• Title/Summary/Keyword: Cognitive Depression

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성인 장애 여성의 생활만족도에 영향을 미치는 요인은 무엇인가? (What factors affect life satisfaction among Women with Disabilities?)

  • 김예순;민진주;호승희
    • 한국학교ㆍ지역보건교육학회지
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    • 제23권3호
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    • pp.1-13
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    • 2022
  • Objectives: The purpose of this study is to identify the life satisfaction of women with disabilities and the factors affecting their life satisfaction to improve their quality of life. Methods: This study used secondary data, the 2020 Survey of the Disabled. The subjects were 2,725 women with disabilities aged 20 or older who responded to the survey. The SPSS Windows 26.0 program was used for data analysis. Technology analysis, chi-test, and multi-logistic analysis were performed to identify the factors affecting the life satisfaction of women with disabilities. Results: Age, education level, marital status, type of medical insurance type, subjective economic status, disability severity, subjective health status, health screening, chronic disease, stress, depression, suicidal ideation, and variables that can go out alone. As a result of multi-logistic regression analysis on factors affecting life satisfaction of women with disabilities, it was analyzed that education level, marital status, subjective economic status, subjective health status, health screening, chronic disease, stress cognitive status, depression, suicide ideation, and variables that can go out alone had a statistically significant effect. Conclusion: Based on the analysis results of this study, it is required to develop and operate health education and health promotion programs for physical and mental health management of women with disabilities.

Neurogenic effect of exercise via the thioredoxin-1/ extracellular regulated kinase/β-catenin signaling pathway mediated by β2-adrenergic receptors in chronically stressed dentate gyrus

  • Kim, Mun-Hee;Leem, Yea-Hyun
    • 운동영양학회지
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    • 제23권3호
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    • pp.13-21
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    • 2019
  • [Purpose] Chronic stress is a precipitating factor for depression, whereas exercise is beneficial for both the mood and cognitive process. The current study demonstrates the anti-depressive effects of regular exercise and the mechanisms linked to hippocampal neurogenesis. [Methods] Mice were subjected to 14 consecutive days of restraint, followed by 3 weeks of treadmill running, and were then subjected to behavioral tests that included the forced swimming and Y-maze tests. Protein levels were assessed using western blot analysis and newborn cells were detected using 5-bromo-2'-deoxyuridine (BrdU). [Results] Three weeks of treadmill running ameliorated the behavioral depression caused by 14 days of continuous restraint stress. The exercise regimen enhanced BrdU-labeled cells and class III β-tubulin levels in the hippocampal dentate gyrus, as well as those of thioredoxin-1 (TRX-1) and synaptosomal β2-adrenergic receptors (β2-AR) under stress. In vitro experiments involving treatment with recombinant human TRX-1 (rhTRX-1) augmented the levels of phospho-extracellular signal-regulated kinases 1 and 2 (ERK1/2), nuclear β-catenin, and proliferating cell nuclear antigens, which were previously inhibited by U0216 and FH535 (inhibitors of ERK1/2 and β-catenin/T cell factor-mediated transcription, respectively). The hippocampal neurogenesis elicited by a 7-day exercise regimen was abolished by a selective inhibitor of β2-AR, butoxamine. [Conclusion] These results suggest that TRX-1-mediated hippocampal neurogenesis by β2-AR function is a potential mechanism underlying the psychotropic effect of exercise.

디지털 치료기기의 글로벌 연구 동향에 대한 계량서지학적 분석 (A Bibliometric Analysis of Global Research Trends in Digital Therapeutics)

  • 김대진;김현수;김병관;남기창
    • 대한의용생체공학회:의공학회지
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    • 제45권4호
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    • pp.162-172
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    • 2024
  • To analyse the overall research trends in digital therapeutics, this study conducted a quantitative bibliometric analysis of articles published in the last 10 years from 2014 to 2023. We extracted bibliographic information of studies related to digital therapeutics from the Web of Science (WOS) database and performed publication status, citation analysis and keyword analysis using R (version 4.3.1) and VOSviewer (version 1.6.18) software. A total of 1,114 articles were included in the study, and the annual publication growth rate for digital therapeutics was 66.1%, a very rapid increase. "health" is the most used keyword based on Keyword Plus, and "cognitive-behavioral therapy", "depression", "healthcare", "mental-health", "meta-analysis" and "randomized controlled-trial" are the research keywords that have driven the development and impact of digital therapeutic devices over the long term. A total of five clusters were observed in the co-occurrence network analysis, with new research keywords such as "artificial intelligence", "machine learning" and "regulation" being observed in recent years. In our analysis of research trends in digital therapeutics, keywords related to mental health, such as depression, anxiety, and disorder, were the top keywords by occurrences and total link strength. While many studies have shown the positive effects of digital therapeutics, low engagement and high dropout rates remain a concern, and much research is being done to evaluate and improve them. Future studies should expand the search terms to ensure the representativeness of the results.

여대생의 인지 및 행동적 회피요인이 우울증상을 매개로 수면의 질에 미치는 영향 (Effects of Cognitive and Behavioral Avoidance on Sleep Quality through Depressive Symptoms in Female College Students)

  • 곽진영;하은혜
    • 재활치료과학
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    • 제9권2호
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    • pp.73-86
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    • 2020
  • 목적 : 본 연구의 목적은 여대생의 인지(자책, 숙고) 및 행동적 회피요인과 수면의 질의 관계에서 우울증상의 매개효과를 검증하는 것이다 연구방법 : 본 연구는 지역사회 1,000명의 여대생을 대상으로 우울증상(CES-D), 반추적 반응(K-RRS), 인지-행동 회피(CBAS), 수면의 질(PSQI)을 평가하였다. 최종 분석대상은 총 947명이었다. 자료분석은 SPSS 18.0과 AMOS 22.0 통계프로그램을 사용하였다. 결과 : 첫째, 자책과 수면의 질의 관계에서 우울증상의 완전매개효과가 유의미한 것으로 나타났다. 둘째, 숙고와 수면의 질의 관계에서 우울증상의 매개효과는 유의하지 않았으며, 숙고는 우울증상을 예측하지 않았다. 셋째, 행동적 회피와 수면의 질의 관계에서 우울증상의 매개효과가 유의미한 것으로 나타났다. 또한 행동적 회피는 수면의 질을 직접적으로 예측하였다. 결론 : 본 연구는 지역사회의 일반 여대생의 우울증상과 수면문제에 대한 자책의 더 병리적인 특성을 숙고와 비교하여 입증하였다. 또한 수면문제에 영향을 미치는 우울증상과 행동적 회피 요인의 주요한 역할을 밝혔다는데 의의가 있다.

소셜네트워크서비스(SNS)사용의 부정적 감정과 사용중단의도에 관한 연구 (A Study on the Negative Emotion of Using Social Networking Services and Its Discontinuance Intention)

  • 박경자;유일;이윤희
    • 지식경영연구
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    • 제15권2호
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    • pp.89-106
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    • 2014
  • As an empirical study on the psychological side effects of using Social Networking Services (SNS), this study aims to identify the reality of negative emotion of using SNS and to predict its consequences. To this end, a measurement tool was developed through literature review, in-depth interview with users and expert review to induce negative emotional factors that can arise while using SNS. An exploratory factor analysis was performed for a total of 24 measurement items, which then were divided into the following 6 factors: 'concern over privacy,' 'burden from undesired connection,' 'relative deprivation,' 'a sense of alienation,' 'concern over reputation' and 'negative feeling about simple relationship.' Also, the relationship between the 6 negative emotional factors and psychological dissonance was analyzed. The results indicate that all the factors, except relative deprivation and a sense of alienation, affect psychological dissonance. It was also found that psychological dissonance, which implies a conflicting condition from using SNS, significantly affects the behavior that possibly reduces and limits the use of SNS. In other words, the users who have experienced psychological dissonance respond passively by avoiding the use of SNS to resolve the dissonance. The results of this study provide the base for explaining the psychological side effects of using SNS, which have been understood at a phenomenal level, such as 'Facebook depression' or 'SNS stress.' In addition, this study is of significance as it helps understand the psychological mechanism by identifying the relationship between negative emotion and use behavior with the theory of cognitive dissonance.

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학습부진학생의 자기조절학습요인이 학습동기에 미치는 영향 (The Effect of Self-Regulated Learning Factors on Learning Motivation on Underachiever)

  • 권은경
    • 디지털융복합연구
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    • 제16권3호
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    • pp.113-119
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    • 2018
  • 20세기 중반 이후 교육현장에서 지속적으로 제기되어온 대표적인 주제가 학습부진 문제해결이다. 따라서 본 연구에서는 자기조절학습요인을 인지, 동기, 행동조절로 구성하고, 학습부진 대학생의 학습동기인 내적가치, 자기효능, 호기심 및 자신감에 미치는 어떠한 영향을 살펴보았다. 연구는 창원시 소재 A대학교의 학습부진 상담프로그램에 참여한 대학생을 대상으로 하여 조사를 행하였다. 연구 결과 자기조절학습요인은 학습동기에 긍정적 영향을 미치는 것으로 나타났다. 둘째, 학습조절요인은 자기효능감에 긍정적 영향을 미치는 것으로 나타났다. 마지막으로 학습조절요인은 호기심 및 자신감에 긍정적 영향을 미치는 것으로 나타났다. 본 연구를 통하여 다양한 요인이 통합적으로 학습과정에 작용하므로 상호작용을 고려한 종합적인 지도체제가 필요함을 확인하였다. 구체적인 방법으로는 인지적 동기적 행동적 요소들을 참고하여 동기수준을 강화시킬 수 있는 학습상담 프로그램 개발이 시급하다 하겠다.

양극성 장애 환자의 자서전적 기억 (Autobiographical Memory in Patients with Bipolar Disorder)

  • 선자연;하라연;이수진;유빈;하규섭;조현상
    • 생물정신의학
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    • 제19권1호
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    • pp.53-59
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    • 2012
  • Objectives : Autobiographical memory (ABM) is a special type of episodic memory, containing events that have occurred in a personal life. Overgeneral tendency of ABM refers to the retrieval of memory with only general and categorical descriptions rather than specific events. ABM specificity in depression and posttraumatic stress disorder is a robust finding with relation to cognitive vulnerability, affect regulation, problem-solving ability. It is also implicated in bipolar disorder with frequent relapses. In this study, we investigated whether ABM specificity was related to manic or euthymic mood states in patients with bipolar disorder. Methods : Forty bipolar patients with manic and euthymic episodes and 25 healthy controls participated in this study. Prompted by 5 positively and 5 negatively valenced emotional cue words, each participant was instructed to recall positive or negative memories and describe them in detail. The One-way ANOVA was used to compare ABM scores and post-hoc analyses were done. Results : Comapred to the healthy persons, the bipolar patients reported significantly more general than specific negative memories in both manic and euthymic episodes (p = 0.003). However, there was no significant difference between manic and euthymic patients (p = 0.074). Conclusions : These results suggest that overgeneral tendency of negative ABM may be a trait abnormality in bipolar disorder. Moreover, this phenomenon might be related to underlying cognitive deficits or affect regulation irrespective of the mood state.

초발 주요우울장애 환자의 우울 삽화 및 관해 상태에서 신경인지기능 결함 비교 (Comparison of Neuropsychological Deficits between Depressed Episode and Remission in First-onset Patients with Major Depressive Disorder)

  • 허지원;김용구
    • 생물정신의학
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    • 제15권2호
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    • pp.92-100
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    • 2008
  • Objectives : The purpose of this study was to investigate 1) the neuropsychological deficits with major depressive disorder(MDD) in depressed state and 2) the changes of neuropsychological dysfunctions during depressed episodes and remitted periods in the MDD group. Methods : 12 patients with MDD and 70 normal controls who were diagnosed and classified by DSM-IV and SCID-IV interview participated in this study. The psychopathology was measured using the Hamilton rating scale for depression(HAM-D) and Brief Psychiatric Rating Scale(BPRS). The memory function, executive function, and sustained attention were measured by a trained psychologist using the Korean version of Memory Assessment Scale(K-MAS), Wisconsin Card Sorting Test(WCST), and Vigilance(VIG) and Cognitrone (COG) in Vienna Test System. After 6 weeks of treatment, we retested the cognitive tests in order to measure the cognitive functions in remitted states. Results : Patients with MDD achieved significantly lower score in sentence immediately recall, verbal memory score and total memory score of the K-MAS, total errors of the WCST, response time of Vigilance and response time at "Yes" response of Cognitrone than normal controls at baseline. After 6 weeks of medication, the psychiatric symptoms in the patient group were attenuated, and most of the neuropsychological functions including attention, memory, and frontal/executive function were improved except for response time of Cognitrone. Conclusions : This study provides evidence for distinct neuropsychological deficits in patients with MDD on their depressed states and remitted periods. The impairment on response time remains after remission, and this would be a trait marker of major depressive disorder.

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학령 초기 자녀를 둔 어머니들의 부모됨 경험에 대한 질적 연구 (A Qualitative Study on Experiences of Parenthood Among Mothers of Early School-Age Children)

  • 도현심;송승민;이운경;김민정;신나나;김태우
    • 아동학회지
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    • 제37권3호
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    • pp.147-166
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    • 2016
  • Objective: The purpose of this study was to gain an understanding of parenthood of mothers of early school-age children, with emphasis on cognitive, behavioral, and emotional aspects of parenthood. Methods: Nineteen mothers whose children were 1st and 2nd grade elementary school children participated in this study. Data were collected through individual in-depth interviews. During the interview, mothers were asked to speak freely about their experiences as parents of early-school age children, including parenting beliefs, parenting behaviors, and emotional experiences related to parenting. These interviews were transcribed verbatim and analyzed in a thematic way using MAXQDA. Results: Using qualitative methods, five major themes were emerged: (1) Recognizing the role of parents as a supporter of growth; (2) recognizing parenthood of the present generation that imposes expanded roles to mothers; (3) co-parenting of early school-age children and marital relationship; (4) co-existence of different parenting styles based on specific mother-child interaction situations; (5) experiencing a wide spectrum of emotions including anxiety, guilt, and depression, as well as happiness. Conclusion: This study revealed the unique cognitive, behavioral, and emotional aspects of parenthood experienced by mothers with early school-age children. Results of this study can fill a gap in our understanding of parenthood of mothers when their children entered into the new developmental stage of middle childhood. The results could also be used as a basis for developing parent education and family relationship programs.

한국인의 스트레스 반응양상 -미국이민 한국인을 대상으로- (A Study on Stress Responses of Korean-American)

  • 이소우
    • 대한간호학회지
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    • 제22권2호
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    • pp.238-247
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    • 1992
  • Immigration of Koreans to the United States has increased since the 1960's. Adjusting to life in the United States produces a great deal of stress for immigrants. Despite better economic opportunites, many see the U.S. culture as threatening to their family and cultural values. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstanding can leaf to frustration on the part of each. The ultimate result of this is that often Korean-immigrants do not get their health care needs met and stress response symptoms can lead to disease if there is no appropriate care. To determine the health care needs and concerns of Korean-Americans, a health needs assessment is needed. Appropriate and adequate information about the health care needs of these individuals is important as it relates to American policy changes allowing greater numbers of immigrants to enter the U.S. The purpose of this prospective study was to describe Korean-American stress response. This study focused on the primary presenting problems for which subjects reported having sought care. These included a variety of stress-related symptoms, including peripheral manifestations, cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. Of the 300 subjects who entered the study, 80% (N=223) completed the questionnaire in full. Demographically, the percentage of females and males was 50% each and they ranged in age from 20 to 69 years. Ninety percent of the subjects were highly educated, 25% owners of business, 25% white collar professionals, 15% employed in sales or as skilled /unskilled labor, 30% had no occupation : and 5% were housewives or students. The SOS inventory is designed to quantify self-perception of behavioral, cognitive, and physiological components of the stress response. It consisted of 94 items divided into 10 subscales. The result of this study are as follows : The total mean 505 of all subjects (N=223 was .8129 ; the mean 505 for male(N=114) was .7665 and for females, (N=108) .8594. The level of symptoms for central-neurologic and muscle tension was higher for than for males. The highest stress response of all subjects was emotional irritability symptoms(1.0644) : the lowest stress response of all subjects was peripheral manifestation symptoms.

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