• Title/Summary/Keyword: Anxiety-depression scale

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The Relationship Between Somatic Pain and Cognitive Emotion Regulation Strategies in Patients with Depression and Anxiety Disorder (우울 및 불안장애 환자에서 신체 통증과 관련된 인지정서조절전략)

  • Tae, Hyejin;Heo, Hyu-Jung;Kwon, Yeji;Hwang, Jihyun;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.12 no.1
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    • pp.34-41
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    • 2016
  • Objective : Emotional state and emotion regulation strategies are considered to be important factors influencing the pattern and severity of somatic pain. The aim of this study is to investigate the relationship between cognitive emotional regulation strategies and somatic pain in patients with depression and/or anxiety disorders. Methods : A total of 140 outpatients, diagnosed with depression and/or anxiety disorders according to DSM-IV-TR, were evaluated using the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Numerical Rating Scale (NRS) for somatic pain. Pearson correlations and independent t-tests were performed to analyze the relationship between somatic pain, the severity of depression and/or anxiety and cognitive emotion regulation strategies. Results : The severity of pain was significantly correlated with depressive symptoms, but not with anxiety. Patients with somatic pain tend to use maladaptive cognitive emotion regulating strategies more frequently, especially rumination and catastrophizing. Conclusion : These findings suggest that somatic pain correlates with maladaptive cognitive emotional regulating strategies. Interventions which modulate these non-productive strategies, especially rumination and catastrophizing, would be a new approach for managing patients with depressive and/or anxiety disorders who are suffering from somatic pain.

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Prevalence and Risk Factors of Anxiety, Depression, and Post-Traumatic Stress Disorder in Critical Care Survivors (중환자실 퇴원 환자의 불안, 우울, 외상 후 스트레스 장애 유병률 및 위험요인)

  • Kang, Ji Yeon;An, Geum Ju
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.62-74
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    • 2020
  • Purpose : This study aimed to investigate the prevalence and risk factors of mental health problems in patients discharged from the intensive care unit (ICU). Methods : This was a secondary analysis study using data from a multicenter prospective cohort of post-ICU patients. We analyzed data of 311 patients enrolled in the primary cohort study who responded to the mental health questionnaire three months after the discharge. Anxiety and depression were measured on the Hospital Anxiety-Depression Scale, and post-traumatic stress disorder (PTSD) was measured on the Posttraumatic Diagnostic Scale. Results : The prevalence of anxiety, depression, and PTSD in patients at three months after ICU discharge were 25.7%, 17.4%, and 18.0%, respectively, and 7.7% of them experienced all three problems. Unemployment (OR=1.99, p=.033) and unplanned ICU admission (OR=2.28, p=.017) were risk factors for depression, while women gender (OR=2.34, p=.009), comorbid diseases (OR=2.88, p=.004), non-surgical ICUs (trauma ICU: OR=7.31, p=.002, medical ICU: OR=3.72, p=.007, neurological ICU: OR=2.95, p=.019) and delirium (OR=2.89, p=.009) were risk factors for PTSD. Conclusion : ICU nurses should proactively monitor risk factors for post-ICU mental health problems. In particular, guidelines on the detection and management of delirium in critically ill patients should be observed.

The Effect of Positive Thinking on Treatment Response of Major Depressive Disorder and Panic Disorder-A Pilot Study (긍정사고가 주요우울장애와 공황장애의 치료 반응에 미치는 영향에 대한 예비연구)

  • Jung, Jin Yi;Lim, Se-Won;Kim, Eun Jin;Ha, Ju Won;Shin, Dong Won;Shin, Young Chul;Oh, Kang Seob
    • Anxiety and mood
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    • v.12 no.1
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    • pp.1-6
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    • 2016
  • Objective : This study was performed to confirm the hypothesis that the more one applies positive thinking, the less severe the symptoms of stress and the better the therapeutic responsein panic disorder and major depressive disorders. Methods : The study included 50 subjects with confirmed diagnoses of panic disorder or major depressive disorders. Positive thinking was assessed using Positive thinking scale. Beck Depression Inventory was used as a subjective measure for depression, and to ensure an objective measure for depression and anxiety, the Hamilton Depression and Hamilton Anxiety rating scales were implemented. Results : The positive thinking scale measured at the initial visit had shown a strong negative correlation with objective depression. Although patients with a high level of positive thinking had shown a tendency to respond better to the treatment, as compared with those with a lower level, the differences were not statistically significant. Conclusion : Positive thinking is likely to ameliorate major depressive disorder, panic disorder-induced depression, and anxiety. Nevertheless, it was not possible to confirm the effects of positive thinking on the patients' treatment responses.

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Effects of Aromatherapy on Anxiety and Depression of Caregivers for Patients in Rehabilitation Therapy (재활치료 환자 보호자의 불안감과 우울감에 대한 향기치료의 효과)

  • Kwon, Young-Moon;Lee, Sang-Ick;Kim, Sie-Kyeong;Son, Jung-Woo;Shin, Chul-Jin;Choi, Young-Rak
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.1
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    • pp.24-31
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    • 2005
  • The aim of this study was to assess effects of aromatherapy on anxiety and depression of caregivers for patients in rehabilitation therapy and to provide basic data for the aromatherapy. Beck Anxiety Inventory(BAI) and Beck Depression Inventory(BDI) for the preliminary assessment of anxiety and depressive mood were administered to caregivers for patients in rehabilitation therapy in Chungbuk National University Hospital. Forty two out of seventy subjects who got scores above 10 in BDI were selected. Forty two Participants were divided into orange group, lavender group and control group. They had got the aromatherapy by using the lamp diffusion method for 4 weeks. Only forty participants completed a trial. Effects of the aromatherapy were measured using BAI, Hamilton Anxiety Rating Scale(HAM-A), BDI, Hamilton Depression Rating Scale(HAM-D), Self Esteem Scale(SES) and Index of Wellbeing(IOWB) before and after the aromatherapy. Orange group showed significant difference in the change of BDI scores compared with control group. Lavender group showed significant difference in the mean change of BAI, BDI and IOWB scores compared with control group. These results suggested that aromatherapy with orange oil was effective for depression and the aromatherapy with lavender oil was effective for anxiety as well as depression.

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Reliability and Validity of Korean Version of Depression and Somatic Symptom Scale(DSSS) (한국판 우울과 신체 증상 평가 척도(Depression and Somatic Symptom Scale, DSSS)의 신뢰도와 타당도)

  • Kim, Kun-Woo;Hong, Jin-Pyo;Park, Seung-Jin;Choi, Ji-Hye;Choi, Hye-Ra
    • Anxiety and mood
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    • v.7 no.1
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    • pp.9-15
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    • 2011
  • Objectives : We examined the reliability and validity of the Korean version of the Depression and Somatic Symptom Scale (DSSS) in Korean patients with depressive symptoms. Methods : Participants were 55 outpatients diagnosed with major depressive disorder, a depressive episode of bipolar I disorder, somatoform disorder, panic disorder, generalized anxiety disorder, or post-traumatic stress disorder according to the DSM-IV criteria. We assessed them using the Korean versions of the DSSS, Hamilton Depression Rating Scale (HDRS), and Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR). Results : The Korean version DSSS had a Cronbach's alpha of 0.90. Moreover, each item's correlation with the total score was statistically significant (r=0.24-0.71, p<0.01). The test-retest correlation coefficient (r=0.83, p<0.01) was relatively high, and the DSSS correlations with the HDRS and QIDS-SR were 0.77 and 0.74, respectively. Conclusion : These results demonstrate that the Korean version of the DSSS could be a reliable and valid tool for screening and assessing depressive patients. The Korean version of the DSSS will be a useful tool for screening both depressive and somatic symptoms in Korea.

Analysis of Major Factors Related to Smartphone Addiction According to Gender Differences in Health College Students (보건계열 대학생들의 성별 차이에 따른 스마트폰 중독 관련 주요 요인 분석)

  • Choo, Yeon-Ki;Bae, Won-Sik;Kim, Hae-In
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.2
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    • pp.135-143
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    • 2022
  • Purpose : This study was to compare and analyze major factors related to smartphone addiction according to the gender of health-related college students. Methods : 720 people who voluntarily participated and agreed to fill out the questionnaire were randomly sampled. Smartphone addiction was measured using the Smartphone Addiction Scale Short Version (SAS-SV), sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), anxiety symptoms were measured using the self-assessment anxiety scale (SAS), and depression symptoms were measured using the self-assessment depression scale (SDS). In addition, the age of each individual and the main function of smartphone use were also investigated. Results : The prevalence of smartphone addiction was higher among female students than male students (p<.05), while male students mainly played games and female students mainly used multimedia (video/music) viewing and social networking services (p<.05). In addition, male students showed a high association with smartphone addiction in the group where games were the main function of smartphone use, the group with low sleep quality, and the group with anxiety symptoms (p<.05), but for female students, multimedia (video/music) Or, the group in which social networking service is the main function of smartphone use, the group with low sleep quality, and the group with symptoms of anxiety and depression showed a high correlation with smartphone addiction (p<.05). Conclusion : It is expected that the results of this study will be used as basic data for providing customized solutions considering the characteristics of smartphone addicts.

Psychological Characteristics according to the Level of Ego-Resilience among Adolescents (청소년 자아탄력성 수준에 따른 정신심리학적 특성)

  • Kim, Sang-Eun;Kim, Seung-Gon;Kim, Sang-Hoon;Park, Sang-Hag;Yoon, Hyung-Jun
    • Journal of the Korean society of biological therapies in psychiatry
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    • v.24 no.3
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    • pp.156-162
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    • 2018
  • Objectives : This study aimed to investigate the relationship between the level of ego-resilience and depression, anxiety, conduct problems and self-esteem in a large sample of Korean adolescents. Methods : A total 4508(2036 males and 2472 females) middle and high school students in Gwang-ju metropolitan city were included in this study. Subjects were asked to complete a self-reported questionnaire, including Ego-Resilience(ER) scale, Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI), Self-Esteem Scale(SES), 15 items in Korean-Youth Self Report(K-YSR) to measure conduct problems and demographic variables. Subjects were classified into three high, intermediate and low ER group according to total ER scale scores. Results : Total ER scores was positively correlated with total SES scores and negatively correlated with total BDI, BAI, and conduct problem scores. Using analysis ANOVA(analysis and variance) and post hoc test, significant mean differences in BDI, BAI, SES and conduct problem scores were observed among the three groups. High ER group showed that SES scores were significantly higher and BDI, BAI and conduct problem scores were significantly lower than that observed in middle and lower ER group. Using multiple regression analysis, the results showed that depression, low self-esteem were significant factors affecting ego-resilience in adolescents. Conclusion : Our findings indicate that depression, anxiety, behavioral problem such as conduct problems and low self-esteem are associated with low ego-resilience.

The Role of Intolerance of Uncertainty in Anxiety and Depressive Disorders (불안 및 우울 장애에 있어서 불확실성에 대한 불내성의 역할)

  • Lee, Jun-Yeob;Lee, Sang-Hyuk;Suh, Ho-Suk
    • Anxiety and mood
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    • v.9 no.1
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    • pp.3-9
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    • 2013
  • Intolerance of uncertainty (IU) is defined as the tendency to react negatively on an emotional, cognitive, and behavioral level to uncertain situations and events. However, this definition is somewhat categorical and does not explain the phenomenology of IU. Intolerance of uncertainty scale (IUS), the standard measure of IU, was considered to have two factors : 'unacceptability and avoidance of uncertainty' and 'uncertainty leading to the inability to act'. IU may be a cognitive vulnerability factor for clinical worry and generalized anxiety disorder (GAD). A number of moderators and mediators including cognitive avoidance, experiential avoidance and rumination influence the relationship between IU, worry, obsessive-compulsive symptoms, anxious and depressive symptoms. IU may be more strongly related to the symptoms of GAD than to symptoms of other anxiety disorders including obsessive-compulsive disorder (OCD), and major depressive disorder. IU may serve as an important transdiagnostic feature across anxiety and depressive disorders. Incorporating IU-specific treatment components into therapeutic protocols may result in pervasive benefits, and not only for those with GAD or OCD, but for people with any anxiety disorder or with depression.

One Clinical Case Report of Lung Cancer Patient with Depression and Anxiety Disorder Improved by Korean Traditional Medical Treatment and Breathing Meditation (한방치료와 호흡명상으로 호전된 폐암 환자의 불안 및 우울 증상 치험 1례)

  • Gu, Ja-Hwan;Kim, Se-Ran;Im, Eun-Young;Kim, Soo-Hyun;Kim, Jong-Dae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.6
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    • pp.1102-1107
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    • 2011
  • This study was case report to show the good effects of korean traditional medical treatment and breathing meditation. The methods were applied to lung cancer patients. We treated one patient who scored 27 point at Beck's depression inventory(BDI) and 28 point at Hamilton rating scale for depression(HRSD) and 22 point at Beck's anxiety inventory(BAI) and 20 point at Anxiety status inventory(ASI) by korean traditional medical treatment and breathing meditation. After treatment, the clinical symptoms were improved and the score of BDI, HRSD, BAI, ASI were decreased. According to this study korean traditional medical treatment is effective for the cure of depression and anxiety disorder and breathing meditation forifies the korean traditional medical treatment.

Study on Effect of Aromatherapy on Physiological and Psychological Aspect of Patients with Pain (향기요법이 통증환자의 생리적 및 심리적 측면에 미치는 효과)

  • Song, Min-Sun;Suh, Young-Sook;Choi, Chan-Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.4
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    • pp.748-754
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    • 2011
  • The purpose of this study was to investigate the effect of aromatherapy on pain level, blood pressure, pulse rate, sleep, anxiety and depression of patients with pain. This study used a non equivalent quasi-experimental design. Aromatherapy was the inhalation of blending oils with lavender, eucalyptus, peppermint for 3 weeks. As the estimation for the physiological aspect, the visual analogy scale (VAS) for the pain level, blood pressure and pulse rate were measured. Also, as the estimation for the psychological aspect, Sleep of Snyder-Halpern & Verra, anxiety of Spielbeger and depression of Beck were used. The data were analyzed by SAS program using $x^2$ test, Fisher's exact test, Cronbach ${\alpha}$ and t-test. The results of this study were as follows. Pain level(p=0.001), state anxiety(p=0.018), trait anxiety(p=0.002), and depression(p<0.001) improved significantly in the experimental group. Also, there was significant difference between the experimental group and the control group on the depression(p=0.012). Aromatherapy was effective in physiological and psychological therapy. Also it can be applied in combination with existing Oriental medical therapy.