• Journal of Korean Academy of Nursing
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• v.42 no.2
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• pp.269-279
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• 2012

Purpose: To develop a expressive writing program for women with breast cancer and to identify its effects on stress physical symptom, cancer symptom, anxiety, depression, and QOL. Methods: A non-equivalent control pre-post design was used. Participants were recruited from self-help groups in six hospitals and were assigned to the experimental group (29) or control group (29). Data were collected before, after, and at four weeks after the intervention program. Changes in the variables were evaluated to test effects of the developed program, using $X^2$-test, Fisher's exact test, repeated measures ANOVA, and paired t-test. Results: The expressive writing program was developed for women with breast cancer based on Pennebaker's expressive writing. Significant differences were found between the two groups for stress related to physical symptoms ($p$<.00) and quality of life ($p$=.024). No significant differences were found in cancer symptoms, anxiety, or depression between the two groups. Conclusion: The results indicate that the expressive writing program designed to express cancer-related deep thoughts and emotions helps in decreasing physical symptoms and improving QOL. Further studies are needed to identify the effect on emotions such as anxiety and depression for women with breast cancer with above average levels of anxiety and depression.

• Journal of Korean Biological Nursing Science
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• v.17 no.1
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• pp.71-77
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• 2015

Purpose: This study was performed to identify lower urinary tract symptoms (LUTS), and to evaluate the factors affecting LUTS in patients with type 2 diabetes mellitus (T2DM). Methods: The cross sectional study was used with a structured questionnaire to collect data through interviews with 181 T2DM patients and their clinical data from a university hospital diabetes clinic from October 2010 to April 2012. LUTS were measured using the International Prostate Symptom Score (IPSS), depression using the Center for Epidemiologic Studies Depression Scale (CES-D), and glycosylated hemoglobin (HbA1c) from the clinical data. Results: Of all patients with T2DM, the mean IPSS of LUTS was $9.34{\pm}6.86$. Concerning the reported severity of LUTS, 53.6% of the subjects were in the moderate and severe group. In each symptom score of LUTS (range 0-5), nocturia was the highest 2.04, weak stream 1.62, and frequency 1.45. LUTS was significantly predicted by HbA1c and depression, and 14.3% of the variance in LUTS was explained. Conclusion: HbA1c and depression were found to be very important factors associated with LUTS in T2DM patients.

• The Journal of Internal Korean Medicine
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• v.40 no.4
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• pp.629-636
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• 2019

Objective: This study was designed to assess the correlation between gastrointestinal symptoms, depression, and anxiety in patients with irritable bowel syndrome (IBS). Method: New patients who visited the ${\bigcirc}{\bigcirc}$ Oriental Hospital completed standardized questionnaires. These consisted of questionnaires for IBS based on Rome III criteria, the Gastrointestinal Symptom Rating Scale (GSRS), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). Results: A total of 103 patients participated. Among them, IBS was observed in 42 patients. There was a weak correlation between GSRS and BDI, but it was not statistically significant. There was a statistically significant weak correlation between GSRS and BAI. The main symptom factors affecting BAI were borborygmus, increased flatus, sucking sensations in the epigastrium, and abdominal distension. Conclusion: There was a statistically significant correlation between gastrointestinal symptoms and anxiety in patients with irritable bowel syndrome.

• The Journal of Economics, Marketing and Management
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• v.10 no.5
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• pp.15-24
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• 2022

Purpose: The purpose of this study is to find a way to improve and overcome the psychological treatment limited to the negative factors dealt with in psychology from a positive psychological point of view. To this end, this study aims to verify whether a positive psychotherapy program can improve happiness, resilience, and post-traumatic growth along with improvement of psychological symptoms such as depression. Research design, data and methodology: To this end, in this study, mean difference analysis was conducted using t-test on 10 participants in the 16th PPT program and 14 in the control group. Also, after setting the main variables, we tried to confirm the effectiveness through simple regression analysis and multiple regression analysis of the causal relationship model. Results: As a result of the independent sample t-test and the paired sample t-test, it was confirmed that the group participating in the PPT program had higher flourish, happiness, resilience, post-traumatic growth, and lower depression. In addition, as a result of regression analysis, it was confirmed that post-traumatic growth had a positive effect, and that depression was a life-threatening factor. Conclusions: Since the PPT program has a positive effect on the participants with relatively negative psychological symptoms, it is necessary to expand it. In addition, it is necessary to introduce various preventive programs such as PPT as well as traditional psychological treatment for negative symptoms such as depression.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.338-348
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• 2020

This study examined the longitudinal relationship between paternal depressive symptoms and maternal depressive symptoms simultaneously. This study also identified the interplay of paternal and maternal depressive symptoms for predicting elementary children's language development, their problem behaviors and their school adjustment. Using the data from the Panel Study on Korean Children for the 4th-8th years (2011~2015 year), this study used the Latent Growth Curve Model, which is helpful for examining longitudinal relationship differences among variables. The sample subjects were 1,754 parents and children. The results are as follows. The initial level of paternal depressive symptoms had a positive impact on the rate of change in maternal depressive symptoms. The initial level of maternal depressive symptoms had a negative impact on the rate of change in maternal depressive symptoms. Mothers' depressive symptoms showed not only the mothers' own depression problem. but also the self-effect and counterpart effect of depression on the fathers' depression problem. The rate of change in maternal depressive symptom mediated the relation between the initial level of parental depressive symptoms and children's receptive language, internalizing/externalizing problems, and school adjustment. Therefore, depression prevention and intervention programs for both fathers and mothers are needed for the healthy development and school adaptation of school-age children.

• Journal of the Korean Home Economics Association
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• v.49 no.9
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• pp.59-72
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• 2011

This study examined whether there are underlying latent classes of growth trajectories of maternal depression in the Korean population. Data from the first phase of the Panel Study of Korean Children (PSKC) of the Institute of Child Care and Education (KICCE) were used for this study. The final sample of participants included 1,471 mothers, who completed three interviews: at birth, at one month, and at four months. A two-class model consisting of depression (12.3%) and non-depression (87.7%) was considered the best-fitting solution using Mplus 3.13. The changes in postnatal depression in the Korean population within four weeks after childbirth, which is the period of "postpartum onset", seem to be important. Logistic regression analysis showed that duration of breast-feeding and planned pregnancy effects were significantly associated with trajectory class membership.

• Korean Journal of Acupuncture
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• v.33 no.1
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• pp.33-36
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• 2016

Objectives : The objective of this clinical case report is to describe an acupuncture treatment for dizziness after acoustic neuroma surgery. Methods : The patient was treated with acupuncture treatment for 4 months, 3 times per week. Duration for every treatment were 30 min by manual acupuncture with De Qi, which was designed to treat the dizziness and accompanied symptoms. Side-lying test was also used to evaluate dizziness and Hamilton Rating Scale for Depression(HDRS) to evaluate depression. We evaluated the clinical result of the treatment by observing the patients symptoms. Results : After acupuncture treatments for 4 months, patient's Side-lying test reduced to 10 second, and Hamilton Rating Scale for Depression reduced 4 points. Conclusions : The clinical case treatment report may suggest that the acupuncture treatment can be a meaningful option for the intractable dizziness after acoustic neuroma surgery, and also able to reduced depression scale.

• Anxiety and mood
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• v.15 no.1
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• pp.20-28
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• 2019

Objective : The purpose of this study was to compare and analyze effectiveness of various psychotherapies of depressive symptoms in patients with anxiety disorders by means of a systemic review. Methods : A systematic search using key words was conducted using EMBASE, MEDLINE and CENTRAL. Results : Five studies were included in this systematic review. The Scottish Intercollegiate Guidelines Network (SIGN) was used for quality assessment. Diagnostic-specific cognitive behavioral therapies for various anxiety disorders (ds CBT) were also effective in reducing comorbid depression. Transdiagnostic cognitive behavioral therapies targeting anxiety and depression (tCBT-AD) were not superior than ds CBT for anxiety disorders. Mindfulness-based stress reduction (MBSR) was more effective than traditional cognitive behavioral therapy. Conclusion : ds CBT relieves anxiety symptoms as well as depressive symptoms comorbid with anxiety disorders effectively. In addition, MBSR is more successful for anxiety disorders with co-occurring depression by focusing broadly on the shifting relationship to internal experience rather than focusing narrowly on specific symptoms.

• Korean Journal of Psychosomatic Medicine
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• v.7 no.1
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• pp.51-60
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• 1999

This study was designed to evaluate anxiety & depression symptoms and pressure pain threshold in patients with posttraumatic stress disorder(n=23) and to find out the relationship between the affective symptoms and the pressure pain threshold scores. And this was compared with healthy control subjects(n=18). The scores of pressure pain threshold were checked with algometer. The results were as follows : PTSD patients showed higher scores of anxiety & depression symptoms than that of the control group. In contrast with our hypothesis, pressure pain threshold in PTSD patients presented statistically significant higher scores than that of the control group. These results may be derived from following factors. First, chronic depression has influenced the pain perception of patients with PTSD rather than anxiety symptoms, second, abnormal state of the opiate system in PTSD patients, third, the sick role of the PTSD patients, fourth, the socio-environmental factor of the PTSD patients. In conclusion, affective symptoms, especially depression, were related to the chronic pain in patients with PTSD, however, the causality of elevated pressure pain threshold was uncertain in this study. To understand more clearly the relation between affective symptoms and chronic pain, it will be necessary to control the other specific factors.

• Journal of Korean Clinical Nursing Research
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• v.23 no.1
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• pp.120-129
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• 2017

Purpose: The purpose of this study was to identify the degree of menopause symptoms and associated factors in patients with breast cancer who were receiving hormone therapy. Methods: Data were collected with questionnaires from 150 patients with breast cancer who had been on hormone therapy at a hospital in Seoul. Data were analyzed with the t-test, ANOVA, and Pearson correlation coefficient to compare the degree of menopause symptoms by demographic, clinical and psychological factors. Results: The mean menopause symptoms score was $13.39{\pm}7.97$. Most participants reported having hot flushes and sweating (75.3%), physical and mental exhaustion (82.7%) and sexual problems (64.7%). Menopause symptoms and depression were correlated with each other (p<.01). Somato-vegetative symptoms were different significantly by age, menopausal status at time of operation, occupation and tumor. Psychological symptoms were different significantly by marital status, operation type and chemotherapy. Urogenital symptoms were different significantly by prior history of cancer, occupation, operation type and radiation therapy. Conclusion: These findings can be used to provide tailored nursing interventions by identifying high risk groups for menopausal symptom among breast cancer patients receiving hormone therapy.