• Title/Summary/Keyword: Depression Care

Search Result 1,042, Processing Time 0.024 seconds

The Moderating Effect of Self-Awareness on the Relationship between Schadenfreude and Cyberbullying (청소년의 샤덴프로이데가 사이버불링 가해행동에 미치는 영향: 자기인식의 조절효과)

  • Myung Hyun, Cho;Doyoun, An
    • Korean Journal of Culture and Social Issue
    • /
    • v.28 no.4
    • /
    • pp.597-625
    • /
    • 2022
  • This study aimed to examine the hypothesis that intrapersonal, interpersonal, and environmental self-awareness would alleviate the association between sSchadenfreude and cyberbullying. 300 middle and high school students answered survey questionnaires including sSchadenfreude, cyberbullying behavior, (intrapersonal. interpersonal, and environmental) self-awareness, depression, and anxiety. After controlling depression and anxiety, theThe results reveal that first, Schadenfreude predicts cyberbullying behavior, so those who have a high level of Schadenfreude commit more online cyberbullying behavior. Second, intrapersonal and interpersonal self-awareness moderated the association between schadenfreude and cyberbullying, and those who were above average on intrapersonal and interpersonal self-awareness were more liable to commit cyberbullying, but those below average did not show a significant moderation effect. Third, whereas environmental self-awareness did not show a significant moderation effect. Specifically, those who know well what they think and do and what they look like in interpersonal relationships perpetrate more cyberbullying when their schadenfreude was high. However, knowing well about what was happening around them was not related to the likelihood of schadenfreude that lead to cyberbullying. The results of this study revealed that Schadenfreude, which deals with emotions on expecting the misfortune of others and the possibility of having antisocial characteristics, lead to actual cyberbullying behaviors of adolescents. Also, this study identified that intrapersonal and interpersonal self-awareness are harmful in causing cyberbullying in those with high Schadenfreude. Finally, the implication and the limitation of this study were discussed.

The Development of Wholeness Program for Effects Dementia-Buffering Testing of the Demented Elderly (노인의 치매행동 관련 홀니스 프로그램 개발과 완충효과 검증)

  • Hong, Hye-Jeon
    • 한국체육학회지인문사회과학편
    • /
    • v.57 no.1
    • /
    • pp.405-419
    • /
    • 2018
  • This study of the Wholeness Program relevant to dementia behavior and verification of buffering effects. For the purpose of this, among those who were attending Day Care Centers belonging to Seniors Welfare Center of M1 and M2 located in Seoul. Among those who met all these requirements, 40 senior citizens were finally selected. After carrying out a preliminary test to the selected subjects, 20 elderly of Seniors Welfare Center of M1 were randomly placed as an experimental group, while other 20 people of Seniors Welfare Center of M2, as a control group. The Wholeness Program relevant to dementia behavior was carried out from March 14 to May 30 of 2016, for 12 weeks, twice a week. As for the measurement tool, this study depended on the Korean version of Mini Mental State Examination (MMSE-K), the Korean version of Modified Barthel Index (K-MBI) and the Korean version of Geriatric Depression Scale (GDS-K). While the elderly were participating in the Wholeness Program relevant to dementia behavior, they were measured two times in total, before and after the participation in dementia behavior. Based on SPSS-PC (version 21.0), firstly, independent t-test was carried out to understand the homogeneity between the experimental group and the control group. Secondly, matched-pair t-test was carried out between preliminary test and post-test to inquire into the effects of MMSE-K, K-MBI and GDS-K. Thirdly, ANOVA was conducted to confirm the variation (change amount) between preliminary test and post-test. According to the survey results, the Wholeness Program relevant to dementia behavior of the elderly shows overall effects in all spheres of changes of cognitive ability (MMSE-K), changes of physical capacity (K-MBI) and changes of depression level (GDS-K).

Impact of Central Obesity and Physical Activity Behavior on Health-related Quality of Life among Korean Older Adults (한국 노인의 복부비만 유무에 따른 신체활동 수준 및 좌식시간과 건강관련 삶의 질의 관계)

  • Hwang, Seo-Hyeon;Yu, Mi-Seong;Jeon, Justin Y.
    • 한국체육학회지인문사회과학편
    • /
    • v.57 no.4
    • /
    • pp.375-386
    • /
    • 2018
  • Due to the rapid increase of the elderly population in Korea, there is a growing interest in 'Healthy Aging.' In this trend, it is important to identify the relationship between their lifestyle factors and quality of life. The purpose of this study was to identify the association of physical activity level, sedentary behavior and health-related quality of life (HRQoL) among Korean older adults. A total of 4,589 older adults at the Sixth and Seventh National Health and Nutrition Examination Survey was analyzed. The results showed that better HRQoL was observed among physically active older female, which was more evident among physically active female with central obesity while no such relationship was observed among older male. On the other hand, higher sedentary time was associated with lower HRQoL in both male and female subjects. Our analyses indicated that central obesity was closely related with HRQoL regardless of their physical activity levels in female subjects. Further analyses investigating association between sub-dimension of HRQoL and sub-domain of physical activity showed that higher transport physical activity was associated with better anxiety/depression score and higher sedentary time was associated with poorer score on mobility, usual activities among male and mobility, self-care, usual activity and anxiety/depression among female. Our finding suggests that physical activity level, sedentary behavior and central obesity associated with HRQoL.

The Effect of Eating with Others on Depression among Community-dwelling Older Adults by Family Arrangement (가구 유형별 동반식사가 노인의 우울에 미치는 영향)

  • Lee, Hyojin;Yoon, Ju Young
    • 한국노년학
    • /
    • v.39 no.3
    • /
    • pp.415-427
    • /
    • 2019
  • This study examined the effects of eating with others on depressive symptoms among the community-dwelling older adults by family arrangement, using the Korea National Health and Nutrition Examination Survey 7th (2016). A total of 1,233 older adults aged over 65 was included in this analysis. Eating status (alone / with others) and family arrangement (living alone / living with family) were dichotomized based on the original questionnaire. Among 955 older adults who live with family members, 855 persons (89.5%) eat together and 100 persons (10.5%) eat alone. Among 278 older adults who live alone, 86 persons (30.9%) eat together and 69 persons (69.1%) eat alone. Regression analysis controlling for demographic and health related factors, eating with others was significantly related to lower levels of depressive symptoms in the group of older adults who live with family members (β = -1.663, p <.001), while there is no statistical significance (β = -0.856, p = .148) in the counterpart. Therefore, various types of community-based programs need to be developed to encourage older adults to eat with other in their ordinary lives. It is also recommended that the community has to offer consistent care and support for the elderly particularly who live alone.

A Survey on Korean Medicine Treatment of Autonomic Dysfunction: Preliminary Research for Clinical Practice Guidelines (자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사)

  • Hui-Yeong Park;Geum-Ju Song;Hyun Woo Lee;Chan Park;Seok-In Yoon;Jung Hwan Park;Sun-Yong Chung;Jong Woo Kim
    • Journal of Oriental Neuropsychiatry
    • /
    • v.34 no.4
    • /
    • pp.335-347
    • /
    • 2023
  • Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

Health Status and Use of Health Care Services of the Elderly Utilizing Senior citizen Centers (경로당 노인의 건강상태와 건강관리서비스 이용 관련요인 분석)

  • Shin, Sun-Hye;Kim, Jin-Soon
    • Journal of agricultural medicine and community health
    • /
    • v.27 no.1
    • /
    • pp.99-113
    • /
    • 2002
  • For this study a sample of 205 people, 66 males and 139 females, over 65 years of age, residing in C-gu of S-si and utilizing senior centers, were selected, The objective of the study was to provide basic data for health promotion program development provided by health centers. A questionnaire was used to collect date on general characteristics, health status, social health status and utilization rate for health services. The instruments used in this study were the Lawton scale, to measure daily routine function, the MMSE-K developed by Folstein and modified to fit the Korea situation, for mental health status, and the CES-Dtool developed by Radloff, for emotional health status. the SPSS Window program was used to calculate percentages. Tests of significance were done using t-test and ANOVA. Multiple regression analysis was used to identify variables influencing the use of health services. The results are as follows : Of those utilizing senior citizen centers, 40.9% of males and 17.3% of the female thought they were healthy. The average score for IADL was 7.4. The daily routine of female respondents consisted of buying household articles and drugs, and other IADLs such as riding the bus or subway alone. These resulted in a higher score compared to males. For emotional health, 7.6% of the males reported depression compared to 21.6% of the females. For mental health, 48.5% of the males and 28.8% of the females were found to be in the group suspicious for dementia. On social health, 57.6% of the males and 62.6% of the females reported no intimate human relations. Of those older people who had close human relations, 52.5% of the males indicated a friend as the closest person and 53.8% of the females, their children. On use of health services, there was a significantly higher need for mobile medical care services treatment for those with lower education levels and status of window/widower. There was a significantly higher need for health exmination services for those with lower levels of exercise, greater satisfaction with sleep, higher levels of oral health care, and higher social contacts. In conclusion, there is a need to provide varied programs for the promotion of health, along with parallel resolution of social, psychological and economic issues. It is recommended that health services for elderly people provided by the health centers be implemented with full recognition of these characteristics and differences.

  • PDF

Pain and Factors Influencing Its Management in Patients with Terminal Cancer (말기 암환자의 통증 및 통증관리에 영향을 미치는 요인)

  • Yun, Young-Ho;Heo, Dae-Seog;Kim, Hong-Soo;Ou, Sang-Woo;Yoo, Tai-Woo;Kim, You-Young;Huh, Bong-Yul
    • Journal of Hospice and Palliative Care
    • /
    • v.1 no.1
    • /
    • pp.23-29
    • /
    • 1998
  • Purpose : Validity of WHO guideline of cancer pain management has been proven and many trials were done for resolution of inadequate management of cancer pain. We assessed the severity of pain in terminal cancer patients and patient's characteristics influencing inadequate pain management. Methods : This study was done on 100 patients who was confirmed as terminal in Seoul National University Hospital from lune 1997 to November. For getting the informations about dermographic and medical characteristics such as performance and metastasis, and drug-adjusted pain severity the patients, we reviewed the medical records and interview the patients. we assessed the adequacy of prescribed analgesics with WHO guidelines of pain management, and patient's characteristics influencing on adequacy of pain management. Results : 85.0 percent of cancer patient had pain when diagnosed as terminal cancer and 68% of patient had pain above moderate severity. 38.0 percent of those were given inadequate pain management and the greater pain severity, the less adequate(P<0.001). Sex, age, primary site of cancer, metastasis, symptoms such as depression and anxiety, and performance were not significant. Conclusion : Despite guidelines for pain management, many patients with terminal cancer received inadequate pan management. Their is a need for education about evaluation of pain and guidelines of pain management.

  • PDF

Symptom Clusters in Advanced Cancer Patients (진행암 환자의 증상군)

  • Hwang, Sun Wook
    • Journal of Hospice and Palliative Care
    • /
    • v.16 no.3
    • /
    • pp.139-144
    • /
    • 2013
  • Advanced cancer patients tend to present multiple concurrent symptoms which are often moderate or severe in intensity. To date, the majority of studies have focused on either a single symptom, such as pain, fatigue, or depression or associated symptoms. While this approach has advanced understanding of some symptoms, it has offered clinicians not much guidance for treating several multiple concurrent symptoms in cancer patients. So in recent years, a few symptom management studies attempted a new approach of focusing on symptom clusters instead of individual symptoms. A symptom cluster is defined as two or more concurrent symptoms that are related to each other. If we better understand symptom clusters, interrelations of symptoms, and their common mechanisms in advanced cancer patients, clinicians can more effectively control multiple, concurrent symptoms and reduce drug side effects. And clinicians can also predict any other symptoms, functional performance, and the relationship between symptom clusters and survival in advanced cancer patients. At present, there is inconsistency in symptom clusters due to many unexplained mechanisms and various means to assess and analyze symptoms. Still, with further study, the approach to symptom clusters rather than individual symptoms could more effectively control symptoms and improve patients' quality of life.

Correlation Study between Stress Responses and Life Events as a Stressor (미국이민 한국인의 스트레스 반응 양상과 생활사건과의 상관 연구)

  • 이소우
    • Journal of Korean Academy of Nursing
    • /
    • v.23 no.2
    • /
    • pp.299-315
    • /
    • 1993
  • Koreans are one of the fastest growing immigrant groups in America. Stress responses and stressors among this large cultural minority has been rarely been studied by nursing researchers. Adjusting to life in foreign country produces a great deal of stress. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstandings are not well accounted for in health assessment. This study investigated the relationship between life events or / and daily activities as a stressor and the symptoms of stress among a sample of Korean immigrants in America. The symptoms of stress scale (SOS) was used to identify stress responses and open-ended questions were used to identify life events and daily activities considered by the respondents to be stressful. A simple random sample of 283 subjects was selected from the Directory of the Korean Society of Chicago, New York, Los Angeles, Philadelphia and Seattle. Demographically, the subjects ranged in age from 20 to 69 years, and the percentage of women and men was approximately 50% each. Almost ninety percent of the subjects were highly educated, 17% owners of business, 19% white collar professionals, 14% employed in sales or as skilled /unskilled labor, 27% as housewives and students and 3% had no occupation. The total group SOS mean was 0.8042 ; the SOS men for man was 0.7371, and for women was 0.8713. The stress response of this subject group was high, -the stress response of women higher than that for men. In an earlier study(June, 1992) with another sample, the total mean SOS score was similar to this one. The main stressful life events or / and daily activities were, in order, economic problems (N=97), interpersonal problems (N=68), children care problems (N=258), health problems (N=49), communication problems (N=42), family problems (N=38), worry about future career (N=36), and religious problems (N=25). There was a significant difference in the SOS means between the group that expressed life events or / and daily activities to be stressful and the group that did not. Interpersonal relationships and economic and family problems were stressors for those who complained about peripheral manifestations. cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle ten-sion, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. In summary, interpersonal relationships and economic and family problems influenced stress response manifestations. Income, the number of people in the family, the year of immigration. the level of education, and marital status were related to physiological and psychosocial stress responses.

  • PDF

Cardiopulmonary Resuscitation and Pediatric Advanced Life Support for Pediatric Dentist (소아치과의사를 위한 심폐소생술과 소아고급생명구조술)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.44 no.2
    • /
    • pp.243-255
    • /
    • 2017
  • Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.