• Title/Summary/Keyword: Self-rated depression

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Health-Related Factors Influencing the Quality of Life of Rural Elderly Subjects - Activities of Daily Living, Cognitive Functions, Prevalence of Chronic Diseases and Nutritional Assessment (농촌지역 노인의 삶의 질에 영향을 미치는 건강관련 요인 - 신체기능, 인지기능, 만성질환 유병율 및 영양진단)

  • Lee, Mee Sook
    • Korean Journal of Community Nutrition
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    • v.17 no.6
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    • pp.772-781
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    • 2012
  • In order to supply the reference data to define the quality of life of the rural agricultural elderly population in the simplified steps, the data were collected by personal visits to 232 elder people over 65 (89 males and 143 females) in Sunchang area. The survey was conducted with written questionnaires concerning the quality of life, health-related habits, basic physical functions and cognitive behavior. The prevalence of the degenerative diseases were assessed by anthropometric and biochemical determinations. The averaged overall quality of life represented by EQ-5D index with Nam's model was calculated to be $0.865{\pm}0.1509$, and the percentages of people below the average were 38% (low QOL group) and 62% (high QOL group) were found to be the above the average. Generally, the subjects with male gender, higher educational background, higher self-rated health status, higher social activities were belonged to the high QOL group. The high QOL group had higher scores of daily living activities KADL and IADL, and lower risks in cognitive functions K-MMSE and depression scale GDS. There was no statistically significant correlation between biochemical indexes of blood and cognitive function and EQ-5D scores when the results were adjusted for age and gender. There were significant differences in nutritional assessment determined by the MNA between the high and low QOL groups. The low QOL group showed inferior nutritional status. The rapidly measurable factors of the quality of life of rural elderly were turned out to be physical activity scores and the simplified nutritional status measurement.

Mortality Risk by Living Arrangements among Old Adults: Comparison between Living with Others and Living Alone (노인의 거주형태에 따른 사망 위험요인: 동거노인과 독거노인의 비교)

  • Lee, Si-Eun
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.249-256
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    • 2020
  • This study was to identify differences in mortality risk by living arrangements among older adults. We analyzed data from 3,827 older adults who took part in the 2014 Korean Longitudinal Study of Aging. Cox proportional hazards regression was used for data analysis. The significant factors associated with mortality risk in living with others were male, education level, self-rated health, limitation of instrumental activities of daily living, cognitive dysfunction, and depression. The significant factors associated with mortality risk in living alone were regular exercise, limitation of instrumental activities of daily living, and cognitive dysfunction. This study is significant in that it examined whether there are differences between mortality risk by living arrangements. According to the results of this study, nursing intervention should be developed to decrease mortality by living arrangements.

Family Nursing Phenomena of High-risk and Frail Older Persons in the Community using the International Classification for Nursing Practice (ICNP (International Classification for Nursing Practice)를 이용한 재가 고위험 허약 및 허약 노인들의 가족간호현상)

  • So, Ae Young;Nam, Eun Woo;Shin, Dong Eun
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.152-160
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    • 2021
  • Purpose: This study, using the International Classification for Nursing Practice, aimed to identify the phenomenon of family nursing care, and the factors affecting it, for high-risk and frail older persons who have a significant need for home healthcare services. Methods: This study was conducted using secondary data collected by students who interviewed 93 healthcare subjects in a health center. The data was used to analyze the general characteristics, health-related characteristics, and confirmed problems of family nursing phenomena of the subjects. Independant t-test, Pearson correlation coefficient, and multiple linear regression were used for the data analysis. Results: The mean age of the subjects was 82.4±6.3 years. The most common problem of the family nursing phenomenon were unhealthy lifestyle, disturbance in family communication, and lack of family interaction in the community. People with greater family nursing phenomenon problems reported a higher degree of frailty and depression, lower quality of life and self-rated health. The factors that influence the family nursing phenomenon of frail older persons are the problems of mobility and hearing. Conclusion: Physical and psychological problems associated with aging can cause not only personal, but family functional problems as well. Therefore, a comprehensive family-oriented support program is required.

The association between oral and general health-related characteristics and health-related quality of life (EQ-5D) by age groups among the elderly in Korea: The Sixth Korean National Health and Nutrition Examination Survey (한국 노인의 연령계층별 구강 및 전신 건강관련 특성과 건강관련 삶의 질(EQ-5D)과의 관계 : 국민건강영양조사 제6기 자료를 이용하여)

  • Han, Su-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.699-713
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    • 2019
  • Objectives: This study aimed to identify the relationships of oral and systemic health-related characteristics with health-related quality of life (EQ-5D) in the elderly, and factors related to quality of life were compared according to age subgroups classified as either younger (young-old) or older (old-old) than 75 years of age. Methods: Data acquired by the Sixth Korean National Health and Nutrition Examination Survey(KNHANES) from 2013 to 2015 were used, and the research target was 3,124 people aged 65 years or older. A complex samples general linear model was used to identify health-related quality of life factors. Results: Education, economic activity, depression, stress, regular walking, self-rated oral health, pronunciation problems, and unmet dental care had significant effects on quality of life in both young-old and old-old participants. Marriage, income, number of systemic diseases, sleeping, and chewing inconveniences were significant factors for the young-old but not in the old-old participants. Instead, obesity and drinking were identified as significant factors in the old-old participants. Conclusions: We reaffirmed that factors affecting health-related quality of life in older adults differed by age group. We also confirmed the impact of oral health-related characteristics on this quality. Therefore, to improve quality of life for older adults, it would be efficient to divide groups by age and develop and implement programs that take relevant factors into consideration.

RELATIONSHIP BETWEEN ADOLESCENT INTERNET ADDICTION AND DEPRESSION, IMPULSIVITY, AND OBSESSIVE-COMPULSIVITY (청소년 인터넷 중독과 우울, 충동성, 강박성과의 연관성)

  • Lee Dae-Hwan;Choi Young-Min;Cho Soo-Churl;Lee Jung-Ho;Shin Min-Sup;Lee Dong-Woo;Kim Bong-Seog;Kim Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.1
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    • pp.10-18
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    • 2006
  • Objective : The aims of this study were to explore the relations of internet addiction to depression, impulsivity, and obsessive-compulsivity in adolescents. Methods : 1410 high school students (male=611, female=799 : mean age=$16.2{\pm}0.7$) were included in this study. The questionnaire consisted of items on demographic characteristics and internet use pattern. We assessed the level of internet addiction using Young's internet addiction scale (IAS) Barratt impulsiveness scale (BIS) and Maudsley obsessive compulsive inventory (MOCI) were also self-rated. In this study, We defined upper 25% of IAS as 'addiction group' and lower 25% as 'non-addiction group'. Results : The results were as follows ; 1) Male students had significantly higher mean scores on Internet addiction scale than females and there was significantly higher rate of male students in addiction group. 2) The addiction group spent more time for internet use, especially for games than non-addiction group. 3) The addiction group showed significantly higher total scores on BDI, BIS, and MOCI than non-addiction group. 4) Significant associations have been found between the level of internet addiction and depression, impulsivity, and obsessive-compulsivity, respectively. Conclusion : Depression, impulsivity, and obsessive-compulsivity could be significant factors predicting internet addiction. Especially, direct effect of impulsivity could be the most significant to explain internet addiction. Adolescents with high impulsivity may be vulnerable to internet addiction.

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The Injury and its Related Factors in the Elderly Using the Data of 2008 Community Health Survey (2008 지역사회 건강조사 자료를 이용한 노인의 손상 관련요인)

  • Kwon, Yu-Jin;Ryu, So-Yeon;Shin, Seung-Ok;Chun, In-Ae;Park, Moon-Sook;Shim, Jae-Soon
    • Journal of agricultural medicine and community health
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    • v.39 no.1
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    • pp.1-13
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    • 2014
  • Objective: The objectives were to estimate the rate of the injury in the elderly over the past year and to identify factors related to injury in the elderly in South Korea. Method: Using data from the 2008 Community Health Survey, 43,049 elderly persons, aged 65 years and older, were selected as study subjects. Their experience of injury during the past year and other variables, including socio-demographic factors, health-related factors, and diagnosed chronic diseases, were used. The chi-squared test and multiple logistic regression analysis with weighted analysis were conducted and statistical significance was set at p<0.05. Result: The rate of injury in the elderly during the past year was 5.1%. The most common types of the injury were falling/slipping down and traffic accidents. Factors related to injury in the elderly were living alone, current drinking, depression, poor self-rated health, stroke, and osteoporosis. Living alone (odds ratio 1.23, 95% CI: 1.05-1.45), current drinkers (OR 1.19, 95% CI: 1.05-1.35), poor self-rated health (OR 1.72, 95% CI: 1.43-2.08), depression (OR 1.23, 95% CI: 1.17-1.68), and history of stroke (OR 1.40, 95% CI: 1.17-1.68), and history of osteoporosis (OR 1.45, 95% CI: 1.26-1.66) were related to an increased risk of injury. Conclusions: Intervention programs that consider the risk factors related to injury should be developed and implemented to decrease and prevent injuries in the elderly.

Parental Alcohol Problems and Children's Behavior & Psychosocial Characteristics (부모의 음주문제와 자녀의 행동 및 심리사회적 특성)

  • Kim, Seok-Hyeong;Koo, Min-Seong;Oh, Dong-Yul;Park, Il-Ho;Lee, Kang-Soo;Kim, Ji-Yeon;Song, Jung-Eun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.3
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    • pp.162-168
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    • 2011
  • Objectives: Alcohol problems of parents have an influence on not only their psychological problems but also on their children's psychosocial adaptation. The purpose of this study was to compare the emotional and behavioral problems, including school bullying and social skills, between children of alcoholics (COAs) and children of non-alcoholics (non-COAs). Methods: We recruited $4^{th}$ grade children (n=741) from 7 primary schools in Seoul and their parents as subjects. The self-rated psychiatric symptoms were assessed with the Korean version of the Children of Alcoholics Screening Test (CAST-K), the Children's Depression Inventory (CDI), the Rosenberg's Self-esteem Scale (RSES), the School Bullying Scale, the Social Skill Rating Scale and the Korean version of Alcohol Expectancy Questionnaire-Adolescent (AEQ-A). The Attention-deficit Hyperactivity Disorder Rating Scale-IV (ARS) was completed by the parents. Results: 518 children were non-COAs and 223 were COAs. The COAs showed higher CDI and ARS-IV scores and lower RSES scores than the non-COAs. Especially, the COAs also showed higher school bullying scale scores and lower cooperative scale scores on the social skill rating scales. But there was no difference of alcohol expectancy between the COAs and non-COAs. Conclusion: It was plausible that the COAs had more behavioral & psychosocial problems than the non-COAs among the school aged children. It is important to identify and intervene to solve the problems of peer relationships of school age COAs in order to prevent victimization by bullying and to improve psychosocial adaptation.

Burnout among Medical School Faculty Members: Incidence and Demographic Characteristics at Three Medical Schools in the Busan and Gyeongnam Area of Korea (의과대학 교수들의 탈진: 부산·경남지역 3개 의과대학 교수 탈진 빈도와 양상)

  • Seo, Ji-Hyun;Kim, Bukyung;Bae, Hwa-Ok;Im, Sun Ju;Kim, Kyung Han
    • Korean Medical Education Review
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    • v.16 no.2
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    • pp.67-76
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    • 2014
  • Few studies have examined burnout among the faculty of medical schools in the Republic of Korea. The aim of this study was to determine the level of burnout and its associated factors among the faculty members of three medical schools in the Busan-Gyeongnam area, and to summarise the available literature on burnout. We conducted the survey using a validated questionnaire that incorporated the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as well as questions about demographic characteristics, working experience, health, lifestyle, most time spent and most difficult work, and suicidal ideation and job quitting ideation of the survey participants. MBI-HSS scores were analysed in the three dimensions of emotional exhaustion (EE), depersonalization (De), and personal accomplishment (PA). Through the survey, the 186 professors, 49% among the total, provided data which were included in the present analysis. More than thirty per cent (37.1%) of the professors reported at least 1 symptom of burnout. For burnout dimensions, 11.8% of the respondents scored high for EE burnout, 25.3% for De, and 14.5% for PA, with 1.6% scoring high on all three dimensions of burnout. High burnout was found to be strongly associated with several of the variables under study, especially hours worked per week, self-rated health, career (range, 4 to 9 years), and age (range, 50 to 59 years). The EE score was highest for the professors who chose 'patient care' as the most difficult type of work. This study showed that just over one-third of professors have at least 1 symptom of burnout and working more hours per week, short length of work (years), and especially suicidal ideation seem to be associated with the burnout of medical school faculty members in the Busan-Gyeongnam area. In summary, a greater risk of burnout of physicians (including medical professors) seems to be associated with specialties at the front line of care, working more hours per week, work-life imbalance, low self-efficacy, depression, and conflicts with colleagues and patients.

The Association of Social Support with Health Status and Health Behavior among Rural Aged Population (일부 농촌 지역 노인의 사회적 지지와 건강수준 및 건강행태와의 관련성)

  • Jeon, Bo-Young;Lee, Hye-Jae;Shon, Chang-U;Kim, Nam-Kwon;Kim, Ae-Ryun;Park, Ji-Eun;Lee, Eun-Sang;Lee, Jeong-Wha;Choi, Ju-Hyun
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.13-23
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    • 2009
  • Objective: The objective of this study was to evaluate the association of social support with health status and health behavior. Methods: This study was conducted with 79 elderly people in Gunja-ri, Dongsan-myun, Chuncheon. We performed face to face interview which was composed of socio-demographic characteristics, social support, health status and health behavior. The association between social support and result variables was analysed by Chi-square test and logistic regression. We used SAS ver9.1 for statistic analysis. Results: Mean age of the study population was 72.0$\pm$7.0, social support score was 14.3$\pm$4.7 with full marks of 20 and 36.25% of the total population were shown to have depression. When the social support score was changed, depression (p=0.0007) and physical exercise (p=0.0312) showed significant difference. The self-rated health status was significantly related to the relationship with family members (OR=0.25, 95% CI=0.07-0.95) and the quality of sleep was also significantly associated to the relationship with family members (OR=0.21, 95% CI=0.06-0.73). The physical exercise was done significantly less in the group without close friends than in the group with many close friends (OR=0.21, 95% CI=0.05-0.94) and the depression was significantly more in the group without community participation than in the group with community participation (OR=4.79, 95% CI=1.62-14.15). Conclusions: Through this study, we could conclude that the social support factors are associated with health status and health behavior. Therefore, to improve the health status of rural elderly, we need to approach to develop social support.

A Study on the Life Satisfaction of Married Immigrant Women : focusing on ecosystem perspectives (결혼이주여성의 생활만족도에 관한 연구: 생태체계적 관점에서)

  • Kwon, Taeyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.239-250
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    • 2018
  • This study classified the predictors affecting the life satisfaction level of married immigrant women into socio-demographic factors (age, education, personal system factors (Korean proficiency, self-rated health, depressed mood, multicultural attitude), family system factors (spouse relationship satisfaction, child relationship satisfaction, couple conversation time, decision-making status), and social factors (social support, social capital, experience of social discrimination, multicultural family support center use) based on ecosystem perspectives and comprehensively examined their effects. The data for 14,464 married immigrant women from the National Survey on Multicultural Families 2015 were analyzed through hierarchical multiple regression. The findings of this study are as follow. First, the results indicated that all ecosystem factors- that is personal, family, and social system factors-significantly affected life satisfaction level of married immigrant women and especially personal and family system factors increased the predictability on their satisfaction. Second, among all predictors, spouse relationship satisfaction was the factor most strongly associated with life satisfaction. Finally, the income variable among socio-demographic factors, depression among personal system factors, spouse relationship satisfaction among family system factors, and experience of social discrimination among social system factors all showed the strongest significant effects on the life satisfaction level of married immigrant women. These results suggest that comprehensive factors based on the ecosystem perspectives to intervene and promote the life satisfaction of married immigrant women should be considered.