• 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.

• Journal of Korean Academy of Nursing
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• v.48 no.4
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• pp.475-484
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• 2018

Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior. Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI). Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05). Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

• Journal of Korean Academy of Nursing
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• v.38 no.4
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• pp.593-602
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• 2008

Purpose: This study aimed to compare self-care behaviors and depressive symptoms between the young old (65-74 yr) and the old-old (75-84 yr) in low-income women with hypertension. Methods: This study used a descriptive research design. The subjects of this study were 136 elderly women over 65 yr living in D city. Data was collected from September to December 2007 through personal interviews using a questionnaire. The collected data was analyzed using the SPSS WIN 12.0 Program. Results: Self-care behaviors, functional status, and number of medications showed a significant difference between young elderly and middle elderly. There was a negative correlation between self-care behaviors and depressive symptoms. 52.2% of variance in self-care behaviors of young elderly and 76.8% of variance in self-care behaviors of middle elderly were explained by depressive symptoms, number of medications, and functional status. Conclusion: It is necessary to manage depressive symptoms to improve the self-care behaviors of low-income elderly with hypertension. Depressive symptoms need to be considered in planning hypertension programs for low-income elderly women.

• Journal of Families and Better Life
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• v.33 no.4
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• pp.67-82
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• 2015

The study examined whether informal and formal social participations may mediate the association between widowhood and depressive symptoms, and whether gender may moderate the mediated associations. The data consisted of men and women 65+ who participated in the $3^{rd}$ wave of the Koran Longitudinal Study of Aging (KLoSA ; N = 4,146). Findings suggest that first, widowed older adults experienced significantly higer levels of depressive symptoms compared to their married counterparts. At the same time, the widowed individuals also reported more frequent contacts with family, friends, and neighbors (informal social participation), which contributed to narrowing the depression gap between widowed and married. Second, gender moderated the mediated association such that the mediating effect of informal social participation was significant only for older widowed women. Further, no mediating effect was found of formal social participation (participation in social, leisure, religious groups) for widowed and married regardless of gender. Previous studies indicated that social participation may be an important mediating factor that attenuates the effect of widowhood on depressive symptoms. Building on existing research, the present study highlighted theoretical rationales for potential gender differences in the way social participation may mediate the widowhood-depression linkage and evaluated statistically whether gender may moderate the mediated association.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.4
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• pp.1645-1649
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• 2012

Purpose: This study aimed to assess possible interactive effects of coping styles and psychological stress on depression and anxiety symptoms in Chinese women shortly after diagnosis of breast cancer. Methods: Four hundred and one patients with breast cancer were face-to-face interviewed by trained research staff according to a standardized questionnaire including information on socio-demographic characteristics, psychological stress, coping styles, and anxiety and depressive symptoms. Interactive effects were assessed by hierarchical multiple regression analyses. Results: There were significant associations of the four domains of psychological stress with anxiety and depressive symptoms except for the relationship between "worrying about health being harmed" and depressive symptoms. "Abreaction coping behavior" and "escaping coping behavior" significantly increased the level of both anxiety and depressive symptoms; whereas an "active coping style" reswulted in significant decrease. The interaction of "active coping behavior" with "worrying about health being harmed" significantly increased the risk of the anxiety symptoms, while adopting "self-relaxing coping behavior" was associated with significant decrease. The interaction of "worry about daily life and social relationship being restricted" with "escaping coping behavior" significantly increased the risk of the depressive symptoms. Conclusions: The results of this study suggest that certain coping styles might moderate the association of psychological stress with anxiety and depressive symptoms in Chinese women with breast cancer.

• Research in Community and Public Health Nursing
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• v.31 no.1
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• pp.13-23
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• 2020

Purpose: This study explored the contribution of social support resources to the explanation of socioeconomic inequalities in depressive symptoms of older Korean men and women. Methods: Data were derived from Living Profiles of Older People Survey (LPOPS), which comprises a nationally representative sample of non-institutionalized Korean older adults living in the community. The data were analyzed by using multiple logistic regression. The sample consisted of 4,046 men and 6,036 women aged ≥65 years. The Korean version of the Geriatric Depression Scale-Short form (SGDS-K) was employed as an outcome variable. Results: Compared to the older men and women who were in higher socioeconomic status, those in lower socioeconomic status had significantly higher risk of depressive symptoms after adjusting for other covariates. When social support resources were individually included in the base model, each factor contributed to inequalities in depressive symptoms. Social networks explained about 20% of the differential impact of education and 10% to 15% of the differential impact of household income for depressive symptoms in men. Among women, it mitigated 23.6% to 39.0% of education and household income inequalities for depressive symptoms. Social participation contributed to buffer depressive symptom inequalities of 24.0% to 46.3% among men and those of 11.7% to 45.3% among women. Conclusion: Our findings suggest community care nurses acknowledge the value of social support resources to alleviate socioeconomic inequality in depressive symptoms among older men and women.

• Korean Journal of Biological Psychiatry
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• v.24 no.4
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• pp.212-218
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• 2017

Objectives We aimed to examine whether mindfulness skills are mediating the improvements of depressive symptoms in patients with mood disorders who practiced Mindfulness-Based Cognitive Therapy (MBCT). Methods A total of 19 patients with mood disorder were included in this study. The participants were divided into two subgroups: a normal to mild depression group and a moderate depression group. The participants completed questionnaires to assess depressive symptoms, anxiety, quality of life, suicidal idea, and mindfulness skills which were measured by the Five Facets of Mindfulness Questionnaire (FFMQ) before and after MBCT course. Results The moderate depression group showed improvements through MBCT in depressive symptoms and suicidal idea, but not in anxiety and quality of life. The normal to mild depression group showed no significant change through MBCT. The improvement of depressive symptoms in the moderate depression group was predictable by improvements of the five facets of mindfulness, especially by 'observe' and 'non-react' components. Conclusions This study showed that currently depressive patients with moderate severity but not with normal to mild severity benefit from MBCT in reducing depressive symptoms and suicidal idea. The improvement of depressive symptoms was mediated by improved mindfulness skills through MBCT.

• Korean Journal of Culture and Social Issue
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• v.21 no.3
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• pp.511-534
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• 2015

The primary goal of the present study was to examine the moderating effects of coping strategies, cultural identity, and bicultural self-efficacy on the relationship between perceived discrimination and depressive symptoms of Korean Canadian college students. Data were collected from 214 Korean Canadian college students studying in Canada through an online and offline survey. A direct effect of perceived discrimination on depressive symptoms and the moderating effects of coping strategies on the relationship between perceived discrimination and depressive symptoms were examined by using hierarchical regression analysis. And three-way interaction of perceived discrimination, coping strategies, and cultural identity, and perceived discrimination, coping strategies, and bicultural self-efficacy on depressive symptoms were examined. Results from a hierarchical regression indicated that perceived discrimination significantly predicted depressive symptoms and this finding is in line with previous studies. Second, reflective, suppressive, and reactive coping strategies did not moderate the relationship between perceived discrimination and depressive symptoms. Third, the three-way interaction effect of perceived discrimination, suppressive coping strategy, and heritage identity predicted the depressive symptoms. Low heritage identity, high level of perceived discrimination and the frequent use of suppressive coping strategy increased the level of depressive symptoms. Fourth, the three-way interaction effect of perceived discrimination, coping strategies, and bicultural self-efficacy did not predict the depressive symptoms. Limitations and applied implications of the results are discussed.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.1
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• pp.55-66
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• 2017

Purpose : The purpose of this study was to investigate whether mindful meditation programs conducted in ACT(Acceptance &Commitment Therapy) and MBCT(Mindfulness-Based Cognitive Therapy) were effective in changing in depression and anxiety. Methods : In order to achieve this, we have performed meta-analysis of the studies on ACT and MBCT among studies published in the national academic journals, master thesis, and doctoral thesis. Dependent variables were limited to depressive and anxiety symptoms. By using meta analysis method, we retrieved journal articles published in Korea between 2009 and 2015 using keyword searches of electronic databases. Result : The results of the analysis showed that both ACT and MBCT had a significant effect on reducing depressive symptoms (Hedges' g = -0.71, p < 0.01). Both also had a significant effect on reducing anxiety symptoms (Hedges' g = -1.134, p < 0.01). These results imply that both ACT and MBCT interventions can be useful interventions for both depressive and anxiety symptoms. In the case of interventions for depressive symptoms, the college student group showed better results than the adult group. In addition, the ACT program had a stronger effect on reducing depressive symptoms than the MBCT program. In the case of interventions for anxiety symptoms, the mixed gender group showed better results than the female group. Conclusion : The results showed significant differences with regard to the following factors: participant gender, target participants, mindfulness technique availability, session number, and session duration.

• 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.