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Characteristics of Middle Aged Depressed Women with Hot Flushes (안면 홍조 증상을 수반한 중년 우울증 여성의 특성)

  • Song, Minjae;Joe, Sook-Haeng;Jung, Hyun-Gang
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.176-184
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    • 2017
  • Objectives : Middle aged women with depression often experience hot flush symptoms. It is still unclear about the association between depression and hot flush symptoms. Therefore, we investigated hormonal profile, functional somatic symptoms, coping styles and attitude for menopause between depressed women with hot flush and those without hot flush. Methods : This study included 33 depressed patients with hot flush symptoms and 33 depressed patients without hot flush symptoms. Hot flush was confirmed through prospective daily symptom ratings for a week. Subjects' coping styles were assessed by the stress coping checklist. Somatic symptoms were assessed by the Patient Health Questionnaire-15(PHQ-15). Sex hormonal levels were assayed by a radioimmunoassay. The Brief World Health Organization Quality of Life Assessment Instrument(WHOQOL-BREF) was used to evaluate quality of life. Results : In coping style, depressed women with hot flush symptoms used less 'problem-centered coping'($13.15{\pm}3.17$) and 'search for social support'($11.83{\pm}2.84$) than those without hot flush symptoms($15.17{\pm}3.1$, p=0.028 ; $14.25{\pm}3.22$, p=0.009 ; respectively). Depressed women with hot flush symptoms showed more negative attitude toward post-menopause, but its statistical significance was marginally insufficient(p=0.059). We did not find any group differences in sex hormonal levels and somatic complaints assessed by the PHQ-15. The score of social relationship domain of WHOQOL-BREF was significantly lower in subjects with hot flush symptoms($8.62{\pm}2.04$) than subjects without hot flush symptoms($9.71{\pm}1.65$ ; p=0.044). Conclusions : Among middle aged women with depression, the manifestation of hot flush symptoms was associated with coping styles and attitude for menopausal transition. Hot flush symptoms in depressed women negatively influence quality of life, so clinicians actively perform therapeutic approach in case of depressed patients with hot flush symptoms. In case of depressed patients who present hot flushes, cognitive behavior therapy or stress management might be an effective treatment option in company with antidepressants or hormonal treatment. Later, longitudinal study will be needed to evaluate risk factor, cause and effect associated with hot flush and depression.

Interim Report about The Effect of Sihogayonggolmoryeo-tang on the Anxiety of Hwa-byung (화병의 불안 증상에 대한 시호가용골모려탕의 효능 임상연구 중간보고)

  • Choi, Woo-Chang;Park, Dae-Myung;Kang, Wee-Chang;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.4
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    • pp.133-152
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    • 2012
  • Objectives : The purpose of this study is to investigate the effect of Sihogayonggolmoryeo-tang on the anxiety of Hwa-byung. Methods : In this randomized, double blinded, placebo-controlled study, we planned to give Sihogayonggolmoryeo-tang or controlled medication for anxiety of Hwa-byung. Hamilton Anxiety Scale (HAM-A) was measured as the 1st evaluative instrument, and Korean State-Trait Anxiety Inventory (STAI-K), Likert scale for major symptom of Hwa-byung, Hwa-Byung Scale Score, Korean Beck's Depression Inventory (BDI-K), Korean State-Trait Anger Expression Inventory (STAXI-K), Insomnia severity Index (ISI), Instrument of Oriental Medical Evaluation for Hwa-Byung, WHO Quality of Life Avvreviated (WHOQOL-BREF), genral self-Efficacy Scale (GSES), Rosenberg Self-Esteem Inventory (SRE) and Heart Rate Variability (HRV) were also measured as the 2nd evaluative instrument before treatment. Results : Clinical characteristics-vital signs and demographic characteristics showed no significant difference between both groups. The characteristics of disease-chief complaint, pattern Identification, period, etiological factor, and etc, also showed similarity of distribution in both groups. The results of Chest PA, EKG and clinicopathologic examination showed no significant difference between both groups. There were no significant difference between both groups in all valuation scales; HAM-A was measured as the first evaluative instrument, and STAI-K, Likert scale for major symptom of Hwa-byung, Hwa-Byung Scale Score, BDI-K, STAXI-K, ISI, Instrument of Oriental Medical Evaluation for Hwa-Byung, WHOQOL-BREF, GSES, SRE and HRV. Conclusions : We considered that establishment of the experimental group and controlled group was objective and worth conducting this research. In addition, this methodology is expected to be applied to the subsequent research. Further, we hope to make up for this study through various study and discussion.

Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model (구조방정식모형을 이용한 장기요양시설 노인의 신체적·정신적 기능 및 구강건강영향지수가 삶의 질에 미치는 영향 분석)

  • Shin, Min-Woo;Lee, Young-Ok;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.500-511
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    • 2016
  • This study examined the effects of the physical functions (ADL, IADL), mental functions (CES-D, MMSE-K) and oral health impact profile (OHIP-14) on the quality of life (WHOQOL-BREF) of the elderly in long-term care facilities. The study subjects were 602 elderly people, who were surveyed at the entrance to the long-term care facilities. The interviews were conducted using a questionnaire during the period from May 1, to June 30, 2014. As a result, the quality of life was affected more by the CES-D and MMSE-K than by the ADL and IADL or by OHIP-14; the quality of life improved with a higher ADL, IADL, and OHIP-14 and a higher CES-D and MMSE-K. A higher OHIP-14, ADL and IADL resulted in a higher CES-D and MMSE-K. These results suggested that the quality of life is correlated significantly with the physical functions (ADL, IADL), mental functions (CES-D, MMSE-K), and the oral health impact profile (OHIP-14).

The Comparison Study of Quality of Life between Hemodialysis Patients and Depressive or Anxious Psychiatric Patients (혈액투석 환자와 우울 또는 불안장애 환자의 삶의 질 비교연구)

  • Kim, Ji-Woong;Shin, Sang-Eun;Kim, Hyung-Ki;Jang, Eun-Young;Jung, Gun;Lee, Kye-Seong
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.2
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    • pp.170-181
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    • 2003
  • Objectives: The purpose of this study was to evaluate the quality of life in hemodialysis patients and compare it with those of depression or anxiety patients. Methods: Quality of life in hemodialysis patients(n=33) and depression or anxiety patients(n=34) was evaluated. we performed Korean Version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF), Beck Depression Inventory(BDI), State-Trait Anxiety inventory(STAI) to both hemodialysis patients and depression or anxiety patients. Results: The WHOQOL mean scores showed no differences between hemodialysis patients and depression or anxiety patients. Among WHOQOL domains, psychological domain score of WHOQOL was significantly higher in hemodialysis patients than in depression or anxiety patients. Anxiety score of hemodialysis patients was significantly lower than that of depression or anxiety patients, while depression score showed no difference. Conclusion: These results show that psychological domain score of WHOQOL was higher and anxiety score was lower in hemodialysis patients than in depression or anxiety patients. However, there were no significant differences in total QOL and depression between hemodialysis patients and depression or anxiety patients, and the prevalences of depression and anxiety were higher in hemodialysis patients than those of general population. This suggest that hemodialysis patients need more specialized help for psychiatric problems.

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The Effect of Self-Efficiency and Instrumental Activities of Daily Living of Local Community Stroke Patients on Quality of Life in Caregiver (지역사회 거주 뇌졸중환자의 수단적 일상생활동작과 자기 효능감이 보호자의 삶의 질에 미치는 영향)

  • Ko, June;Lee, Seung-Hee;Lee, Tae-Kwan;Jung, Hye-Rim;Hong, Geun-Ho;Hong, Ki-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.11-21
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    • 2015
  • Objective : This study is aimed to examine the degree of independence in stroke patients residing in a community based on their self-efficacy and Instrumental Activities of Daily Living and also correlation between community-residing stroke patients and their guardians by figuring out the life quality of their guardians. Methods : For total two weeks between May 12th and 23rd, 2014, this researcher collected data by using a survey (K-IADL, a scale to measure self-efficacy, WHOQOL-BREF) targeting 138 stroke patients who received over 24 points in MMSE-K among the outpatients of three hospitals located in Busan Metropolitan City and two hospitals located in Geoje-si, Gyeongsangnam-do, and total 125 sheets were finally used for analysis. Results : Among the 125 patients, 70 were males, and 55 were females, and their average age was 58.72 (16 to 82). The subjects' general self-efficacy (p<0.01) and detailed self-efficacy (p<0.01) indicated significant correlation with their guardian's life quality, and there was no significant correlation found between their Instrumental Activities of Daily Living and their guardian's life quality. Conclusion : Their general self-efficacy and detailed self-efficacy indicated correlation with their guardian's life quality, and among their general characteristics, the factor of their financial situation indicated correlation with their guardian's life quality. In conclusion, when stroke patients' self-efficacy is higher, their guardian's life quality increases, too, and if their financial situation is more favorable, their guardian's life quality gets higher. However, stroke patients' Instrumental Activities of Daily Living did not indicate correlation with their guardian's life quality. When looking at the chronic trend of outpatients, therapeutical plan must be established about the self-efficient recovery for the development of those who are not satisfied.

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Covariance Structure Analysis of the Influence of Social Support, Physical and Mental Health Status on Quality of Life among the Elderly at Care Facilities (요양시설 노인의 사회적지지, 신체적 및 정신적 건강수준이 삶의 질에 미치는 영향에 대한 공분산구조분석)

  • Lim, Young-A;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.210-220
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    • 2017
  • This study investigated the effect of social support (MOS-SSS), and physical (ADL, IADL) and mental (CES-D, MMSE-K) function on the quality of life (WHOQOL- BREF) among the elderly at care facilities. The survey respondents were 524 elderly aged 65 and older living in 15 care facilities located in D city. Data were collected through a personal interview conducted by interviewers who visited each care facility from November 2015 to January 2016. As a result, the quality of life was significantly lower in the elderly group with lower social support, with dysfunction in ADL and IADL than in the normal range group, with depression and cognitive impairment group than in the normal range group. The quality of life had a significant positive correlation with social support, ADL, IADL and cognitive impairment, but a significant negative correlation with depression. According to the results of covariance structure analysis, physical function had a greater impact on the quality of life than mental function or social support. Lower quality of life was associated with lower physical and mental function and lower social support. Therefore, concrete measures need to be devised to enhance physical function in order to improve the quality of life among the elderly in care facilities.

Relationship between Quality of Life and validated for constituent concepts validity using OHIP (OHIP의 구성개념 타당성 검증 및 삶의 질과의 관련성)

  • Kim, Hye-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.441-453
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    • 2007
  • This study was conducted among 831 industrial workers in Gumi City in Gyung-Sang-Buk Do for the purpose of acquiring knowledge to improve quality of life though industrial workers' oral health promotion. Oral examination and questionnaire surveying were used to evaluate workers' oral health state and subjective health state and analyze their effect on quality of life. At the same time, the scales used in measuring the subjects' health state and quality of life-OHIP and WHOQOL-BREF-were validated for their constituent concepts and their relations were analyzed through structural modeling. The analysis results can be summarized as follows; The constituent concepts of OHIP and QOL factor structural models were validated since they were all in the range of appropriateness, as shown in the result of analysis using Indices of Fit-GFI, CFL, TLI and RMSEA. The result of analysis of constituent concepts to identitify the relations between OHIP and QOL confirmed that OHIP influences QOL.

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A Study on the Factors Affecting on Worker's Quality of Life (근로자의 삶의 질 영향요인 연구)

  • Park, Eun-Hee;Kim, Hye-Suk
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.581-589
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    • 2017
  • The purpose of this study was to confirm the effect of the marital satisfaction, depression, and self-esteem on the quality of life. 131 workers in K area were used for the final analysis. The data collection was conducted from March 15nd, 2017 to April 10th, 2017. The quality of life was measured by means of Korean version of life scale abbreviated version, WHOQOL-BREF. Descriptive statics, t-test, two-way ANOVA, Pearson correlation coefficient and step wise multiple regression with SPSS/WIN 18.0 were used to analyze the data. As a result of study, it was confirmed that regular workers were higher than irregular workers in the quality of life, marital satisfaction, depression, and self-esteem all. The quality of life was explained by the martial satisfaction, depression, averagely monthly pay, and spouse relationship as 34.3%. It is necessary to essentially implement the government's support and the corporate cooperation for the improvement of working condition in order to enhance the life quality of workers. Also, workers need to give value to themselves leading their life and form a positive relationship with people around them not to let their family life be negatively affected due to the employment stress.

Convergence Study between Determinants of Delivery Food and Eating Habits in Adults in Their 20s to 30s (20~30대 성인의 배달외식 결정요인과 식습관의 융합연구)

  • Park, Pil-Sook;Liu, Qing-Hua;Kim, Gum-Ran;Park, Mi-Yeon
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.105-117
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    • 2020
  • This study is a convergence study designed to suggest healthy eating out choices by grasping the relationship between determinants of delivery food and eating habits. The subjects of this study were 505 adults in their 20s and 30s who had an experience in delivery food. The data were analyzed by factor analysis, cluster analysis, χ2 analysis, ANOVA analysis and Duncan's post analysis using the SPSS 25.0 program, and the research results are as follows. The convenience-seeking type had a high rate of late night eating, drinking, and breakfast skipping, while the saving-seeking type had a high score of food practice score. The utility-seeking type had a significantly lower quality of life (WHOQOL-BREF) score. Therefore, the educational direction suggested according to the tendency identified in the determinants of delivery food can be used as basic data for the selection of healthy delivery food. In the future, research and nutrition education through grasping the route of determinants of delivery food are also expected to be necessary.

The Effects of Reminiscence Therapy Using Mind Map to Improve Cognitive Function, Depression Index, Quality of Life for Elderly Women Suspected Of Dementia. (마인드맵을 활용한 회상치료가 여성 치매 의심 노인의 인지기능, 우울 지수 및 삶의 질에 미치는 영향)

  • Jang, Woo-hyuk;Son, Hyo-seong;Seo, Ye-ji;Youn, Su-jeong;Kim, Hyun-ji
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.97-106
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of reminiscence therapy using mind map to improve cognitive function, depression index, quality of life for old woman with dementia. Method : The study were 14 patients who were diagnosed with a woman suspected of dementia. They were randomly assigned to Study group(N=7) and control group(N=7). All patients received only to Study groups. reminiscence therapy using mind map was composed to 10 sessions, 40 minutes per sessions, 2 times a week, for 5 weeks. For result analysis, descriptive statistic, Wilcoxon signed rank test, and Mann-Whitney U test were used. The evaluation tools were Mini-Mental State Examination Korean Version (MMSE-K), Korean Version of Beck Depression Inventory (K-BDI), Korean Version of the World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Result : There was a significant difference in cognitive function, depression index, and quality of life in the within group after intervention, and there was a significant difference in cognitive function in the between group comparison. Conclusion : According to the results of study, an easing effect was confirmed regarding reminiscence therapy using mind map for an old woman with dementia. using reminiscence therapy using mind map when applied to the improvement of cognitive function, depression index, quality of life.