• Title/Summary/Keyword: ST depression

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Point Prevalence of Anxiety and Depression among Cancer Inpatients in a General Hospital : A Preliminary Study for the Development of Distress Management Strategies in Cancer Patients (일 종합병원 입원 암환자의 불안과 우울증상의 시점 유병률 : 암 환자 디스트레스 중재 전략을 위한 예비 연구)

  • Lee, Min-A;Huh, Hyu-Jung;Min, Jung-Ah;Lee, Chang-Uk;Lee, Chul;Kim, Tae-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.122-131
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    • 2013
  • Objectives: This study aimed to examine the point prevalence of anxiety, depression and the associated risk factors in hospitalized patients with cancer. Methods: A total of 114 patients with cancer who admitted to the Cancer Center in St. Mary's Hospital were enrolled for a day. The patients were asked to complete Hospital Anxiety and Depression Scale(HADS). Sociodemographic and cancer related clinical variables were also evaluated. Results: The point prevalence of anxiety and depression was 10.5% and 34.2%, respectively, as assessed with HADS. Logistic regression models revealed that distant metastasis was significantly associated with anxiety in patients with cancer and previous chemotherapy and Low socioeconomic status were significantly associated with depression. Conclusions: Our results indicate that more than one third of patients with cancer suffer from either anxiety or depression. In addition, previous chemotherapy as well as low socioeconomic status and distant metastasis were associated risk factors of anxiety and depression, respectively. These findings suggest the need for screening and systematized psychosocial intervention for psychological distress in hospitalized patients with cancer.

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Relations of Burnout, Interpersonal Relations, Professional Self-concept and Depression in Clinical Nurses (임상간호사의 업무소진, 대인관계 능력, 전문직 자아개념과 우울간의 관련성)

  • Yeom, Eun Yi;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2869-2879
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    • 2013
  • The purpose of this study was to investigate burnout, interpersonal relations, professional self-concept and depression in clinical nurses and to examine the relationship between these variables and depression. Data were collected through self reported structured questionnaire form 150 nurses in 8 nursing units of A general hospital by convenient sampling methods form December 10, 2012 to January 30, 2013. Burnout was negatively related to interpersonal relations and professional self-concept and was positively related to depression. Interpersonal relations were positively related professional self-concept and were negatively related to depression. Professional self-concept was negatively related to depression. Among these main variables and variables which showed significant differences in depression (age, marital status, career length, working part), only burnout accounted for 43% of the nurse's depression. Therefore, for controlling depression and improving mental health, it is necessary to develop nursing intervention to reduce burnout at the working environment.

The Relationship Between Eating Disorders, Body Image, Depression and Self-Esteem among College Women

  • Sung, Mi-Hae
    • Korean Journal of Health Education and Promotion
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    • v.19 no.4
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    • pp.33-44
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    • 2002
  • This study was conducted to investigate the relationship between an eating disorder, body image, depression and self-esteem amongst a subject group of 282 college women between Jan.,1st and 30th,2002, to provide base data for eating disorder levels of college women and to provide base data for health control. The evaluative instrument was a constructive questionnaire that consisted of 8 items of general characteristics and weight control questions, 24 questions relating to eating disorders, 17 questions pertaining to body image, 10 questions pertaining to depression and 10 questions pertaining to self-esteem. To identify the levels of an eating disorder, body image, depression and self-esteem perceived by subjects, the researcher used means and SDs. To test the significance of a subject's eating disorder, body image, depression and self-esteem according to the BMI, the researcher used the t-test. To test the correlation between the BMI, an eating disorder, body image, depression and self-esteem, the researcher used Pearson correlation coefficient. The results of this study are as follows. The mean score for anorexia nervosa was 31.52 and the mean score for bulimia nervosa was 24.12. Differences between the underweight group and the normal weight group in the level of eating disorders were significant (t=-6.94, p=.000). There were high positive correlations between the BMI and an eating disorder (r=.383, p<.01), between an eating disorder and depression (r=.161, p<.01), between body image and self-esteem (r=.653, p<.01). In addition, there were high negative correlations between an eating disorder and body image (r=-.214, p<01), between an eating disorder and self-esteem (r=-.196, p<.01), between depression and body image (r=-.541, p<.01), and between depression and self-esteem (r=-.537, p<.01). These results indicate that Korean college women need more education and counseling on dietary habits. Also, the systemic efforts reestablish the social standard of the beauty should be taken. Further empirical and experimental studies would be required for investigating for the factors influencing the eating attitude of the college women and discriminating the variables affecting the various specific dimensions of the eating attitude.

The Effect of Emotional and Informational Support Intervention on Role Stress and Depression of Primary Family Caregivers Caring Stroke Patients (정서$\cdot$정보적 지지중재가 뇌졸중환자 가족원의 역할스트레스와 우울에 미치는 영향)

  • Park Young Sook;Park Hye Yeon
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.96-110
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    • 2001
  • The purpose of this study was to examine the effect of emotional and informational support intervention on role stress and depression of primary family caregivers caring stroke patients and to develop an effective nursing intervention method for them. This study selected the quasi-experiment, based on pre-test and post-test design of non-equivalent control group as a method of study. This study was conducted with 69 primary family caregivers caring stroke patients hospitalized in K and D hospitals in Daegu from August 20 to October 25, 2000. Out of them, 34 were placed in the experimental group, and 35 in the control group. The emotional and informational intervention program was divided into two aspects-emotional support and informational support- and executed three times, using prepared instruments and a guidebook. The intervention program consisted of the 1st intervention for one or one-half hour, the 2nd intervention for 30 minutes in two or three days after the 1st intervention. and the 3rd intervention for 30minutes in another two or three days after the 2nd intervention. Pre-test was carried out just before the 1st intervention, and the post-test was carried out right after the 3rd intervention, in order to collect data. The measuring instrument of role stress used was one that was modified to the role stress instrument of Yang Young-hee(1992) and the stress instrument of Choi Eun-sook (1992). The reliability was Cronbach's $\alpha=.8271$. The measuring instrument of depression used was one that was developed by Beck(1967) and standardized by Han Heung-moo et al(1986). The reliability was Cronbach's $\alpha=.8693$. Data were analyzed with percentage, mean, standard deviation, $x^2-test$, t-test and Paired t-test by using SPSS 9.0 program. The results of this study are summarized as follows: 1. Role stress score of the experimental group was revealed to be significantly lower than that of the control group 2. Depression score of the experimental group was revealed to be significantly lower than that of the control group Accordingly, the emotional and informational support intervention can be a way to reduce role stress and depression of primary family caregivers caring stroke patients.

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Depression and Related Factors for Adolescents (청소년기 우울 성향과 관련된 요인)

  • Kim, Mee Young;Rang, Yun Ju
    • Journal of the Korean Society of School Health
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    • v.13 no.2
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    • pp.261-270
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    • 2000
  • Background: Adolescence is the transitional period between childhood and adulthood. We have to pay attention to their psycho-social problems as well as their physical symptoms. In this context, we need to investigate the adolescent depression tendency and its related factors. Method : From May to June in 1008, we chose one elementary school, one middle school and one high school in Seoul and surveyed for all students who were above the 4th grade of elementary school and their parents. We analyzed the data for 3,685 students. Result: From the 6th grade of elementary school to the 1st grade of high school, the girls' DSRS(Depression self-rating scale) score was significantly higher than the boys'. The DSRS score was increased from the 2nd grade of high school for boys and from the 1st grade of high school for girls. The Pearson correlation coefficient between age and DSRS score was 0.16(p<0.01) and that between APGAR and DSRS score was -0.45(p<0.01). The median number of psychosomatic symptoms of the past month was 6, and when students complained for more psychosomatic symptoms, the DSRS scores were higher. Those who drank or smoked ranked significantly higher in DSRS score; and, those who exercised regularly, had leisure activity, and had a faithful person for counselling ranked significantly lower in DSRS score. Conclusion : Adolescents who complained of many psychosomatic symptoms needed to be screened for depression. A primary physician have to intervene about health related behavior such as family function, smoking, exercise and relieving stress.

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Relationship between Negative Sexual Experience and Psychiatric Symptoms in Patients with Depression or Anxiety Disorders by Gender and Type of Negative Sexual Experience (우울 및 불안장애 환자에서 성별 및 성경험 유형에 따른 부정적 성경험과 정신과적 증상 사이의 연관성)

  • Ji, Min-A;Jeong, Bo-Ram;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.15 no.2
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    • pp.77-83
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    • 2019
  • Objective : This study aims to investigate the relationship between negative sexual experience and psychiatric symptoms by gender and compare the effects of sexual assault and unwanted sexual experiences on psychiatric symptoms in patients with depression or anxiety disorders. Methods : A total of 204 respondents who have had negative sexual experiences of outpatients diagnosed with depression or anxiety disorders were evaluated with AUDIT, PSS, STAI, BDI, and SSI. Independent samples t-test was performed to compare the psychiatric symptom scale scores between male and female and identify the difference of the psychiatric symptom scale scores between those who have had sexual assault and those who have had only unwanted sexual experience. Results : There was no difference in psychiatric symptom scale scores except for AUDIT between male and female in 204 patients with negative sexual experience. There was also no significant difference in AUDIT, PSS, and STAI scores between those who experienced sexual assault and those who experienced only unwanted sexual experiences. BDI and SSI scores are significant higher in those who experienced sexual assault than those who experienced only unwanted sexual experiences. Conclusion : This suggests that male and female may have similar levels of psychiatric symptoms after experiencing negative sexual experiences. Psychiatric symptoms caused by sexual assault may have differences from the psychiatric symptoms caused by unwanted sexual experience. Understanding the differences in psychiatric symptoms according to the type of negative sexual experience may helpful to direct the therapeutic plans.

Self Care Compliance, Family Support, and Depression in Patients with Congestive Heart Failure (울혈성 심부전 환자의 자가관리 이행, 가족 지지 및 우울)

  • Lee Sun-Hee;Ahn Sung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.186-194
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    • 2005
  • Purpose: The purpose of this study was to examine self care compliance, family support, and depression in patients with congestive heart failure. Method: The participants were 105 outpatients with congestive heart failure. Data were collected using a questionnaire survey on self care compliance, family support, and depression. The collected data were analyzed using the SPSS Win 10.0 program. Result: 1. The total score for Self care compliance was 78.34 out of a possible 120 and was significantly high for people in ages between 70-79 years and people who were not employed. Exercise compliance was significantly high in men and classifications I & II of the NYHA class. Compliance with smoking and alcohol cessation were significantly high in women. Medication compliance was significantly high in the group which had experience with hospitalization. Family support was 31.75 out of a possible 40 and showed significant differences depending on spouse status and religion. Depression was 30.18 out of a possible 64 and was significantly high in the group whose educational level was above college graduation or who were under 65 years of age. Conclusion: The results suggest that nurses have to emphasize smoking and alcohol cessation for men, exercise for women and total self care compliance for patients under 65 years of age.

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Effects of Music Therapy on Pain and Depression in Terminal Cancer Patients (음악요법이 말기암 환자의 통증과 우울에 미치는 효과)

  • Seo, Ba-Run;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.12 no.1
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    • pp.48-57
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    • 2010
  • Purpose: The purpose of this study was to examine the effect of music therapy on pain, depression in terminally-ill patients. Methods: The subjects for this study were collected from 44 patients who were admitted in F hospital, located in D city from July 1 to July 31 in 2008. The subjects were divided into two groups: 23 experimental group members and 21 control members. While the control group was not received any additional intervention, the experimental group was received music therapy intervention. Data analysis were performed by the chi-square test, t-test and ANCOVA with SPSS/WIN 12.0 Program. Results: The 1st hypothesis is, "the experimental group who received music therapy would have less pain score than the control group who did not receive music therapy", was rejected (F=2.33, p=.14). The 2nd hypothesis is, "the experimental group who received music therapy would have less depression score than the control group who did not receive music therapy", was supported (F=11.616, p=.001). These results demonstrated that music therapy to terminally patients was an effective method in decreasing depression. Conclusion: Based on the results of this study, Music therapy can be utilized as an effective nursing intervention for the terminally ill.

Subjective Sleep Characteristics and Depression of shift Nurses (교대근무 간호사의 주관적 수면특성과 우울성향)

  • Jeong, Sook Hee
    • Korean Journal of Occupational Health Nursing
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    • v.7 no.2
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    • pp.155-163
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    • 1998
  • In order to investigate the effects of rotating shift work on the subjective characteristics of sleep and mental depression questionnaire survey was carried out on 405 shift workers and 153 nonshift workers who were nurses employed. in three university hospital. The questionnaire forms used in this study were the self rating depression scale(SDS) and circadian type questionnaire(CTQ) factor R(rigidity/flexbility of sleeping habit) and factor V(inability/ability to overcome drowsiness). The results were as follows ; 1. Mean score of CTQ R in shift workers was significantly lower than that in nonshift workers, however, no significant difference in CTQ V was observed between two groups. 2. Mean score of SDS was significantly higher in shift workers(44.1) than in nonshift workers(39.8). 3. Mean self rating depression scale scores of pervasive affect, physiologic equivalents and psychological equivalents were significantly higher in shift workers than in nonshift workers. 4. In shift worker, mean SDS score was the highest in confusion and followed by diurnal variation, retardation, and indeciveness in the descending order. In nonshift worker, that score was the highest in decreased libido and followed by confusion, and indeciveness in the descending order. 5. Circadian type questionnaire scores was significantly and negatively correlated with significantly and negatively correlating with Self-rating depression scale scores(r=-0.473).

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Factors Influencing Depression with Emotional Labor among Workers in the Service Industry (서비스직 근로자의 우울에 영향을 미치는 요인 - 감정노동 종사자의 직무스트레스를 중심으로 -)

  • Lee, Bok-Im;Jung, Hye-Sun;Rhee, Kyung-Yong;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.566-576
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    • 2004
  • Purpose: The study was to determine variables related to the depressive impact of emotional labor among workers. Method: 443 respondents were surveyed through the NIOSH generic job stress questionnaire from December 1st through December 30th, 1999. Results: 1. Employment type and job insecurity showed a significant relationship with developing depression, load and role ambiguity. 5. Intervention programs and effective communication networks are needed to help workers cope with their job stress in a positive manner. Conclusions: First, given the correlation between the frequency of avoiding tactics and depression levels, an intervention program is needed to help workers cope with their job stress in a positive manner, Lastly, because role ambiguity was one of the main causes of depression among workers who perform emotional labor, establishing an effective communication network is important to make communication flow within the workplace clear and open.

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