• 우울조울병
• /
• 제9권2호
• /
• pp.78-86
• /
• 2011

Objectives : The aim of this study was to investigate relationship between perceived stress level, cognitive emotion regulation (CER) strategy and hope in group with high depressive symptom and higher-level perceived stress (H-H) and group with high depressive symptom and lower-level perceived stress (H-L) in patients with depression. Method : A total of 85 patients (over score of 16 by Beck depression Inventory; BDI) were surveyed with Cognitive emotion regulation questionnaire (CERQ), Perceived stress scale (PSS), and The state hope scale (SHS). Mean scores of CERQ and SHS were compared between relatively higher perceived stress and lower perceived stress groups. Correlation analysis and multiple linear regression analyses were performed to identify the effect of BDI, PSS and CER strategy on SHS in two groups. Results : In ANOVA, the level of hope and maladaptive CERQ score proved to be significantly lower among the H-H group than among the H-L group, while adaptive CERQ scores were not. In Regression analysis, the effective CER strategy in SHS were 'Refocus on planning' in H-H group, while it was 'Acceptance' CER strategy in H-L group. The final regression model explained 36% of the variance of SHS in H-H group and explained 21% of SHS in H-L group. Conclusion : These findings suggest that 'Refocus on planning' and 'Acceptance' cognitive emotion strategy are helpful in promotion of state hope on depression. Especially, 'Refocus on planning' strategy is more effective in high depressive symptom and high-perceived stress level, while 'Acceptance' strategy help to promote hope in high depressive symptom and low-perceived stress level in patients with depression.

• 한국보건간호학회지
• /
• 제11권1호
• /
• pp.118-127
• /
• 1997

The physical function. congnitive performance and the depression of the elderly persons of over 60 years in Pusan Kyungnam Province are studied. For the survey, prepared is a questionnaire which includes 14 items for the physical function, 8 items for the cognitive performance and 12 items for the depression. totaling 34 items. The interactions of the items of each category are analyzed in terms of daily life performances. The results show that. the elders have the problems in cognitive performance rather than the physical function or depression, and there are great variances depending on the individual's background.

• Journal of the Korean Data and Information Science Society
• /
• 제25권3호
• /
• pp.655-663
• /
• 2014

This study aimed to investigate the prevalence of depression and suicidal ideation in community-dwelling older adults in Korea, as well as identify factors associated with their occurrence, including cognitive impairment. A cross-sectional study of 484 residents was conducted at a senior centre utilising the PHQ-9K and K-MMSE. Demographic data were also collected for analysis. Of the respondents, 38.1% had symptoms of mild to severe depression. Further, 16.7% reported having suicidal ideation, with 5% of respondents having thoughts of suicide every day. The majority of participants had 'normal' scores on the K-MMSE (88.0%), though significant differences were observed in PHQ-9K scores between cognitive-acceptable and cognitive-impaired groups. Depressive symptoms and suicidal ideation were very prevalent in community-dwelling older adults in Korea. This study indicates the need for the development of community-based mental health programs tailored to older adults, and demonstrates the viability of promoting early detection of depressive symptoms through senior centres.

• 정신신체의학
• /
• 제29권1호
• /
• pp.42-48
• /
• 2021

연구목적 본 연구는 우울증의 동반증상으로 알려진 인지 기능 저하가 우울증보다 선행될 수 있다는 점에 착안하여 정상인에게서 우울 증상과 불안 증상이 인지 기능에 미치는 영향을 관찰하고자 한다. 방 법 일반인 50명을 모집하여 인지 기능 및 임상 증상에 대한 평가와 임상 증상이 인지 기능에 미치는 영향을 알아보기 위해 피어슨 상관분석과 다변량 회귀분석을 시행하였다. 우울증에서 흔히 저하되는 인지 영역을 평가하는 검사 소항목간의 상관성을 알아보기 위해 위해 소항목간 상관분석을 시행하였다. 결 과 선로잇기검사(B형)는 우울 증상(r=0.300, p=0.03)과 나이(r=0.323, p=0.02)와 상관 관계를 보였고 이에 영향을 미치는 독립변수는 우울 증상(β=0.304, p=0.03)과 나이(β=0.335, p=0.01)이며 선로잇기검사(B형)에 대해 14.8%의 설명력을 보여주었다. 주관적 인지 기능 검사는 불안 증상(r=0.434, p=0.002)과 상관 관계가 있었다. 인지 기능 소항목간 상관분석에서 주관적 인지 기능검사는 주의력검사를 제외한 나머지 항목과 상관 관계가 있었다. 결 론 본 연구에서 우울 증상은 나이, 교육기간 같은 인구학적 특성 외에 독립적으로 실행기능에 기여하는 것을 알 수 있었다. 우울증에서 인지 기능 저하가 흔한 장기적인 임상 결과임을 감안할 때 인지 기능에 대한 적극적인 조기 개입과 평가가 도움이 될 것으로 기대한다.

• International Journal of Advanced Culture Technology
• /
• 제9권4호
• /
• pp.29-39
• /
• 2021

Cognitive behavioral therapy (CBT) is effective for people with an addiction tendency. This study aims to implement a CBT program for college students at high risk of smartphone addiction and investigate the impact of the program on their desire to use a smartphone, depression, impulsivity, and anxiety. Baseline/post-intervention evaluation and the ABA' single-case experimental design were used. The study consisted of the baseline phase (A), pre-evaluation, intervention phase (B), post-evaluation, and baseline phase (A'). Six participants were enrolled, and the main outcome variables were daily changes in the desire to use a smartphone and changes in depression, impulsivity, and anxiety after the program. Prior to the intervention, all six participants had mild to moderate depression, but after the intervention, three were normal, two had mild depression, and only one had moderate depression. Impulsivity and anxiety scores decreased after the intervention, with anxiety scores showing the most dramatic change. The percentage of non-overlapping data for the baseline phase (A)-intervention phase (B) was more than 75% and that for baseline phase (A)-baseline phase (A') was 100% for all 6 participants. This study presented a good protocol for people with low access to psychological therapy. We expect the findings will be highly useful for people suffering from psychological difficulties due to smartphone addiction.

• 지역사회간호학회지
• /
• 제28권2호
• /
• pp.107-117
• /
• 2017

Purpose: The purpose of this study is to examine the cognitive function in the elderly and to identify the influencing factors. Methods: The design of this study was descriptive research design. A total of 139 elderly people (aged 65 years and over) visiting the electroencephalogram (EEG) center in Seoul, Korea were evaluated. Data were assessed by self-administered questionnaires and CNS Vital Signs (CNSVS). Data were analyzed using SPSS Statistics 23.0 for Windows. Results: There were significant differences in the Korean Mini-Mental State Examination (K-MMSE), executive functions and reasoning according to education level. K-MMSE, visual memory and executive functions were different depending on the jobs. Age was highly correlated with cognitive function. In addition, stepwise multiple regression analyses showed that the factor significantly associated with reaction time and visual memory was depression. Depression and Trait-Anxiety had significant impacts on executive functions and K-MMSE. Conclusion: CNSVS enabled the accurate and objective measurement of cognitive function. Therefore, this study provides useful data to improve cognitive function of the community-dwelling elderly. The results suggested that there is need for comprehensive interventional programs that manage cognitive impairment.

• 한국산학기술학회논문지
• /
• 제21권9호
• /
• pp.358-372
• /
• 2020

본 연구는 성인의 인지예비능, 주관적 기억감퇴, 우울 및 삶의 질 등과 같은 요인들이 인지기능에 미치는 직·간접 효과를 규명하고자 하였다. 연구 대상자는 만 40세 이상 80세 미만의 성인 남녀 253명을 대상으로 설문 조사하였고, 본 연구에 사용된 도구는 인지기능 척도, 우울 척도, 삶의 질, 주관적 기억감퇴, 인지예비능 척도를 사용하였다. 데이터 결과는 SPSS 25.0를 이용하여 분석하였고, PROCESS macro for SPSS Version 3.3과 부트스트래핑 방법을 활용하였다. 연구결과, 성인의 인지예비능은 우울과 삶의 질에 영향을 미치는 것으로 나타났으며, 인지예비능과 인지기능의 다중 매개 결과는 우울 및 주관적 기억감퇴에서 매개효과가 나타나지 않았다. 그러나 삶의 질은 성인의 인지예비능과 주관적 인지기능 간의 관계에서 완전매개효과를 나타냈다. 본 연구결과를 토대로 성인들은 다양한 활동과 지속적인 훈련을 통해 인지예비능을 꾸준히 축적하여 인지기능이 긍정적인 방향으로 이어지도록 하는 것이 필요하다. 또한 건강한 성인들을 대상으로 한 인지예비능과 인지기능을 위한 많은 연구들이 실행되기를 제언한다.

• 대한간호학회지
• /
• 제29권3호
• /
• pp.639-655
• /
• 1999

An explanatory design was employed to identify the relationship of physical, emotional & social readjustment and social support of post hospitalized stroke patients and their caregivers. A convenient sample of 254 patients who given follow-up care at the outpatient department after discharge and 225 caregivers were recruited. Mental Status Questionnaire (MSQ), Social Support Inventory Stroke Survivors (SSISS), Illness intrusiveness(II), Instument Activity of Daily Living(IADL), Center of Epidemilogic Studies-Depression(CES-D), social activity and caregiver burden were used for measurement in this study. Results showed patient's physical level measured by IADL and psychological level measured by depression were high. But social activity was low. Cognitive function, depression & social activity were not significantly different by the posthospitalized period, but IADL was. The source of professional support was mostly the physician at the outpatient department. The family support was found significantly related to patient's depression & social activity and caregiver's subjective burden. Professional support was found significantly related to patient's IADL & depression. Illness intrusiveness as a mediating variable was a sig nificantly predicting power on patient's IADL & depression. The path analysis was used to identify the variables to predict the physical, emotional, and social status of patients. As a result, patient's age, cognitive function, illness intursiveness and professional support significantly predicted the level of IADL ; patient's cognitive function, illness intrusiveness and family support significantly predicted the level of depression ; and patient's age and family support significantly predicted the level of social activity of posthospitalized stroke patients. Based upon these results, the rehabilitation programs to reduce the illness intrusiveness and improve cognitive funtion were recommended for the readjustment of the stroke patients. This model of the readjustment of the posthospitalized stroke patients is recommended as the framework for care of the stroke patients.

• Human Ecology Research
• /
• 제59권3호
• /
• pp.353-367
• /
• 2021

The purpose of this study was to examine the mediating effect of middle school students'self-deprecation in the relationship between upward social comparison in social network service (SNS) and depression and the moderated mediating effect of cognitive flexibility. The participants were 288 middle school students, in the first to third grades from four middle schools located in Seoul, Gyeong-gi, and Jeonnam. The date were analyzed with descriptive statistics, Pearson's correlation coefficients and the Process Macro Model 4, 1, and 14. The results of this study are as follows. First, an upward comparison in SNS has a significant positive influence on students'depression, and students' self-deprecation of students mediated the relation between two. Second, the level of control, which is a sub-factor of cognitive flexibility, moderated the mediating effect of self-deprecation. That is, if students are more likely to perceive difficult situations as controllable, upward social comparison in SNS mediated by self-deprecation has smaller effect on depression. Based on these results, we suggest practical interventions to reduce depression among middle school students by decreasing upward social comparison in SNS and self-deprecation. In addition, helping students perceive difficult situations as controllable could be another effective way of reducing depression among those students who have a high level of self-deprecation in upward social comparison in SNS.

• 여성건강간호학회지
• /
• 제27권4호
• /
• pp.337-347
• /
• 2021

Purpose: This study presents the development of a group video communication-based cognitive behavioral therapy (CBT) program for depressed pregnant women. It also provides the results of a preliminary test of its effects on their depression, automatic thoughts, and dysfunctional attitudes. Methods: In this quasi-experimental single-group pre- and posttest design study, 13 pregnant women participated in a 4-week, eight-session group CBT program, based on Beck's cognitive theory and using video communications from November 2020 to January 2021. Pregnant women between 14 and 32 weeks who were members of an online maternity and parenting community and residing in the cities of Changwon and Gimhae, Korea, were invited to voluntarily participate. Trained nurses led CBT sessions of 3-4 participants per group via video communication. Participants were assessed pre- and postintervention with self-report questionnaires for measurement of depression, automatic thought, and dysfunctional attitude after normality test according to the Shapiro-Wilk test of the variables. The data were analyzed using paired t-test and Pearson correlation coefficients. Results: Depression (t=7.90, p<.001), automatic thoughts (t=4.89, p<.001), and dysfunctional attitudes (t=2.42, p=.032) significantly decreased after the 4-week online program. There were statistically significant correlations among the three variables. Conclusion: This program was found to be effective in reducing depression, automatic thoughts, and dysfunctional attitudes. Above findings suggest that a group CBT program using video communication can be an effective therapeutic modality that helps pregnant women at risk for depression alleviate their negative emotions related to depression.