• Title/Summary/Keyword: 신체적 우울

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Longitudinal Influence of Chronic Intimate Partner Violence on Suicidal Ideation among Korean Married Woman (한국 기혼 여성에서 만성적인 친밀한 관계에서의 폭력이 자살사고에 미치는 장기적인 영향)

  • Park, Hyein;Lee, Jinhee;Han, Jaehyun;Min, Seongho
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.108-115
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    • 2020
  • Objectives : This study looked at the effects of chronic IPV on suicide ideation among married women in the country. Methods : This study used data from the five-year-old Korea Welfare Panel and analyzed using questions about verbal and physical violence, depression and suicide ideation that were investigated every year. Age, education, and economic levels, drinking, religion, chronic disease, satisfaction with family relationship, satisfaction with social relationship, were included as variables. Results : The five-year cumulative score of verbal violence had a statistically significant effect on the depressive symptom, and the relative risk was 1.180. The relative risk of five-year-old cumulative score of verbal violence in suicidal ideation was 1.276, and it was also significant even if they exclude the effects of depressive symptom. On the other hand, the five-year cumulative score of physical violence was found to have no significant impact on suicide ideation if they excluded the effects of depressive symptom. Conclusions : Unlike previous studies, this study found that chronic verbal IPVs increase suicide ideation, even though they do not contain effects of depression. Such findings suggest that intervention in IPV in married women may help reduce the nation's suicide rate.

The Phenomenological Study on the Individuation Process of the Middle Aged Women Experienced Severe Depression (우울증을 경험한 중년여성의 개성화과정에 관한 현상학 연구)

  • Park, Sook-Kyung;Shin, Dong-Yeol
    • Industry Promotion Research
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    • v.5 no.2
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    • pp.51-58
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    • 2020
  • Middle-aged women who have experienced the depression have been in pain for a long time. Depression in middle-aged women, which is rapidly increasing from their forties, has a problem that do not decrease in spite of various treatment methods. If the essential cause of depression in middle-aged women is due to the inability to detect the meaning of life because of the lack of the perception about the identity resulting from self-loss, a more qualitative research for a fundamental treatment method is required. The purpose of this study is to find out the essence and meaning of the experience of depression in middle-aged women and to help them to find their own selves through the process of individualization and to recover the whole health as well as to live as a self-transcendent being. Three Christian middle-aged women falling on critical and serious condition by BDI diagnosis were selected for the study. In-depth counseling and interviews were held from January to August 2018. In-depth counseling has provided detailed statements about the process of individualization of middle-aged women who have experienced depression, which applied 5 stages of Giorgi's Phenomenological Research Methodology. As a result, 261 semantic units and 11 sub-components were derived and structured by dividing them into two themes: depression experience and the process of individualization process, which are the subject group. This study has its significance in realizing essential meaning of pain by middle-aged women who experience depression and fundamentally preparing an opportunity to be cured through the process of individualization, as well as contributing for such middle-aged women to have abundant living by suggesting preventive measures to general middle-aged women who prepare for their old age.

Validity and Reliability of the Korean Version of the Global Assessment of Recent Stress Scale (전반적인 스트레스평가 척도 한국판의 타당도 및 신뢰도)

  • Koh, Kyung-Bong;Park, Joong-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.201-211
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    • 2000
  • Objectives : The purpose of this study was to determine the validity and reliablity of the Korean version of the Global Assessment of Recent Stress(GARS) Scale developed for assessing the severity of current perceived stressors, and then to use the scale in clinical practice. Methods : The questionnaire was completed by 215 healthy subjects. A comparison was made regarding the perception of stressors among 242 patients(71 with anxiety disorder, 73 with depressive disorder, 47 with somatoform disorder, and 51 with psychosomatic disorder) and 215 healthy subjects. Factor analysis was done using oblique rotation after maximum-likelihood factor analysis. Results : Factor analysis yielded 1 subscale. Reliability was computed by administering the GARS Scale to 69 healthy subjects during a 2-week interval. Test-retest reliability for 8 items and the total score was significantly high, ranging between 0.85-.95. Internal consistency was significant(Cronbach's a for 7 items : .86). Convergent validity was computed by correlating the 8 items and the total score with the total score of the stress response inventory(SRI), the perceived stress questionnaire(PSQ), and the somatization, anxiety, depression, hostility subscales and general indices of the symptom checklist-90-revised(SCL-90-R). The correlations were all at significant levels. Discriminant validity was computed by comparing the 8 item scores of the patient and control groups. Significant differences were found in area relevant to sickness or illness and the overill global area. The patients with anxiety disorder were significantly higher in area relevant to sickness or illness than the healthy group, whereas the patients with depressive disorder was significantly higher in the overall global score than healthy group. The depressive disorder group was the highest in overall global score of the GARS scale among 4 patient groups, and showed a significant higher scores in interpersonal relationship and overall global area than the psychosomatic disorder group. Conclusions : These results indicate that the Korean version of the GARS scale is highly reliable and valid, and that it can be utilized as an effective measure of perceived stressors for research in stress-related fields. It is suggested that depressive disorder patients are more likely to perceive recent stressors than psychosomatic disorder patients.

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Alexithymia in Major Depressive Disorder and Subclinical Depression (주요 우울장애와 준임상적 우울증에서의 감정표현불능증)

  • Kim, Seog-Ju;Yu, Seung-Hee;Kim, Seong-Youn;Kim, Dong-Wook;Cho, In-Hee;Cho, Seong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.2
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    • pp.100-106
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    • 2007
  • Objectives : The objective of the present study was to investigate alexithymia in major depressive disorder(MDD) and subclinical depression(SCD). Methods : Three hundred eighty-six community-dwelling adults(238 females and 148 males, age 19-79; mean age $43.0{\pm}13.9$) were recruited. Structured clinical Interview for DSM-IV(SCID) was conducted for the diagnosis of MDD or other Axis I psychiatric disorders. The Center for Epidemiological Studies for Depression Scale(CES-D) and the Totonto Alexithymia Scale(TAS) were administered to assess depressive symptom and alexithymia, respectively. Among subjects without MDD, those who had minor depressive disorder on the SCID or high scores(i.e. over 16) on the CES-D were defined as subjects with SCD. TAS total score and factor I, II, III scores of TAS in MDD, SCD, and non-depressive controls were compared. Results : Among 386 subjects, 38 subjects(9.8%) were diagnosed as MDD by DSM-IV criteria, while 57 subjects(14.8%) were classified into SCD group. There were significant differences between 3 groups(MDD, SCD and non-depressive controls) in total score($F_{2,383}=14.0$, p<0.01), factor I(difficulty in identifying feeling)($F_{2,383}=23.4$, p<0.01) and factor II(difficulty in describing feeling)($F_{2,383}=7.8$, p<0.01), but not factor III(external oriented thinking)($F_{2,383}=1.8$, p=0.16) of TAS. In post-hoc analysis, both MDD subjects and SCD subjects had higher scores in TAS total, factor I and factor II, compared to non-depressive controls(all p<0.01). In contrast, there were no significant differences between MDD subjects and SCD subjects in any TAS factor. Conclusion : In this study, both MDD subjects and SCD subjects were more alexithymic than non-depressive control subjects. These findings suggest that SCD, as well as MDD, is also related to alexithymia.

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The Effect of Health Promotion Behavior on Fatigue and Depression among Shift Nurses (교대근무 간호사의 건강증진행위가 피로와 우울에 미치는 영향)

  • Lee, Eun-Ju;Shin, Seung-Wha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2256-2264
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    • 2014
  • This study was a descriptive study to identify the effect of health promoting behavior on fatigue and depression and to investigate these levels among nurses. Data were collected from September 19th 2012 to September 25th 2012 by questionnaires from 243 hospital nurses of 3 hospitals in Kyungsang-Bukdo. The data was analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, ANCOVA, and Stepwise multiple regression. The result showed that in health promoting behavior, shift nurses had higher scores than it of non-shift nurses. The health promotion behavior predictors of fatigue were spiritual growth and stress management and the predictors of depression were physical activity and interpersonal relationship. This results suggest that development of professional health promoting program which is strengthened these parts of spiritual growth, stress management, physical activity and interpersonal relationship, is needed.

The Effect of Qigong Exercise on SF-36 and Psychological Factors of Middle-aged Obese (기공 운동이 비만인의 건강관련 삶의 질(SF-36)과 심리적 요인에 미치는 영향)

  • So, Wi-Young;Seo, Han-Kyo;Choi, Dai-Hyuk;Shin, Hyun-Jung;Cho, Eun-Hyo;Yoo, Byoung-Wook;Jun, Tae-Won
    • 한국노년학
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    • v.30 no.1
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    • pp.21-30
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    • 2010
  • Obese people experience dissatisfaction of body, depression, anxiety, and emotional disturbance by social prejudice and discrimination, further they represent decline of health-related quality of life. Exercise therapy is recommended as one of the positive treatments to improve the emotional pain of obese people. This study is to provide guideline of exercise prescription for obese people by investigating the effects of qigong exercise on psychological factors such as health-related quality of life (SF-36), self-efficiency, depression, anxiety, and fatigue in obese people. The subjects of this study were 50~60s adults participated in Golden-Wellbeing program at S university in G gu of S city and were devided into exercise (N=17) and control (N=16) group. Qigong exercise was performed twice per week for 12 weeks and SF-36, self-efficiency, depression, anxiety, and fatigue were measured before and after 12 weeks of exercise. In the 8 items of SF-36 before and after 12 weeks of qi-gong exercise, there was no significance in role limitation-emotional (F=0.187, p=0.668), mental health (F=2.043, p=0.163) between groups, but there was significance in physical functioning (F=15.151, p<0.001), role limitation-physical (F=18.278, p<0.001), social functioning (F=4.957, p=0.033), vitality (F=11.485, p=0.002), bodily pain (F=6.623, p=0.015), and general health (F=4.498, p=0.042) between groups. Also, anxiety (F=0.631, p=0.433) was not significant, whereas self-efficiency (F=6.124, p=0.019), depression (F=5.109, p=0.031), fatigue (F=7.998, p=0.008) was significant between groups. Even though qigong is slow motion and low intensity of exercise, it was found that qi-gong has exercise effect which induces mental and psychological improvement through this study.

A Convergence Study on the Depression Factors of Permanent Rental Apartment Residents : Focusing on K-Metropolitan City (영구임대아파트 입주자의 우울 영향요인에 관한 융합연구 : K 광역시를 중심으로)

  • Lee, Hyoung-Ha;Park, Jong-Seon
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.319-329
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    • 2020
  • The purpose of this study is to identify the link that affects depression, a negative mental health problem for permanent rented apartment tenants, and to provide policy and practical support for reducing depression at the community level. To this end, 1,920 households of permanent rental apartment residents in K Metropolitan City were used in the survey. The results are as follows. First, more than half of the subjects surveyed 51.1% were found to have depressive symptoms. Second, among the demographic variables, the gender, age, single-person households, and social security benefits have a positive effect on depression. On the other hand, age squared and participation in economic activities were identified as factors to reduce depression. Third, among the residential community variables, the consideration for neighbors and their willingness to participate in the community were identified as factors to reduce depression. Fourth, physical health difficulties and mental health difficulties among the health status variables were identified as the determinants of depression. Based on the results of the study, the methods for intervention and follow-up studies to reduce depression in permanent rental apartment residents were discussed.

Effects of Depression and Anxiety Symptoms on Specific Cognitive Function by Evaluating Healthy Subjects (정상인을 통해 알아본 우울 증상과 불안 증상이 특정 인지 기능에 미치는 영향)

  • Kim, Kyuho;Nam, Yoon-Young;Han, Jiyeon;Yu, Rina;Ryu, Vin
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.42-48
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    • 2021
  • Objectives : Based on the fact that cognitive functions decline known as comorbid symptoms of depression can precede depression, this study seeks to observe the effects of depressive symptoms and anxiety symptoms on cognitive function in healthy subjects. Methods : To recruit 50 general populations to evaluate cognitive and clinical symptoms and to find out the effects of clinical symptoms on cognitive functions, Pearson correlation and multivariate regression were conducted. Correlation analysis of subdomain cognitive function was conducted for reliability analysis. Results : Trail making test-B that evaluates the execution function correlates with depressive symptoms (r=0.300, p=0.03) and age (r=0.323, p=0.02). Depressive symptoms (β=0.304, p=0.03) and age (β=0.335, p=0.01) were significantly related to Trail making test -B (Adjusted R2=0.148). Subjective cognitive tests correlates with anxiety symptoms (r=0.434, p=0.002). In the correlation between cognitive functional items, Subjective cognitive tests was found to be correlated with other test except Spotter. Conclusions : In this study, depressive symptoms contribute independently to executive functions in addition to demographic characteristics such as age and duration of education. Given that cognitive decline is a common long-term clinical outcome in depression, we expect active early intervention and evaluation of cognitive function to be helpful.

A Study on the Factors Related to the Cognitive Function and Depression Among the Elderly (일부지역 노인들의 인지기능과 우울에 관련된 요인에 관한 연구)

  • Shin, Cheol-Ho;Kim, Soo-Young;Lee, Young-Soo;Cho, Young-Chae;Lee, Tae-Yong;Lee, Dong-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.199-214
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    • 1996
  • To investigate the factors which affecting the cognitive function and depression of the 65 or more age group, the authors surveyed for the subjects in the region of Taejon and nearby Taejon area. 729 studied subjects were tested for cognitive function with MMSE and depression with GDS. The main results were followings; In the studied subjects, the rate of normal cognitive function was 56.8%, the rate of mildly impaired was 24.1% and the rate of severe impairment was 19.1%. The cognitive function level was closely related to the depression score. As the age increased, the cognitive function was more impaired. Sexual difference was also existed in the cognitive function level and the depression score. After adjusting the effect of age, the variables such as sex, marital status, education level, past job, instrumental ability of daily living, regular physical exercise, frequencies of going out the house, chest discomfort, visual and auditory disturbance, and dizziness had the significant relationship with cognitive function impairment. Among these variables instrumental ADL, age, visual disturbance, and sex showed statistical significance in the logistic regression model. In the multiple stepwise regression, the variables which had significant relationship to depression score were education level, frequencies of going out house, current job and house work activity, regular physical exercise, instrumental ADL, self-rated health and nutritional status, dimness, visual disturbance, and chest pain. In conclusion, main characteristics which had close relationship to the cognitive function and depression symptoms in the studied subjects were physical function and self rated health status.

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A comparative Study of on the Stress, Depression and Resilience in Middle-aged Women According to the Participation in Brain Education Meditation Program (중년 여성의 뇌교육 명상 프로그램 참여여부에 따른 스트레스, 우울, 회복탄력성 비교 연구)

  • Namgung, Eun-Ha;Kim, Hyang-Soo
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.6
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    • pp.1687-1697
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    • 2020
  • This study is a comparative descriptive research that identifies the degree and difference of the brain education meditation program from participation stress(physical stress, psychological stress), depression, resilience(self-control ability, interpersonal relationship ability, and positive) for middle-aged women. The subjects were 26 middle-aged women who participated in the brain education meditation program at the D metropolitan city D center for more than a year, 29 middle-aged women did not participate in the brain education meditation program and a total of 55 middle-aged women collected for three weeks from November 4 to 22, 2019. Data analysis fesult that the participating groups in brain education meditation programs differ statistically significantly in physical stress(t=2.549, p=.014), psychological stress(t=2.352, p=.022), self-control ability(t=-2.219, p=.031) and positive(t=-2.387, p=.021), which are higher factors in resilience than non-participating groups. In other words, brain education meditation program participants scored lower physical and psychological stress scores than nonparticipating groups, with higher self-control ability and positive scores. Therefore, it is thought that brain education meditation programs can be used as nursing intervention to reduce stress and improve self-control ability and positive in middle-aged women.