• 성인간호학회지
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• 제27권4호
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• pp.375-383
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• 2015

Purpose: The purpose of this study was to identify the relationship of resiliency and symptom experience and depression. Subjects (N=152) were patients with chronic obstructive pulmonary disease (COPD).admitted to D University Medical Center in B City. Methods: Data collection was conducted from July 20 to August 25, 2013. The levels of symptom, resilience, and depression were measured using a seven question symptom experience measuring instrument, a 25-question resilience instrument, and a 15-question Short Geriatric Depression Scale (SGDS). The collected data were analyzed by descriptive analysis, Pearson's correlation coefficients, and path analysis using SPSS/Win 19.0 and AMOS 5.0. Results: There was a significant negative correlation between symptom and resilience, a significant positive correlation between symptom and depression, and a significant negative correlation between resilience and depression. Symptom showed a direct effect on depression and an indirect effect on depression scores through resilience as a mediating variable. Conclusion: It is necessary to develop nursing intervention programs to relieve symptom in COPD patients, and to develop appropriate resilience enhancement programs to reduce their depression.

• 한국직업건강간호학회지
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• 제21권2호
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• pp.134-144
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• 2012

Purpose: The purpose was to investigate the relations among job-stress, self-efficacy, and depression of nurses. Methods: The data were collected from a random sample of 213 nurses working in two general hospitals of a local area. A self-reported questionnaire was used to assess the level of job-stress, self-efficacy, and depression. Results: The mean score of job-stress was 49.1 and the score of job demand was the highest. The mean score of self-efficacy was 3.4, and depression was 18.2. The prevalence of depression was very high. The job-stress and depression were negatively correlated with self-efficacy. Hierarchial multiple regression showed that the self-efficacy and the high job demand, lack of reward, and organizational injustice of job-stress explained 53% of the variance for the nurses' depression. Conclusion: The findings indicated that the self-efficacy and job stress, especially job demand, organizational injustice, and lack of reward contributed to the depression. In order to prevent and decrease the depression, the developing programs to improve self-efficacy are needed.

• 한국보육지원학회지
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• 제13권4호
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• pp.37-51
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• 2017

Objective: The purpose of this study was to examine the effects of child abuse, children's peer attachment and self-esteem on children's depression/anxiety. In addition, the mediating role of children's peer attachment and self-esteem between child abuse and children's depression/anxiety was investigated. Methods: Using the data of 396 children in grades 4~6 from the Korean Welfare Panel Study (2015), this study was conducted by applying Structural Equation Modeling (SEM). Results: The results of this study were as follows. First, child abuse had a direct influence on children's depression/anxiety, and self-esteem. Second, children's self-esteem had a direct influence on depression/anxiety. Third, children's self-esteem had mediating effects on the relationship between child abuse and children's depression/anxiety. Fourth, children's peer relationships had a direct influence on self-esteem. But, children's peer attachment did not have a direct influence on depression/anxiety. The effect of children's peer attachment on their depression/anxiety was partially mediated by children's self-esteem. Conclusion/Implications: In conclusion, child abuse, children's peer attachment and self-esteem have a direct or indirect impact on the depression/anxiety of children.

• 한국보건간호학회지
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• 제29권1호
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• pp.5-17
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• 2015

Purpose: The purpose of this study was to demonstrate the moderating effect of smartphone addiction on the relationship between interpersonal problem and depression. Methods: From 21 to 30 May 2013, a convenience sample of 192 subjects was recruited. Research data were collected via questionnaires and analyzed using SPSS version 18.0. Results: Scores for female students were higher than those for male students in smartphone addiction, interpersonal peoblems and depression. The average BDI score was 6.6. There were 29(15.1%), 11(5.7%), 8(4.0%), and 6(3.1%) students with mild, moderate, and severe depression, respectively. Significant positive correlation between smartphone addiction, interpersonal problems and depression. The moderating effect of smartphone addiction on the relationship between interpersonal problems and depression was significant. Conclusion: Smartphone addiction plays a role as a moderating variable influencing the relationship between interpersonal problems and depression, and also increases the effect of interpersonal problems on depression. When developing depression prevention programs for college students, such programs should consider strategies to decrease smartphone addiction and increase direct interpersonal relationship, and female students in particular should be included in such programs.

• 생물정신의학
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• 제3권2호
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• pp.258-261
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• 1996

Objective : Several studies hove suggested that reduction of cholesterol concentration and low cholesterol level increases suicide, homicide, and depression. The authors sought to determine whether low cholesterol is associated with a history of suicidal attempts among major depression patients. Method : The subjects were 105 patients with major depression, diagnosed according to the DSM-III-R criteria, and 105 age, sex matched healthy controls. Blood was token following overnight fast and serum cholesterol concentration were measured by a enzymatic method Results : The serum cholesterol level was significantly lower in the patients with major depression than in healthy controls($180.4{\pm}43.4mg/dl$ vs $199.7{\pm}35.8mg/dl$). And the serum cholesterol level was significantly lower in major depression patients with suicidal attempt than in major depression patients without suicidal attempt($156.7{\pm}38.2mg/dl$ vs $ 187.8{\pm}42.5mg/dl$) Conclusion : It is hypothesized that low cholesterol level is associated with depression by modifying the serotonin metabolism and the production of interleukin-2, low cholesterol concentration should be further investigated as a potential biological marker of suicidal risk in major depression. Prospective study with serial cholesterol determinations should be done.

• 한국학교ㆍ지역보건교육학회지
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• 제17권1호
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• pp.59-73
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• 2016

Objectives: The working environment affects employees' physical and mental aspects, and has a deep associations with depression. The purposes of this study are to investigate how hazardous environment working experience impacts on depression, to provide rationale and practical implications for reducing depression and drinking. Methods: This study targeted 215 dental hygiene students from 3 universities located in Gyeonggi-do from November 30 to December 4, 2015. We analyzed the data with frequency analysis, descriptive statistics, t-test. One-way ANOVA, Pearson correlation coefficient, Regression analysis by using SPSS. Results: This study showed that experience working in hazardous environments increased depression and alcohol drinking, on the other hand alcohol drinking reduced depression. In addition, experience working in hazardous environments effected on depression indirectly through mediating of drinking, subjective health had not role of Moderating Effects between experience working in hazardous environments and depression. Conclusions: In order to reduce workers' depression and alcohol, the improvements of harmful environment are needed. For this governments and local governments should efforts to support enhancing workplace environment, to develop model of standard work environment, and to change employers' awareness on the harmful environment.

• 생물정신의학
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• 제15권3호
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• pp.175-185
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• 2008

Accumulating evidence has suggested the existence of reciprocal communication between immune, endocrine, and neurotransmitter system. Cytokine hypothesis of depression implies that increased pro-inflammatory cytokine such as -1, IL-6, IL-12, TNF-${\alpha}$, and IFN-${\gamma}$ in major depression, acting neuromodulators, play a key role in the mediation of behavioral, neuroendocrine, and neurochemical disturbances in depression. Concerning the relation between cytokines and serotonin metabolism, pro-inflammatory cytokines have profound effects on the metabolism of brain serotonin through the enzyme indoleamine-2,3-dioxygenase(IDO) that metabolizes tryptophan, the precursor of 5-HT to neurodegenerative quinolinate and neuroprotective kynurenate. The neurodegeneration process is reinforced by the neurotoxic effect of the hypercortisolemia during depression. From this perspective, it is possible that efficacy of antidepressants in the treatment of depression may, at least in part, rely on downregulation of pro-inflammatory cytokine synthesis. So, the use of cytokine synthesis inhibitors or cytokine antagonists may be a new treatment approach in depression. However, at present the question whether cytokines play a causal role in the onset of depression or are mere epiphenomena sustaining depressive symptoms remains to be elucidated. Nevertheless, cytokine hypothesis has created new perspectives in the study of psychological and pathophysiological mechanism that are associated with major depression, as well as the prospect for developing a new generation antidepressants.

• 한국생활과학회지
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• 제21권1호
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• pp.15-25
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• 2012

The purpose of this study was to examine the relationship between (1) differences in parents' interest in their children's weight, appearance orientation, eating habits and appearance evaluation, and depression based on children's gender, and (2) the pathway to children's depression. The participants in this research included 641 fourth-grade children (300 boys and 341 girls) who participated in a Korean Survey on Obesity of Youth and Children in 2009. Data were analyzed through frequency, percentage, Pearson's correlations using SPSS 19.0 and path analysis with AMOS 7.0. The findings are as follows. First, girls demonstrated higher scores in all variables except depression when compared to boys. Second, all variables indicated a direct or indirect influence on boys' depression, and appearance orientation had the greatest total effect on boys' depression. For girls, all variables again indicated a direct or indirect influence on depression, and again appearance orientation had the greatest total effect on girls' depression. However, the pathways to depression were different based on children's gender. The implications for future studies are also discussed.

• 종양간호연구
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• 제12권4호
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• pp.274-279
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• 2012

Purpose: This study was conducted to test whether sleep disturbance mediates the effect of pain on fatigue, whether fatigue mediates the effect of pain on depression, and whether fatigue mediates the effect of sleep disturbance on depression. Methods: This study was conducted from September 12th to December 20th, 2011. One hundred eighty-eight breast cancer patients were recruited from D city and S city in Korea. The instruments used in this study were the pain, sleep disturbance, fatigue, and depression scales. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and mediation pathway with the SPSS 12.0 and AMOS 20.0 programs. Results: There was correlation among pain, fatigue, sleep disturbance, and depression. Mediation analyses indicated that pain influences fatigue. sleep disturbance, and depression directly as well as indirectly. Sleep disturbance influences fatigue and depression directly, also fatigue influences depression directly. But sleep disturbance had no direct effect on depression. Conclusion: Significant correlations among the four symptoms supported the existence of the symptom cluster. Effects of pain on fatigue was partially mediated by sleep disturbance, also effects of pain on depression was partially mediated by fatigue. However, the effects of sleep disturbance on depression was fully mediated by fatigue.

• 여성건강간호학회지
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• 제17권3호
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• pp.285-293
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• 2011

Purpose: This study was designed to examine the relationship between perceived entrapment to depression and subjective well-being of women as family caregivers caring for elderly dementia patients. Methods: One hundred and sixty-nine women family caregivers were recruited from two high schools located in Seoul, Korea for this descriptive study. The instruments used were The Entrapment Scale, The Center for Epidemiology Studies Depression Scale (CES-D) and Subjective well-being scale. Results: The score of perceived entrapment significantly correlated with depression and subjective well-being. The significant predictor of depression in women caregivers was perceived entrapment, 50.3% of the variance in depression. Also, perceived entrapment was predictor of subjective well-being in women caregivers, explaining 41.4% of the variance in depression. Conclusion: This study showed that perceived entrapment is an important predictor for depression and subjective well-being. Therefore, in order to reduce depression in women caregivers, it is necessary to design an intervention program that helps with coping and reduces perceived entrapment.