• Title/Summary/Keyword: Depression.

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Effects of Korean Medical Intensive Treatment Program on Geriatric Depression Disorder (노인성우울증에 대한 한방 집중치료 프로그램의 효과)

  • Kim, Ka-Na;Hwang, Wei-Wan;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.4
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    • pp.311-318
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    • 2014
  • Objectives: As the elderly population grows and the prevalence of depression increases, the incidence of geriatric depression disorder will continue to increase. The effect of an intensive Korean medicine treatment program on geriatric depression disorder was studied. Methods: Geriatric depression disorder patients who received treatment over a period of three years were reviewed, with the geriatric depression score (GDS) used as the primary outcome. The intensive Korean medical treatment program applied to the geriatric depression disorder patients consisted of herbal medicine, acupuncture, pharmacopuncture, moxibustion, meditation, qigong exercises, and reminiscence therapy. Results: The GDS scores of patients who received the intensive Korean medical treatment program decreased from an average of 19.57 (${\pm}5.52$) to 15.76 (${\pm}6.99$) and there was a significant difference. Conclusions: When the intensive Korean medical treatment program was applied to geriatric depression disorder patients, the symptoms of depression improved. This treatment program will be helpful for improving symptoms in patients and can be applied by trained clinicians.

Factors of Prenatal Depression by Stress-vulnerability and Stress-coping Models (스트레스 취약성 및 스트레스 대처 모델을 적용한 임신 중 우울 관련요인)

  • Kim, Younglan;Chung, Chae Weon
    • Women's Health Nursing
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    • v.20 no.1
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    • pp.38-47
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    • 2014
  • Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instruments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson's correlation analysis, and stepwise multiple regression. Results: The mean score of prenatal depression was $11.95{\pm}6.2$, then showing 19.6% with mild depression, 15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlation with self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and to control the influencing factors.

The Effects of Stress and Depression on the Quality of Life in Single Elderly Households (고령자 1인 가구의 스트레스와 우울증이 삶의 질에 미치는 영향)

  • Kim, Seok-hwan;Kim, Eun-yeob
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.2
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    • pp.43-52
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    • 2018
  • Objects: In this study, we analyzed the correlation between stress and depression related to the quality of life of one elderly household, and analyzed the influence of stress and depression on the quality of life. In this study, I tried to make a plan for improving the quality of life for one elderly. Methods: In this study, the frequency and percentage according to the general characteristics of one elderly household were frequency analyzed. And the mean and standard deviation of stress, depression, quality of life were analyzed on average. And continuous analysis of stress, depression, quality of life, etc., conducted a technical analysis. Relationship to stress, depression, quality of life, correlation analysis was done. The effect of stress and depression on the quality of life was linear regression analysis. SPSS Version 23.0 was used for analysis. Result: Increased stress and increased depression in elderly single households was a static (+) correlation. And the results of the regression analysis showed that the higher the stress and depression of one elderly household, the lower the quality of life. Conclusion: For the improvement of the quality of life of one elderly household, the government should support stress and depression prevention programs according to sex, age, number of chronic diseases.

Control Effect of Illness Perception on Depression and Quality of Life in Patients with Hemodialysis: Using Structural Equation Modeling (혈액투석 환자의 우울과 삶의 질에서 질병인식의 통제효과)

  • Kim, Sisook;Ryu, Eunjung
    • Journal of Korean Biological Nursing Science
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    • v.20 no.4
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    • pp.221-227
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    • 2018
  • Purpose: This study aimed to evaluate the effect of illness perception on depression and quality of life in patients with hemodialysis. Methods: This is a cross-sectional study using structural equation modeling. Depression, quality of life and cognitive and emotional illness perceptions were measured by the Center for Epidemiologic Studies Depression-10 (CESD-10), Short Form-36 version 2 (SF-36v2), and Brief Illness Perception Questionnaire (BIPQ) in 272 hemodialysis patients. Results: Prevalence of depression was 76.1%, and higher in female patients on hemodialysis. Cognitive illness perception had effect on depression and quality of life, while emotional illness perception had effect only on depression. Quality of life was explained 69.6% through depression (${\beta}=-.74$, t= -8.17) and cognitive illness perceptions (${\beta}=.21$, t= 3.06), while depression was explained 40.5% through cognitive (${\beta}=-.34$, t= -5.99) and emotional (${\beta}=.59$, t= 9.37) illness perceptions. Conclusion: In the inevitable choice of dialysis, illness perception could decrease depression and improve quality of life in hemodialysis patients.

Identifying the Expression Patterns of Depression Based on the Random Forest (랜덤 포레스트 기반 우울증 발현 패턴 도출)

  • Jeon, Hyeon Jin;Jihn, Chang-Ho
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.44 no.4
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    • pp.53-64
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    • 2021
  • Depression is one of the most important psychiatric disorders worldwide. Most depression-related data mining and machine learning studies have been conducted to predict the presence of depression or to derive individual risk factors. However, since depression is caused by a combination of various factors, it is necessary to identify the complex relationship between the factors in order to establish effective anti-depression and management measures. In this study, we propose a methodology for identifying and interpreting patterns of depression expressions using the method of deriving random forest rules, where the random forest rule consists of the condition for the manifestation of the depressive pattern and the prediction result of depression when the condition is met. The analysis was carried out by subdividing into 4 groups in consideration of the different depressive patterns according to gender and age. Depression rules derived by the proposed methodology were validated by comparing them with the results of previous studies. Also, through the AUC comparison test, the depression diagnosis performance of the derived rules was evaluated, and it was not different from the performance of the existing PHQ-9 summing method. The significance of this study can be found in that it enabled the interpretation of the complex relationship between depressive factors beyond the existing studies that focused on prediction and deduction of major factors.

Factors Associated with Depression in Older Adults Living Alone during the COVID-19 Pandemic

  • Hong, Eun Hye;Lee, Kyung Hee
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.418-431
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    • 2022
  • Purpose: The aims of this study were to examine the rate of depression among older adults living alone and to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Methods: A secondary data analysis was performed using data from the 2020 Korea Community Health Survey. The study participants were 18,824 older adults aged 65 years and over living alone. The data of the complex sample design was analyzed with consideration for weights, stratification, and clustering. Complex sample multiple logistic regression was conducted to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Results: The results showed that the rate of depression in older adults living alone was 6.3%. Older adults living alone with decreased physical activity, decreased hours of sleep, and an increased or similar frequency of meeting with friends or neighbors were found to be more likely to have depression. In terms of factors related to the practice of COVID-19 infection prevention and control rules, not disinfecting regularly and not wearing a mask indoors were related to depression. For health-related factors, fair or poor self-rated health status, not having breakfast every day, and feeling stressed were related to depression. Conclusion: It is recommended to develop tailored interventions to prevent depression among older adults living alone by considering the factors related to their depression during the COVID-19 pandemic.

Depression and Suicide in Korean Adolescents (한국 청소년의 우울과 자살)

  • Kyo-Heon, Kim
    • Korean Journal of Culture and Social Issue
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    • v.10 no.spc
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    • pp.55-68
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    • 2004
  • Recently, rates of depression and suicide of adolescents in industrialized countries, including Korea, were rapidly increasing. Adolescent depression was often associated with anxiety disorder, eating disorder, attention deficits hyperactivity/disruptive behavior disorder. and suicidal attempts. Epidemiological data about depression and suicide of adolescents are reviewed. Psychological theories of depression and suicide are integrated in terms of a control theory interpretation. Issues about 'relationships between depression and anxiety' 'relationships between depression and suicide' 'the reason why rates of depression and suicide are rapidly increasing at adolescence' 'the reason why the different prevalence of depression between female and male is conspicuous at adolescence' and 'Korean culture associated with depression and suicide of adolescents' are discussed in terms of the revised control theory interpretation.

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A Study on the Psychological Home Environment and the Depression of High School Students (고등학생의 심리적 가정환경과 우울에 대한 연구)

  • Kim, Soon-Chun;Park, Hyoung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.2
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    • pp.194-204
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    • 2004
  • The purpose of this study was to provide the basic data needed to create more desirable psychological home environment and the prevention and relief of depression by examining the relations between psychological home environment and depression with the subjects of high school students. The study materials included standard questionnaires made up of forty two questions on psychological home environment by Dr. Jeong, Won-sik(1981), twenty one questions on depression indicators by Beck(1969). Collected data were analyzed by using SPSSWIN 10.0 Program through frequency, percentile, mean, standard deviation, t-test, ANOVA, Scheffe's test, and Pearson correlation coefficient. The main results of this study were as follows; Out of 210 perfect scores for the psychological home environment of the subjects, the mean was $140.54{\pm}11.21$, opening was $41.02{\pm}5.67$, affection was $37.59{\pm}5.80$, autonomy was $35.45{\pm}4.85$, and achievement was $26.48{\pm}6.79$. The depression of the subjects were slight, showing $13.78{\pm}9.73$, with normal condition (0-9scores) 40.0%, slight depression(10-15scores) 23.3%, mild depression(16-23scores) 20.3%, severe depression(24-63scores) 16.4%. The analyses of the relation between psychological home environment and depression of the subjects reveal that achievement-depression(r=.192, p=.000), opening-depression (r=-.296, p=.000), affection-depression(r=-.377, p=.000), and autonomy-depression(r=-.341, p=.000) has all meaningful relations. In summary, these data can be interpreted that high school students were likely to feel more depressed when they recognized their own home environment as under the burden of achievement, and to feel less depressed when they recognized it as open, affectionate, and autonomous.

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Comparison of Clinical Symptoms between Early and Late Onset Depression in Elderly Depressive Patients in Korea (한국의 노인우울증 환자에서 조발성 우울증과 만발성 우울증의 임상증상의 비교)

  • Park, Ki-Hong;Lee, Hwa-Young;Ham, Byung-Joo;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.17 no.3
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    • pp.145-152
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    • 2010
  • Objectives : Clinical differences between elderly patients with early and late onset depression have been described although these have been inconsistent. We aimed to compare differences of clinical symptoms using the 17 items Hamilton Rating Scale for Depression(HAM-D-17) between two groups. Methods : Data of 175 elderly patients with a diagnosis of major depressive disorder according to DSM-IV from January 2005 to November 2009 were collected. Seventy five patients were early onset depression and one hundred patients were late onset depression. Depressive symptoms were assessed by the 17-item Hamilton Rating Scale for depression. Results : There were some differences in HAM-D-17 scores between early and late onset depression. Early onset depression patients scored significantly higher in retardation(t = 2.41, p = 0.017) and somatic symptoms( general)(t = 2.37, p = 0.019) than late onset depression patients. Conclusion : We concluded that early onset depression patients have more severe psychomotor retardation and general somatic symptoms than late onset depression patients in Korea. Because of some limitations of this study, further investigations will be needed to validate this study results.

Standardized Treatment and Shortened Depression Course can Reduce Cognitive Impairment in Adolescents With Depression

  • Penghui Cao;Junjie Tan;Xuezhen Liao;Jinwei Wang;Lihuan Chen;Ziyan Fang;Nannan Pan
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.35 no.1
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    • pp.90-97
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    • 2024
  • Objectives: This study aimed to explore the influence of depression severity, disease course, treatment status, and other factors on cognitive function in adolescents with depressive disorders. Methods: Participants who met the inclusion criteria were enrolled in the study. Sociodemographic data of each participant were recorded, including age, sex, and family history of mental disorders. Zung's Self-Rating Depression Scale was used to assess depression status in adolescents. Moreover, P300 and mismatch negativity (MMN) were used to objectively evaluate the participants' cognitive function. Results: Only 26.8% of the adolescents with depression received standard antidepressant treatment. The latencies of N2 (267.80±23.34 ms), P3 (357.71±32.09 ms), and MMN (212.10±15.61 ms) in the adolescent depression group were longer than those in the healthy control group (p<0.01). Further analysis revealed that the latency of MMN was extended with increased levels of depression in adolescents. The MMN latency was short in participants with depression receiving standardized treatment. Furthermore, the latency of MMN was positively correlated with the severity and duration of depression (correlation coefficients were 0.465 and 0.479, respectively) (p<0.01). Conclusion: Receiving standardized treatment and shortening the course of depression can reduce cognitive impairment in adolescents with depression.