• 한국보건간호학회지
• /
• 제19권2호
• /
• pp.274-283
• /
• 2005

Purpose: To survey the functional status, self-esteem and depression of a community of indwelling clients with total laryngectomy, and to evaluate the correlation among these three variances. Methods: From May 2002 to October 2002, 76 clients who had undergone total laryngectomy more than three months ago were surveyed with using Baker's functional status in head & neck cancer-self report, Rosenberg's self rating self-esteem scale and Zung's self rating depression scale. Results: 1. The functionaI status score was $48.67{\pm}10.12$. The subjects aged 70 years or older had significantly higher scores than the subjects aged $50{\sim}59$ years. The group of clients who were operated on more than five years ago showed higher scores than the patients operated on within a year. 2. The self-esteem score was $30.47{\pm}6.44$. 3. The depression score was $47.26{\pm}8.01$. The subjects who bad three family members and the subjects who had five family members had significantly higher scores than the subjects who had two family members. 4. A significant correlation found between the functional status and self-esteem. Significant negative correlations were found between the functional status and depression and also between self-esteem and depression. Conclusion: Remarkable correlations were observed among functional status, self-esteem and depression. Nurses should consider the status of layngectomy patients and pay more attention to their pre- and post- operative nursing care and rehabilitation.

• 대한한방부인과학회지
• /
• 제28권1호
• /
• pp.85-91
• /
• 2015

Objectives: Postmenopausal symptoms are subject to many factors. Recently, obesity has been suggested as a factor of hot flush. So this study aims to report the relationship between body composition and Menopause Rating Scale (MRS), The Menopause-specific Quality of Life Questionnaire (MENQOL) of postmenopausal women. Methods: We studied 42 climacteric women who had visited Kyung Hee University Hospital at Gangdong from April 2011 to July 2014. 42 women had filled out MRS, MENQOL, and they had taken body composition tests. Pearson correlation tests were conducted. (Correlation was statistically significant at the 0.05 level) Results: Correlation between psychological subscale of MENQOL and Waist-Hip Ratio (WHR) was statistically significant (pearson correlation coefficient=0.385; p-value=0.012). But other subscales of MRS and MENQOL were not statistically related with body composition. Conclusions: WHR could be an important factor of psychological health of menopausal women. So, abdominal fat reduction must be considered when curing menopausal symptoms. In connection with climacteric depression, well-designed studies would be necessary.

• 정신신체의학
• /
• 제12권2호
• /
• pp.135-144
• /
• 2004

연구목적 : 본 연구의 목적은 기공에 기초한 스트레스 관리 프로그램이 산모의 우울, 불안 등의 정서에 미치는 영향에 대하여 알아보고자 하였다. 방법: 임신 16주 이상의 산모들을 대상으로 하였다. 기공프로그램군은 8주동안, 일주일에 2번씩 기공프로그램에 참여한 52명으로 구성되었으며, 교육군은 8주동안 1주일에 1번씩 산모교육에 참여한 40명으로 구성되었다. 평가도구는 우울 수준을 측정하는 척도로서 해밀턴 우울 척도(Hamilton depression rating scale, HAMD), 벡 우울 척도(Beck depression inventory, BDI), 에딘버러 산후 우울증 척도(Edinburgh postnatal depression scale, EPDS)를 이용하였다. 불안 수준을 측정하는 척도로서 스필버거 특성 상태 불안척도-1 (Spielberger trait state anxiety inventory-1, STAI-1), 해밀턴 불안 척도(Hamilton anxiety scale, HAM-A)를 이용하였다. 기공과 교육 프로그램 시작전, 이후 2주, 4주, 8주에 걸쳐 산모의 우울, 불안 수준을 상기 척도로 측정하였다. 결과: 기공프로그램군은 프로그램 시작 전과 8주 후를 비교하였을 때 유의미하게 불안과 우울 수준이 모든 척도에서 호전되었다. 반면 교육군은 시작 전과 8주 후를 비교하였을 때 유의미한 호전은 없었다. 두 집단의 프로그램 전후 변화량을 비교한 결과 기공프로그램군이 교육군에 비하여 통계적으로 유의미한 변화를 보였다. 결론: 본 연구는 기공에 기초한 스트레스 관리 프로그램이 산모의 불안과 우울감을 조절하는데 효과적인 방법일 수 있음을 시사한다.

• 지역사회간호학회지
• /
• 제9권1호
• /
• pp.104-116
• /
• 1998

The paper was studied those aged of 65 years or over who were attending 11 senior citizen's centers and 4 nursing home centers for the aged during the day in Junla-buk do. The purpose of this study was to measure the level of depression and related factors by using the 20 part Zung's self-rating interview schedule. The results of the study were analized using an SAS program. Data analysis included the following : percent, average, S.D, ANOVA, T-test, Person's simple correlation, multiple regression. The results of the study are as follows: 1. The mean value of depression was 45.54 out of a total of 80 and the mean depression scale was 2.28 on a Likert scale. Those over a 50 degree depression rate was 37.7%. 2. There was a significant decrease of depression when monthly pocket money increased. 3. There was a significant decrease in depression degree when they think their health is good and they have no chronic disease. 4. There was a significant decrease in depression degree when activities of daily living increased, r= -0.537 and p=0.0001. There was a significant decrease in depression degree when health promoting behavior increased, r= -0.752 and p=0.0001. 5. There was a significant decrease in depression degree when social activities increased, in meeting a relatives and attending a senior citizen's center.

• 한국치위생학회지
• /
• 제15권5호
• /
• pp.777-786
• /
• 2015

Objectives: The purpose of the study was to investigate the influencing factors on anxiety and depression before and after prosthetic treatment in the patients. Methods: A self-reported questionnaire was completed by 248 patients with tooth loss and over 20 years old. The questionnaire was carried out before and after oral examination and dental prosthetic treatment from July to December, 2013. The study instruments included Beck's anxiety inventory and self-rating depression scale by Zung. The questionnaire was adapted and modified from Kwon's anxiety inventory and Lee's depression scale. Results: While the anxiety level increased from 69.4% to 78.2% in the normal people, the depression level changed from 53.2% to 64.1% in the normal people. The gender variable had a positive effect on anxiety and depression while educational level had a negative effect on them. The dental fear was closely related to anxiety and depression before and after the prosthetic treatment. The entire body health perception showed a negative effect on anxiety and depression. The distrust towards the dentist had an influence on the anxiety and depression in the prosthetic patients. Conclusions: The influencing factors on anxiety and depression in the prosthetic patients included gender, dental fear, entire body perception, and distrust towards the dentist.

• 동의신경정신과학회지
• /
• 제9권2호
• /
• pp.97-109
• /
• 1998

This study was designed and undertaken to identify objectively the degree and relationship of anxiety, depression, & anger which are chief essential elements of emotional status in Hwabyung patients.The subjects in this study were 35 Hwabyung patients and 40 Non-Hwabyung persons, and for the assessment of anxiety, depression, & anger. We used Zung's Self-Rating Anxiety Scale(SAS), Zung's Self-Rating Depression Scale(SDS) & State-Trait Anger Expression Inventory(STAXI).The results of this study are as follows:1. There were significant differences in the 18 items of SAS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).2. There were significant differences in the 13 items of SDS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).3. There were significant differences in the mean scores of SAS and SDS between Hwabyung patients and the control group(p＜0.001 respectively).4. There were significant differences in the mean scores of State Anger, Trait Anger, Trait Anger/Temperament, Anger-in & Anger-out counted by STAXI between Hwabyung patients and the control group (p＜0.001, p＜0.01, p＜0.001, p＜0.001, p＜0.05 respectively).5. There were significant relationships between State Anger & Anxiety, Anger-out & Trait Anger/Temperament, Depression & Anxiety(r=.43, r=.37, r=.64).

• 생물정신의학
• /
• 제3권2호
• /
• pp.269-276
• /
• 1996

Object : The aim of this study was to examine an association between plasma 5-Hydroxyindoleacetic Acid(HIAA) level and the change of depressive symptom after fluoxetine trial in haloperidol-stabilized schizoprenic in-patients. Method : According to plasma 5-HIM level, 32 patients were classified to either group with high 5-HIAA level(N=11) or that with low 5-HIM(N=11). For each patient, fluoxetine(20mg/day) added to stable haloperidol dose for 6 weeks. The authors measured Hamilton Rating Scale for Depression (HRSD) at baseline, the 2nd week, the 4th week, the 6th week of treatment. Result : 1) Age, duration of illness, number of admission, duration of present admission, dosage of haloperidol between high 5-HIAA group and low 5-HIM group were significantly different. 2) As time went on, the association between the change of depressive symptom and plasma 5-HIAA concentration was not significant. 3) Of depressed group, as lime went an, depressive symptoms were improved significantly in high 5-HIAA group, but not in law 5-HIM group. Conclusion : We suggest that the association between plasma 5-HIAA level and the change of depressive symptoms after fluoxetine trial in haloperidol stabilized schizophrenic in-patients was not significant.

• Journal of Yeungnam Medical Science
• /
• 제11권2호
• /
• pp.338-351
• /
• 1994

본 연구는 1992년 2월부터 1994년 8월까지 영남대학교 의과대학 부속병원 정신과 및 국립 부곡 정신병원 정신과에 외래 및 입원한 양성 정신분열증 환자 119명, 음성 정신분열증 환자 122명인 241명 (53.2%)과 정상인 집단 212명 (46.8%)으로 총 453명을 대상으로 하였다. 이들을 대상으로 하여 Zung의 자기-평가 우울척도(Self-Rating Depression Scale: SDS)와 한국판 Wechsler 지능검사(Korean Wechsler Intelligence Scale : KWIS)의 동작성 검사 중에서 바꿔쓰기 검사의 척도를 중심으로 하여 측정한 양성 및 음성 정신분열증 환자의 우울을 연구한 결과는 다음과 같다. 음성 정신분열증 집단에서 우울(p<0.001), 성욕 감퇴(p <0.01), 빈맥 (p<0.01), 피로(p <0.05), 정선운동 지체(p <0.001), 정신운동 초조(p<0.001), 절망감 (p<0.01), 과민성 (p<0.01), 우유부단(p<0.001), 자기비하(p<0.01), 공허갑(p <0.001), 자살사고의 반추 (p<0.001) 그리고 불만(p<0.001) 등은 양성 정선분열증보다 유의미하게 높이 평가된 항목이었다. 정상인 집단과 양성 및 음성 정신분열증 집단에 서 우울성향은 정상인 집단보다 정신분열증 집단에서 높은 것으로 나타났으며, 또한 음성 정신분열증집단이 양성 정신분열증집단보다 더 높은 것으로 나타났다. 이러한 결과로 음성 정신분열증 집단 의 우울수준이 양성 정신분열증 집단보다 더 높은 것으로 나타났다. 정신분열증 집단은 정상인 집단에 비해 현저한 정신운동 기능장애를 보였고, 음성 정신분열증 환 자 집단은 양성 정신분열증 환자 집단보다 정신운동 기능장애에서 그 정도가 더 심한 것으로 나타났다. 따라서 정신분열증 환자 집단이 정상인 집단보다 우울수준이 더 높고, 음성 정신분열증 환자 집단은 양성 정신분열증 환자 집단보다 우울수준이 더 높으며, 정신운동 기능장애에서도 그 정도가 더 심하다는 것으로 사료된다.

• 대한불안의학회지
• /
• 제17권2호
• /
• pp.73-77
• /
• 2021

Objective : The Hoarding Rating Scale-Self-Report (HRS-SR) is a five-item scale that simply assesses the hoarding symptoms. We evaluated the factor structure, reliability, and validity of the Korean version of the HRS-SR (HRS-SR-K). Methods : A total of 144 individuals completed the self-administered questionnaires including HRS-SR-K, Obsessive-Compulsive Inventory-Revised-Korean version (OCI-R-K), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Psychometric properties of the HRS-SR-K were analyzed. Results : The Cronbach's α value for internal consistency of the HRS-SR-K was excellent (Cronbach's α=0.84). The construct validity was analyzed on the basis of principal component analysis and one-factor structure of the original scale was maintained. The HRS-SR-K total score and each item scores were more strongly correlated with the hoarding subscale score in OCI-R-K (convergent validity, r=0.71, p<0.01) than the corresponding scores of nonspecific depression or anxiety measures (discriminant validity). Conclusion : The HRS-SR-K is a simple and reliable self-report scale for examining the severity of hoarding symptoms.

• 생물정신의학
• /
• 제13권2호
• /
• pp.95-102
• /
• 2006

Object : Nerve growth factor(NGF) is a protein involved in neuronal survival and plasticity in the central nervous system, which might play an important role in stress, depression and suicide. This study was performed to determine whether there is an alteration in plasma NGF concentrations in depressed patients with suicidal attempt. Methods : The subjects were 32 depressed patients who attempted suicide and admitted in emergency room. Forty-four hospitalized non-suicidal depressive patients and the 30 normal controls were closely matched with the suicidal group in terms of age and sex. Individuals in all 3 groups were evaluated independently by a semi-structured interview for the purpose of establishing a DSM-IV criteria diagnosis. The severity of depressive symptoms was evaluated using Hamilton depression rating scale(HDRS). The severity of the suicidal behavior was evaluated by Weisman and Worden's risk-rescue rating(RRR) system and the Lethality Suicide Attempt Rating Scale(LSARS). Plasma NGF level was measured by the enzyme linked immunosorbent assay(ELISA) method. Results : There were no statistically significant differences of the plasma NGF levels among groups. LSARS and RRR did not reveal any significant correlation with ${\beta}$-NGF level in suicidal depressive patients. Conclusion : This study do not support an association between ${\beta}$-NGF and suicidal depression. However it is necessary to investigate this association through other route such as postmortem brain.