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Influence of elderly drinkers' subjective health perception on the change in the trajectory of depression (음주노인의 주관적 건강인식이 우울 변화 궤적에 미치는 영향)

  • Park, Gyu-Hee;Heo, Won Gu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.509-519
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    • 2016
  • This study intends to examine how the subjective health perception of drinkers influences the depression trajectory change by using longitudinal data for elderly drinkers. This study has set up a balanced panel by combining the results from "Aging study panel research" conducted in the year 2006 (1st), 2008 (2nd), 2010 (3rd), 2012 (4th). A total of 543 elderly drinkers, who have responded to each research have been selected as targets for the final analysis. In the analyses, descriptive statistics and Latent Growth Modeling were conducted to examine the causal relationship between the observed and latent variables. The results are as follows: First, it was found that there was a negative correlation-with statistical significance-between the initial value of subjective health perception and the initial status of depression symptom. Second, there was a positive correlation between the initial value of subjective health perception and the changes of depression symptom. This indicates that elderly drinkers with high health perception usually have high degree of depression change; however, this does not mean it was statistically significant. Third, there was a statistically significant correlation between subjective health perception change and depression symptom change. It was found that the depression change level would be low if the subjective health perception change level was high. Thus, we can assume that the depression symptoms of elderly drinker c would slow down if the subjective health perception level increases.

Depression, Anxiety, Alexithymia, Stress Response in Caregivers of Attention Deficit Hyperactivity Disorder Patient (주의력결핍 과잉행동장애 환아 보호자의 우울, 불안, 감정표현불능, 스트레스반응)

  • Jeong, Jong-Hyun;Hong, Seung-Chul;Han, Jin-Hee;Lee, Sung-Pil
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.2
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    • pp.95-101
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    • 2005
  • Objectives : This study was designed to investigate depression, anxiety, alexithymia, stress res ponses in caregivers of patients with attention deficit hyperactivity disorder. Methods : The subjects were 38 attention deficit hyperactivity disorder patients caregivers(38 women, mean age $37.5{\pm}6.5$). Patients were diagnosed with DSM-IV ADHD criteria. Korean version of Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI), Toronto Alexithymia Scale(TAS) and Stress Response Inventory(SRI) were used for assessment. Results 1) The BDI scores of ADHD patients caregiver group were significantly higher than control group$(16.4{\pm}7.1\;vs.\;10.9{\pm}5.5)(p=0.011)$. 7 of the 38 caregivers(18.4%) and none of control group(0%) had BDI scores over 20 points(p=0.021). Calculated relative risk for ADHD in the presence of caregivers' depression was 1.516 overall(95% confidence interval, 1.234-1.862). 2) In ADHD patient's caregiver group, the scores of Stress Response Inventory were significantly higher than control group$(44.2{\pm}20.2\;vs.\;26.5{\pm}16.8)(p=0.006)$. 3) No significant differences were found in the score of STAI, SIAIS, SIAI-T, TAS between caregiver and control group. Conclusion : This study suggest that ADHD patients' caregivers are likely to have more depressive symptoms and higher stress response level than control group. We propose that physicians should consider integrated approaches for caregiver's psychopathology in the management of ADHD.

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Neurobiological Factors of Suicide (자살의 신경생물학적 요인)

  • Song, Hoo Rim;Woo, Young Sup;Jun, Tae Youn
    • Mood & Emotion
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    • v.10 no.1
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    • pp.13-21
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    • 2012
  • Suicide is a complex behavior associated with various neurobiological and psychosocial factors. It is considered that genetic polymorphism combined with environmental stress such as child-adolescent trauma make differences in neurobiological systems, which cause psychiatric disorders or pessimistic personality, impulse-aggressive behaviors, lack of judgment, and finally result in suicidal behavior. Much progress in the neurobiology of suicide has been made over the several decades. There seems to be a hereditary disposition to suicide independent of psychiatric disorder. The changes in neurotransmitters, neurohormones, neurotrophic factors, cytokines, lipid metabolisms related with their genetic polymorphism can contribute to disturbance of signal transductions and neuronal circuits vulnerable to suicide. It is likely that the main factors are dysfunctions of serotonin (5-HT) and hypothalamus-pituitary-adrenal (HPA) axis. Our understanding about the neurobiology of suicide is still limited. However, clinical practice could be assisted by neurobiological findings capable of making the detection of risk populations with higher sensitivity and the development of new treatment interventions. The settlement of biological markers in suicidal behaviors and their relationships is required.

Electroacupuncture Treatment for Idiopathic Trigeminal nerve Paralysis in a Dog (개에서 특발성 삼차신경 마비의 전침 치료)

  • 정성목;양정환;정언승;이충호;김완희;최성천;김순영;박우람;강선미
    • Journal of Veterinary Clinics
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    • v.18 no.1
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    • pp.67-69
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    • 2001
  • A 3 years-old male Tosa dog was referred to Seoul National University Veterinary Medical Teaching Hospital with a history of difficulty in mastication. Clinical signs of dropped jaw, drooling, mild depression and dehydration were observed. According to history taking, physical examination, neurologic examination, complete blood count (CBC), serum chemical profile and radiography, the dog was diagnosed as idiopathic trigeminal nerve paralysis. Electroacupuncture treatment was applied to the dog on local and distal point at an interval of 7 days. Local points were GB-1 (Tong Zi Liao) of gall bladder meridian and ST-7 (Xia Guan) of stomach meridian. Distal points were PC-4 (Xi Men), PC-6 (Nei Guan) of pericardium meridian. Electrical stimulus was performed for 20 minutes at the frequency of 3 Hz, 3 Volts on ST-7. Ten days after the initial electroacupuncture treatment, clinical signs related to trigeminal nerve paralysis were almost disappeared.

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Non-restricted Measurement and Diagnosis of ECG signals

  • Jeong, Gu-Young;Yu, Kee-Ho
    • 제어로봇시스템학회:학술대회논문집
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    • 2002.10a
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    • pp.77.3-77
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    • 2002
  • In this paper, the algorithm for detecting the transient change of ST-segment and the device for measuring ECG from patient without restriction of activity are introduced. ST-segment elevation and depression is considered as the main characteristic in diagnosis of myocardial ischemia, but the change of pattern is also important. To consider all of the former and the latter, we used polynomial approximation for diagnosis of ECG. The feature points(R, S and T are detected through the signal processing processes including wavelet transform, and then R-S and S-T are approximated to polynomial. This method allows comparison of two signals that have different sampling time or different numbers of...

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Association between Spiritual Well-Being and Pain, Anxiety and Depression in Terminal Cancer Patients: A Pilot Study (말기암환자의 영적 안녕과 통증, 불안 및 우울과의 연관성: 예비 연구)

  • Lee, Yong Joo;Kim, Chul-Min;Linton, John A.;Lee, Duk Chul;Suh, Sang-Yeon;Seo, Ah-Ram;Ahn, Hong-Yup
    • Journal of Hospice and Palliative Care
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    • v.16 no.3
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    • pp.175-182
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    • 2013
  • Purpose: Spirituality is an important domain and is related with physical and psychological symptoms in terminal cancer patient. The aim of this study is to examine how patients' spirituality is associated with their physical and psychological symptoms as it has been explored by few studies. Methods: In this cross sectional study, 50 patients in the palliative ward of a tertiary hospital were interviewed. Spiritual well-being, depression, anxiety and pain is measured by Functional Assessment of Chronic-Illness Therapy-Spirituality (FACIT-Sp), hospital anxiety and depression scale (HADS) and the Korean version of the Brief Pain Inventory (BPI-K). The correlations between patients' spiritual well-being and anxiety, depression and pain were analysed. The association between spiritual well-being and age, gender, palliative performance scale (PPS), religion, mean pain intensity, anxiety, depression were assessed by univariate and multivariate regression analyses. Results: Spiritual well-being was negatively correlated with the mean pain intensity (r=-0.283, P<0.05), anxiety (r=-0.613, P<0.05) and depression (r=-0.526, P<0.05). In multivariate regression analysis, spiritual well-being showed negative association with anxiety (OR=-1.03, 95% CI=-1.657~-0.403, P=0.002) and positive association with the existence of religion (OR=9.193, 95% CI=4.158~14.229, P<0.001). Conclusion: In this study, patients' anxiety and existence of religion were significantly associated with spiritual well-being after adjusting age, gender, PPS, mean pain intensity, depression. Prospective studies are warranted.

The Levels of Anxiety and Depression according tn the Stages of Autologous and Allogeneic Hemopoietic Stem Cell Transplantation (자가 및 동종 조혈모세포이식환자의 이식단계에 따른 불안과 우울)

  • Choi, So-Eun;Lee, So-Young;Park, Hae-Ryung;Park, Ho-Ran
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.190-199
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    • 2005
  • Purpose: Objectives of this study was to investigate the level of anxiety and depression according to the stages of autologous and allogeneic hematopoietic stem cell transplantation (HSCT). It would be provide the basis for effective psycho-emotional nursing intervention. Methods: We report on 52 patients, including 19 with autologous HSCT, and 33 with allogeneic HSCT from August 2002 to August 2003, at a university hospital. Spielberger's State-Trait Anxiety Inventory and Jung's Depression Inventory were used to measure levels of anxiety and depression, respectively, at admission time, the day before HSCT, and discharge time. Data was analyzed using SAS program that included Chi-square test, Fisher's exact test, repeated measures ANOVA and Stepwise multiple regression analysis. Results: In all stages of HSCT, the level of anxiety of patients who underwent allogeneic HSCT was significantly higher than that of autologous HSCT (P=0.047). The depression at the day before HSCT was significantly higher than that at admission. The major variable affecting anxiety in autologous HSCT was depression. Specially depression and gender were significant predictors to explain anxiety in allogeneic HSCT at admission time (61%). Experience of relapse and gender were significant predictors to explain anxiety in allogeneic HSCT at discharge time (36%). Conclusion: We recommend that the anxiety and depression be researched during the stages of allogeneic HSCT, specifically in the day before HSCT. It is necessary to develop an effective psycho-emotional nursing intervention according to the stages of HSCT.

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Effects of Chronic Pain and Social support on Depression and Suicide in the Elderly (만성통증과 사회적지지가 노인의 우울과 자살의도에 미치는 영향)

  • Lee, Joo-Yeon;Moon, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.445-458
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    • 2015
  • This research is aged 65 or older with chronic pain and social support, are subject to the elderly wanted to know the effect on depression and suicide intention. This research was done through targeting elderly with chronic pain who use welfare center. The data collection period from April 20 in 2014, implemented by May 20. finally 178 kinds of types of data were analyzed. The collected data is Person's correlation coefficient, and multiple regression analysis by using SPSS 18.0, t-test, ANOVA. In this research results chronic pain, depression and suicide was observed a significant correlation between the degree of social support appear also showed a significant negative correlation of depression and suicide. Also, chronic pain can affect the degree of social support, suicide was identified as the most powerful variable impact on depression. The elderly with Chronic pain is more severe the higher the degree of suicide, The results were lower social support is also of increasing depression and suicide. There fore family and social care and social support services need to develop for prevent depression and suicide for the elderly, also needs programs invention for chronic pain as well.

Analysis of the Influence of Hopelessness, Psychosocial Stress and Depression on Suicide Ideation Among Middle School Students Using the Structural Equation Model (구조방정식모형을 이용한 중학생의 절망감, 사회심리적스트레스 및 우울이 자살생각에 미치는 영향 분석)

  • Bae, Sang-Yun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3685-3695
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    • 2014
  • This study was performed to determine the suicide ideation and its association with hopelessness, psychosocial stress and depression among some middle school students. The survey was administered to 975 middle school students in Gyeongin area during the period, May $1^{st}$ to June $30^{th}$, 2013. Structured self-administered questionnaires were delivered and collected without the respondents' personal information. As a result, concerning the correlation of depression with various factors, the level of suicide ideation was positively correlated with hopelessness, psychosocial stress and depression. Multiple linear regression analysis showed that the factors influencing the suicide ideation included sex distinction, experience of alcohol drinking, hobbies and leisure life, subjective health status, grade, school violence experience, hopelessness, psychosocial stress and depression. An analysis of the covariance structure, hopelessness (BHOP) was more influential on the suicide ideation than psychosocial stress (PWI) and depression (CES-D). The study found that higher hopelessness, severe distress and higher depression tends to increase the suicide ideation.

The Influence of Family Support Degree on the Depression of the Elderly in a Rural Area (일부(一部) 농촌노인(農村老人)이 지각한 가족지지(家族支持)가 우울에 미치는 영향(影響))

  • Kim, Mi-Suk;Kim, Ki-Soon;Park, Jong;Cho, Yong-Rae;Kim, Yang-Ok
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.115-129
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    • 1999
  • To find the influence of family support degree on the depression of the elderly in a rural area, a questionnaire survey was made toward 163 persons who were more than 65 years old and living in a township at Chollanamdo province from January 1st to February 20th, 1998. The major findings are as follows : 1. By simple analysis significantly associated variables with depression score were residence, adequacy of pocket money, health consciousness, drinking alcohol, smoking, score of activity of daily living(ADL), score of instrumental activities of daily living(IADL), and degree of family support among female respondents(p<0.05). 2. To find the influence of family support on the depression score excluding other associated variables, multiple regression analysis was made and it was found that family support was associated significantly with affective, somatic, psychomotor and psychological domain of depression score among male, and somatic, psychomotor and psychological domain among female(p<0.05). The above finding suggest that family support degree is an important factor to be associated with the depression of the elderly in the rural area. So to deal with the depression of rural elderly, how to make close relation among family members must be considered.

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