• Korean Journal of Biological Psychiatry
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• v.20 no.1
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• pp.21-27
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• 2013

Objectives There is a controversy regarding the construct validity of anxiety and depression. Some believe that these two symptoms are basically the same construct, that is, both measure what is called 'general distress' or two phenomena are distinct experiences which often coexist. To further understand relationship between anxiety and depressive symptoms, we investigated the factor structure of a combined anxiety and depression scale among psychiatric outpatients. Methods Data of Zung's Self-Rating Depression and Anxiety Scales were gathered from 401 newly visiting psychiatric outpatients at a university-affiliated hospital. We performed a component analysis on the 40 items from two scales. Results Exploratory factor analysis revealed a seven factor structure explaining 56% of total variance. Overall finding indicated that depression and anxiety scales consisted of four symptom domains : mainly depressive symptoms, mainly anxiety symptoms, common somatic symptoms, and others. Conclusions Our results suggest that the construct of self-reported depressive and anxiety symptoms are more complex than previously thought, i.e., either one or two factor theories. These findings also support that anxiety and depression can be better modeled by dimensional approach. Clinicians may be alert for the fact that both depression and anxiety scales measure distinct and also common aspects. Further researches on other scales especially, interview based instruments are needed.

• Child Health Nursing Research
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• v.16 no.3
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• pp.230-238
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• 2010

Purpose: The purpose of this study was to examine gender differences in self-competence, social anxiety and depression in upper level primary school children. Methods: In this cross-sectional study, data were collected from 180 students in grades 5 or 6 (83 boys and 97 girls). The instruments used for this study were a self-report questionnaire, the Self-Perception Profile for Children, the Revised Social Anxiety Scales for Children (SASC-R) and a Depression Instrument. For data analysis, descriptive statistics, t-test, Pearson correlation coefficients, and stepwise multiple regression were used with the SPSS/PC ver 12.0 program. Results: The only gender difference was in depression and girls reported more depression than boys. Social competence showed significantly negative correlations with depression and social anxiety. Gender differences were found in self competence in the prediction of depression and social anxiety. Conclusion: The results of this study indicate that there are gender differences in self competence which influence depression and social anxiety. Thus, enhancing self-competence could prevent social anxiety and depression in children but, differences in gender should be considered when developing programs to enhance self-competence.

• Korean Journal of Biological Psychiatry
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• v.25 no.4
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• pp.110-117
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• 2018

Objectives This study aimed to investigate the relationship between depressive and anxiety symptoms and tardive dyskinesia (TD) and reveal the association of cognitive function and TD in patients with schizophrenia. Methods We recruited 30 schizophrenia patients with TD and 31 without TD from a national mental hospital in South Korea. To assess depressive and anxiety symptoms, the Beck Depression Inventory-II (BDI-II) and the Beck Anxiety Inventory (BAI) were conducted. Using the five-factor structure of the BDI-II and BAI, somatic anxiety, cognitive depression, somatic depression, subjective anxiety, and autonomic anxiety were assessed. Computerized neurocognitive function test (CNT) was performed to assess levels of cognitive functions. We compared the clinical characteristics, levels of cognitive functions, and depressive and anxiety symptoms between schizophrenia patients with TD and without TD. Chi-square test, Fisher's exact test, independent t-test and Mann Whitney U test were conducted to compare two groups. Pearson correlation analysis was conducted to evaluate relationships among the abnormal involuntary movement scale (AIMS), BDI-II, BAI, somatic anxiety, cognitive depression, somatic depression, subjective anxiety, and autonomic anxiety. Results The subjects with TD had significantly lower score on the cognitive depression than those without TD (t = -2.087, p = 0.041). There were significant correlations between the AIMS score and the BDI-II score (r = -0.386, p = 0.035) and between the AIMS score and cognitive depression score (r = - 0.385, p = 0.035). Conclusions Our findings suggest the inverse relationship between severities in TD and depression and support the assumption that there is an inverse relationship between the pathophysiology of TD and depression.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.1
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• pp.103-109
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• 2007

Purpose: The purpose of this study was to investigate the relationship among aging anxiety, depression, and self-esteem of middle-aged people. Method: The study was designed as a descriptive correlation study Data were collected using a structured questionnaire which included general characteristics, and measures of aging anxiety, depression, and self-esteem. Data collection was done between March 15 and June 10. 2006 with 184 middle-aged participants. Results: The average score of the participants for aging anxiety was 48.38, for depression 16.49, and for self-esteem 29.08. There were positive correlations between aging anxiety and depression, aging anxiety and self-esteem. There was a negative correlation between depression and self-esteem. The correlations were statistically significant. Conclusion: Therefore, nursing program should be developed to improve the mental health and increase the qualitative life of middle-aged people.

• Journal of Oral Medicine and Pain
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• v.22 no.2
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• pp.373-381
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• 1997

The anxiety and depression level of new outpatients wert studied clinically by means of The Hospital Anxiety and Depression Scale(HAD). 64 males and 97 females were subjected at local dental clinic and also 6l male and 91 females were studied at the Dept. of Oral Medicine, PNUH, during period from 1996 to 1997 The obtained results were as follows : 1. Anxiety disorder was 17.76% in the new dental outpatients of university hospital and 13.66% in the local dental Clinic find depression disorder was 7.23% In the University hospital and 3.72% in the local dental clinic. 2. Mean values of depression and anxiety level were within normal range. 3. Anxiety level in female was significantly higher than that in male at the local dental clinic (p<0.05). 4. Anxiety and depression level in university hospital outpatients decreased in order of clerk, housewife and student(p<0.01). 5. The outpatients of university hospital with lower education level showed more anxious and depressed. 6. Anxiety and depression of unmarried group of new outpatients in university hospital was higher than that of married group. Through the above results, proper treatment plans will be demanded In the dental procedure, because psychologic 야sorders as anxiety and depression were included in the 25% of new outpatients of university hospital and 17% at local dental clinic.

• Korean Journal of Psychosomatic Medicine
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• v.11 no.1
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• pp.52-59
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• 2003

Objective: The purposes of this study were to investigate anxiety and depression that can mediate stress and elicit a response from the women with urinary incontinence and compare the anxiety and depression level before and after treatment of extracoporeal magnetic innervation. Method: Fifty-five women with urinary incontinence were included from a obstetrics and gynecology cilnic. Beck Anxiety Inventory(BAI), Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory(STAI) were administered before and after treatment of extracoporeal magnetic innervation. Results: The women with urinary incontinence had higher levels of anxiety and depression. Anxiety and depression were reduced after treatment of extracoporeal magnetic innervation regardless of improvement incontinence. Conclusion: Therapies including extracoporeal magnetic innervation may be intrumental in improving anxiety and depression, If the patient do not show improvements of anxiety and depression after treatment for their urologic disorder or if the therapy is unsuccessful, appropriate referral is indicated.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.4
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• pp.27-33
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• 2018

PURPOSE: This study was conducted to identify the relationships among stress response inventory, hospital anxiety and depression, muscle tone and stiffness, and hand strength in chronic stroke patients. METHODS: A total of 14 chronic stroke patients voluntarily agreed to this experiment and were included in this study. All measurements were performed in one day and in a room without noise. The tests conducted in this study were as follows: muscle tone and stiffness of the upper trapezius hand grip measurement. Subjects were also asked to complete surveys describing the following: stress response inventory and hospital anxiety and depression scale. RESULTS: There were significant correlations among stress response inventory and hospital anxiety and depression, stress response inventory and hand strength, and hospital anxiety and depression and hand strength (P<.05). There were high positive correlations between stress response inventory and hospital anxiety and depression (r=.979), while there were moderate negative correlations between stress response inventory and hand strength (r=-.415) and between hospital anxiety and depression and hand strength (r=-.420). CONCLUSION: The results of the present study indicate that there is a relationship among stress response inventory, hospital anxiety and depression, and hand strength in patients with chronic stroke.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.2
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• pp.723-731
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• 2016

Background: Cancer is a major public health problem in many parts of the world. Gastrointestinal (GI) cancers are responsible for 20% of all cancer-related deaths. In Turkey, stomach cancers account for 8.9%, colon cancer for 6.9%, and pancreatic cancer for 5.9%. This study examined the anxiety-depression levels and the quality of life of patients with GI cancer. Materials and Methods: This descriptive study was carried out on 335 adult patients who had gastrointestinal cancer and who were hospitalized in medical oncology clinics. Data were collected by using hospital anxiety and depression scale, EORTC QLQ C-30 and a patient information form. Results: Patients who were male and secondary school graduates/graduates/postgraduates experienced more functional difficulties. Patients with poor economic status experienced more symptoms. Patient general wellbeing decreased with increase disease duration. The level of functional difficulties decreased with an increasing number of hospital stays. Anxiety scores increased with decreasing age. Both anxiety and depression scores increased with increasing disease duration. Patients who were female, single/widowed/divorced, and literate/elementary school graduates had higher anxiety and depression scores. Life quality decreased with increasing anxiety and depression. Conclusions: Patients should be supported to prevent anxiety and depression, and should be followed up with this in mind.

• Journal of the Korean Home Economics Association
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• v.50 no.1
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• pp.15-28
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• 2012

The purpose of this study was to examine: (1) the relationships among two dimensions of children's perfectionism (both self-oriented and socially prescribed), and levels of depression, anxiety, and self-esteem; (2) whether or not self-esteem mediates the relationship between children's self-oriented perfectionism, and depression and anxiety; and (3) whether self-esteem mediates the relationship between socially prescribed perfectionism, and depression and anxiety. The participants were 406 fifth and sixth graders. Their data were collected with questionnaires. It was found that there are significant correlations between children's self-oriented perfectionism, and depression and self-esteem, and there are also significant correlations between children's socially prescribed perfectionism, and depression, anxiety, and self-esteem. It was also found that self-esteem mediates the relationship between the two dimensions of children's perfectionism, and depression and anxiety. These results seem to indicate that enhancing healthy self-esteem could lower the risks of experiencing depression and anxiety in children with perfectionistic personality.

• Journal of Korean Medical Science
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• v.33 no.45
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• pp.284.1-284.12
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• 2018

Background: Posttraumatic stress symptoms (PTSS) in patients with psychological trauma lead to poor health-related quality of life. Understanding of the relationships among PTSS, anxiety, depression, and illness intrusiveness will guide the development of efficient approaches to enhance subjective well-being in patients with psychological trauma. This study investigated whether anxiety and depression mediate the relationship between PTSS and illness intrusiveness in the hope of providing more comprehensive and effective trauma treatment. Methods: Psychiatric outpatients who visited the trauma clinic of a university hospital (n = 260) participated in this study. Assessments were conducted for PTSS, anxiety, depression, and illness intrusiveness. Structural equation modeling and path analysis were performed to analyze the mediating effects of anxiety and depression on the relationship between PTSS and illness intrusiveness. Results: PTSS had both direct and indirect exacerbating effects on illness intrusiveness. Anxiety exhibited the largest direct exacerbating effect on illness intrusiveness. The indirect effects of PTSS on illness intrusiveness through anxiety alone and through a depression-to-anxiety pathway were significant, but the indirect effect through depression alone was not. Conclusion: The findings demonstrate that anxiety, both independently and as part of an interrelated pathway with depression, partially mediates the relationship between PTSS and illness intrusiveness. Appropriate interventions and a comprehensive approach to alleviate anxiety and depression could mitigate the negative effects of PTSS on illness intrusiveness in patients with psychological trauma.