoms($9.71{\pm}1.65$ ; p=0.044). Conclusions : Among middle aged women with depression, the manifestation of hot flush symptoms was associated with coping styles and attitude for menopausal transition. Hot flush symptoms in depressed women negatively influence quality of life, so clinicians actively perform therapeutic approach in case of depressed patients with hot flush symptoms. In case of depressed patients who present hot flushes, cognitive behavior therapy or stress management might be an effective treatment option in company with antidepressants or hormonal treatment. Later, longitudinal study will be needed to evaluate risk factor, cause and effect associated with hot flush and depression.

• Journal of Industrial Convergence
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• v.21 no.12
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• pp.63-73
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• 2023

This study aimed to investigate factors influencing depressive symptoms among middle-aged women based on walking and nonwalking. The participants of the study were 56,007 women aged 40-64 years. A complex sample statistical analysis was conducted. Notably, 48.9% of middle-aged women were in the walking group and 51.1% were in the nonwalking. In the nonwalking group, relative to the walking group, more people had high school diploma as their highest level of education, and were 40-49 years old, unemployed, and public assistance recipients than in the walking group. In addition, in the nonwalking group, more people had sleeping durations of less than 7 hours, perceived stress, and depressive symptoms than in the walking group. Factors influencing depressive symptoms were identified as less than 7 hours of sleeping duration and high perceived stress in both the walking and nonwalking groups, and the degree of influence was higher in the walking group than in the non-walking group, suggesting than further studies are needed to identify the cause. The results confirmed that perceived stress and depressive symptoms in middle-aged women could be reduced by walking. Therefore, if middle-aged women continue to engage in walking practices appropriate for them, it will enhance their walking rate, reduce stress, and improve their depressive symptoms.

• Korean Journal of Psychosomatic Medicine
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• v.27 no.2
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• pp.147-154
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• 2019

Objectives : Cognitive dysfunction, including inattention, is often observed in patients with depression. Inattentive symptoms in patients with depression is similar to those among attention deficit/hyperactivity disorder (ADHD) patients. It is important to diagnose the two diseases accurately, because the treatment varies depending on the cause of inattention. This study aimed to investigate the coexistence rate of ADHD and the correlation between ADHD symptoms and depression in patients with depression. Methods : Participants in this study were 158 outpatients presenting with depression, who visited the psychiatric department from March 2015 to July 2018. Participants divided into a depression and a non-depression group according to the Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D) score and were administered the following : a sociodemographic variables form (age, sex, academic background, occupation), the self-reporting test for adult ADHD (Adult Attention Deficit/Hyperactivity Disorder self-report scale-V 1.1; ASRS V1.1), and the Korean version of the Connors adult ADHD rating scale (K-CAARS). Descriptive statistical analysis, crossover analysis, t-tests, and Pearson's correlation coefficient were conducted on the data. Results : The coexistence rate of adult ADHD symptom was as high as 36.7% in patients with depression (p<0.001). In K-CAARS, the depression group (Inattention=1.80, Hyperactivity=1.92, Impulsivity=1.56, Self-concept=2.06) showed higher average scores on ADHD symptoms than the non-depressive group (Inattention=1.28, Hyperactivity=1.25, Impulsivity=1.09, Self-concept=1.42, p<0.001). Conclusions : This study confirmed that ADHD symptoms coexist in the depression group. When evaluating the symptoms of patients who complain of depression, it is suggested that they should be accurately diagnosed and appropriately treated with interest to the coexistence of ADHD symptoms and the possibility for ADHD diagnosis.