Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.
Purpose: The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman. Methods: Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson Correlation Coefficients, and Multiple Stepwise Regression. Results: Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status. Conclusion: Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.
Objective : The aims of this study are to investigate the correlation between spiritual well-being and the pattern of stress coping strategies, as well as understand how they impact depression and psychological well-being. Methods : We analyzed 320 undergraduate students in a capital area (135 males, 170 females; 15 students who answered irrelevantly were excluded). Spiritual well-being (religious and existential), stress coping strategies (active and passive), psychological well-being and, depression were rated using the Spiritual Well-Being scale, Ways of Coping checklist, Psychological Well-Being measurement, and Depression Scale (CES-D), respectively. For the analysis, we utilized Pearson correlation analysis and simple regression analysis. Results : The analysis revealed a positive correlation between Spiritual well-being and active coping strategies, a negative correlation between existential well-being and depression, and a positive correlation between religious well-being and psychological well-being. By regression analysis, it showed spiritual-well being affected depression negatively. Existential well-being, but not religious well-being, affected depression negatively. Furthermore, the impact of existential well-being on depression remained a strong predictor in males better than females. Existential well-being affected psychological well-being positively through active coping strategies. Conclusion : In this study, we verified a correlation between existential well-Being and active coping strategies which affected depression and psychological well-being in undergraduate students.
Journal of Korean Academy of Fundamentals of Nursing
/
v.6
no.1
/
pp.51-63
/
1999
This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery In five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-.320 p=.024), recovery time and pain(r=.404 p=.005). There were significant correlations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p=.002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health(physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health(physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.
The purpose of study was to investigate the impacts of social isolation, psychological acceptance, and sleep disorder on depression among nursing students. Subjects were 383 nursing students in Gyeonggi-do, and survey was conducted from June to July 2015. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis. The results showed that depression was different in grade, academic stress, major satisfaction of nursing. Depression was correlated with social isolation (r=.47, p<.001), sleep disorder (r=.43, p<.001), and psychological acceptance (r=-.41, p<.001). Academic stress, major satisfaction of nursing, sleep disorder, social isolation, and psychological acceptance were identified as factors affecting depression. It is necessary to be considered social isolation, psychological acceptance, sleep disorder and other variables in developing convergence program to reduce depression in nursing students.
Dance movement program. Psychological wellbeing, Middle aged women, Wellbeing with depression tendency, 율동적 동작 프로그램, 우울성향 중년여성 %600an This study was designed to confirm the effects of the Dance Movement Program on psychological health in middle-age women with depression tendency. 67 women with mile to moderate depression scoring between 16-25 were selected among 235 responded to CES-D (Radloff, 1977, Cho and Kim, 1993). The 46 volunteered to participate in the study were assigned the control. 7 attritions occurred during the course of the experiment leaving thirty-nine subject : nineteen experimental and twenty control, for the final analysis. Research subjects revealed to be homogenous demographically and by health-related variables. The 50-minute Dance Movement Program was performed by the experimental group 3 times a week for eight weeks, from October 6 to November 29, 1997. Depression, life satisfaction, self efficacy were measured before and after the course of Dance Movement Program. Plasma serotonin was measured to identify its relationship with depression, Homogeneity tests revealed satisfactory level on relevant research variables. Data were analyzed by $x^2$-test, paired and unpaired t-tests. The results are as follows : 1) The hypothesis that depresson score of experimental group will decreased than control group was supported by t-test(t=2.20, P=.0021) 2) The hypothesis that life satisfaction score of experimental group will increased than control group was supported by t-test(t=1.42, P=.0049). 3) The hypothesis that self-efficacy score of experimental group will increased than control group was not supported by t-test(t=6.20, P=.0616). 4) The hypothesis that level of plasma serotonin will increased than control group was not supported by t-test(t=1.88, P=.0524) Thus, the effects of the Dance Movement Program for the improvement of psychological health gram for the improvement of psychological health for the middle-aged women with depression tendency are scientifically confirmed by this study.
The purpose of this study was to examine relationships among positive psychological capital and social support on depression and identify the factors that influence on depression in the adolescents. The data were collected from 140 adolescents in the two middle school located J city using self-reported questionnaires and May 9 2017 to May 19 2017. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 20.0 program. Depression was found to be in a significant negative correlation with positive psychological capital and social support. The result of the stepwise multiple regression indicates the positive psychological capital, social support and economic status predict 22.4% (F=14.38, p<.001) of depression. Therefore, it is necessary to develop convergence positive psychological capital and social support strategy program for decrease and prevents depression in adolescents.
We aimed to verify the mediating effect of depression on the relationship between burnout and flourishing, and the moderated mediating effect of psychological detachment on the mediating relationship. An online survey was conducted with 300 workers, and the results are as follows. First, significant correlations are found among burnout, depression, flourishing, and psychological detachment. Second, the mediating effect of depression on the relationship between burnout and flourishing was verified. Third, the moderated mediating effect of psychological detachment on the mediating relationship verified. Considering the successive effects of burnout on depression and the loss of flourishing, the necessity of efficient management of burnout became evident. Moreover, the moderating role of psychological detachment implies that the effect of burnout can be reduced to some extent through individual and/or organizational efforts for psychological detachment. It seems necessary to verify the moderating effect in more detail through experimental research in the future.
Zainal, Nor Zuraida;Nik-Jaafar, Nik Ruzyanei;Baharudin, Azlin;Sabki, Zuraida Ahmad;Ng, Chong Guan
Asian Pacific Journal of Cancer Prevention
/
v.14
no.4
/
pp.2649-2656
/
2013
Background: Depression is common in breast cancer patients. The aim of this paper was to make a systematic review of its prevalence and associated factors oin breast cancer survivors. Materials and Methods: An extensive systematic electronic review (PUBMED, CINAHL, PsyINFO and Ovid) and handsearch were carried out to retrieve published articles up to November 2012, using Depression OR Dysthymia AND (Cancer OR Tumor OR Neoplasms as the keywords. Information about the design of the studies, measuring scale, characteristics of the participants, prevalence of depression and its associated factors from the included studies were extracted and summarized. Results: We identified 32 eligible studies that recruited 10,826 breast cancer survivors. Most were cross-sectional or prospective designed. The most frequent instrument used to screen depression was the Center for Epidemiological Studies for Depression (CES-D, n=11 studies) followed by the Beck Depression Inventory (BDI, n=6 studies) and the Hospital Anxiety and Depression Scale (HADS, n=6 studies). CES-D returned about similar prevalence of depression (median=22%, range=13-56%) with BDI (median=22%, range=17-48%) but higher than HADS (median=10%, range=1-22%). Depression was associated with several socio-demographic variables, cancer-related factors, treatment-related factors, subject psychological factors, lifestyle factors, social support and quality of life. Conclusions: Breast cancer survivors are at risk for depression so that detection of associated factors is important in clinical practice.
The purpose of this study was to identify functional impairment and psychological status and to analyze their relationships in patients with chronic arthritis. The sample was consisted of 75 arthritic patients who visited H hospital and S welfare center. Functional impairment was measured by ADL, pain, and the number of painful joint. Psychological status was measured by depression, self-efficacy, and quality of life. Data was analyzed by frequency, mean ${\pm} SD$, Pearson's correlation coefficient, and Stepwise multiple regression. The results of this study were as follows : 1. In functional Impairment, ADL was below average which means somewhat difficult, pain was above average, and the number of painful joint was 9.20. 2. In psychological status, scores of quality of life was 97.89, depression was 41.28, self-efficacy was 895.35. 3. Pain was negatively correlated to self-efficacy, ADL and quality of life, and positively correlated to depression. 4. Self efficacy and depression explained 45% of the variance in quality of life. Therefore, it is suggested that nursing intervention improving psychological status would be useful for patients with chronic arthritis. Especially, it is very important to implement nursing intervention focused on increasing self-efficacy and decreasing depression.
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