• 한국치위생학회지
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• 제23권5호
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• pp.395-402
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• 2023

Objectives: This study aimed to identify factors related to oral health and depression in Korean adults and contribute to the development of a mental health program to improve depression through oral health management. Methods: Data was obtained from the 2021 Korean Community Health Survey. The chi-square test was used to determine the differences in depression experience relative to general participant characteristics and their oral health. To determine the odds ratio and 95% confidence interval, multiple logistic regression analysis was used. All statistical analyses were performed using the SAS software (version 9.4). Results: The results suggest that depression may be influenced by gender, age, household generation, drinking habits, subjective health level, moderate to high exercise, breakfast, high blood pressure, diabetes, subjective oral health level, chewing discomfort, and tooth brushing. An increasing level of depression was associated with decreasing subjective oral health level (1.34 times), uncomfortable chewing (3.08 times), and frequency of toothbrushing after lunch or before going to bed (1.23 times and 1.58 times, respectively). Conclusions: Our study confirmed a close relationship between oral health and mental health. In developing health programs for improving depression, appropriate oral health care should be considered.

• 한국학교보건학회지
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• 제35권1호
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• pp.31-39
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• 2022

Purpose: The purpose of the study was to examine the meditating effect of unconditional self acceptance on the relationship between life stress and depression in nursing students. Methods: Data was collected from a survey of 140 nursing students using self-reported questionnaires. The data was analyzed using IBM SPSS Statistic 25.0. The mediating effect of unconditional self-acceptance on the relationship between the subject's life stress and depression was analyzed using Baron and Kenny's method. In addition, the Sobel test was conducted to determine the significance of the mediating effect. Results: The regression model explained 43% of the variance in nursing students' depression. Significant factors were task-related life stress, unconditional self acceptance, and academic achievement. Unconditional self acceptance had a partial mediating effect on the relationship between nursing students' task-related life stress and depression. Conclusion: To prevent depression in nursing students, it is necessary to build effective strategies to manage task-related stress and improve unconditional self-acceptance.

• 대한의생명과학회지
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• 제29권1호
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• pp.34-40
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• 2023

Smoking is one of the three major risk factors for vascular disease along with hypertension and hyperlipidemia. It is true that smoking has a negative effect on the circulatory system, and the frequency of coronary artery disease and peripheral vascular disease is significantly increased in smokers. Many epidemiological studies report that smokers have an approximately two-fold increased risk of coronary artery disease compared to non-smokers. This study was designed to investigate the relationship between cerebral blood flow change and depression index after acute smoking. Cerebral blood flow tests were performed before and after smoking in 8 subjects. Changes in blood flow after smoking were correlated with the depression score and negatively correlated with the depression score. In particular, there was a strong correlation with changes in blood flow in anterior cerebral artery. It is well known that changes in blood flow after smoking have a negative effect. In addition, considering the study that smoking aggravates the symptoms of depression, it was found that smoking and depression are factors that negatively affect each other.

• 근관절건강학회지
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• 제22권1호
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• pp.1-12
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• 2015

Purpose: The purpose of this study was to explore the relationships among pain, depression, health behaviors, and activities of daily living (ADL) in older adults after femur fracture surgery. Methods: This was a descriptive correlational study. Ninety seven outpatients aged 65 or older were selected, who agreed to participate and visited the four hospitals located in G providence. Numeric Rating Scale (NRS) for pain, a Short form Geriatric Depression Scale (SGDS) for depression, health behavior scale and Korean version of Bathel Index for ADL were used. Data were analyzed using t-test and ANOVA, Pearson's correlation and the hierarchical regression analysis in SPSS 18. Results: Pain and depression were positively correlated (r=.35, p<.001). Pain and health behaviors (r=-.30, p=.010), pain and ADL (r=-.21, p=.044), depression and health behaviors (r=-.51, p<.001), depression and ADL (r=-.29, p=.004) were negatively correlated. The variables affecting the ADL was intake of a painkiller or not (${\beta}$=-.32), age (${\beta}$=-.25), transitional period after discharge (${\beta}$=.23) and depression (${\beta}$=-.23). ADL was accounted for 33.4% in total by these four variables. Conclusion: Interventions for alleviating pain, and managing depression would be effective in enhancing ADL in older adults after femur fracture surgery.

• 한국시뮬레이션학회논문지
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• 제25권4호
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• pp.109-115
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• 2016

본 연구는 철도기관사에 의해 유발되는 사고와 우울감 및 인지실패 간의 관계를 '우울감 ${\rightarrow}$ 인지실패 ${\rightarrow}$ 사고'의 인과관계로 접근하는 연구모형 1과 '사고 ${\rightarrow}$ 우울감 ${\rightarrow}$ 인지실패'의 인과관계로 접근하는 연구모형 2로 설정하고 어느 모형이 타당한지를 구조방정식 모형으로 검증하였다. 현직 철도기관사 416명의 설문응답 유효데이터를 토대로 검증한 결과 후자의 연구모형, 즉 '사고 ${\rightarrow}$ 우울감 ${\rightarrow}$ 인지실패'의 인과관계에서 사고가 우울감을 매개로 하여 사고에 영향을 미친다는 점에서 모형 2가 통계적으로 타당하다는 결론을 도출하였다. 이 같은 연구결과는 인적오류와 관련하여 사고와 우울감의 인과관계 측면에서 접근하고 제도적인 개선방안을 함께 모색할 때 궁극적으로 기관사의 실수와 인지실패를 저감시킴으로써 인지실패로 인한 사고와 인적 오류의 확률을 그만큼 저감할 수 있다는 것을 시사한다.

• 여성건강간호학회지
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• 제25권1호
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• pp.112-123
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• 2019

Purpose: The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors. Methods: With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics. Results: Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression. Conclusion: Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.

• 감성과학
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• 제24권3호
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• pp.17-26
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• 2021

본 연구는 국민건강영양조사 7기(2016~2018) 자료를 이용하여 의사로부터 우울증 진단을 받았거나 우울증 선별도구(PHQ-9)를 바탕으로 우울증 분류된 대상자의 구강건강 상태와 구강 건강관리행태를 비교하고 관련 위험요인들을 분석하였다. 연구에 사용된 국민건강영양조사 7기 전체 대상자 수는 16,489명이며, 그중 성인(19세 이상)이며 구강검진을 시행한 13,199명을 대상으로 자료를 분석하였다. 일반적 특성 중 성별, 연령, 소득수준, 교육수준, 흡연과 음주 모두에서 우울증군과 비우울증군 간에 유의미한 차이를 확인하였다. 또한, 구강검진 및 구강 건강상태에서 비우울증군과 비교하여 우울증 군에서 말하기 불편감(OR=2.82), 저작불편감(OR=2.41), 치통경험(OR=1.49), 보철물(OR=1.33)이 높은 것으로 나타나 우울증 발생 위험도가 증가하는 것으로 관찰되었으나, 가공의치 필요 수는 우울증 발생관련 위험요인이 아닌 것으로 확인되었다. 심리적 요인에 있어서는 전신건강이 나쁘다고 인식할수록 우울증 발생 유병률이 증가하였으며(OR=9.10), 구강건강이 나쁘다고 느끼는 경우도 증가하여(OR=1.94) 우울증 발생 관련 위험요인으로 확인되었다. 구강 건강관리 행태에서는 일일 칫솔질 횟수가 감소할수록(OR=1.81), 치실을 사용하지 않고(OR=1.42) 구강검진을 받지 않는 사람 일수록(OR=1.31) 우울증 발생 위험도가 증가함이 확인되었다. 따라서 구강건강 상태 및 구강건강 행태는 성인 우울증의 잠재적 위험요인으로 인지되며, 이를 바탕으로 성인 우울증 관리에 있어서 일반적 정신건강뿐만 아니라 구강건강과 구강관리행태 고려한 성인건강 관련 프로그램이 필요할 것으로 생각된다.

• 아동학회지
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• 제38권2호
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• pp.133-148
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• 2017

Objective: This study focused on the stability and reciprocal effects between abuse and neglect by parents and adolescent depression and delinquency. We examined both parent and child effects by adopting the transactional model proposed by Sameroff (2009). Methods: Using autoregressive cross-lagged modeling, data from the $2^{nd}$ to the $4^{th}$ wave of the Korean Children and Youth Panel Study (KCYPS) were analyzed. The sample consisted of 1,982 adolescents who were $8^{th}$ graders in 2011. Data were collected at three different phases: when participants were in $8^{th}$ grade (T1), $9^{th}$ grade (T2) and $10^{th}$ grade (T3). Results: First, the effects of abuse and neglect by parents and adolescent depression and delinquency showed stability from the $8^{th}$ to the $10^{th}$ grade. Second, abuse at T1 and T2 had effects on adolescent delinquency at T2 and T3, respectively, but not on adolescent depression. In terms of child effects, abuse was influenced by adolescent depression only. Adolescent depression and delinquency had no reciprocal effects. Finally, there were reciprocal effects between neglect on one hand and adolescent depression and delinquency on the other. That is, there were child effects as well as parent effects. No significant effects were found in the reciprocal relations between adolescent depression and delinquency. Conclusion: The present study found the stability of abuse and neglect by parents and adolescent depression and delinquency. Furthermore, this study identified the child effects as well as parent effects, thus supporting the transactional model of neglect by parents and adolescent depression and delinquency.

• 한국간호교육학회지
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• 제28권1호
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• pp.91-100
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• 2022

Purpose: This study aimed to identify the longitudinal effects of children's temperament on maternal depression. Methods: Data from a longitudinal cohort of the Panel Study of Korean Children (PSKC) from 2010 to 2012 were analyzed using hierarchical linear modeling. The survey included 1,721 mother-child dyads. The mothers reported on their children's temperament and on maternal depression. The children's temperament was measured by the Emotionality, Activity and Sociability-Temperament Survey for Children-Parental Ratings, while maternal depression was measured by the Kessler 6 Psychological Distress Scale. Results: The results showed that both children's temperament and maternal depression were relatively stable when the children were between the ages of 2 to 4. The mean maternal depression scores were 11.83 in 2010, 11.88 in 2011, and 11.75 in 2012. There were significant negative correlations between the maternal depression scores and children's ages, and sociability and activity subdomain scores ranged from r=-.05 to -.11 (p<.05). There was a significant positive correlation between children's emotionality subdomain scores and maternal depression scores (r=.35, p<.001). Children's temperament rament (emotionality: β=0.26, activity: β=-0.07, and sociability: β=-0.03) were significant factors in maternal depression. Conclusion: These findings indicate the need for the early assessment of and intervention for children's temperament and maternal depression. The results of this study will provide basic data for the development of nursing education programs related to early assessment and intervention to improve the health and quality of life of young children and mothers.

• International Journal of Contents
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• 제14권1호
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• pp.12-17
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• 2018

This study explored potential therapeutic mechanisms of playing preferred online games as predictors of therapeutic interventions for players' psychosocial factors (i.e., aggression, depression, and loneliness). Based on theories of catharsis, the generic model of psychotherapy, we took a therapeutic approach to integrate these perspectives. We created a path model describing how therapeutic catharsis-seeking, online game self-efficacy, and life self-efficacy were associated with psychosocial factors of aggression, depression, and loneliness, including generalized sub-constructs of each factor as multi-dimensional sources. We analyzed the path model using data of 1,227 online game players in Korea. Our results indicated that therapeutic catharsis-seeking could alleviate aggression via favorite game playing. Life self-efficacy was a primary predictor for alleviating depression and loneliness. However, online game self-efficacy was positively associated with depression and loneliness. Implications of these findings are discussed.