• Title/Summary/Keyword: Depressive

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Comparison of Depressive Symptoms between Social Anxiety Disorder and Panic Disorder (사회불안장애와 공황장애에 동반된 우울증상의 특성 비교)

  • Kim, Sun-Young;Lim, Se-Won;Shin, Young-Chul;Shin, Dong-Won;Oh, Kang-Seob
    • Korean Journal of Biological Psychiatry
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    • v.22 no.4
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    • pp.216-222
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    • 2015
  • Objectives The principal aim of the present study was to investigate the characteristic depressive symptoms in patients with social anxiety disorder (SAD) and panic disorder in comparison to patients with depressive disorder. Methods This study included 132 patients with SAD, 128 panic disorder and 64 depressive disorder (major depressive disorder, dysthymia etc.) patients without comorbid psychiatric disorders. The Beck Depressive Inventory (BDI) is used to measure depressive symptoms. We divided BDI into three categories originally described by Shafer AB, including negative attitude toward self, performance impairment, and somatic symptoms. We compared the depressive symptoms of SAD, panic disorder and depressive disorder by using ANOVA. Results Negative attitude toward self was noticeable in SAD (SAD $0.54{\pm}0.23$, panic disorder $0.41{\pm}0.17$, depressive disorder $0.46{\pm}0.11$, p < 0.001). Performance impairment and somatic symptoms were remarkable in panic disorder than in SAD and depressive disorder (performance impairment : SAD $0.39{\pm}0.21$, panic disorder $0.44{\pm}0.14$, depressive disorder $0.40{\pm}0.09$, p = 0.009 ; somatic symptoms : SAD $0.07{\pm}0.10$, panic disorder $0.15{\pm}0.12$, depressive disorder $0.14{\pm}0.08$, p < 0.001). Conclusions The results facilitate an approach to optimal treatment for patients with comorbidity of anxiety disorder and depression.

Factors Influencing Depressive Symptoms in Patients with Osteoarthritis (골관절염 환자의 우울 정도와 관련요인)

  • Kim, Jung-Suk;Kim, Chun-Ja
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.199-209
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    • 2020
  • Purpose: This study examined the prevalence of depressive symptoms and psycho-behavioral factors affecting depressive symptoms in patients with osteoarthritis. Methods: This cross-sectional study enrolled a convenience sample of 157 patients with osteoarthritis in a university hospital between March and December 2018. Depressive symptoms, osteoarthritis function, therapeutic self-efficacy, and health-related quality of life (QoL) were measured using structured questionnaires. Logistic regression analysis was used to investigate factors affecting depressive symptoms. Results: The mean age of participants was 73.3 years with 76.4% of them being women. The prevalence of depressive symptoms was 38.5%. Patients with depressive symptoms were more likely to be currently smoking and had an occupation and worse flexibility function associated with osteoarthritis. Whereas they were less likely to engage in regular physical activity and had a low level of therapeutic self-efficacy and perceived health-related QoL. Conclusion: Therapeutic self-efficacy to regular physical activity, including flexibility function may be primary factors influencing depressive symptoms in patients with osteoarthritis. With the management of osteoarthritis, psycho-behavioral factors should be considered in developing interventions to prevent depressive symptoms in patients with osteoarthritis.

Influencing Factors of the Metabolic Index and Cardiovascular Risk Factors on Depressive and Non-depressive Groups in the Vulnerable Diabetic Elderly Women (취약계층 당뇨병 여성노인의 대사증후군지표와 심혈관 위험정도가 우울증상 여부에 미치는 요인)

  • Sung, Kiwol
    • Journal of Korean Biological Nursing Science
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    • v.21 no.2
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    • pp.123-132
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    • 2019
  • Purpose: The purpose of this study was to identify influencing factors of metabolic index and cardiovascular risk factors, on depressive and non-depressive groups, in vulnerable diabetic elderly women. Methods: Participants were 137 vulnerable diabetic elderly women, using health centers in D city. Data were collected through interviews September though December 2017. The metabolic index was measured using National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), and cardiovascular risk factors were measured using Framingham Risk Score (FRS). Depressive and non-depressive groups were divided by the score of Geriartric Depress Scale Short Korea Version (GDSSF). Collected data were analyzed using a x2 test, independent t-test, and binary logistic regression, with the SPSS/WIN 25.0 program. Results: Vulnerable diabetic elderly women, did not exercise in the depressive groups, and had higher triglyceride (TG), total cholesterol (TC) and larger waists, than in the non-depressive group. Results show that lack of exercise (OR= 6.30), is the highest risk factor, influencing the depressive symptom in vulnerable diabetic elderly women. Conclusion: These results suggest that to reduce depressive symptom levels among vulnerable diabetic elderly women, nursing interventions are needed to increase exercise and decrease TG, TC, and waist size, particularly in improving exercise of vulnerable diabetic elderly women.

The effects of a chronic disease/disability and stress from health on depressive symptoms among one-person households: A focus on the moderating effect of social support (1인 가구의 만성질환 및 장애여부, 건강 스트레스와 우울감과의 관계: 사회적 지지 조절효과를 중심으로)

  • Chung, Hyeeun
    • Human Ecology Research
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    • v.57 no.2
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    • pp.201-211
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    • 2019
  • This study examines the effects of chronic disease/disability and stress from health on depressive symptoms among one-person households living in Seoul and Gyeonggi Province in Korea. This study also investigates the moderating effect of social support on the relationship between 1)having a chronic disease/disability and depressive symptoms as well as 2)stress from health and depressive symptoms. This study used data from an online survey targeting one-person households living in Seoul and Gyeonggi Province. The final sample included 499 one-person households. Using a multiple regression analysis with SPSS 20.0, results showed that having a chronic disease/disability was associated with a higher level of depressive symptoms. In addition, stress from health was associated with a higher level of depressive symptoms. In regard to the roles of social support, economic support and emotional support had a direct negative effect on depressive symptoms. Emotional support had a moderating effect on the relationship between having a chronic disease/disability and depressive symptoms. In addition, emotional support also had a moderating effect on the relationship between stress from health and depressive symptoms. Based on these findings, this study suggests that policy makers should reduce the economic burden from a chronic disease/disability and help one-person households to strengthen their social support network.

The Effects of Perceived Parental Acceptance on Social Anxiety and Depressive Symptoms in Children: Examining Gender-Moderating Effects (수용적 부모양육이 아동의 사회불안 및 우울증상에 미치는 영향: 성별조절효과를 통한 분석)

  • Chung, Moon-Ja;Yuh, Jong-Il
    • Journal of the Korean Home Economics Association
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    • v.48 no.9
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    • pp.103-111
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    • 2010
  • The purpose of this study was to investigate the effects of perceived parental acceptance on social anxiety and depressive symptoms in children. Seven hundred and thirty eight 5th and 6th graders completed questionnaires. Regression analyses indicated that low levels of paternal acceptance was associated with higher social anxiety and depressive symptoms. Gender was a moderator of the effects of maternal acceptance on social anxiety and depressive symptoms. With high levels of maternal acceptance, girls were significantly less likely to report social anxiety and depressive symptoms, compared to boys. These results highlight the important role of parental acceptance in manifestations of social anxiety and depressive symptoms and clarify the relation of maternal acceptance to social anxiety and depressive symptoms as a function of gender.

Mediating effect of intergenerational family conflict between perceived parental warmth and depressive symptoms

  • Nam, Gloria Youngju
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.6
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    • pp.1631-1643
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    • 2016
  • Depressive symptoms are one of the biggest mental health issues among Korean American adolescents. Previous studies have found that parental warmth and intergenerational family conflict have a major impact on depressive symptoms among Korean American adolescents. This cross-sectional study examines the mediation effects of intergenerational family conflict between perceived parental warmth and depressive symptoms among 97 Korean American adolescents aged 14 to 18 years old in the Pacific Northwest region. The results revealed that 60% of participants experienced depressive symptoms. In addition, mother-adolescent conflict significantly mediated between perceived parental warmth and depressive symptoms while father-adolescent conflict did not significantly mediate. The finding suggests the need to develop intervention programs for Korean American adolescents and their parents that focus on creating an understanding of the difference between Korean culture and American culture, identifying early signs of depressive symptoms, and decreasing intergenerational family conflict by teaching parents to express parental warmth effectively.

The Effect of School Performance and Stress on Depressive Symptoms Among Youths (서울시내 일부 고등학교 학생들에서 학업성취도가 우울 증상에 미치는 영향)

  • Park, Hyesook;Choi, Kyunghee;Lee, Boeun
    • Journal of the Korean Society of School Health
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    • v.14 no.2
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    • pp.227-235
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    • 2001
  • Depression is one of the most common psychologic disorder and dealt as a major public health concern. School students have heavy school work loads and stress from various evaluations representing school performance. In this study, to examine the effect of school performance and stress on depressive symptoms, we assessed the frequency of risk factors for depressive symptoms among 2,717 high school students. From April 2001 to May 2001, using a self-reported questionnaire, we collected data on the frequency of occurrence of depressive symptoms and potential risk factors for depressive symptoms. Depressive symptoms were measured using Center Epidemiologlc Studies Depression (DES-D) index. Thirty-seven percent of high school students reported having high depressive symptoms for a week Female students had a higher prevalence of depressive symptoms than males (OR=1.44, 95% CI 1.22-1.70). In a multiple logistic regression model, we found that good perceived school performance (OR=0.43, 95% CI 0.31-0.60) had a negative association with depressive symptoms. On the contrary, we also found that stress from school performance (OR=2.03, 95% CI 1.69-2.44) associated with high depressive symptoms. In conclusion, high school students had a relatively high prevalence of depressive symptoms. Students with stress from school performance had the higher risk for depressive symptoms.

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Association between Secondhand Smoke Exposure and Depressive Symptoms among Korean Adults (한국 성인에서 간접흡연노출과 우울증상 간의 상관관계)

  • Jin, Sunkwon;Han, Kyu-Man;Nam, Min;Chang, Jisoon
    • Korean Journal of Biological Psychiatry
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    • v.27 no.2
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    • pp.101-111
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    • 2020
  • Objectives The aim of this study is to investigate the association between secondhand smoke (SHS) exposure and depressive symptoms among Korean adults. This study also explored the mediating role of self-rated health (SRH) and perceived usual stress (PUS) in the association between depressive symptoms, suicidal ideation and SHS exposure. Methods Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) in 2014 and 2016 was analyzed for 10539 participants aged 19 years or older. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated in the logistic regression analysis with adjustment for the potential confounding factors. We also adopted the mediation analysis method by Hayes and Preacher. Results After adjusting for the potential confounding factors, SHS at home and at public places were associated with depressive symptoms and suicidal ideation among non-smokers. After adjusting for the potential confounding factors, SHS at home and at public places was associated with depressive symptoms and suicidal ideation among non-smokers. Meanwhile SHS at workplaces was associated with depressive symptoms among former smokers and with suicidal ideation among current smokers. There was an additive effect of SHS on depressive symptoms only among non-smokers. SRH mediated the association between SHS and depressive symptoms and suicidal ideation among non-smokers. We did not observe any significant mediating effect of SRH nor PUS on the association between SHS and depressive symptoms among former and current smokers. Conclusions SHS may be associated with depressive symptoms and suicidal ideation in Korean adults. Our study elucidated how SHS interacted with depressive symptoms among non-smokers through the mediation by SRH.

A case of patient who have depressive episode mixed with organic depressive disorder (기질성 우울장애가 혼재된 우울증 환자 1례)

  • Seo, Won-Hee;Moon, Ik-Ryol;Kim, Jeong-Keun;Bae, Kyeong-Yeon;Heo, Yoon-Kyoung;Park, Hyeong-Seon
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.199-206
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    • 2003
  • Objective : This is a case report of the patient diagnosed as the depressive episode mixed with organic depressive disorder. Method : We treat the patient with herbal medication and gave acupuncture treatment about 5 weeks, the symptom of the patient improved. The herbal medication and acupuncture treatment which we gave patient was based on Oriental medical diagnosis. Results : The patient had been taken the western medical treatment for 2 months, the symptom of the patient was not improved. But after the Oriental medical treatment, the patient is on the improving state. Conclusion : In the treatment of the depressive disorder which is mixed with organic depressive disorder, we found that the Herbal medication and Acupuncture based on correct 'Byonjung(辦證)' help the care of depressive episode which is mixed with organic depressive disorder.

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Emotional Labor, Social Support, and Depressive Symptoms of Clinical Nurses in a Province, Korea (임상간호사의 감정노동, 사회적 지지 및 우울 간의 관계)

  • Kim, Ha-Ja;Kim, Jeong-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.308-318
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    • 2011
  • Purpose: This study was conducted to identify the level of emotional labor, social support, and depressive symptoms of nurses, and the relationships among them. Methods: The data were collected from 314 nurses. Surface and deep-acting scales of the Emotional Labor Scale (ELS), the personal resource questionnaire, the organizational support scale, and the Korean version of the Center for Epidemiologic Studies Rating Scale for Depression (CES-D) were used. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe test. Results: Fifty six percent of total subjects had mild or major depressive symptoms. As the level of surface-acting of ELS was higher, so was the level of depressive symptoms, while as the level of individual and organizational support was higher, the level of depressive symptoms was lower. Conclusion: It is necessary to provide organizational-level support and to manage surface-acting in order to prevent the nurses' depressive symptoms. In particular, for the nurses who show relatively higher level of depressive symptoms; who are in 20s and have short employed years or not married, it is urgently required to be provided depressive symptoms management programs that targeted for those nurses.