• Title/Summary/Keyword: Cognitive Depression

Search Result 696, Processing Time 0.023 seconds

The Influence of MMPI Characteristics on the Outcome of Cognitive Behavioral Therapy for Panic Disorder (공황장애 환자의 다면적 인성검사 (MMPI) 특성이 인지행동치료 결과에 미치는 영향)

  • Choi, Young-Hee;Lee, Jung-Heum
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.6 no.2
    • /
    • pp.147-154
    • /
    • 1998
  • Objective : This study was designed to find the characteristics of MMPI that could influence the outcome of cognitive behavioral therapy(CBT) for panic disorder. Methods : 34 patients who met DSM-IV criteria for panic disorder with or without agoraphobia had completed 11 weekly sessions of cognitive behavioral therapy. All the patients were assessed with MMPI before the initiation of treatment. Five self-report measures including Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory(STAI), Agoraphobic Cognition Questionnarie(ACQ), Body Sensation Questionnaire(BSQ), and Daily Anxiety Selfrating (0 - 8 scales) were also assessed as a pre- and post-treatment assessment. After the completion of treatment, patients were classified by the High End-State(HES) functioning group and the Low End-State(LES) functioning group for the data analysis. Results : 1) The LES group showed significantly higher scores in Hypochondriasis Scale(HS), Depression Scale(D), Hysterical Scale(Hy), Obsessive Scale(Pt), Schizophrenia Scale(Sc) and Validity Scale(F) of MMPI than the HES group. However, these differences gave impressions that the LES group had more severe symptoms rather than that they could be the factors influencing the outcome of CBT. 2) Though, the severity of symptoms of the LES group in the 5 measures of pre-assessment was basically higher than that of the HES group. The fact that both group showed the similar improvement between pre- and post-assessment supported the above interpretation. Conclusion : In regarding the above results, MMPI was not a proper tool that could provide the factors influencing the outcome of CBT. In the future study, the authors need to use a different tool that can find the personality characteristics more directly.

  • PDF

The Relationship between Explicit/Implicit Dependency and Depression (외현적/암묵적 의존성과 우울과의 관계)

  • Park, Sunhee;Oh, Kyung Ja
    • Korean Journal of Cognitive Science
    • /
    • v.27 no.4
    • /
    • pp.599-618
    • /
    • 2016
  • The relationship between dependent personality traits and depression has been widely studied in the field of psychology. However, the existing evidence is mixed and often contradictory, obscuring the precise nature of this relationship. Given that the most common method of measuring the construct of dependency has been to administer self-report instruments, it is possible that implicit dependency, another parameter of dependency that is distinct from explicit dependency measured via self-report, is confounding these results. The current study aimed to clarify the relationship between dependency and depression by comparing the effect of implicit and explicit dependency. Implicit dependency was measured via the Single Category-Implicit Association Test (SC-IAT), a test of implicit personality that has shown to have good validity and reliability in previous studies. In addition, we examined the effect of gender on this relationship, given the potential role of gender stereotype that may make male participants show lower levels of dependency when measured through self-report (vs. SC-IAT). Results showed that implicit and explicit dependency indeed had separate and distinct relationships, and the relationships depends on participants' gender. Among female participants, increased explicit dependency predicted depression only when implicit dependency was also elevated. In contrast, explicit dependency predicted depression regardless of the level of implicit dependency in male participants. These findings suggest that implicit and explicit dependency may be separate parameters capturing different aspects of dependent personality traits, further supporting the need to consider the implicit aspect of personality in personality assessment research. Implications and limitations of the current findings and directions for future research are discussed.

Factors Affecting the Depression of the Elderly Women in Poverty (빈곤층 여성 노인의 우울에 미치는 영향요인)

  • Park, Eun-A;Lee, In-Sook
    • Journal of agricultural medicine and community health
    • /
    • v.34 no.2
    • /
    • pp.256-266
    • /
    • 2009
  • Objectives: This study was to investigate the factors affecting the depression of the elderly women in poverty in community. Methods: The subjects were 1,208 elderly women over 65 years who were enrolled in the Public Health Care Center from Apr. 2008 to Jun. 2008. Data were collected using questionnaires including general characteristics, health related behaviors and health status by nurses at the time of enrollment. The collected data were analyzed by descriptive statistics, $x^2$-test, Pearson correlation coefficients and multivariate logistic regression. Results: The major findings of this study are as follows : The elderly women in poverty show a tendency to have lower level in income, education, self-rated health, cognitive function compared with ordinary women in old age. The predictors of depression of the elderly women in poverty were spouse's existence or nonexistence, type of insurance, cognitive function, and self-rated health. Conclusion: These findings suggest the need to develop nursing strategies for decreasing depression in the elderly women in poverty. To decrease the depression of the elderly women, the above-mentioned major influencing factors should be considered.

The Effect of Empathy on Anxiety and Depression in COVID-19 Disaster : through Risk Perception and Indirect Trauma (코로나19 재난 상황에서 공감이 불안과 우울에 미치는 영향 : 위험지각과 간접외상을 통하여)

  • Han, Jeong-Soo;Choi, Ju-Hee;Lee, Sang-Ok;Kim, Yoo-Ri;Kim, Sung-Soo
    • The Journal of the Korea Contents Association
    • /
    • v.21 no.11
    • /
    • pp.609-625
    • /
    • 2021
  • It has now been more than a year since the start of the COVID-19 pandemic in Korea, which has claimed thousands of lives and changed every aspect of life. The corona pandemic not only caused physical damages but also psychological one which is a collective social stress phenomenon often termed as 'corona blue'. The purpose of this study is to examine how empathy affects anxiety and depression through risk perception and indirect trauma, which are psychological variables related to the corona pandemic as a disaster. The survey data from 214 people were analyzed with a structural equation modelling. The results shows that 53.3 % of the participants experienced anxiety and 35.7% suffered from depression, which were about 6 times higher than ones from the 2019 government data. Affective empathy had a significant effect on risk perception, and cognitive empathy had a significant effect on indirect trauma. Risk perception and indirect trauma both had a significant effect on anxiety, and anxiety had a significant impact on depression. Only cognitive empathy had a significant indirect effect on anxiety and depression. This study provides an important insight into understanding a social phenomenon of 'corona blue' from a empathic perspective.

The Impact of volunteer activities on the cognitive health of middle-aged women in the Digital Transformation infrastructure (지능정보사회기반에서 나타나는 중년여성의 자원봉사활동이 인지건강에 미치는 영향)

  • Sim, Young Sil;Kim, Young Mi
    • Journal of Digital Convergence
    • /
    • v.16 no.8
    • /
    • pp.11-18
    • /
    • 2018
  • In the Digital Transformation infrastructure at the addition to research on mental health such as depression and well-being, research on middle-aged health requires a study consisting of specific measures of cognitive health. This study used social, mental, and physical cognitive health as a sub-domain of cognitive health. The purpose of this study was to investigate the positive effects of volunteer activities on cognitive health for middle-aged women. The questionnaire survey was conducted on middle-aged women aged 40 to 59, focusing on the question "How well does cognitive health work for middle-aged women through volunteer activities?" The goal of this study is to examine the effect of volunteer activities on the cognitive health of middle-aged women and to analyze the meaning and influencing factors of volunteer activities needed to maintain the desirable life of middle-aged women and the healthy life of the elderly. The necessity to diversify and activate volunteer activities of middle-aged women was proved through the survey.

Analysis of a Trend of Instrument Usage to Assess Cognitive Function of Breast Cancer Patients Undergoing Chemotherapy (항암화학요법으로 인한 유방암 환자의 인지기능 측정도구 사용 실태 분석)

  • Kim, Gyung-Duck;Chung, Bok-Yae;Kim, Kyung-Hae;Byun, Hye-Sun;Choi, Eun-Hee
    • Asian Oncology Nursing
    • /
    • v.11 no.3
    • /
    • pp.179-185
    • /
    • 2011
  • Purpose: This study analyzed recent trends of instrument usage assessing cognitive function of breast cancer patients undergoing chemotherapy. Methods: The researcher collected 64 studies outside the country that were published between January 1996 and August 2010. Results: There was no study on the instrument assessing all domains of cognitive function in breast cancer patients undergoing chemotherapy. Most instruments assessing cognitive function of breast cancer patients have been used for patients with dementia, depression, and/or organic brain damage. Also the objective neuropsychological tests such as the grooved pegboard for the psychomotor area, RCFT copy in visuospatial skill area and the WAIS-III block design have low sensitivity for measuring cognitive function in breast cancer patients, thus they are not good for applying to breast cancer patients. Conclusion: There is a need to develop an instrument which has good sensitivity and specificity for measuring the cognitive function of the breast cancer patients who experienced cognitive impairment after chemotherapy treatment. In addition, the developed instrument needs to be accessible and feasible in any nursing clinical setting for the purpose of accurate assessment and evaluation of the cognitive function among breast cancer patients.

An Investigation of the Cumulative Effects of Depressive Symptoms on the Cognitive Function in Community-Dwelling Older Adults: Analysis of the Korean Longitudinal Study of Aging (지역사회 거주 노인의 우울 증상이 인지기능에 미치는 누적적인 영향에 관한 연구: 고령화연구패널조사 Korean Longitudinal Study of Aging 자료를 중심으로)

  • Kim, Eunmi;Oh, Jinkyung;Huh, Iksoo
    • Journal of Korean Academy of Nursing
    • /
    • v.53 no.4
    • /
    • pp.453-467
    • /
    • 2023
  • Purpose: This study investigated the cumulative effects of depressive symptoms on cognitive function over time in community-dwelling older adults. Methods: Data were investigated from 2,533 community-dwelling older adults who participated in the Korean Longitudinal Study of Aging (KLoSA) from the 5th (2014) to the 8th wave (2020). The association between cumulative depressive symptoms and cognitive function was identified through multiple regression analysis. Results: When the multiple regression analysis was conducted from each wave, the current depressive symptoms scores and cognitive function scores were negatively associated, regardless of the waves (B5th = - 0.26, B6th = - 0.26, B7th = - 0.26, and B8th = - 0.27; all p < .001). Further, when all the previous depressive symptoms scores were added as explanatory variables in the 8th wave, the current one (B8th = - 0.09, p < .001) and the previous ones (B5th = - 0.11, B6th = - 0.09, and B7th = - 0.13; all p < .001) were also negatively associated with the cognitive function score. The delta R2, which indicates the difference between the model's R2 with and without the depressive symptoms scores, was greater in the model with all the previous and current depressive symptoms scores (6.4%) than in the model with only the current depressive symptoms score (3.6%). Conclusion: Depressive symptoms in older adults have a long-term impact. This results in an accumulated adverse effect on the cognitive function. Therefore, to prevent cognitive decline in older adults, we suggest detecting their depressive symptoms early and providing continuous intervention to reduce exposure to long-term depressive symptoms.

Development and Effectiveness of a Program for Relieving ′Hwa-Byung′ Symptoms (화병관리프로그램 개발 및 효과)

  • Park Young-Joo;Kim Jong-Woo;Cho Sung-Hoon;Moon So-Hyun
    • Journal of Korean Academy of Nursing
    • /
    • v.34 no.6
    • /
    • pp.1035-1046
    • /
    • 2004
  • Purpose: This one group experimentation was designed to develop a program for relieving 'Hwa-Byung'(HB) symptoms and examine its effects on HB symptoms, pain threshold emotions like anger, anxiety and depression. Method: The program consisted of three components the change of the cognitive thoughts, the formation of a supportive network, and induction of mind-body relaxation. Sixteen middle-aged women with HB were divided into three groups for group dynamics according to the time of the recruitment. Data was collected for nine months at three time points, before, immediately after, and one month later of its application. Result: There were statistically significant differences in the severity level of state anger, state anxiety, depression, and HB symptoms according to the time interval. The means of state anger and state anxiety were reduced after the intervention, but it was slightly increased one month later. The means of depression and HB symptoms were continuously reduced after the intervention and one month later. Conclusion: This was the first management program for HB women in Korea. A future study must be done with the research design formethodological strength revision of the program.

Dehydroevodiamine.HCl Improves Stress-Induced Memory Impairments and Depression Like Behavior in Rats

  • Kim, Hee Jin;Shin, Ki Young;Chang, Keun-A;Ahn, Sangzin;Choi, Hee Soon;Kim, Hye-Sun;Suh, Yoo-Hun
    • The Korean Journal of Physiology and Pharmacology
    • /
    • v.18 no.1
    • /
    • pp.55-59
    • /
    • 2014
  • Dehydroevodiamine HCl (DHED) has been reported to prevent memory impairment and neuronal cell loss in a rat model with cognitive disturbance. We investigated the effect of DHED on memory impairment and behavioral abnormality caused by stress. We demonstrated that DHED can improve stress-induced memory impairments and depression-like behaviors by using open-field test, Y-maze test and forced swimming test. DHED treatment significantly recovered the decreases in the levels of neural cell adhesion molecule (NCAM) proteins caused by stress and the decreases in cell viability. Our results suggested that DHED is a potential drug candidate for neuronal death, memory impairment and depression induced by stress.

Effects of Art Therapy on Cognition, Depression, and Quality of Life in Elderly (미술요법이 노인의 인지, 우울 및 삶의 질에 미치는 효과)

  • Choi, Yeon Hee;Jeon, En Young
    • Research in Community and Public Health Nursing
    • /
    • v.24 no.3
    • /
    • pp.323-331
    • /
    • 2013
  • Purpose: The study attempted to examine whether the group art therapy using a collage medium and reminiscence therapy prevented or reversed dementia, prevented depression, and improved the quality of life of elderly women at high risk for dementia in community public health centers. Methods: As a quasi-experimental study with a non-equivalent control group, this study used a pre-post design. The subjects consisted of a random sample of women over 65 years of age who had been registered as being at high-risk for dementia at the Public Health Center of the G City, and the Dementia Support Center. Of these elders, 30 were assigned to the experimental group and 33 to the control group. The intervention was conducted twice a week for 5 weeks. $x^2$-test, t-test, Wilcoxon test were used to analyze the data. Results: After the program, cognitive function, depression, and quality of life were significantly better in the experimental group than in the control group. Conclusion: The group art therapy can be utilized in community-based nursing practices by identifying and registering those who are at high risk for dementia. The results should prove useful when designing future intervention strategies targeting elderly individuals residing in communities.