• Title/Summary/Keyword: 신체적 우울

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Depression during Pregnancy and the Postpartum (임신 및 산후 우울증)

  • Kim, Youl-Ri
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.22-28
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    • 2007
  • The pregnancy and postpartum period appear to be a time of heightened vulnerability for the development of major depression in some women. Postpartum depression affects 10% of women within a few weeks immediately postpartum. Postpartum depression is associated with disturbances in the mother-infant relationship, which in turn have an adverse impact on the course of child cognitive and emotional development. Depression during pregnancy is also common, although it has been relatively neglected. Psychopathological symptoms during pregnancy have physiological consequences for the fetus. Understanding the aetiology of perinatal depression requires integrating of multiple psychosocial and biological risk factors. The treatment of depressed pregnant women requires skilled decision making by psychiatrists. Risk-benefit analysis is appropriate method for intervention fur depression in pregnancy. Effective treatments for depression in pregnancy include psychotherapy, antidepressant medication and electroconvulsive therapy. In treatment of postpartum depression, the biological, psychological, and social interventions are included. Prescribing antidepressants(such as fluoxetine), estrogen in severe and chronic cases, and counselling can be effective for improving maternal mood and aspects of infant outcome. Ongoing research is directed to further elucidating neurohormonal and psychosocial contributions to depression during pregnancy or postpartum. Screening for risk factors and symptoms for depression need to be incorporated into antenatal and pediatric clinics.

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Factors affecting the ability of older adults to identify symptoms of depression (노인의 우울증상 식별력에 영향을 미치는 요인)

  • Lee, Sun Hae;Ko, Jung Eun
    • 한국노년학
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    • v.29 no.2
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    • pp.529-546
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    • 2009
  • Depression in old age not only is prevalent but also causes a considerable amount of burden in physical, psychosocial, and economic terms. Intervention, however, is often delayed due to the understanding that considers depressive symptoms as a normal process of aging or signs of physical illnesses. Since the recognition of symptoms often initiate one's help seeking process, a correct identification of symptoms can contribute to early detection and intervention to depression in oneself as well as in others. This study interviewed 104 older adults living in an urban area, and explored their ability to correctly identify depressive symptoms and factors related to identification. The study results show that respondents who were able to correctly identify symptoms of depression were only 14%, and the rest defined the symptoms as social, economic, and other psychological issues. Of the factors in the logistic regression model, age being 75 and over and mass media as source of mental health information affected negatively their ability to correctly identify symptoms; mental health education programs affected positively their ability. Based on these results, it is suggested that such strategies as employing a face-to-face provision of concrete information and counseling can be more effective than delivering information via large-scale lectures. Additionally, a future research deems necessary to conduct an in-depth examination of mental health/illness-related contents on mass media.

Prediction of Quality of Life among the Elderly at Care Facilities for the Elderly according to Health States, Physical and Cognitive Functions, and Social Supports-Focused on D Metropolitan City (노인요양시설 노인의 건강상태, 신체적, 정신적 기능, 사회적 지지에 따른 삶의 질 예측요인-D 광역시를 중심으로-)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4656-4667
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    • 2015
  • The purpose of this study was to investigate relations among the quality of life, health states, physical functions, cognitive functions, and social supports of the elderly at care facilities. The subjects include the elderly that were living in care facilities in some urban areas and aged 65 or older. The data of total 260 old people were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The elderly at care facilities, who were considered as physically and cognitive vulnerable, scored higher means on quality of life when they were satisfied with the length of stay and sleeping state, had higher subjective health states, had no tooth inconvenience and forgetfulness, suffered from a lower level of depression, had better cognitive functions, and received higher social supports. Quality of life had correlations with the sleeping state(r=-.20, p<.001), subjective health state(r=-.24, p<.001)s, depression(r=-.30, p<.001), and social supports(r=.30, p<.001). Social supports(${\beta}=.30$, p<.001), depression(${\beta}=-.25$, p<.001), subjective health states(${\beta}=-.22$, p<.001), length of stay(${\beta}=-.22$, p<.001), and sleeping state(${\beta}=-.12$, p=.025) turned out to predict the quality of life of the elderly at care facilities and have close relations with it. In short, the quality of life of the elderly is related to many different factors at care facilities. The findings indicate that nursing interventions and managements for quality of life require a mental and social approach or a whole person approach with a focus on the understanding of individual senior citizens rather than on physical activities and diseases.

The Comparison Study of Quality of Life between Hemodialysis Patients and Depressive or Anxious Psychiatric Patients (혈액투석 환자와 우울 또는 불안장애 환자의 삶의 질 비교연구)

  • Kim, Ji-Woong;Shin, Sang-Eun;Kim, Hyung-Ki;Jang, Eun-Young;Jung, Gun;Lee, Kye-Seong
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.2
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    • pp.170-181
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    • 2003
  • Objectives: The purpose of this study was to evaluate the quality of life in hemodialysis patients and compare it with those of depression or anxiety patients. Methods: Quality of life in hemodialysis patients(n=33) and depression or anxiety patients(n=34) was evaluated. we performed Korean Version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF), Beck Depression Inventory(BDI), State-Trait Anxiety inventory(STAI) to both hemodialysis patients and depression or anxiety patients. Results: The WHOQOL mean scores showed no differences between hemodialysis patients and depression or anxiety patients. Among WHOQOL domains, psychological domain score of WHOQOL was significantly higher in hemodialysis patients than in depression or anxiety patients. Anxiety score of hemodialysis patients was significantly lower than that of depression or anxiety patients, while depression score showed no difference. Conclusion: These results show that psychological domain score of WHOQOL was higher and anxiety score was lower in hemodialysis patients than in depression or anxiety patients. However, there were no significant differences in total QOL and depression between hemodialysis patients and depression or anxiety patients, and the prevalences of depression and anxiety were higher in hemodialysis patients than those of general population. This suggest that hemodialysis patients need more specialized help for psychiatric problems.

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The Effect of a 12 Week-Yoga Exercise on Body Composition, Flexibility and Gloom in the visually impaired Elderly (12주간 요가운동이 시각장애 노인의 신체조성 및 유연성·우울증에 미치는 영향)

  • Kim, Han-Cheol;Lee, Young-Mi
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.253-263
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    • 2017
  • It was conducted that yoga practice for the visually impaired Elderly has an influence on boby composition, flexibility and depression disease. Also, It has a purpose to provide a method of movement and basic materials for them. The 18 seventy-year-old men or women without any experience of yoga from the visually impaired association of the elderly in G city were participated in a training yoga session. This experiment was performed by simple random sampling with the nine of treat group (yoga training) and the nine of control group. The data was analyzed by covariance analysis with 0.05 significant level. The treat group were conducted twice a week to exercise (60mins) for twelve weeks. In conclusion, it is proved that yoga exercise has a positive effect on body composition, flexibility and depression disease.

The Effects of Cognitive Stimulation Circulative Program on the Depression and Social Cognitive Ability of Stroke Patients (뇌졸중 환자의 우울 및 사회인지 능력에 대한 인지자극순환프로그램의 효과)

  • Do, Ji-Hye;Kim, Eun-Joo
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.439-446
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    • 2019
  • Poststroke depression can have a secondary effect on social cognition, and this can lead to behavioral problems. The purpose of this study was to verify the effects of a Cognitive Stimulation Circulative Program(CSCP) based on occupational therapy. The participants of this study were 12 stroke patients. The CSCP was organized in such a way to promote the cognitive process. This program were carried out as a circuit program(16 sessions). As a result of this study, the depression scale of the subjects had statistically significant benefit(p<.05). Also, the evaluation results verified partial improvement in quality of life, and the relationship change scale which was used to evaluate role of physical and social cognitive function ability had statistically significant benefit(p<.05). The above results of this study verified that the CSCP was an efficient intervention program that reduces the depression of stroke patients and improve their social cognitive function ability, thus enhancing the quality of life.

A Study on the Relation Among the Perceived Family Support, Depression and Physical Health Status in Korean Elderly (노인이 지각한 가족지지, 우울 및 신체적 건강상태와의 관계)

  • Kim, Kwuy-Bun;Shin, Dong-Soo
    • Journal of East-West Nursing Research
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    • v.9 no.1
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    • pp.66-73
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    • 2004
  • This study examined the relation among perceived family support, depression and physical health status in Korean elderly. Participants were three hundred elders attending the house for elderly (NoInGyong) located in kwanak-gu and other 14 gu in Seoul Korea. Data were collected using structured questionnaire via clustered random sampling. The instruments used for this study were the simplified depression scale for elderly designed by Sheikh & Yesavage, the family support scale developed by Choi Young Hee, and the physical health status developed by Choi Young Hee & Jung Seng En. Data analysis included: percentage, average, SD, t-test, ANOVA, & Pearson correlation coefficiency. Participants in this study represented low level of family support but high level of physical health status and depression. There was a significant negative relation between family support and depression(r=-.755, P=.001). There was a significant relation between family support and physical health(r=.329, P=.001). There was a significant negative relation between depression and physical health status(r=-.515, P=.001). Nursing implications were suggested.

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Effects of Qi Exercise on the Physical Discomfort and Depress of Maternity (기체조프로그램이 임부의 신체적 불편감과 우울에 미치는 영향)

  • Ji, Eun-Sun;Cho, Kyoul-Ja
    • Korean Parent-Child Health Journal
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    • v.10 no.1
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    • pp.48-64
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    • 2007
  • Purpose: The purpose of this study is to identify the effectiveness of Qi exercise on the physical discomfort and depress of maternity. Method: A one group pretest-posttest design was used. Data were collected from July, 1, 2005 to September, 30, 2005. A total of 33 mothers participated in 12 weeks of Qi exercise program. In order to evaluate the effects of the Qi exercise program, physical discomfort and depression were measured before and 12 weeks after. The experimental tools for the study were Maternity Physical discomfort Scale and Self-rating Depression Scale(SDS). Data were analysed using t-test, paired t-test, and repeated measured ANOVA on the SPSS program. Result: After 12-week Qi exercise program, there were significant differences in physical discomfort (t=3.268, p= .003) and depression(t=4.106, p= .000). Conclusion: It was verified that the Qi exercise program was effect on relieving physical discomfort and depression scare. And it was effective in alleviation delivery experience score. So more in-depth research is needed later on.

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Convergence Study on the Relation between Cognition, Depression and Aggression in the Elderly (노인의 인지, 우울과 공격성의 관계에 관한 융합 연구)

  • Kwon, Myoung-Jin
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.171-176
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    • 2015
  • This study was carried out to determine the relation between cognition, depression and aggression in the elderly. A questionnaire survey was conducted with 198 elderly people in K region. The results were as follows. (1) The cognition of the elderly showed significant difference by gender, age, religion, marital status, education, living together, healthcare and monthly income (p<.05), and depression showed significant difference by gender and monthly income (p<.05). (2) Cognition and aggression(r=.15, p=.030), depression and aggression(r=.39, p<.001) there was a significant correlation between. Physical aggression and verbal aggression proved most significant correlation among the sub-factors(r=.55, p<.001). (3) Depression (${\beta}=0.568$, p<.001) had an significant influence on aggression. The explanation power was shown to be 10.0%. Accordingly, aggression management programs that are tailored according to the depression level of the elderly are required, and nursing based on this consideration would be of help to improve their quality of life.

Anxiety and Depression Levels in Patients with Glaucoma (녹내장 환자의 불안과 우울에 관한 연구)

  • Kim, Jong-Won
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.2
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    • pp.166-173
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    • 1995
  • The author compared the anxiety and depression level between glaucoma patents and normal controls by means of STAI(State-Trait Anxiety Inventory) and BDI(Beck Depression Inventory). The subject was the 38 glaucoma patients who visited ophthalmology clinic of Ewha Womans University Mokdong Hospital. The results were as follows : 1) There was no statistically significant difference in BDI and STAI according to age, education, religion, marital status. 2) There was no significant difference in STAI between the glaucoma patient group and the normal control group except that the female patients showed a tendency toward higher anxiety. 3) There was a significant difference in BDI between the female glaucoma patient group and the female control group(P<.01). But in the case of male there was no significant difference in BDI. 4) Eighteen point four percent of the glaucoma patients(10.5% of male patients, 26.4% of female patients) had suspected depressive disorder, and there was a tendency toward depression in 28.9% of glaucoma patients(10.5% of male patients, 47.4% of female patients). 5) There was no significant difference in BDI and STAI according to the use of beta-blocker or the other concommitant physical diseases. 6) The patients of glaucoma were generally concerned about the possibility of blindness, and felt annoyed with the fact that they should use eye drops or oral medication everyday.

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