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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v.14
no.4
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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.
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.
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.
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.
In some studies regarding acculturation strategies developed Berry(1997), not the preference for integration, but the preference for assimilation showed the best adjustment, which is different from the results of the majority of studies. For the reason of these results, we supposed that when the people of the host society expect the minority members to be assimilated to the host society and the minority members have very similar culture to the host society, the preference for assimilation in the minority members would show the best adjustment. And we tested this hypothesis with Korean-Chinese who had very similar culture to Korean culture and Han-Chinese who had very different culture from Korean culture. For two hundred and twenty five students(63 Korean-Chinese and 162 Han-Chinese), we asked them to complete a questionnaire including Acculturation Strategies Scale, Psychological Well-being Scale, and Depression Inventory. Data from the survey were analysed using two-way ANOVA. As a result, the interaction effect of acculturation strategies and ethnic types affected both of psychological well-being and depression. In details, for Korean-Chinese students, the preference for assimilation showed the highest levels of psychological well-being and the lowest levels of depression, but the preference for integration showed the lowest levels of psychological well-being and the highest levels of depression. For Han-Chinese students, the preference for integration showed the highest levels of psychological well-being and the lowest levels of depression, and the preference for marginalization showed the lowest levels of psychological well-being and the highest levels of depression. We discussed the meanings of the results, implications, and interventions to help Chinese students adjust Korean society.
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.
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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v.33
no.45
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pp.284.1-284.12
/
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.
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.
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.
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