Symptoms, Depression, and Coping Behaviors of University Students

대학생의 자각증상과 우울 및 스트레스 대처행동에 관계

  • 최미경 (관동대학교 의과대학 간호학과)
  • Published : 2003.06.01

Abstract

Purpose: The purpose of this study was to examine the relationship among subjective symptoms, depression, and stress coping behavior of university students. Method: The survey was carried out on a convenience sample of 298 university students. The questionnaire consisted of each scale for symptoms, depression, and stress coping behaviors. Data analysis procedure included the factor analysis for stress coping behaviors, and the correlation analysis describing a relationship among symptoms, depression, and stress coping behaviors. Result: There were significant correlations between depression and the three types of symptoms: general, psychological, and somatic symptom. Subjects using the negative-emotional-response coping and the self-control coping showed a more severe depression, and those using the problem-solvingㆍreappraisal coping and the positive-emotional-response coping showed a milder depression. Subjects using the negative-emotional-response coping complained of all 3 types of symptoms severely, and those using the positive-emotional-response coping complained of general symptoms mildly. Of five stress coping methods, the negative-emotional-response and the positive-emotional-response coping methods were related to both symptoms and depression significantly. Conclusion: This study suggests that the emotional-oriented coping method has more important role for university student’s depression and their subjective symptoms than the problem-oriented coping or social supports seeking coping. Further study needs to be conducted to help students effective coping mechanism for good mental health. Also it is necessary for university students to recognize that their symptoms are associated with depression.

Keywords

References

  1. Brown, B. M., Stuart, J. C. (1981). The relationship of stress and coping ability to incidence of disease, J Psychosom, 25, 255-260
  2. Choi, M. K., Kim, K. J., Kurita, H., Sekine, Y. O., Ono, H. Y., Sasaki, Y. J. (1995). A study on the illness behavior of depressed patients-Analysis based on outpatients of university hospitals in Korea and Japan-, J Korean Neuropsychiatry Assoc, 34(3), 724-740
  3. Choi, M. K., Kim, K. J. (1996). Symptoms of depression in Koreans and Japanese: A cross-cultural study, Mental Health Research, 15, 104-114
  4. Choi, M. K. (1998). A study on stress coping behavior in relation to the experience of powerlessness and emotional support, Kwandong Medical Journal, 2(1), 167-177
  5. Choi, S. I., Kim, J. S., Shin, M. S., Cho, M. J. (2001). Modes of anger expression in relation to depression and somatization, J Korean Neuropsychiatry Assoc, 40(3), 425-433
  6. Katon, W., Kleinman, A., Rosen, G. (1982). Depression and somatization: A review, partI. Am J Med 72, 127-135 https://doi.org/10.1016/0002-9343(82)90599-X
  7. Kim, K. I. (1992): Depressive disorders in Korea, Mental Health Research, 11, 21-50
  8. Kleinman, A., Good, B. (1985). Culture and Depression, Berkerly, California : University of California Press
  9. Lazarus, R. S., Folkman, S. (1986). Appraisal, coping, health status and psychological symptoms, J Per Soc Psychol, 50(3), 571-579 https://doi.org/10.1037/0022-3514.50.3.571
  10. Lee, S. Y., Park, M. C. (2000). Perceived Stressful Life Events, coping style, social support and depressive symptoms of then functional dyspepsia patients, J Korean Neuropsychiatry Assoc, 39(2), 351-360
  11. Lipowski, Z. J. (1988): Somatization: then concept and its clinical application. Am J Psychiatry 145, 1358-1368 https://doi.org/10.1176/ajp.145.11.1358
  12. Lloyd, C. (1980). Life events and depressive disorder reviewed II: event as precipitating factors, Arch Gen Psychiatry, 37 541-548 https://doi.org/10.1001/archpsyc.1980.01780180055005
  13. Locke, S. E., Kraus, L., Leserman, J., Hurst, M. W., Heisel, S. & Williams, R. M. (1984). Life change stress, psychiatric symptoms, and natural killer cell activity, Psychosomatic Medicine, 46, 441-453 https://doi.org/10.1097/00006842-198409000-00005
  14. Matsumoto, C. (2002). Practical Guide on the Health Behavior Theories for the Medical and Health Care Staff, Tokyo : Ishiyaku Publishers
  15. Michael, R. (2000): Somatization in an immigrant population in Israel: A community survey of prevalence, risk factors, and help-seeking behavior. Am J Psychiatry 157, 385-392
  16. Mkize, L. P., Nonkelela, N. F., & Mkize, D. L. (1998). Prevalence of depression in a university population, curations, 21(3), 32-37
  17. Morimoto, K. (1999). Life and stress of modern people. In T. N. Kawano & T. H. Kuboki (Eds.), Problem and coping of stress(pp. 46-59), Tokyo : Shibundo
  18. Munakata, T. (1996). Behavioral science in health and illness, Tokyo : Mejikarufurendosha
  19. Rutter, M. (1989). Twenty five years of child psychiatric epidemiology, J Am Acad Child Adolesc Psychiatry 28, 633-653
  20. Shimai, S. S. (1998). Health Psychology, Tokyo : Haihookan
  21. Sonada, K., Kawada, C., Sakuma, M., Yamazaki, K., Yoshida, J. (1996). Health Care Survey Handbook, Tokyo: Tokyo University Press
  22. Spivack, G., Shusre, B. (1985). Cetripetal and centrifugal forces. Am J Com Psychol, 13, 226-243
  23. Wong, D. F. K., Leung, S. S. K., So, C. K. (2001). Differential impacts of coping strategies on then mental health of Chinese nurses in hospitals in Hong Kong, Int J Nurs Pract, 7(3), 188-198 https://doi.org/10.1046/j.1440-172X.2001.00298.x
  24. Yoon, H. Y., Lee, H. B., Chun, S. M. (1997). The effects of stress management training and locus of control on perceived stress and depression, Korean Journal of Psychology, 9(1), 367-407