DOI QR코드

DOI QR Code

Associations of physical activity by intensity (moderate vs. vigorous) with depression and suicidal thoughts among middle school students in South Korea

한국 중학생의 신체활동 정도와 우울 및 자살사고 간의 관련성

  • An, Ji-Yeon (Department of Nursing, Kyung-In Women's University)
  • 안지연 (경인여자대학교 간호학과)
  • Received : 2014.10.10
  • Accepted : 2014.12.11
  • Published : 2014.12.31

Abstract

This study examined the associations of physical activity by intensity with depression and suicidal thoughts among middle school students in South Korea. This study used data from the Survey of Korean Youth Health Risk Behavior. The samples were middle school students (Total 37,420). Logistic regression analysis were used. For depression, 33% of males and 43% of females felt depressed, whereas 17.8% of males and 27.7% of females experienced suicidal thoughts. In regression, both moderate physical activity and vigorous physical activity were associated significantly with a lower incidence of depression. In suicidal thoughts, moderate physical activity was associated with a lower incidence of suicidal thoughts among female students. In path analysis, vigorous physical activity had a direct and indirect effect on depression and suicidal thoughts. Physical activity is a potential mediator in decreasing depression and suicidal thoughts among middle school students.

본 논문은 한국 중학생의 신체활동이 우울 및 자살사고에 영향을 미치는지 조사하고자 시행되었다. 자료분석을 위해 청소년건강행태 온라인 조사 자료를 이용하였다. 연구대상자는 전국 중학생으로 표본수는 총 37,420명이다. 분석방법은 로지 스틱 회귀분석을 사용하였다. 분석결과, 남학생의 33%, 여학생의 43%가 우울한 경험이 있다고 응답하였고, 남학생의 17.8%, 여학생의 27.7%가 자살사고의 경험이 있다고 응답하였다. 회귀분석 결과, 중등도 신체활동과 고강도 신체활동 모두 우울발생에 대해 낮은 가능성을 보인 반면, 자살사고에 대해서는 여학생에서만 중등도 신체활동이 자살사고 발생에 대해 낮은 가능성을 보였다. 경로분석결과, 중등도 신체활동은 우울과 자살사고에 유의한 영향이 없었으나, 반면 격렬한 신체활동은 직간접적으로 우울과 자살사고에 영향을 미치는 것으로 나타났다. 신체활동은 남녀 중학생의 우울 및 자살을 예방할 수 있는 중요한 매개역할을 담당하는 것으로 분석된다.

Keywords

References

  1. P. Vikram, Gender and health research series. WHO Library cataloguing-in-publication data. Geneva, Switzerland: World Health Organization, 2005
  2. Organization for European Economy Co-operation. Society at a glance-OECD social indicators. 2009[cited 2011 Oct., 7], Available from:http://www.oecd.org/els/social/indicators/SAG.
  3. J. M. Bertolote, A. Fleischmann, A. Butchart, N. Besbelli, "Suicide, Suicide attempts and pesticide: a major hidden public health problems", Bulletin of World Health Organization, p.260, 84, 4, 2006.
  4. G. L. Larkin, R. P. Smith, A. L. Beautrais. " Trends in US emergency department visits for suicide attempts 1992-2001", Crisis, pp.73-80, 29, 2, 2008. https://doi.org/10.1027/0227-5910.29.2.73
  5. J. R. Cougle, H. Resnick, D. G. Kilpatrick. "PTSD, depression, and their comorbidity in relation to suicidality: cross-sectional and prospective analyses of a national probability sample of women", Depression and Anxiety, pp. 1151-1157, 26, 12, 2009. https://doi.org/10.1002/da.20621
  6. Y. Chen, S. Dilsaver, "Lifetime rates of suicide attempts among subjects with bipolar and unipolar and unipolar disorders relative to subjects with other Axis I disorders", Biological Psychiatry, pp.896-899, 39, 1, 1994.
  7. M. Pompili, M. Innamorati, M. Raja, I. Falcone, G. Ducci, G. Angeletti, D. Lester, P. Girardi, R. Tatarelli, E. De Pisa, "Suicide risk in depression and bipolar disorder: Do impulsiveness-aggressiveness and pharmacotherapy predict suicidal intent?", Neuropsychiatric Disease and Treatment, pp.247-255, 4, 1, 2008.
  8. H. J. Chan, H. C. Lin, H. C. Lee, C. C. Lin, S. Pfeiffer, "Risk of mortality among depressed younger patients: a five-year follow-up study", Journal of Affective Disorders, pp.255-262, 113, 3, 2009. DOI: http://dx.doi.org/10.1016/j.jad.2008.05.025
  9. E. J. Costello, A. Erkanli, A. Angold, "Is there an epidemic of child or adolescent depression?" Journal of Child Psychology and Psychiatry, pp.1263-1271, 47, 12, 2006.
  10. W. E. Copeland, L. Shanahan, E. J. Costello, A. Angold, "Childhood and adolescent psychiatric disorders as predictors of young adult disorders", Archives of General Psychiatry, pp.764-772, 66, 7, 2009. https://doi.org/10.1001/archgenpsychiatry.2009.85
  11. M. Nakao, T. Takeuchi, K. Yoshimasu, "A proposed approach to suicide prevention in Japan: the use of self-perceived symptoms as indicators of depression and suicide ideation" Environmental Health and Preventive Medicine, pp.313-321, 13, 6, 2008. https://doi.org/10.1007/s12199-008-0048-7
  12. A. J. Zanetkin, M. R. Alter, T. Yemini, "Suicide in teenagers: assessment, management, and prevention", JAMA, pp.3120-3125, 286, 24, 2001. https://doi.org/10.1001/jama.286.24.3120
  13. K. H. Kim, "Depression and suicide in Korean adolescents", Korean Journal of Psychologic Social Issues, pp.55-68, 10, 2004.
  14. H. J. Jeon, J. Y. Lee, Y. M, Lee, J. P. Hong, S. H. Won, S. J. Cho, J. Y. Kim, S. M. Chang, D. Lee, H. W. Lee, M. J. Cho, "Lifetime prevalence and correlates of suicide ideation, plan, and single and multiple attempts in a Korea nationwide study" Journal of Nervous and Mental Disease, pp.643-646, 198, 9, 2010. DOI: http://dx.doi.org/10.1097/NMD.0b013e3181ef3ecf
  15. S. Biddle, "Exercise and psychosocial health", Research Quarterly for Exercise and Sport, pp.292-279, 66, 4, 1995. https://doi.org/10.1080/02701367.1995.10607914
  16. L. Larun, L. V. Nordheim, E. Ekeland, K. B. Hagen, F. Heian, "Exercise in prevention and treatment of anxiety and depression among children and young people", Cochrane Database of Systemic Review, pp.1-40, 19, 3, 2006.
  17. E. W. Martinsen, "Physical activity in the prevention and treatment of anxiety and depression", Nordic Journal of Psychiatry, pp.25-29, 62, Supple 47, 2008. DOI: http://dx.doi.org/10.1080/08039480802315640
  18. Raglin JS. Anxiolytic effects of physical activity. In: Physical activity and mental health. W.P. Morgan (Ed.). pp.107-126, Washington, DC: Taylor and Francis, 1997.
  19. J. L. Etnier, P. M. Nowell, D. M. Landers, B. A. Sibley, "A meta-regression to examine the relationship between aerobic fitness and cognitive performance", Brain Research Reviews, pp.119-130, 52, 1, 2006. https://doi.org/10.1016/j.brainresrev.2006.01.002
  20. D. W. Brown, D. R. Brown, G. W. Health, L. Balluz, W. H. Giles, E. S. Ford, A. H. Mokdad, "Association between physical activity does and health related quality of life", American College of Sports Medicine, pp.890-896, 36, 5, 2004.
  21. W. L. Mangerud, O. Bjerkeset, S. Lydersen, M. S. Indredavik, "Physical activity in adolescents with psychiatric disorders and in the general population." Child and Adolescent Psychiatry and Mental Health, pp.1-10, 8, 1, 2014. https://doi.org/10.1186/1753-2000-8-1
  22. J. J. Mann, "A current perspective of suicide and attempted suicide", Annals of Internal Medicine, pp.302-311, 136, 4, 2002. https://doi.org/10.7326/0003-4819-136-4-200202190-00010
  23. J. J. Mann, D. A. Brent, V. Arango, "The neurobiology and genetics of suicide and attempted suicide: a focus on the serotonergic system", Neuropsychopharmacology, pp.467-477, 24, 5, 2001. https://doi.org/10.1016/S0893-133X(00)00228-1
  24. K. Bhui, A. Fletcher, "Common mood and anxiety states: gender differences in the protective effect of physical activity", Social Psychiatry and Psychiatric Epidemiology, pp.28-35, 35, 1, 2000. https://doi.org/10.1007/s001270050005
  25. M. E. Farmer, B. Z. Locke, E. K. Mosciki, A. L. Dannenberg, D. B. Larson, L. S. Radloff, " Physical activity and depressive symptoms: The NHANES I epidemiologic follow-up study", American Journal of Epidemiology, pp.1340-1351, 128, 6, 1988. https://doi.org/10.1093/oxfordjournals.aje.a115087
  26. J. Krogh, M. Nordentoft, J. A. Sterne, D. A. Lawlor. "The effect of exercise in clinically depressed adults: systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Psychiatry, pp.529-538, 72, 4, 2011. https://doi.org/10.4088/JCP.08r04913blu
  27. C. S. Lee, Y. R. Kweon, S. J. Kim, B. S. Choi, "The effects of suicide prevention program on depression, suicidal ideation, and problem solving ability on middle school students", Journal of Korean Academic Psychiatry and Mental Health Nursing, pp.337-347, 16, 4, 2007.
  28. H. S. Park, "Effects of core competency support program on depression and suicidal ideation for adolescents", Journal of Korean Academic Nursing, pp.851-859, 39, 6, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.6.851
  29. Department of Health PA, Health Improvement and Protection, Start active, stay active: A report on physical activity from the four home countries' Chief Medical Officers. London, Department of Health. 2011.
  30. A. Sagatun, E. Kolle, S. A. Anderssen, M. Thoresen, A. J. Sogaard, "Three-year follow-up of physical activity in Norwegian youth from two ethnic groups: associations with socio-demographic factors", BMC Public Health, pp.419, 22, 8, 2008.
  31. M. H. Jang, G. J. Lee, "Body image dissatisfaction as mediator of the association between BMI, self-esteem and mental health in early adolescents: a multiple-group path analysis across gender." Journal of Korean Academy Nursing, pp.165-175, 43, 2, 2013. DOI: http://dx.doi.org/10.4040/jkan.2013.43.2.165
  32. M. Rutter, A. Caspi, T. E. Moffitt, "Using sex differences in psychopathology to study causal mechanism: unifying issues and research strategies", Journal of Child Psychology and Psychiatry and Allied Disciplines, pp.1092-1115, 44, 8, 2003. DOI: http://dx.doi.org/10.1111/1469-7610.00194
  33. C. Zahn-Waxler, E. A. Shirtchliff, K. Marceau, "Disorders of childhood and adolescence: gender and psychopathology", Annual Review of Clinical Psychology, pp. 275-303, 4, 2008. DOI: http://dx.doi.org/10.1146/annurev.clinpsy.3.022806.091358
  34. N. Breslau, H. Chilcoat, L. R. Schultz. "Anxiety disorders and the emergence of sex differences in major depression", The Journal of Gender-pecific Medicine, pp.33-39, 1, 3, 1998.
  35. M. B. Solomon, J. P. Herman, "Sex differences in psychopathology: of gonads, adrenals and mental illness", Physiology and Behavior, pp.250-258, 97, 2, 2009. https://doi.org/10.1016/j.physbeh.2009.02.033
  36. E. A. Young, M. Altemus, "Puberty, ovarian steroids, and stress", Annals of the New York Academy of Sciences. pp.124-133, 1021, 2004. DOI: http://dx.doi.org/10.1196/annals.1308.013
  37. S. Y. Sohn, "Factors affecting suicidal ideation, suicidal plan and suicidal attempt in Korean Adolescents." Journal of Korea Academia-Industrial Cooperation Society, pp.1606-1614, 15, 3, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.3.1606
  38. E. O. Park, " The influencing factors on suicide attempt among adolescents in South Korea.", Journal of Korean Academy Nursing, pp.465-473, 38, 3, 2008. https://doi.org/10.4040/jkan.2008.38.3.465
  39. F. B. Tao, M. L. Xu, S. D. Kim, Y. Sun, P. Y. Su, K. Huang, "Physical activity might not be the protective factor for health risk behaviors and psychopathological symptoms in adolescents", Journal of Paediatrics and Child Health, pp.762-767, 43, 11, 2007. https://doi.org/10.1111/j.1440-1754.2007.01217.x
  40. J. S. Kim, "Suicidal ideation and associated factors by sex in adolescents." Journal of the Korea Contents Association, pp.261-268, 12, 12, 2012. DOI: http://dx.doi.org/10.5392/JKCA.2012.12.12.261