• Title/Summary/Keyword: 우울 지수

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Analysis of Mediating Effects of Eating Habits on the Relationship between Stress and Depression in the Elderly (노인의 스트레스와 우울 간의 관계에서 식습관의 매개 효과 분석)

  • Tak, Sang Sook;Lee, Geo Lyong
    • Journal of Naturopathy
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    • v.11 no.2
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    • pp.93-99
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    • 2022
  • Background: It is necessary to understand the correlation between stress and depression according to eating habits in the elderly. Purposes: To empirically verify the mediating effect of eating habits in the relationship between stress and depression in the elderly. Methods: we distributed an 'online questionnaire' to men and women aged 60 or more living in large cities, medium, and small-sized cities in Korea using Google questionnaires, and 365 replies were collected and used for analysis. Results: First, we found that stress in the elderly directly affected depression. In summary, an increment in the stress level of the elderly induces an increment in the depression level. Second, the eating habits of the elderly indirectly mediated the relationship between stress and depression. Conclusions: This study is meaningful in that it has verified eating habits have a mediating effect on the relationship between stress and depression in the elderly, and healthy eating habits of individuals can reduce depression. Therefore, counseling institution must check their daily eating habits when counseling the degree of depression of the elderly. In addition, eating habits are affected by stress, and it is necessary to grasp the individual stress index for the elderly who has terrible eating habits. Furthermore, it is needed to provide continuous nutrition education in institutions and communities to have proper eating habits.

A Preliminary Study on Depressive Symptoms and Glycemic Controls in Diabetic Patients (당뇨병 환자에서의 우울 및 관련증상에 관한 예비적 연구)

  • Ko, Seung-Hyun;Jeong, Jong-Hyun;Hong, Seung-Chul;Han, Jin-Hee;Lee, Seung-Pil;Ahn, Yoo-Bae;Song, Ki-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.2
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    • pp.165-173
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    • 2004
  • Objectives: Diabetes mellitus is a heterogeneous, chronic, progressive disease characterized by hyperglycemia and abnormality in protein, carbohydrate, fat metabolism. Recent studies have reorted two times prevalence of depression in individuals with diabetes compared to individuals without diabetics. This study was designed to investigate glycemic controls, anxiety, alexithymia, stress responses between depressed diabetic patients and non-depressed diabetic patients. Methods The subjects were 60 diabetic patients(mean age : $50.3{\pm}9.7$ years, 31 men and 29 women) who were confirmed to have diabetes depending on the laboratory findings as welt as clinical symptoms at the St. Vincent Hospital Diabetes Clinic, from Mar. 2004 to Sep. 2004. Laboratory test including, blood chemistry. glycated hemoglobin, urinalysis for proteinuria and Korean version of Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI), Toronto Alexithymia Scale(TAS) and Stress Response Inventory(SRI) were used for assessment. Based on BDI scores, all diabetics were divided into 13 depressed-diabetics group(above 20 point) and 47 non-depressed group(below 20 point). We compared demographic data. glycemic controls, STAI, TAS and SRI scores between two groups by independent t-test. Results : 1) Depressed diabetic groups were 13(mean age : $55.4{\pm}7.2$ years, 7 men and 6 women) and non depressed groups were 47(mean age $48.9{\pm}9.8$ years, 24 men and 23 women). In depressed diabetics, compared with non-depressed group, manifested aged(p=0.031), but other demographic data showed no difference between two groups. 2) No significant differences were noted in FBS, PP2h, Hb A1C, total cholesterol, HDL-cholesterol, SGOT/SGPT, BUN levels between depressed and non-depressed groups. But, blood creatine levels of depressed group were significantly increased than non-depressed group(p=0.026). 3) No significant differences were found in the score of STAI, STAI-S, STAI-T, TAS between depressed and non-depressed groups. 4) The SRI scores of depressed groups were significantly higher than non-depressed groups$(59.7{\pm}24.9\;vs.\;31.5{\pm}22.0)(p=0.000)$. Conclusion : The above results suggest that depressed diabetic patients are have more stress responses and higher blood creatine levels. However, there were no differences in laboratory data related to glycemic controls, and anxiety. alexithymia levels between two groups. We suggest that physicians should consider integrated approaches for psychiatric problems in the management of diabetes.

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Bayesian model selection in exponential survival models (지수 생존 모형에서의 베이지안 모형 선택)

  • 정윤식;김미숙
    • The Korean Journal of Applied Statistics
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    • v.15 no.1
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    • pp.57-71
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    • 2002
  • We introduce three types of exponential survival models, such as simple model, change-point model and finite mixture model in this paper. Among these models, in order to choose the best model, the model choice method is proposed using Gelfand and Ghosh(1998)'s idea. Then to avoid the computational difficulties, data augmentation method (Tanner and Wong, 1987) and Gibbs sampler (Gelfand and Smith, 1990) are employed. Our methodology is applied to both simulated data and Stangl (1991)'s On-impramint Hydrochloride data.

The influence of parents' child abuse, school violence and friends attachment on mental health in childhood (환경적 요인이 아동 성장기의 정신건강에 미치는 영향)

  • Min, Dae Kee
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.2
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    • pp.293-304
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    • 2014
  • A child's mental health is an important element of his proper emotional development. Abuse of children by parents and peer groups are causes of depression and anxiety in children. These conditions become obstacles to their normal growth process which can be a contributing factor to juvenile delinquency. This study is based in the theoretical background of the relationship between abuse from parents and peer groups and children's emotional health. This information is analyzed through structural equation modeling.

The Effect of the Activity of Daily Living of Adult People with Physical Disabilities on Spouse's Caregiving Stress and Depression (성인 신체장애인의 일상생활활동능력이 배우자의 부양스트레스와 우울에 미치는 영향)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.371-380
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    • 2016
  • The purpose of this study was to investigate the caregiving stress and depression of spouses who support adults with physical disabilities, calculate the activity of daily living (ADL) of the disabled and determine the correlation of each area and the influence of their ADL on the caregiving stress and depression of spouses. This study was performed on 86 spouses of the disabled who were receiving rehabilitation treatment in two hospitals located in S and K cities from July to August 2016. According to the results, the total caregiving stress scores were $71.43{\pm}17.78$ and the economic and psychological stresses among low items were higher than the other items. The total depression score was $50.34{\pm}26.41$, which was slightly higher than the average of normal adults. The caregiving stress and depression were high for aged women, for cases of high caregiving expense and time, for young disabled and for stroke disease. Factors that affected the caregiving stress were the age of the disabled and the duration of their disability; their ADL had no influence on the caregiving stress. The result showed that the depression affected their age, disabled type and grade, and ADL. Actual policy support capable of giving economic, physical, and psychological assistance should be prepared to reduce caregiving stress and depression.

The Effects of Computerized Cognitive Rehabilitation Program on Depression and Cognitive Function in Stroke Patients (전산화 인지재활 프로그램이 뇌졸중 환자의 우울 및 인지기능에 미치는 영향)

  • An, Tae-Gyu;Kim, Ko-Un
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.211-218
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    • 2017
  • This study examined the effects of a computer-assisted cognitive rehabilitation program on the depression, cognitive functions, and daily functions of stroke patients. Forty-four stroke patients were divided into the treatment group and control group, consisting of 22 patients each. The patients in the treatment group were treated with a computer-assisted cognitive rehabilitation program for 6 weeks, 5 times a week, for a total of 30 times. Depression, cognitive functions, and daily functions was gauged by the BDI, NSCE, and k-MBI, respectively. The treatment group showed decreases in depression, and increases in both cognitive functions and daily functions by the end of the rehabilitation program. Compared to the treatment group, the control group did not show significant improvements in depression, cognitive functions, and daily functions. Therefore, these findings indicate that a computer-assisted cognitive rehabilitation program has a positive effect on depression, cognitive functions, and daily functions in stroke patients.

The Effects of 8-weeks Jeol Meditation Program on Stress, Depression and Cardiovascular Risk Factors in Women (8주간의 절명상 프로그램이 여성의 스트레스, 우울 및 심혈관 위험인자에 미치는 효과)

  • Jung, HwanSug;Kang, YuneSik
    • Journal of agricultural medicine and community health
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    • v.38 no.3
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    • pp.163-173
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    • 2013
  • Objectives: There has been an increase in the use of mind-body therapies to control cardiovascular risk factors recently. This trial was designed to determine whether the 'jeol'(Korean Buddhists' prostration) meditation program, as a new mind-body intervention, was effective in managing stress, depression and controlling cardiovascular risk factors in women working at a geriatric hospital. Methods: We conducted a randomized controlled trial to determine whether the 'jeol' meditation program could improve stress, anxiety, depression, and cardiovascular risk factors in women. We randomly assigned 57 participants to the intervention(29 participants) or control(28 participants) group. The subjects in the intervention group participated in a group Jeol meditation program once weekly, and practiced at home. The following variables were assessed: stress(Psychosocial Wellbeing Index), depression(Beck's Depression Inventory), body mass index(BMI), waist circumference, hemoglobin A1c(HbA1c), homeostasis model assessment(HOMA), low-density lipoprotein(LDL) cholesterol, high-density lipoprotein(HDL) cholesterol, and triglyceride were assessed. Results: After the 8-week program, 2 participants from the intervention group and 1 from the control group dropped out. The subjects in the intervention group exhibited decreased scores for stress(t=5.102, p<0.01), depression(t=5.259, p<0.01), BMI(t=2.942, p=0.007), and waist circumference(t=2.582, p=0.016); however these scores did not demonstrate a significant decrease in participants of the control group. The other variables showed no significant difference between the groups. Conclusion: The 'jeol' meditation program evidently reduced stress, anxiety, depression, body weight, and waist circumference in women, which suggests that this program could be employed as a mind-body therapies.

Effect of Elderly People's Health Promotion Program on Physical, Physiological and Psychological Parameter for in Senior Center Participation of the Elderly (노인 건강증진프로그램이 경로당 이용 노인의 신체적, 생리적 및 심리적 지수에 미치는 영향)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.133-144
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    • 2020
  • The purpose of this study was to examine the effects of an elderly people's health promotion program performed in a senior center located in J-si. Most interesting were the effects on the physical, physiological, and psychological parameters for senior center participation of the elderly. A nonequivalent control group pre-posttest design was employed. A total of 41 people living in J-si were assigned to either an experimental group (n=21) or control group (n=20). The experimental group was provided with the eight-week elderly people's health promotion program from May 1 to September 2 in 2019. The data were analyzed using SPSS/WIN 24.0 using descriptive statistics, 𝒙2-test, Fisher's exact test, and t-test. The results indicated a significant difference between the experimental group and control group with respect to the scores of the physical parameters, including right grip strength (t=-3.01, p=.004) and flexibility of the waist (t=-2.11, p=.09); the physiological parameters, including the systolic blood pressure (t=-3.02, p=.004); and psychological, including depression (t=2.42, p=.020), hopelessness (t=5.22, p<.001), and quality of life (t=4.28, p<.001). Therefore, the elderly people's health promotion program with senior center participation of the elderly is a useful nursing intervention program that can improve the right grip strength, flexibility waist, reduce the systolic blood pressure, depression and hopelessness, and improve the quality of life.

A Study on Economic Stress-Related Factors with Stroke Patients (뇌졸중 장애인의 경제적 스트레스 관련 요인 연구)

  • Lee, Dong-Geol;Lee, Moo-Sik;Shin, Won-Seob;Lee, Byoung-Kwon;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.2
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    • pp.765-771
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    • 2010
  • This study was carried out to examine relationships between financial pressures, depression, the quality of life related with economic stress factors on patients suffering from chronic strokes residing in Daejeon. 209 patients with chronic stroke being treated in genernal hospital were selected as subjects for this study. Data were collected by conducting 1:1 interviews through questionnaires. The study examined differences in patients' economic stress, depression, standard of living and the quality of lives through collected data. The results showed statistically meaningful analysis in standard of living(p<.000), economic pressure (p<.000), depression (p<.05), the quality of life (p>.05), the standard of living (p<.05). The higher the economic pressure, depression indexes or very severe the standard of living the lower the quality of life index, so the economic stress meaningfully increases. If an objective economic stress index is devised by measuring the level of economic burdens in common with guardians of patients and patients themselves, the index will become clinically important data. Furthermore, there requires the development of medical mediation that can reduce economic stress and increase the quality of life for patients suffering from strokes.

Use of Single-System Design to Evaluate the Effectiveness of Cognitive Behavioral Therapy of Depression (임상실천 평가를 위한 단일체계설계의 적용 -우울증 감소를 위한 인지행동치료에 대한 평가를 중심으로-)

  • Kim, Yong-Seok;Shon, Dong-Gyun
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.175-209
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    • 2008
  • The purpose of this study, which has its focus on the utilization of single-system design for practice evaluation, is to evaluate the effectiveness of cognitive behavioral therapy of depression by using a AB design. 3 inpatients in a local hospital with a diagnosis of major depressive disorder agreed to participate in this study. The AB design includes a 2weeks of the baseline phase and 3 weeks of the intervention phase. More than one outcome measures were used in order to validate the results of the measurement. Data were analyzed statistically as well as visually. Tools such as trend line and trend index were used to improve the accuracy of the visual analysis and the 3 standard deviation approach was used for statistical significance test. The results showed that all clients improved. This study lists some advantages of using single-system design for evaluating clinical practice: monitoring, encouraging clients' active role in social work process, and easy data analysis.

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