• International Journal of Advanced Culture Technology
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• 제11권2호
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• pp.109-117
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• 2023

Menstrual cycle irregularity reflects the reproductive health of women of childbearing age, but studies are scant on women in communities. In this study, we identified factors associated with menstrual cycle irregularity among 884 community women of childbearing age (19-40 years) and confirmed the relationship between menstrual cycle irregularity and depressive symptoms. Data were collected through online or mobile platforms. We noted that 25% of participants had menstrual cycle irregularity. Multivariable ordinal logistic regression analysis revealed that age, irregular eating, and depressive symptoms were associated with menstrual cycle irregularity. After adjusting for confounding variables, participants with depressive symptoms were at a slightly higher risk of menstrual cycle irregularity (odds ratio = 1.078, confidence interval = 1.021-1.139). Additional support be provided for community-living women of childbearing age with depressive symptoms, to improve their reproductive health

• Journal of Nutrition and Health
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• 제51권5호
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• pp.414-422
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• 2018

Objective: Dietary nutrients may play a significant role in depressive disorders. However, sufficient evidences in epidemiological studies are limited. We investigated the cross-sectional association between dietary nutrients and the prevalence of depressive disorder in Korean adults using representative Korean data. Methods: Participants were 2,938 adults aged 19 ~ 64 years from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted in 2014. Dietary intakes were assessed using 24-h recall method. Depressive disorder was assessed using Patients Health Questionnaire-9 (PHQ-9, self-depression test) as applied in 2014 KNHANES only. We defined depressive disorder as having a PHQ-9 score of ${\geq}10$, which was characterized as moderate depression and more. A multivariate logistic regression analysis was performed to estimate the adjusted odd ratios (ORs) and 95% confidence interval (CIs) of depressive disorder. Results: Among the 2,938 subjects, 170 were identified as having depressive disorder. The multivariate-adjusted regression analysis demonstrated that the risk of depression was significantly associated with riboflavin (OR = 0.44, 95% CI: 0.24-0.85, p for trend = 0.018), thiamin (OR = 0.48, 95% CI: 0.23-0.99, p for trend = 0.045), and vitamin C (OR = 0.57, 95% CI: 0.34-0.95, p for trend = 0.025) in the highest versus lowest tertiles of intake. Conclusion: The high consumption of riboflavin, thiamin, and vitamin C was associated with the low prevalence of depressive disorder in Korean adults.

• Asian Pacific Journal of Cancer Prevention
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• 제16권11호
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• pp.4531-4536
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• 2015

Objective: To investigate the influence of offspring-related characteristics on the prevalence of depressive disorders among cancer patients and those who survived cancer for at least 45 years. Materials and Methods: Data were obtained from the Korean Longitudinal Study of Aging (KLoSA). To investigate the association between offspring and depressive disorder among cancer patients and survivors, we analyzed data from 292 cancer patients and survivors drawn from a total subject pool of 16,613 individuals at baseline. Results: According to our results, the odds ratio (OR) for subjects with five or more offspring developing depressive disorder was -0.794 (p-value: 0.039, SE: 0.329) compared with that of those with two offspring. In addition, the adjusted effect of the number of male and female offspring on the presence of depressive disorder showed that the OR for those with three or more female offspring for developing depressive disorder was -0.958 lower (SE: 0.305, p-value: 0.012) than it was for those with no female offspring. Conclusions: This article provides evidence for an association between offspring-related characteristics and depressive disorders among cancer patients and survivors. Therefore, offspring may be important contributors to the emotional status of cancer patients and survivors. Further study should precisely need to measure depressive disorders because of self-reported data.

• 디지털융복합연구
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• 제12권6호
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• pp.481-490
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• 2014

본 연구는 노인의 우울증세 현황과 노인의 우울증세에 영향을 미치는 요인을 살펴보는 데 목적이 있다. 2012년 국민건강영양조사 자료를 이용하였으며, 우울증세가 있는 65세 이상 노인 1,429명을 대상으로 하였다. 분석대상자의 우울증세 현황을 파악하기 위하여 기술통계를 실시하였으며, 노인의 우울증세에 영향을 미치는 요인을 파악하기 위해 로지스틱 회귀분석을 실시하였다. 연구결과, 노인의 우울증세는 성, 연령, 개인소득수준, 건강상태, 현재 흡연유무, 만성질환개수와 유의하게 관련이 있었다. 여성, 연령이 높을수록, 소득수준이 낮을수록, 주관적 건강상태가 나쁘다고 느끼는 경우, 흡연을 하는 경우, 보유하고 있는 만성질환의 개수가 많을수록 우울증세를 경험할 확률이 유의하게 높게 나타났다. 따라서 노인의 우울에 대한 사회적 관심과 공감대 형성이 필요하며, 노인들의 삶의 질 향상을 위한 보다 구체적인 접근방안을 모색하는 노력이 필요할 것이다. 이러한 결과들은 향후 보건의료정책 수립에 기초 자료로 의미 있게 활용되어질 수 있으리라 여겨진다.

• Child Studies in Asia-Pacific Contexts
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• 제4권1호
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• pp.27-45
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• 2014

The present study investigated the developmental pattern of Korean mothers' depressive symptoms from a week prior to birth through four months postpartum in a nationally represented survey sample in Korea, using a Latent Growth Curve model. Mother-reported four factors-maternal self-efficacy in parenting, father's participation in childcare, a number of hours mothers worked per week, child's emotional temperament-were examined as the predictors of depressive symptoms over time in the context of Korean culture. Effects of maternal depressive trajectories on their infants' developmental outcomes at the first year were also examined. Findings were as follows: First, mothers' reports of depressive symptoms decreased at the first month after birth and then increased again during the first 4 months postpartum. Second, mothers' perceived low spousal involvement in childcare, low parental self-efficacy, and their infants' difficult temperament at four-month old had significantly positive relations to the initial level of maternal depressive symptoms whereas the low spousal involvement in childcare and low maternal self-efficacy factors significantly predicted the changes of trajectories of maternal depressive symptoms. Third, the trajectories, in turn, predicted warm and responsive maternal parenting style at the fourth month. Subsequently, the parenting style had a significant longitudinal impact on the development of children's communication, problem-solving, and personal-social abilities. Based on these findings, awareness, preventive and interventional programs might be built to facilitate Korean mothers suffering severe postpartum depressive symptoms and further promote optimal early development of Korean children.

• 한국산업보건학회지
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• 제27권3호
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• pp.201-209
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• 2017

Objectives: This study was conducted to assess the association between level of physical activity and depressive symptoms among Korean male workers. Methods: A self-administered questionnaire was distributed and anthropometric measurements were conducted with 1,379 male workers during a general health check. From this data, we identified the general characteristics, levels of physical activity(IPAQ), and depressive symptoms(CES-D) of the study population. We conducted univariate logistic regression to verify the variables that affect depressive symptoms and multivariate logistic regression to calculate odds ratios. Results: Among the 1,379 male workers, 43.4% were in the insufficiently active group(IPAQ category 1) and 22.8% were in the depressive symptom group($CES-D{\geq}16$). The odds ratio(OR) for depressive symptoms was statistically higher in the insufficiently active group, workers aged over 30, the shift work group, and the unmarried group. Adjusted for those variables, the ORs for depressive symptoms were found to be 1.45(95% CI=1.25-2.11), 1.15(OR=1.15, 95% CI=1.08-1.99) and 1.75(95% CI=1.48-2.02), for the insufficiently active group, workers aged over 30, and the shift work group, respectively. Conclusions: We found physical inactivity, age, marital status, and shift work to be associated with depressive symptoms among male workers. This study supports the suggestion that physical activity can be helpful to reduce depressive symptoms among workers.

• 한국콘텐츠학회논문지
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• 제13권7호
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• pp.301-310
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• 2013

본 연구는 치매로 진단받지 않은 노인 1,477명을 대상으로, 우울이 없는 정상노인과 우울노인으로 선별하고, 이 두 집단의 인지기능저하요인들을 파악하고 비교하였다. 결과를 보면 우울이 없는 정상노인의 인지기능저하에 영향을 미치는 요인은 연령과 학력이었으며, 연령(OR=1.095)이 높을수록 또한 무학(OR=9.129)이 인지기능 저하의 위험이 높았다. 한편 우울한 노인의 인지기능저하에 영향을 미치는 요인은 연령, 학력, 거주형태로 나타났으며, 연령이 높을수록(OR=1.101), 학력이 낮을수록(무학:OR=33.020, 초졸:OR=10.176, 중졸:OR=9.841), 기관에 거주할수록(요양원거주:OR=8.490) 인지기능 저하의 위험이 높았다. 이러한 결과는 치매 고위험집단으로 인식되고 있는 우울노인들 중에서도 특히 학력이 낮고 사회적 지지가 취약한 노인을 초점으로 중재하는 것이 치매관리에 소요되는 사회자원을 비용-효과적으로 이용하는 것임을 보여주고 있다.

• 생물치료정신의학
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• 제24권3호
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• pp.173-183
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• 2018

Objectives : The aim of study was to estimate the prevalence of poor sleep quality and depressive symptoms as well as to examine the moderating effect of positive psychology on the relationship between poor sleep quality and depressive symptoms among Korean university students. Methods : A total of 2,338(1,071 male and 1,267 female) university students at seven universities of four cities in Korea were randomly selected to participate in a survey. Data were collected by self-report questionnaires, including Pittsburgh Sleep Quality Index(PSQI), Beck Depression Inventory(BDI), Satisfaction with Life Scale(SWLS), Positive Psychotherapy Inventory(PPTI), and sociodemographic characteristics. Results : The prevalence was 44.8% for poor sleep quality and 14.4% for depressive symptoms among Korean university students. By moderated regression analysis, the results showed that poor sleep quality(${\beta}=0.453$, p<0.001) aggravated depressive symptoms of university students, and life satisfaction(${\beta}=-0.087$, p<0.001) and happiness(${\beta}=-0.145$, p<0.001) respectively buffered the negative effect of the poor sleep quality on depressive symptoms. Conclusion : This study showed very high prevalence of poor sleep quality and depressive symptoms among Korean university students. Overall, these findings demonstrates that positive psychology can be effective in the enhancement of subjective and psychological well-being and may help to reduce depressive symptom levels. In the context of public health, positive psychology can be used as preventive, easily accessible and non-stigmatizing tools.

• 여성건강간호학회지
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• 제27권4호
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• pp.297-306
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• 2021

Purpose: Rectal prolapse is still a relatively understudied medical condition, especially in women, whereas physical symptoms, depressive symptoms, and quality of life (QOL) in women with pelvic organ prolapse have been steadily studied. This study aimed to examine the interaction and main effects of physical and depressive symptoms on physical and mental QOL of women seeking care for rectal prolapse in Korea. Methods: Ninety-two women with rectal prolapse were recruited from a colorectal surgery clinic of a tertiary teaching hospital in Gwangju, Korea. Physical symptoms related to rectal prolapse (pelvic organ prolapse distress, POPD; colorectal-anal distress, CRAD; and urinary distress, UD), depression, and QOL were measured. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and two-way analysis of variance. Results: The interaction between POPD symptoms and depressive symptoms (F=4.51, p=.037) affected physical QOL. The interaction between POPD (F=9.66, p=.003) and CRAD symptoms (F=7.48, p=.008), respectively, and depressive symptoms affected mental QOL. Depressive symptoms had a significant main effect on the physical QOL in the CRAD (F=6.22, p=.014) and UD (F=6.01, p=.016) groups and on mental QOL in the UD group (F=24.54, p<.001). Conclusion: Physical and depressive symptoms should be considered together to improve the QOL in women with rectal prolapse. Nursing interventions and medical treatments to decrease rectal prolapse-related physical and depressive symptoms are required to improve QOL in women with symptomatic rectal prolapse.

• 한국보건간호학회지
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• 제36권2호
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• pp.227-239
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• 2022

Purpose: This study aimed to examine the differences in the reciprocal causal relationship between cognitive function and depressive symptoms depending on whether older adults lived with others or alone. Methods: We used panel data retrieved from the sixth (Time 1) and seventh (Time 2) waves of the Korean Longitudinal Study of Aging (KLoSA). The study sample included 2,638 older adults living with others and 628 older adults living alone. We conducted cross-lagged panel analyses (CLPA) to identify the bidirectional causal relationship between cognitive function and depressive symptoms in the groups of older adults living with others and those living alone. Results: In the group of older adults living with others, cognitive function and depressive symptoms showed significant reciprocal relationships. In the group of older adults living alone, although the CLPA confirmed that higher levels of depressive symptoms at Time 1 influenced lower levels of cognitive function at Time 2, cognitive function at Time 1 was not associated with depressive symptoms at Time 2. Conclusion: The results suggest that the strategies for preventing cognitive decline and depressive symptoms should be developed according to whether the older adults live alone. Moreover, further studies should identify factors influencing depressive symptoms among older adults living alone, which will ultimately enable the management of depressive symptoms.