• Title/Summary/Keyword: 일상우울

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Relationship between Depression and Health Care Utilization (우울과 의료이용의 관계)

  • Hyo Eun Cho;Jun Hyup Lee
    • Health Policy and Management
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    • v.34 no.1
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    • pp.68-77
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    • 2024
  • Background: Depressive disorders can be categorized into daily depression and clinical depression. The experience of depressive disorder can increase health care utilization due to decreased treatment compliance and somatization. On the other hand, the clinical depression group may also experience social prejudice associated with the illness, which can limit their access to health care utilization. In terms of the significance of health care utilization as a factor in individual and social issues, this study aims to compare the health care utilization of the clinical depression group with that of the non-depressed group and the daily depression group. Methods: The analysis utilized the inverse probability of treatment weighting based on the generalized propensity score. Results: As a result of the analysis, clinical depression and daily depression were higher among women, low-income groups, individuals with low education levels, and so forth. The clinical depression group was also higher among individuals who were not economically active, did not have private health insurance, or had multiple chronic diseases. The number of outpatient department visits in the depression group was significantly higher than in the non-depressed group. In addition, the number of outpatient department visits for the clinical depression group was significantly higher than that for the daily depression group. Outpatient medical expenses were higher in the depression group than in the non-depressed group, and there was no significant difference between the clinical depression group and the daily depression group. Conclusion: Health care utilization was higher in the depression group than the non-depressed group, it was also higher in the clinical depression group than the daily depression group.

Development and Validation of Short Form of the Normal Depression Scale for Individual Screening (개인선별용 일상우울척도 단축형의 개발 및 타당화)

  • Lee, Soonmook;Kim, Jong-Nam;Chae, Jungmin;Choi, Seungwon;Seo, Dong Gi
    • Stress
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    • v.26 no.4
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    • pp.277-289
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    • 2018
  • Background: The purpose of this study is to develop a short form of the normal depression scale for individual use in the school, health, industry, organization, and counseling settings, based on the original normal depression scale (17 items). Methods: To achieve this purpose, we selected five items from the original test and analyzed data using Mplus 7.4 and SPSS 21.0. Results: The normal depression scale-short form consists of 5 items. The reliability of the short form (test-retest reliability) was good. The content validity and internal structure validity (1 factor model) were verified. The cut score between normal and dysfunctional depression was determined to be 18. Conclusions: The normal depression scale-short form for individual screening is verified to have good reliability and validity, so it is expected to be useful to perform quick screening of normal depression in the practical settings.

A Study on the Perceived Health Status, Activities of Daily Living, Depression for the Elderly at Home (재가노인의 지각된 건강상태, 일상생활수행정도 및 우울에 관한 연구)

  • Kwon, Young Eun;Ha, Jin;Ahn, Soo Yeon
    • 한국노년학
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    • v.27 no.2
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    • pp.335-343
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    • 2007
  • The purpose of this study was to identify the relationships among the perceived health status, activities of daily living, and depression for the elderly at home. The subjects of this study were 403 elderly over 60 years at home. The data were collected through personal interviews using structured questionnaires. The data were analyzed by descriptive statistics and Pearson correlation, using the SPSS 12.0 program. The results of this study were as follows. 1) It was seen that the degree of perceived health status is poor in 62.3%. 2) They could lead an independent daily living in 58.1%. 3) It was seen that contraction of depression was 43.8%. 4) There was a significant relationship among ADL and perceived health status, ADL and depression. However, there was no significant relationship among perceived health status and depression. Based upon above findings, this study give useful information for elderly health policy and intervention program.

Study on Senior Depression Tendency by Instrumental Activity of Daily Living (노인의 일상생활 수행능력과 우울 성향 연구)

  • Choung, Hye-myoung
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2015.07a
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    • pp.313-315
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    • 2015
  • 본 논문에서는 노인 대상자들이 신체적으로 기능의 상실, 경제능력의 상실, 사회성의 상실 신체적, 정신적으로 노령화 되어감에 따라 독립적으로 살아가는데 필수적으로 요구되는 활동을 할 수 있는 능력으로 자신의 신체를 돌보는 기술 및 행위와 우울과의 관계를 알아본 결과 경도 우울성향은 일상생활 수행능력이 약간 불편한 집단에서는 50.9%, 많이 불편한 집단에서는 57.1%로 나타났고, 중증도 우울성향은 일상생활 수행능력이 약간 불편한 집단에서는 13.2%, 많이 불편한 집단에서는 28.6%로 나타나서 유의미한 결과로 확인 되었다.

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Effect of Restrictions on the Activities of Daily Living on Depression of the Elderly : Focused on the moderating effect of family and care worker assistance (일상생활 수행능력의 제한이 노인의 우울에 미치는 영향 : 가족 도움과 요양보호사 도움의 조절효과를 중심으로)

  • Kang, Dong-Hoon
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.545-556
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    • 2022
  • This study aims to ensure that the help of family members and caregivers has a controlling effect in the process of restrictions on the Activities of Daily Living affecting depression in the elderly. Based on the 15th data of the Korea Welfare Panel, technical statistics, average difference analysis, correlation analysis, regression analysis, and control effect analysis were conducted on 4,214 senior citizens aged 65 or older. The results of the study are as follows. First, restrictions on the Activities of Daily Living has been shown to have a significant effect on depression in older people. Second, between restrictions on the Activities of Daily Living and depression of the elderly, the family's private help has been shown to function as a modulator to alleviate depression of the elderly. Third, between restrictions on the Activities of Daily Living and depression of the elderly, public help from caregivers does not function as an adjustment variable that alleviates depression of the elderly. Implications were derived and policy suggestions were presented based on these results.

The effect of ADL and IADL on the Depression of the Older-elderly - Focusing on the mediating effect of social activity participation and elder abuse - (고령노인의 일상생활기능 저하가 우울에 미치는 영향 -사회활동참여와 노인학대의 매개효과를 중심으로-)

  • Bae, Jin-Hee
    • 한국노년학
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    • v.29 no.1
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    • pp.353-368
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    • 2009
  • The purpose of this study was to investigate the relationship among ALD/IADL, social activity participation, elder abuse and the depression of the older-elderly. It was focused on the mediating effect of social activity participation and elder abuse between ADL/IADL and depression. For these purposes, 603 older-elderly in Chonbuk province were interviewed using structured questionaire. Major finding of this study are as follow : First, the depression level of the older-elderly was very high. Second, ADL/IADL influences the depression directly and indirectly. Third, social activity participation has the mediating effect between ADL/IADL and the depression. Fourth, elder abuse has the mediating effect between ADL/IADL and the depression. Result indicate that lower ADL/IADL, social activities and elder abuse related negatively to depression. On the basis of these results, implications for policy and practice are suggested for prevention the depression of the older-elderly.

The Effect of Daily Life Restrictions on the Behavior of People with Physical Disabilities on Emergency Behavior: Multiple Mediating Effects of Depression and Residential Environment (지체장애인의 일상생활제한이 위급시 행동에 미치는 영향: 우울과 주거환경의 다중매개효과)

  • Lee, Hyoung-Ha
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.678-688
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    • 2022
  • This study was conducted with the purpose of examining the direct effect of daily life restrictions on the behavior of people with physical disabilities who are easily exposed to 'disaster inequality' on emergency behavior, and comprehensively examining the mediating effect of depression and residential environment in this relationship. For this purpose, a total of 803 persons with physical disabilities aged 20 years or older were analyzed among the panels of the second year(2019) of the Panel Survey for People with Disabilities. As a result of the analysis, first, the daily life restriction of the physically disabled had a positive(+) effect on depression, a negative(-) effect on the residential environment and emergency behavior and depression had a negative(-) effect on the emergency behavior. The residential environment had a positive(+) effect on behavior in case of emergency. Second, it was found that depression and residential environment had a mediating effect between daily life restrictions and emergency behavior of the physically handicapped. In other words, it suggests that the living environment and depression can play an important role in the effect of daily life restrictions on the behavior in case of an emergency. Based on the analysis results, the implications of the study were suggested.

The effect of the degree of need for around help on daily life of the elderly with dementia on life satisfaction : Verification of the mediating effect of depression using PLS-SEM (치매노인의 일상생활에 대한 주변도움 필요정도가 삶의 만족에 미치는 영향: PLS-SEM을 활용한 우울의 매개효과 검증)

  • Lee, Hyoung-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.169-172
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    • 2022
  • 본 연구에서는 고령화패널(KLoSA) 7차년도 데이터 중 60세이상 치매판정 노인(경도인지장애 포함)을 대상으로 치매노인의 삶의 만족에 영향을 미치는 일상생활 주변도움 필요정도와 우울의 영향력을 분석하고, 치매노인의 일상생활 주변도움 필요정도와 삶의 만족 사이에서 우울이 매개효과를 갖는지를 검증하고자 한다.

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Impact of Depression, Comorbid Chronic Diseases, and ADL on Health-Related Quality of Life Among Community-Dwelling Elderly People in Korea (한국의 지역사회 거주노인들에게 있어서 우울증, 만성질환, 일상생활활동이 삶의 질에 미치는 영향)

  • Kim, Myung-Wha
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.190-198
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    • 2014
  • The purpose of study was evaluated associations among risk factors to have influence on HRQOL of community dwelling Elderly People. Total 314 community dwelling elderly persons(age:$75.80{\pm}5.64$[$mean{\pm}SD$]) who had no disease(n=81) and more than two chronic diseases (n=233) were interviewed based on the QOL questionnaires. During two months. The activities of daily living were evaluated using BI and FAI. Neuropsychological status was evaluated using GDS. Health related QOL was evaluated using the SF-36. The results emphasize the importance of preventing and controlling depression, chronic diseases, and low basic activities of daily living in order to reduce their impact on HRQOL among community dwelling elderly people.