• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.409-420
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• 2014

본 연구는 직업분류 및 고용분류별 스트레스, 스트레스 상담, 우울증상, 우울증상 상담 정도를 파악하기 위해 지역사회건강조사 자료를 이차 분석하였다. 직업분류별 및 고용분류별 확실한 비교를 위해 기준 직업군으로 '무직(직업분류 기준항목)'과 '무급가족종사자(고용분류 기준항목)'를 포함하여 한국표준직업분류(6차 개정)에 의한 총 13개의 직업군을 이용하였다. 직업분류 및 고용분류별 스트레스, 스트레스 상담, 우울증상, 우울증상 상담 여부의 교차비에서는 '무직'과 '무급가족종사자'의 스트레스 정도가 대체적으로 더 낮게 나타난 반면, 스트레스 상담, 우울증상, 우울증상 상담에서는 '무직'과 '무급가족종사자'가 오히려 더 높은 교차비를 보였다. '관리직'을 포함한 7개의 직업군은 '무직'보다 스트레스를 많이 받지만(OR > 1), 의료기관 이용률은 낮게 나타났다(OR < 1). '고용주 및 자영업자'와 '임금근로자'가 '무급가족종사자'에 비해 높은 교차비를, 스트레스 상담 및 우울상담에서는 낮은 교차비를 보였다. 본 연구는 정신건강문제 선별 및 관리를 위해 특정 인구집단에 대한 접근을 통해 직장 내 정신보건서비스 제공에 대한 필요성을 시사하고 있다.

• 동의신경정신과학회지
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• 제15권2호
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• pp.45-51
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• 2004

Hwabyung is a Korean culture bound syndrome and translated as anger syndrome at DSM-IV. And it is caused by the suppression of anger and has characteristics of chest discomfort, burning up as physical symptoms, and mortification, chagrin as psychological symptoms. It is very common in the field of psychiatry in Korea with Major Depressive Disorder (MDD). * Objective : 95 patients with MDD or Hwabyung, who visited the department of psychiatry in Korea University Medical Center or oriental medical hospital of Kyunghee Medical Center from May 2003 to August 2003, were selected for the study to compare between Major Depressive Disorder and Hwabyung. * Methods : The Structured Clinical Interview Schedule for DSM-IV (SCID) and Hwa-Byung Diagnostic Interview Schedule (HBDIS) were conducted for diagnosis. And Symptom Check List-90-Revised (SCL-90-R) was carried out for comparison between MDD and Hwabyung. * Result : Among the 95 patients, MDD group was 23 persons, Hwabyung group was 36 persons, and MDD plus Hwabyung group was 36 persons and it occupied 37.9%. MDD plus Hwabyung group had higher scores than any other groups in the whole dimensions of SCL-90-R. Hwabyung group had higher scores than MDD group in somatization, anxiety, hostility, Global Severity Index(GSI) and positive symptom total (p<.05) of SCL-90-R, but two groups had no difference in obsessive-compulsive, interpersonal-sensitivity, depression, phobic anxiety, paranoid ideation, psychoticism, positive symptom distress index of SCL-90-R. * Conclusion : These result showed that Hwabyung is similar to MDD at the point of depression and psychoticism but more severe at somatization, anxiety and anger than MDD.

• 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.

• 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.

• 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.

• 보건의료산업학회지
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• 제11권2호
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• pp.93-103
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• 2017

Objectives : The aim of this study was to examine the effects of economic support on working women's depressive symptoms, using the dataset of the Korean Longitudinal Survey of Women and Family (KLoWF 4th). There were 2,055 subjects. Methods : A multiple regression model was used to study the association between two-income families and symptom of depression, controlling for socio-demographic characteristics, spouse relationship characteristics (couple activity, household labor, relationship with spouse). Results : Authors found a negative relationship between couple activity (b=-0.151, p<0.001) and depressive symptoms, a positive relationship between household labor (b=0.045, p=0.001) and depressive symptoms, and a negative relationship between relationship with spouse (b=-0.386, p<0.001) and depressive symptoms. Conclusions : The results of this study show the importance of spousal support in promoting the marital relationship and mental health among married working women.

• 지역사회간호학회지
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• 제21권4호
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• pp.409-418
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• 2010

Purpose: This study aimed to estimate the effects of a regular walking exercise program on metabolic syndrome, cardiovascular risk factors, and depressive symptoms among the elderly with diabetic mellitus (DM) based on the Theory of Reasoned Action (TRA). Methods: This study has randomized and stratified experimental design with experimental and control groups. We developed a regular walking exercise program suitable for the elderly with DM based on the guidance of AAHPERD. The experimental group participated in the regular walking exercise program, which contains walking exercise 3 times a week and 50 minutes each time for 3 months and education on controlling diet and preventing complications once a week and 20 minutes each time for 4 weeks. Post-test was conducted after 3 months to estimate metabolic syndrome, cardiovascular risk factors, and depressive symptoms. Results: The regular walking exercise program was effective for decreasing the waist size, the level of fasting blood glucose (FBG) and triglyceride (TG), cardiovascular risk factors and the severity of depressive symptoms among the elderly with DM. Conclusion: The incidence of complications would be decreased by applying a regular walking exercise program.

• 생물정신의학
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• 제3권2호
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• pp.269-276
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• 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.

• 대한불안의학회지
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• 제10권1호
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• pp.17-23
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• 2014

Objective : Panic disorders are frequently accompanied by major depressive disorder (MDD). There is insufficient information about which clinical factors in panic disorder are associated with comorbid MDD. The aim of this study is to identify clinical factors related with comorbid MDD in patients with panic disorder. Methods : Two experienced psychiatrists diagnosed panic disorder based on DSM-IV criteria. This diagnosis in the 275 subjects was confirmed again by Mini-International Neuropsychiatric Interview (MINI). Lifetime comorbid psychiatric diagnoses were examined by MINI. The Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA) and Panic Disorder Severity Scale (PDSS) were used to assess the severity of depressive, anxiety and panic symptoms. Results : The result of MINI showed that 95 patients (34%) with panic disorder satisfied the diagnosis of MDD. Multivariate logistic regression model showed that comorbid generalized anxiety disorder (GAD) and the symptom of "fear of losing control or going crazy" were associated with MDD in patients with panic disorder. In female patients, the "chills or hot flushes" symptom was also associated with comorbid MDD. Conclusion : These results showed that coexisting GAD and certain symptoms of panic are associated with comorbid MDD.

• 한국산학기술학회논문지
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• 제17권7호
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• pp.666-676
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• 2016

본 연구의 목적은 후천적 시각장애인에 대한 우울 실태와 이들의 우울에 영향을 미치는 요인을 규명하는 것으로 이를 위해 본 연구에서는 장애인실태조사 2014 자료를 활용하여 분석을 실시하였다. 연구대상자는 출생 1년 이후부터 시각장애를 가지게 된 20~60세 사이의 성인이며 최종 분석에 포함된 대상자 수는 235명이다. 다중로지스틱회귀분석 실시 결과, 후천적 시각장애인의 약 20%가 우울증상을 경험한 것으로 나타났으며, 우울증상 경험을 예측하는 요인으로는 인구사회학적 요인 중에서는 연령, 성별, 결혼여부가 유의한 요인으로 나타났으며 건강 관련 요인으로는 흡연여부, 일상생활 스트레스 수준, 주관적 건강상태가 유의한 요인으로 파악되었다. 장애관련 요인으로는 장애기간 및 일상생활 수행능력 수준이 유의한 예측요인으로 밝혀졌다. 종합적으로 본 결과는 국내 거주하는 후천적 성인 시각장애인의 많은 수가 우울과 같은 심리적 어려움에 노출되어 있으며, 이를 위한 예방 및 개입 방안 마련이 시급함을 알려준다. 아직까지 장애인 복지 및 장애인 대상 서비스 분야에서 이들에 대한 관심 및 서비스 마련이 미흡한만큼 추후 중도에 실명 혹은 시각손실을 경험하게 된 장애인에 대한 제도적인 고려가 요구된다.