• Journal of Korean Academy of Nursing
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• v.42 no.6
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• pp.843-852
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• 2012

Purpose: In this study a recreational combination gymnastics program was provided for women 75 years of age or older and the effects on physical fitness (grip strength, static balance, ability to do complex movement), depression, cognitive function and quality of life were examined. Methods: A quasi-experimental study employing a nonequivalent control group, pre-post design was conducted. Participants included 53 women elders whose cognitive function was within the normal range. The women were assigned to an experimental group (27) or a control group (26). The intervention was conducted twice a week for a period of 12 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used for data analysis. Results: Following completion of the program, left grip strength (t=2.17, p=.035), right grip strength (t=2.04, p=.046), static balance (t=-2.18, p=.030), depression (z=-2.88, p=.004), cognitive function (t=3.96, p<.001), and quality of life (t=-3.19, p=.002) were significantly better in the experimental group. Conclusion: Findings from this study indicate that recreational combination gymnastics programs are effective in enhancing physical fitness, cognitive function, and quality of life and in decreasing depression for female elders and could therefore be regarded as positive programs for promotion of physical and mental health for older women.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.2
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• pp.200-209
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• 2017

Objectives : The aim of this study was to analyze the relationship between depressive symptoms and sociodemographic factors associated with geriatric depression and insomnia and to examine the effects of these factors on depression. Methods : The severities of insomnia and depression in elderly aged 60 and older lived in Gwangmyeong city were evaluated and the related sociodemographic factors were investigated. From April 20, 2016 to December 1, 2016, Gwangmyeong city Mental Health Sevices consignment by department of psychiatry of a university-affiliated general hospital conducted surveys and interviews for total 837 elderly peoples lived in Gwangmyeong city by visiting welfare center and wards located in the city. Structured interviews were conducted using Insomnia Severity Index(ISI) and Short form-Geriatric Depression Scale(S-GDS) to examine the relationship between sociodemographic factors and the severities of insomnia and depression. Results : There were significant differences in S-GDS mean scores and age(below 70 years old, 70s, 80s, above 90 years old), type of health care(health insurance, medical aid), type of residency(own, not own) and marital status(single, married, divorced or widowed).There was a significant difference in education level, especially between not educated(and/or) elementary graduates and college graduate(F=3.227, p=0.012). Also, there were significant differences in age, type of health care, type of residency, number of household on divided S-GDS score above and below 10 scores(p<0.05). Insomnia measured by ISI was not significantly associated with sociodemographic factors(p>0.05), but was significantly associated with depressive symptoms(p<0.05). These findings suggest more severe insomnia symptom indicated the higher probability of depression and elderly with depressive symptoms had more severe insomnia. Conclusions : Geriatric depression has significant relationships with age, type of health care, type of residency, marital status, education and number of households. In addition, insomnia which is main symptom of depression in elderly, has important role in predicting the severity and diagnosis of depression.

• Journal of Korean Clinical Nursing Research
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• v.23 no.2
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• pp.258-266
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• 2017

Purpose: The study aimed to examine quality of sleep in hemodialysis patients and explore physical, physiological, and psychological factors determining sleep quality. Methods: The survey was conducted among 165 patients on maintenance hemodialysis at a university hospital. Data were collected from July to October in 2015. The sleep quality and its related factors were assessed by standardized questionnaires, anthropometric measures, and lab tests after obtaining a written consent from the participant. Results: The mean age of the participants was 62.58 years old, and 67.9% of the participants experienced sleep disorders such as 'not falling asleep within 30 minutes' or 'frequently waking up at night'. Pain (t=-3.29, p=.007) and depression (t=-6.028, p<.001) were significantly different between the group with sleep disorder and the other without. The demographic factors (age, shared room, sleep during the day), physical factors (pain and symptom), and psychological factors (depression and trait and status anxiety) together explained 20.0% of variance in sleep quality. Conclusion: Sleep disorder was frequently experienced among the patients on maintenance hemodialysis. The effective nursing strategies should focus on sleep environment, pain and depression management. Further study is warranted to explore the effect of physiological factors related to the disease on sleep disorder in this population.

• Science of Emotion and Sensibility
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• v.24 no.3
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• pp.17-26
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• 2021

This study investigated the association between depression and oral health and the factors influencing depression in adults. Data on 13,199 people (male 5,793, female 7,406; age ≥19 years old) were extracted from the Korean National Health and Nutrition Examination Survey VIII (KNHANES VIII) (2016~2018) and analyzed using frequency, percentage, an x² test, a T-test, and logistic regression analysis. Depression was defined as either a medical diagnosis or a score ≥10 on Patient Health Questionnaire-9. The probability of depression was found to be statistically different for general characteristics, such as gender, age, school grade, income, and drinking. The logistic regression analysis showed that the independent variables, general health awareness (OR=9.094, 95% CI 7.139~11.585) and oral health awareness (OR=1.936, 95% CI 1.465~2.560), were associated with depression, and speaking discomfort, chewing discomfort, oral pain (within 1 year), and prosthesis were found to increase depression probability. The depression probability was also was found to significantly increase by 1.81 times if brushing frequency was less that once a day, if people used dental floss (OR=1.42), and had to have an oral examination (OR=1.31). These results indicated that oral health and oral health behaviors are associated with the depression, with the influencing factors having oral health and behavior-related characteristics. Therefore, proper oral health and oral health risk factor behavior management programs should be developed to assist in reducing depression.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.4
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• pp.67-77
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• 2020

Purpose : Recently, Korea has entered an aging society due to the steadily increasing proportion of the elderly population. Additionally, elderly suicidal rate in Korea is the highest among OECD member countries. Because old age is a time when all functions are weakened physically, mentally, and socially, negative experiences, including depression and poor quality of life in the elderly, may lead to suicidal intentions. This study attempts to understand the relationship between depression and quality of life experienced by the elderly and their suicidal intentions. Methods : The survey was conducted from January 2 to March 31, 2019 by administering a questionnaire targeting people aged ≥ 65 years, who were registered at public health centers located in U-city, Gyeonggi-do. In total, 1,015 copies of data were used for the final analysis. The collected data were analyzed using the SPSS/WIN 23.0 program. The χ2 test was performed to investigate the relationship between the demographic characteristics and the suicidal intentions of the elderly subjects. The t-test was performed to determine the relationship between suicidal intentions, depression, and quality of life in elderly subjects. Results : The study results revealed that 168 people (16.6 %) had thought of suicide and 3.2 % had actually tried to commit suicide. The reasons for suicidal thoughts were family problems in 60 (5.6 %), economic problems in 49 (4.6 %), and physical illness in 44 (4.1 %). Those with suicidal intentions had higher levels of depression (t=11.712, p<.001) and higher quality of life scores (t=-9.565, p<.001). Conclusion : Based on these results, it is proposed that a suicide prevention policy and program that can improve the elderly's depression and quality of life is necessary.

• Korea journal of population studies
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• v.34 no.2
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• pp.163-190
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• 2011

This study assessed the manner in which social activities, religious experiences, and spiritual practices related to depression and life satisfaction among 217 Korean elderly individuals, aged 65 to 80. The Social Activities Scale and Brief Multidimensional Measure of Religiosity/Spirituality were employed to assess social activities and six domains of religiosity/spirituality: daily spiritual experiences, values, forgiveness, private religious practice, religious/spiritual coping, and religious support. In addition, depression was assessed with the Geriatric Depression Scale, and life satisfaction with the Satisfaction with Life Scale. After controlling for demographic variables, lower depression scores were predicted by higher levels of religious and spiritual coping, social activities, higher income, and ower daily spiritual experiences. In addition, identifying as female, advanced old age, and lower social activities predicted lower life satisfaction in this study. The implications of this study's findings on social work practice are also discussed, along with some future research directions.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.1732-1744
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• 2015

The aim of this study is to elucidate the underlying process of change affecting depression through social support. 250 korean adults from age 52 to age 60 years old who lived in South Chungcheong were sampled. Social support was composed of two types: instrumental and emotional support. As the results, first, elderly care activities for voluntary recogniton is situated on 3.56, 3.17 involuntary exposure perception of elderly care activities. Second the baby boomers get more depressed when having lower elderly care activities for voluntary recogniton and lower social support. Third, there is a partial mediating effect of social support in association with elderly care activities for voluntary recogniton and depression.

• 한국노년학
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• v.37 no.2
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• pp.415-430
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• 2017

This study aims to examine whether assets matter for depression among older adults and whether the relationship between assets and depression is mediated by social activities. The research questions are based on asset effect theory, stakeholder theory, and activity theory. This study used the 5th wave of KLoSA data which is a nationally representative data in Korea. Research findings are summarized as follows: First, we found the negative relationship between assets and depression of older adults. Second, The relationship between assets and depression was partially mediated by social activities of older adults. The findings suggest that older adults with assets are more likely to participate in social activities and accordingly their depression is likely to decline. Based on the empirical findings, we can propose that asset-building programs targeting older adults should be developed and that the financial education and saving chances should be given to middle-aged adults who need to prepare old age in the long-term perspective.

• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.473-484
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• 2022

This study aimed to verify the reciprocal casual relationship between self-rated health status and depression in the elderly through longitudinal analysis. An autoregressive cross-lagged model was identified. This study analyzed 3,363 elderly people aged 65 or older using the 5th, 6th, and 7th wave data from Korean Longitudinal Study of Ageing(KLoSA). The results are as follows. First, self-rated health status had a positive(+) autoregressive effect. Second, depression had a positive(+) autoregressive effect. Third, self-rated health status had a negative(-) cross-lagged effect on depression, but depression was not a casual predictor of self-rated health status. Based on these findings, it was suggested that there is a need for systematic policies to improve basic fitness in the early stages of old age, as well as the need to expand health promotion programs and implement integrated depression management programs.

• Journal of Korean Public Health Nursing
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• v.20 no.2
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• pp.141-150
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• 2006

Purpose: This study was conducted to investigate the levels of ego-identity and related factors in middle-aged women who lived in G city. Methods: The participants in this descriptive study were 437 middle-aged (40-60 year old) women. Data were collected from January to February, 2006. Personal interviews with a structured questionnaire (9 items of general characteristics, 30 items of subjects' characteristics related to health and 56 items of ego-identity) were conducted used. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple linear regression analysis. Results: Ego-identity was significantly associated with the variables of age, educational level, monthly income, living with the parents of the subject's husband, number of children, smoking. exercise, depression, perceived health status, and satisfaction of marital status (p<0.05). In multiple linear regression analysis of the subjects' characteristics which were significantly associated with ego-identity, monthly income, living with the parents of the subject's husband, and depression were significant variables (p<0.05). Conclusion: It is necessary to study the depression of middle-aged women in Geoje city and develop programs with consideration for the significant factors which can improve their ego-identity.