• Title/Summary/Keyword: ST depression

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Function of Social Support on Depression of Patients with Rheumatoid Arthritis (류마티스 관절염환자의 우울에 대한 사회적 지지기능)

  • Choi, Soon-Hee
    • Journal of muscle and joint health
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    • v.3 no.1
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    • pp.63-89
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    • 1996
  • This study has been done for the purpose of determining whether the positive association between social support and depression is attributable to an overall beneficial effect of support(direct effect) or to a process of support protecting persons from adverse effects of stressors such as life events, pain or physical disability (buffering effect). The sample consisted of 214 patients who were identified as the rheumatoid arthritis. The instruments used in this study were Depression Scale(CES-D), Perceived Social Support Scale, Life Events Questionnaire, AIMS Pain Scale, and Physical Disability Scale. The data were analysed by the use of t-test, ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression. The results of this study are summerized as follows : 1. The 1st hypothesis, "The higher the life events degree, the higher the depression degree" was supported(r=.49, P=.0001). 2. The 2nd hypothesis, "The higher the pain degree, the higher the depression degree" was supported(r=.44, P=.0001). 3. The 3rd hypothesis, "The higher the physical disability degree, the higher the depression degree" was supported (r=.46, P=.0001). 4. The 4th hypothesis, "The higher the social support degree, the lower the depression degree" was supported(F=84.52, P=.0001). 5. The 5th hypothesis, "There will be different in the relationship between the degrees of life events and depression according to social support degree" was rejected (F=.29, P=.5928). 6. The 6th hypothesis, "There will be different in the relationship between the degrees of pain and depression according to social support degree" was supported (F=3.19, P=.0755). 7. The 7th hypothesis, "There will be different in the relationship between the degrees of physical disability and depression according to social support degree" was supported(F=5.69, P=.018). 8. The predictive variables for depression were the degrees for social support, life events, pain, and physical disability. 9. The depression degree showed a inverse correlation with social support degree (r=-.56, p=.0001). The social support degree showed a inverse correlation with the degrees of life events(r=-.22, p=.0007), pain(r=-.18, p=.0069) and physical disability(r=-.15, p=.0293). 10. The depression degree showed significant differences in the variables of sex (t=2.26, p=.025), educational level(r=.189, P=.006) and the number of treatment method (r=.201, P=.003). In conclusion, it was found that social support had the direct effect on depression and the buffering effect in each relationship between degrees of pain or physical disability and depression in patients with rheumatoid arthritis. So the researcher thinks that it is effective that nurses should provide these patients with social support to reduce depression in cases of having severe pain or physical disability.

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A Study on the Depression and Anxiety of High School Students in an Urban Area (도시지역 일부 고등학생들의 우울과 불안에 관한 조사 연구)

  • 곽은주;송인순;정용준;조영채
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.63-79
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    • 2003
  • This study has examined the degree of depression and anxiety among high school students in an urban area and then explored the factors influencing their depression and/or anxiety status. Self-administered questionnaires were offered to 2,381 students from ten high schools in Daejon Metropolitan City. The items for investigation included such factors as various characteristics of school and family life, daily life style, and the degree of depression and anxiety. Based on the study results, the following conclusions were made; 1. The distribution according to the depression degree has shown that 61.9% of students were normal, 32.9% of students had mild depression, 5.0% moderate depression, and 0.3% severe depression. As for anxiety, 40.2% of students were normal, while 19.1% were classified as having anxiety and 40.7% borderline anxiety. 2. As regards to the degree of depression and anxiety, it was greater in girls than boys, in 3rd graders than 1st and 2nd graders, and in the groups who have recieved lower grades in studies, who had poor relations with their friends and a low feeling of satisfaction with school life. In particular, concerning various characteristics of family life, the scores of depression and anxiety were higher in the groups whose financial conditions were poor, whose parents' interests were lower, whose degree of satisfaction with their family and school life was lower, than their counterparts. 3. According to their life styles higher scores of depression and anxiety were found in the groups whose sleeping time was inappropriate, whose breakfasts were skipped, who ate daily snacks, who didn't take regular exercises, and who had poor health habits, compared to their counterparts, respectively. 4. As for the correlation between the degree of depression and its associated variables, the higher scores of depression were in positive correlation with the groups who had lower grades in studies, poor relation with their friends, low feeling of satisfaction with school and home life, low parents' interest, poor subjective condition of health, breakfast skipping, lack of regular exercises, and lower indices of health habits. 5. As for anxiety, the higher scores of anxiety were in the positive correlation with the groups with poor relation with their friends, low feeling of satisfaction with school and family life, poor subjective condition of health, lack of regular exercises, and poor health habits. 6. The influential factors on the depression of students were selected such as subjective condition of health, sex, feeling of satisfaction with family and school life, grades in studies, relation with their friends, presence of regular exercises, degree of interest of parents, sleeping time, cigarette smoking and eating breakfast. 7. The influential factors on the anxiety state of students were selected such as subjective condition of health, feeling of satisfaction with family and school life, sex, sleeping time, regular exercises, cigarette smoking, snacking and relations with their friends. The present study results suggest that girls rather than boys, higher graders than lower ones are more vulnerable to anxiety and depression state, and besides, various characteristics of school and family life, and daily life style can be influential on students' emotional states. Therefore, better management of psychological status of students is thought to require a wide variety of measures to modify the influencing factors and to encourage social support.

Relationship between Glycated Hemoglobin and Depression, Anxiety, Alexithymia, Stress Response in Diabetic Patients - A Preliminary Study - (당뇨환자에서 당화혈색소와 관련된 우울, 불안, 감정표현불능, 스트레스반응 - 예비적 연구 -)

  • Jeong, Jong-Hyun;Ko, Seung-Hyun;Hong, Seung-Chul;Han, Jin-Hee;Lee, Sung-Pil;Ahn, Yoo-Bae;Song, Ki-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.2
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    • pp.157-164
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    • 2004
  • Objectives : This study was designed to investigate depression, anxiety, alexithymia, stress responses between well-controlled and poorly-controlled diabetic patients by glycated hemoglobin levels. Methods : The subjects were 55 diabetic patients(mean age : $49.9{\pm}9.9$, 27 men and 28 women) who were confirmed to have diabetes depending on the laboratory findings as well as clinical symptoms at the St. Vincent Hospital Diabetes Clinic, from Mar. 2004 to Aug. 2004. 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. Based on glycated hemoglobin levels, the patients were divided into 10 well-controlled group(below 7%) and 45 poorly-controlled group(above 7%). We compared BDI, STAI, TAS and SRI scores between two groups by independent t-test. Results 1) Well-controlled diabetics, compared with poorly controlled group, manifested decreased illness duration($12.2{\pm}55.4$months vs. $55.4{\pm}66.6 months)(p=0.000), but other demographic data showed no difference between two groups. 2) The STAI scores of poorly-controlled group were significantly higher in both state anxiety sores $(38.7{\pm}3.8 \;vs.\;43.7{\pm}6.7)(p=0.29)$ and trait anxiety scores$(36.9{\pm}5.7\;vs.\;41.5{\pm}6.4)(p=0.43)$ than well-controlled groups. 3) No significant differences were found in the score of BDI, TAS, SRI between well and poorly-controlled diabetic groups. Conclusion : The above results suggest that poorly-controlled diabetic patients are more likely to have higher anxiety level than well-controlled diabetic patients. However, there were no differences in depression, alexithymia, stress responses between two group. We suggest that physicians should consider integrated approaches for psychiatric problems in the management of diabetic patients.

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Factors related to Depression in Korean Middle School Adolescents (우리나라 중학교 청소년의 우울과 관련요인)

  • Park, Hyung-Su;Noh, Ji-Sook;Bae, Sang-Yeol;Choi, Moon-Sil;Ko, Dae-Sik;Park, Jong
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.19-28
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    • 2010
  • Purpose: This study was aimed to identify factors related with depression among boys and girls in Korean middle school adolescents. Methods: This study used the data from the 2007 annual survey of youth health behaviors conducted by the Korea Centers for Disease Control and Prevention between the period of 2007/9/1 and 2007/9/22 (with the extension of 2007/10/1 and 2007/11/3). The target number of this study was 21,047 male and 18,424 female students all in the age group of middle school 1st grade and 3rd grade. Results: Depression of middle school adolescents was 33.4% for male students, 43.8% for female students, 38.3% in overall. With regard to the relationship between the demographic characteristics and the health behavior, both male and female students felt more depressed when they had more stress, followed by the cases with stimulant intakes and chronic diseases. For male students, higher level of physical activity was associated with greater level of the depression. For female students, living with only one parent or other person seem to cause more depression. Conclusion: Depression of middle school adolescents requires a special attention from the family, the school and society in general to find out and eliminate the root of these symptoms.

Influence on College Students' Depression of Anxiety, Unemployment Stress, and Self-esteem - Moderating Effect of Resilience - (대학생의 불안, 취업스트레스 및 자아존중감이 우울에 미치는 영향 -회복탄력성의 조절효과-)

  • Choi, Seung-Hye;Lee, Haeyoung
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.619-627
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    • 2014
  • The purpose of this study is to investigate the levels of depression of the college students, and correlation of depression and anxiety, unemployment stress, self-esteem, and finally to explore the moderating effect of resilience between those variables. The participants of the survey were 298 college students. The data were analyzed with t-test, ANOVA test, Pearson correlation coefficient, and moderated multiple regression by SPSS Win 18.0. The major findings were as follow; students appear to have more depression when they are female, in 1st, 2nd, 4th grades than 3rd grade, and in a low economical status. Students' depression had a positive correlation with anxiety and unemployment stress, and had a negative correlation with self-esteem, resilience. In moderated multiple regression analysis, self-esteem and anxiety were influenced by resilience such as self-control ability. Therefore, the intervention strategies for decreasing depression of college students should include development of resilience, especially self-control ability in specific, besides control of the anxiety and unemployment stress.

Anxiety-depression and Maternal Fetal Attachment Behaviors of Pregnant Women with Preterm Labor and Normal Pregnant Women (조기진통임부와 정상임부의 불안 우울과 태아애착행위)

  • Moon, Eun-Hye;Kim, Jae-Youn;Jeung, Min-Kyong;Son, Hyoe-Min;Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.9 no.2
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    • pp.128-139
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    • 2006
  • The purpose of this study was to compare the differences of anxiety-depression and maternal fetal attachment between pregnant women with preterm labor and normal pregnant women. The number of subjects was 132 convenienced sample. The sample were 66 pregnant women with preterm labor admitted in clinics and 66 normal pregnant women visited OB outpatient department at 1 general hospital in Busan. The data were collected by a self-reported questionnaire from Aug. 1st to Oct, 31th. 2006 and were analyzed with t-test, ANOVA, chi-square test using SPSS/Win PC+ 12.0. The research results were as follows: 1. The general characteristics between normal and preterm pregnancy were homogeneous. 2. It was significantly differed according to anxiety-depression between two groups, but it was not significantly differed according to maternal fetal attachment. 3. There were negative correlations with anxiety-depression and maternal fetal attachment. In conclusion, the special program should be created for each pregnant women and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal fetal attachment, and needed the development of professional and educational nursing intervention on anxiety-depression and maternal fatal attachment enhancement in prenatal health care.

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A Study of Anxiety, Depression and Disease Activity Index in Patients with Systemic Lupus Erythemtosus (전신 홍반성 루푸스 환자의 불안, 우울 및 질병활성도에 관한 연구)

  • Song, Byung-Eun;Sohng, Kyeong-Yae;Yoo, Yang-Sook
    • Journal of muscle and joint health
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    • v.7 no.2
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    • pp.258-268
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    • 2000
  • The purpose of this study is to describe anxiety, depression and disease activity index(SLEDAI) and correlations among these variables, to provide the basic information developing apporiate nursing interventions for the lupus patients. In this study, authors evaluated anxiety, depression and SLEDAI from 39 lupus patients at one university hospital in Seoul. Data were collected by using questionnaires and reviewing medical records. Frequencies, t-test, Duncan's multiple range test after ANOVA were evaluated with SAS program. The key results were as follows : 1. The average age of the subjects was 31.0 years and ranged from 20 to 51. Female comprised 70.9% and 79.5% were unemployed and housewife. Fifty one point nine percent of the sample had a spouse and above junior college graduates. 74.4% of the sample had a religion and average length of suffering from lupus was 66.59 months. Majority(94.9%) of the subjects had experience of hospitalization, and 55.3% had experience of learning about lupus and average number of learning was 3.9. 2. The average anxiety score of the subjects was 44.53, showing significant relationship with educational background(t=2.27, p< .05), monthly income(F=4.56. p< .05). 3. The depression score was 41.85, showing significant relationship with monthly income(F=3.81 p=0.0236) experience of learning about lupus(t=2.09, p< .05). 4. The SLEDAI score was 12.36, showing no significant relationship with demographical variables. 5. Anxiety showed positive correlations with depression(r=0.76, p< .001), SLEDAI(r=0.48, p< .01), and depression showed positive correlations with SLEDAI(r=0.42, p< .001).

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The Effects of Stress on Smartphone Addiction in University Students -Mediator Effects of Depression- (대학생의 스트레스가 스마트폰 중독에 미치는 영향 -우울감을 매개효과로-)

  • Lee, Mi-Young
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.375-384
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    • 2019
  • The purpose of this study is to investigate the relationship among stress, smartphone addiction, and depression of university students and whether depression is mediators in the relationship between stress and smartphone addiction. For this purpose, data were collected from May 1st to 31, 2017 from 400 university students, and analyzed 381 valid ones. Frequency analysis, reliability analysis, correlation analysis and regression analysis were used as analysis methods; and the Soble test was conducted in addition to verification of mediator effect according to procedures of Baron & Kenny(1986) for verification of mediator effect. The results of this study are as follows. First, stress of the subjects was positively correlated with depression(employment stress r=.353, economic stress r=.193, heterosexual relationship stress r=.138) and smartphone addiction(employment stress r=.262, economic stress r=.178, heterosexual relationship stress r=.190). Second, depression was a statistically significant partial mediator between employment-stress and smartphone addiction(Z=2.7151, p<.001). Based on the results of this study, I proposed education/counseling programs that can relieve employment-stress and depression.

The Effects of Entertainment Producer and Writer Job Stress Factors on Stress Level and Depression (예능 PD, 예능 작가의 직무스트레스요인이 스트레스 수준 및 우울에 미치는 영향)

  • Ryu, Si-Nae;Koo, Jung-Wan
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.1
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    • pp.108-118
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    • 2019
  • Objective: The purpose of this study was to investigate the effects of occupational stress factors on the level of stress and depression of entertainment program producers and entertainment program writers. Methods: This study was based on analysis of a survey collected by 65 respondents out of 224 questionnaires who are entertainment program PDs and entertainment program writers. The survey was conducted from December 20, 2017 to February 20, 2018. Results: In the logistic regression analysis conducted to investigate the factors affecting the stress level in the job-related characteristics of a) higher total career, b) shorter working period in the current firm, c) longer weekly working hours and d) more count of weekend work, the results found higher stress levels. In the sub-factors of job stress, the stress level encountered by respondents was significantly higher for those with a) higher job demand, b) lower insufficient job control and c) higher job instability. In the logistic regression analysis conducted to investigate the factors affecting depression, the depression level in entertainment PD was higher than the entertainment writer in the sociodemographic characteristics. In the sub-factors of job stress, the stress level was significantly higher for those with higher job demand, lower insufficient job control, and higher job instability. For job-related characteristics, depression was significantly higher for longer weekly working hours. Conclusions: Entertainment program producers and entertainment program writers suffer from psychosocial stress and depression which are caused by excessive job demands, lack of job autonomy and job instabilities. Those factors must be managed and also their workweek should be shortened.

Effects of Fear of Coronavirus Disease 2019 and Social Distancing on Women's Suicidal Ideation: Mediating Effect of Depression (코로나바이러스감염증-19로 인한 두려움, 사회적 거리두기가 여성의 자살 생각에 미치는 영향: 우울의 매개효과)

  • Kim, Hyo Yeon;Park, Hanjong
    • Journal of Korean Academy of Nursing
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    • v.52 no.4
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    • pp.464-475
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    • 2022
  • Purpose: This study aimed to identify the mediating effects of depression amid the influence of fear and social distancing arising from Coronavirus disease 2019 (COVID-19) in Korean women's suicidal ideation. Methods: A descriptive correlation study was conducted. Study participants, recruited by Hankook Research from March 2 to March 5, 2021, included 300 women aged 19 to 49 living in South Korea, and 100 people were randomly allocated and enlisted for each age group out of 700,000 Hankook Research Panels recruited in advance from 17 cities and provinces nationwide. Data were collected through a self-reported questionnaire and analyzed using Pearson's correlation coefficient and Hayes' Process Macro Model 4 with 95% bias-corrected bootstrap confidence interval via SPSS statistics 27.0. Results: Suicidal ideation was significantly correlated with fear of COVID-19 (r = .16, p = .006) and depression (r = .65, p < .001). The mediation effect of depression in the relationship between the fear of COVID-19 and suicidal ideation was found to be significant (B = 0.40, boot 95% CI: 0.21~0.61). However, social distancing did not significantly affect suicidal ideation via depression (B = - 0.79, boot 95% CI: - 1.94~0.26). Conclusion: It is necessary to develop and apply interventions to prevent depression and suicidal behaviors by continuously observing and reducing the negative psychological responses caused by COVID-19.