• Title/Summary/Keyword: CES

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Role of Gait Variability and Physical Fitness as a Predictor for Frailty Status in Older Women (여성노인의 허약 상태 예측을 위한 보행변동성 및 체력의 역할 검증)

  • Jin, Youngyun;Park, Jin Kook;Kang, Hyunsik
    • 한국체육학회지인문사회과학편
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    • v.57 no.6
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    • pp.263-272
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    • 2018
  • This study examined the association of gait variability and physical fitness with frailty status in older women. In a cross-sectional design, 168 elderly women, aged 65 years and older (75.07±5.40 years), measured body composition, gait parameters gait variability, physical fitness variables, MMSE-DS and CES-D. Subjects were classified as robust, pre-frail, and frailty based on the Fried et al.(2001) criteria for frailty weight loss, exhaustion, low hand-grip strength, low gait speed, and physical inactivity. Logistic regression analyses were used to determine the odds ratio (ORs) and 95% confidence interval (CI) of frailty status for having gait variability and physical fitness levels. Compared to the robust group (OR=1), the frailty group had significantly higher ORs of having terminal double limb stance (OR=1.48, 95% CI=0.10-2.21, p=.049), step cadence (OR=2.06, 95%CI=1.20-3.43, p=.009) variability, and significantly lower ORs of having upper-strength (OR=0.49, 95%CI=0.31-0.77, p=.002) even after adjusting for age, education, comorbidity, K-IADL, MMSE-KC and CES-D score. The finding of this study suggested that terminal double limb stance, step cadence and upper body muscular strength were independent predictors of frailty.

The Effectiveness of Problem-Solving Treatment on Geriatric Depression (노인 우울증에 대한 문제해결치료(Problem-Solving Treatment)의 효과성 연구)

  • Yoon, Hyun-Sook;Koo, Bon-Mi;Lee, Kang;Lee, Jea-Yeon
    • 한국노년학
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    • v.30 no.3
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    • pp.871-894
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    • 2010
  • Research was undertaken to examine the effectiveness of PST for the depression of Korean Elderly. The program and manual for korean elderly was developed based on PST procedures for depression as outlined by Nezu and D'Zurilla(2007). For the purpose, 150 old people over 65 who resided in chunchun were randomly selected. and screened with PHQ-9. 42 elderly who had depression symptom at middle level, were chosen for study and randomly assigned into experimental group(n=23) and control group(n=19). PST is a six session, manual-based conducted over an 6-week period by trained interviewers in the elderly's home. As a results, CES-D and KGDS of the experimental group have been significantly decreased and total SPSI-R has been significantly increased between pre-and post measures while no statically significant change was found in control group. This results suggest that problem-solving therapy program might decrease the depression and enhance the problem solving ability of the elderly and that PST can be suitable to home visit program with social work perspectives.

Effects of Retirement Stress, Character Strengths, and Marital Dissatisfaction on Post-retirement Depression (은퇴 남성의 은퇴스트레스, 성격 강점, 결혼불만족이 은퇴 후 우울에 미치는 영향)

  • Sun Young Kim;Hyae Young Yoon
    • Korean Journal of Culture and Social Issue
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    • v.19 no.4
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    • pp.553-576
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    • 2013
  • The purpose of this study was to investigate the impact of retirement stress, character strengths and marital dissatisfaction on depression. Additionally this study examined direct effects and indirect effects of character strengths and marital dissatisfaction. The participant group was composed of 197 retired men living in Daegu and Gyongsangbuk-do. The Retirement Stress Scale (RSS), Character Strengths Test (CST), Korean Marital Satisfaction Inventory (K-MSI), and Center for Epistemology Studies Depression scale (CES-D) were administered to participants. Structural Equation Modeling (SEM) with AMOS was used for the purpose of analysis. The results of the study were as follows. First, an increase in retirement stress was associated with higher levels of depression. Second, hierarchical regression analysis indicated that higher levels of optimism significantly predicted higher depression. Also hierarchical regression analysis indicated that lower levels of appreciation of beauty and excellence without optimism significantly predicted higher depression. Furthermore, increases in marital dissatisfaction were associated with higher levels of depression. Third, the constructed model including both direct effects and indirect effects appeared to fit better than alternative model in explaining relationships between retirement stress and depression. In other words, character strengths and marital dissatisfaction appeared to affect the depression levels of retired men directly and indirectly. To sum up, this study demonstrated that the factors which had an effect on depression in retired men, character strengths and harmonious marital relationships appeared to act as a buffer against depression in retired men. The current results might serve as basic data for psychological well-being programs for retired men. Finally, the limitations and implications of the current study were discussed.

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A report of present situation about the adverse reactions of chuna manipulation in Korea (추나 시술 부작용에 대한 국내 현황 보고)

  • Lee, Byeong-Yee;Jang, Gun;Lee, Gil-Jae;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.2
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    • pp.161-170
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    • 2007
  • Objectives : This report was performed to report the present situation of the adverse reactions of chuna manipulation in Korea. Methods : Searches were conducted on Internet based field. We investigated the cases reported from Korea Consumer Agency and the "Minwon Baekseo" published by Korean Oriental Medicine Society. Results & Conclusions : The relevant cases and papers were of small number. The most adverse reaction of chuna manipulation was disc herniation. The serious adverse reactions were Cauda equina syndrome(CES) and Cerebral infarction. Most of serious adverse reaction cases were performed by non proffesional therapist. We should give chuna treatment to patients after sufficient education. We expect more case reports and systemic studies about adverse reaction and effect of chuna manipulation.

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The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses (임상간호사의 우울과 지각된 스트레스, 피로 및 분노간의 관계)

  • Lee, Won-Hee;Kim, Chun-Ja
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.925-932
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses. Method: A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Result: The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trail anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%. Conclusion: These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

Influencing Factors on HRQOL of Physically Disabled Persons (지체장애인의 건강관련 삶의 질에 영향을 미치는 요인)

  • Kim Kye-Ha;Kim Ok-Soo
    • Journal of Korean Academy of Nursing
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    • v.35 no.3
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    • pp.478-486
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    • 2005
  • Purpose: The purpose of this study was to investigate the influencing factors on health-related quality of life of physically disabled persons. Method: Data was collected from 96 persons with a physical disability in three cities in Korea from June to September, 2003. Social support and depression were measured by a Social Support Questionnaire 6 ($SSQ_6$) and Center for Epidemiologic Studies Depression questionnaire (CES-D). The Rosenberg Self-esteem Scale was used to measure self-esteem. Health-related quality of life (HRQOL) was measured using Smith Kline Beecham Quality of Life Scale (SBQOL). The SPSS WIN 11.0 version program was used for data analysis. Result: There were significant differences of HRQOL according to monthly income and economic status. All subjects had a high level of depression and low self-esteem. Conclusion: The findings of this study show that self-esteem and the size of the social support network are significant influencing variables on HRQOL in physically disabled persons. Nursing intervention and counseling programs which improve self-esteem and increase the size of a social support network are needed to promote HRQOL in physically disabled persons.

Effecting Factors on Depression in Patients with Fibromyalgia (섬유조직염환자의 우울에 영향을 미치는 요인)

  • Han, Sang-Sook;Lee, Sang-Chul
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.87-94
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    • 2005
  • Purpose: The purpose of this research was to provide basic data in the control of depression found in patients with fibromyalgia by analysing the main factors that affect them. Method: The subjects were 207 out-patients in three university medical centers diagnosed with fibromyalgia according to the conditions by American College of Rheumatology (1990). Depression was measured by the CES-D Scale. Dependant variables, such as stress and anxiety were measured by the VAS Scale and physical activity was measured using 10(4-point-scale) questions developed by the researcher. The number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. Result: The main factors that affect depression of patients with fibromyalgia were self-efficacy, anxiety, physical activity, tender points fatigue, and family support, which explained 49% of the depression. Conclusion: It has been confirmed that the regression equation model of this research may serve as a predictor of depression in patients with fibromyalgia.

Risk factors associated with depression and suicidal ideation in a rural population

  • Joo, Yosub;Roh, Sangchul
    • Environmental Analysis Health and Toxicology
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    • v.31
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    • pp.18.1-18.8
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    • 2016
  • Objectives This study aimed to evaluate the risk factors associated with depression and suicidal ideation in a rural population. Methods A survey was conducted with 543 farmers from Chungcheongnam-do Province using the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, Lubben Social Network Scale (LSNS) for social support, Swedish Q16 for neurotoxicity symptoms and a survey tool for farmer's syndrome. Results After adjusting for socioeconomic factors using logistic regression analysis, poor self-rated health, low social support and neurotoxicity were positively associated with the risk of depression (odds ratio [OR], 15.96; 95% confidence interval [CI], 3.11 to 81.97; OR, 3.14; 95% CI, 1.26 to 7.82; and OR, 3.68; 95% CI, 1.08 to 12.57, respectively). The risk of suicidal ideation significantly increased with low social support, neurotoxicity and farmer's syndrome (OR, 2.28; 95% CI, 1.18 to 4.40; OR, 6.17; 95% CI, 2.85 to 13.34; and OR, 3.70; 95% CI, 1.51 to 9.07, respectively). Conclusions Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.

Comprehensive Evaluation of Impacts of Connecting Distributed Generation to the Distribution Network

  • Jin, Wei;Shi, Xuemei;Ge, Fei;Zhang, Wei;Wu, Hongbin;Zhong, Chengyuan
    • Journal of Electrical Engineering and Technology
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    • v.12 no.2
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    • pp.621-631
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    • 2017
  • In this paper, we study the various impacts of connecting distributed generation (DG) to the distribution network. The comprehensive evaluation index system (CEIS) of four hierarchies is established, considering economy, reliability and voltage quality, and the calculation methods of different indexes are presented. This paper puts forward an improved triangular fuzzy number analytic hierarchy process (ITFNAHP) to weight the second level indexes (SLI) and the third level indexes (TLI), and calculates the variation coefficient to weight the fourth level indexes (FLI). We calculate the comprehensive weight coefficients based on the weight coefficients of the SLI, TLI and FLI, and then calculate the comprehensive evaluation of satisfaction (CES) of different access schemes. On the basis of the IEEE 33-bus example system, simulations of the calculation methods and the comprehensive evaluation method are carried out under different DG access schemes according to the same total investment cost and the same permeability, respectively, and the simulation results are analyzed and discussed.

Human Capital Investment Expenditures: A Comparison of Female-Headed and Married-Couple Households (미국가계의 인적자본에 대한 투자)

  • 이윤금
    • Journal of the Korean Home Economics Association
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    • v.35 no.4
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    • pp.229-242
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    • 1997
  • the purpose of this study is to investigate the effect of household type on human capital enhancement expenditures and to compare the difference in these expenditures between female-hemale-headed and married-couple households. Data for this study were from the 1990-91 Consumer Expenditure Survey(CES) and consisted of a sample of 7,225 married-couple and 1,391 female-headed households with children under age 18. The dependent variable to measure human capital expenditures was the sum of four sub-components-education reading leisure and health care expenditures. Tobit analysis with a dummy variable for household type was used to identify the effect of household type on the dollars spent on human capital expenditures. The effect of household type was significant in human capital expenditures indicating that female-headed households spent significantly less for this category than did married-couple household holding other factors constant. the findings of this study suggested that income from a public assistance program was associated with lesser expenditures on human capital while social security income source was associated with greater human capital expenditures, It was also found that the addition of family members between ages of 6 and 17 positively affected human capital expenditures. Understanding these factors is useful for family resource management professionals who work with female-headed households.

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