• Journal of muscle and joint health
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• v.23 no.1
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• pp.19-27
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• 2016

Purpose: This study is a descriptive correlational study to identify the mediating effect of resilience on depression and rehabilitation motivation. Methods: The study was conducted on 206 stroke patients that visited the D University Hospital in B City. Data was collected from July 1 to September 11, 2015. Data were collected for depression, rehabilitation motivation, and resilience. The data were analyzed by the t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS/WIN 21.0 statistical program. Results: 33.7% of subjects showed beyond mild depression. The level of rehabilitation motivation was higher in male stroke patients, and when the level of education and monthly income was higher. Moreover the levels of rehabilitation motivation were significantly higher when stroke patients were participating in exercise continuously. Resilience was found to partially mediate the relationship between depression and rehabilitation motivation. Conclusion: The finding of this study demonstrates that intervention on resilience, in addition to direct intervention on depression, can improve rehabilitation motivation in stroke patients.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.27 no.1
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• pp.77-85
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• 2017

Objectives: We focused on investigating the effects between symptoms of depression and emotional labor among health professionals. Methods: A cross-sectional survey design was used. The participants were 365 health professionals. The survey was composed of questionnaires related to general characteristics and work-related characteristics. Korean emotional labor scale-24(K-ELS@24) and Patient Health Questionnaire(PHQ-9) data was collected from July 1, 2015 to August 31, 2015. Results: The prevalence for symptoms of depression among the survey participants was 79.2%. Organizational support(${\beta}=.387$, P<0.05), emotional disharmony(${\beta}=.238$, P<0.05), customer conflict(${\beta}=.125$, P<0.05) and emotional effort(${\beta}=.122$, P<0.05) showed a significant association with symptoms of depression. Conclusions: These results suggest that emotional disharmony, organizational support and organizational surveillance are related to symptoms of depression. Managing organizational support on the emotional labor scale is the most important factor in controlling symptoms of depression.

• Journal of Korean Public Health Nursing
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• v.37 no.1
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• pp.125-135
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• 2023

Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1531-1542
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• 2000

In this paper, we examined the depression of stroke patient's caregivers and analyzed influencing factors of the depression. The subjects were 215 caregivers who have takencare of stroke survivors in their home. The conceptual model of this study consisted of the caregiver's depression, perceived burden, illness intrusiveness, and patient's ADL. Modified Korean CES-D, modified subjective and objective Burden Scale, Illness intrusiveness(II), and Instrumental Activity of Daily Living(IADL) were used to measure concepts. Path analysis was used to test the model of this study. The results were as follows: 1. The mean depression score was 11.6 which was below the cut-off score of the CES-D. This score indicates that the subjects were higher than normal adults' mean score but not depressive. Eighty-six out of 215 caregivers(40%) were above the cut-off score. This finding was different from previous research results, and the reason might be the patients' capability of ADL. In a group of low capability patient's activities of daily living, caregiver's depression score was 15.5. 2. Caregiver's depression was positively related to caregiver's burden and illness intrusiveness, but negatively related to patient's activities of daily living. 3. The caregiver's perceived burden and illness intrusiveness directly influenced on their depression. Furthermore, the and caregiver's illness intrusiveness led to depression indirectly through their burden. A patient's activities of daily living didn't influence directly on depression but indirectly through caregiver's illness intrusiveness and burden.

• Journal of Families and Better Life
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• v.32 no.6
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• pp.31-45
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• 2014

The purpose of this study are to find out the gender and school level differences in adolescents' depression, and the influences of parent attachment and school stress on adolescents' depression and the effect of ego-resilience relations between parent attachment and depression, and that of school stress and depression. 402 of students(the first and the second graders of middle school and of high school in academic track in D area) completed questionnaire on parent attachment, school stress, ego-resilience, and depression. Descriptive statistic analyses, reliability analyses, Two-way ANOVAs, correlation analyses, and hierarchial multiple regression analyses were conducted through SPSS WIN 20.0. The findings are as follows. 1) There was school level difference, but not gender differences, on adolescents'depression. 2) There was ego-resilience control effect on the relations between parent attachment and adolescents' depression only for middle school students, but not for high school students. 3) There were ego-resilience control effect on the relations between school stress and adolescents' depression for both middle and high school students. The importance of ego-resilience and school levels in understanding adolescents' depression was discussed.

• Asian Oncology Nursing
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• v.12 no.4
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• pp.314-322
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• 2012

Purpose: This study was to investigate relationships among distress, depression, anxiety, and spiritual needs of hospitalized patients with stomach cancer. Methods: The participants were 120 in-patients with stomach cancer for surgery or chemotherapy at C University in Seoul from December 2010 to February 2011. To measure emotional and spiritual states was used Distress management version 1 (National Comprehensive Cancer Network, NCCN), the Hospital anxiety and Depression Scale (HADS), and the Spiritual Needs Scale. The data were analyzed using SPSS 19.0, specifically descriptive statistics, t-test, ANOVA, Scheffe's test, and Pearson's correlation coefficients. Results: Distress showed positive correlations with anxiety (r=.49, p<.001), and depression (r=.44, p<.001). Anxiety showed positive correlations with depression (r=.59, p<.001). While, depression showed negative correlations with spiritual needs (r=-.25, p<.001). Conclusion: This study's findings show that hospitalized patients with stomach cancer experienced distress, anxiety, depression and high spiritual needs. Distress, anxiety, and depression of patients with stomach cancer were positively correlated with each other. While the level of depression was negatively correlated with the level of spiritual needs, indicating the higher the level of depression, the lower the spiritual needs. Therefore, nursing interventions for emotional and spiritual support need to be developed for stomach cancer patients.

• Korean Journal of Adult Nursing
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• v.26 no.5
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• pp.563-572
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• 2014

Purpose: The purpose of this study was to identify the mediating effect of hope and depression applied on the influence of social stigma on suicidal ideation of 108 HIV infected males. Methods: This study was a descriptive, crosssectional design that used a survey approach. Data collection was one-on-one interviews by a counseling nurse from July 2012 to January 2013. The survey included questions about social stigma, hope, depression, and suicidal ideation. Results: Fitness of the hypothetical model was appropriate ($x^2/df=1.97$, TLI=.97, CFI=.98, RMSEA=.07, SRMR=.04). Social stigma had no direct effect on suicidal ideation but had a significant indirect effect on suicidal ideation via hope and depression. Hope had a mediating effect the relationship between stigma and depression but no direct effect on the relationship between stigma and suicidal ideation. Hope had an indirect effect on suicidal ideation via depression. Stigma and hope accounted for 41% of depression was where as suicidal ideation was explained 56.3% by depression, hope, and stigma. Conclusion: In order to reduce depression and suicidal ideation of HIV infected people, stigma improving strategies are required. And hope intervention for HIV infected people may decrease their suicidal ideation and depression.

• Journal of Families and Better Life
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• v.27 no.2
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• pp.227-241
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• 2009

This study examined to find out mediating variable between ordinary stress and anxiety-depression. The subjects were 2,844 4th grade elementary school in Korea. The instruments used were questionnaires about anxiety-depression, ordinary stress, anger control ability and negative self-concept. Data were analyzed by t-test and regression. Major findings were as follows: (1) There were significant difference in parent-, appearance-, possession-related stress, anger control ability, negative self-concept and anxiety-depression according to sex. (2) Parent-, schoolwork-, peer-, appearance-related stress and anger control ability had a significant effect on the anxiety-depression. The principal finding was that anger control ability had mediating role between ordinary stress(schoolwork-, peer-, appearance-related stress) and anxiety-depression in male, one side parent-related stress and anxiety-depression in female. (3) Parent-, schoolwork-, peer-, appearance-related stress and negative self-concept had a significant effect on the anxiety-depression. The principal finding was that negative self-concept had mediating role between ordinary stress(parent-, schoolwork-, peer-, appearance-, possession-related stress) and anxiety-depression in male, one side parent-, peer-related stress and anxiety-depression in female.

• Journal of Home Health Care Nursing
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• v.17 no.1
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• pp.5-11
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• 2010

Purpose: The study examined the psychometric properties of the Korean Geriatric Depression Scale Informant-15 (KGDSI-15), an instrument measuring geriatric depression through their primary caregivers. Methods: The participants were 370 Korean older adults $\geqq$65-years-of-age registered in a visiting health center in S city. The Korean version of Geriatric Depression Scale-Short Form (GDSSF-K) was used for comparison. Internal consistency measured tool reliability and Pearson correlation coefficient measured validity. One-way ANOVA was used to determine the clinical usability of the instrument: depression levels were classified as normal, mild depression, and severe using GDSSF-K, and the depression scores of these three groups were comparatively measured by KGDSI-15. Results: The Cronbach's alpha coefficient was .831. The correlation coefficient with GDSSF-K was r=.616 (p<.001). KGDSI-15 results showed the depression level of older adults with severe depression was highest followed by those with mild depression and normal. The group differences were also statistically significant, which indicated the clinical usability of the instrument. Conclusion: KGDSI-15 is suggested to be reliable and valid to measure the geriatric depression through the primary caregivers of older adult.

• Korean Journal of Biological Psychiatry
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• v.14 no.1
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• pp.14-20
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• 2007

Objectives : The diagnosis of depression is based on a highly variable set of symptoms. Therefore, depression should not be viewed as a single disease, but a heterogenous syndrome comprised of different pathophysiologies. There are several subtypes of depression which were already incorporated in DSM-IV. This article provides a systematic review of pharmacological treatments of two recognized subtypes of depression-dysthymic disorder and atypical depression. Methods : Systematic search of relevant literatures on dysthymic disorder and atypical depression was performed by proposed search strategy of the Clinical Research Center for Depression of Korean Health 21 R&D Project. All identified literatures were carefully reviewed and classified according to SIGN grading system and summarized in a narrative manner. Results : For the treatment of dysthymic disorder and atypical depression, selective serotonin reuptake inhibitors( SSRIs) and moclobemide have more evidence than the other antidepressants. SSRIs and moclobemide showed superior tolerability than tricyclic antidepressants. Conclusions : The authors proposed treatment recommendations for dysthymic disorder and atypical depression by the methods of evidence-based medicine(EBM). However, guideline developing methods of EBM also have several inevitable limitations. Therefore, in the absence of clear and significant differences in efficacy, the choice of medication must be individualized for a particular patient based on psychiatrist's own clinical decision.