• Health Policy and Management
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• v.32 no.1
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• pp.63-72
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• 2022

Background: Depression is a common disease around the world. Many studies are showing that mental health can be improved through physical activity, and daily regular exercise can reduce the negative effects of depression or depressive symptoms. In order to promote individual physical activity, a physical activity-friendly environment must precede. Therefore, this study attempted to confirm whether the number of sports facilities for all affects individual depression. Methods: Among the respondents to the 2018 Community Health Survey, data from 181,086 people excluding missing value were used. Descriptive and chi-square tests were performed to understanding the general characteristics of individual level variables. A multilevel logistic regression was conducted to confirm the effect of individual and regional level variables on depressive symptoms. Results: As a result of confirming the effect of individual characteristics on depressive symptoms, it was confirmed that both socioeconomic and health behavior factors had an effect. Similar results were shown in a model that considered regional level variables, and in the case of the number of sports facilities per population, people who belongs to smaller areas were more likely to have depressive symptoms (odds ratio, 0.98; 95% confidence interval, 0.97-0.99). Conclusion: As a result of the analysis, it was confirmed that both individual level and regional level variables had a significant effect on depressive symptoms. This suggests that not only individual level approaches but also regional level approaches are needed to improve individual depressive symptoms In particular, it may be possible to consider to increase the number of sports facilities in areas where the prevalence of depressive symptoms is high and the number of sports facilities is insufficient.

• Journal of Home Health Care Nursing
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• v.29 no.3
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• pp.288-300
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• 2022

Purpose: This study aimed to investigate the association of social participation and depressive symptoms with health-related quality of life (HRQoL) among older adults living in urban and rural areas. Methods: This secondary, cross-sectional study was conducted with a total of 66,765 adults aged ≥65 years (urban-26,485 and rural-40,280) who participated in the household and individual surveys of the Korea Community Health Survey 2019. Data on the main study variables including social participation, depressive symptoms, and HRQoL were collected from August 16 to October 31, 2019. Multiple linear regression was used to identify the factors affecting HRQoL in urban and rural older adults. Results: The proportion of social participation (χ²=354.69, p<.001) and the level of HRQoL (χ²=12.06, p<.001) were significantly higher in older adults living in urban area than those in rural area. However, there was no significant difference in depressive symptoms between older adults living in urban and rural areas. Multiple linear regression analysis showed that social participation and depressive symptoms were significant predictors of HRQoL in both urban and rural older adults. Conclusion: Our main finding highlights that active participation in social activities and management of depressive symptoms in older adults regardless of living arrangements are crucial to improve HRQoL in later life. Interventions to increase social participation include early assessment of depressive symptoms in the community to promote HRQoL. More longitudinal studies are needed to identify the factors associated with HRQoL between older adults living in urban and rural areas while considering neighborhood environment and living arrangements.

• Journal of Korean Medical classics
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• v.35 no.4
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• pp.77-96
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• 2022

Objectives : This paper examines the medical treatise and treatment methods of Zhang Jiebin on the depressive pattern, for clinical application today. Methods : The Zazhengmo/Yuzheng chapter of the Jingyue Quanshu, related texts and annotations of the Huangdineijing, and related contents among the medical texts of the JinYuan masters were analyzed. Developmental process of the medical theories were compared and examined. Results : Zhang focused on the mechanism in which emotion affects Qi leading to a disease state, and categorized Yu[鬱, depressed state] into three: anger depression, contemplative depression and comprehensive depression. The concept of the Five Depressive Patterns and its treatment from the Huangdineijing·Suwen which was considered as excess pattern was expanded to include deficiency pattern based on comparison with annotations of Wangbing, Hwashou, and Wang Andao. Treatment methods centered on purging was also expanded to include tonifying to restore the damaged Jing Qi. The depressive patterns anger depression, contemplative depression and comprehensive depression were subdivided according to excess and deficiency, for which formulas such as Shenxiangsan, Shoupijian, Guipitang were suggested. As the depressive pattern is caused by emotions and thus the Heart, the Yiqingbianqi method that directly deals with emotions was suggested. Zhang adopted Zhu Zhenheng's opinion which expands the category of Yu, and in the perspective of excess/deficiency, it is most similar to that of Li Dongyuan. Conclusions : Before Zhang, the depressive pattern was discussed in terms of it being excess pattern. However, Zhang's discussion on depressive pattern based on anger depression, contemplative depression and comprehensive depression focuses on emotional stagnation while suggesting the possibility of deficient stagnation, expanding previous understanding. In terms of treatment, tonifying methods for deficiency pattern was added, while consideration of emotion itself became necessary in treatment.

• Human Ecology Research
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• v.60 no.3
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• pp.471-481
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• 2022

This study aimed at examining the mediation effects of depressive symptoms on the association between social activity participation and marital satisfaction among couples in later life. The study included 1,196 married couples aged 65 or above who participated in the 7th Korean Longitudinal Study of Aging in 2018. The study variables were husbands' and wives' social activity participation, marital satisfaction, and depressive symptoms. Covariates were individual age, education level, subjective health, couples' household income, and number of children. The Actor-Partner Interdependence Mediation Model (APIMeM) and bootstrapping techniques were used to test the significance of the mediating impacts of depressive symptoms based on the dyadic data structure. The results showed that for both husbands and wives, active participation in social activities had significant effects on increasing marital satisfaction through lowering depressive symptoms. However, only the participation of husbands in social activities was positively associated with their own marital satisfaction by reducing their own and their partner's depressive symptoms. These findings suggest that the active social participation of individuals salient for promoting the quality of marital relationships in later life, particularly for preventing their own and their spouse's depressive symptoms.

• 한국노년학
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• v.39 no.4
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• pp.847-859
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• 2019

The purpose of this study is to examine the association between household income and depressive symptoms and the interactive effect of niacin intake and household income on depressive symptoms among older Korean adults. The sample was drawn from the seventh wave of the Korea National Health and Nutrition Examination Survey (KNHANES) conducted in 2016. Two-way analysis of covariance (ANCOVA) was conducted to test an interaction between Niacin intake and household income on depressive symptoms. A significant interaction effect of niacin intake and household income was found in the highest income group, those with insufficient intake of niacin tended to have higher levels of depressive symptoms than those with sufficient intake of niacin. Findings suggest that the relationship between niacin intake and depressive symptoms differs by household income levels among Korean older adults. Future intervention strategies for increasing niacin intake are discussed in sociocultural context as a way to reduce depressive symptoms among older adults.

• Annals of Occupational and Environmental Medicine
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• v.34
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• pp.32.1-32.12
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• 2022

Background: This study was conducted to examine the relationship between chronotype and depressive symptoms to provide grounded knowledge in establishing nurses' health promotion strategies. Methods: The subjects of this study were 493 newly hired nurses working in 2 general hospitals within the university from September 2018 to September 2020. Sociodemographic and work-related characteristics were collected from a medical examination database and a self-reported questionnaire. These included sex, age, marital status, living situation, education level, alcohol consumption, physical activity, prior work experience before 3 months, workplace, and departments. To analyze the associations between the chronotype and depressive symptoms, multiple logistic regression analyses were performed to calculate odds ratios (ORs). Results: Among participants, 9.1% had depressive symptoms and 16.4% had insomnia. The subjects are divided into morningness (30.2%), intermediate (48.7%), and eveningness (21.1%). The multiple logistic regression analysis controlling for age, living status, education level, alcohol consumption, physical activity, workplace, prior work experience before 3 months, and insomnia, revealed that the OR of depressive symptoms in the eveningness group was 3.71 (95% confidence interval [CI]: 1.50-9.18) compared to the morningness group, and the R² value was 0.151. It also can be confirmed that insomnia symptoms have a statistically significant effect on depressive symptoms (OR: 2.16, 95% CI: 1.03-4.52). Conclusions: Our findings suggest that evening-type nurses are more likely to have depression than morning-type nurses. We should consider interventions in a high-risk group such as the evening type nurses to reduce depressive symptoms in nurses.

• International Journal of Advanced Culture Technology
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• v.6 no.2
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• pp.9-15
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• 2018

The purpose of this study was to assess risk indicators of depressive symptoms such as demographic, socio-economical domains (age, gender, marital status, education, child, religion, income, health, friendship) and personality domains (neurotic personality, self-esteem and life goal attitude) of community dwelling elderly persons. A total of 300 community-residing elderly participants aged 65+ in a metropolitan city in Korea, were recruited for this interview survey. The interview covered demographic and socio-economic characteristics, and administration of the 20-item Korean Version of CES-D, the 10-item Self-esteem, the 19-item Neuroticism and the 10-itm Goal Instability scale. The prevalence of significant depressive symptoms (CES-D scale >= 21) was 31%. Logistic regression analysis showed high risk for depression was associated with high neuroticism, less intimate friendship, high goa1 instability, and childlessness, respectively in the order of significance. Factors in the personality domains were more strongly associated with depressive symptoms than factors in the socio- economical domains. Both cultural and universal meaning of the findings was discussed with regard to intervention.

• Korean Journal of Child Studies
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• v.36 no.3
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• pp.77-92
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• 2015

The purpose of this study was to employ the Latent Growth Curve Model to investigate the developmental trajectories of maternal depressive symptoms and to identify predictors that might have an effect on change and the level of developmental trajectories. The results of this study indicated that the maternal depressive levels of a high risk group had increased significantly over the past 5 years. The predictors for these developmental trajectories of maternal depressive symptoms were as follows; birth order, maternal prenatal depressive levels, self-esteem, marital satisfaction, parenting stress and the level of family crisis experienced by the high risk group.

• Korean Journal of Child Studies
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• v.28 no.4
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• pp.35-49
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• 2007

Data from the Seoul Panel Study of Children were analyzed for structural relationshipsamong types of child abuse, depressive tendencies, self-efficacy, and academic achievement. Subjects consisted of 1,785 fourth-grade elementary school children in 2004. Structural equation modeling was employed for statistical analyses. The results were that emotional abuse was indirectly related to academic achievement via depressive tendencies and self-efficacy; children who experienced emotional abuse were more likely to have higher depressive tendencies and lower self-efficacy, which in turn, resulted in lower academic achievement. Neglect was directly related to low academic achievement. In contrast, physical abuse had no relationship with these factors. Implications for practice from this study were discussed.

• Journal of Oriental Neuropsychiatry
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• v.14 no.2
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• pp.127-134
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• 2003

This is a case report of a patient with mixed anxiety and depressive disorder treated by Punsimgieum. The symptoms of the patient were anxiety(agitation), numbness(paresthesia), nausea, dyspepsia, insomnia and hopelessness. In this case, we administrated Punsimgieum to a patient suffering from anxiety and depressive disorder symptoms. After administration of Punsimgieum medication clinical symptoms improved Punsimgieum showed desirable effect on anxiety and depressive disorder symptoms.