• 제목/요약/키워드: 정신건강(우울)

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Association between Insulin Resistance and Depression in the General Korean Population : Cross Sectional Findings from the National Health and Nutrition Examination Survey (한국 성인에서 인슐린 저항성과 우울증의 연관성)

  • Lee, Yoon-Ho;Jung, Do-Un;Kim, Sung-Jin;Kang, Je-Wook;Moon, Jung-Joon;Jeon, Dong-Wook;Kim, You-Na;Lee, Chung-Yeal;Park, Sung-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.86-93
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    • 2018
  • Objectives : The purpose of this study was to investigate the association between the insulin resistance and depressive mood, suicidal ideation, psychological stress, and quality of life in general Korean population. Methods : We selected 3,613 subjects from the third year's data of 6th Korean National Health and Nutritional Examination Survey. Insulin resistance was evaluated with Homeostatic Model Assessment of Insulin Resistance. Questionnaires on depressive mood, suicidal ideation and psychological stress were conducted. The quality of life was assessed with the EuroQol-5 dimension index. We used correlation and regression analysis for analysis. Results : The risk of depressive mood and suicidal ideation was significantly higher in the insulin resistance group than in the control group. The risk of psychological stress was significantly higher in the male group with insulin resistance. The EuroQol-5 dimension index showed a negative correlation with insulin resistance. After adjusting for age, sex and body mass index, increased risk of suicidal ideation was identified only. Conclusions : We confirmed that insulin resistance is associated to mental health problems related with depression in Korean adults.

Factors Influencing Health Risk Behaviors of the Chronic Mental Illness in the Community (지역사회 만성정신질환자의 건강위험행위 영향요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.381-388
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    • 2013
  • The study was done to identify factors influencing the health risk behavior of the chronic mental illness in the community. A cross-sectional study design was used in this study. The sample was 255 chronic mentally ill persons from D city and C province and who agreed to participate in the study. Data were collected on August-september, 2011 and analyzed using the SPSS/WIN 20. Stress event, insight and depression had significant correlations with health risk behavior. Hierarchial regression analysis showed gender (men), diagnosis (schizophrenia), stress event, insight and depression together explained 24% of variance in health risk behavior. Findings of this study allow a comprehensive understanding of health risk behavior of the chronic mentally ill persons in community. It is necessary to integrated health promotion programs designed for this population should focus on these factors for effective behavioral modification.

The Moderating Effect of Reasons for Living on the Relationship Between Depression and Suicidal Ideation Among Psychiatric Patients (정신건강의학과 환자의 우울과 자살사고의 관계에서 자살하지 않는 이유의 조절효과)

  • Hyunjee, Bang;Daeho, Kim;Il Bin, Kim;Eunkyung, Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.179-186
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    • 2022
  • Objectives : This study aimed to examine the moderating effects of reasons for living on the relationship between depression and suicidal ideation among psychiatric patients. Methods : Patients were recruited from the department of psychiatry of university hospital. A total of 137 participants completed self-report questionnaires assessing depression (Beck Depression Inventory), suicidal ideation (Ultra-Short Suicidal Ideation Scale) and reasons for living (The Reasons for Living Inventory). Results : Among 4 sub-scales of the reasons for living inventory, survival and coping beliefs, fear of death and social disapproval, and future expectation moderated the relationship between depression and suicidal ideation. Conclusions : The results suggest that the reasons for living can work as a protective factor on the relationship between depression and suicidal ideation among psychiatric patients.

Impact of COVID-19-Related Stress and Depression in Public Sector Workers (코로나 19 관련 공공근로자에서의 우울증상 및 스트레스 반응)

  • Park, Jinsol;Cho, Hye-mi;Ko, Min-soo;Chi, Su-hyuk;Han, Changsu;Yi, Hyun-suk;Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.136-143
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    • 2021
  • Objectives : The coronavirus disease 2019 (COVID-19) outbreak is a global medical crisis imposing particular burden on public sector employees. The aim of this study was to investigate the psychiatric distress among public sector workers amid the COVID-19 pandemic. Methods : We conducted a cross-sectional study with 531 public sector workers in Gwangmyung city who completed Korean versions of the Perceived Stress Scale (PSS), Patient Health Questionnaire-9 (PHQ-9), and Impact of Event Scale-Revised-Korean (IES-R-K). Results : The results revealed more than moderate levels of stress (85.2%), depressive symptoms (22.2%), and posttraumatic stress symptoms (38.8%). PSS total score was significantly correlated with PHQ-9, IES-R-K total scores as well as IES-R-K subscale scores. Total scores on the PSS, PHQ-9, and IES-R-K were all inversely correlated with age. Conclusions : COVID-19-related workers experience considerable stress and depressive symptoms, with self-rated stress correlating significantly with depression scores. Age may serve as a protective factor against occupational stress and burnout. These findings highlight the need for adequate psychiatric screening and intervention for public sector workers.

The Effect of Stress on Anxiety and Depressed Mood and the Mediating Effect of Resilience in Medical Residents and Interns During Coronavirus Disease-19 Event (코로나바이러스감염증-19 사태에 따른 전공의 및 수련의의 스트레스 인지도가 불안 및 우울에 미치는 영향과 회복탄력성의 매개효과)

  • Cho, Ho-Young;Kim, Seung-Jun;Kim, Ji-Woong;Oh, Hong-Seok;Im, Woo-Young;Lee, Na-Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.22-29
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    • 2022
  • Objectives : In this study, we evaluate psychological stress, symptoms of anxiety and depressed mood and resilience which medical residents and interns perceived during COVID-19 event, then investigate the associations between stress and the symptoms and mediating effect of resilience on the associations. Methods : In this study, we made a self-reporting form to evaluate psychological stress with perceived stress scale (PSS), symptoms of anxiety and depressed mood with Hospital anxiety and depression scale (HAD), and resilience with Conner-Davidson Resilience Scale (CD-RISC). Medical residents and interns, who worked in a hospital during COVID-19 event, filled the self-reporting forms from july, 2020 to august, 2020. We conducted a Pearson correlation coefficient and a multiple regression to confirm association between psychological stress and symptoms of anxiety and depressed mood, then mediating effect of resilience. Results : The higher stress perceived, the more symptoms of anxiety and depressed mood were reported by medical residents and interns. The higher resilience is associated with lower stress and less symptoms of anxiety and depressed mood, which resilience is proven to mediate partially the association between stress and symptoms of depressed mood. Conclusions : This study shows that resilience has a partial mediating effects on the association between stress and psychological pathology especially depressed mood, given that medical residents and interns were under psychological distress during COVID-19 event. This suggests that resilience is the key for medical trainees to overcome the future crisis like COVID-19 event.

The Effect of Social Exclusion of Marginal Workers on Mental Health (비정규직 근로자의 사회적 배제가 정신건강에 미치는 영향 - 건설직 일용근로자의 우울을 중심으로 -)

  • Rho, Byeong-Il;Son, Jung-Hwan
    • Korean Journal of Social Welfare
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    • v.63 no.1
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    • pp.113-135
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    • 2011
  • As intense economic competition has led to more flexibility in the labor market, marginal or atypical employment has rapidly grown. Although marginal work represents an important proportion of whole employment, it is still characterized by insecure and unfavorable working conditions. Therefore employees in marginal jobs are highly likely to be subject to social exclusion. In turn, social exclusion puts marginal workers in a high risk of mental health problems. One of major mental health symptoms has been depression. So far, however, little attention has been paid to the effect of social exclusion of marginal employees on mental health problems including depression. Hence this study examines empirically the effect of social exclusion of casual workers in the construction industry, a protype of marginal employees, on depression. Its results indicate that social exclusion has influence upon depression of marginal workers. This study is the first one to delve into the relationships between temporary employment, social exclusion, and depression of marginal employees. Yet much more empirical researches are needed in order to shed brighter light on these relationships.

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Effects of Suicidal Attitudes, Perception of Life, and Depression on Adolescents' Suicide (자살 태도, 삶의 인식, 우울이 청소년의 자살에 미치는 영향)

  • Lee, Sang-Eun;Lee, Eun Jin;Ham, Ok Kyung
    • Journal of the Korea Convergence Society
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    • v.12 no.7
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    • pp.305-315
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    • 2021
  • The Korea Convergence Society. The purpose of this study was to examine the effect of suicidal attitude, perception of life, and depression on adolescents' suicide(ideation, plans, attempts). Data on general characteristics, the Attitude Toward Suicide, the Perception about Life, and the Korean version of Center for Epidemiologic Studies Depression Scale-Revised were collected in 889 second-year middle school students in the I area. Two hundreds forty six students (27.67%) indicated they had suicide ideation, 85 had suicide plans (9.56%), and 46 had suicide attempts (5.17%). The proportion of female students was significantly higher than that of male students. The suicide indices (ideation, plans, attempts) increased as one shows lower body image satisfaction, higher depression, lower subjective mental and physical health, and lower leisure satisfaction. Predictors of suicide ideation included suicidal attitude (solution and permissiveness), depression, subjective mental health, and body image satisfaction. Predictors of the suicide plan were permissiveness and solution among suicidal attitude, and depression, subjective mental health, and those of suicide attempts were permissiveness and depression. Conclusion: This study suggests that much effort is required to decrease depression and improve perception of life and suicidal attitude in the suicide prevention education for adolescents.

Gender difference in the effects of Korean youth mental health on binge drinking (한국 청소년의 정신건강이 위험음주에 미치는 영향에서의 성차)

  • Song, Hee-Seung
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.421-430
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    • 2018
  • The purpose of this study is to explore the effects of mental health (stress perception, depression, suicidal ideation) on binge drinking among adolescents according to gender. Data were collected from the 12th (2016) Korea Youth Risk Behavior Web-Based Survey(KYRBWS) and 65,528 middle and high school students, aged 12-18 years, were selected. Data analysis was conducted by using logistic regression analysis for mental health effects on binge drinking. The results showed that the binge drinking due to mental health of female students was higher in that of male students (stress perception: 1,444 times (95% CI: 1,200-1,737), depression: 1,843 times (95% CI: 1.674-2.029), suicidal ideation: 1.656 times (95% CI: 1.464-1.872)). The development of preventive / therapeutic programs for binge drinking should include not only the management of risk factors for mental health but also various approaches depending on gender.

Relationship Between College Student Depression and Family Health (가족건강과 대학생 우울과의 관계 연구)

  • Choung, Hye-myoung
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.499-500
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    • 2017
  • 이 연구는 가족건강이 자청소년들에게 어떤 미치는 영향을 알아보고자 특히 대학생 자녀의 눈으로 바라보는 부모세대인 장년기의 건강과 관련하여 대학생 자신이 느끼는 우울 및 심리적 독립과 자기효능감에 실패를 가져올 수 있는 정신건강 문제를 해결하기 위한 프로그램 개발 및 교육 자료로 활용하고자 한다.

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A Study on the Social Network and Mental Health of the Elderly Using Community Welfare Facilities (지역사회복지시설 이용노인의 사회적 관계망과 정신건강에 관한 연구)

  • Son, Myeong-dong
    • Proceedings of the Korea Contents Association Conference
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    • 2019.05a
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    • pp.191-192
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    • 2019
  • 지역사회복지시설을 이용하는 이용노인의 수요가 증가하면서 사회적 관계망의 특성에 따른 정신건강에 차이와 관련된 연구가 요구되고 있는 가운데, 노인의 사회적 관계망과 정신건강에 관한 연구가 더욱 활발하게 이루어져야 할 실정이다. 선행연구들에 의하여 밝혀진 바에 따르면 사회적 관계망이 스트레스, 우울, 자살사고에 영향을 미친다고 볼 때 이와 관련된 연구가 더욱 활발하게 이루어져야 할 것이다. 이러한 맥락에서 지역사회복지시설 이용노인의 사회적 관계망과 정신건강에 관하여 스트레스, 우울, 자살사고를 중심으로 알아보고, 선행연구들을 통하여 추론된 내용을 토대로 다각적인 사회적 관계망 강화를 위하여 보다 신뢰도 높은 연구를 위하여 연구대상 확대와 사회적 관계망이 정신건강에 미치는 영향력을 보여 줄 수 있는 연구가 진행 될 수 있도록 제언하고자 한다.

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