• Title/Summary/Keyword: 우울 회복

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The Effects of Depression, Death Anxiety, and Social Support on Psychological Well-Being of Elderly Living Alone: Mediating Effect of Resilience (우울, 죽음불안, 사회적 지지가 독거노인의 심리적 안녕감에 미치는 영향: 탄력성의 매개효과)

  • Jang, Yeon-Sik;Mo, Seon-Hee
    • 한국노년학
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    • v.37 no.3
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    • pp.527-547
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    • 2017
  • The purpose of this study is to investigate how depression, death anxiety, and social support can exert influence on the psychological well-being of elderly living alone through a parameter of resilience. A survey was conducted involving 988 elderly over the age of 65 living alone in the Daejeon metropolitan area and Chungcheongnam-do and the data were analyzed using structure equation model. The results were as follows. First, in the measurement of variables according to demographic characteristics, depression showed significant differences depending on gender, level of education, health, and financial condition, while death anxiety differed depending on gender, and level of education. Social support was significantly different by gender, age, level of education, region, health, and financial condition. The level of resilience was significantly different by gender, age, level of education, health, and financial condition. Psychological well-being varied according to gender, level of education, health, and financial condition. Second, the effects of depression, death anxiety and social support on psychological well-being were examined. It was found that depression had a negative influence and social support had a positive impact while death anxiety showed no influence. Third, with regard to the effects of depression, death anxiety, social support on resilience, depression was found having negative influence, whereas social support having positive influence. Forth, psychological well-being was positively affected by resilience. Also, through the mediated pathway of resilience, their psychological well-being seemed to totally improve when the negative factors were reduced and the positive ones promoted. This study may have some significance in reference to examine the factors affecting the psychological well-being of elderly living alone and to develop social welfare service programs and policies in the field.

A Effect of Peer Mentor Program on Recovery after Stroke (동료멘토(peer mentor) 프로그램이 뇌졸중 환자의 회복에 미치는 영향: 연구 프로토콜)

  • Lee, Chang Dae;Park, Ji Huk
    • Therapeutic Science for Rehabilitation
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    • v.4 no.2
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    • pp.84-91
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    • 2015
  • The purpose of this study was introduce peer mentoring which is well used in various rehabilitation areas in overseas country to Korea academically and clinically and help psychological and physical recovery for stroke survivor. It was two group experimental design study, this protocol is designed for stroke survivor, 3-6 months after the onset. Peermentors were consisted of outpatients who is stroke survivor in different recovery levels, at least 2 year after the onset. Peermentors received education about how to support and mentor participants of the program emotionally, appraisally, and informationally and how to run the program. Geriatric Depression Scale Short Form-Korea Version(GDSSF-K) is used to measure psychological factor, Stroke Impact Scale(SIS) is used to measure recovery level of patient, and for physical factor Upper Extremity Function Test for the Elderly(TEMPA) was used. A researcher who is interested in the peer mentor program needs to find more effective applying method based on be offered method in this study for helping recovery after stroke.

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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Examining Psychometric Properties of the Brief Symptom Inventory(BSI-18) in Korean People with Mental Disorders (정신장애인에 대한 Brief Symptom Inventory-18의 신뢰도와 타당도에 관한 연구)

  • Hoe, Maanse;Lee, Soonhee
    • Korean Journal of Social Welfare
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    • v.66 no.3
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    • pp.253-276
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    • 2014
  • The purpose of the present study was to examine psychometric properties of the BSI-18 in Korean adults with mental disorders. This study examined internal consistency, test-retest reliability, convergent validity, and a factor structure of the BSI. The sample consisted of 180 adults with mental disorders, who enrolled in mental hospitals and in a day hospital. Data was analysed using reliability analysis, correlation analysis, and confirmatory factor analysis. Major findings were as follows. The Korean version of the BSI showed good internal consistency and test-retest reliability, as well as excellent convergent validity. The original three-factor structure of the BSI-18, proposed by Derogatis, 2001, fitted to the data. These findings indicate that the BSI-18 is a reliable and valid measure as a psychiatric assessment tool and a treatment outcome measure.

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Differences in depression and psychological emotions according to the degree of self-elasticity of college freshmen in COVID-19 (코로나 19상황에서 대학신입생들의 자아탄력성 정도에 따른 우울감과 심리적 정서의 차이)

  • Yang, Hye-Jin
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.75-82
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    • 2020
  • This study was attempted to identify differences in depression and psychological emotions according to the degree of self-elasticity of college freshmen in COVID-19. The survey was conducted online from April 6 to 13, 2020, and the results were analyzed using a total of 220 copies of the survey data, excluding insufficient surveys. As a result of the analysis, compared to the case where the self-elasticity is below average, the psychological emotion caused by COVID-19 as well as the depression of new students is statistically significant in all emotions such as anxiety, irritability, helplessness, anger, fear, confusion, and distrust. It was found to be higher. Based on these results, several roles and coping strategies were suggested to help students recover and maintain their psychological stability and mental health.

Comparative Effectiveness of Adjunctive Aripiprazole versus Bupropion Uses to Selective Serotonin Reuptake Inhibitor on the Specific Symptom of Depression : A post-hoc, Multi-Center, Open-Label, Randomized Study (세로토닌 재흡수 억제제에 대한 아리피프라졸 및 부프로피온 부가요법의 우울증 세부증상에 대한 효과 비교 : 다기관, 개방표지, 무작위 연구)

  • Lee, Ga-Won;Lee, Kwang-Hun;Park, Young-Woo;Lee, Jong-hun;Koo, Bon-Hoon;Lee, Seung-Jae;Sung, Hyung-Mo;Cheon, Eun-Jin
    • Anxiety and mood
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    • v.13 no.2
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    • pp.66-73
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    • 2017
  • Objective : The purpose of this study was to examine the effects of adjunctive aripiprazole versus bupropion on specific symptoms of depression. Methods : Data were from 6-week, randomized, prospective, open-label multi-center study in 103 patients with major depressive disorders. Participants were randomized to receive aripiprazole (2.5-10 mg/day) or bupropion (150-300 mg/day) for 6 weeks. Change in four subscales of the 17-item Hamilton Depression Rating Scale (HAM-D17) that capture core depression symptoms was determined, and change in individual HAM-D17 items was also assessed. Changes in three composite subscales-anxiety, insomnia, and drive were also examined. Results : Within-group change in the four core subscales was large [effect size (ES)=1.30-1.47] and it was similar to that in the HAM-D17 total score. Differences between aripiprazole and bupropion were significant for each of the four core subscales and the HAM-D17 total score favored aripiprazole (p<0.001). On three composite scales, both treatments caused substantial changes in anxiety (within-group ES=1.10 (aripiprazole) vs. 1.00 (bupropion)], insomnia (ES=0.75 vs 0.50), and drive (ES=1.17 vs 1.15). Conclusion : This results suggested that both aripiprazole and bupropion adjunctive therapies with selective serotonin reuptake inhibitors resulted in significant and clinically meaningful changes in core symptom subscales for depression.

Developing, and Testing the Effects of a Group Program for the Low Income Depressed Elderly Women Living Alone, Which Integrated Positive Psychology and Solution-Focused Therapy (저소득 우울 여성 독거노인 대상 긍정심리.해결중심 통합 집단 프로그램 개발 및 효과)

  • Lee, Hyunju;Um, Myungyong
    • Korean Journal of Social Welfare
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    • v.66 no.3
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    • pp.101-131
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    • 2014
  • The purpose of this study was to develop, and test the effects of a group program on the subjective well-being and depression of the low-income depressed elderly women living alone. Conceptual framework was based on the positive psychotherapy and a broad range of intervention techniques of the solution focused therapy was integrated into the program by using assimilative integration methods. A quasi-experimental nonequivalent comparison group design was used to test the effects of the program. The newly developed group program was implemented to the intervention group and a reminiscence group program was implemented to the comparison group for 10-session. And no intervention group received only home-based routine care services as usual. Results suggested that the newly developed program was effective in increasing the level of subjective well-being, and decreasing the depressive symptoms of the low-income depressed elderly women living alone. It was also proved that the newly developed program maintained its gains up through 11-week follow-up.

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The Effect of the Adjustment Stress and the Social Support on the Depressive Symptoms of the North Korean Defectors (탈북자의 적응스트레스와 사회적 지지가 우울성향에 미치는 영향)

  • Kim, Mee-Ryoung
    • Korean Journal of Social Welfare
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    • v.57 no.1
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    • pp.193-217
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    • 2005
  • Due to the increasing concerns with the North Korean defectors, the researches have been increased. When it is compared with other areas, the researches about the North Korean defectors are rare. The sample size of this study is 164, which makes it possible to do statistical inferences. As statistical methods, t-test, ANOVA and hierarchical multiple regressions are used. This study examines the effect of the adjustment stress and the social support on the depressive symptoms. Demographic factors such as gender, age and education are controlled. The context factors-the period of the stay in the third place, the period of residence and the existence of the education in Korea- are used as control variables. The research results show that the level of social participation of the women is higher than that of men. Also, there are differences of the functional social support by the age group. The research result indicates the education of South Korea is an important factor to reduce the depressive symptoms. The research result also shows that the jobless is an important stressor. Among structural social support, the member of religious or social group is an important factor for reducing depressive symptoms. Among functional social support, the emotional social support is an important factor of adaptation, but the effect of instrumental social support is the opposite. Therefore, the adequacy of social support in a specific situation must be considered.

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The Effect of Bullying Victimization on Depressive Symptoms in Adolescents : Focusing on the Moderating Effects of Resilience (학교 따돌림 피해 경험이 청소년의 우울 증상에 미치는 영향 : 회복탄력성의 조절 효과를 중심으로)

  • Bae, Jungeun;Hong, Hyeonmi;Kim, Kyung-Min;Jung, Young-Eun;Kim, Moon-Doo;Yoon, Bo-Hyun
    • Anxiety and mood
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    • v.16 no.1
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    • pp.18-23
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    • 2020
  • Objective : The purpose of this study was to examine the effects of bullying victimization on depressive symptoms in adolescents, and to determine how depression depends on resilience. Methods : A total of 4,160 students were recruited, from middle and high schools in Goheung, Yeosu, and the Jangheung area of Jeollanam-do Province. All participants completed self-report questionnaires, that included demographic variables, the Beck Depression inventory (BDI) the School Bullying Self-Rating Questionnaire (SBSRQ), and the Resilience Test (RT). Results : Prevalence of depression was 30.3%. A total of 220 (5.3%) students were evaluated likely to be bullied and 45 (1.1%) students were evaluated very likely to be bullied. Depressive symptoms positively correlated with bullying victimization. Depressive symptoms and resilience, bullying victimization and resilience negatively correlated. Results from regression analyses indicated that, while controlling for a range of demographic variables, resilience moderated the association between bullying victimization and depressive symptoms. Conclusion : Based on the results, professionals must consider resilience for treatment to reduce depression in adolescents of bullying victimization.

The Effect of Cognitive Occupational Therapy in Community Living Elders with Mild Cognitive Impairment and Dementia (지역사회에 거주하는 경증인지장애노인과 치매환자에게 적용한 인지작업치료의 효과)

  • Chong, Bok-Hee
    • Journal of Digital Convergence
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    • v.11 no.3
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    • pp.317-325
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    • 2013
  • The purpose of this study is to evaluate the cognitive functional improvement of cognitive occupational therapy using cognitive function, activities of daily living (ADL) executive function and depression tests in community living elders with mild cognitive impairment (MCI) and dementia. Thirty two elders who diagnosed MCI (n=13) and dementia (n=19) were enrolled in this study. They visited to local elder welfare office and nursing care home from Feb. 2012 to Jun. 2012. They received occupational activity program in terms of physical activity, cognitive function and occupational function of Craft as the manner of a session per week for 8 weeks. The cognitive function, executive function, depression score were improved in both group. Furthermore in MCI participants, cognitive function scores for concentration and memory functions were significant improved more than dementia subjects. Further studies dealing with the development of novel occupational program for cognitive function improvement and its preventive effects were needed.