• 제목/요약/키워드: PSYCHOLOGICAL DEPRESSION

검색결과 1,340건 처리시간 0.029초

Prevalence of Depression in Breast Cancer Survivors: a Systematic Review of Observational Studies

  • Zainal, Nor Zuraida;Nik-Jaafar, Nik Ruzyanei;Baharudin, Azlin;Sabki, Zuraida Ahmad;Ng, Chong Guan
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권4호
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    • pp.2649-2656
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    • 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.

만성 관절염 환자의 기능적 손상과 심리적 상태 분석 (Functional Impairment and Psychological Status in Patients with Chronic Arthritis)

  • 임난영;이은영
    • 근관절건강학회지
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    • 제5권1호
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    • pp.72-82
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    • 1998
  • 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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유아기 자녀를 둔 어머니의 역할행동과 내외통제성, 심리적 안녕감 및 우울과의 관계 (The Study of Relationships between Mother's Parenting Style and Internal-External Control, Psychological Well-being and Depression in Ear]y Childhood)

  • 이종신;문혁준
    • 가정과삶의질연구
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    • 제29권1호
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    • pp.127-138
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    • 2011
  • This study analyzed the internal-external controls, psychological well-being and depression of mothers as factors that affect mothers's parenting style of young children. The participants were 228 mothers of preschoolers. Data were analyzed by descriptive statistics, Pearson's productive correlation, and stepwise multiple regression analysis. Results showed that positive mothers parenting style had positive relationships with internal control and psychological well-being. On the other hand, positive mother's parenting style had negative relationships with external control and depression. In addition, negative mother's parenting style had positive relationships with external control and depression. On the other hand, negative mother's parenting style had no relationship with psychological well-being and internal control. Psycholobrical well-being had the strongest effect on positive mother's parenting style and external control had the strongest effect on negative mother's parenting.

30대 미혼성인자녀가 지각한 부모-자녀분화, 표현된 정서가 자녀의 심리적 우울에 미치는 영향 (A Study of the Effects on Premarital Adult Children Aged Thirties Psychological Depression by Parents-Children Differentiation and Expressed Emotion)

  • 권미애;김태현
    • 가정과삶의질연구
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    • 제22권5호
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    • pp.197-210
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    • 2004
  • The Purpose of this study was to explore the effects of differentiation, emotion over involvement(expressed emotion), and criticism between middle-or-old aged parent and child, by relation of emotional system, on child's psychological depression. The subject of this study were m premarital adult children over 30 years old. The major findings of this study were as follows. First. it was found that mother-child differentiation was more perceptive than that of father-child. With psychological depression, expressed emotion within family and criticism were shown average score that was lower than middle score. Second, among demographic characteristics, there are significant differences premarital adult children's sex, education, income, family type, father's education, and parents' marital status. Third, as the result of regression analysis, the higher level of psychological depression when the lower differentiation between parent-child, the higher expressed emotion over involvement within family and criticism. Based on the findings in this study, the relation of emotional system is very important. Therefore, it is necessary to consider the therapeutic intervention and relation improvement program when individual and family counseling about parent-child are going on.

어머니의 심리통제와 아동의 행동문제 - 학령기 후기 아동의 정서적 자율성의 매개효과에 대한 탐색 - (Mother's Psychological Control and Children's Behavior Problems - Mediational effects of Emotional Autonomy -)

  • 전숙영
    • 대한가정학회지
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    • 제45권6호
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    • pp.101-111
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    • 2007
  • This study examined the relationships between children's perceptions of mother's psychological control, and children's behavior problems(depression, anxiety, withdrawal, and aggression). In order to expand the study on the relationships, special attention was given to the possible mediator effects of children's emotional autonomy on the relationships. The subjects were 293 6th graders residing in Cheonan. It was found that children's perceptions of mother's psychological control was significantly related with the level of children's depression, anxiety, withdrawal, and aggression. Children's emotional autonomy were found to be a significant mediator of the relationship between mother's psychological control and children's depression and aggression. No significant mediator effect of emotional autonomy was found in the relationship between mother's psychological control and children's withdrawal and anxiety.

유학생의 문화적응전략, 민족유형과 심리적 안녕감, 우울의 관계 (The relationships between acculturation, ethnic group and psychological well-being, depression of foreign students in Korea)

  • 김현옥;추상엽;임성문
    • 한국심리학회지 : 문화 및 사회문제
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    • 제20권1호
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    • pp.1-18
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    • 2014
  • Berry(1997)가 제시한 문화적응전략에서 통합을 사용하는 것이 가장 적응적이라고 보고된 대부분의 연구결과와 달리 근래 몇몇 연구들에서 동화를 사용하는 것이 보다 적응적임을 보여주었다. 그 이유에 대하여 본 연구에서는 주류사회가 이주자들에게 주류사회에 동화되기를 기대하고 있고 이주자가 주류사회와 유사한 문화를 가지고 있을 때 동화를 사용하는 것이 가장 적응적일 것이라고 추론하고, 이 추론을 한국문화와 유사한 문화를 가지고 있는 중국조선족 유학생과 전혀 다른 문화를 가지고 있는 중국한족 유학생을 대상으로 검증해 보고자하였다. 이를 위해 국내대학에 재학 중인 중국조선족 유학생 63명과 중국한족 유학생 162명을 대상으로 문화적응전략, 심리적 안녕감, 우울 척도로 설문조사를 실시하였고, 심리적 안녕감과 우울을 종속변인으로 하는 4(문화적응전략)×2(민족유형) 이원변량분석을 사용하여 연구가설을 검증하였다. 분석결과, 심리적 안녕감과 우울에 미치는 영향 모두에서 문화적응전략과 민족유형의 상호작용효과가 나타났다. 즉 예측대로 중국조선족 유학생의 경우 동화를 사용할 때 가장 높은 심리적 안녕감과 가장 낮은 우울을 보였다. 그러나 통합을 사용할 때 가장 낮은 심리적 안녕감과 가장 높은 우울을 보였다. 중국한족 유학생의 경우 예측대로 통합을 사용할 때 가장 높은 심리적 안녕감과 가장 낮은 우울을, 주변화를 사용할 때 가장 낮은 심리적 안녕감과 가장 높은 우울을 보였다. 연구결과에 대한 이론적 논의와 중국 유학생의 적응을 돕기 위한 개입 방안에 대한 함의를 기술하였다.

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여성결혼이민자의 우울에 관한 연구 동향 (Research on Depression in Married Immigrant Women: Trends in Korea)

  • 변성원
    • 한국농촌간호학회지
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    • 제6권2호
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    • pp.69-77
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    • 2011
  • Purpose: This study was done to identify the current status of research on depression in married immigrant women and to suggest directions for future nursing research. Method: Sixteen articles for the period between 2001 and 2010 were selected by key words such as "Married Immigrant Women" and "Depression" from the databases (RISS4U et al). Results: Twelve of the research reports were related to correlations and 4 were related to interventions. Depression level was measured using BDI or CES-D. Depression levels were as follows: 20-30% reported major depression and less than 10%, severe depression. Factors which influenced depression included: socio-demographic factors, and family, economic, psychological and situational characteristics. Psychological treatment prevailed in the intervention research, for example, art therapy, and horticultural therapy. In 2 papers significant improvement in the state of depression among participants in the intervention group were reported. Conclusion: The next phase of nursing research related to married immigrant women is to reconsider the importance of the concept of depression to reexamine research methods and directions.

Mediating Role of Anxiety and Depression in the Relationship between Posttraumatic Stress Symptoms and Illness Intrusiveness

  • Kim, Nam Hee;Kim, Seok Hyeon;Hyun, So Yeon;Kang, Dae Ryong;Oh, Min Jung;Kim, Daeho
    • Journal of Korean Medical Science
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    • 제33권45호
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    • pp.284.1-284.12
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    • 2018
  • Background: Posttraumatic stress symptoms (PTSS) in patients with psychological trauma lead to poor health-related quality of life. Understanding of the relationships among PTSS, anxiety, depression, and illness intrusiveness will guide the development of efficient approaches to enhance subjective well-being in patients with psychological trauma. This study investigated whether anxiety and depression mediate the relationship between PTSS and illness intrusiveness in the hope of providing more comprehensive and effective trauma treatment. Methods: Psychiatric outpatients who visited the trauma clinic of a university hospital (n = 260) participated in this study. Assessments were conducted for PTSS, anxiety, depression, and illness intrusiveness. Structural equation modeling and path analysis were performed to analyze the mediating effects of anxiety and depression on the relationship between PTSS and illness intrusiveness. Results: PTSS had both direct and indirect exacerbating effects on illness intrusiveness. Anxiety exhibited the largest direct exacerbating effect on illness intrusiveness. The indirect effects of PTSS on illness intrusiveness through anxiety alone and through a depression-to-anxiety pathway were significant, but the indirect effect through depression alone was not. Conclusion: The findings demonstrate that anxiety, both independently and as part of an interrelated pathway with depression, partially mediates the relationship between PTSS and illness intrusiveness. Appropriate interventions and a comprehensive approach to alleviate anxiety and depression could mitigate the negative effects of PTSS on illness intrusiveness in patients with psychological trauma.

Causal Attributions, Social Support and Psychological Morbidity in Patients Undergoing Thyroid Surgery

  • Yildirim, Nazmiye Kocaman;Ozcinar, Beyza;Dogan, Selim;Aksakal, Nihat;Sahbaz, Nuri Alper;Tutal, Firat;Torun, Bahar Canday;Ozkan, Mine;Erbil, Yesim
    • Journal of Endocrine Surgery
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    • 제18권4호
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    • pp.219-227
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    • 2018
  • Purpose: The primary objective of the present study was to investigate the course of anxiety and depression in thyroidectomy. The second objective was to investigate the association between somatic symptoms and psychological symptoms, and the final objective was to identify the sociodemographic, clinical, and psychosocial factors that affect psychiatric morbidity. Methods: This prospective study, 101 patients who were admitted to the Endocrine Surgery Clinic of the Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul, with thyroid pathology were included in the study. Data were collected before surgery, and in the early, and late periods after surgery. Data were collected using a semi-structured interview form, a visual analogue scale, and the Hospital Anxiety and Depression Scale. Results: The average scores of anxiety and depression before surgery were statistically significantly higher compared with the early and late periods after surgery (P<0.001). Psychological morbidity was identified about 10% of patients before surgery and remained after thyroidectomy. A poor positive correlation founded between somatic symptoms and psychological condition in period surgery (P<0.05). Various sociodemographic features and psychosocial parameters affected anxiety and depression level (P<0.05). Conclusion: Anxiety and depression level in thyroid diseases decreased after thyroidectomy. These patients may express psychologic distress through somatic symptoms. Screening of psychological morbidity is suggested in patients planned thyroid surgery, especially in women, low-educated, inadequate social support, attributed to psychological causes.

A comparative study of the psychological impacts of tasks related and unrelated to COVID-19 on nurses: a cross-sectional study

  • Kim, Hyun Ji;Lee, Geon Ho
    • Journal of Yeungnam Medical Science
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    • 제39권3호
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    • pp.216-222
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    • 2022
  • Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19-related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19-related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19-related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19-related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.