• 한국산학기술학회논문지
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• 제17권3호
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• pp.638-651
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• 2016

본 연구는 중년여성을 대상으로 한 비약물적 우울중재연구를 고찰하고 그 효과를 탐색하기 위해 수행되었다. 체계적 문헌고찰은 국내 데이터베이스인 RISS, KISS, DBPia의 온라인 검색을 통해 2006년부터 2015년 9월까지 국내 학술지에 게재된 연구 논문을 대상으로 하였으며. 자료 검색어는 중년여성과 우울, 폐경기와 우울, 갱년기와 우울로 하였다. 그 결과, 280편이 검색되었고, PICOTS-SD에 따라 최종 12편이 분석에 이용되었다. 그 중 4편은 간호학 분야 연구였고, 6편은 무작위 배정이 이루어진 무작위 대조군 실험연구였다. 비약물적 우울중재는 에어로빅 등 신체적 활동을 포함하는 형태가 4편으로 가장 많았고, 웃음요법과 단전 등 명상 각각 3편, 아로마 마사지와 상담 각각 2편, 미술요법이 1편으로 나타났고, 복합중재가 적용된 논문은 3편이었다. 중재 프로그램의 1회 적용 시간은 20분에서 120분, 중재 적용 기간은 2주에서 24주, 총 중재 회기는 8회에서 72회로 나타났고, 이들 프로그램은 우울뿐만 아니라 비만과 관련된 신체적 측면과 불안, 삶의 질, 삶의 만족도 등 사회 심리적 변수에 유의한 영향을 주는 것으로 나타났다.

• 동서간호학연구지
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• 제19권2호
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• pp.150-158
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• 2013

Purpose: To investigate the impact of psychological well-being on psycho-social in the elderly and middle aged Adults. Methods: A sample of the 209 elderly and 181 middle aged adults. Data analysis was done by pearson correlation coefficient and multiple regression. Results: First, there were significant differences between the groups in gender, religion, education, marital status, occupation and family coresidence in homogeneity tests. Second, psychological well-being, hope, self-esteem, depression and life satisfaction were significantly correlated each other in the both groups. Third, there were significant differences in psychological well-being, hope, self-esteem and depression between two groups. For middle aged adults self-esteem was influencing most in psychologic well-being while hope affected most for the elderly. Conclusion: Based on the results of the study, it is important to improve psychological well-being to prepare successful elderly life.

• 한국보건간호학회지
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• 제37권1호
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• pp.125-135
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• 2023

Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권2호
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• pp.166-173
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• 2002

정도에서 흔히 볼 수 있는 증상으로, 정확한 원인을 발견할 수 없는 경우가 많다. 또한 반복성 복통이 학동기 아동에 있어 사회적, 정신적 발달에 장애를 초래할 수 있다. 이에 저자들은 반복성 복통과 정서적인 문제중 하나인 우울성향과의 연관성을 알아보고자 본 연구를 시행하였다. 방 법: 광주시내 2개 초등학교 4, 5, 6학년 학생 1,181명, 남아 566명, 여아 615명을 대상으로 반복성 복통의 유형을 평가하였으며, 우울의 정도는 한국판 Kovacs & Beck의 Children's Depression Inventory (CDI) 설문지를 이용하여 비교 분석하였다. 결 과: 1) 반복성 복통의 빈도는 총 265명(22.4%)이며 남아 107명(18.9%), 여아 158명(25.7%)으로 여아에서 의미 있게 높았고,연령별로 9세 19.8%, 10세 21.2%, 11세 26.1%, 12세 19.1%였다. 2) 반복성 복통군에서 평균 우울점수가 대조군에서 높았다. 3) 반복성 복통군에서 복통이 자주 있을수록, 다른 증상을 동반한 경우 우울점수가 유의하게 높았다. 4) 복통은 배꼽주위가 가장 많았고, 복통 양상이 쥐어 짜는 듯한, 화끈거리는 통증이 있는 경우에 우울점수가 의의 있게 높았다. 5) 반복성 복통군에서 아이의 성격이 혼자 놀기를 좋아하거나, 학교가기를 싫어하거나, 친구가 적은 경우의 우울점수가 성격이 활발하거나, 친구가 많거나, 꼼꼼한 경우보다 의미 있게 높았다. 6) 반복성 복통군에서 복통의 지속시간, 하루 중 복통의 발현시기 및 요일 사이에는 유의한 차이는 없었다. 결 론: 초등학교 아동에서 반복성 복통은 높은 유병율을 보이며, 우울점수가 대조군보다 높아 우울증과 연관성이 있음을 시사하였다 그러므로 학동기의 반복성 복통의 적절한 진단과 신속한 치료가 필요하며 치료시 정서적, 심리적 지지요법을 고려하는 것이 좋을 것으로 생각된다.

• 대한간호학회지
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• 제37권6호
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• pp.941-948
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• 2007

Purpose: The purpose of this study was to investigate the risk of malnutrition and its relationship with depression and perceived health status. Methods: A total number of 154 elderly over 60 years participated in the study through a community elderly center. The risk of malnutrition was measured by NSI (Nutritional Screening Initiative), depression by CES-D, and health status by a self-rated Likert scale. Results: About one fourth (22.7%) of the subjects had a high risk, and 31.2% had a moderate risk of getting malnutrition. Regarding depression, 34.4% (53 elderly) of the subjects had a high risk. Overall health status had a mean of 3.46 within the range of 1 to 5. In relation to demographic factors, female elderly (${\chi}^2=6.68$, p= .04), aged younger than 75 years old (${\chi}^2=8.60$, p= .01), and having co-morbidity (F=9.81, p= .001) were significantly related to a high risk of malnutrition. Having a higher depression score, higher number of co-morbidity, and lower perceived health status were significantly related to a higher risk of becoming malnourished. Conclusion: The elderly's risk of getting malnutrition was significantly related to their depression and perceived health status. With these findings nursing interventions focusing on these factors should be developed in order to improve the elderly's multidimensional well-being.

• 지역사회간호학회지
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• 제27권1호
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• pp.1-8
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• 2016

Purpose: The purpose of this study was to examine the depression and cognitive function of community-dwelling older adults. Methods: 243 aged over 65 in Won-Ju in South Korea participated in this study. Data were collected from April to June 2013 through interviews. This study utilized the Geriatric Depression Scale Short Form, the Korean version of MMSE-DS (MMSE for Dementia Screening), and infirmity testing for basic health status. Descriptive statistics, ${\chi}^2$, t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation coefficient were used. Results: 75.3% of the participants belonged to the depression group, and the prevalence of cognitive impairment was 17.3%. There were significant differences in depression and cognitive function according to gender, educational level, type of insurance, subjective health, frailty, and whether to be a client of home care service. The level of depression was significantly higher and the level of cognitive functions was significantly lower in older adults in home care services than in community-dwelling older adults. Conclusion: This study is meaningful in that it included older adults in home care services to provide information to develop effective prevention programs for improving cognitive functions. The results of this study can be used to develop future community prevention and intervention.

• 여성건강간호학회지
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• 제5권1호
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• pp.51-64
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• 1999

Dance movement program. Psychological wellbeing, Middle aged women, Wellbeing with depression tendency, 율동적 동작 프로그램, 우울성향 중년여성 %600an This study was designed to confirm the effects of the Dance Movement Program on psychological health in middle-age women with depression tendency. 67 women with mile to moderate depression scoring between 16-25 were selected among 235 responded to CES-D (Radloff, 1977, Cho and Kim, 1993). The 46 volunteered to participate in the study were assigned the control. 7 attritions occurred during the course of the experiment leaving thirty-nine subject : nineteen experimental and twenty control, for the final analysis. Research subjects revealed to be homogenous demographically and by health-related variables. The 50-minute Dance Movement Program was performed by the experimental group 3 times a week for eight weeks, from October 6 to November 29, 1997. Depression, life satisfaction, self efficacy were measured before and after the course of Dance Movement Program. Plasma serotonin was measured to identify its relationship with depression, Homogeneity tests revealed satisfactory level on relevant research variables. Data were analyzed by $x^2$-test, paired and unpaired t-tests. The results are as follows : 1) The hypothesis that depresson score of experimental group will decreased than control group was supported by t-test(t=2.20, P=.0021) 2) The hypothesis that life satisfaction score of experimental group will increased than control group was supported by t-test(t=1.42, P=.0049). 3) The hypothesis that self-efficacy score of experimental group will increased than control group was not supported by t-test(t=6.20, P=.0616). 4) The hypothesis that level of plasma serotonin will increased than control group was not supported by t-test(t=1.88, P=.0524) Thus, the effects of the Dance Movement Program for the improvement of psychological health gram for the improvement of psychological health for the middle-aged women with depression tendency are scientifically confirmed by this study.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.638-650
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• 2019

본 연구는 중년 기혼 여성의 생활스트레스와 우울의 관계에서 고통감내력과 반추의 매개효과를 검증하고자, 서울과 경기도, 대전 지역의 중년 기혼 여성 328명을 대상으로 자료를 수집하였다. 자료분석에는, SPSS와 AMOS를 이용해 기술통계분석, 상관분석, 구조방정식 등을 실시하였다. 그 결과는 다음과 같다. 첫째, 생활스트레스는 반추와 우울에 정적 상관, 고통감내력과는 유의미한 부적 상관을 보였다. 우울은 반추와 정적 상관, 고통감내력과는 유의미한 부적 상관을 보였다. 또한, 고통감내력과 반추도 유의미한 부적 상관을 보였다. 둘째, 생활스트레스와 우울의 관계에서 고통감내력과 반추가 각각 유의미한 매개효과를 나타냈다. 셋째, 생활스트레스와 우울의 관계에서 고통감내력과 반추의 이중매개효과가 유의미한 것으로 나타났다. 이러한 연구결과를 바탕으로 본 연구는 중년 기혼 여성의 생활스트레스, 고통감내력, 반추가 우울에 중요한 영향을 미치는 변인임을 증명하였으며, 이를 토대로 본 연구가 갖는 의의와 제한점, 후속연구에 관한 제언을 논의하였다.

• 대한간호학회지
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• 제36권5호
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• pp.863-871
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• 2006

Purpose: A descriptive correlational study was designed to examine the relationship of trait anger and anger expression to blood pressure, cholesterol, and depression in middle-aged Korean men. In addition, this study investigated the mediating effect of social support in relation to anger and other variables. Methods: Two hundred and ninety nine men aged 40 to 64 years were recruited from a health center at K University Hospital located in Ansan City, Kyungki province, Korea. The instruments used were Spielberger's state trait anger expression inventory-the Korean version for trait anger and anger expression, Beck's depression inventory for depression, and a Personal resource questionnaire for perceived social support. Results: Men with high trait anger showed significantly higher systolic blood pressure(BP) and diastolic BP The level of cholesterol did not have a significant relationship with trait anger and anger expression. The severity of depression was significantly higher in men with high trait anger or more frequent uses of anger-in or anger-out. The perceived social support had a significant mediating effect in relation to trait anger and depression. Conclusions: Various nursing interventions for managing anger or improving social support need to be developed in a future study.

• Journal of Preventive Medicine and Public Health
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• 제54권6호
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• pp.451-460
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• 2021

Objectives: This study aimed to determine the associations between parental depression and early childhood development among children aged 36 months to 59 months in Indonesia. Methods: From Indonesia's Basic Health Survey (RISKESDAS) 2018, this study included 6433 children aged 36 months to 59 months and their parents. Maternal and paternal depression was examined using the Mini International Neuropsychiatric Interview survey instrument, which was previously translated into Indonesian. The study also used the Early Child Development Index to measure child development and its 4 domains (cognitive, physical, socio-emotional, and learning). Multivariate logistic regression analysis was performed to determine the association between parental depression and early childhood development. Results: Overall, 10.3% of children aged 36 months to 59 months were off-track for development. After adjusting for biological, parental, and social characteristics, children born to parents with depression were found to be 4.72 times more likely to be off-track for development (95% confidence interval, 1.83 to 12.15). Conclusions: Children of depressed parents were more likely to be off-track for development. The findings highlight the need for early diagnosis and timely intervention for parental depression to promote early childhood development.