• Title/Summary/Keyword: 노인 정신건강

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Analysis of Factors Affecting Health Inequalities Among Korean Elderly (노인 집단에서 나타나는 건강 수준 차이의 요인 분석)

  • Kim, Dongbae;Yoo, Byungsun;Min, Jungsun
    • Korean Journal of Social Welfare Studies
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    • v.42 no.3
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    • pp.267-290
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    • 2011
  • This research attempts to analyze the effects of demographic factors, socioeconomic factors, health behaviors and social/familial supports on health inequalities among Korean elderly. For this end, this study adopts the multiple linear regression analysis to process data on population aged over 65 contained in 'The Third Korea Welfare Panel Study' published in 2008. The following are the results. First, the less educated they are, the smaller income they earn, the less they drink, the less satisfied with relationships with their family members, the more they turn out to feel depressed. Second, the less educated they are, the smaller income they earn, the less they drink, the less they are satisfied with relationship with family members, the more they benefit from social welfare services, the worse they turn out to rate their health. Based on these findings, three following suggestions could be forwarded. First, vulnerable aged groups including female elderly, low-income elderly, less-educated elderly need customized social supports. Second, new social policy for households is required to enhance elderly people's satisfaction with their family relationships with the rapid trend of a growing number of nuclear families and aging. Third, social welfare service programs need to be reevaluated to enhance their function for the aged.

Influence of Community Contextual Characteristics on Community Differences of Mental Health (지역사회 상황적 특성이 지역사회 간 정신건강 차이에 미치는 영향)

  • Kim, Jae-Hee
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.4
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    • pp.1285-1294
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    • 2018
  • The purpose of this paper was to identify the relationship between the characteristics of community mental health, and to identify if mediatable contextual property acts as factor influencing community mental health. Data of 229 municipal population groups were collected from KNSO and The 6th Community Health Plan. The data were analyzed using ANOVA, Spearman correlation, and multiple regression analysis. The perceived stress showed significant difference depending on health budget, mental health budget, number of mental health personnel, and was negatively correlated with proportion of the elderly, employment rate, percentage of NBLS recipients, health budget, and number of mental health personnel. The depressive mood differed depending on the number mental health personnel, and was negatively correlated with percentage of NBLS recipients and number of mental health personnel. Mental health budget and number of mental health personnel were respectively influencing factor of perceived stress and depressive mood. Following the above result, in order to reduce the gap between the mental health of communities, the researcher suggests that mental health budget as well as overall health budget and the number of mental health personnel be enforced.

Effects of Computer/Internet Game Play on Depression and Life Satisfaction among the Elderly: Mediating Effects of Perceived Self-Control (컴퓨터/인터넷 게임 활동이 노인의 우울과 생활만족도에 미치는 영향: 자아통제감의 매개효과를 중심으로)

  • Ahn, Joon-Hee;Lim, Kyung-Choon;Lee, Yoon-Jung;Kim, Kyung-Sik
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.406-417
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    • 2011
  • The purpose of this paper is to examine the effects of computer/internet game play on depression and life satisfaction via perceived self-control among older adults in Korea. Data were collected from a survey of 237 community-dwelling older adults (age${\geq}$65) who reported internet users. A path analysis was used to examine the causal relationship among the main constructs. Results showed that the computer/internet game play had positive effects on perceived self-control. Perceived self-control was found to decrease depression and improve life satisfaction among older adults. Additional analysis indicated that the computer/internet game play in older adults did not directly affect mental health (depression and life satisfaction) but indirectly affected it via perceived self-control. Furthermore, perceived self-control had greater effects on depression than on life satisfaction. These findings have crucial implications in that perceived sense of self-control needs to be seriously considered when we develop mental health games for older adults.

Status of Physical and Mental Function and, Its Related Factors Among the Elderly People Using from Long-Term Care Insurance Service (장기요양서비스 이용 노인들의 신체적 및 정신적 기능과 관련 요인)

  • Bae, Nam-Kyou;Song, Young-Soo;Shin, Eun-Sook;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5976-5985
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    • 2012
  • This study was performed to determine the levels of physical and mental functioning and to reveal its association with related factors in the elderly people received long-term care insurance services. The interviews were performed, during the period from February 16, to March 31, 2011, to 350 elderlies admitted long-term care insurance dwelling in Daejeon city and Chungchung provinces. As a results, the levels of IADL and MMSE-K in the elderly received home care insurance services was significantly higher than that of the elderly received facility care insurance services. But the levels of ADL and CES-D was not significant. Concerning correlation of ADL, IADL, CES-D and MMSE-K, the level of ADL was positively correlated with the level of IADL and MMSE-K, whereas negatively correlated with the level of CES-D. IADL was positively correlated with the level of MMSE-K, whereas negatively correlated with the level of CES-D. As a results of multiple regression analysis, the factors of influence with the level of ADL and IADL were selected the variables of amnesia, regular exercise and MMSE-K. The factors of influence the level of CES-D and MMSE-K were selected the variables of subjective health status, amnesia and IADL. AS a above results, the levels of physical and mental functioning in the elderly people received long-term care insurance services implies closely related with the health status and health-related behaviors.

Nutritional and health consequences are associated with food insecurity among Korean elderly: Based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1) (한국 노인에서 식품불안정 (food insecurity)이 건강상태 및 식이섭취상태에 미치는 영향 연구: 국민건강영양조사 제 5기 1차년도 (2010) 자료를 이용하여)

  • Lee, Seungjae;Lee, Kyung Won;Oh, Ji Eun;Cho, Mi Sook
    • Journal of Nutrition and Health
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    • v.48 no.6
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    • pp.519-529
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    • 2015
  • Purpose: The purpose of this study was to examine the prevalence of food insecurity in Korean elderly and to analyze the health status as well as food and nutrient intakes according to food insecurity status. Methods: A total of 939 elderly subjects (over 65 years old) were used in our analysis from the fifth 2010 Korean National Health and Nutrition Examination Survey (KNHANES V-1). The variables consisted of general characteristics, physical and mental health, nutrient intake, rate of deficient intake of energy and nutrients compared with Dietary Reference Intakes for Koreans (KDRIs) and food quality and diversity according to the status of food insecurity. Food insecurity status was measured using a self-reported food security questionnaire on the dietary situation in the previous year, and participants were classified according to three groups: food secure group, mildly food insecure group, and moderately/severely food insecure group. Results: The proportion of the food insecure group was approximately 67% and the food insecure group had lower income and educational status than the food secure group. Food insecurity was associated with worse physical and mental health status after adjusting potentially confounding variables. The results showed that food insecurity in Korean elderly significantly affected mental health (including stress cognition, depression experience, and suicide thoughts) which exceeded stages of physical health. In addition, food insecurity showed significant association with low nutrient intake and high rate of deficient intakes of energy and nutrients compared with KDRIs, and a reduction of dietary quality and diversity was indicated in the food insecure group. Conclusion: This study concludes that the prevalence of food insecurity may affect the physical and mental health as well as dietary intake of the elderly Korean population. Therefore, food insecurity should be considered as an important public health issue in Korea.

Stress Perception and Psychopathology in Workers Exposed to Mixtures of Organic Solvents (복합유기용제에 노출된 근로자들의 스트레스지각 및 정신병리)

  • Kim, Chan-Hyung;Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.59-66
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    • 1993
  • A comparison was made between workers exposed to organic solvents and those not exposed to them regarding stress perception and psychopathology, using GARS scale and SCL-90-R. The exposed group scored significantly higher than the non-exposed group in stress perception relevant to job-wort changes in relationship, sickness or injury, financial, and overall global area. The exposed group was significantly higher in somatization scale than the non-exposed group. However, there was no significant correlation between duration of exposure and psychopathology. In each of the groups. female workers showed more psychopathology than male ones. Age showed significantly nagative correlation with psychopathology. These results suggest that the exposed group shows higher stress perception and more psychopathology than the non-exposed group. Thus. it is emphasized that health policy makers as well as employers should pay more attention to health. espcially mental health for the workers exposed to organic solvents.

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Health-related Quality of Life and Its Related Factors in Urban Elderly Women (일개 광역시 도시 여성노인의 건강관련 삶의 질과 이에 미치는 요인)

  • Na, Yoon Joo;Choi, Yeon Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.12
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    • pp.7224-7230
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    • 2014
  • This study attempted to identify the health-related quality of life and its related factors in urban elderly women. This study used the data of the 2011 Community Health Survey. The subjects of this study were 704 elderly women. Based on the literature review, this study examined variables with health-related quality of life and construct integrated conceptual framework of the study. For data analysis, SPSS 18.0 and LISREL 8.8. were used to calculate the percentage, mean, standard deviation, Spearman correlation, and path analysis parameter. The total mean EQ-5D index score was $0.81({\pm}0.20)$ and the major problems were pain/discomfort (62.5%) and mobility (53.9%) and normal activity (38.9%). The model showed a goodness of fit to the empirical data. Age, income, health promotion behavior, social support, physical health and mental health had significant direct effects on EQ-5D and age, income, health promotion behavior and social support had indirect effects on EQ-5D. These variables explained 28% of the variance of EQ-5D. To improve the quality of life in urban elderly women, it is essential to have a comprehensive program for elderly women.

Evaluation of the Mental Health Status of the Aged by Zung's Self-rating Anxiety Scale (불안척도에 의한 노인들의 정신건강)

  • Lee, Jung-Hoon;Park, Byung-Tak;Cheung, Sung-Douk;Kang, Pock-Soo;Chung, Jong-Hak
    • Journal of Yeungnam Medical Science
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    • v.1 no.1
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    • pp.121-128
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    • 1984
  • The authors studied on anxiety, using Zung's self-rating anxiety scale (SAS), on the subjects of 329 men and 522 women of 60 years old and older. This study was carried out for 8 months from November 1983 to June 1984 in the area of Seoul, Taegu and Kyungsan Gun, Kyungpook province. The results showed that there was no significant difference in the means of total anxiety scores between the two groups of men and women. The anxiety scores in items of sweating, apprehension, dyspnea, restlessness and insomnia were relatively high in both groups. The scores of faintness, panic, fear, tremor and facial flushing were low in both groups. Among 329 men, 48(14.6%) showed rather serious anxiety level of score 50 or higher, while 153 of 522 women (29.4%) showed the same score. Among these psychosocial factors, suppoter, living place, religion and security system are significantly related with anxiety scores in both groups (p<0.01).

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Impact of Eating-Alone on Depression in Korean Female Elderly : Findings from the Sixth and Seventh Korea National Health and Nutrition Examination Survey, 2014 and 2016 (한국 여성 노인에서 혼자 하는 식사와 우울의 관련성 : 제6기 2014년 및 제7기 2016년 국민건강영양조사의 결과)

  • Cho, Sung Eun;Nam, Beomwoo;Seo, Jeong Seok
    • Mood & Emotion
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    • v.16 no.3
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    • pp.169-177
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    • 2018
  • Objectives : Despite the lack of domestic research, eating alone has been reported to be related to depression. We investigated correlation between eating alone, and depression, among women age 65 and older. Methods : Among women registered in the Korea National Health and Nutrition Examination Survey data, 1,119 elderly in 2014, and 1,189 in 2016, were analyzed. Eating alone and the degree of depression were assessed, using a questionnaire and the Patient Health Questionnaire-9 respectively. The relationship between eating alone and depression, was analyzed using multilevel logistic regression. Results : In 2014 data, eating alone had significant effect on depression, as the explanatory power is increased to 30.4% in a 'three meals eating alone a day' group (${\beta}=0.128$, p<0.05), when the eating alone parameter is added to demographic factors and health characteristics. In 2016, exploitation of 'the frequency of eating alone' variable led to increment of explanatory power to 22.3%, that was not statistically significant. Conclusion : The result of this study suggests that eating alone among women age 65 and older, was a risk factor of depression in 2014, and is becoming a new life pattern as a social and cultural phenomenon in 2016.

The Effect of Integrated Recreation Program on Mood State, Flexibility and Stress of Elderly Women (통합 레크리에이션 프로그램이 여성 노인의 기분상태, 유연성 및 스트레스에 미치는 영향)

  • Park, In-Sook;Kim, Nam Cho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.70-80
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    • 2016
  • This study was conducted to investigate the effects of an integrated recreation program on mood states, flexibility, and stress of elderly women. The integrated recreation program was applied to dance as a physical activity and songs and art as emotional activities in consideration of the characteristics of the elderly activities. The subjects were 50 elderly women aged 65 years or older who reside in K-do. The examination period was December 2 in 2014 to February 17 in 2015, during which time mood states, flexibilities, density of the salivary cortisol, variations in heartbeats, and stress were measured. The integrated recreation program had positive effects on mood, flexibility and stress reduction in elderly women. Based on these results, the integrated recreation program is considered to increase mood states and flexibility of elderly women while lowering stress. Therefore, the integrated recreation program developed in this study not only helps the physical and mental health of elderly women, but can also be widely utilized as a health promotion program for the elderly.