• Korean Journal of Health Education and Promotion
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• v.19 no.1
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• pp.171-184
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• 2002

The purpose of this study was to investigate the relationship between self concept and depression of middle-aged women. The Subjects were 102 middle-aged women whose age range were 40-59 years old living in urban area. The instruments used in this study were self concept scale developed by Rosenberg and the depression scale developed by Zung. Data were collected done from July 1 to July 31, 2001 by a structured questionnaire. The Data were analyzed by the SPSS/PC+ program using t-test, ANOV A and Pearson Correlation Coefficient. The results of the study were as followed : 1. Mean score of self concept was 2.35. 2. Mean score of depression scale was 2.43 3. The relationship between self concept and depression was statistically negative correlation(r=-0.3769, P〈0.001). 4. There were statistically significant differences in the score of middle-aged women's self concept to the age(F=3.41, P〈0.05), education(F=2.97, P〈0.05), Occupation(t=1.84, P〈0.05). 5. General characteristics variables were significantly related to the level of depression were the age(F=3.12, P〈0.05), numbers of children(t=3.59,P〈0.05). Obstetrical characteristics variables were significantly related to the level of depression were age of menarche(F=4.03, P〈0.05), times of abortion(t=10.09, P〈0.001). In conclusion, this study revealed that self esteem was an important factor related to depression. I suggest that to decrease depression, it should be encouraged self esteem.

• Health Policy and Management
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• v.31 no.1
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• pp.46-55
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• 2021

Background: Patients with the chronic physical illness are more likely to experience depression, and the accompany of chronic physical illness and depression is particularly high in middle-aged and elderly women. Considering that depression is associated with somatization and the decline of therapeutic compliance when accompanied by chronic physical illness, middle-aged and elderly women who experience depression among chronic physical illness may increase their use of medical services. This study is to identify the effect of depression on the use of medical services, especially among middle-aged and elderly women with chronic physical illness. Methods: This study used the 2016 Korean Health Panel. For analysis, it used T-test, negative binomial regression, and multivariate regression combining propensity score matching. Results: First, depressive groups had a higher number of medical service utilization and total medical expenditure than the non-depressive group. Second, depression significantly increased medical service utilization (β=0.17, p=0.04) at the 5% significance level. Also, depression significantly increased total medical expenditure (β=0.37, p=0.08) at the 10% significance level. Conclusion: For those who have chronic physical illness among middle-aged and elderly women, the experience of depression was confirmed to be a factor affecting the use of medical services. In the end, it is important to come up with policy countermeasures for middle-aged and elderly women accompanied by depression and chronic physical illness.

• Journal of Korean Public Health Nursing
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• v.26 no.3
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• pp.572-580
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• 2012

Purpose: This study examined factors influencing death anxiety in the middle aged. Method: This was a descriptive survey study. Data were collected from September to October, 2011, from 410 middle- aged adults. The questionnaires solicited information on death anxiety, health behavior, depression, life satisfaction, and family function. Analysis of data was performed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.53 for death anxiety, 3.02 for health behavior, 4.44 for depression, 10.13 for life satisfaction, and 3.77 for family function. Statistically significant negative correlations were observed between health behavior and death anxiety, life satisfaction and death anxiety, and family function and death anxiety. However, from the statistical point of view the correlation between depression and death anxiety was a significantly positive. In addition, statistically significant positive correlations were observed between depression and death anxiety. Depression, life satisfaction, and family function were significant predictors of death anxiety. Conclusion: Multilateral nursing intervention is needed for maintenance of the health of middle aged adults.

• The Journal of Korean Society for School & Community Health Education
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• v.23 no.4
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• pp.49-61
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• 2022

Objectives: It is reported that the depression of women with disabilities is higher than that of men with disabilities and people with disabilities. Therefore, the purpose of this study is to identify the depression level and influencing factors of middle-aged women with disabilities. Method: For this study, the 2020 survey on the disabled was used. The subjects were 2,546 middle-aged and disabled women over the age of 40 who responded to the survey. For data analysis, SPSS Window 26.0 program was used. Descriptive analysis, chi-square test, and multiple logistic analysis were performed to identify factors affecting depression in middle-aged women with disabilities. Results: In this study, marital status, subjective economic status, disability type, subjective health status, subjective obesity, chronic disease, exercise, stress and suicidal ideation, and self-going ability variables of middle-aged and elderly women with disabilities were found to be related to depression. Factors affecting the depression of middle-aged women with disabilities were analyzed to be marital status, smoking, stress, and suicidal ideation variables. Conclusion: Stress and suicidal ideation should be reduced to effectively reduce depression and improve depression in middle-aged and elderly women with disabilities. And the development and application of health education and programs that can promote mental health are required.

• Journal of Practical Engineering Education
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• v.14 no.3
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• pp.609-615
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• 2022

This study aims to investigate the relationship between quality of life, activities of daily living, and depression among Korean super-aged women. In this study, the 7th (2018) data of the Korean Longitudinal Study of Aging (KLoSA) were used. The participants in this study were 363 super-aged women. The mean age was 88.67 years old. Quality of life was significantly related with Activities of daily living (ADL) (r = .34, p < .001), and depression (r = -.47, p < .001). The analysis of the hypothesized model showed a good fit to the data except for the χ² value (χ² = 38.8, df = 11, p < .001, CFI = .98, TLI = .96, RMSEA = 0.08). The hypothesized model explained 34% of the variance in super-aged women. The activities of daily living of elderly women had an indirect effect on quality of life via depression. Very old women with a high level of ADL were more likely to be feeling less depression, and elderly people who had less depression were likely to have a better quality of life. The findings thus highlight prevailing depression and activities of daily living as critical foci for clinical management strategies in super-aged women.

• Korean Journal of Health Education and Promotion
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• v.18 no.2
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• pp.1-26
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• 2001

This research is aimed to define how the depression, performing ability of IADL and muscular-skeletal pain of the Aged, according to their residential circumstance, sex and age, can affect the subjective health index and how all these are related and associated with. For the period of June 1 to July 31, 2000, in order to study and define how the depression, performing ability of IADL and muscular-skeletal pain are related to the subjective health index of the Aged, we have conducted an enquete through a direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent areas, divided into three different residential types “The Aged living at home”, “The Aged living at welfare facilities” and “The Aged living alone”. We have studied all the data and information obtained through this enquete and have analyzed χ²-test, t-test, ANOVA, analysis of simple correlation, analysis of factor. by SPSS10.0/PC+. The results were as follows: Generally, the four (4) factors depression, IADL performing ability, muscular-skeletal pain and the subjective health index of the Aged, are a lot influenced by and related to their residential circumstance, their sex and their age. With regard to the depression of the Aged by their sex, it was analyzed that, on an average, the female-Aged gains 48.3 point which reflects comparatively the higher points and the female-Aged is more depressed. In analyzing depression of the Aged by their age, it appears that the Aged between eighty (80) to eight-four (84) years of age, gains 49.2 point which is the highest points and simultaneously we could realize that depression follows age, - the more the age gets, the more the depression is increased. In analyzing depression of the Aged by their residential type, it shows that “the Aged living alone” gains 50.9 point and is most depressed. With regard to the IADL performance of the Aged by their sex, it was analyzed that, on an average, the female-Aged gains 23.8 point, which shows the performance of the female-Aged is less independent. In addition, it was also found that the IADL performing ability is becoming less and less independent following their age increasing. In analyzing IADL performance by their residential type, it appears that “the Aged living at welfare facilities” gains the lowest 21.5 point and is least independent. We conclude that some assistances from others are required for the Aged living at welfare facilities in their performing IADL. With regard to the muscular-skeletal pain of the Aged by their sex, it was analyzed that, on an average, the female-Aged gains 3.0 point and the female-Aged suffers from this pain more severely. In analyzing this pain by their residential type, it was found that, on an average, the 3.0 point goes for “the Aged living alone”, which explains the Aged living alone is having the most serious pain. With regard to the subjective heath index of the all Aged participated in this research, the analysis indicates 8.8 point and this is considered as a general standard (7-10 point). In analyzing this index by their sex, the female-Aged gains 8.6 point only and it explains a lot of female-Aged consider they are not really healthy. In analyzing this index by their residential type, “the Aged living at welfare facilities” and “the Aged living alone” gain the comparatively lower point, -respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged of these two residential types express they are obviously in a bad condition of health, which makes us think a lot. With regard to the factors affecting the subjective health index of the Aged, it was analyzed that this index can significantly be influenced by their depression, their pain, their age and by how much they are satisfied with their current living conditions, and also analyzed that the correlative relation certainly exists between the depression and pain, and the subjective health index, - that is, the more the depression and pain are serious, the lower the subjective health index indicates. As for the IADL, it appears that the IADL's relation with this index is not that significant and even not important.

• Journal of the Korean Home Economics Association
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• v.44 no.7 s.221
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• pp.125-139
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• 2006

The purpose of this study is to analyse the factor of the Variables that contributed to the depression of middle-aged women. The subjects were 751 Middle-aged women whose age was from 41 to 60. The instruments used in the study were the assessment of depression, the assessment of climacteric symptoms, the assessment of marital satisfaction, the assessment of marital stability, the assessment of ego identity and the questionnaire of demographic variables. The data were analysed by using descriptive statistics, ANOVA, Duncan, pearson correlation, hierarchical multiple regression. The findings were as follows; (1) According to the job, the level of education, the state of marriage, the subjective level of health, the subjective level of economy, household income, present problem, the level of family-of-original relationship, the age of last child, religion and spouse's occupation there were differences of depression; (2) In the result of the analysis of relationships of depression, the depression was correlated with Climacteric Symptoms positively and with Marital Satisfaction, Marital Stability, and Ego Identity negatively; (3) Predictors of depression of the Middle-aged women ordered climacteric physical, climacteric psychological, marital satisfaction, marital stability, identity moratorium, goal oriented, identity diffusion, initiative. Based on these results, the recommendations for the future research in this area were discussed.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.91-99
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• 2012

The aims of this study were to investigate the relationship of depression, fatigue and quality of life (QOL) in middle-aged adults in Jinju city. This survey was conducted from October to November, 2010 and 230 responses from the survey were used. The data was analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The average score of the participants' depression was $13.16{\pm}8.26$ out of 60. the average fatigue score was $21.46{\pm}4.79$ out of 44. The average QOL score was $85.90{\pm}9.49$ out of 130. Among general characteristic of the participants level of QOL was statistically significant for gender, educational level, exercise. There was a significantly corrleation among depression, fatigue and QOL. The results revealed that depression, educational level, exercise were the significant predictors to affect the QOL in middle-aged adults. Low level of depression, higher educational background, and active exercise were closely correlated with QOL. To improve QOL in middle-aged adulthoods for the community, the programs which include lowering depression, encouraging exercise should be designed.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.354-362
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• 2002

Objectives: This study was conducted to examine the relationships among perceived life stress, self-esteem, and depression in middle-aged women. Methods: Data were collected from March 30 to May 25, 2000. The study subjects were 123 middle-aged women living in Pusan. The instruments used for this study were the Perceived Life Stress scale developed by Lee (1984), based on the original scale designed by Yu, et al. (1994), Self-esteem scale developed by Rho, et al. (1997), and the Depression scale developed by Ahn (1988). For data analysis, the SPSS PC+ was utilized, by which frequency and percentage, mean and standard deviation, t-test, ANOVA, Sheffe's test and Pearson's correlation coefficients were examined. The reliability of the instruments were tested by Cronbach's $\alpha$, showing the internal consistency of 0.7328 for the self-esteem scale. and 0.8987 for the depression scale. Results: 1) The results showed a relatively low perceived life stress score in the middle-aged women with a mean and standard deviation of 363.18 and 72.92 (range: .00 - 1877.38). 2) The results showed a relatively high self-esteem score in the middle-aged women with a mean and standard deviation of 29.77 and 5.06 (range: 10 - 40). 3) The results showed a relatively high depression score in the middle-aged women with a mean and standard deviation of 39.46 and 9.38 (range: 0 - 61). 4) There were no statistically significant differences in perceived life stress by demographic related factors. 5) There were statistically significant differences in self-esteem by health status (F=8.930, p= .000) and economic status (t=4.792, p= .010). 6) There were statistically significant differences in depression by age (F=3.770, p= .0261). education (F=4.850, p= .003) and regularity of menstrual cycle (F=13.180, p= .000). 7) There was no statistically significant correlation between perceived life stress, and self-esteem in the middle-aged women (r=-.077, p= .399). 8) There was no significant correlation between perceived life stress. and depression in the middle-aged women (r= .010, p= .916). 9) There was a significant negative correlation between self-esteem, and depression in the middle-aged women (r=- .359, p= .000). Conclusion: Higher self-esteem was related to a lower depression status. Therefore, it is necessary to elevate the level of self-esteem in order to reduce the level of depression in middle-aged Korean women.

• Journal of agricultural medicine and community health
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• v.33 no.3
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• pp.335-345
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• 2008

= ABSTRACT = Objectives: The purpose of this study were to examine the level of climacteric symptom, coping and depression among middle-aged women and to identify the relationship between climacteric symptom, coping and depression. Methods: A descriptive correlational study was conducted. The participants were 275 middle-aged women visiting obstetrics and gynecology hospital in one metropolitan city. Data were collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. Results: The mean climacteric symptom score was .54, the mean depression score was .74 and the mean coping score was .35. The level of climacteric symptom, depression and coping were slightly lower than those of other studies. There were positive relationships between climacteric symptom and depression and between climacteric symptom and coping. Conclusions: To promote physical and emotional health of middle-aged women, more attention is necessary to decrease their climacteric symptom and depression. These results can be used for nursing intervention and care programs for creating better quality of life for middle-aged women.