• International Journal of Advanced Culture Technology
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• v.11 no.1
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• pp.1-11
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• 2023

Backgrounds: As the COVID-19 pandemic continues, the university students population is one of the high risk and vulnerable groups. This study analyzed the status of student's mental health, including anxiety and depression caused by COVID-19, and its related factors among a university students in Korea. Methods : Our study subjects included university students in Korea. The survey items included general characteristics, teaching methods, physical activity, eating habits (SDBQ-L), weight-related questions, general anxiety disorder-7(GAD-7), and depression symptoms checklist. Frequency analysis, chi-square test, and logistic regression analysis were performed and data was analyzed using R version 4.1.2 program. Results : The prevalence of anxiety complaints was 5.5%, while the prevalence of depression complaints was 30.8%. In the multivariable logistic regression analysis of factors influencing anxiety, anxiety occurred 19.081 times (95% confidence interval (CI): 2.352-154.807) in the group with unhealthy diet (p<0.01). While in the multivariable analysis to identify factors affecting depression, women were 2.607 times significantly higher (95% CI: 1.255-5.415) than men, 0.407 times (95% CI:0.197-0.840) for residents of the metropolitan area, 3.418 times higher (95% CI:1.633-7.198) for unhealthy dietary people, and 2.225 times higher (95% CI: 1.080-4.582) for weight gainers (p<0.05). The type of class had no effect. Conclusions: COVID-19 and its associated interventions had negative effects on the mental health status including anxiety and depression in university students in Korea. Based on our results we recommend developing mental health interventions and prevention strategies for students in all universities in Korea.

• Child Health Nursing Research
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• v.28 no.2
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• pp.103-111
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• 2022

Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants' condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers' physical and emotional health.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.3
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• pp.1337-1340
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• 2016

Background: There is a noticeable change in the approach with which women nowadays seek help for diseases like breast cancer, primarily due to awareness campaigns, but what happens after surgical procedures is of great significance too. This study focused on the several psychological connotations attached to mastectomy and how the patients cope. Objective: To understand the pattern of anxiety and level of depression among Pakistani patients undergoing mastectomy. Materials and Methods: The sample size consisted of 88 patients who had undergone mastectomy at the different surgical units of the Civil Hospital, Karachi, from January 2012-December 2014; The questionnaire was administered before they were discharged i.e. within 3 days of surgical procedures. The patients were asked if they were willing to participate in this study, those who agreed signed the consent form and then we preceded by asking questions with a standardized tool. A self made questionnaire was constructed keeping in mind the nature and specification of the disease, which consisted of 20 questions related to anxiety and depression, focusing on a mixture of psychological and physiological symptoms. Results: There were a total of 88 patients out of which 36 (41%) were aged 51 to 60 years, 24 (27.2%) of the patients were in the age category of 41 to 50 years, 17 aged 61 and above (19.3%) and only 11 (12.5%) 30-40 years of age, the youngest of all the age categories. The pattern of depression and anxiety was found to be similar among all age categories, severe depression and anxiety predominating over moderate level of such symptoms, with only relatively few patients sufering mild or no depression symptoms. Conclusions: It was concluded that going through mastectomy leads to moderate to severe levels of depression and anxiety, primarily because the females feel incomplete and insecure after losing a part of themselves.

• Journal of Digital Convergence
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• v.15 no.5
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• pp.419-429
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• 2017

This study examined the moderating effects of gender on the effects of anxiety and depression on college students' smartphone addiction. For this purpose, 331 students in Gyeonggi province were conducted a survey, and a structural equation modeling was used. The results showed that female had higher levels of anxiety, depression, and smartphone addiction than male. Second, the analysis of structural equation modeling to investigate the effect of anxiety and depression on smartphone addiction revealed that depression affects smartphone addiction. Third, gender had a moderating effect on the effects of anxiety and depression on smartphone addiction. Anxiety affected male, while depression worked on female. Based on the results of this study, it was discussed that different approaches are needed depending on gender in preventing and intervention for smartphone addiction.

• Anxiety and mood
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• v.7 no.1
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• pp.16-21
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• 2011

Objective : Depressive symptoms often coexist with other anxiety disorder symptoms. Furthermore, an anxiety disorder that is comorbid with a depressive disorder results in more severe symptoms and a poorer outcome prognosis. To understand the construct of depressive symptoms in anxiety disorder, this study investigated the factor structure of the Beck Depression Inventory among outpatients with anxiety disorders. Methods : All data were from psychiatric department outpatients at a university-affiliated hospital. We conducted a principal component analysis using data from 194 outpatients with DSM-IV anxiety disorders and calculated goodness-of-fit-indices. Results : Exploratory factor analysis revealed a four factor structure--Cognitive-affective symptoms (Factor 1), Somatic symptoms (Factor 2), Self-reproach (Factor 3), and Hypochondriasis/indecisiveness (Factor 4)--and a 57% total variance. This four-factor model demonstrated an acceptable level of model fit, and it fit better than did a three-factor solution from the literature on depressive disorder. Conclusion : This study's results suggest a difference in the construct of self-reported depressive symptoms in anxiety disorders. These findings also support a dimensional approach to studying anxiety and depression. Further studies may benefit from including comorbid depressive disorder and its influence on anxiety disorders.

• Journal of Digital Policy
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• v.1 no.1
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• pp.1-5
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• 2022

The objective of this study was to examine the effectiveness of newly developed program for the recovery and relapse prevention in patients with anxiety disorder. Twenty-four patients with anxiety disorder received Mindfulness-Based Cognitive Therapy (MBCT) session weekly for a period of overall 8 weeks-program. Changes of depression, anxiety, negative and positive automatic thought were compared before and after the program. Depression and anxiety were improved significantly after the MBCT program(Z=-1.9, p=.06, Z=-2.9, p<.001). Conclusions: MBCT may be effective at reducing negative automatic thought and relieving anxiety and depressive symptoms in patients with anxiety disorder. However, large-sample, randomized controlled trials will be needed for generalization.

• Journal of Korean Public Health Nursing
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• v.17 no.1
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• pp.58-68
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• 2003

This study was conducted to explore the depression, anxiety, spouse support, and the difference of these variables according to the general characteristics and disease related characteristics in married women who had received gynecologic cancer treatment. The subjects consisted of 62 patients with cervical cancer, 18 patients with ovarian cancer, and 7 patients with endometrial cancer who were admitted to the department of obstetrics and gynecology, 3 education hospital in Seoul from January, 1996 to August, 1999. The data were collected from March 25 to July 25, 2000 by using a mailed questionnaire. The results were as follows : 1. The mean score of depression was 35.1 with the range from 20 to 76. The mean score of the anxiety was 38.6 with the range from 24 to 58. The mean score of the spouse support was 33.8 with the range from 12 to 48. 2. The score of depression was significantly different by the general characteristics: woman's education level(p=.040), economic level(p=.002), and the satisfactory level on married life(p=.009). The score of spouse support was significantly different by the general characteristics: woman's education level(p=.009), spouse's education level(p=.001), spouse's religion (p=.004), economic level(p=.008), and the satisfactory level on married life(p=.000). The scores of depression, anxiety, and spouse support were not significantly different by the disease related characteristics. 3. The score of depression had a positive correlation with anxiety(r=.731), and a negative correlation with spouse support(r=-.425). 4. The main influencing factors on the depression were economic level$(13.4\%)$ and satisfactory level on married life$(4.4\%)$. The main influencing factors on the spouse support were satisfactory level on married life$(23.6\%)$ and spouse's education level$(9.2\%)$. Based upon the above findings, the depression, anxiety, and spouse support of women who had received gynecologic cancer treatment were higher than healthy married women. The score of depression and anxiety had a negative correlation with spouse support. The factors influencing spouse support were satisfactory level on married life and spouse's education level. Therefore it is recommended that nursing intervention for women who had received gynecologic cancer treatment would be focused to improve spouse support for alleviating depression and anxiety level.

• International Journal of Advanced Culture Technology
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• v.10 no.3
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• pp.1-10
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• 2022

This study examined the relationship between depression, anxiety, stress, and adaptation to college life of international students living in South Korea during the COVID-19 pandemic and the factors affecting the adaptation to college life. This study was carried out between December 3, 2021, to January 25, 2022, on international students living in South Korea. The questionnaires were composed of self-reported questionnaires, and the survey URL was sent as text messages to international students who understood the purpose and rationale of this study and consented to participate in the survey. The data were analyzed using SPSS WIN 22.0, and t-test, ANOVA, Pearson's Correlation Coefficient, and hierarchical regression were performed. As a result of the study, the average score of the study subjects was 8.44 points for depression, 8.28 points for anxiety, and 9. 28 points for stress. factors with significant differences in adaptation to college life according to general characteristics were living means and smoking. The relationship between the main variables, it was significant with depression (r=-.785, p<.001), anxiety (r=-.593, p<.001), and stress (r=-.726, p<.001). There was one negative correlation. It was found that the higher the depression, anxiety, and stress, the lower the college life adaptation. Lastly, depression (β=-.666, p<.001) was the factor affecting foreign students' adaptation to college life, and the explanatory power was 62%. Therefore, for international students to adapt to college life, it is necessary to establish an institutional strategy to detect depression, a negative psychological emotion, at an early stage and to systematically manage it. Also, it is necessary to find an intervention plan to relieve depression that can be applied in social isolation situations due to the spread of infectious diseases. Research confirming the intervention effect should be upgraded.

• Stress
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• v.27 no.2
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• pp.199-204
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• 2019

Backgoround: This study aimed to examine the influence of anxiety sensitivity on task performance and physiological stress response, and to assess the effect of depression in this process for the youth population. Methods: We presented participants with an uncontrollable stress situation where they were required to perform mental arithmetic, based on the Montreal Imaging Stress Task (MIST). A total of 29 participants volunteered for this study. They completed the Anxiety Sensitivity Index-Revised and Patient Health Questionnaire-9 to measure their levels of anxiety sensitivity and depression. Two saliva samples, one before and one after the experiment, were collected to assess the change in cortisol levels as an index of physiological stress response. Results: Participants with high anxiety sensitivity showed lower performance on the mental arithmetic tasks and a significant increase in a salivary cortisol level, compared to those with low anxiety sensitivity. Furthermore, cortisol levels showed a remarkable increase where high anxiety sensitivity was coupled with depressed mood. In other hands, the levels of cortisol remained unchanged despite high anxiety sensitivity with low depressed mood. Conclusions: Our results confirm that the interaction between anxiety sensitivity and depression affects participants' task performance and stress response, as measured through behavioral tasks and physiological data with self-report indices. Also, through the physiological data, we examined that those who have a high level of anxiety sensitivity showed maladaptive responses under high stressful situation.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.3
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• pp.99-111
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• 2018

PURPOSE: This study was conducted to identify the effects of sympathetic conversation on stress, anxiety and depression, and muscle tone in chronic stroke patients. METHODS: Patients were randomly assigned to either an experimental group (EG, n=7) or control group (CG, n=7). Both groups participated in a pretest before intervention. Subjects were asked to undergo: 1) electroencephalogram, 2) Stress Response Inventory, 3) Hospital Anxiety and Depression Scale, 4) muscle tone and stiffness testing. After the pretest, EG received sympathetic conversation and CG received a simple explanation about stroke recovery and rehabilitation. Following the intervention, both groups were immediately administered a post test. RESULTS: In EG, the electroencephalogram relative alpha power was significantly increased (p<.05), while the electroencephalogram relative gamma power was significantly decreased (p<.05). The Stress Response Inventory and Hospital Anxiety and Depression Scale scores decreased significantly in both groups (p<.05). In addition, muscle tone and stiffness decreased significantly in the EG (p<.05) CONCLUSION: The results of the present study indicate that sympathetic conversation had a positive effect on stress, anxiety and depression, and muscle tone in patients with chronic stroke. Therefore, sympathetic conversation could be used to improve not only psychological problems in chronic stroke patients including stress and anxiety, but also physical conditions including muscle tone.